Hospital

THE MIRIAM HOSPITAL

Providence, RI · CCN 410012 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $13,655 across 7 payers · range $2,309-$45,819

Source: https://www.brownhealth.org/sites/default/files/2026-03/05-0258905_the-miriam-hospital_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

17,231 distinct procedures filed

32 distinct payers

352,436 rate rows

2026-04-01 last MRF observed

Data quality

284,285 of 352,436 rate rows are consumer-grade (80.7%)

68,151 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	63,360
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	3,565
template filing: same amount across many unrelated codes — excluded	886
placeholder amount (≤ $0.02) — excluded from medians	286
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	32
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	22

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

Source MRF file	https://www.brownhealth.org/sites/default/files/2026-03/05-0258905_the-miriam-hospital_standardcharges.csv
Found on page	https://www.brownhealth.org/locations/miriam-hospital/patients-visitors/billing-procedures-and-insurance-information/cost-care
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-11-02
Content fingerprint	1f0fc6de97efca2a… · 33,621,126 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
J3391 HCPCS	Inj, Atidarsagene Autotemcel	3	$4,335,000.00	$4,760,000.00	$4,555,681.25	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	4	$3,570,000.00	$4,831,533.00	$3,815,000.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	4	$3,570,000.00	$4,799,322.78	$3,768,185.17	nat. median $3,705,478 1.0× median
C9172 HCPCS		1	$3,756,410.00	$3,756,410.00	$3,756,410.00	nat. median $3,605,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	5	$3,264,000.00	$4,329,589.99	$3,413,216.00	nat. median $3,324,572 1.0× median
J3389 HCPCS	Topi Adm Prad Zami Per Treat	2	$3,335,820.00	$3,524,640.00	$3,410,875.95	nat. median $3,335,820 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	5	$3,162,000.00	$4,247,262.62	$3,372,773.87	nat. median $3,286,000 1.0× median
J3387 HCPCS	Inj Elivaldogene Autotemecel	2	$3,090,000.00	$3,360,000.00	$3,180,000.00	nat. median $3,180,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	5	$2,856,000.00	$3,842,679.25	$3,052,337.58	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	6	$2,146,250.00	$4,727,924.09	$2,737,307.16	nat. median $2,467,989 1.1× median
J3392 HCPCS	Inj, Exagamglogene Autotem	6	$2,244,000.00	$4,496,329.20	$2,424,235.00	nat. median $2,401,965 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	7	$770,620.00	$4,327,956.04	$814,240.00	nat. median $813,967 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$497,971.46	$3,323,252.69	$625,220.14	nat. median $739,658 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$525,503.94	$3,178,033.17	$597,899.26	nat. median $646,415 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$477,192.03	$3,159,326.95	$594,379.97	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$487,891.92	$3,130,008.98	$588,864.23	nat. median $623,527 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$492,912.56	$2,994,727.29	$563,413.01	nat. median $608,239 0.9× median
C9098 HCPCS		2	$492,900.00	$525,503.94	$520,800.00	nat. median $32,174 outlier · 16.2×
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$464,049.77	$2,748,032.54	$517,001.10	nat. median $592,235 0.9× median
5884 APR_DRG		3	$412,973.73	$599,281.35	$483,869.42	nat. median $247,815 2.0× median
34 APR_DRG		2	$464,678.37	$482,019.72	$473,349.04	nat. median $241,408 2.0× median
24 APR_DRG		3	$461,223.60	$516,590.54	$471,683.80	nat. median $241,734 2.0× median
C9081 HCPCS		2	$444,670.00	$474,083.66	$469,840.00	nat. median $27,427 outlier · 17.1×
C9076 HCPCS		2	$434,918.00	$463,686.59	$459,536.00	nat. median $27,935 outlier · 16.5×
1614 APR_DRG		3	$415,627.31	$491,138.39	$436,581.38	nat. median $202,649 outlier · 2.2×
5834 APR_DRG		3	$292,657.53	$626,368.96	$433,655.70	nat. median $307,273 1.4× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	$274,999.76	$1,018,423.16	$417,860.78	nat. median $359,244 1.2× median
C9073 HCPCS		1	$395,380.00	$417,760.00	$417,760.00	nat. median $27,071 outlier · 15.4×
8414 APR_DRG		3	$359,435.95	$476,553.50	$400,873.99	nat. median $158,104 outlier · 2.5×
5883 APR_DRG		3	$339,013.36	$447,732.79	$377,312.30	nat. median $175,429 outlier · 2.2×
74 APR_DRG		1	$356,363.63	$395,959.50	$376,161.57	nat. median $170,172 outlier · 2.2×
5914 APR_DRG		3	$263,631.66	$505,454.76	$364,189.76	nat. median $163,528 outlier · 2.2×
14 APR_DRG		3	$333,103.71	$386,556.83	$346,718.02	nat. median $137,051 outlier · 2.5×
94 APR_DRG		1	$310,969.35	$345,521.43	$328,245.39	nat. median $163,718 outlier · 2.0×
44 APR_DRG		3	$314,720.97	$352,073.03	$321,665.92	nat. median $122,016 outlier · 2.6×
5934 APR_DRG		3	$250,589.72	$418,477.59	$318,285.70	nat. median $151,838 outlier · 2.1×
5833 APR_DRG		3	$242,899.80	$418,882.79	$314,479.59	nat. median $244,017 1.3× median
23 APR_DRG		3	$292,994.03	$327,653.42	$299,408.21	nat. median $110,771 outlier · 2.7×
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	6	$267,750.00	$1,562,707.65	$294,000.00	nat. median $319,951 0.9× median
6094 APR_DRG		3	$263,154.14	$347,530.36	$292,876.09	nat. median $165,000 1.8× median
J3403 HCPCS	Revakinagene, Per Implant	5	$255,000.00	$1,446,171.50	$280,000.00	nat. median $265,000 1.1× median
C9301 HCPCS		1	$278,250.00	$278,250.00	$278,250.00	nat. median $459,112 0.6× median
5882 APR_DRG		3	$197,344.16	$342,896.90	$274,915.97	nat. median $145,061 1.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$194,564.78	$660,915.66	$271,363.32	nat. median $248,541 1.1× median
5881 APR_DRG		3	$177,611.72	$342,896.90	$263,953.51	nat. median $120,763 outlier · 2.2×
6034 APR_DRG		3	$216,873.62	$324,455.73	$258,488.67	nat. median $107,442 outlier · 2.4×
5913 APR_DRG		3	$183,255.27	$356,505.86	$255,474.76	nat. median $101,865 outlier · 2.5×
6024 APR_DRG		3	$203,467.94	$316,903.32	$248,137.11	nat. median $118,883 outlier · 2.1×
84 APR_DRG		1	$234,728.59	$260,809.48	$247,769.04	nat. median $78,013 outlier · 3.2×
5933 APR_DRG		3	$208,702.99	$294,067.90	$240,576.38	nat. median $108,900 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 17,231 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

J3391	HCPCS	Inj, Atidarsagene Autotemcel	12	3	—	—	$4,335,000.00	$4,760,000.00	$4,555,681.25	2026-04-01
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	12	4	—	—	$3,570,000.00	$4,831,533.00	$3,815,000.00	2026-04-01
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	14	4	—	—	$3,570,000.00	$4,799,322.78	$3,768,185.17	2026-04-01
C9172	HCPCS	—	2	1	—	—	$3,756,410.00	$3,756,410.00	$3,756,410.00	2026-04-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	16	5	—	—	$3,264,000.00	$4,329,589.99	$3,413,216.00	2026-04-01
J3389	HCPCS	Topi Adm Prad Zami Per Treat	10	2	—	—	$3,335,820.00	$3,524,640.00	$3,410,875.95	2026-04-01
J3394	HCPCS	Inj, Lovotibeglogene Autotem	16	5	—	—	$3,162,000.00	$4,247,262.62	$3,372,773.87	2026-04-01
J3387	HCPCS	Inj Elivaldogene Autotemecel	10	2	—	—	$3,090,000.00	$3,360,000.00	$3,180,000.00	2026-04-01
J3393	HCPCS	Inj, Betibeglogene Autotemce	16	5	—	—	$2,856,000.00	$3,842,679.25	$3,052,337.58	2026-04-01
J3399	HCPCS	Inj Onase Abepar-xioi Treat	20	6	—	—	$2,146,250.00	$4,727,924.09	$2,737,307.16	2026-04-01
J3392	HCPCS	Inj, Exagamglogene Autotem	20	6	—	—	$2,244,000.00	$4,496,329.20	$2,424,235.00	2026-04-01
Q2057	HCPCS	Afamitresgene Autoleucel	24	7	—	—	$770,620.00	$4,327,956.04	$814,240.00	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car-pos T	22	7	—	—	$497,971.46	$3,323,252.69	$625,220.14	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car-pos T	24	7	—	—	$525,503.94	$3,178,033.17	$597,899.26	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	24	7	—	—	$477,192.03	$3,159,326.95	$594,379.97	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	24	7	—	—	$487,891.92	$3,130,008.98	$588,864.23	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	24	7	—	—	$492,912.56	$2,994,727.29	$563,413.01	2026-04-01
C9098	HCPCS	—	8	2	—	—	$492,900.00	$525,503.94	$520,800.00	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	24	7	—	—	$464,049.77	$2,748,032.54	$517,001.10	2026-04-01
5884	APR_DRG	—	8	3	—	—	$412,973.73	$599,281.35	$483,869.42	2026-04-01
34	APR_DRG	—	4	2	—	—	$464,678.37	$482,019.72	$473,349.04	2026-04-01
24	APR_DRG	—	8	3	—	—	$461,223.60	$516,590.54	$471,683.80	2026-04-01
C9081	HCPCS	—	8	2	—	—	$444,670.00	$474,083.66	$469,840.00	2026-04-01
C9076	HCPCS	—	8	2	—	—	$434,918.00	$463,686.59	$459,536.00	2026-04-01
1614	APR_DRG	—	8	3	—	—	$415,627.31	$491,138.39	$436,581.38	2026-04-01
5834	APR_DRG	—	8	3	—	—	$292,657.53	$626,368.96	$433,655.70	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	10	—	—	$274,999.76	$1,018,423.16	$417,860.78	2026-04-01
C9073	HCPCS	—	6	1	—	—	$395,380.00	$417,760.00	$417,760.00	2026-04-01
8414	APR_DRG	—	8	3	—	—	$359,435.95	$476,553.50	$400,873.99	2026-04-01
5883	APR_DRG	—	8	3	—	—	$339,013.36	$447,732.79	$377,312.30	2026-04-01
74	APR_DRG	—	4	1	—	—	$356,363.63	$395,959.50	$376,161.57	2026-04-01
5914	APR_DRG	—	8	3	—	—	$263,631.66	$505,454.76	$364,189.76	2026-04-01
14	APR_DRG	—	8	3	—	—	$333,103.71	$386,556.83	$346,718.02	2026-04-01
94	APR_DRG	—	4	1	—	—	$310,969.35	$345,521.43	$328,245.39	2026-04-01
44	APR_DRG	—	8	3	—	—	$314,720.97	$352,073.03	$321,665.92	2026-04-01
5934	APR_DRG	—	8	3	—	—	$250,589.72	$418,477.59	$318,285.70	2026-04-01
5833	APR_DRG	—	8	3	—	—	$242,899.80	$418,882.79	$314,479.59	2026-04-01
23	APR_DRG	—	8	3	—	—	$292,994.03	$327,653.42	$299,408.21	2026-04-01
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	20	6	—	—	$267,750.00	$1,562,707.65	$294,000.00	2026-04-01
6094	APR_DRG	—	8	3	—	—	$263,154.14	$347,530.36	$292,876.09	2026-04-01
J3403	HCPCS	Revakinagene, Per Implant	18	5	—	—	$255,000.00	$1,446,171.50	$280,000.00	2026-04-01
C9301	HCPCS	—	2	1	—	—	$278,250.00	$278,250.00	$278,250.00	2026-04-01
5882	APR_DRG	—	8	3	—	—	$197,344.16	$342,896.90	$274,915.97	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	34	10	—	—	$194,564.78	$660,915.66	$271,363.32	2026-04-01
5881	APR_DRG	—	8	3	—	—	$177,611.72	$342,896.90	$263,953.51	2026-04-01
6034	APR_DRG	—	8	3	—	—	$216,873.62	$324,455.73	$258,488.67	2026-04-01
5913	APR_DRG	—	8	3	—	—	$183,255.27	$356,505.86	$255,474.76	2026-04-01
6024	APR_DRG	—	8	3	—	—	$203,467.94	$316,903.32	$248,137.11	2026-04-01
84	APR_DRG	—	4	1	—	—	$234,728.59	$260,809.48	$247,769.04	2026-04-01
5933	APR_DRG	—	8	3	—	—	$208,702.99	$294,067.90	$240,576.38	2026-04-01
5891	APR_DRG	—	8	3	—	—	$157,948.57	$346,505.14	$237,848.88	2026-04-01
64	APR_DRG	—	8	3	—	—	$150,260.25	$354,692.21	$237,545.44	2026-04-01
104	APR_DRG	—	4	1	—	—	$223,542.04	$248,379.99	$235,961.02	2026-04-01
93	APR_DRG	—	4	1	—	—	$220,237.92	$244,708.75	$232,473.34	2026-04-01
54	APR_DRG	—	8	3	—	—	$225,541.00	$255,573.57	$231,987.12	2026-04-01
33	APR_DRG	—	4	2	—	—	$227,165.84	$235,643.45	$231,404.65	2026-04-01
5832	APR_DRG	—	8	3	—	—	$201,085.46	$248,276.17	$231,386.16	2026-04-01
6304	APR_DRG	—	8	3	—	—	$206,442.00	$262,488.88	$225,193.13	2026-04-01
5831	APR_DRG	—	8	3	—	—	$180,977.35	$248,276.17	$220,214.99	2026-04-01
22	APR_DRG	—	8	3	—	—	$184,540.40	$272,660.47	$218,410.86	2026-04-01
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	18	5	—	—	$205,640.00	$1,154,915.37	$217,280.00	2026-04-01
3034	APR_DRG	—	8	3	—	—	$189,381.25	$264,090.17	$217,064.98	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	34	10	—	—	$135,437.14	$503,530.19	$206,870.77	2026-04-01
3124	APR_DRG	—	8	3	—	—	$180,287.53	$221,381.77	$206,868.34	2026-04-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	38	10	—	—	$59,942.40	$500,575.12	$205,659.85	2026-04-01
1624	APR_DRG	—	8	3	—	—	$182,122.37	$242,167.68	$203,434.98	2026-04-01
43	APR_DRG	—	8	3	—	—	$179,806.91	$244,708.75	$203,377.52	2026-04-01
8424	APR_DRG	—	8	3	—	—	$174,786.59	$249,742.06	$203,038.67	2026-04-01
6074	APR_DRG	—	8	3	—	—	$170,711.68	$253,442.59	$202,590.43	2026-04-01
73	APR_DRG	—	4	1	—	—	$189,327.72	$210,364.09	$199,845.90	2026-04-01
6023	APR_DRG	—	8	3	—	—	$176,416.23	$233,304.46	$196,486.99	2026-04-01
6314	APR_DRG	—	8	3	—	—	$171,302.97	$237,690.91	$195,808.85	2026-04-01
4404	APR_DRG	—	8	3	—	—	$181,853.17	$221,968.53	$194,205.73	2026-04-01
5932	APR_DRG	—	8	3	—	—	$180,673.80	$217,513.73	$191,589.39	2026-04-01
5892	APR_DRG	—	8	3	—	—	$157,948.57	$243,056.20	$191,296.84	2026-04-01
13	APR_DRG	—	8	3	—	—	$169,543.53	$220,762.68	$187,278.60	2026-04-01
21	APR_DRG	—	8	3	—	—	$171,508.08	$211,518.67	$184,137.72	2026-04-01
1604	APR_DRG	—	8	3	—	—	$156,299.70	$226,613.72	$183,042.52	2026-04-01
6804	APR_DRG	—	8	3	—	—	$156,214.04	$197,938.10	$182,194.06	2026-04-01
1613	APR_DRG	—	8	3	—	—	$175,167.96	$202,972.78	$182,190.30	2026-04-01
3044	APR_DRG	—	8	3	—	—	$166,196.12	$201,366.62	$176,814.20	2026-04-01
6033	APR_DRG	—	8	3	—	—	$154,831.90	$211,687.10	$175,564.26	2026-04-01
9104	APR_DRG	—	8	3	—	—	$127,310.68	$239,287.32	$173,710.22	2026-04-01
1634	APR_DRG	—	8	3	—	—	$152,719.94	$208,338.07	$172,961.80	2026-04-01
12	APR_DRG	—	8	3	—	—	$166,831.60	$185,368.40	$172,707.13	2026-04-01
11	APR_DRG	—	8	3	—	—	$157,560.74	$175,870.73	$172,305.48	2026-04-01
6084	APR_DRG	—	8	3	—	—	$125,637.77	$237,227.13	$171,915.45	2026-04-01
4014	APR_DRG	—	8	3	—	—	$155,667.02	$172,963.32	$166,377.08	2026-04-01
6904	APR_DRG	—	8	3	—	—	$155,275.76	$185,890.77	$164,186.11	2026-04-01
32	APR_DRG	—	4	2	—	—	$160,140.65	$166,116.94	$163,128.79	2026-04-01
6114	APR_DRG	—	8	3	—	—	$130,164.55	$206,338.90	$160,363.61	2026-04-01
92	APR_DRG	—	4	1	—	—	$151,820.27	$168,689.15	$160,254.71	2026-04-01
3214	APR_DRG	—	8	3	—	—	$146,330.25	$162,589.13	$158,824.42	2026-04-01
53	APR_DRG	—	8	3	—	—	$154,368.66	$171,520.69	$157,993.58	2026-04-01
63	APR_DRG	—	8	3	—	—	$109,543.27	$224,160.53	$157,687.92	2026-04-01
83	APR_DRG	—	4	1	—	—	$147,589.07	$163,987.81	$155,788.44	2026-04-01
Q0480	HCPCS	Driver Pneumatic Vad, Rep	16	5	—	—	$96,562.42	$607,916.30	$154,273.83	2026-04-01
1654	APR_DRG	—	8	3	—	—	$136,149.52	$185,170.68	$153,942.07	2026-04-01
6073	APR_DRG	—	8	3	—	—	$132,034.56	$187,882.62	$153,028.17	2026-04-01
72	APR_DRG	—	4	1	—	—	$144,772.66	$160,858.47	$152,815.57	2026-04-01
6022	APR_DRG	—	8	3	—	—	$143,264.17	$173,258.67	$152,271.74	2026-04-01
214	APR_DRG	—	8	3	—	—	$138,652.47	$177,608.51	$151,837.27	2026-04-01
3614	APR_DRG	—	8	3	—	—	$123,559.52	$169,760.49	$150,470.71	2026-04-01
9504	APR_DRG	—	8	3	—	—	$137,753.60	$153,059.52	$150,292.39	2026-04-01
6814	APR_DRG	—	8	3	—	—	$145,707.83	$164,224.59	$149,473.84	2026-04-01
1664	APR_DRG	—	8	3	—	—	$146,422.50	$162,757.56	$149,184.34	2026-04-01
42	APR_DRG	—	8	3	—	—	$139,254.97	$168,689.15	$148,136.05	2026-04-01
6954	APR_DRG	—	4	1	—	—	$140,225.10	$155,805.63	$148,015.36	2026-04-01
6093	APR_DRG	—	8	3	—	—	$120,635.08	$187,418.83	$146,907.02	2026-04-01
5912	APR_DRG	—	8	3	—	—	$33,722.51	$287,096.45	$146,683.93	2026-04-01
8413	APR_DRG	—	8	3	—	—	$122,168.58	$184,196.73	$146,252.44	2026-04-01
234	APR_DRG	—	8	3	—	—	$133,928.59	$170,351.46	$146,121.52	2026-04-01
8634	APR_DRG	—	8	3	—	—	$85,100.26	$224,092.19	$144,979.57	2026-04-01
3033	APR_DRG	—	8	3	—	—	$110,847.62	$194,409.81	$144,976.61	2026-04-01
6124	APR_DRG	—	8	3	—	—	$115,702.89	$185,993.29	$143,707.40	2026-04-01
9124	APR_DRG	—	8	3	—	—	$125,790.00	$174,291.21	$143,673.24	2026-04-01
31	APR_DRG	—	4	2	—	—	$139,671.59	$144,884.00	$142,277.79	2026-04-01
2604	APR_DRG	—	8	3	—	—	$134,008.71	$160,245.78	$141,615.52	2026-04-01
8504	APR_DRG	—	8	3	—	—	$105,314.37	$171,223.22	$141,039.58	2026-04-01
9114	APR_DRG	—	8	3	—	—	$115,025.08	$175,252.96	$138,522.70	2026-04-01
4414	APR_DRG	—	8	3	—	—	$133,443.31	$148,270.31	$138,288.45	2026-04-01
1814	APR_DRG	—	4	1	—	—	$130,005.18	$144,450.17	$137,227.67	2026-04-01
6083	APR_DRG	—	8	3	—	—	$122,888.06	$161,820.22	$136,556.17	2026-04-01
1674	APR_DRG	—	8	3	—	—	$110,398.95	$174,755.00	$135,899.23	2026-04-01
62	APR_DRG	—	8	3	—	—	$88,066.30	$200,482.98	$135,893.79	2026-04-01
224	APR_DRG	—	8	3	—	—	$125,224.36	$156,799.11	$135,508.42	2026-04-01
1694	APR_DRG	—	8	3	—	—	$123,370.38	$157,331.25	$134,786.29	2026-04-01
2204	APR_DRG	—	8	3	—	—	$127,629.56	$152,371.17	$134,763.33	2026-04-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	38	10	—	—	$73,715.00	$326,671.42	$134,398.55	2026-04-01
4054	APR_DRG	—	8	3	—	—	$115,699.05	$143,127.06	$133,266.17	2026-04-01
4034	APR_DRG	—	8	3	—	—	$129,757.54	$146,500.60	$133,225.27	2026-04-01
6144	APR_DRG	—	8	3	—	—	$88,414.02	$194,036.34	$133,173.14	2026-04-01
894	APR_DRG	—	8	3	—	—	$121,429.87	$155,861.77	$133,118.58	2026-04-01
6214	APR_DRG	—	8	3	—	—	$109,192.34	$168,886.87	$132,632.76	2026-04-01
204	APR_DRG	—	8	3	—	—	$116,883.86	$158,510.24	$131,952.55	2026-04-01
41	APR_DRG	—	8	3	—	—	$111,590.88	$144,451.83	$131,622.40	2026-04-01
82	APR_DRG	—	4	1	—	—	$124,146.08	$137,940.06	$131,043.07	2026-04-01
71	APR_DRG	—	4	1	—	—	$123,563.91	$137,293.20	$130,428.56	2026-04-01
81	APR_DRG	—	4	1	—	—	$123,563.91	$137,293.20	$130,428.56	2026-04-01
2644	APR_DRG	—	8	3	—	—	$116,169.19	$133,735.63	$129,000.58	2026-04-01
5104	APR_DRG	—	8	3	—	—	$110,983.83	$155,319.88	$127,456.78	2026-04-01
6134	APR_DRG	—	8	3	—	—	$94,166.64	$174,442.55	$127,339.59	2026-04-01
244	APR_DRG	—	8	3	—	—	$112,925.94	$150,191.37	$126,156.24	2026-04-01
7	MS_DRG	Lung Transplant	34	10	—	—	$78,465.06	$305,417.52	$125,689.24	2026-04-01
1824	APR_DRG	—	4	1	—	—	$118,036.54	$131,151.68	$124,594.11	2026-04-01
264	APR_DRG	—	8	3	—	—	$113,330.81	$127,696.85	$124,512.93	2026-04-01
7924	APR_DRG	—	4	1	—	—	$117,739.96	$130,822.15	$124,281.05	2026-04-01
4474	APR_DRG	—	8	3	—	—	$103,214.15	$138,419.71	$124,061.11	2026-04-01
5931	APR_DRG	—	8	3	—	—	$57,782.52	$186,538.73	$122,015.26	2026-04-01
1734	APR_DRG	—	4	2	—	—	$119,240.99	$123,690.95	$121,465.97	2026-04-01
2314	APR_DRG	—	4	1	—	—	$114,743.41	$127,492.65	$121,118.03	2026-04-01
8412	APR_DRG	—	8	3	—	—	$107,728.75	$126,727.79	$120,933.58	2026-04-01
6032	APR_DRG	—	8	3	—	—	$115,228.92	$128,032.10	$120,351.11	2026-04-01
6072	APR_DRG	—	8	3	—	—	$113,824.88	$135,962.86	$120,219.66	2026-04-01
8411	APR_DRG	—	8	3	—	—	$105,898.74	$126,727.79	$119,916.91	2026-04-01
2304	APR_DRG	—	4	1	—	—	$112,093.96	$124,548.82	$118,321.39	2026-04-01
2324	APR_DRG	—	4	1	—	—	$111,803.97	$124,226.61	$118,015.29	2026-04-01
1214	APR_DRG	—	8	3	—	—	$108,904.08	$121,004.51	$118,013.66	2026-04-01
91	APR_DRG	—	4	1	—	—	$111,590.88	$123,989.83	$117,790.36	2026-04-01
7104	APR_DRG	—	8	3	—	—	$115,464.14	$128,425.10	$117,677.88	2026-04-01
7914	APR_DRG	—	4	2	—	—	$115,505.80	$119,816.36	$117,661.08	2026-04-01
1623	APR_DRG	—	8	3	—	—	$92,822.22	$154,431.36	$117,637.26	2026-04-01
6514	APR_DRG	—	8	3	—	—	$114,017.17	$129,887.25	$117,585.36	2026-04-01
1204	APR_DRG	—	8	3	—	—	$110,971.01	$132,032.88	$116,970.98	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	34	10	—	—	$88,036.90	$283,430.15	$116,679.38	2026-04-01
2614	APR_DRG	—	8	3	—	—	$110,595.69	$122,884.07	$116,600.08	2026-04-01
2214	APR_DRG	—	4	2	—	—	$113,627.79	$117,868.26	$115,748.02	2026-04-01
7114	APR_DRG	—	8	3	—	—	$111,270.66	$128,708.26	$115,630.32	2026-04-01
3134	APR_DRG	—	8	3	—	—	$103,209.75	$120,762.15	$115,547.52	2026-04-01
4424	APR_DRG	—	8	3	—	—	$104,369.71	$118,175.77	$114,945.27	2026-04-01
52	APR_DRG	—	8	3	—	—	$103,753.80	$132,328.24	$113,360.61	2026-04-01
6934	APR_DRG	—	4	2	—	—	$111,160.09	$115,308.48	$113,234.29	2026-04-01
9514	APR_DRG	—	8	3	—	—	$105,402.24	$117,113.58	$112,759.29	2026-04-01
7934	APR_DRG	—	4	1	—	—	$105,606.55	$117,340.59	$111,473.57	2026-04-01
1612	APR_DRG	—	8	3	—	—	$106,799.96	$123,635.89	$111,028.98	2026-04-01
3174	APR_DRG	—	8	3	—	—	$108,722.84	$121,155.85	$110,910.28	2026-04-01
3094	APR_DRG	—	8	3	—	—	$105,545.28	$124,763.63	$110,885.71	2026-04-01
4403	APR_DRG	—	8	3	—	—	$91,580.36	$140,207.74	$110,592.52	2026-04-01
4444	APR_DRG	—	8	3	—	—	$100,160.47	$113,792.55	$110,494.04	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	34	10	—	—	$98,883.96	$267,249.17	$110,048.83	2026-04-01
209	MS_DRG	Complex Aortic Arch Procedures	36	10	—	—	$32,867.00	$266,942.58	$109,923.19	2026-04-01
61	APR_DRG	—	8	3	—	—	$88,066.30	$142,587.70	$109,840.90	2026-04-01
1774	APR_DRG	—	8	3	—	—	$90,990.67	$121,639.80	$109,182.18	2026-04-01
3054	APR_DRG	—	8	3	—	—	$107,011.48	$119,286.05	$109,181.26	2026-04-01
2274	APR_DRG	—	8	3	—	—	$96,006.16	$114,136.63	$108,351.95	2026-04-01
6504	APR_DRG	—	8	3	—	—	$104,369.12	$119,989.06	$108,127.12	2026-04-01
1304	APR_DRG	—	8	3	—	—	$100,460.87	$124,478.03	$108,120.11	2026-04-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	36	10	—	—	$77,171.43	$259,923.98	$107,047.15	2026-04-01
6113	APR_DRG	—	8	3	—	—	$93,387.87	$130,102.06	$106,982.45	2026-04-01
5114	APR_DRG	—	8	3	—	—	$99,702.93	$122,500.83	$106,837.26	2026-04-01
2224	APR_DRG	—	8	3	—	—	$92,248.57	$130,912.47	$106,756.22	2026-04-01
5911	APR_DRG	—	8	3	—	—	$25,644.81	$206,934.50	$106,421.48	2026-04-01
51	APR_DRG	—	8	3	—	—	$101,834.12	$119,095.66	$106,410.29	2026-04-01
6021	APR_DRG	—	8	3	—	—	$84,922.86	$122,758.46	$106,350.39	2026-04-01
5893	APR_DRG	—	8	3	—	—	$53,994.47	$173,866.48	$106,244.68	2026-04-01
6123	APR_DRG	—	8	3	—	—	$93,123.48	$128,058.96	$105,925.92	2026-04-01
2294	APR_DRG	—	8	3	—	—	$95,817.11	$124,917.41	$105,909.30	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	34	10	—	—	$79,346.89	$256,454.77	$105,625.56	2026-04-01
1764	APR_DRG	—	8	3	—	—	$54,611.39	$171,152.10	$105,343.18	2026-04-01
6133	APR_DRG	—	8	3	—	—	$88,681.62	$130,839.24	$104,873.24	2026-04-01
2234	APR_DRG	—	8	3	—	—	$97,241.64	$120,701.83	$104,751.14	2026-04-01
9524	APR_DRG	—	8	3	—	—	$89,457.24	$112,304.88	$103,830.73	2026-04-01
6303	APR_DRG	—	8	3	—	—	$99,039.54	$116,330.02	$103,716.32	2026-04-01
6914	APR_DRG	—	8	3	—	—	$93,481.94	$105,619.51	$102,844.24	2026-04-01
8444	APR_DRG	—	8	3	—	—	$94,002.60	$104,447.31	$101,076.92	2026-04-01
3032	APR_DRG	—	8	3	—	—	$79,680.94	$132,596.75	$100,995.83	2026-04-01
3204	APR_DRG	—	8	3	—	—	$90,531.52	$105,099.24	$100,954.35	2026-04-01
6082	APR_DRG	—	8	3	—	—	$98,074.89	$110,029.84	$100,380.92	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	34	10	—	—	$75,544.08	$243,162.83	$100,178.86	2026-04-01
3043	APR_DRG	—	8	3	—	—	$88,008.62	$119,495.98	$99,419.71	2026-04-01
1714	APR_DRG	—	8	3	—	—	$85,414.97	$107,276.73	$99,161.39	2026-04-01
6334	APR_DRG	—	8	3	—	—	$82,505.97	$124,124.09	$98,648.36	2026-04-01
3104	APR_DRG	—	8	3	—	—	$85,153.54	$104,181.71	$97,524.32	2026-04-01
6224	APR_DRG	—	8	3	—	—	$77,788.51	$126,833.58	$97,420.88	2026-04-01
914	APR_DRG	—	8	3	—	—	$73,136.74	$131,696.02	$97,196.29	2026-04-01
1633	APR_DRG	—	8	3	—	—	$75,333.63	$128,632.59	$96,957.18	2026-04-01
5124	APR_DRG	—	8	3	—	—	$92,126.46	$102,362.71	$96,919.45	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	37	12	—	—	$56,107.57	$234,825.89	$96,762.59	2026-04-01
1653	APR_DRG	—	8	3	—	—	$78,017.65	$124,912.53	$96,675.24	2026-04-01
3154	APR_DRG	—	8	3	—	—	$90,264.79	$109,246.28	$95,977.54	2026-04-01
4402	APR_DRG	—	8	3	—	—	$76,330.32	$124,487.79	$95,608.97	2026-04-01
1804	APR_DRG	—	8	3	—	—	$90,252.51	$100,280.55	$95,411.20	2026-04-01
7944	APR_DRG	—	4	1	—	—	$90,344.78	$100,383.07	$95,363.93	2026-04-01
6903	APR_DRG	—	8	3	—	—	$88,081.99	$97,868.85	$95,107.60	2026-04-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	12	—	—	$32,030.00	$230,717.56	$95,079.10	2026-04-01
6234	APR_DRG	—	8	3	—	—	$70,912.61	$129,206.22	$94,922.31	2026-04-01
6143	APR_DRG	—	8	3	—	—	$86,220.34	$110,183.62	$94,301.64	2026-04-01
494	APR_DRG	—	8	3	—	—	$83,065.21	$113,652.26	$94,226.09	2026-04-01
5144	APR_DRG	—	8	3	—	—	$78,232.37	$118,944.32	$94,100.92	2026-04-01
984	APR_DRG	—	8	3	—	—	$84,733.93	$97,122.35	$93,888.51	2026-04-01
4434	APR_DRG	—	8	3	—	—	$90,575.45	$100,639.37	$93,468.76	2026-04-01
K1007	HCPCS	—	2	1	—	—	$93,216.70	$93,216.70	$93,216.70	2026-04-01
1704	APR_DRG	—	8	3	—	—	$69,193.23	$126,694.44	$92,900.24	2026-04-01
6604	APR_DRG	—	8	3	—	—	$74,057.06	$104,824.98	$91,669.68	2026-04-01
6344	APR_DRG	—	8	3	—	—	$65,837.81	$126,535.78	$91,088.52	2026-04-01
3014	APR_DRG	—	8	3	—	—	$83,352.09	$92,788.99	$91,032.10	2026-04-01
6071	APR_DRG	—	8	3	—	—	$77,416.10	$97,993.34	$90,242.88	2026-04-01
2244	APR_DRG	—	8	3	—	—	$81,131.11	$106,780.89	$90,130.84	2026-04-01
1603	APR_DRG	—	8	3	—	—	$66,762.39	$122,671.70	$89,829.23	2026-04-01
6092	APR_DRG	—	8	3	—	—	$71,193.03	$117,479.73	$89,790.83	2026-04-01
3224	APR_DRG	—	4	1	—	—	$84,900.90	$94,334.31	$89,617.60	2026-04-01
1622	APR_DRG	—	8	3	—	—	$68,398.44	$118,954.08	$89,004.85	2026-04-01
5194	APR_DRG	—	8	3	—	—	$70,444.71	$116,444.75	$88,936.97	2026-04-01
6313	APR_DRG	—	8	3	—	—	$76,264.93	$95,933.87	$88,610.65	2026-04-01
9103	APR_DRG	—	8	3	—	—	$68,895.19	$115,836.94	$87,859.78	2026-04-01
1754	APR_DRG	—	8	3	—	—	$63,963.00	$121,089.94	$87,665.51	2026-04-01
504	APR_DRG	—	8	3	—	—	$81,462.81	$100,802.92	$87,612.79	2026-04-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	36	10	—	—	$61,444.53	$212,482.41	$87,606.80	2026-04-01
4401	APR_DRG	—	8	3	—	—	$65,659.94	$118,500.06	$87,380.20	2026-04-01
8423	APR_DRG	—	8	3	—	—	$75,751.86	$104,998.97	$86,538.96	2026-04-01
904	APR_DRG	—	4	2	—	—	$84,130.81	$87,270.49	$85,700.65	2026-04-01
3031	APR_DRG	—	8	3	—	—	$68,997.74	$110,271.50	$85,408.52	2026-04-01
3024	APR_DRG	—	8	3	—	—	$83,103.67	$93,853.43	$85,336.57	2026-04-01
213	APR_DRG	—	8	3	—	—	$76,601.13	$101,137.33	$85,241.71	2026-04-01
3084	APR_DRG	—	8	3	—	—	$75,388.37	$88,831.29	$84,700.15	2026-04-01
4834	APR_DRG	—	8	3	—	—	$56,620.80	$122,552.09	$84,515.38	2026-04-01
3814	APR_DRG	—	8	3	—	—	$78,684.25	$96,592.22	$84,276.85	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	34	10	—	—	$67,863.33	$204,225.65	$84,223.40	2026-04-01
3123	APR_DRG	—	8	3	—	—	$77,625.06	$96,933.96	$83,881.26	2026-04-01
1663	APR_DRG	—	8	3	—	—	$68,472.15	$106,944.43	$83,638.74	2026-04-01
8434	APR_DRG	—	8	3	—	—	$54,314.95	$122,242.09	$83,179.91	2026-04-01
2334	APR_DRG	—	4	1	—	—	$78,470.61	$87,189.54	$82,830.07	2026-04-01
1611	APR_DRG	—	8	3	—	—	$75,783.91	$96,636.16	$82,792.32	2026-04-01
9304	APR_DRG	—	8	3	—	—	$60,357.60	$114,274.71	$82,728.67	2026-04-01
6964	APR_DRG	—	4	1	—	—	$78,253.11	$86,947.89	$82,600.50	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	36	10	—	—	$20,981.00	$198,810.76	$82,004.51	2026-04-01
2624	APR_DRG	—	4	2	—	—	$80,461.31	$83,464.05	$81,962.68	2026-04-01
6614	APR_DRG	—	8	3	—	—	$73,697.58	$97,190.26	$81,959.57	2026-04-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…	42	12	—	—	$60,132.00	$198,185.79	$81,748.41	2026-04-01
3644	APR_DRG	—	8	3	—	—	$74,817.18	$83,130.19	$81,091.03	2026-04-01
6031	APR_DRG	—	8	3	—	—	$49,592.53	$109,535.66	$80,348.88	2026-04-01
1744	APR_DRG	—	8	3	—	—	$65,417.98	$102,763.03	$80,173.04	2026-04-01
2344	APR_DRG	—	4	1	—	—	$75,168.69	$83,520.74	$79,344.71	2026-04-01
564	APR_DRG	—	8	3	—	—	$67,167.62	$86,294.78	$78,910.44	2026-04-01
1621	APR_DRG	—	8	3	—	—	$59,048.44	$105,623.86	$78,156.79	2026-04-01
6091	APR_DRG	—	8	3	—	—	$71,193.03	$90,455.58	$77,629.96	2026-04-01
434	APR_DRG	—	8	3	—	—	$73,369.09	$87,897.43	$77,607.42	2026-04-01
1652	APR_DRG	—	8	3	—	—	$63,669.76	$98,220.35	$77,222.10	2026-04-01
1303	APR_DRG	—	8	3	—	—	$67,980.22	$92,610.97	$76,933.53	2026-04-01
2284	APR_DRG	—	8	3	—	—	$71,966.99	$87,521.52	$76,711.05	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	34	10	—	—	$76,581.97	$185,577.78	$76,581.97	2026-04-01
9123	APR_DRG	—	8	3	—	—	$69,021.78	$90,589.84	$76,564.24	2026-04-01
1813	APR_DRG	—	4	1	—	—	$72,411.59	$80,457.31	$76,434.45	2026-04-01
1632	APR_DRG	—	8	3	—	—	$59,144.58	$100,431.89	$75,870.26	2026-04-01
903	APR_DRG	—	4	2	—	—	$74,405.84	$77,182.59	$75,794.21	2026-04-01
2634	APR_DRG	—	8	3	—	—	$64,376.42	$94,046.27	$75,710.27	2026-04-01
6122	APR_DRG	—	8	3	—	—	$63,637.71	$94,724.86	$75,632.51	2026-04-01
4804	APR_DRG	—	8	3	—	—	$41,742.52	$119,881.66	$75,596.91	2026-04-01
5134	APR_DRG	—	8	3	—	—	$60,828.71	$96,465.29	$74,958.77	2026-04-01
3464	APR_DRG	—	8	3	—	—	$69,976.81	$85,671.25	$74,846.21	2026-04-01
1934	APR_DRG	—	8	3	—	—	$65,904.41	$79,107.42	$74,744.26	2026-04-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	36	10	—	—	$32,867.00	$181,085.03	$74,740.96	2026-04-01
924	APR_DRG	—	8	3	—	—	$37,005.83	$123,023.20	$74,553.88	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	36	10	—	—	$36,647.00	$180,304.40	$74,421.08	2026-04-01
4044	APR_DRG	—	8	3	—	—	$39,061.70	$120,264.89	$74,378.94	2026-04-01
233	APR_DRG	—	8	3	—	—	$60,319.14	$95,379.05	$74,205.68	2026-04-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	34	10	—	—	$55,977.54	$179,707.72	$74,176.57	2026-04-01
7404	APR_DRG	—	8	3	—	—	$30,783.71	$129,154.96	$74,086.01	2026-04-01
1673	APR_DRG	—	8	3	—	—	$57,518.15	$98,278.94	$74,057.86	2026-04-01
4454	APR_DRG	—	8	3	—	—	$38,919.09	$119,544.80	$73,980.92	2026-04-01

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