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

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Hospital

Prisma Health North Greenville Ltach

Travelers Rest, SC · CCN 422008 · Rates published

19,250 distinct procedures filed
139 distinct payers
1,028,241 rate rows
2026-07-05 last MRF observed
Data quality

858,419 of 1,028,241 rate rows are consumer-grade (83.5%)

169,822 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 88,741
template filing: same amount across many unrelated codes — excluded 55,500
per-diem day rate — not a per-procedure price 20,074
placeholder amount (≤ $0.02) — excluded from medians 2,650
professional (physician) fee — not the facility price 1,296
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 613
percent-of-charges filed in the dollar field — excluded from medians 377
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 334
exceeds 3× this hospital's gross charge for a DRG stay — excluded 131
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 106
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://prismahealth.org/getmedia/ef9eb8d8-5666-4ef7-aab5-9efe4d227a76/81-1723202_northgreenvillehospital_standardcharges.xlsx
Found on page https://prismahealth.org/patients-and-guests/billing-and-insurance/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint c745d7a5e7d961aa… · 7,900,826 bytes · first seen 2026-05-05

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
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $2,200,031.76 $2,200,031.76 $2,200,031.76 nat. median
$77,096
outlier · 28.5×
7
MS_DRG 		Lung Transplant 14 $756,996.52 $2,162,847.20 $1,784,348.94 nat. median
$70,649
outlier · 25.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,423,762.44 $1,423,762.44 $1,423,762.44 nat. median
$120,079
outlier · 11.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $1,275,089.25 $1,275,089.25 $1,275,089.25 nat. median
$171,497
outlier · 7.4×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $1,246,960.77 $1,246,960.77 $1,246,960.77 nat. median
$85,322
outlier · 14.6×
Rx24338005008_C9399_100094_000
OTHER 		Carmustine In Polifeprosan 77 Mg Wafer For Implant 25 $10.04 $1,902,341.00 $1,073,871.50 —
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $1,047,400.64 $1,047,400.64 $1,047,400.64 nat. median
$198,578
outlier · 5.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $1,022,559.01 $1,022,559.01 $1,022,559.01 nat. median
$286,698
outlier · 3.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $458,389.23 $2,860,061.00 $1,001,021.35 nat. median
$168,055
outlier · 6.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $990,764.98 $990,764.98 $990,764.98 nat. median
$173,134
outlier · 5.7×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $787,408.46 $787,408.46 $787,408.46 nat. median
$152,383
outlier · 5.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $296,307.21 $846,592.03 $698,438.43 nat. median
$186,516
outlier · 3.7×
6123
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $643,829.95 $643,829.95 $643,829.95 nat. median
$49,397
outlier · 13.0×
6083
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $641,687.83 $641,687.83 $641,687.83 nat. median
$56,801
outlier · 11.3×
Q2056
HCPCS 		Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 94 $4,903.67 $2,582,193.36 $611,155.56 nat. median
$599,737
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $49,022.11 $752,886.92 $602,309.54 nat. median
$65,418
outlier · 9.2×
Q2042
HCPCS 		Tisagenlecleucel IV Up To 600 Million Car Pos 95 $399,062.20 $2,409,921.09 $589,192.56 nat. median
$621,313
0.9× median
Q2054
HCPCS 		Hc Lisocabtagene Mara Car Pos T (Breyanzi) 95 $455,372.61 $2,749,977.43 $584,689.29 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Hc Idecabtagene Vicleucel Car 50ml (Abecma) 95 $444,144.86 $2,682,173.51 $580,405.00 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Hc Axicabtagene Ciloleucel Car+ (Yescarta) 95 $448,012.18 $2,705,528.10 $553,479.93 nat. median
$562,501
1.0× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $531,886.58 $531,886.58 $531,886.58 nat. median
$71,851
outlier · 7.4×
Q2053
HCPCS 		Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 95 $377,084.40 $2,482,145.82 $513,922.71 nat. median
$513,770
1.0× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $500,638.96 $500,638.96 $500,638.96 nat. median
$85,835
outlier · 5.8×
104
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 14 $209,845.86 $599,559.59 $494,636.66 nat. median
$20,593
outlier · 24.0×
6
MS_DRG 		Liver Transplant Without Mcc 14 $76,871.66 $613,006.45 $490,405.16 nat. median
$31,278
outlier · 15.7×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $207,179.14 $591,940.40 $488,350.83 nat. median
$32,772
outlier · 14.9×
237
MS_DRG 		Major Cardiovasc Procedures W Mcc 23 $183,872.79 $715,523.45 $429,314.07 nat. median
$2,024
outlier · 212.1×
6081
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $420,984.60 $420,984.60 $420,984.60 nat. median
$15,725
outlier · 26.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $165,746.86 $473,562.45 $390,689.02 nat. median
$69,922
outlier · 5.6×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $14,507.58 $1,161,021.73 $375,273.58 nat. median
$100,752
outlier · 3.7×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 $27,976.40 $1,131,950.74 $366,209.19 nat. median
$70,730
outlier · 5.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $343,899.59 $343,899.59 $343,899.59 nat. median
$181,762
1.9× median
213
MS_DRG 		Amputation For Musculoskeletal System & Conn Tissue Disorders 14 $133,848.96 $382,425.60 $315,501.12 nat. median
$2,222
outlier · 142.0×
6084
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $303,272.35 $303,272.35 $303,272.35 nat. median
$62,234
outlier · 4.9×
10
MS_DRG 		Pancreas Transplant 14 $127,367.92 $363,908.35 $300,224.39 nat. median
$23,080
outlier · 13.0×
6122
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $299,022.35 $299,022.35 $299,022.35 nat. median
$34,706
outlier · 8.6×
105
MS_DRG 		Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 14 $22,615.75 $372,415.27 $297,932.22 nat. median
$11,686
outlier · 25.5×
6121
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $284,884.30 $284,884.30 $284,884.30 nat. median
$23,331
outlier · 12.2×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $19,979.89 $842,251.40 $265,108.60 nat. median
$168,439
1.6× median
6111
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $261,528.00 $261,528.00 $261,528.00 nat. median
$12,211
outlier · 21.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $110,913.37 $465,667.50 $258,157.52 nat. median
$131,925
2.0× median
6082
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $257,918.05 $257,918.05 $257,918.05 nat. median
$36,442
outlier · 7.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $83,492.06 $949,211.27 $254,515.89 nat. median
$97,418
outlier · 2.6×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $9,987.87 $645,099.41 $233,851.32 nat. median
$145,435
1.6× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $229,134.17 $229,134.17 $229,134.17 nat. median
$78,775
outlier · 2.9×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $25,399.65 $732,251.20 $227,142.61 nat. median
$124,731
1.8× median
402
MS_DRG 		Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 14 $23,444.20 $253,839.77 $203,071.82 nat. median
$12,698
outlier · 16.0×
6224
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 $63,322.21 $653,684.22 $200,134.61 nat. median
$45,408
outlier · 4.4×
Rx68382039601_J3490_100094_000
OTHER 		Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 26 $2,230.27 $284,700.00 $197,439.45 —
5832
APR_DRG 		Neonate With Ecmo 8 $27,002.45 $640,849.51 $196,226.57 nat. median
$201,678
1.0× median

Other procedures at this hospital

Browse this hospital's 19,250 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0268T CPT Hc Implt/Rpl Crtd Sns Dev Gen 46 39 $68,600.00 $44,590.00 35% off $10,564.40 $68,600.00 $45,756.20 2026-03-01
0483T CPT Hc Tmvi Percutaneous Approach 37 31 $83,602.00 $54,341.30 35% off $12,874.71 $77,749.86 $58,019.79 2026-03-01
0620T OTHER Hc Evasc Ven Artlz Tibl/Prnl Vn 83 67 $63,764.00 $41,446.60 35% off $9,819.66 $63,764.00 $43,039.07 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 14 $846,592.03 $550,285.00 35% off $296,307.21 $846,592.03 $698,438.43 2026-07-05
10 MS_DRG Pancreas Transplant 14 14 $363,908.35 $236,540.00 35% off $127,367.92 $363,908.35 $300,224.39 2026-07-05
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 14 14 $599,559.59 $389,714.00 35% off $209,845.86 $599,559.59 $494,636.66 2026-07-05
105 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 14 14 $372,415.27 $242,070.00 35% off $22,615.75 $372,415.27 $297,932.22 2026-07-05
107 MS_DRG No Longer Valid 14 14 $131,788.55 $85,663.00 35% off $10,918.20 $131,788.55 $105,430.84 2026-07-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 23 $225,144.85 $146,344.00 35% off $40,205.58 $225,144.85 $78,800.70 2026-07-05
110 MS_DRG Major Cardiovascular Procedures W Cc 14 14 $85,727.51 $55,723.00 35% off $30,004.63 $85,727.51 $70,725.20 2026-07-05
112 MS_DRG No Longer Valid 14 14 $137,461.40 $89,350.00 35% off $48,111.49 $137,461.40 $113,405.65 2026-07-05
116 MS_DRG Intraocular Procedures With Cc/mcc 14 14 $90,656.69 $58,927.00 35% off $23,044.25 $90,656.69 $70,258.93 2026-07-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 23 $170,114.57 $110,574.00 35% off $6,583.25 $170,114.57 $59,146.15 2026-07-05
120 MS_DRG Other Circulatory System O.r. Procedures 14 14 $122,985.83 $79,941.00 35% off $4,541.36 $122,985.83 $98,388.66 2026-07-05
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 23 23 $309,506.05 $201,179.00 35% off $37,864.00 $309,506.05 $157,848.09 2026-07-05
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 23 23 $129,151.39 $83,948.00 35% off $6,210.55 $129,151.39 $42,032.54 2026-07-05
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 23 23 $87,855.05 $57,106.00 35% off $3,780.67 $87,855.05 $52,713.03 2026-07-05
131 MS_DRG Cranial/facial Procedures W Cc/mcc 23 23 $134,149.40 $87,197.00 35% off $13,861.69 $134,149.40 $80,489.64 2026-07-05
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 23 23 $102,274.35 $66,478.00 35% off $4,427.56 $102,274.35 $52,159.92 2026-07-05
134 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures Without Cc/mcc 23 23 $103,520.10 $67,288.00 35% off $4,851.21 $103,520.10 $62,112.06 2026-07-05
140 MS_DRG Major Head And Neck Procedures With Mcc 23 23 $184,620.42 $120,003.00 35% off $9,667.36 $184,620.42 $61,385.28 2026-07-05
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 23 $121,135.93 $78,738.00 35% off $9,869.07 $121,135.93 $45,983.02 2026-07-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 22 22 $176,947.00 $115,016.00 35% off $26,041.64 $176,947.00 $118,554.49 2026-07-05
163 MS_DRG Major Chest Procedures With Mcc 23 23 $460,004.33 $299,003.00 35% off $61,283.23 $460,004.33 $161,001.52 2026-07-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 14 $74,854.15 $48,655.00 35% off $26,198.95 $74,854.15 $58,671.40 2026-07-05
170 MS_DRG Other Digestive System O.r. Procedures W Cc 14 14 $67,376.10 $43,794.00 35% off $23,581.64 $67,376.10 $55,585.29 2026-07-05
172 MS_DRG Digestive Malignancy W Cc 14 14 $65,890.94 $42,829.00 35% off $23,061.83 $65,890.94 $54,360.03 2026-07-05
174 MS_DRG G.i. Hemorrhage W Cc 14 14 $64,468.00 $41,904.00 35% off $22,563.80 $64,468.00 $53,186.10 2026-07-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 23 $2,860,061.00 $1,859,040.00 35% off $458,389.23 $2,860,061.00 $1,001,021.35 2026-07-05
197 MS_DRG Interstitial Lung Disease With Cc 23 23 $296,166.91 $192,508.00 35% off $12,325.68 $296,166.91 $103,658.42 2026-07-05
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 23 23 $148,872.00 $96,767.00 35% off $9,099.21 $148,872.00 $52,105.20 2026-07-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 14 $752,886.92 $489,376.00 35% off $49,022.11 $752,886.92 $602,309.54 2026-07-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 23 $387,183.73 $251,669.00 35% off $87,970.74 $387,183.73 $159,516.25 2026-07-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 23 $557,980.25 $362,687.00 35% off $70,209.86 $557,980.25 $195,293.09 2026-07-05
209 MS_DRG No Longer Valid 14 14 $64,271.35 $41,776.00 35% off $22,494.97 $64,271.35 $53,023.87 2026-07-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 23 $369,444.80 $240,139.00 35% off $82,718.36 $369,444.80 $129,305.68 2026-07-05
211 MS_DRG Hip & Femur Procedures Except Major Joint Age >17 Without Cc 14 14 $48,910.10 $31,792.00 35% off $17,118.53 $48,910.10 $40,350.83 2026-07-05
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 14 14 $148,868.05 $96,764.00 35% off $52,103.82 $148,868.05 $122,816.14 2026-07-05
213 MS_DRG Amputation For Musculoskeletal System & Conn Tissue Disorders 14 14 $382,425.60 $248,577.00 35% off $133,848.96 $382,425.60 $315,501.12 2026-07-05
214 MS_DRG No Longer Valid 14 14 $68,145.15 $44,294.00 35% off $23,850.80 $68,145.15 $56,219.75 2026-07-05
215 MS_DRG Other Heart Assist System Implant 23 23 $335,128.60 $217,834.00 35% off $74,221.35 $335,128.60 $162,932.79 2026-07-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 23 $303,808.65 $197,476.00 35% off $63,676.96 $303,808.65 $154,922.26 2026-07-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 23 $162,028.05 $105,318.00 35% off $22,450.01 $162,028.05 $82,634.31 2026-07-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 14 $52,475.89 $34,109.00 35% off $18,366.56 $94,276.15 $43,292.61 2026-07-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 23 $302,432.06 $196,581.00 35% off $63,320.71 $302,432.06 $124,341.50 2026-07-05
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 23 $357,603.65 $232,442.00 35% off $33,125.01 $357,603.65 $80,570.45 2026-07-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 14 $111,085.61 $72,206.00 35% off $38,879.96 $111,085.61 $86,140.40 2026-07-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 23 $129,859.38 $84,409.00 35% off $13,232.97 $129,859.38 $66,228.28 2026-07-05
2214 APR_DRG Major Small & Large Bowel Procedures 16 16 $820,344.43 $533,224.00 35% off $3,350.85 $697,292.77 $42,154.03 2026-07-05
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 23 23 $159,375.10 $103,594.00 35% off $21,506.63 $159,375.10 $95,625.06 2026-07-05
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 23 23 $290,106.23 $188,569.00 35% off $60,093.85 $290,106.23 $101,537.18 2026-07-05
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 23 23 $165,498.01 $107,574.00 35% off $23,785.17 $165,498.01 $84,403.99 2026-07-05
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 23 23 $197,034.50 $128,072.00 35% off $32,702.27 $197,034.50 $100,487.60 2026-07-05
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 23 23 $125,713.88 $81,714.00 35% off $12,616.33 $125,713.88 $64,114.08 2026-07-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 23 $99,958.54 $64,973.00 35% off $4,470.94 $99,958.54 $59,975.12 2026-07-05
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 23 $91,193.20 $59,276.00 35% off $6,679.55 $91,193.20 $46,508.53 2026-07-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 23 $286,913.55 $186,494.00 35% off $9,596.95 $286,913.55 $87,526.38 2026-07-05
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 23 23 $288,760.15 $187,694.00 35% off $59,424.84 $288,760.15 $173,256.09 2026-07-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 23 $312,560.30 $203,164.00 35% off $66,167.14 $312,560.30 $134,500.11 2026-07-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 23 $194,247.61 $126,261.00 35% off $10,860.26 $194,247.61 $72,874.51 2026-07-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 23 $215,419.13 $140,022.00 35% off $37,648.40 $215,419.13 $109,863.76 2026-07-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 23 $151,346.44 $98,375.00 35% off $18,881.51 $151,346.44 $77,186.68 2026-07-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 14 $120,412.94 $78,268.00 35% off $10,918.20 $120,412.94 $92,252.81 2026-07-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 14 $99,681.47 $64,793.00 35% off $34,888.51 $99,681.47 $77,253.14 2026-07-05
237 MS_DRG Major Cardiovasc Procedures W Mcc 23 23 $715,523.45 $465,090.00 35% off $183,872.79 $715,523.45 $429,314.07 2026-07-05
238 MS_DRG Major Cardiovasc Procedures Without Mcc 23 23 $300,874.70 $195,569.00 35% off $63,316.41 $300,874.70 $180,524.82 2026-07-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 23 $195,923.00 $127,350.00 35% off $4,889.98 $195,923.00 $68,573.05 2026-07-05
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 23 $85,954.55 $55,870.00 35% off $5,535.01 $85,954.55 $43,836.82 2026-07-05
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 23 $165,390.68 $107,504.00 35% off $10,271.04 $165,390.68 $57,522.76 2026-07-05
245 MS_DRG Aicd Generator Procedures 23 23 $97,360.51 $63,284.00 35% off $6,711.95 $97,360.51 $58,416.31 2026-07-05
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 23 23 $251,843.09 $163,698.00 35% off $23,793.52 $251,843.09 $48,885.24 2026-07-05
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 23 23 $120,263.50 $78,171.00 35% off $10,016.48 $120,263.50 $42,092.22 2026-07-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 23 $91,615.14 $59,550.00 35% off $4,042.74 $91,615.14 $46,723.72 2026-07-05
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 23 23 $124,284.85 $80,785.00 35% off $11,141.52 $124,284.85 $43,499.70 2026-07-05
252 MS_DRG Other Vascular Procedures With Mcc 23 23 $123,233.80 $80,102.00 35% off $8,778.60 $123,233.80 $43,131.83 2026-07-05
253 MS_DRG Other Vascular Procedures With Cc 23 23 $118,251.75 $76,864.00 35% off $9,215.01 $118,251.75 $41,388.11 2026-07-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 23 $112,219.86 $72,943.00 35% off $7,325.93 $112,219.86 $55,049.08 2026-07-05
263 MS_DRG Vein Ligation And Stripping 23 23 $114,668.35 $74,534.00 35% off $8,002.80 $114,668.35 $40,133.92 2026-07-05
265 MS_DRG Aicd Lead Procedures 23 23 $97,365.40 $63,288.00 35% off $5,319.36 $97,365.40 $41,193.72 2026-07-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 23 $187,383.61 $121,799.00 35% off $23,672.55 $187,383.61 $86,266.29 2026-07-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 23 $166,713.80 $108,364.00 35% off $26,408.29 $166,713.80 $85,024.04 2026-07-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 23 $540,754.16 $351,490.00 35% off $85,230.79 $540,754.16 $189,263.96 2026-07-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 23 $209,018.27 $135,862.00 35% off $38,015.38 $209,018.27 $73,156.39 2026-07-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 14 $97,783.91 $63,560.00 35% off $34,224.37 $97,783.91 $78,227.13 2026-07-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 23 $129,608.65 $84,246.00 35% off $10,011.84 $129,608.65 $45,363.03 2026-07-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 23 $117,267.40 $76,224.00 35% off $9,177.08 $117,267.40 $59,052.03 2026-07-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 23 $73,360.01 $47,684.00 35% off $12,659.36 $73,360.01 $40,227.98 2026-07-05
276 MS_DRG Non-maligant Breast Disorders 14 14 $70,317.29 $45,706.00 35% off $14,976.69 $70,317.29 $56,253.83 2026-07-05
277 MS_DRG Cellulitis Age >17 W Cc 14 14 $232,912.00 $151,393.00 35% off $21,378.23 $232,912.00 $186,329.60 2026-07-05
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 23 $187,723.59 $122,020.00 35% off $4,477.06 $187,723.59 $41,439.96 2026-07-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 23 $645,099.41 $419,315.00 35% off $9,987.87 $645,099.41 $233,851.32 2026-07-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 23 $123,249.83 $80,112.00 35% off $7,009.55 $123,249.83 $53,509.61 2026-07-05
31 APR_DRG Bone Marrow Transplant 16 16 $401,250.76 $260,813.00 35% off $3,043.08 $341,063.15 $47,653.12 2026-07-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 23 $124,093.30 $80,661.00 35% off $6,694.86 $124,093.30 $52,851.09 2026-07-05
32 APR_DRG Bone Marrow Transplant 16 16 $876,743.76 $569,883.00 35% off $3,043.09 $745,232.20 $116,432.23 2026-07-05
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 14 14 $53,161.41 $34,555.00 35% off $3,844.07 $53,161.41 $42,529.13 2026-07-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 23 $381,082.36 $247,704.00 35% off $36,624.59 $381,082.36 $86,755.01 2026-07-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 22 $162,067.99 $105,344.00 35% off $21,798.09 $162,067.99 $67,604.43 2026-07-05
33 APR_DRG Bone Marrow Transplant 16 16 $777,830.26 $505,590.00 35% off $3,373.42 $661,155.72 $102,356.90 2026-07-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 14 14 $71,058.74 $46,188.00 35% off $5,949.02 $71,058.74 $52,938.76 2026-07-05
332 MS_DRG Rectal Resection With Mcc 23 23 $98,833.25 $64,242.00 35% off $3,365.13 $98,833.25 $50,404.96 2026-07-05
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 79 63 $112,501.00 $73,125.65 35% off $17,325.15 $104,625.93 $43,882.98 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 23 $91,601.21 $59,541.00 35% off $2,538.07 $91,601.21 $46,716.62 2026-07-05
34 APR_DRG Bone Marrow Transplant 16 16 $3,877,567.58 $2,520,419.00 35% off $4,323.71 $3,295,932.44 $169,969.06 2026-07-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 23 $94,876.96 $61,670.00 35% off $4,995.25 $94,876.96 $48,387.25 2026-07-05
347 MS_DRG Anal And Stomal Procedures With Mcc 23 23 $294,993.23 $191,746.00 35% off $27,526.11 $294,993.23 $61,191.22 2026-07-05
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 14 $67,045.62 $43,580.00 35% off $8,703.34 $67,045.62 $49,948.99 2026-07-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 23 $330,339.55 $214,721.00 35% off $52,727.47 $330,339.55 $115,618.84 2026-07-05
359 MS_DRG Uterine & Adnexa Proc For Non-malignancy Without Cc 14 14 $52,440.04 $34,086.00 35% off $9,107.32 $52,440.04 $41,952.03 2026-07-05
360 MS_DRG Vagina, Cervix & Vulva Procedures 14 14 $99,949.81 $64,967.00 35% off $7,677.90 $99,949.81 $79,959.85 2026-07-05
38240 CPT Hc Hpc Allogeneic 101 81 $147,856.00 $96,106.40 35% off $4,977.46 $137,506.08 $63,270.20 2026-03-01
397 MS_DRG Coagulation Disorders 14 14 $58,178.43 $37,816.00 35% off $5,928.23 $58,178.43 $46,542.74 2026-07-05
398 MS_DRG Reticuloendothelial & Immunity Disorders W Cc 14 14 $82,456.32 $53,597.00 35% off $4,045.30 $82,456.32 $65,965.06 2026-07-05
399 MS_DRG Reticuloendothelial & Immunity Disorders Without Cc 14 14 $180,382.64 $117,249.00 35% off $14,840.36 $180,382.64 $144,306.11 2026-07-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 23 $949,211.27 $616,987.00 35% off $83,492.06 $949,211.27 $254,515.89 2026-07-05
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 23 $208,935.75 $135,808.00 35% off $5,494.56 $208,935.75 $59,639.97 2026-07-05
402 MS_DRG Lymphoma & Non-acute Leukemia W Other O.r. Proc Without Cc 14 14 $253,839.77 $164,996.00 35% off $23,444.20 $253,839.77 $203,071.82 2026-07-05
403 MS_DRG Lymphoma & Non-acute Leukemia W Cc 14 14 $54,238.00 $35,255.00 35% off $3,838.08 $54,238.00 $43,390.40 2026-07-05
404 MS_DRG Lymphoma & Non-acute Leukemia Without Cc 14 14 $57,239.86 $37,206.00 35% off $3,705.59 $57,239.86 $45,791.89 2026-07-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 22 $157,405.59 $102,314.00 35% off $20,585.14 $157,405.59 $75,252.54 2026-07-05
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 16 16 $1,954,670.00 $1,270,536.00 35% off $2,782.18 $1,661,469.50 $51,947.37 2026-07-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 23 $130,087.47 $84,557.00 35% off $7,848.15 $130,087.47 $44,456.84 2026-07-05
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 14 14 $99,426.11 $64,627.00 35% off $11,331.16 $99,426.11 $74,072.45 2026-07-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 14 $71,316.29 $46,356.00 35% off $24,960.70 $71,316.29 $57,053.03 2026-07-05
412 MS_DRG Cholecystectomy With C.d.e. With Cc 14 14 $91,649.80 $59,572.00 35% off $5,695.46 $91,649.80 $68,279.10 2026-07-05
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 14 14 $75,430.55 $49,030.00 35% off $5,040.56 $75,430.55 $56,195.76 2026-07-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 13 $61,982.45 $40,289.00 35% off $21,693.86 $61,982.45 $49,585.96 2026-07-05
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 16 — $3,782,003.00 $4,256.22 $4,945,695.78 $106,848.24 2026-07-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 22 $129,419.50 $84,123.00 35% off $12,284.27 $129,419.50 $57,915.24 2026-07-05
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 16 $2,472,853.65 $1,607,355.00 35% off $4,458.34 $2,101,925.60 $107,138.75 2026-07-05
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 23 23 $239,740.52 $155,831.00 35% off $20,207.68 $239,740.52 $44,840.25 2026-07-05
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 16 $795,413.19 $517,019.00 35% off $4,458.34 $676,101.21 $105,245.04 2026-07-05
45 MS_DRG Neurological Eye Disorders 14 14 $79,098.57 $51,414.00 35% off $27,684.50 $79,098.57 $65,256.32 2026-07-05
451 MS_DRG Poisoning & Toxic Effects Of Drugs Age 0-17 13 13 $78,978.04 $51,336.00 35% off $27,642.31 $78,978.04 $63,182.43 2026-07-05
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 23 23 $273,655.62 $177,876.00 35% off $14,087.73 $273,655.62 $112,461.12 2026-07-05
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 23 23 $89,596.60 $58,238.00 35% off $9,277.44 $94,026.16 $45,694.27 2026-07-05
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 23 23 $146,158.35 $95,003.00 35% off $18,879.55 $146,158.35 $58,523.11 2026-07-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 22 $325,502.69 $211,577.00 35% off $70,050.54 $325,502.69 $123,318.76 2026-07-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 14 $73,807.86 $47,975.00 35% off $20,117.75 $100,242.00 $59,046.29 2026-07-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 23 $107,178.61 $69,666.00 35% off $9,653.76 $107,178.61 $54,661.09 2026-07-05
459 MS_DRG Spinal Fusion Except Cervical With Mcc 23 23 $176,973.88 $115,033.00 35% off $11,754.77 $176,973.88 $82,418.04 2026-07-05
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 23 23 $79,728.89 $51,824.00 35% off $8,432.44 $79,728.89 $40,661.73 2026-07-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 23 $373,981.41 $243,088.00 35% off $74,440.01 $373,981.41 $130,893.49 2026-07-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 23 $126,655.08 $82,326.00 35% off $6,288.52 $126,655.08 $64,594.09 2026-07-05
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 23 23 $115,598.48 $75,139.00 35% off $9,356.38 $115,598.48 $40,459.47 2026-07-05
471 MS_DRG Cervical Spinal Fusion With Mcc 23 23 $389,336.94 $253,069.00 35% off $45,154.18 $389,336.94 $89,393.23 2026-07-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 23 $89,449.11 $58,142.00 35% off $2,502.70 $89,449.11 $45,619.05 2026-07-05
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 14 $72,083.34 $46,854.00 35% off $8,078.18 $72,083.34 $53,702.08 2026-07-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 14 14 $85,845.69 $55,800.00 35% off $7,540.28 $85,845.69 $63,955.04 2026-07-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 23 $233,889.68 $152,028.00 35% off $9,880.90 $233,889.68 $52,615.52 2026-07-05
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 14 14 $61,441.57 $39,937.00 35% off $9,309.27 $61,441.57 $45,773.97 2026-07-05
490 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim 23 23 $158,640.20 $103,116.00 35% off $9,081.50 $158,640.20 $80,906.50 2026-07-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 14 $67,420.69 $43,823.00 35% off $23,597.24 $67,420.69 $53,742.07 2026-07-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 23 $127,136.41 $82,639.00 35% off $6,958.75 $127,136.41 $44,576.86 2026-07-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 14 $473,562.45 $307,816.00 35% off $165,746.86 $473,562.45 $390,689.02 2026-07-05
500 MS_DRG Soft Tissue Procedures With Mcc 23 23 $176,939.48 $115,011.00 35% off $7,532.79 $176,939.48 $49,219.03 2026-07-05
501 MS_DRG Soft Tissue Procedures With Cc 14 14 $62,985.41 $40,941.00 35% off $6,290.08 $62,985.41 $46,924.13 2026-07-05
503 MS_DRG Foot Procedures With Mcc 23 23 $204,187.44 $132,722.00 35% off $32,320.95 $204,187.44 $71,465.60 2026-07-05
504 MS_DRG Foot Procedures With Cc 14 14 $68,072.88 $44,247.00 35% off $6,589.54 $68,072.88 $50,714.29 2026-07-05
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 14 14 $63,525.09 $41,291.00 35% off $5,415.91 $63,525.09 $47,326.19 2026-07-05
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 14 $61,412.99 $39,918.00 35% off $7,200.35 $61,412.99 $45,752.68 2026-07-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 14 $58,121.58 $37,779.00 35% off $7,200.65 $58,121.58 $45,044.22 2026-07-05
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 14 $97,896.30 $63,633.00 35% off $20,950.76 $97,896.30 $72,932.74 2026-07-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 14 $57,374.18 $37,293.00 35% off $20,080.96 $57,374.18 $45,899.34 2026-07-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 14 14 $78,575.38 $51,074.00 35% off $7,914.70 $78,575.38 $58,538.66 2026-07-05
531 MS_DRG Spinal Procedures W Cc 14 14 $152,879.40 $99,372.00 35% off $7,937.19 $152,879.40 $122,303.52 2026-07-05
532 MS_DRG Spinal Procedures Without Cc 14 14 $63,324.80 $41,161.00 35% off $9,678.35 $63,324.80 $50,659.84 2026-07-05
5414 APR_DRG Vaginal Delivery With Sterilization And/or D&c 16 16 $27,565.00 $17,917.00 35% off $1,618.09 $69,609.96 $40,286.38 2026-07-05
567 MS_DRG Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx 14 14 $92,298.76 $59,994.00 35% off $6,345.63 $92,298.76 $73,839.01 2026-07-05
569 MS_DRG Major Small & Large Bowel Procedures W Cc W Major Gi Dx 14 14 $61,152.62 $39,749.00 35% off $5,228.97 $61,152.62 $48,922.10 2026-07-05
570 MS_DRG Skin Debridement With Mcc 23 23 $561,768.89 $365,150.00 35% off $34,782.41 $561,768.89 $139,892.87 2026-07-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 13 $59,670.53 $38,786.00 35% off $20,884.69 $85,477.06 $47,736.42 2026-07-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 13 $64,056.51 $41,637.00 35% off $22,419.78 $64,056.51 $50,098.62 2026-07-05
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 14 14 $66,346.00 $43,125.00 35% off $4,796.27 $66,346.00 $49,427.77 2026-07-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 13 $66,730.18 $43,375.00 35% off $23,355.56 $66,730.18 $50,047.64 2026-07-05
5832 APR_DRG Neonate With Ecmo 8 8 $753,940.60 $490,061.00 35% off $27,002.45 $640,849.51 $196,226.57 2026-07-05
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 14 14 $67,318.60 $43,757.00 35% off $13,820.39 $67,318.60 $50,152.35 2026-07-05
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $926,362.89 $602,136.00 35% off $787,408.46 $787,408.46 $787,408.46 2026-07-05
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,165,605.86 $757,644.00 35% off $990,764.98 $990,764.98 $990,764.98 2026-07-05
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 $1,203,010.60 $781,957.00 35% off $1,022,559.01 $1,022,559.01 $1,022,559.01 2026-07-05
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $207,541.00 $134,902.00 35% off $176,409.85 $176,409.85 $176,409.85 2026-07-05
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 $2,588,272.66 $1,682,377.00 35% off $2,200,031.76 $2,200,031.76 $2,200,031.76 2026-07-05
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $588,987.01 $382,842.00 35% off $500,638.96 $500,638.96 $500,638.96 2026-07-05
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,675,014.64 $1,088,760.00 35% off $1,423,762.44 $1,423,762.44 $1,423,762.44 2026-07-05
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 $1,500,105.00 $975,068.00 35% off $1,275,089.25 $1,275,089.25 $1,275,089.25 2026-07-05
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 $403,301.00 $262,146.00 35% off $19,979.89 $342,805.85 $92,521.38 2026-07-05
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 $752,808.00 $489,325.00 35% off $19,979.89 $639,886.80 $195,179.97 2026-07-05
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 $990,884.00 $644,075.00 35% off $19,979.89 $842,251.40 $265,108.60 2026-07-05
6 MS_DRG Liver Transplant Without Mcc 14 14 $613,006.45 $398,454.00 35% off $76,871.66 $613,006.45 $490,405.16 2026-07-05
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 $385,006.00 $250,254.00 35% off $25,399.65 $327,255.10 $87,193.11 2026-07-05
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 $713,583.00 $463,829.00 35% off $25,399.65 $606,545.55 $183,704.07 2026-07-05
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 $861,472.00 $559,957.00 35% off $25,399.65 $732,251.20 $227,142.61 2026-07-05
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 $591,272.21 $384,327.00 35% off $14,952.51 $502,581.38 $147,719.74 2026-07-05
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 $463,918.66 $301,547.00 35% off $14,952.51 $394,330.86 $110,312.96 2026-07-05
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 $693,353.30 $450,680.00 35% off $14,952.51 $589,350.31 $177,703.40 2026-07-05
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $480,104.00 $312,068.00 35% off $14,507.58 $408,088.40 $115,091.71 2026-07-05
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $715,283.00 $464,934.00 35% off $14,507.58 $607,990.55 $184,169.42 2026-07-05
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $1,365,907.92 $887,840.00 35% off $14,507.58 $1,161,021.73 $375,273.58 2026-07-05
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $495,276.00 $321,929.00 35% off $420,984.60 $420,984.60 $420,984.60 2026-07-05
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $303,433.00 $197,231.00 35% off $257,918.05 $257,918.05 $257,918.05 2026-07-05
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $754,926.86 $490,702.00 35% off $641,687.83 $641,687.83 $641,687.83 2026-07-05
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $356,791.00 $231,914.00 35% off $303,272.35 $303,272.35 $303,272.35 2026-07-05
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $55,130.20 $35,835.00 35% off $46,860.67 $46,860.67 $46,860.67 2026-07-05
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $97,811.25 $63,577.00 35% off $83,139.56 $83,139.56 $83,139.56 2026-07-05
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $269,569.61 $175,220.00 35% off $229,134.17 $229,134.17 $229,134.17 2026-07-05
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 $1,232,236.05 $800,953.00 35% off $1,047,400.64 $1,047,400.64 $1,047,400.64 2026-07-05
6111 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $307,680.00 $199,992.00 35% off $261,528.00 $261,528.00 $261,528.00 2026-07-05
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $1,467,012.67 $953,558.00 35% off $1,246,960.77 $1,246,960.77 $1,246,960.77 2026-07-05
6121 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $335,158.00 $217,853.00 35% off $284,884.30 $284,884.30 $284,884.30 2026-07-05
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $351,791.00 $228,664.00 35% off $299,022.35 $299,022.35 $299,022.35 2026-07-05
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $757,447.00 $492,341.00 35% off $643,829.95 $643,829.95 $643,829.95 2026-07-05
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 $625,748.92 $406,737.00 35% off $531,886.58 $531,886.58 $531,886.58 2026-07-05
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 $53,762.96 $34,946.00 35% off $45,698.52 $45,698.52 $45,698.52 2026-07-05
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 8 $521,161.00 $338,755.00 35% off $41,860.38 $442,986.85 $127,680.34 2026-07-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 23 $128,738.60 $83,680.00 35% off $4,999.63 $128,738.60 $48,546.29 2026-07-05
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 $1,331,706.75 $865,609.00 35% off $27,976.40 $1,131,950.74 $366,209.19 2026-07-05
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 8 $769,040.26 $499,876.00 35% off $63,322.21 $653,684.22 $200,134.61 2026-07-05
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 8 $326,803.00 $212,422.00 35% off $32,783.06 $277,782.55 $70,141.49 2026-07-05
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 14 $71,098.16 $46,214.00 35% off $6,290.92 $71,098.16 $52,968.13 2026-07-05
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 $619,098.30 $402,414.00 35% off $24,686.71 $526,233.56 $156,292.70 2026-07-05
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 $336,744.30 $218,884.00 35% off $24,686.71 $286,232.65 $73,358.55 2026-07-05
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 $356,448.67 $231,692.00 35% off $24,686.71 $302,981.37 $79,146.20 2026-07-05
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $51,416.76 $33,421.00 35% off $43,704.25 $43,704.25 $43,704.25 2026-07-05
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $226,378.40 $147,146.00 35% off $192,421.64 $192,421.64 $192,421.64 2026-07-05
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $120,175.80 $78,114.00 35% off $102,149.43 $102,149.43 $102,149.43 2026-07-05
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 $404,587.75 $262,982.00 35% off $343,899.59 $343,899.59 $343,899.59 2026-07-05
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 $179,679.00 $116,791.00 35% off $152,727.15 $152,727.15 $152,727.15 2026-07-05
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 1 1 $193,245.48 $125,610.00 35% off $164,258.66 $164,258.66 $164,258.66 2026-07-05
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 8 8 $249,939.36 $162,461.00 35% off $10,678.36 $212,448.46 $47,488.51 2026-07-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 14 $236,647.50 $153,821.00 35% off $10,316.12 $236,647.50 $189,318.00 2026-07-05
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 14 $219,147.25 $142,446.00 35% off $9,264.96 $219,147.25 $175,317.80 2026-07-05
652 MS_DRG Kidney Transplant 14 14 $177,139.02 $115,140.00 35% off $10,209.57 $177,139.02 $141,711.22 2026-07-05
653 MS_DRG Major Bladder Procedures With Mcc 23 23 $432,627.77 $281,208.00 35% off $40,662.81 $432,627.77 $101,935.14 2026-07-05
654 MS_DRG Major Bladder Procedures With Cc 14 14 $81,612.18 $53,048.00 35% off $7,045.35 $81,612.18 $60,801.07 2026-07-05
655 MS_DRG Major Bladder Procedures Without Cc/mcc 14 14 $73,376.32 $47,695.00 35% off $11,618.33 $73,376.32 $54,665.36 2026-07-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 23 $131,651.34 $85,573.00 35% off $7,643.82 $131,651.34 $46,077.97 2026-07-05
665 MS_DRG Prostatectomy With Mcc 23 23 $117,010.21 $76,057.00 35% off $4,861.97 $117,010.21 $40,953.57 2026-07-05
668 MS_DRG Transurethral Procedures With Mcc 22 22 $127,396.42 $82,808.00 35% off $11,574.03 $127,396.42 $43,947.19 2026-07-05
669 MS_DRG Transurethral Procedures With Cc 14 14 $69,198.75 $44,979.00 35% off $3,843.85 $69,198.75 $51,553.07 2026-07-05
671 MS_DRG Urethral Procedures With Cc/mcc 14 14 $53,785.46 $34,961.00 35% off $4,761.74 $53,785.46 $40,070.17 2026-07-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 23 $174,696.12 $113,552.00 35% off $4,898.26 $174,696.12 $53,521.35 2026-07-05
7 MS_DRG Lung Transplant 14 14 $2,162,847.20 $1,405,851.00 35% off $756,996.52 $2,162,847.20 $1,784,348.94 2026-07-05
709 MS_DRG Penis Procedures With Cc/mcc 14 14 $69,382.55 $45,099.00 35% off $10,279.33 $69,382.55 $51,690.00 2026-07-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 23 $137,231.03 $89,200.00 35% off $6,291.58 $137,231.03 $52,150.97 2026-07-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 23 $104,791.20 $68,114.00 35% off $5,172.20 $104,791.20 $46,805.76 2026-07-05
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 14 14 $69,973.75 $45,483.00 35% off $7,111.76 $69,973.75 $52,130.44 2026-07-05
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 23 23 $243,234.30 $158,102.00 35% off $14,320.80 $243,234.30 $46,025.10 2026-07-05
799 MS_DRG Splenectomy With Mcc 14 14 $101,529.57 $65,994.00 35% off $35,535.35 $101,529.57 $80,328.08 2026-07-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 14 $591,940.40 $384,761.00 35% off $207,179.14 $591,940.40 $488,350.83 2026-07-05
800 MS_DRG Splenectomy With Cc 23 23 $143,242.90 $93,108.00 35% off $7,156.13 $143,242.90 $45,583.34 2026-07-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 23 $230,149.08 $149,597.00 35% off $7,424.49 $230,149.08 $57,277.39 2026-07-05
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 23 23 $114,305.04 $74,298.00 35% off $7,908.97 $114,305.04 $40,006.76 2026-07-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 23 $159,643.33 $103,768.00 35% off $7,329.78 $159,643.33 $69,666.41 2026-07-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 23 $170,430.30 $110,780.00 35% off $6,043.47 $170,430.30 $59,650.60 2026-07-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 23 $149,954.58 $97,470.00 35% off $5,714.86 $149,954.58 $61,744.68 2026-07-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 23 $468,312.38 $304,403.00 35% off $2,028.00 $468,312.38 $112,518.73 2026-07-05
849 MS_DRG Radiotherapy 23 23 $266,108.00 $172,970.00 35% off $20,643.30 $266,108.00 $52,627.43 2026-07-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 23 $84,615.14 $55,000.00 35% off $3,650.22 $84,615.14 $50,769.08 2026-07-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 23 $205,349.01 $133,477.00 35% off $6,406.39 $205,349.01 $78,813.36 2026-07-05
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 23 23 $245,827.15 $159,788.00 35% off $650.00 $245,827.15 $46,372.76 2026-07-05
901 MS_DRG Wound Debridements For Injuries With Mcc 23 23 $89,423.75 $58,125.00 35% off $2,900.68 $89,423.75 $45,606.11 2026-07-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 23 23 $128,193.20 $83,326.00 35% off $6,119.34 $128,193.20 $45,618.48 2026-07-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 23 $465,667.50 $302,684.00 35% off $110,913.37 $465,667.50 $258,157.52 2026-07-05
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 23 23 $162,010.38 $105,307.00 35% off $5,115.52 $162,010.38 $46,509.24 2026-07-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 23 $138,107.65 $89,770.00 35% off $15,323.86 $138,107.65 $48,337.68 2026-07-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 23 $138,795.87 $90,217.00 35% off $5,340.26 $138,795.87 $48,578.55 2026-07-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 23 $104,786.07 $68,111.00 35% off $5,030.96 $104,786.07 $53,440.90 2026-07-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 23 $203,377.17 $132,195.00 35% off $34,309.97 $203,377.17 $97,053.84 2026-07-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 23 $103,543.21 $67,303.00 35% off $5,018.40 $103,543.21 $52,807.04 2026-07-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 23 $179,465.74 $116,653.00 35% off $27,269.13 $179,465.74 $91,527.53 2026-07-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 23 $73,140.24 $47,541.00 35% off $3,704.82 $73,140.24 $43,884.14 2026-07-05
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 23 23 $197,083.71 $128,104.00 35% off $32,230.04 $197,083.71 $68,979.30 2026-07-05
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 23 $125,866.54 $81,813.00 35% off $6,368.20 $125,866.54 $42,126.67 2026-07-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 23 $740,885.64 $481,576.00 35% off $71,627.25 $740,885.64 $192,931.13 2026-07-05
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 23 $72,623.85 $47,206.00 35% off $2,590.21 $72,623.85 $43,574.31 2026-07-05
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 23 $290,321.10 $188,709.00 35% off $36,581.68 $290,321.10 $101,612.39 2026-07-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 23 $88,334.89 $57,418.00 35% off $3,297.07 $88,334.89 $45,050.79 2026-07-05
986 MS_DRG Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 23 23 $120,116.60 $78,076.00 35% off $7,103.18 $120,116.60 $61,259.47 2026-07-05
C1605 HCPCS Hc Aveir Ntap C1605 50 42 $118,705.00 $77,158.25 35% off $18,280.57 $110,395.65 $71,223.00 2026-03-01
C1823 HCPCS Hc Remede System 1001 78 31 $151,250.00 $98,312.50 35% off $22,233.75 $147,056.25 $101,200.00 2026-03-01
PX-8110000000 CDM Hc Living Donor Sac- Kidney 38 32 $165,000.00 $107,250.00 35% off $25,410.00 $153,450.00 $114,510.00 2026-03-01
PX-8120000000 CDM Hc Cadaver Donor Sac- Kidney 38 32 $194,370.00 $126,340.50 35% off $29,932.98 $180,764.10 $134,892.78 2026-03-01
PX-8120000001 CDM Hc Cadaver Donor Sac- Liver 38 32 $269,900.00 $175,435.00 35% off $41,564.60 $251,007.00 $187,310.60 2026-03-01
PX-8130000000 CDM Hc Cadaver Donor Sac-pancreas 38 32 $121,000.00 $78,650.00 35% off $18,634.00 $112,530.00 $83,974.00 2026-03-01
Q2041 HCPCS Hc Axicabtagene Ciloleucel Car+ (Yescarta) 112 95 $2,909,170.00 $1,890,960.50 35% off $448,012.18 $2,705,528.10 $553,479.93 2026-03-01
Q2042 HCPCS Tisagenlecleucel IV Up To 600 Million Car Pos 112 95 $2,591,313.00 $1,684,353.45 35% off $399,062.20 $2,409,921.09 $589,192.56 2026-03-01
Q2053 HCPCS Hc Brexucabtagene Autoleucel Up To 100 Million Car Pos (Tecartus) All 145 95 $2,668,974.00 $1,734,833.10 35% off $377,084.40 $2,482,145.82 $513,922.71 2026-03-01
Q2054 HCPCS Hc Lisocabtagene Mara Car Pos T (Breyanzi) 112 95 $2,956,964.98 $1,922,027.24 35% off $455,372.61 $2,749,977.43 $584,689.29 2026-03-01
Q2055 HCPCS Hc Idecabtagene Vicleucel Car 50ml (Abecma) 112 95 $2,884,057.54 $1,874,637.40 35% off $444,144.86 $2,682,173.51 $580,405.00 2026-03-01
Q2056 HCPCS Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml 111 94 $2,776,552.00 $1,804,758.80 35% off $4,903.67 $2,582,193.36 $611,155.56 2026-03-01
Rx24338005008_C9399_100094_000 OTHER Carmustine In Polifeprosan 77 Mg Wafer For Implant 32 25 $1,902,341.00 $1,236,522.00 35% off $10.04 $1,902,341.00 $1,073,871.50 2026-07-05
Rx30237890006_Q2043_100094_000 OTHER Sipuleucel-t In Lactated Ringers 50 Million Cell25 32 26 $72,291.80 $46,990.00 35% off $18,217.53 $112,706.40 $54,515.81 2026-07-05
Rx50633011011_J0840_100094_000 OTHER Crotalidae Polyval Immune Fab Solution For Injecti 26 20 $99,777.60 $64,855.00 35% off $2,372.61 $99,777.60 $73,835.42 2026-07-05
Rx50633011012_J0840_100094_000 OTHER Crotalidae Polyval Immune Fab Solution For Injection 1 Each Vial 26 20 $99,777.60 $64,855.00 35% off $2,372.61 $99,777.60 $73,835.42 2026-07-05
Rx57894006103_J3357_100094_000 OTHER Ustekinumab 90 Mgml Subcutaneous Syringe 1 Ml Syri 32 26 $72,572.40 $47,172.00 35% off $178.94 $72,572.40 $40,967.12 2026-07-05
Rx60923028410_J1428_100094_000 OTHER Eteplirsen 50 Mgml Intravenous Solution 10 Ml Vial 26 20 $62,400.00 $40,560.00 35% off $120.96 $62,400.00 $46,176.00 2026-07-05
Rx64406005801_J2326_100094_000 OTHER Nusinersen Pf 12 Mg5 Ml Intrathecal Solution 5 Ml 37 30 $284,378.50 $184,846.00 35% off $787.50 $284,378.50 $99,532.47 2026-07-05
Rx66658051001_J9210_100094_000 OTHER Emapalumab-lzsg 5 Mgml Intravenous Solution 20 Ml 32 26 $91,179.30 $59,267.00 35% off $456.87 $91,179.30 $51,470.71 2026-07-05
Rx68382039601_J3490_100094_000 OTHER Sodium Benzoate 10 -sodium Phenylacetate 10 Intra 30 26 $284,700.00 $185,055.00 35% off $2,230.27 $284,700.00 $197,439.45 2026-07-05
Rx79952011001_C9084_100094_000 OTHER Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solu 21 17 $70,500.00 $45,825.00 35% off $177.67 $70,500.00 $56,400.00 2026-07-05
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