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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHILDREN'S HOSPITAL OF PHILADELPHIA

Philadelphia, PA · CCN 393303 · Rates published

5,937 distinct procedures filed
38 distinct payers
230,256 rate rows
2025-12-31 last MRF observed
Data quality

212,358 of 230,256 rate rows are consumer-grade (92.2%)

17,898 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 17,062
placeholder amount (≤ $0.02) — excluded from medians 552
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 210
exceeds 10× this hospital's gross charge — excluded from medians 74
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://media.chop.edu/data/files/finance/23-1352166_ChildrensHospitalofPhiladelphia_standardcharges.csv
Found on page https://www.chop.edu/centers-programs/billing-and-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 6d3be189133e12db… · 62,157,141 bytes · first seen 2026-05-04

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
PAAPRDRG8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 $1,684,181.82 $4,641,094.17 $3,872,219.57 —
PAAPRDRG1784
APR_DRG 		External Heart Assist Devices 18 $1,573,267.86 $4,324,547.26 $3,608,113.93 —
PAAPRDRG5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 18 $1,770,424.82 $3,956,977.63 $3,301,438.33 —
PAAPRDRG0054
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 19 $1,361,071.16 $4,934,982.02 $3,091,766.24 —
PAAPRDRG0044
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 22 $188,796.80 $4,828,505.00 $2,688,940.79 —
PAAPRDRG5894
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 21 $1,124,067.49 $3,804,618.09 $2,118,749.54 —
PAAPRDRG5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 21 $1,034,541.34 $3,509,476.94 $1,954,388.71 —
PAAPRDRG6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 21 $982,963.36 $3,339,439.66 $1,859,696.84 —
PAAPRDRG3104
APR_DRG 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,extreme 21 $797,264.03 $3,337,874.17 $1,858,825.04 —
PAAPRDRG0043
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure,major 22 $124,783.04 $3,073,256.95 $1,711,462.65 —
PAAPRDRG9524
APR_DRG 		Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 $724,927.10 $3,038,251.64 $1,691,968.58 —
PAAPRDRG1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly,extreme 21 $625,991.51 $2,508,065.79 $1,396,713.97 —
PAAPRDRG0204
APR_DRG 		Open Craniotomy For Trauma 21 $572,016.87 $2,388,442.15 $1,330,096.89 —
PAAPRDRG5833
APR_DRG 		Neonate With Ecmo,major 21 $690,928.10 $2,376,686.03 $1,323,550.04 —
PAAPRDRG5831
APR_DRG 		Neonate With Ecmo,minor 21 $673,910.84 $2,320,585.17 $1,292,308.10 —
PAAPRDRG6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 21 $615,161.19 $2,126,905.01 $1,184,449.77 —
PAAPRDRG1214
APR_DRG 		Other Respiratory And Chest Procedures,extreme 21 $448,168.69 $1,887,345.79 $1,051,041.90 —
PAAPRDRG0053
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure,major 21 $455,739.28 $1,863,838.54 $1,037,950.97 —
PAAPRDRG1614
APR_DRG 		Implantable Heart Assist Systems,extreme 21 $479,278.10 $1,776,988.25 $989,585.01 —
PAAPRDRG3424
APR_DRG 		Fractures And Dislocations Except Femur, Pelvis And Back 21 $410,564.16 $1,765,129.37 $982,980.94 —
PAAPRDRG1613
APR_DRG 		Implantable Heart Assist Systems 21 $429,081.39 $1,634,567.57 $910,272.52 —
PAAPRDRG3174
APR_DRG 		Tendon, Muscle And Other Soft Tissue Procedures,extreme 21 $383,250.05 $1,633,779.09 $909,833.42 —
PAAPRDRG6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 21 $373,390.49 $1,568,034.24 $873,220.85 —
PAAPRDRG9504
APR_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 $357,883.10 $1,506,502.99 $838,954.78 —
PAAPRDRG0094
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 21 $402,543.91 $1,466,619.52 $816,744.11 —
PAAPRDRG1983
APR_DRG 		Angina Pectoris And Coronary Atherosclerosis 21 $316,722.55 $1,392,908.90 $775,695.49 —
PAAPRDRG6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 21 $390,214.25 $1,385,321.72 $771,470.27 —
PAAPRDRG6804
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 21 $331,837.66 $1,383,215.72 $770,297.47 —
PAAPRDRG1833
APR_DRG 		Percutaneous Structural Cardiac Procedures 21 $325,882.11 $1,379,477.91 $768,215.92 —
PAAPRDRG5834
APR_DRG 		Neonate With Ecmo,extreme 21 $516,587.41 $1,334,427.41 $743,127.80 —
PAAPRDRG3084
APR_DRG 		Hip And Femur Fracture Repair,extreme 21 $301,110.15 $1,300,597.52 $724,288.31 —
PAAPRDRG3803
APR_DRG 		Skin Ulcers 21 $293,950.07 $1,295,801.81 $721,617.63 —
PAAPRDRG2204
APR_DRG 		Major Stomach, Esophageal And Duodenal Procedures,extreme 21 $305,777.00 $1,290,340.58 $718,576.33 —
PAAPRDRG8904
APR_DRG 		HIV With Multiple Major HIV Related Conditions,extreme 21 $296,689.47 $1,278,457.63 $711,958.85 —
PAAPRDRG7114
APR_DRG 		Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme 21 $292,270.56 $1,247,658.88 $694,807.37 —
PAAPRDRG0504
APR_DRG 		Non-bacterial Infections Of Nervous System Except Viral Meningitis 21 $282,809.62 $1,216,425.76 $677,413.99 —
PAAPRDRG6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 $297,579.25 $1,079,931.61 $659,958.21 —
PAAPRDRG0093
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),major 21 $305,419.46 $1,161,849.19 $647,020.90 —
PAAPRDRG9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 21 $273,013.94 $1,142,594.73 $636,298.31 —
PAAPRDRG7104
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 21 $262,683.51 $1,124,303.76 $626,112.27 —
PAAPRDRG6803
APR_DRG 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 21 $258,682.57 $1,119,610.64 $623,498.72 —
PAAPRDRG7944
APR_DRG 		Non-extensive O.r. Procedures For Other Complications Of Treatment 21 $257,115.14 $1,112,192.19 $619,367.47 —
PAAPRDRG5832
APR_DRG 		Neonate With Ecmo,moderate 21 $364,169.75 $1,097,673.76 $611,282.32 —
PAAPRDRG9514
APR_DRG 		Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 $253,686.73 $1,091,628.71 $607,915.90 —
PAAPRDRG6924
APR_DRG 		Radiotherapy 21 $249,834.61 $1,087,377.54 $605,548.47 —
PAAPRDRG4624
APR_DRG 		Nephritis And Nephrosis,extreme 21 $235,800.31 $1,036,002.92 $576,938.51 —
PAAPRDRG2304
APR_DRG 		Major Small Bowel Procedures,extreme 21 $241,214.32 $1,034,862.44 $576,303.39 —
PAAPRDRG8104
APR_DRG 		Hemorrhage Or Hematoma Due To Complication 21 $233,378.02 $1,031,843.15 $574,621.99 —
PAAPRDRG6904
APR_DRG 		Acute Leukemia,extreme 21 $243,283.52 $1,027,118.84 $571,991.07 —
PAAPRDRG2834
APR_DRG 		Other Disorders Of The Liver,extreme 21 $228,079.77 $1,009,422.41 $562,136.12 —

Other procedures at this hospital

Browse this hospital's 5,937 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
PAAPRDRG8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 18 — — $1,684,181.82 $4,641,094.17 $3,872,219.57 2025-12-31
PAAPRDRG1784 APR_DRG External Heart Assist Devices 18 18 — — $1,573,267.86 $4,324,547.26 $3,608,113.93 2025-12-31
PAAPRDRG5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 18 18 — — $1,770,424.82 $3,956,977.63 $3,301,438.33 2025-12-31
PAAPRDRG0054 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 19 19 — — $1,361,071.16 $4,934,982.02 $3,091,766.24 2025-12-31
PAAPRDRG0044 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme 22 22 — — $188,796.80 $4,828,505.00 $2,688,940.79 2025-12-31
PAAPRDRG5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 21 21 $4,227,353.43 $4,227,353.43 $1,124,067.49 $3,804,618.09 $2,118,749.54 2025-12-31
PAAPRDRG5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure,extreme 21 21 $3,899,418.82 $3,899,418.82 $1,034,541.34 $3,509,476.94 $1,954,388.71 2025-12-31
PAAPRDRG6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 21 21 $3,710,488.51 $3,710,488.51 $982,963.36 $3,339,439.66 $1,859,696.84 2025-12-31
PAAPRDRG3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,extreme 21 21 $3,708,749.08 $3,708,749.08 $797,264.03 $3,337,874.17 $1,858,825.04 2025-12-31
PAAPRDRG0043 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure,major 22 22 $3,414,729.94 $3,414,729.94 $124,783.04 $3,073,256.95 $1,711,462.65 2025-12-31
PAAPRDRG9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 21 $3,375,835.16 $3,375,835.16 $724,927.10 $3,038,251.64 $1,691,968.58 2025-12-31
PAAPRDRG1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,extreme 21 21 $2,786,739.77 $2,786,739.77 $625,991.51 $2,508,065.79 $1,396,713.97 2025-12-31
PAAPRDRG0204 APR_DRG Open Craniotomy For Trauma 21 21 $2,653,824.61 $2,653,824.61 $572,016.87 $2,388,442.15 $1,330,096.89 2025-12-31
PAAPRDRG5833 APR_DRG Neonate With Ecmo,major 21 21 $2,640,762.26 $2,640,762.26 $690,928.10 $2,376,686.03 $1,323,550.04 2025-12-31
PAAPRDRG5831 APR_DRG Neonate With Ecmo,minor 21 21 $2,578,427.97 $2,578,427.97 $673,910.84 $2,320,585.17 $1,292,308.10 2025-12-31
PAAPRDRG6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 21 21 $2,363,227.79 $2,363,227.79 $615,161.19 $2,126,905.01 $1,184,449.77 2025-12-31
PAAPRDRG1214 APR_DRG Other Respiratory And Chest Procedures,extreme 21 21 $2,097,050.88 $2,097,050.88 $448,168.69 $1,887,345.79 $1,051,041.90 2025-12-31
PAAPRDRG0053 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,major 21 21 $2,070,931.71 $2,070,931.71 $455,739.28 $1,863,838.54 $1,037,950.97 2025-12-31
PAAPRDRG1614 APR_DRG Implantable Heart Assist Systems,extreme 21 21 $1,974,431.39 $1,974,431.39 $479,278.10 $1,776,988.25 $989,585.01 2025-12-31
PAAPRDRG3424 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 21 21 $1,961,254.86 $1,961,254.86 $410,564.16 $1,765,129.37 $982,980.94 2025-12-31
PAAPRDRG1613 APR_DRG Implantable Heart Assist Systems 21 21 $1,816,186.19 $1,816,186.19 $429,081.39 $1,634,567.57 $910,272.52 2025-12-31
PAAPRDRG3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures,extreme 21 21 $1,815,310.10 $1,815,310.10 $383,250.05 $1,633,779.09 $909,833.42 2025-12-31
PAAPRDRG6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 21 21 $1,742,260.27 $1,742,260.27 $373,390.49 $1,568,034.24 $873,220.85 2025-12-31
PAAPRDRG9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 21 $1,673,892.21 $1,673,892.21 $357,883.10 $1,506,502.99 $838,954.78 2025-12-31
PAAPRDRG0094 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 21 21 $1,629,577.24 $1,629,577.24 $402,543.91 $1,466,619.52 $816,744.11 2025-12-31
PAAPRDRG1983 APR_DRG Angina Pectoris And Coronary Atherosclerosis 21 21 $1,547,676.56 $1,547,676.56 $316,722.55 $1,392,908.90 $775,695.49 2025-12-31
PAAPRDRG6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 21 21 $1,539,246.35 $1,539,246.35 $390,214.25 $1,385,321.72 $771,470.27 2025-12-31
PAAPRDRG6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme 21 21 $1,536,906.36 $1,536,906.36 $331,837.66 $1,383,215.72 $770,297.47 2025-12-31
PAAPRDRG1833 APR_DRG Percutaneous Structural Cardiac Procedures 21 21 $1,532,753.23 $1,532,753.23 $325,882.11 $1,379,477.91 $768,215.92 2025-12-31
PAAPRDRG5834 APR_DRG Neonate With Ecmo,extreme 21 21 $1,482,697.12 $1,482,697.12 $516,587.41 $1,334,427.41 $743,127.80 2025-12-31
PAAPRDRG3084 APR_DRG Hip And Femur Fracture Repair,extreme 21 21 $1,445,108.36 $1,445,108.36 $301,110.15 $1,300,597.52 $724,288.31 2025-12-31
PAAPRDRG3803 APR_DRG Skin Ulcers 21 21 $1,439,779.79 $1,439,779.79 $293,950.07 $1,295,801.81 $721,617.63 2025-12-31
PAAPRDRG2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures,extreme 21 21 $1,433,711.76 $1,433,711.76 $305,777.00 $1,290,340.58 $718,576.33 2025-12-31
PAAPRDRG8904 APR_DRG HIV With Multiple Major HIV Related Conditions,extreme 21 21 $1,420,508.48 $1,420,508.48 $296,689.47 $1,278,457.63 $711,958.85 2025-12-31
PAAPRDRG7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme 21 21 $1,386,287.64 $1,386,287.64 $292,270.56 $1,247,658.88 $694,807.37 2025-12-31
PAAPRDRG0504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 21 21 $1,351,584.18 $1,351,584.18 $282,809.62 $1,216,425.76 $677,413.99 2025-12-31
PAAPRDRG6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 19 $1,199,924.01 $1,199,924.01 $297,579.25 $1,079,931.61 $659,958.21 2025-12-31
PAAPRDRG0093 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),major 21 21 $1,290,943.54 $1,290,943.54 $305,419.46 $1,161,849.19 $647,020.90 2025-12-31
PAAPRDRG9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 21 21 $1,269,549.70 $1,269,549.70 $273,013.94 $1,142,594.73 $636,298.31 2025-12-31
PAAPRDRG7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme 21 21 $1,249,226.40 $1,249,226.40 $262,683.51 $1,124,303.76 $626,112.27 2025-12-31
PAAPRDRG6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 21 21 $1,244,011.82 $1,244,011.82 $258,682.57 $1,119,610.64 $623,498.72 2025-12-31
PAAPRDRG7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 21 21 $1,235,769.10 $1,235,769.10 $257,115.14 $1,112,192.19 $619,367.47 2025-12-31
PAAPRDRG5832 APR_DRG Neonate With Ecmo,moderate 21 21 $1,219,637.51 $1,219,637.51 $364,169.75 $1,097,673.76 $611,282.32 2025-12-31
PAAPRDRG9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme 21 21 $1,212,920.79 $1,212,920.79 $253,686.73 $1,091,628.71 $607,915.90 2025-12-31
PAAPRDRG6924 APR_DRG Radiotherapy 21 21 $1,208,197.27 $1,208,197.27 $249,834.61 $1,087,377.54 $605,548.47 2025-12-31
PAAPRDRG4624 APR_DRG Nephritis And Nephrosis,extreme 21 21 $1,151,114.35 $1,151,114.35 $235,800.31 $1,036,002.92 $576,938.51 2025-12-31
PAAPRDRG2304 APR_DRG Major Small Bowel Procedures,extreme 21 21 $1,149,847.15 $1,149,847.15 $241,214.32 $1,034,862.44 $576,303.39 2025-12-31
PAAPRDRG8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 21 21 $1,146,492.39 $1,146,492.39 $233,378.02 $1,031,843.15 $574,621.99 2025-12-31
PAAPRDRG6904 APR_DRG Acute Leukemia,extreme 21 21 $1,141,243.16 $1,141,243.16 $243,283.52 $1,027,118.84 $571,991.07 2025-12-31
PAAPRDRG2834 APR_DRG Other Disorders Of The Liver,extreme 21 21 $1,121,580.45 $1,121,580.45 $228,079.77 $1,009,422.41 $562,136.12 2025-12-31
PAAPRDRG1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme 21 21 $1,054,295.55 $1,054,295.55 $217,296.95 $948,865.99 $528,412.93 2025-12-31
PAAPRDRG7574 APR_DRG Organic Mental Health Conditions And Disturbances 21 21 $1,039,073.40 $1,039,073.40 $211,784.37 $935,166.06 $520,783.59 2025-12-31
PAAPRDRG1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions,extreme 21 21 $950,545.11 $950,545.11 $193,417.31 $855,490.60 $476,413.21 2025-12-31
PAAPRDRG6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,extreme 21 21 $949,501.31 $949,501.31 $286,517.32 $854,551.18 $475,890.06 2025-12-31
PAAPRDRG4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders,extreme 21 21 $944,477.44 $944,477.44 $196,203.75 $850,029.70 $473,372.09 2025-12-31
PAAPRDRG1104 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 21 21 $936,930.33 $936,930.33 $188,274.92 $843,237.30 $469,589.48 2025-12-31
PAAPRDRG2054 APR_DRG Cardiomyopathy 21 21 $935,168.52 $935,168.52 $186,734.15 $841,651.67 $468,706.46 2025-12-31
PAAPRDRG6264 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 21 21 $932,343.89 $932,343.89 $224,529.88 $839,109.50 $467,290.76 2025-12-31
PAAPRDRG4614 APR_DRG Kidney And Urinary Tract Malignancy 21 21 $906,033.58 $906,033.58 $181,128.52 $815,430.22 $454,104.03 2025-12-31
PAAPRDRG6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia,extreme 21 21 $901,975.20 $901,975.20 $184,347.22 $811,777.68 $452,069.97 2025-12-31
PAAPRDRG8164 APR_DRG Toxic Effects Of Non-medicinal Substances,extreme 21 21 $900,021.39 $900,021.39 $179,996.27 $810,019.25 $451,090.72 2025-12-31
PAAPRDRG0214 APR_DRG Open Craniotomy Except Trauma,extreme 21 21 $889,992.08 $889,992.08 $189,171.28 $800,992.87 $446,064.03 2025-12-31
PAAPRDRG6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,majo… 21 21 $886,489.90 $886,489.90 $212,011.74 $797,840.91 $444,308.74 2025-12-31
PAAPRDRG6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 21 21 $878,019.17 $878,019.17 $209,699.23 $790,217.25 $440,063.21 2025-12-31
PAAPRDRG1994 APR_DRG Hypertension,extreme 21 21 $868,894.61 $868,894.61 $171,720.78 $782,005.15 $435,489.98 2025-12-31
PAAPRDRG1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,extreme 21 21 $865,123.00 $865,123.00 $192,743.52 $778,610.70 $433,599.65 2025-12-31
PAAPRDRG6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 21 21 $859,283.96 $859,283.96 $204,584.52 $773,355.56 $430,673.12 2025-12-31
PAAPRDRG6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major 21 21 $857,512.31 $857,512.31 $204,100.86 $771,761.08 $429,785.17 2025-12-31
PAAPRDRG7403 APR_DRG Mental Illness Diagnosis With O.r. Procedure,major 21 21 $854,682.70 $854,682.70 $170,532.52 $769,214.43 $428,366.97 2025-12-31
PAAPRDRG9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure,extreme 21 21 $837,328.70 $837,328.70 $168,402.81 $753,595.83 $419,669.14 2025-12-31
PAAPRDRG6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 21 21 $808,610.28 $808,610.28 $190,750.61 $727,749.25 $405,275.47 2025-12-31
PAAPRDRG6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly,extreme 21 21 $793,553.21 $793,553.21 $186,640.03 $714,197.89 $397,728.87 2025-12-31
PAAPRDRG8903 APR_DRG HIV With Multiple Major HIV Related Conditions 21 21 $793,539.57 $793,539.57 $155,173.52 $714,185.61 $397,722.03 2025-12-31
PAAPRDRG6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 21 21 $788,616.47 $788,616.47 $185,292.30 $709,754.82 $395,254.57 2025-12-31
PAAPRDRG6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme 21 21 $777,377.74 $777,377.74 $182,224.12 $699,639.97 $389,621.72 2025-12-31
PAAPRDRG6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 21 21 $773,601.04 $773,601.04 $181,193.08 $696,240.94 $387,728.84 2025-12-31
PAAPRDRG8134 APR_DRG Other Complications Of Treatment 21 21 $753,430.61 $753,430.61 $147,070.50 $678,087.55 $377,619.42 2025-12-31
PAAPRDRG6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,major 21 21 $752,173.45 $752,173.45 $175,343.35 $676,956.10 $376,989.33 2025-12-31
PAAPRDRG6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 21 21 $739,506.49 $739,506.49 $171,885.27 $665,555.84 $370,640.65 2025-12-31
PAAPRDRG0264 APR_DRG Other Nervous System And Related Procedures,extreme 21 21 $739,360.64 $739,360.64 $150,808.00 $665,424.58 $370,567.55 2025-12-31
PAAPRDRG6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 21 21 $733,348.79 $733,348.79 $170,204.22 $660,013.91 $367,554.41 2025-12-31
PAAPRDRG3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,extr… 21 21 $727,937.62 $727,937.62 $149,679.56 $655,143.86 $364,842.34 2025-12-31
PAAPRDRG1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme 21 21 $725,264.74 $725,264.74 $151,107.16 $652,738.27 $363,502.69 2025-12-31
PAAPRDRG1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,major 21 21 $721,907.23 $721,907.23 $154,000.78 $649,716.51 $361,819.90 2025-12-31
PAAPRDRG0294 APR_DRG Other Percutaneous Intracranial Procedures,extreme 21 21 $718,940.14 $718,940.14 $146,431.32 $647,046.13 $360,332.80 2025-12-31
PAAPRDRG1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,majo… 21 21 $718,624.58 $718,624.58 $142,733.86 $646,762.12 $360,174.64 2025-12-31
PAAPRDRG3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 21 21 $714,647.76 $714,647.76 $148,928.19 $643,182.98 $358,181.46 2025-12-31
PAAPRDRG7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 21 21 $707,590.89 $707,590.89 $145,182.49 $636,831.80 $354,644.55 2025-12-31
PAAPRDRG6913 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia,major 21 21 $693,447.32 $693,447.32 $134,143.84 $624,102.59 $347,555.80 2025-12-31
PAAPRDRG2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders,extreme 21 21 $688,944.65 $688,944.65 $133,965.77 $620,050.19 $345,299.06 2025-12-31
PAAPRDRG0524 APR_DRG Alteration In Consciousness,extreme 21 21 $686,294.53 $686,294.53 $132,274.76 $617,665.08 $343,970.82 2025-12-31
PAAPRDRG4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy,extreme 21 21 $679,421.48 $679,421.48 $137,407.09 $611,479.33 $340,526.05 2025-12-31
PAAPRDRG0824 APR_DRG Eye Infections And Other Eye Disorders,extreme 19 19 $616,972.40 $616,972.40 $117,011.71 $555,275.16 $339,334.82 2025-12-31
PAAPRDRG6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 21 21 $665,461.64 $665,461.64 $151,671.03 $598,915.48 $333,529.37 2025-12-31
PAAPRDRG5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 21 21 $665,019.11 $665,019.11 $195,458.63 $598,517.20 $333,307.58 2025-12-31
PAAPRDRG6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,major 19 19 $603,666.49 $603,666.49 $134,800.95 $543,299.84 $332,016.57 2025-12-31
PAAPRDRG1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 19 19 $598,640.48 $598,640.48 $115,303.59 $538,776.43 $329,252.26 2025-12-31
PAAPRDRG7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 19 19 $595,612.82 $595,612.82 $117,639.01 $536,051.54 $327,587.05 2025-12-31
PAAPRDRG2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 19 19 $590,417.10 $590,417.10 $117,299.18 $531,375.39 $324,729.41 2025-12-31
PAAPRDRG1204 APR_DRG Major Respiratory And Chest Procedures,extreme 19 19 $585,676.13 $585,676.13 $120,819.87 $527,108.52 $322,121.87 2025-12-31
PAAPRDRG7743 APR_DRG Cocaine Abuse And Dependence 19 19 $581,058.75 $581,058.75 $105,406.69 $522,952.88 $319,582.31 2025-12-31
PAAPRDRG1804 APR_DRG Other Circulatory System Procedures 19 19 $579,671.18 $579,671.18 $114,353.21 $521,704.06 $318,819.15 2025-12-31
PAAPRDRG0274 APR_DRG Other Open Craniotomy,extreme 21 21 $635,403.55 $635,403.55 $130,592.19 $571,863.19 $318,464.26 2025-12-31
PAAPRDRG1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,extreme 21 21 $635,397.06 $635,397.06 $136,184.44 $571,857.35 $318,461.01 2025-12-31
PAAPRDRG2824 APR_DRG Disorders Of Pancreas Except Malignancy,extreme 19 19 $578,953.02 $578,953.02 $110,476.73 $521,057.72 $318,424.16 2025-12-31
PAAPRDRG4613 APR_DRG Kidney And Urinary Tract Malignancy,major 19 19 $577,938.83 $577,938.83 $106,437.13 $520,144.95 $317,866.36 2025-12-31
PAAPRDRG6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,extreme 19 19 $576,737.21 $576,737.21 $127,449.26 $519,063.49 $317,205.47 2025-12-31
PAAPRDRG9104 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 21 21 $631,310.43 $631,310.43 $134,636.51 $568,179.39 $316,412.79 2025-12-31
PAAPRDRG1693 APR_DRG Major Abdominal Vascular Procedures,major 21 21 $629,599.58 $629,599.58 $125,647.10 $566,639.62 $315,555.31 2025-12-31
PAAPRDRG3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,extreme 19 19 $567,392.19 $567,392.19 $138,331.76 $510,652.97 $312,065.70 2025-12-31
PAAPRDRG4234 APR_DRG Inborn Errors Of Metabolism,extreme 19 19 $561,897.57 $561,897.57 $110,308.15 $505,707.81 $309,043.66 2025-12-31
PAAPRDRG1934 APR_DRG Acute And Subacute Endocarditis 19 19 $558,724.08 $558,724.08 $105,468.43 $502,851.67 $307,298.24 2025-12-31
PAAPRDRG0052 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 19 $541,440.48 $541,440.48 $112,552.50 $487,296.43 $297,792.26 2025-12-31
PAAPRDRG4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme 19 19 $537,980.38 $537,980.38 $106,557.39 $484,182.34 $295,889.21 2025-12-31
PAAPRDRG9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme 19 19 $530,892.59 $530,892.59 $110,304.92 $477,803.33 $291,990.92 2025-12-31
PAAPRDRG6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major 18 18 $518,832.92 $518,832.92 $97,777.33 $466,949.63 $285,358.11 2025-12-31
PAAPRDRG0301 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,minor 18 18 $516,054.99 $516,054.99 $93,541.27 $464,449.49 $283,830.24 2025-12-31
PAAPRDRG5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,major 18 18 $515,833.30 $515,833.30 $176,846.43 $464,249.97 $283,708.32 2025-12-31
PAAPRDRG4053 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders,major 18 18 $515,281.83 $515,281.83 $95,835.66 $463,753.65 $283,405.01 2025-12-31
PAAPRDRG6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs,extreme 18 18 $507,063.45 $507,063.45 $101,236.03 $456,357.10 $278,884.90 2025-12-31
PAAPRDRG6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,moder… 18 18 $506,638.67 $506,638.67 $108,312.36 $455,974.80 $278,651.27 2025-12-31
PAAPRDRG6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 18 18 $506,065.03 $506,065.03 $108,155.75 $455,458.53 $278,335.77 2025-12-31
PAAPRDRG1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 18 $500,073.18 $500,073.18 $98,026.79 $450,065.86 $275,040.25 2025-12-31
PAAPRDRG2612 APR_DRG Major Biliary Tract Procedures,moderate 18 18 $498,574.51 $498,574.51 $91,894.91 $448,717.06 $274,215.98 2025-12-31
PAAPRDRG8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses,extreme 18 18 $496,576.37 $496,576.37 $92,038.43 $446,918.73 $273,117.00 2025-12-31
PAAPRDRG6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 18 $496,408.87 $496,408.87 $105,519.62 $446,767.98 $273,024.88 2025-12-31
PAAPRDRG3514 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses,extreme 18 18 $495,928.41 $495,928.41 $90,162.38 $446,335.57 $272,760.63 2025-12-31
PAAPRDRG2603 APR_DRG Major Pancreas, Liver And Shunt Procedures,major 18 18 $493,847.83 $493,847.83 $94,232.38 $444,463.05 $271,616.31 2025-12-31
PAAPRDRG9523 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,major 16 16 $483,374.22 $483,374.22 $88,263.06 $435,036.80 $265,855.82 2025-12-31
PAAPRDRG1964 APR_DRG Cardiac Arrest And Shock,extreme 16 16 $483,032.55 $483,032.55 $87,505.13 $434,729.29 $265,667.90 2025-12-31
PAAPRDRG1944 APR_DRG Heart Failure,extreme 16 16 $483,002.79 $483,002.79 $88,603.74 $434,702.51 $265,651.53 2025-12-31
PAAPRDRG0494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System,extreme 16 16 $479,976.53 $479,976.53 $90,848.65 $431,978.88 $263,987.09 2025-12-31
PAAPRDRG0293 APR_DRG Other Percutaneous Intracranial Procedures,major 16 16 $478,347.01 $478,347.01 $90,518.20 $430,512.31 $263,090.86 2025-12-31
PAAPRDRG1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 16 16 $478,210.38 $478,210.38 $94,237.26 $430,389.34 $263,015.71 2025-12-31
PAAPRDRG6614 APR_DRG Coagulation And Platelet Disorders 16 16 $476,966.70 $476,966.70 $88,100.07 $429,270.03 $262,331.68 2025-12-31
PX-506359 CDM Heartmate3 Bivad 24 24 $573,956.93 $573,956.93 $94,702.89 $516,561.24 $262,011.34 2025-12-31
PAAPRDRG2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures,major 16 16 $469,003.49 $469,003.49 $88,350.92 $422,103.14 $257,951.92 2025-12-31
PAAPRDRG3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,major 16 16 $464,873.32 $464,873.32 $96,728.55 $418,385.99 $255,680.33 2025-12-31
PAAPRDRG9112 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,moder… 16 16 $462,429.09 $462,429.09 $84,448.82 $416,186.18 $254,336.00 2025-12-31
PAAPRDRG1783 APR_DRG External Heart Assist Devices 16 16 $462,060.66 $462,060.66 $95,579.49 $415,854.59 $254,133.36 2025-12-31
PAAPRDRG1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,major 16 16 $459,499.59 $459,499.59 $95,869.77 $413,549.63 $252,724.77 2025-12-31
PAAPRDRG7204 APR_DRG Septicemia And Disseminated Infections,extreme 16 16 $454,610.42 $454,610.42 $83,534.22 $409,149.38 $250,035.73 2025-12-31
PAAPRDRG1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 16 $454,330.75 $454,330.75 $90,600.01 $408,897.67 $249,881.91 2025-12-31
PAAPRDRG6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 15 $444,019.91 $444,019.91 $91,217.44 $399,617.92 $244,210.95 2025-12-31
PAAPRDRG6142 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 15 15 $439,769.67 $439,769.67 $90,057.12 $395,792.70 $241,873.32 2025-12-31
PAAPRDRG2402 APR_DRG Digestive Malignancy,moderate 15 15 $428,815.63 $428,815.63 $72,685.00 $385,934.07 $235,848.60 2025-12-31
PAAPRDRG1813 APR_DRG Lower Extremity Vascular Procedures,major 15 15 $427,956.22 $427,956.22 $79,288.82 $385,160.60 $235,375.92 2025-12-31
502892 HCPCS Syncardia-vad Level 5 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
503519 HCPCS Syncardia-vad Level 2 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
503522 HCPCS Syncardia-vad Level 5 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502262 HCPCS Syncardia-vad Level 5 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502261 HCPCS Syncardia-vad Level 4 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502259 HCPCS Syncardia-vad Level 2 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502888 HCPCS Syncardia-vad Level 1 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
503520 HCPCS Syncardia-vad Level 3 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502890 HCPCS Syncardia-vad Level 3 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502891 HCPCS Syncardia-vad Level 4 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502260 HCPCS Syncardia-vad Level 3 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
503521 HCPCS Syncardia-vad Level 4 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502889 HCPCS Syncardia-vad Level 2 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
503518 HCPCS Syncardia-vad Level 1 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
502258 HCPCS Syncardia-vad Level 1 24 24 $497,711.81 $497,711.81 $82,122.45 $447,940.63 $227,205.45 2025-12-31
PAAPRDRG6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition,extreme 14 14 $425,803.04 $425,803.04 $86,244.23 $383,222.74 $223,546.60 2025-12-31
PAAPRDRG2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,e… 14 14 $422,673.92 $422,673.92 $75,445.70 $380,406.53 $221,903.81 2025-12-31
PAAPRDRG1103 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,major 14 14 $420,680.64 $420,680.64 $72,330.20 $378,612.58 $220,857.34 2025-12-31
PAAPRDRG2234 APR_DRG Other Small And Large Bowel Procedures 14 14 $418,149.48 $418,149.48 $79,125.56 $376,334.53 $219,528.47 2025-12-31
PAAPRDRG8163 APR_DRG Toxic Effects Of Non-medicinal Substances,major 14 14 $417,756.87 $417,756.87 $71,118.85 $375,981.18 $219,322.35 2025-12-31
PAAPRDRG0304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,extreme 14 14 $414,778.70 $414,778.70 $80,926.49 $373,300.83 $217,758.82 2025-12-31
PAAPRDRG0924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 14 14 $412,468.25 $412,468.25 $81,727.50 $371,221.42 $216,545.84 2025-12-31
PAAPRDRG6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,moderate 14 14 $411,517.56 $411,517.56 $82,344.29 $370,365.80 $216,046.72 2025-12-31
PAAPRDRG0114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 $299,395.02 $299,395.02 $186,018.09 $254,485.77 $205,343.53 2025-12-31
PAAPRDRG1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,extreme 13 13 $406,682.48 $406,682.48 $100,761.04 $366,014.23 $203,341.24 2025-12-31
PAAPRDRG2454 APR_DRG Inflammatory Bowel Disease,extreme 13 13 $405,113.31 $405,113.31 $71,015.78 $364,601.98 $202,556.65 2025-12-31
PAAPRDRG6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,major 12 12 $398,499.32 $398,499.32 $98,487.89 $358,649.39 $169,861.90 2025-12-31
PAAPRDRG1794 APR_DRG Defibrillator Implants 12 12 $401,762.64 $401,762.64 $95,282.47 $361,586.38 $168,797.60 2025-12-31
PAAPRDRG6903 APR_DRG Acute Leukemia,major 12 12 $395,073.99 $395,073.99 $74,467.46 $355,566.59 $162,342.08 2025-12-31
PAAPRDRG3162 APR_DRG Hand And Wrist Procedures,moderate 12 12 $392,021.42 $392,021.42 $65,676.85 $352,819.28 $156,958.85 2025-12-31
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 24 24 $351,117.50 $351,117.50 $92,414.13 $316,005.75 $146,298.96 2025-12-31
504827 HCPCS Hvad Sterile Implant Set - Heartware 24 24 $299,096.86 $299,096.86 $49,350.98 $269,187.17 $136,537.71 2025-12-31
PX-506358 CDM Heartmate3 Lvad 24 24 $295,736.18 $295,736.18 $48,796.47 $266,162.56 $135,003.57 2025-12-31
PAAPRDRG0113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies,major 7 7 $150,925.19 $150,925.19 $128,286.41 $158,566.07 $134,729.34 2025-12-31
PAAPRDRG5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 $151,258.89 $151,258.89 $125,876.81 $155,627.29 $132,232.34 2025-12-31
PAAPRDRG0112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies,moderate 7 7 $151,057.19 $151,057.19 $114,161.25 $143,969.43 $127,031.85 2025-12-31
PX-504752 CDM Hup Organ Liver Procurement, Living 24 24 $246,745.81 $246,745.81 $40,959.80 $222,071.23 $112,639.46 2025-12-31
PAAPRDRG6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 $279,877.17 $279,877.17 $101,038.30 $237,895.59 $110,032.30 2025-12-31
PAAPRDRG6363 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,major 8 8 $377,654.75 $377,654.75 $73,099.75 $321,006.54 $104,167.14 2025-12-31
504507 HCPCS Thoratec - Vad Level 5 24 24 $224,421.32 $224,421.32 $37,029.52 $201,979.19 $102,448.33 2025-12-31
504712 HCPCS Thoratec - Vad Level 5 24 24 $224,421.32 $224,421.32 $37,029.52 $201,979.19 $102,448.33 2025-12-31
504302 HCPCS Thoratec - Vad Level 5 24 24 $224,421.32 $224,421.32 $37,029.52 $201,979.19 $102,448.33 2025-12-31
J0224 HCPCS Lumasiran Sodium 94.5 Mg/0.5ml Sc Soln 24 24 $373,302.08 $373,302.08 $318.85 $335,971.87 $100,082.29 2025-12-31
PAAPRDRG6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 $162,801.47 $162,801.47 $82,292.41 $138,381.25 $99,611.86 2025-12-31
PAAPRDRG1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,moderate 8 8 $385,545.20 $385,545.20 $73,110.17 $327,713.42 $97,727.22 2025-12-31
PAAPRDRG1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 8 8 $383,096.93 $383,096.93 $72,274.02 $325,632.39 $96,686.46 2025-12-31
PAAPRDRG1792 APR_DRG Defibrillator Implants,moderate 8 8 $378,694.59 $378,694.59 $70,814.43 $321,890.40 $94,855.65 2025-12-31
PAAPRDRG1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major 8 8 $359,820.12 $359,820.12 $82,419.58 $305,847.10 $93,958.32 2025-12-31
PAAPRDRG4834 APR_DRG Penis, Testes And Scrotal Procedures 8 8 $375,428.51 $375,428.51 $70,170.33 $319,114.23 $93,903.19 2025-12-31
PAAPRDRG0914 APR_DRG Other Major Head And Neck Procedures,extreme 7 7 $294,416.16 $294,416.16 $77,551.39 $250,253.74 $93,061.67 2025-12-31
PAAPRDRG5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme 7 7 $40,432.91 $40,432.91 $34,367.97 $109,410.87 $92,963.48 2025-12-31
PAAPRDRG6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,moderate 8 8 $347,662.53 $347,662.53 $64,911.87 $295,513.15 $92,499.42 2025-12-31
PAAPRDRG9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis,major 8 8 $375,351.89 $375,351.89 $67,772.13 $319,049.11 $91,676.72 2025-12-31
PAAPRDRG5003 APR_DRG Malignancy, Male Reproductive System 8 8 $391,205.34 $391,205.34 $65,412.45 $332,524.54 $91,225.76 2025-12-31
PAAPRDRG6902 APR_DRG Acute Leukemia,moderate 8 8 $377,733.34 $377,733.34 $66,357.20 $321,073.34 $90,628.15 2025-12-31
PAAPRDRG1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,major 8 8 $357,228.20 $357,228.20 $67,961.61 $303,643.97 $89,548.17 2025-12-31
PAAPRDRG2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures,extreme 8 8 $354,828.67 $354,828.67 $69,512.59 $301,604.37 $89,088.29 2025-12-31
PAAPRDRG1824 APR_DRG Other Peripheral Vascular And Related Procedures,extreme 8 8 $358,349.19 $358,349.19 $66,631.96 $304,596.81 $88,765.12 2025-12-31
PAAPRDRG1933 APR_DRG Acute And Subacute Endocarditis 8 8 $379,395.54 $379,395.54 $63,925.17 $322,486.21 $88,560.29 2025-12-31
PAAPRDRG3804 APR_DRG Skin Ulcers 8 8 $375,338.47 $375,338.47 $64,082.67 $319,037.70 $88,262.86 2025-12-31
PAAPRDRG7733 APR_DRG Opioid Abuse And Dependence,major 8 8 $380,800.04 $380,800.04 $61,938.53 $323,680.03 $86,876.24 2025-12-31
PAAPRDRG6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 $276,679.19 $276,679.19 $72,089.68 $235,177.31 $86,507.62 2025-12-31
PAAPRDRG1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,moderate 8 8 $344,181.87 $344,181.87 $71,825.40 $292,554.59 $86,202.62 2025-12-31
PAAPRDRG2604 APR_DRG Major Pancreas, Liver And Shunt Procedures,extreme 7 7 $217,912.22 $217,912.22 $71,145.37 $185,225.39 $85,374.44 2025-12-31
PAAPRDRG0234 APR_DRG Spinal Procedures,extreme 8 8 $316,183.24 $316,183.24 $70,223.30 $268,755.75 $84,981.66 2025-12-31
PAAPRDRG3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,major 8 8 $340,125.06 $340,125.06 $71,918.40 $289,106.30 $84,957.26 2025-12-31
PAAPRDRG0454 APR_DRG Cva And Precerebral Occlusion With Infarction,extreme 8 8 $361,431.26 $361,431.26 $62,133.49 $307,216.57 $84,941.08 2025-12-31
PAAPRDRG4254 APR_DRG Other Non-hypovolemic Electrolyte Disorders,extreme 8 8 $366,018.15 $366,018.15 $61,572.79 $311,115.43 $84,923.48 2025-12-31
C9293 HCPCS Glucarpidase 1000 Units IV Solr 24 24 $255,777.83 $255,777.83 $41,052.34 $230,200.05 $84,790.35 2025-12-31
PAAPRDRG2294 APR_DRG Other Digestive System And Abdominal Procedures,extreme 8 8 $344,169.27 $344,169.27 $63,429.75 $292,543.88 $84,254.63 2025-12-31
PAAPRDRG4413 APR_DRG Major Bladder Procedures,major 8 8 $348,981.23 $348,981.23 $62,725.08 $296,634.05 $84,128.46 2025-12-31
PAAPRDRG3254 APR_DRG Non-elective Or Complex Knee Joint Replacement,extreme 8 8 $338,907.61 $338,907.61 $61,894.63 $288,071.47 $82,260.12 2025-12-31
38204 CPT Dnr Acquistn/Services T- Cell 24 24 $179,346.64 $179,346.64 $29,771.54 $161,411.98 $81,871.74 2025-12-31
PAAPRDRG4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms,extreme 8 8 $354,407.07 $354,407.07 $59,446.97 $301,246.01 $81,689.12 2025-12-31
PAAPRDRG6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,minor 8 8 $318,686.32 $318,686.32 $57,001.37 $270,883.37 $81,226.95 2025-12-31
PAAPRDRG2602 APR_DRG Major Pancreas, Liver And Shunt Procedures,moderate 8 8 $347,117.90 $347,117.90 $59,638.51 $295,050.22 $81,070.16 2025-12-31
PAAPRDRG3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate 8 8 $327,083.57 $327,083.57 $69,821.70 $278,021.03 $80,510.64 2025-12-31
PAAPRDRG1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 8 8 $342,270.68 $342,270.68 $59,248.42 $290,930.08 $80,179.93 2025-12-31
PAAPRDRG0894 APR_DRG Major Cranial Or Facial Bone Procedures,extreme 7 7 $230,234.57 $230,234.57 $66,575.82 $195,699.38 $79,890.99 2025-12-31
PAAPRDRG6222 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $314,028.68 $314,028.68 $55,729.83 $266,924.38 $79,415.01 2025-12-31
PAAPRDRG6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,moderate 7 7 $244,502.50 $244,502.50 $66,127.52 $207,827.13 $79,353.03 2025-12-31
PAAPRDRG6252 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,moderate 8 8 $312,685.36 $312,685.36 $55,363.10 $265,782.56 $78,892.42 2025-12-31
PAAPRDRG4233 APR_DRG Inborn Errors Of Metabolism,major 8 8 $347,563.97 $347,563.97 $56,427.44 $295,429.37 $78,148.94 2025-12-31
PAAPRDRG6954 APR_DRG Chemotherapy For Acute Leukemia,extreme 7 7 $169,594.45 $169,594.45 $67,339.26 $144,155.28 $77,639.35 2025-12-31
504506 HCPCS Thoratec - Vad Level 4 24 24 $168,615.33 $168,615.33 $27,821.53 $151,753.80 $76,972.90 2025-12-31
504711 HCPCS Thoratec - Vad Level 4 24 24 $168,615.33 $168,615.33 $27,821.53 $151,753.80 $76,972.90 2025-12-31
504301 HCPCS Thoratec - Vad Level 4 24 24 $168,615.33 $168,615.33 $27,821.53 $151,753.80 $76,972.90 2025-12-31
PAAPRDRG3094 APR_DRG Other Significant Hip And Femur Surgery,extreme 8 8 $319,730.39 $319,730.39 $60,389.96 $271,770.83 $76,477.49 2025-12-31
PAAPRDRG3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,majo… 8 8 $322,772.18 $322,772.18 $57,507.08 $274,356.35 $76,439.73 2025-12-31
PAAPRDRG1213 APR_DRG Other Respiratory And Chest Procedures,major 8 8 $326,984.02 $326,984.02 $56,387.96 $277,936.42 $75,864.67 2025-12-31
PAAPRDRG4013 APR_DRG Adrenal Procedures 8 8 $322,443.59 $322,443.59 $56,129.97 $274,077.05 $75,130.14 2025-12-31
PAAPRDRG6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,major 7 7 $133,778.70 $133,778.70 $69,311.11 $113,711.90 $74,856.00 2025-12-31
PAAPRDRG1344 APR_DRG Pulmonary Embolism 8 8 $331,990.77 $331,990.77 $54,564.93 $282,192.15 $74,725.38 2025-12-31
PAAPRDRG4204 APR_DRG Diabetes,extreme 8 8 $331,490.78 $331,490.78 $54,227.87 $281,767.16 $74,359.02 2025-12-31
PAAPRDRG03513 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses,major 5 5 $370,176.14 $370,176.14 $6,885.00 $203,596.88 $73,747.88 2025-12-31
PAAPRDRG7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 1 1 $121,218.47 $121,218.47 $72,731.08 $72,731.08 $72,731.08 2025-12-31
PAAPRDRG6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,major 7 7 $306,289.79 $306,289.79 $53,617.11 $260,346.32 $72,383.10 2025-12-31
PX-505219 CDM National Kidney Registry, Kidney Procurement 24 24 $157,304.00 $157,304.00 $26,112.46 $141,573.60 $71,809.27 2025-12-31
PAAPRDRG0224 APR_DRG Ventricular Shunt Procedures 7 7 $180,624.74 $180,624.74 $59,585.01 $153,531.03 $71,502.01 2025-12-31
PAAPRDRG3253 APR_DRG Non-elective Or Complex Knee Joint Replacement,major 8 8 $310,725.84 $310,725.84 $53,360.19 $264,116.96 $71,288.54 2025-12-31
PAAPRDRG1793 APR_DRG Defibrillator Implants,major 7 7 $272,562.39 $272,562.39 $59,405.25 $231,678.03 $71,286.30 2025-12-31
PAAPRDRG5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 $60,952.63 $60,952.63 $51,809.74 $83,587.57 $71,022.12 2025-12-31
PAAPRDRG8633 APR_DRG Neonatal Aftercare,major 7 7 $185,094.78 $185,094.78 $58,580.77 $157,330.56 $70,296.93 2025-12-31
504067 HCPCS Berlin Heart - Vad Level 5 24 24 $153,751.84 $153,751.84 $25,369.05 $138,376.66 $70,187.71 2025-12-31
502807 HCPCS Berlin Heart - Vad Level 5 24 24 $153,751.84 $153,751.84 $25,369.05 $138,376.66 $70,187.71 2025-12-31
PAAPRDRG3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 $304,547.64 $304,547.64 $59,469.49 $258,865.49 $67,814.57 2025-12-31
PAAPRDRG8603 APR_DRG Rehabilitation,major 6 6 $306,422.69 $306,422.69 $48,862.14 $260,459.29 $66,658.28 2025-12-31
PAAPRDRG0213 APR_DRG Open Craniotomy Except Trauma,major 7 7 $293,604.87 $293,604.87 $60,886.47 $249,564.14 $66,141.18 2025-12-31
PAAPRDRG2244 APR_DRG Peritoneal Adhesiolysis,extreme 7 7 $294,210.64 $294,210.64 $58,096.30 $250,079.04 $64,526.16 2025-12-31
PAAPRDRG1754 APR_DRG Percutaneous Cardiac Intervention Without Ami,extreme 7 7 $260,512.95 $260,512.95 $53,498.57 $221,436.01 $64,198.28 2025-12-31
PAAPRDRG0444 APR_DRG Intracranial Hemorrhage,extreme 7 7 $303,853.98 $303,853.98 $49,881.94 $258,275.88 $63,777.73 2025-12-31
PAAPRDRG1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,minor 7 7 $293,818.04 $293,818.04 $54,086.17 $249,745.33 $63,707.65 2025-12-31
PAAPRDRG3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 $65,717.05 $65,717.05 $54,746.00 $74,959.04 $63,690.69 2025-12-31
PAAPRDRG6513 APR_DRG Other Procedures Of Blood And Blood-forming Organs,major 7 7 $302,867.55 $302,867.55 $49,654.19 $257,437.42 $63,476.10 2025-12-31
PX-501114 CDM Hup Organ-kidney Procurement 24 24 $138,420.84 $138,420.84 $22,977.86 $124,578.76 $63,189.11 2025-12-31
PAAPRDRG7604 APR_DRG Other Mental Health Conditions And Disorders,extreme 7 7 $304,888.51 $304,888.51 $49,015.90 $259,155.23 $63,125.92 2025-12-31
PAAPRDRG3163 APR_DRG Hand And Wrist Procedures,major 7 7 $305,525.76 $305,525.76 $48,793.72 $259,696.90 $62,997.19 2025-12-31
PAAPRDRG0913 APR_DRG Other Major Head And Neck Procedures,major 7 7 $232,428.89 $232,428.89 $51,818.55 $197,564.56 $62,182.26 2025-12-31
PAAPRDRG0402 APR_DRG Spinal Disorders And Injuries,moderate 7 7 $307,430.62 $307,430.62 $47,632.50 $261,316.03 $62,176.79 2025-12-31
PAAPRDRG2014 APR_DRG Cardiac Arrhythmia And Conduction Disorders,extreme 7 7 $303,875.96 $303,875.96 $47,694.84 $258,294.57 $61,863.61 2025-12-31
PAAPRDRG0594 APR_DRG Anoxic And Other Severe Brain Damage 7 7 $297,439.97 $297,439.97 $48,194.44 $252,823.97 $61,635.43 2025-12-31
PAAPRDRG0434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,ex… 7 7 $258,226.97 $258,226.97 $51,066.21 $219,492.92 $61,279.45 2025-12-31
PAAPRDRG0303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures,major 7 7 $284,457.42 $284,457.42 $53,202.63 $241,788.81 $60,792.93 2025-12-31
PAAPRDRG2261 APR_DRG Anal And Perineal Procedures,minor 7 7 $307,542.72 $307,542.72 $45,841.75 $261,411.31 $60,619.30 2025-12-31
PAAPRDRG2314 APR_DRG Major Large Bowel Procedures,extreme 7 7 $211,100.54 $211,100.54 $50,448.13 $179,435.46 $60,537.76 2025-12-31
PAAPRDRG1364 APR_DRG Respiratory Malignancy,extreme 7 7 $295,955.16 $295,955.16 $46,962.55 $251,561.89 $60,402.37 2025-12-31
PAAPRDRG7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment,major 7 7 $288,395.26 $288,395.26 $47,614.15 $245,135.97 $60,191.08 2025-12-31
PAAPRDRG0404 APR_DRG Spinal Disorders And Injuries 7 7 $287,564.56 $287,564.56 $47,505.21 $244,429.88 $60,009.67 2025-12-31
PAAPRDRG1973 APR_DRG Peripheral And Other Vascular Disorders,major 7 7 $301,024.90 $301,024.90 $45,509.15 $255,871.17 $59,653.44 2025-12-31
PAAPRDRG2303 APR_DRG Major Small Bowel Procedures,major 7 7 $285,833.05 $285,833.05 $47,302.12 $242,958.09 $59,652.55 2025-12-31
PAAPRDRG0893 APR_DRG Major Cranial Or Facial Bone Procedures,major 7 7 $190,299.15 $190,299.15 $49,643.63 $161,754.28 $59,572.36 2025-12-31
PAAPRDRG6802 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 $290,424.26 $290,424.26 $46,359.13 $246,860.62 $59,301.35 2025-12-31
PAAPRDRG1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 $247,890.89 $247,890.89 $49,194.22 $210,707.26 $59,033.07 2025-12-31
PAAPRDRG3134 APR_DRG Knee And Lower Leg Procedures Except Foot,extreme 7 7 $156,823.55 $156,823.55 $49,120.99 $133,300.02 $58,945.18 2025-12-31
PAAPRDRG3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,minor 7 7 $245,764.18 $245,764.18 $49,104.34 $208,899.55 $58,925.21 2025-12-31
PAAPRDRG3223 APR_DRG Shoulder And Elbow Joint Replacement 7 7 $284,731.40 $284,731.40 $46,215.17 $242,021.69 $58,586.16 2025-12-31
PAAPRDRG1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,minor 7 7 $276,836.27 $276,836.27 $50,794.09 $235,310.83 $58,123.83 2025-12-31
PAAPRDRG4443 APR_DRG Renal Dialysis Access Device Procedures,major 7 7 $283,766.62 $283,766.62 $45,649.14 $241,201.63 $57,990.35 2025-12-31
PAAPRDRG2474 APR_DRG Intestinal Obstruction,extreme 7 7 $288,871.01 $288,871.01 $44,796.07 $245,540.36 $57,771.04 2025-12-31
PAAPRDRG0984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures,extreme 7 7 $248,022.96 $248,022.96 $48,067.93 $210,819.52 $57,681.51 2025-12-31
PAAPRDRG2324 APR_DRG Gastric Fundoplication 7 7 $237,367.37 $237,367.37 $48,051.28 $201,762.26 $57,661.54 2025-12-31
PAAPRDRG2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 7 7 $185,952.66 $185,952.66 $48,022.43 $158,059.76 $57,626.92 2025-12-31
PAAPRDRG0233 APR_DRG Spinal Procedures,major 7 7 $141,225.26 $141,225.26 $47,888.16 $120,041.47 $57,465.80 2025-12-31
L8699 HCPCS Berlin Pump Exchange (Bivad) 139 24 $185,345.24 $185,345.24 $182.66 $268,463.23 $57,457.02 2025-12-31
PAAPRDRG1672 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures,moderate 7 7 $274,849.26 $274,849.26 $49,847.63 $233,621.87 $57,372.11 2025-12-31
PAAPRDRG6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly,major 7 7 $264,733.45 $264,733.45 $43,130.80 $225,023.43 $57,067.51 2025-12-31
PAAPRDRG7621 APR_DRG Obsessive Compulsive Disorders 1 1 $94,575.75 $94,575.75 $56,745.45 $56,745.45 $56,745.45 2025-12-31
PAAPRDRG9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma,major 7 7 $226,189.22 $226,189.22 $47,236.80 $192,260.84 $56,684.16 2025-12-31
PAAPRDRG3122 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 $281,383.25 $281,383.25 $44,214.16 $239,175.76 $56,486.37 2025-12-31
J9269 HCPCS Tagraxofusp-erzs 100 Mcg/ml (nss) Injection Custom 24 24 $209,758.76 $209,758.76 $33,792.14 $188,782.88 $56,236.32 2025-12-31
PAAPRDRG0202 APR_DRG Open Craniotomy For Trauma,moderate 7 7 $276,895.78 $276,895.78 $44,408.14 $235,361.41 $56,192.01 2025-12-31
PAAPRDRG6393 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition,major 7 7 $262,228.81 $262,228.81 $41,588.47 $222,894.49 $56,144.43 2025-12-31
PAAPRDRG5111 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 $286,439.76 $286,439.76 $42,940.32 $243,473.80 $55,893.41 2025-12-31
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