Hospital

WOMEN & INFANTS HOSPITAL OF RHODE ISLAND

Providence, RI · CCN 410010 · Rates published

9,547 distinct procedures filed

31 distinct payers

220,026 rate rows

2026-02-28 last MRF observed

Data quality

163,514 of 220,026 rate rows are consumer-grade (74.3%)

56,512 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	25,452
per-diem day rate — not a per-procedure price	24,666
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	4,316
professional (physician) fee — not the facility price	1,224
template filing: same amount across many unrelated codes — excluded	398
exceeds 10× this hospital's gross charge — excluded from medians	292
placeholder amount (≤ $0.02) — excluded from medians	160
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.carenewengland.org/hubfs/050258937_Women-and-Infants-Hospital_standardcharges.csv?hsLang=en
Found on page	https://www.carenewengland.org/price-transparency
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-09-21
Content fingerprint	3cdc6ec289bfbc5a… · 43,266,505 bytes · first seen 2026-05-09

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
003-4 OTHER	Bone Marrow Transplant	2	$242,956.44	$1,107,844.98	$583,891.27	—
588-4 OTHER	Neonate Bwt <1500g W Major Procedure	4	$287,612.08	$984,575.36	$531,285.75	—
583-4 OTHER	Neonate W Ecmo	4	$378,197.00	$697,728.13	$495,621.14	—
583-3 OTHER	Neonate W Ecmo	3	$262,129.19	$579,100.18	$428,788.49	—
5834 APR_DRG	Neonate W Ecmo	1	$416,947.18	$416,947.18	$416,947.18	nat. median $390,362 1.1× median
002-4 OTHER	Heart &/or Lung Transplant	3	$346,148.00	$1,099,608.41	$407,364.43	—
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$150,500.91	$588,394.52	$396,265.70	nat. median $168,055 outlier · 2.4×
588-3 OTHER	Neonate Bwt <1500g W Major Procedure	4	$200,743.61	$808,245.59	$387,498.00	—
161-4 OTHER	Cardiac Defibrillator & Heart Assist Implant	3	$307,088.02	$990,901.77	$379,307.26	—
591-4 OTHER	Neonate Birthwt 500-749g Without Major Procedure	4	$193,095.60	$628,527.22	$378,880.00	—
24 APR_DRG	Heart &/or Lung Transplant	1	$356,990.41	$369,804.87	$363,397.64	nat. median $225,531 1.6× median
609-4 OTHER	Neonate Bwt 1500-2499g W Major Procedure	4	$137,844.72	$627,388.77	$357,866.50	—
583-2 OTHER	Neonate W Ecmo	3	$246,561.64	$570,622.93	$347,008.00	—
593-4 OTHER	Neonate Birthwt 750-999g Without Major Procedure	4	$165,591.83	$597,433.80	$337,791.50	—
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	$121,488.36	$504,799.26	$336,532.84	nat. median $292,587 1.2× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	1	$291,670.00	$374,901.00	$333,285.50	—
841-4 OTHER	Extensive 3rd Degree Burns W Skin Graft	3	$262,265.00	$856,935.31	$327,637.33	—
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	1	$315,993.53	$336,710.52	$326,352.03	nat. median $202,242 1.6× median
633 MS_DRG	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	$311,127.21	$311,127.21	$311,127.21	nat. median $8,940 outlier · 34.8×
588-2 OTHER	Neonate Bwt <1500g W Major Procedure	4	$138,951.76	$788,093.51	$307,560.00	—
583-1 OTHER	Neonate W Ecmo	3	$221,905.90	$570,622.93	$305,547.00	—
588-1 OTHER	Neonate Bwt <1500g W Major Procedure	4	$130,875.56	$788,093.51	$301,914.50	—
8414 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	1	$282,791.84	$318,170.67	$300,481.26	nat. median $173,018 1.7× median
34 APR_DRG	Bone Marrow Transplant	1	$242,956.44	$357,567.83	$300,262.14	nat. median $187,752 1.6× median
003-3 OTHER	Bone Marrow Transplant	2	$149,332.91	$541,588.65	$299,338.86	—
630-4 OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	4	$132,941.35	$492,180.71	$289,396.50	—
001-4 OTHER	Liver Transplant &/or Intestinal Transplant	3	$238,932.00	$794,156.32	$289,004.00	—
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	1	$287,612.08	$287,612.08	$287,612.08	nat. median $286,698 1.0× median
612 MS_DRG	Neonate, Birth Weight <750 Grams, Discharged Alive	1	$285,105.09	$285,105.09	$285,105.09	nat. median $21,586 outlier · 13.2×
603-4 OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	4	$187,608.43	$517,050.86	$278,475.00	—
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	1	$243,001.00	$312,343.00	$277,672.00	—
161-3 OTHER	Cardiac Defibrillator & Heart Assist Implant	3	$81,123.34	$417,619.91	$276,988.58	—
602-4 OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	$154,290.58	$485,090.23	$274,046.50	—
631-4 OTHER	Neonate Birthwt >2499g W Other Major Procedure	4	$137,271.35	$408,405.35	$270,383.17	—
14 APR_DRG	Liver Transplant &/or Intestinal Transplant	1	$257,524.51	$278,749.89	$268,137.20	nat. median $136,566 2.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	8	$99,172.05	$387,720.53	$266,287.52	nat. median $186,516 1.4× median
593-3 OTHER	Neonate Birthwt 750-999g Without Major Procedure	4	$146,389.84	$497,571.15	$263,644.50	—
591-3 OTHER	Neonate Birthwt 500-749g Without Major Procedure	4	$160,353.21	$436,900.97	$263,013.00	—
5833 APR_DRG	Neonate W Ecmo	1	$262,129.19	$262,129.19	$262,129.19	nat. median $268,208 1.0× median
004-4 OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	3	$175,860.18	$750,329.84	$255,924.90	—
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	$91,510.68	$380,238.27	$253,492.18	nat. median $14,313 outlier · 17.7×
002-3 OTHER	Heart &/or Lung Transplant	3	$210,158.00	$698,530.39	$251,734.91	—
5832 APR_DRG	Neonate W Ecmo	1	$246,561.64	$246,561.64	$246,561.64	nat. median $201,678 1.2× median
006-4 OTHER	Pancreas Transplant	3	$187,423.30	$358,237.17	$238,030.55	—
612 OTHER	Neonate, Birth Weight <750 Grams, Discharged Alive	1	$237,150.80	$237,150.80	$237,150.80	nat. median $6,246 outlier · 38.0×
23 APR_DRG	Heart &/or Lung Transplant	1	$231,401.39	$233,340.82	$232,371.11	nat. median $117,894 2.0× median
589-1 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	4	$189,438.00	$376,566.97	$232,216.50	—
589-2 OTHER	Neonate Bwt <500g Or Ga <24 Weeks	4	$183,604.00	$376,566.97	$228,743.75	—
607-4 OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	4	$126,614.49	$406,995.66	$226,757.75	—
593-2 OTHER	Neonate Birthwt 750-999g Without Major Procedure	4	$112,921.61	$430,746.47	$225,220.25	—

Other procedures at this hospital

Browse this hospital's 9,547 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

003-4	OTHER	Bone Marrow Transplant	4	2	—	—	$242,956.44	$1,107,844.98	$583,891.27	2024-12-31
588-4	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$287,612.08	$984,575.36	$531,285.75	2024-12-31
583-4	OTHER	Neonate W Ecmo	6	4	—	—	$378,197.00	$697,728.13	$495,621.14	2024-12-31
583-3	OTHER	Neonate W Ecmo	5	3	—	—	$262,129.19	$579,100.18	$428,788.49	2024-12-31
5834	APR_DRG	Neonate W Ecmo	1	1	—	—	$416,947.18	$416,947.18	$416,947.18	2026-02-28
002-4	OTHER	Heart &/or Lung Transplant	6	3	—	—	$346,148.00	$1,099,608.41	$407,364.43	2024-12-31
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	8	—	—	$150,500.91	$588,394.52	$396,265.70	2026-02-28
588-3	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$200,743.61	$808,245.59	$387,498.00	2024-12-31
161-4	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$307,088.02	$990,901.77	$379,307.26	2024-12-31
591-4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	6	4	—	—	$193,095.60	$628,527.22	$378,880.00	2024-12-31
24	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$356,990.41	$369,804.87	$363,397.64	2026-02-28
609-4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$137,844.72	$627,388.77	$357,866.50	2024-12-31
583-2	OTHER	Neonate W Ecmo	5	3	—	—	$246,561.64	$570,622.93	$347,008.00	2024-12-31
593-4	OTHER	Neonate Birthwt 750-999g Without Major Procedure	6	4	—	—	$165,591.83	$597,433.80	$337,791.50	2024-12-31
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	11	—	—	$121,488.36	$504,799.26	$336,532.84	2024-12-31
007-4	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$291,670.00	$374,901.00	$333,285.50	2024-12-31
841-4	OTHER	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$262,265.00	$856,935.31	$327,637.33	2024-12-31
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	2	1	—	—	$315,993.53	$336,710.52	$326,352.03	2026-02-28
633	MS_DRG	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	1	—	—	$311,127.21	$311,127.21	$311,127.21	2026-02-28
588-2	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$138,951.76	$788,093.51	$307,560.00	2024-12-31
583-1	OTHER	Neonate W Ecmo	5	3	—	—	$221,905.90	$570,622.93	$305,547.00	2024-12-31
588-1	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$130,875.56	$788,093.51	$301,914.50	2024-12-31
8414	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	2	1	—	—	$282,791.84	$318,170.67	$300,481.26	2026-02-28
34	APR_DRG	Bone Marrow Transplant	2	1	—	—	$242,956.44	$357,567.83	$300,262.14	2026-02-28
003-3	OTHER	Bone Marrow Transplant	4	2	—	—	$149,332.91	$541,588.65	$299,338.86	2024-12-31
630-4	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	6	4	—	—	$132,941.35	$492,180.71	$289,396.50	2024-12-31
001-4	OTHER	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$238,932.00	$794,156.32	$289,004.00	2024-12-31
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$287,612.08	$287,612.08	$287,612.08	2026-02-28
612	MS_DRG	Neonate, Birth Weight <750 Grams, Discharged Alive	1	1	—	—	$285,105.09	$285,105.09	$285,105.09	2026-02-28
603-4	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	4	—	—	$187,608.43	$517,050.86	$278,475.00	2024-12-31
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$243,001.00	$312,343.00	$277,672.00	2024-12-31
161-3	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$81,123.34	$417,619.91	$276,988.58	2024-12-31
602-4	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$154,290.58	$485,090.23	$274,046.50	2024-12-31
631-4	OTHER	Neonate Birthwt >2499g W Other Major Procedure	6	4	—	—	$137,271.35	$408,405.35	$270,383.17	2024-12-31
14	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$257,524.51	$278,749.89	$268,137.20	2026-02-28
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	8	—	—	$99,172.05	$387,720.53	$266,287.52	2026-02-28
593-3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	6	4	—	—	$146,389.84	$497,571.15	$263,644.50	2024-12-31
591-3	OTHER	Neonate Birthwt 500-749g Without Major Procedure	6	4	—	—	$160,353.21	$436,900.97	$263,013.00	2024-12-31
5833	APR_DRG	Neonate W Ecmo	1	1	—	—	$262,129.19	$262,129.19	$262,129.19	2026-02-28
004-4	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	6	3	—	—	$175,860.18	$750,329.84	$255,924.90	2024-12-31
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	11	—	—	$91,510.68	$380,238.27	$253,492.18	2024-12-31
002-3	OTHER	Heart &/or Lung Transplant	6	3	—	—	$210,158.00	$698,530.39	$251,734.91	2024-12-31
5832	APR_DRG	Neonate W Ecmo	1	1	—	—	$246,561.64	$246,561.64	$246,561.64	2026-02-28
006-4	OTHER	Pancreas Transplant	6	3	—	—	$187,423.30	$358,237.17	$238,030.55	2024-12-31
612	OTHER	Neonate, Birth Weight <750 Grams, Discharged Alive	1	1	—	—	$237,150.80	$237,150.80	$237,150.80	2024-12-31
23	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$231,401.39	$233,340.82	$232,371.11	2026-02-28
589-1	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	6	4	—	—	$189,438.00	$376,566.97	$232,216.50	2024-12-31
589-2	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	6	4	—	—	$183,604.00	$376,566.97	$228,743.75	2024-12-31
607-4	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$126,614.49	$406,995.66	$226,757.75	2024-12-31
593-2	OTHER	Neonate Birthwt 750-999g Without Major Procedure	6	4	—	—	$112,921.61	$430,746.47	$225,220.25	2024-12-31
5831	APR_DRG	Neonate W Ecmo	1	1	—	—	$221,905.90	$221,905.90	$221,905.90	2026-02-28
636	OTHER	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	1	1	—	—	$217,616.72	$217,616.72	$217,616.72	2024-12-31
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	11	—	—	$77,548.11	$322,222.04	$214,814.70	2024-12-31
602-3	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$123,738.26	$420,595.93	$212,694.25	2024-12-31
173-4	OTHER	Other Vascular Procedures	3	2	—	—	$57,189.26	$284,283.80	$210,494.88	2024-12-31
5891	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$208,214.06	$208,214.06	$208,214.06	2026-02-28
44	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	2	1	—	—	$175,860.18	$237,897.37	$206,878.77	2026-02-28
631	MS_DRG	Neonate, Birth Weight 750-999 Grams, Discharged Alive	1	1	—	—	$206,732.43	$206,732.43	$206,732.43	2026-02-28
64	APR_DRG	Pancreas Transplant	2	1	—	—	$192,858.55	$220,287.11	$206,572.83	2026-02-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	10	8	—	—	$76,575.56	$299,377.85	$205,613.52	2026-02-28
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	10	8	—	—	$76,151.29	$297,719.13	$204,474.31	2026-02-28
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$146,740.10	$372,635.88	$203,524.56	2024-12-31
003-2	OTHER	Bone Marrow Transplant	4	2	—	—	$89,290.40	$381,793.14	$201,530.39	2024-12-31
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$200,743.61	$200,743.61	$200,743.61	2026-02-28
693-4	OTHER	Chemotherapy	3	2	—	—	$60,599.16	$265,018.03	$196,229.75	2024-12-31
633	OTHER	Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…	1	1	—	—	$195,515.27	$195,515.27	$195,515.27	2024-12-31
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	15	11	—	—	$70,351.83	$292,320.62	$194,880.41	2024-12-31
002-2	OTHER	Heart &/or Lung Transplant	6	3	—	—	$159,365.92	$439,964.85	$193,840.46	2024-12-31
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$193,095.60	$193,095.60	$193,095.60	2026-02-28
007-3	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$168,942.00	$217,151.00	$193,046.50	2024-12-31
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	1	1	—	—	$190,465.19	$190,465.19	$190,465.19	2024-12-31
5892	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$189,287.79	$189,287.79	$189,287.79	2026-02-28
608-4	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	6	4	—	—	$141,637.91	$299,534.44	$188,453.25	2024-12-31
6034	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	1	1	—	—	$187,608.43	$187,608.43	$187,608.43	2026-02-28
603-3	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	4	—	—	$100,477.81	$369,136.49	$185,363.50	2024-12-31
636	MS_DRG	Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…	1	1	—	—	$182,813.14	$182,813.14	$182,813.14	2026-02-28
161-2	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$46,196.10	$254,623.00	$182,236.93	2024-12-31
611-4	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	6	4	—	—	$132,892.26	$310,326.79	$182,022.25	2024-12-31
842-4	OTHER	Full Thickness Burns W Skin Graft	6	3	—	—	$144,322.00	$416,710.68	$180,221.38	2024-12-31
33	APR_DRG	Bone Marrow Transplant	2	1	—	—	$149,332.91	$203,396.48	$176,364.70	2026-02-28
602-2	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$82,105.06	$341,557.74	$175,804.25	2024-12-31
8424	APR_DRG	Full Thickness Burns W Skin Graft	2	1	—	—	$171,306.68	$180,010.93	$175,658.80	2026-02-28
004-3	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	6	3	—	—	$135,150.21	$428,679.68	$175,057.50	2024-12-31
005-4	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$113,678.78	$537,714.87	$173,743.04	2024-12-31
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	2	1	—	—	$150,995.54	$194,896.12	$172,945.83	2026-02-28
22	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$163,987.51	$170,676.92	$167,332.22	2026-02-28
303-4	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	6	3	—	—	$107,177.51	$451,505.98	$167,284.37	2024-12-31
003-1	OTHER	Bone Marrow Transplant	4	2	—	—	$72,442.44	$332,992.63	$166,278.34	2024-12-31
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$165,591.83	$165,591.83	$165,591.83	2026-02-28
002-1	OTHER	Heart &/or Lung Transplant	6	3	—	—	$130,769.00	$408,894.35	$164,565.32	2024-12-31
008-4	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$143,770.00	$184,796.00	$164,283.00	2024-12-31
162-4	OTHER	Cardiac Valve Procedures W Cardiac Catheterization	6	3	—	—	$112,121.61	$434,200.02	$164,161.00	2024-12-31
609-3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$104,476.74	$287,607.47	$163,545.50	2024-12-31
607-3	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$91,034.51	$314,785.12	$160,731.75	2024-12-31
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$160,353.21	$160,353.21	$160,353.21	2026-02-28
440-4	OTHER	Kidney Transplant	6	3	—	—	$130,841.00	$433,558.21	$159,904.29	2024-12-31
863-4	OTHER	Neonatal Aftercare	6	3	—	—	$132,070.33	$202,888.49	$159,444.42	2024-12-31
006-3	OTHER	Pancreas Transplant	6	3	—	—	$122,891.32	$261,163.35	$159,140.14	2024-12-31
6024	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	1	—	—	$154,290.58	$154,290.58	$154,290.58	2026-02-28
8634	APR_DRG	Neonatal Aftercare	2	1	—	—	$132,070.33	$173,514.95	$152,792.64	2026-02-28
612-4	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	6	4	—	—	$111,511.00	$275,848.58	$151,143.25	2024-12-31
621-4	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	6	4	—	—	$83,214.19	$260,326.70	$150,354.50	2024-12-31
161-1	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$32,887.56	$214,479.00	$150,321.77	2024-12-31
21	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$137,570.51	$161,045.64	$149,308.08	2026-02-28
007-2	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$130,597.00	$167,864.00	$149,230.50	2024-12-31
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$148,339.70	$148,339.70	$148,339.70	2026-02-28
001-3	OTHER	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$119,777.97	$404,210.66	$147,048.23	2024-12-31
630-3	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	6	4	—	—	$92,871.58	$236,121.28	$146,814.50	2024-12-31
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$146,389.84	$146,389.84	$146,389.84	2026-02-28
613-4	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	6	4	—	—	$119,330.97	$224,503.75	$145,552.00	2024-12-31
43	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	2	1	—	—	$135,150.21	$155,759.26	$145,454.73	2026-02-28
591-2	OTHER	Neonate Birthwt 500-749g Without Major Procedure	6	4	—	—	$59,529.99	$255,189.00	$144,885.35	2024-12-31
4404	APR_DRG	Kidney Transplant	2	1	—	—	$137,859.22	$151,631.59	$144,745.40	2026-02-28
5893	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$144,601.86	$144,601.86	$144,601.86	2026-02-28
608-3	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	6	4	—	—	$71,546.36	$292,978.81	$142,505.25	2024-12-31
791-4	OTHER	O.r. Procedure For Other Complications Of Treatment	4	2	—	—	$64,929.17	$275,378.68	$142,423.36	2024-12-31
221-4	OTHER	Major Small & Large Bowel Procedures	4	2	—	—	$53,120.35	$270,901.29	$142,308.90	2024-12-31
6084	APR_DRG	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	1	1	—	—	$141,637.91	$141,637.91	$141,637.91	2026-02-28
63	APR_DRG	Pancreas Transplant	2	1	—	—	$126,455.16	$152,989.28	$139,722.22	2026-02-28
54	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	2	1	—	—	$113,678.78	$165,575.41	$139,627.10	2026-02-28
006-2	OTHER	Pancreas Transplant	6	3	—	—	$106,477.76	$209,959.87	$139,280.67	2024-12-31
178-4	OTHER	External Heart Assist Systems	2	1	—	—	$121,838.00	$156,606.00	$139,222.00	2024-12-31
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$138,951.76	$138,951.76	$138,951.76	2026-02-28
910-4	OTHER	Craniotomy For Multiple Significant Trauma	6	3	—	—	$81,326.99	$303,522.84	$138,138.66	2024-12-31
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	1	1	—	—	$137,844.71	$137,844.71	$137,844.71	2026-02-28
090-4	OTHER	Major Larynx & Trachea Procedures	4	2	—	—	$108,582.06	$200,577.21	$137,780.53	2024-12-31
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	8	—	—	$51,183.20	$200,104.54	$137,432.34	2026-02-28
163-4	OTHER	Cardiac Valve Procedures Without Cardiac Catheterization	6	3	—	—	$98,940.48	$364,101.33	$137,398.50	2024-12-31
6314	APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	1	1	—	—	$137,271.35	$137,271.35	$137,271.35	2026-02-28
589-3	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	6	4	—	—	$95,315.88	$214,543.00	$136,665.35	2024-12-31
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$119,386.00	$153,454.00	$136,420.00	2024-12-31
004-2	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	6	3	—	—	$105,020.86	$331,999.35	$134,821.24	2024-12-31
167-4	OTHER	Other Cardiothoracic Procedures	6	3	—	—	$107,038.90	$263,203.39	$134,738.88	2024-12-31
14	OTHER	Allogeneic Bone Marrow Transplant	15	11	—	—	$44,189.32	$183,612.13	$134,535.00	2024-12-31
3034	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	2	1	—	—	$107,177.51	$159,368.14	$133,272.83	2026-02-28
6304	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	1	—	—	$132,941.35	$132,941.35	$132,941.35	2026-02-28
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	1	1	—	—	$132,892.26	$132,892.26	$132,892.26	2026-02-28
607-2	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$58,334.95	$271,371.19	$132,454.00	2024-12-31
603-2	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	4	—	—	$74,797.52	$281,674.54	$131,957.50	2024-12-31
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	10	6	—	—	$47,418.72	$197,030.71	$131,353.81	2024-12-31
13	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$119,777.97	$142,622.94	$131,200.46	2026-02-28
006-1	OTHER	Pancreas Transplant	6	3	—	—	$87,819.60	$209,959.87	$131,192.00	2024-12-31
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$130,875.56	$130,875.56	$130,875.56	2026-02-28
850-4	OTHER	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	6	3	—	—	$66,202.27	$393,529.10	$129,592.82	2024-12-31
841-3	OTHER	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$95,956.24	$291,263.49	$129,523.00	2024-12-31
304-4	OTHER	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	6	3	—	—	$82,265.89	$396,230.06	$129,089.82	2024-12-31
680-4	OTHER	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	6	3	—	—	$78,023.62	$454,928.96	$128,656.57	2024-12-31
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	6	3	—	—	$104,044.00	$508,810.48	$128,242.52	2024-12-31
614-4	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	6	4	—	—	$104,497.00	$210,788.87	$127,880.25	2024-12-31
63600973	OTHER	Sipuleucel-t Susp 250 Ml	31	15	$174,982.50	$61,243.88 65% off	$43,300.08	$210,723.57	$127,011.82	2024-12-31
7	MS_DRG	Lung Transplant	10	8	—	—	$48,131.69	$188,174.42	$126,729.71	2026-02-28
6074	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	1	—	—	$126,614.49	$126,614.49	$126,614.49	2026-02-28
633-4	OTHER	Neonate Birthwt >2499g W Major Anomaly	6	4	—	—	$67,300.96	$196,703.43	$126,266.75	2024-12-31
183-4	OTHER	Percutaneous Structural Cardiac Procedures	2	1	—	—	$110,200.00	$141,647.00	$125,923.50	2024-12-31
303-3	OTHER	Dorsal & Lumbar Fusion Proc For Curvature Of Back	6	3	—	—	$71,458.64	$264,273.07	$125,546.00	2024-12-31
1624	APR_DRG	Cardiac Valve Procedures W Cardiac Catheterization	2	1	—	—	$112,121.61	$138,436.64	$125,279.12	2026-02-28
681	MS_DRG	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	1	—	—	$124,518.91	$124,518.91	$124,518.91	2026-02-28
6023	APR_DRG	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	1	—	—	$123,738.26	$123,738.26	$123,738.26	2026-02-28
165-4	OTHER	Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure	6	3	—	—	$70,281.62	$324,595.61	$123,625.50	2024-12-31
005-3	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$78,671.13	$369,774.48	$122,981.82	2024-12-31
359	OTHER	Concomitant Aortic And Mitral Valve Procedures	1	1	—	—	$122,624.86	$122,624.86	$122,624.86	2024-12-31
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses	2	1	—	—	$118,252.13	$126,310.80	$122,281.46	2026-02-28
7	OTHER	Lung Transplant	15	11	—	—	$44,085.67	$183,181.47	$122,120.98	2024-12-31
651-4	OTHER	Other Procedures Of Blood & Blood-forming Organs	6	3	—	—	$79,402.39	$271,829.63	$121,051.50	2024-12-31
631-3	OTHER	Neonate Birthwt >2499g W Other Major Procedure	6	4	—	—	$76,327.54	$220,488.61	$120,848.75	2024-12-31
260-4	OTHER	Major Pancreas, Liver & Shunt Procedures	6	3	—	—	$84,017.32	$319,491.69	$120,784.69	2024-12-31
001-2	OTHER	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$103,541.00	$404,210.66	$120,764.39	2024-12-31
690-4	OTHER	Acute Leukemia	6	3	—	—	$81,407.41	$370,194.71	$120,353.04	2024-12-31
007-1	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$105,320.00	$135,374.00	$120,347.00	2024-12-31
6124	APR_DRG	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	1	1	—	—	$119,469.88	$119,469.88	$119,469.88	2026-02-28
021-4	OTHER	Craniotomy Except For Trauma	6	3	—	—	$80,336.92	$330,562.92	$119,458.56	2024-12-31
904	APR_DRG	Major Larynx & Trachea Procedures	2	1	—	—	$111,730.92	$127,045.82	$119,388.37	2026-02-28
6134	APR_DRG	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	1	1	—	—	$119,330.97	$119,330.97	$119,330.97	2026-02-28
62	APR_DRG	Pancreas Transplant	2	1	—	—	$109,565.60	$129,058.34	$119,311.97	2026-02-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	10	8	—	—	$44,974.87	$175,832.61	$118,417.88	2026-02-28
911-4	OTHER	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	6	3	—	—	$73,271.68	$274,232.59	$117,984.90	2024-12-31
6144	APR_DRG	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	1	1	—	—	$117,683.98	$117,683.98	$117,683.98	2026-02-28
611-3	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	6	4	—	—	$64,355.80	$222,647.08	$117,084.50	2024-12-31
42	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	2	1	—	—	$105,020.86	$129,053.55	$117,037.21	2026-02-28
602-1	OTHER	Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$61,850.00	$282,140.62	$116,372.75	2024-12-31
1674	APR_DRG	Other Cardiothoracic Procedures	2	1	—	—	$110,143.02	$119,137.76	$114,640.39	2026-02-28
001-1	OTHER	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$98,621.94	$404,210.66	$113,871.50	2024-12-31
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	2	1	—	—	$81,326.99	$145,076.98	$113,201.99	2026-02-28
681-4	OTHER	Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	6	3	—	—	$61,208.04	$347,383.70	$113,119.50	2024-12-31
912-4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	6	3	—	—	$56,126.08	$299,897.37	$112,950.10	2024-12-31
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$112,921.61	$112,921.61	$112,921.61	2026-02-28
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	10	8	—	—	$42,651.70	$166,749.99	$112,634.35	2026-02-28
612-3	OTHER	Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond	6	4	—	—	$62,067.56	$222,016.73	$112,263.50	2024-12-31
681	OTHER	Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…	1	1	—	—	$112,219.40	$112,219.40	$112,219.40	2024-12-31
209	MS_DRG	Complex Aortic Arch Procedures	10	8	—	—	$4,863.95	$166,577.90	$112,185.11	2026-02-28
022-4	OTHER	Ventricular Shunt Procedures	6	3	—	—	$43,343.90	$298,548.80	$112,076.76	2024-12-31
089-4	OTHER	Major Cranial/facial Bone Procedures	6	3	—	—	$71,329.13	$289,502.33	$112,044.73	2024-12-31
634	MS_DRG	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	1	1	—	—	$111,517.90	$111,517.90	$111,517.90	2026-02-28
8444	APR_DRG	Partial Thickness Burns W Or Without Skin Graft	2	1	—	—	$80,550.20	$142,168.45	$111,359.33	2026-02-28
179-4	OTHER	Defibrillator Implants	2	1	—	—	$96,882.00	$124,528.00	$110,705.00	2024-12-31
844-4	OTHER	Partial Thickness Burns W Or Without Skin Graft	6	3	—	—	$40,235.00	$236,564.44	$110,224.27	2024-12-31
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	8	—	—	$41,101.90	$160,690.95	$109,934.83	2026-02-28
169-4	OTHER	Major Thoracic & Abdominal Vascular Procedures	6	3	—	—	$76,266.97	$294,128.72	$109,807.99	2024-12-31
023-4	OTHER	Spinal Procedures	6	3	—	—	$63,252.94	$319,300.67	$109,739.38	2024-12-31
1634	APR_DRG	Cardiac Valve Procedures Without Cardiac Catheterization	2	1	—	—	$98,940.48	$120,536.59	$109,738.54	2026-02-28
091-4	OTHER	Other Major Head & Neck Procedures	6	3	—	—	$79,542.67	$174,366.13	$109,626.50	2024-12-31
220-4	OTHER	Major Stomach, Esophageal & Duodenal Procedures	6	3	—	—	$86,076.00	$304,283.07	$109,541.70	2024-12-31
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	8	—	—	$18,566.20	$162,638.26	$109,531.89	2026-02-28
004-1	OTHER	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	6	3	—	—	$92,078.00	$331,999.35	$109,469.86	2024-12-31
166-4	OTHER	Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure	6	3	—	—	$69,686.32	$349,087.55	$109,343.00	2024-12-31
12	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$104,094.50	$111,586.57	$107,840.54	2026-02-28
613-3	OTHER	Neonate Birthwt 1500-1999g W Congenital/perinatal Infection	6	4	—	—	$65,133.87	$211,426.86	$107,778.75	2024-12-31
162-3	OTHER	Cardiac Valve Procedures W Cardiac Catheterization	6	3	—	—	$63,563.12	$221,298.52	$107,639.50	2024-12-31
622-4	OTHER	Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond	6	4	—	—	$67,849.26	$185,456.46	$107,536.50	2024-12-31
608-2	OTHER	Neonate Bwt 1250-1499g W Or Without Other Significant Condition	6	4	—	—	$48,329.78	$233,821.46	$107,168.25	2024-12-31
32	APR_DRG	Bone Marrow Transplant	2	1	—	—	$89,290.40	$123,856.76	$106,573.58	2026-02-28
232-4	OTHER	Gastric Fundoplication	2	1	—	—	$92,166.00	$118,466.00	$105,316.00	2024-12-31
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	10	8	—	—	$39,193.52	$153,229.99	$105,238.77	2026-02-28
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	1	1	—	—	$104,476.74	$104,476.74	$104,476.74	2026-02-28
3044	APR_DRG	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	2	1	—	—	$82,265.89	$126,599.52	$104,432.71	2026-02-28
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	11	—	—	$37,649.79	$156,439.58	$104,293.05	2024-12-31
301-4	OTHER	Hip Joint Replacement	4	2	—	—	$38,739.22	$213,260.61	$104,204.90	2024-12-31
2204	APR_DRG	Major Stomach, Esophageal & Duodenal Procedures	2	1	—	—	$99,172.02	$108,445.39	$103,808.71	2026-02-28
623-4	OTHER	Neonate Bwt 2000-2499g W Congenital/perinatal Infection	6	4	—	—	$76,105.09	$169,063.56	$103,533.75	2024-12-31
591-1	OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	3	—	—	$45,270.51	$183,992.00	$103,299.72	2024-12-31
5911	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$103,299.72	$103,299.72	$103,299.72	2026-02-28
212	OTHER	Concomitant Aortic And Mitral Valve�procedures	15	11	—	—	$7,848.35	$154,797.82	$103,198.55	2024-12-31
008-3	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$90,295.00	$116,061.00	$103,178.00	2024-12-31
020-4	OTHER	Craniotomy For Trauma	6	3	—	—	$69,307.21	$278,664.14	$102,992.20	2024-12-31
950-4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	6	3	—	—	$60,862.35	$351,750.30	$102,841.26	2024-12-31
262-4	OTHER	Cholecystectomy Except Laparoscopic	4	2	—	—	$30,152.32	$191,828.72	$102,793.74	2024-12-31
440-3	OTHER	Kidney Transplant	6	3	—	—	$84,675.00	$218,337.79	$101,820.32	2024-12-31
302-4	OTHER	Knee Joint Replacement	4	2	—	—	$36,251.51	$198,128.40	$101,618.83	2024-12-31
441-4	OTHER	Major Bladder Procedures	6	3	—	—	$75,458.62	$323,655.82	$101,577.00	2024-12-31
361-4	OTHER	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	6	3	—	—	$86,416.73	$390,167.24	$101,472.50	2024-12-31
632	MS_DRG	Neonate, Birth Weight 750-999 Grams, Died	1	1	—	—	$101,459.95	$101,459.95	$101,459.95	2026-02-28
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	15	11	—	—	$36,486.74	$151,606.96	$101,071.31	2024-12-31
614-3	OTHER	Neonate Bwt 1500-1999g W Or Without Other Significant Condition	6	4	—	—	$51,478.58	$205,558.88	$100,625.00	2024-12-31
215	OTHER	Other Heart Assist System Implant	15	11	—	—	$36,315.25	$150,894.40	$100,596.27	2024-12-31
8413	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	2	1	—	—	$98,738.96	$102,448.55	$100,593.76	2026-02-28
6033	APR_DRG	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	1	1	—	—	$100,477.81	$100,477.81	$100,477.81	2026-02-28
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	10	8	—	—	$37,406.70	$146,244.28	$100,440.98	2026-02-28
11	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$98,621.94	$102,203.48	$100,412.71	2026-02-28
41	APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo	2	1	—	—	$97,149.37	$103,502.68	$100,326.02	2026-02-28
1613	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	2	1	—	—	$81,123.34	$119,093.04	$100,108.19	2026-02-28
607-1	OTHER	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	6	4	—	—	$51,381.46	$225,221.97	$100,063.50	2024-12-31
215	MS_DRG	Other Heart Assist System Implant	10	8	—	—	$37,996.55	$148,550.35	$100,044.12	2026-02-28
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	2	1	—	—	$84,017.32	$115,917.23	$99,967.27	2026-02-28
6804	APR_DRG	Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms	2	1	—	—	$78,023.62	$121,835.79	$99,929.70	2026-02-28
214	APR_DRG	Craniotomy Except For Trauma	2	1	—	—	$80,336.92	$118,804.33	$99,570.62	2026-02-28
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	10	6	—	—	$12,995.07	$149,336.17	$99,557.44	2024-12-31
609-2	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$68,269.10	$169,732.11	$99,397.00	2024-12-31
8504	APR_DRG	Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service	2	1	—	—	$66,202.27	$130,641.46	$98,421.87	2026-02-28
027-4	OTHER	Other Open Craniotomy	2	1	—	—	$86,076.00	$110,638.00	$98,357.00	2024-12-31
4014	APR_DRG	Pituitary & Adrenal Procedures	2	1	—	—	$95,851.85	$100,638.64	$98,245.24	2026-02-28
120-4	OTHER	Major Respiratory & Chest Procedures	6	3	—	—	$70,881.09	$264,567.24	$98,235.08	2024-12-31
178-3	OTHER	External Heart Assist Systems	2	1	—	—	$84,958.00	$109,201.00	$97,079.50	2024-12-31
6904	APR_DRG	Acute Leukemia	2	1	—	—	$81,407.41	$112,741.41	$97,074.41	2026-02-28
695-4	OTHER	Chemotherapy For Acute Leukemia	3	2	—	—	$72,009.27	$124,564.00	$96,910.00	2024-12-31
401-4	OTHER	Pituitary & Adrenal Procedures	6	3	—	—	$60,853.00	$389,395.54	$96,894.57	2024-12-31
005-2	OTHER	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	6	3	—	—	$73,359.41	$247,360.60	$96,604.00	2024-12-31
403-4	OTHER	Procedures For Obesity	6	3	—	—	$74,457.00	$309,356.43	$96,461.41	2024-12-31
603-1	OTHER	Neonate Birthwt 1000-1249g W Or Without Other Significant Condition	6	4	—	—	$42,754.00	$251,750.13	$95,949.00	2024-12-31
609-1	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$62,164.69	$169,732.11	$95,933.75	2024-12-31
61	APR_DRG	Pancreas Transplant	2	1	—	—	$90,366.36	$101,484.59	$95,925.48	2026-02-28
53	APR_DRG	Tracheostomy W Mv 96+ Hours Without Extensive Procedure	2	1	—	—	$78,671.13	$112,019.64	$95,345.39	2026-02-28
841-2	OTHER	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$73,659.00	$291,263.49	$95,202.98	2024-12-31
173-3	OTHER	Other Vascular Procedures	3	2	—	—	$27,076.62	$128,033.53	$94,801.05	2024-12-31
9114	APR_DRG	Extensive Abdominal/thoracic Procedures For Mult Significant Trauma	2	1	—	—	$73,271.68	$114,618.03	$93,944.85	2026-02-28
261-4	OTHER	Major Biliary Tract Procedures	6	3	—	—	$58,022.68	$272,895.49	$93,514.50	2024-12-31
321-4	OTHER	Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp	6	3	—	—	$51,925.58	$371,719.01	$93,345.66	2024-12-31
4034	APR_DRG	Procedures For Obesity	2	1	—	—	$86,054.92	$100,038.15	$93,046.54	2026-02-28
734	APR_DRG	Eye Procedures Except Orbit	2	1	—	—	$91,521.20	$94,465.31	$92,993.26	2026-02-28
6303	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	1	—	—	$92,871.58	$92,871.58	$92,871.58	2026-02-28
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$63,868.08	$159,168.98	$92,858.50	2024-12-31
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	1	1	—	—	$92,742.62	$92,742.62	$92,742.62	2024-12-31
634-4	OTHER	Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond	6	4	—	—	$43,838.94	$156,964.67	$92,681.50	2024-12-31
4403	APR_DRG	Kidney Transplant	2	1	—	—	$90,510.71	$94,802.64	$92,656.68	2026-02-28
460-4	OTHER	Renal Failure	3	2	—	—	$23,464.11	$124,813.02	$92,416.46	2024-12-31
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	15	11	—	—	$33,351.25	$138,578.60	$92,385.73	2024-12-31
8412	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	2	1	—	—	$88,778.45	$95,727.96	$92,253.21	2026-02-28
481-4	OTHER	Penis Procedures	4	2	—	—	$61,024.80	$146,626.93	$91,743.50	2024-12-31
3033	APR_DRG	Dorsal & Lumbar Fusion Proc For Curvature Of Back	2	1	—	—	$71,458.64	$112,019.64	$91,739.14	2026-02-28
090-3	OTHER	Major Larynx & Trachea Procedures	4	2	—	—	$49,623.76	$177,391.81	$91,627.01	2024-12-31
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	10	8	—	—	$34,788.60	$136,008.64	$91,597.65	2026-02-28
6073	APR_DRG	Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom	1	1	—	—	$91,034.51	$91,034.51	$91,034.51	2026-02-28
6514	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	2	1	—	—	$81,705.04	$99,308.10	$90,506.57	2026-02-28
130-4	OTHER	Respiratory System Diagnosis W Ventilator Support 96+ Hours	6	3	—	—	$55,956.89	$239,509.89	$90,366.50	2024-12-31
405-4	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	6	3	—	—	$75,566.19	$328,954.57	$90,213.99	2024-12-31
625-4	OTHER	Neonate Bwt 2000-2499g W Other Significant Condition	6	4	—	—	$65,716.63	$120,538.11	$90,096.07	2024-12-31
792-4	OTHER	Extensive Or Procedures For Other Complications Of Treatment	2	1	—	—	$78,813.00	$101,302.00	$90,057.50	2024-12-31
841-1	OTHER	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$73,087.00	$291,263.49	$90,048.58	2024-12-31
894	APR_DRG	Major Cranial/facial Bone Procedures	2	1	—	—	$71,329.13	$108,410.76	$89,869.95	2026-02-28
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$78,519.00	$100,926.00	$89,722.50	2024-12-31
440-2	OTHER	Kidney Transplant	6	3	—	—	$70,003.16	$181,979.99	$89,383.68	2024-12-31
1694	APR_DRG	Major Thoracic & Abdominal Vascular Procedures	2	1	—	—	$76,266.97	$101,626.06	$88,946.51	2026-02-28
850	OTHER	Acute Leukemia With Other Procedures	10	7	—	—	$31,971.80	$132,846.79	$88,564.53	2024-12-31
850	MS_DRG	Acute Leukemia With Other Procedures	10	8	—	—	$33,603.15	$131,374.00	$88,533.26	2026-02-28
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs	6	3	—	—	$68,374.00	$264,597.80	$88,483.59	2024-12-31
710-4	OTHER	Infectious & Parasitic Diseases Including HIV W O.r. Procedure	6	3	—	—	$52,989.80	$275,279.36	$88,423.36	2024-12-31
365	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	1	1	—	—	$88,388.55	$88,388.55	$88,388.55	2026-02-28
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	2	1	—	—	$87,490.93	$88,922.80	$88,206.86	2026-02-28
225-4	OTHER	Appendectomy	4	2	—	—	$38,681.78	$168,586.02	$88,086.36	2024-12-31
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	2	1	—	—	$77,059.00	$99,048.00	$88,053.50	2024-12-31
634	OTHER	Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…	1	1	—	—	$88,028.65	$88,028.65	$88,028.65	2024-12-31

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