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

001-1	OTHER	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$98,621.94	$404,210.66	$113,871.50	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
001-3	OTHER	Liver Transplant &/or Intestinal Transplant	6	3	—	—	$119,777.97	$404,210.66	$147,048.23	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
002-1	OTHER	Heart &/or Lung Transplant	6	3	—	—	$130,769.00	$408,894.35	$164,565.32	2024-12-31
002-2	OTHER	Heart &/or Lung Transplant	6	3	—	—	$159,365.92	$439,964.85	$193,840.46	2024-12-31
002-3	OTHER	Heart &/or Lung Transplant	6	3	—	—	$210,158.00	$698,530.39	$251,734.91	2024-12-31
002-4	OTHER	Heart &/or Lung Transplant	6	3	—	—	$346,148.00	$1,099,608.41	$407,364.43	2024-12-31
003-1	OTHER	Bone Marrow Transplant	4	2	—	—	$72,442.44	$332,992.63	$166,278.34	2024-12-31
003-2	OTHER	Bone Marrow Transplant	4	2	—	—	$89,290.40	$381,793.14	$201,530.39	2024-12-31
003-3	OTHER	Bone Marrow Transplant	4	2	—	—	$149,332.91	$541,588.65	$299,338.86	2024-12-31
003-4	OTHER	Bone Marrow Transplant	4	2	—	—	$242,956.44	$1,107,844.98	$583,891.27	2024-12-31
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
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
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
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
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
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
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
006-1	OTHER	Pancreas Transplant	6	3	—	—	$87,819.60	$209,959.87	$131,192.00	2024-12-31
006-2	OTHER	Pancreas Transplant	6	3	—	—	$106,477.76	$209,959.87	$139,280.67	2024-12-31
006-3	OTHER	Pancreas Transplant	6	3	—	—	$122,891.32	$261,163.35	$159,140.14	2024-12-31
006-4	OTHER	Pancreas Transplant	6	3	—	—	$187,423.30	$358,237.17	$238,030.55	2024-12-31
007-1	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$105,320.00	$135,374.00	$120,347.00	2024-12-31
007-2	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$130,597.00	$167,864.00	$149,230.50	2024-12-31
007-3	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$168,942.00	$217,151.00	$193,046.50	2024-12-31
007-4	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$291,670.00	$374,901.00	$333,285.50	2024-12-31
008-3	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$90,295.00	$116,061.00	$103,178.00	2024-12-31
008-4	OTHER	Autologous Bone Marrow Transplant	2	1	—	—	$143,770.00	$184,796.00	$164,283.00	2024-12-31
009-2	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$78,519.00	$100,926.00	$89,722.50	2024-12-31
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$119,386.00	$153,454.00	$136,420.00	2024-12-31
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$243,001.00	$312,343.00	$277,672.00	2024-12-31
020-4	OTHER	Craniotomy For Trauma	6	3	—	—	$69,307.21	$278,664.14	$102,992.20	2024-12-31
021-4	OTHER	Craniotomy Except For Trauma	6	3	—	—	$80,336.92	$330,562.92	$119,458.56	2024-12-31
022-4	OTHER	Ventricular Shunt Procedures	6	3	—	—	$43,343.90	$298,548.80	$112,076.76	2024-12-31
023-4	OTHER	Spinal Procedures	6	3	—	—	$63,252.94	$319,300.67	$109,739.38	2024-12-31
027-4	OTHER	Other Open Craniotomy	2	1	—	—	$86,076.00	$110,638.00	$98,357.00	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
089-4	OTHER	Major Cranial/facial Bone Procedures	6	3	—	—	$71,329.13	$289,502.33	$112,044.73	2024-12-31
090-3	OTHER	Major Larynx & Trachea Procedures	4	2	—	—	$49,623.76	$177,391.81	$91,627.01	2024-12-31
090-4	OTHER	Major Larynx & Trachea Procedures	4	2	—	—	$108,582.06	$200,577.21	$137,780.53	2024-12-31
091-4	OTHER	Other Major Head & Neck Procedures	6	3	—	—	$79,542.67	$174,366.13	$109,626.50	2024-12-31
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
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
11	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$98,621.94	$102,203.48	$100,412.71	2026-02-28
12	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$104,094.50	$111,586.57	$107,840.54	2026-02-28
120-4	OTHER	Major Respiratory & Chest Procedures	6	3	—	—	$70,881.09	$264,567.24	$98,235.08	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
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
14	APR_DRG	Liver Transplant &/or Intestinal Transplant	2	1	—	—	$257,524.51	$278,749.89	$268,137.20	2026-02-28
14	OTHER	Allogeneic Bone Marrow Transplant	15	11	—	—	$44,189.32	$183,612.13	$134,535.00	2024-12-31
14	MS_DRG	Allogeneic Bone Marrow Transplant	10	8	—	—	$44,974.87	$175,832.61	$118,417.88	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
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$146,740.10	$372,635.88	$203,524.56	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
161-1	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$32,887.56	$214,479.00	$150,321.77	2024-12-31
161-2	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$46,196.10	$254,623.00	$182,236.93	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
161-4	OTHER	Cardiac Defibrillator & Heart Assist Implant	6	3	—	—	$307,088.02	$990,901.77	$379,307.26	2024-12-31
1613	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	2	1	—	—	$81,123.34	$119,093.04	$100,108.19	2026-02-28
1614	APR_DRG	Cardiac Defibrillator & Heart Assist Implant	2	1	—	—	$315,993.53	$336,710.52	$326,352.03	2026-02-28
162-3	OTHER	Cardiac Valve Procedures W Cardiac Catheterization	6	3	—	—	$63,563.12	$221,298.52	$107,639.50	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
1624	APR_DRG	Cardiac Valve Procedures W Cardiac Catheterization	2	1	—	—	$112,121.61	$138,436.64	$125,279.12	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
1634	APR_DRG	Cardiac Valve Procedures Without Cardiac Catheterization	2	1	—	—	$98,940.48	$120,536.59	$109,738.54	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
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
167-4	OTHER	Other Cardiothoracic Procedures	6	3	—	—	$107,038.90	$263,203.39	$134,738.88	2024-12-31
1674	APR_DRG	Other Cardiothoracic Procedures	2	1	—	—	$110,143.02	$119,137.76	$114,640.39	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
1694	APR_DRG	Major Thoracic & Abdominal Vascular Procedures	2	1	—	—	$76,266.97	$101,626.06	$88,946.51	2026-02-28
173-3	OTHER	Other Vascular Procedures	3	2	—	—	$27,076.62	$128,033.53	$94,801.05	2024-12-31
173-4	OTHER	Other Vascular Procedures	3	2	—	—	$57,189.26	$284,283.80	$210,494.88	2024-12-31
178-3	OTHER	External Heart Assist Systems	2	1	—	—	$84,958.00	$109,201.00	$97,079.50	2024-12-31
178-4	OTHER	External Heart Assist Systems	2	1	—	—	$121,838.00	$156,606.00	$139,222.00	2024-12-31
179-4	OTHER	Defibrillator Implants	2	1	—	—	$96,882.00	$124,528.00	$110,705.00	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
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
183-4	OTHER	Percutaneous Structural Cardiac Procedures	2	1	—	—	$110,200.00	$141,647.00	$125,923.50	2024-12-31
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
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
209	MS_DRG	Complex Aortic Arch Procedures	10	8	—	—	$4,863.95	$166,577.90	$112,185.11	2026-02-28
21	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$137,570.51	$161,045.64	$149,308.08	2026-02-28
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	10	8	—	—	$41,101.90	$160,690.95	$109,934.83	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
214	APR_DRG	Craniotomy Except For Trauma	2	1	—	—	$80,336.92	$118,804.33	$99,570.62	2026-02-28
215	OTHER	Other Heart Assist System Implant	15	11	—	—	$36,315.25	$150,894.40	$100,596.27	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
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
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
22	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$163,987.51	$170,676.92	$167,332.22	2026-02-28
220-4	OTHER	Major Stomach, Esophageal & Duodenal Procedures	6	3	—	—	$86,076.00	$304,283.07	$109,541.70	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
221-4	OTHER	Major Small & Large Bowel Procedures	4	2	—	—	$53,120.35	$270,901.29	$142,308.90	2024-12-31
225-4	OTHER	Appendectomy	4	2	—	—	$38,681.78	$168,586.02	$88,086.36	2024-12-31
23	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$231,401.39	$233,340.82	$232,371.11	2026-02-28
232-4	OTHER	Gastric Fundoplication	2	1	—	—	$92,166.00	$118,466.00	$105,316.00	2024-12-31
24	APR_DRG	Heart &/or Lung Transplant	2	1	—	—	$356,990.41	$369,804.87	$363,397.64	2026-02-28
260-4	OTHER	Major Pancreas, Liver & Shunt Procedures	6	3	—	—	$84,017.32	$319,491.69	$120,784.69	2024-12-31
2604	APR_DRG	Major Pancreas, Liver & Shunt Procedures	2	1	—	—	$84,017.32	$115,917.23	$99,967.27	2026-02-28
261-4	OTHER	Major Biliary Tract Procedures	6	3	—	—	$58,022.68	$272,895.49	$93,514.50	2024-12-31
262-4	OTHER	Cholecystectomy Except Laparoscopic	4	2	—	—	$30,152.32	$191,828.72	$102,793.74	2024-12-31
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
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
301-4	OTHER	Hip Joint Replacement	4	2	—	—	$38,739.22	$213,260.61	$104,204.90	2024-12-31
302-4	OTHER	Knee Joint Replacement	4	2	—	—	$36,251.51	$198,128.40	$101,618.83	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
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
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
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
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
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
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
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
32	APR_DRG	Bone Marrow Transplant	2	1	—	—	$89,290.40	$123,856.76	$106,573.58	2026-02-28
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
33	APR_DRG	Bone Marrow Transplant	2	1	—	—	$149,332.91	$203,396.48	$176,364.70	2026-02-28
34	APR_DRG	Bone Marrow Transplant	2	1	—	—	$242,956.44	$357,567.83	$300,262.14	2026-02-28
359	OTHER	Concomitant Aortic And Mitral Valve Procedures	1	1	—	—	$122,624.86	$122,624.86	$122,624.86	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
3614	APR_DRG	Skin Graft For Skin & Subcutaneous Tissue Diagnoses	2	1	—	—	$87,490.93	$88,922.80	$88,206.86	2026-02-28
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
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
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
401-4	OTHER	Pituitary & Adrenal Procedures	6	3	—	—	$60,853.00	$389,395.54	$96,894.57	2024-12-31
4014	APR_DRG	Pituitary & Adrenal Procedures	2	1	—	—	$95,851.85	$100,638.64	$98,245.24	2026-02-28
403-4	OTHER	Procedures For Obesity	6	3	—	—	$74,457.00	$309,356.43	$96,461.41	2024-12-31
4034	APR_DRG	Procedures For Obesity	2	1	—	—	$86,054.92	$100,038.15	$93,046.54	2026-02-28
405-4	OTHER	Other Procedures For Endocrine, Nutritional & Metabolic Disorders	6	3	—	—	$75,566.19	$328,954.57	$90,213.99	2024-12-31
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
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
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
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
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
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
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
440-2	OTHER	Kidney Transplant	6	3	—	—	$70,003.16	$181,979.99	$89,383.68	2024-12-31
440-3	OTHER	Kidney Transplant	6	3	—	—	$84,675.00	$218,337.79	$101,820.32	2024-12-31
440-4	OTHER	Kidney Transplant	6	3	—	—	$130,841.00	$433,558.21	$159,904.29	2024-12-31
4403	APR_DRG	Kidney Transplant	2	1	—	—	$90,510.71	$94,802.64	$92,656.68	2026-02-28
4404	APR_DRG	Kidney Transplant	2	1	—	—	$137,859.22	$151,631.59	$144,745.40	2026-02-28
441-4	OTHER	Major Bladder Procedures	6	3	—	—	$75,458.62	$323,655.82	$101,577.00	2024-12-31
460-4	OTHER	Renal Failure	3	2	—	—	$23,464.11	$124,813.02	$92,416.46	2024-12-31
481-4	OTHER	Penis Procedures	4	2	—	—	$61,024.80	$146,626.93	$91,743.50	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
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	15	11	—	—	$36,486.74	$151,606.96	$101,071.31	2024-12-31
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
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
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
583-1	OTHER	Neonate W Ecmo	5	3	—	—	$221,905.90	$570,622.93	$305,547.00	2024-12-31
583-2	OTHER	Neonate W Ecmo	5	3	—	—	$246,561.64	$570,622.93	$347,008.00	2024-12-31
583-3	OTHER	Neonate W Ecmo	5	3	—	—	$262,129.19	$579,100.18	$428,788.49	2024-12-31
583-4	OTHER	Neonate W Ecmo	6	4	—	—	$378,197.00	$697,728.13	$495,621.14	2024-12-31
5831	APR_DRG	Neonate W Ecmo	1	1	—	—	$221,905.90	$221,905.90	$221,905.90	2026-02-28
5832	APR_DRG	Neonate W Ecmo	1	1	—	—	$246,561.64	$246,561.64	$246,561.64	2026-02-28
5833	APR_DRG	Neonate W Ecmo	1	1	—	—	$262,129.19	$262,129.19	$262,129.19	2026-02-28
5834	APR_DRG	Neonate W Ecmo	1	1	—	—	$416,947.18	$416,947.18	$416,947.18	2026-02-28
588-1	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$130,875.56	$788,093.51	$301,914.50	2024-12-31
588-2	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$138,951.76	$788,093.51	$307,560.00	2024-12-31
588-3	OTHER	Neonate Bwt <1500g W Major Procedure	6	4	—	—	$200,743.61	$808,245.59	$387,498.00	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
5881	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$130,875.56	$130,875.56	$130,875.56	2026-02-28
5882	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$138,951.76	$138,951.76	$138,951.76	2026-02-28
5883	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$200,743.61	$200,743.61	$200,743.61	2026-02-28
5884	APR_DRG	Neonate Bwt <1500g W Major Procedure	1	1	—	—	$287,612.08	$287,612.08	$287,612.08	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
589-3	OTHER	Neonate Bwt <500g Or Ga <24 Weeks	6	4	—	—	$95,315.88	$214,543.00	$136,665.35	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
5892	APR_DRG	Neonate Bwt <500g Or Ga <24 Weeks	1	1	—	—	$189,287.79	$189,287.79	$189,287.79	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
591-1	OTHER	Neonate Birthwt 500-749g Without Major Procedure	5	3	—	—	$45,270.51	$183,992.00	$103,299.72	2024-12-31
591-2	OTHER	Neonate Birthwt 500-749g Without Major Procedure	6	4	—	—	$59,529.99	$255,189.00	$144,885.35	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
591-4	OTHER	Neonate Birthwt 500-749g Without Major Procedure	6	4	—	—	$193,095.60	$628,527.22	$378,880.00	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
5912	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$148,339.70	$148,339.70	$148,339.70	2026-02-28
5913	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$160,353.21	$160,353.21	$160,353.21	2026-02-28
5914	APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	1	1	—	—	$193,095.60	$193,095.60	$193,095.60	2026-02-28
593-2	OTHER	Neonate Birthwt 750-999g Without Major Procedure	6	4	—	—	$112,921.61	$430,746.47	$225,220.25	2024-12-31
593-3	OTHER	Neonate Birthwt 750-999g Without Major Procedure	6	4	—	—	$146,389.84	$497,571.15	$263,644.50	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
5932	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$112,921.61	$112,921.61	$112,921.61	2026-02-28
5933	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$146,389.84	$146,389.84	$146,389.84	2026-02-28
5934	APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	1	1	—	—	$165,591.83	$165,591.83	$165,591.83	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
609-1	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$62,164.69	$169,732.11	$95,933.75	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
609-3	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$104,476.74	$287,607.47	$163,545.50	2024-12-31
609-4	OTHER	Neonate Bwt 1500-2499g W Major Procedure	6	4	—	—	$137,844.72	$627,388.77	$357,866.50	2024-12-31
6093	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	1	1	—	—	$104,476.74	$104,476.74	$104,476.74	2026-02-28
6094	APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	1	1	—	—	$137,844.71	$137,844.71	$137,844.71	2026-02-28
61	APR_DRG	Pancreas Transplant	2	1	—	—	$90,366.36	$101,484.59	$95,925.48	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
611-4	OTHER	Neonate Birthwt 1500-1999g W Major Anomaly	6	4	—	—	$132,892.26	$310,326.79	$182,022.25	2024-12-31
6114	APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	1	1	—	—	$132,892.26	$132,892.26	$132,892.26	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
612	OTHER	Neonate, Birth Weight <750 Grams, Discharged Alive	1	1	—	—	$237,150.80	$237,150.80	$237,150.80	2024-12-31
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
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
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
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
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
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
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
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
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
62	APR_DRG	Pancreas Transplant	2	1	—	—	$109,565.60	$129,058.34	$119,311.97	2026-02-28
621-4	OTHER	Neonate Bwt 2000-2499g W Major Anomaly	6	4	—	—	$83,214.19	$260,326.70	$150,354.50	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
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
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
63	APR_DRG	Pancreas Transplant	2	1	—	—	$126,455.16	$152,989.28	$139,722.22	2026-02-28
630-3	OTHER	Neonate Birthwt >2499g W Major Cardiovascular Procedure	6	4	—	—	$92,871.58	$236,121.28	$146,814.50	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
6303	APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	1	1	—	—	$92,871.58	$92,871.58	$92,871.58	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
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
631	OTHER	Neonate, Birth Weight 750-999 Grams, Discharged Alive	1	1	—	—	$190,465.19	$190,465.19	$190,465.19	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
631-4	OTHER	Neonate Birthwt >2499g W Other Major Procedure	6	4	—	—	$137,271.35	$408,405.35	$270,383.17	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
632	MS_DRG	Neonate, Birth Weight 750-999 Grams, Died	1	1	—	—	$101,459.95	$101,459.95	$101,459.95	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
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
633-4	OTHER	Neonate Birthwt >2499g W Major Anomaly	6	4	—	—	$67,300.96	$196,703.43	$126,266.75	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
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
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
635	OTHER	Neonate, Birth Weight 1000-1499 Grams, Died	1	1	—	—	$92,742.62	$92,742.62	$92,742.62	2024-12-31
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
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
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
64	APR_DRG	Pancreas Transplant	2	1	—	—	$192,858.55	$220,287.11	$206,572.83	2026-02-28
651-4	OTHER	Other Procedures Of Blood & Blood-forming Organs	6	3	—	—	$79,402.39	$271,829.63	$121,051.50	2024-12-31
6514	APR_DRG	Other Procedures Of Blood & Blood-forming Organs	2	1	—	—	$81,705.04	$99,308.10	$90,506.57	2026-02-28
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
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
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
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
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
690-4	OTHER	Acute Leukemia	6	3	—	—	$81,407.41	$370,194.71	$120,353.04	2024-12-31
6904	APR_DRG	Acute Leukemia	2	1	—	—	$81,407.41	$112,741.41	$97,074.41	2026-02-28
693-4	OTHER	Chemotherapy	3	2	—	—	$60,599.16	$265,018.03	$196,229.75	2024-12-31
695-4	OTHER	Chemotherapy For Acute Leukemia	3	2	—	—	$72,009.27	$124,564.00	$96,910.00	2024-12-31
7	MS_DRG	Lung Transplant	10	8	—	—	$48,131.69	$188,174.42	$126,729.71	2026-02-28
7	OTHER	Lung Transplant	15	11	—	—	$44,085.67	$183,181.47	$122,120.98	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
734	APR_DRG	Eye Procedures Except Orbit	2	1	—	—	$91,521.20	$94,465.31	$92,993.26	2026-02-28
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
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
841-2	OTHER	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$73,659.00	$291,263.49	$95,202.98	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
841-4	OTHER	Extensive 3rd Degree Burns W Skin Graft	6	3	—	—	$262,265.00	$856,935.31	$327,637.33	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
8413	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	2	1	—	—	$98,738.96	$102,448.55	$100,593.76	2026-02-28
8414	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	2	1	—	—	$282,791.84	$318,170.67	$300,481.26	2026-02-28
842-4	OTHER	Full Thickness Burns W Skin Graft	6	3	—	—	$144,322.00	$416,710.68	$180,221.38	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
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
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
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
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
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
863-4	OTHER	Neonatal Aftercare	6	3	—	—	$132,070.33	$202,888.49	$159,444.42	2024-12-31
8634	APR_DRG	Neonatal Aftercare	2	1	—	—	$132,070.33	$173,514.95	$152,792.64	2026-02-28
894	APR_DRG	Major Cranial/facial Bone Procedures	2	1	—	—	$71,329.13	$108,410.76	$89,869.95	2026-02-28
904	APR_DRG	Major Larynx & Trachea Procedures	2	1	—	—	$111,730.92	$127,045.82	$119,388.37	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
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	2	1	—	—	$81,326.99	$145,076.98	$113,201.99	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
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
912-4	OTHER	Musculoskeletal & Other Procedures For Multiple Significant Trauma	6	3	—	—	$56,126.08	$299,897.37	$112,950.10	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
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
950-4	OTHER	Extensive Procedure Unrelated To Principal Diagnosis	6	3	—	—	$60,862.35	$351,750.30	$102,841.26	2024-12-31

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