Hospital

CHRISTUS SPOHN HOSPITAL KLEBERG

Kingsville, TX · CCN 450163 · Rates published

18,801 distinct procedures filed

35 distinct payers

976,777 rate rows

2026-01-13 last MRF observed

Data quality

677,747 of 976,777 rate rows are consumer-grade (69.4%)

299,030 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	289,073
per-diem day rate — not a per-procedure price	9,313
template filing: same amount across many unrelated codes — excluded	554
placeholder amount (≤ $0.02) — excluded from medians	90

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

Source MRF file	https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109836_spohnhospitalkleberg_standardcharges.json
Found on page	https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	75e7edd55aa0a1a7… · 199,370,935 bytes · first seen 2026-05-08

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
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	20	$221.69	$4,130,272.28	$3,754,792.98	nat. median $3,710,000 1.0× median
J1414 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	20	$3,710,000.00	$4,130,272.28	$3,754,792.98	nat. median $3,710,000 1.0× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	35	$2,332,000.00	$4,720,311.18	$3,526,155.59	nat. median $2,448,600 1.4× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	20	$441.22	$3,698,076.03	$3,361,887.30	nat. median $3,325,455 1.0× median
J3394 HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	20	$3,231,550.94	$3,554,706.03	$3,231,550.94	nat. median $3,286,000 1.0× median
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	20	$2,948,213.33	$3,304,217.83	$3,003,834.39	nat. median $3,006,423 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	21	$263.98	$4,864,954.20	$2,432,477.10	nat. median $2,469,189 1.0× median
5834 APR_DRG		6	$661,146.73	$694,204.45	$667,758.27	nat. median $309,665 outlier · 2.2×
74 APR_DRG		5	$643,164.15	$675,322.72	$643,164.15	nat. median $187,294 outlier · 3.4×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	21	$30.04	$1,955,527.10	$589,626.53	nat. median $754,974 0.8× median
5833 APR_DRG		6	$559,834.75	$587,826.81	$565,433.17	nat. median $244,017 outlier · 2.3×
Q2056 HCPCS	Ciltacabtagene Car-pos T	21	$174.82	$2,357,382.60	$557,974.73	nat. median $675,122 0.8× median
24 APR_DRG		5	$538,545.18	$565,472.75	$538,545.18	nat. median $234,738 outlier · 2.3×
Q2055 HCPCS	Idecabtagene Vicleucel Car	21	$152.94	$2,126,713.98	$534,691.05	nat. median $625,184 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	21	$93.20	$2,080,073.29	$522,721.80	nat. median $674,188 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	21	$1.73	$1,803,641.50	$506,565.46	nat. median $634,511 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	21	$58.24	$1,890,975.72	$493,944.04	nat. median $620,080 0.8× median
5884 APR_DRG		6	$418,495.03	$439,420.02	$422,680.03	nat. median $246,434 1.7× median
1614 APR_DRG		6	$406,387.39	$426,706.99	$410,451.31	nat. median $207,730 2.0× median
94 APR_DRG		6	$380,720.99	$399,757.26	$384,528.24	nat. median $164,834 outlier · 2.3×
6304 APR_DRG		6	$311,388.20	$326,957.79	$314,502.12	nat. median $150,721 outlier · 2.1×
6094 APR_DRG		6	$308,628.75	$324,060.36	$311,715.07	nat. median $162,982 1.9× median
5832 APR_DRG		6	$278,952.87	$292,900.68	$281,742.43	nat. median $156,126 1.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	$239,069.44	$811,793.46	$270,525.94	nat. median $370,174 0.7× median
2004 APR_DRG		6	$246,150.20	$258,457.85	$248,611.73	nat. median $32,636 outlier · 7.6×
5831 APR_DRG		6	$245,623.55	$257,904.87	$248,079.82	nat. median $145,122 1.7× median
73 APR_DRG		5	$226,948.06	$238,295.59	$226,948.06	nat. median $89,273 outlier · 2.5×
5883 APR_DRG		6	$224,550.73	$235,778.40	$226,796.27	nat. median $182,736 1.2× median
5882 APR_DRG		6	$223,524.42	$234,700.77	$225,759.69	nat. median $145,336 1.6× median
44 APR_DRG		6	$222,946.42	$234,093.87	$225,175.91	nat. median $105,658 outlier · 2.1×
8414 APR_DRG		6	$221,988.01	$233,087.54	$224,207.92	nat. median $160,267 1.4× median
6314 APR_DRG		6	$219,770.87	$230,759.54	$221,968.60	nat. median $122,924 1.8× median
8504 APR_DRG		6	$213,981.24	$224,680.43	$216,121.08	nat. median $73,845 outlier · 2.9×
5914 APR_DRG		6	$212,064.42	$222,667.76	$214,185.09	nat. median $164,279 1.3× median
1613 APR_DRG		6	$211,814.59	$222,405.44	$213,932.76	nat. median $119,796 1.8× median
5881 APR_DRG		6	$210,695.14	$221,230.02	$212,802.11	nat. median $124,573 1.7× median
84 APR_DRG		6	$192,143.26	$201,750.53	$194,064.72	nat. median $79,774 outlier · 2.4×
14 APR_DRG		5	$192,916.25	$202,562.18	$192,916.25	nat. median $129,535 1.5× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	21	$178,564.83	$432,314.85	$190,782.42	nat. median $265,286 0.7× median
6814 APR_DRG		6	$188,729.20	$198,165.76	$190,616.51	nat. median $73,428 outlier · 2.6×
1604 APR_DRG		6	$188,623.87	$198,055.17	$190,510.13	nat. median $97,957 1.9× median
93 APR_DRG		6	$187,047.41	$196,399.89	$188,917.90	nat. median $79,160 outlier · 2.4×
2464 APR_DRG		6	$182,912.58	$192,058.32	$184,741.73	nat. median $22,749 outlier · 8.1×
6034 APR_DRG		6	$181,968.97	$191,067.52	$183,788.68	nat. median $109,499 1.7× median
5891 APR_DRG		6	$176,581.51	$185,410.68	$178,347.35	nat. median $93,260 1.9× median
5934 APR_DRG		6	$176,053.12	$184,855.88	$177,813.67	nat. median $151,838 1.2× median
64 APR_DRG		5	$176,595.44	$185,425.31	$176,595.44	nat. median $91,748 1.9× median
Q0480 HCPCS	Dme Pos	26	$173,313.36	$173,313.36	$173,313.36	nat. median $111,989 1.5× median
5892 APR_DRG		6	$171,143.56	$179,700.83	$172,855.02	nat. median $89,790 1.9× median
1624 APR_DRG		6	$164,542.63	$172,769.86	$166,188.08	nat. median $81,790 outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 18,801 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

J3399	HCPCS	Inj Onase Abepar-xioi Treat	26	21	—	—	$263.98	$4,864,954.20	$2,432,477.10	2026-01-13
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	65	35	—	—	$2,332,000.00	$4,720,311.18	$3,526,155.59	2026-01-13
J1414	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	24	20	—	—	$3,710,000.00	$4,130,272.28	$3,754,792.98	2026-01-13
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	25	20	—	—	$221.69	$4,130,272.28	$3,754,792.98	2026-01-13
J1413	HCPCS	Inj Delandistrogene Mox Rokl	25	20	—	—	$441.22	$3,698,076.03	$3,361,887.30	2026-01-13
J3394	HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	24	20	—	—	$3,231,550.94	$3,554,706.03	$3,231,550.94	2026-01-13
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	24	20	—	—	$2,948,213.33	$3,304,217.83	$3,003,834.39	2026-01-13
Q2056	HCPCS	Ciltacabtagene Car-pos T	31	21	—	—	$174.82	$2,357,382.60	$557,974.73	2026-01-13
Q2055	HCPCS	Idecabtagene Vicleucel Car	31	21	—	—	$152.94	$2,126,713.98	$534,691.05	2026-01-13
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	31	21	—	—	$93.20	$2,080,073.29	$522,721.80	2026-01-13
Q2042	HCPCS	Tisagenlecleucel Car-pos T	35	21	—	—	$30.04	$1,955,527.10	$589,626.53	2026-01-13
Q2053	HCPCS	Brexucabtagene Car Pos T	31	21	—	—	$58.24	$1,890,975.72	$493,944.04	2026-01-13
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	36	21	—	—	$1.73	$1,803,641.50	$506,565.46	2026-01-13
J9029	HCPCS	Instill Adstiladrin, Tx Dose	35	21	—	—	$2.98	$814,400.00	$66,092.56	2026-01-13
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	32	22	—	—	$239,069.44	$811,793.46	$270,525.94	2026-01-13
5834	APR_DRG	—	18	6	—	—	$661,146.73	$694,204.45	$667,758.27	2026-01-13
74	APR_DRG	—	14	5	—	—	$643,164.15	$675,322.72	$643,164.15	2026-01-13
5833	APR_DRG	—	18	6	—	—	$559,834.75	$587,826.81	$565,433.17	2026-01-13
24	APR_DRG	—	14	5	—	—	$538,545.18	$565,472.75	$538,545.18	2026-01-13
5884	APR_DRG	—	18	6	—	—	$418,495.03	$439,420.02	$422,680.03	2026-01-13
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	26	21	—	—	$178,564.83	$432,314.85	$190,782.42	2026-01-13
1614	APR_DRG	—	18	6	—	—	$406,387.39	$426,706.99	$410,451.31	2026-01-13
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	28	23	—	—	$150,383.86	$401,368.05	$160,673.28	2026-01-13
94	APR_DRG	—	18	6	—	—	$380,720.99	$399,757.26	$384,528.24	2026-01-13
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	33	23	—	—	$135,859.45	$399,012.53	$153,020.65	2026-01-13
6304	APR_DRG	—	18	6	—	—	$311,388.20	$326,957.79	$314,502.12	2026-01-13
6094	APR_DRG	—	18	6	—	—	$308,628.75	$324,060.36	$311,715.07	2026-01-13
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	33	22	—	—	$101.23	$309,920.89	$57,017.10	2026-01-13
5832	APR_DRG	—	18	6	—	—	$278,952.87	$292,900.68	$281,742.43	2026-01-13
A9543	HCPCS	Y90 Ibritumomab, Rx	32	21	—	—	$52.84	$277,584.73	$57,510.63	2026-01-13
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	33	23	—	—	$89,573.07	$260,392.47	$100,887.56	2026-01-13
2004	APR_DRG	—	18	6	—	—	$246,150.20	$258,457.85	$248,611.73	2026-01-13
5831	APR_DRG	—	18	6	—	—	$245,623.55	$257,904.87	$248,079.82	2026-01-13
73	APR_DRG	—	14	5	—	—	$226,948.06	$238,295.59	$226,948.06	2026-01-13
5883	APR_DRG	—	18	6	—	—	$224,550.73	$235,778.40	$226,796.27	2026-01-13
5882	APR_DRG	—	18	6	—	—	$223,524.42	$234,700.77	$225,759.69	2026-01-13
44	APR_DRG	—	18	6	—	—	$222,946.42	$234,093.87	$225,175.91	2026-01-13
8414	APR_DRG	—	18	6	—	—	$221,988.01	$233,087.54	$224,207.92	2026-01-13
6314	APR_DRG	—	18	6	—	—	$219,770.87	$230,759.54	$221,968.60	2026-01-13
8504	APR_DRG	—	18	6	—	—	$213,981.24	$224,680.43	$216,121.08	2026-01-13
5914	APR_DRG	—	18	6	—	—	$212,064.42	$222,667.76	$214,185.09	2026-01-13
1613	APR_DRG	—	18	6	—	—	$211,814.59	$222,405.44	$213,932.76	2026-01-13
5881	APR_DRG	—	18	6	—	—	$210,695.14	$221,230.02	$212,802.11	2026-01-13
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	23	—	—	$66,405.78	$207,187.54	$74,793.88	2026-01-13
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	37	23	—	—	$69,058.74	$204,422.21	$78,508.88	2026-01-13
14	APR_DRG	—	14	5	—	—	$192,916.25	$202,562.18	$192,916.25	2026-01-13
84	APR_DRG	—	18	6	—	—	$192,143.26	$201,750.53	$194,064.72	2026-01-13
14	MS_DRG	Allogeneic Bone Marrow Transplant	26	21	—	—	$83,055.09	$201,080.74	$88,737.80	2026-01-13
7	MS_DRG	Lung Transplant	26	21	—	—	$82,845.89	$200,574.26	$88,514.29	2026-01-13
6814	APR_DRG	—	18	6	—	—	$188,729.20	$198,165.76	$190,616.51	2026-01-13
1604	APR_DRG	—	18	6	—	—	$188,623.87	$198,055.17	$190,510.13	2026-01-13
93	APR_DRG	—	18	6	—	—	$187,047.41	$196,399.89	$188,917.90	2026-01-13
J7330	HCPCS	Cultured Chondrocytes Implnt	49	26	—	—	$66,479.19	$194,331.11	$130,405.15	2026-01-13
2464	APR_DRG	—	18	6	—	—	$182,912.58	$192,058.32	$184,741.73	2026-01-13
6034	APR_DRG	—	18	6	—	—	$181,968.97	$191,067.52	$183,788.68	2026-01-13
215	MS_DRG	Other Heart Assist System Implant	39	23	—	—	$30,085.00	$187,181.64	$76,353.36	2026-01-13
J9226	HCPCS	Supprelin La Implant	37	22	—	—	$220.99	$187,052.51	$48,098.68	2026-01-13
64	APR_DRG	—	14	5	—	—	$176,595.44	$185,425.31	$176,595.44	2026-01-13
5891	APR_DRG	—	18	6	—	—	$176,581.51	$185,410.68	$178,347.35	2026-01-13
5934	APR_DRG	—	18	6	—	—	$176,053.12	$184,855.88	$177,813.67	2026-01-13
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	40	24	—	—	$61,180.37	$183,906.86	$70,840.43	2026-01-13
5892	APR_DRG	—	18	6	—	—	$171,143.56	$179,700.83	$172,855.02	2026-01-13
Q0480	HCPCS	Dme Pos	49	26	—	—	$173,313.36	$173,313.36	$173,313.36	2026-01-13
1624	APR_DRG	—	18	6	—	—	$164,542.63	$172,769.86	$166,188.08	2026-01-13
6024	APR_DRG	—	18	6	—	—	$161,842.37	$169,934.58	$163,460.82	2026-01-13
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	33	23	—	—	$52,872.83	$169,371.47	$59,551.50	2026-01-13
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	26	21	—	—	$69,856.22	$169,125.58	$74,635.86	2026-01-13
5893	APR_DRG	—	18	6	—	—	$160,528.80	$168,555.33	$162,134.10	2026-01-13
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	26	21	—	—	$67,508.81	$163,442.37	$72,127.83	2026-01-13
850	MS_DRG	Acute Leukemia With Other Procedures	33	23	—	—	$58,396.19	$162,789.94	$65,772.55	2026-01-13
6214	APR_DRG	—	18	6	—	—	$153,687.62	$161,372.09	$155,224.52	2026-01-13
72	APR_DRG	—	14	5	—	—	$152,483.73	$160,108.01	$152,483.73	2026-01-13
1612	APR_DRG	—	18	6	—	—	$152,261.76	$159,874.93	$153,784.40	2026-01-13
231	MS_DRG	Coronary Bypass With Ptca With Mcc	40	24	—	—	$53,717.85	$158,473.69	$62,199.61	2026-01-13
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	33	23	—	—	$53,688.05	$157,975.52	$60,469.70	2026-01-13
8634	APR_DRG	—	18	6	—	—	$148,186.12	$155,595.52	$149,668.00	2026-01-13
6303	APR_DRG	—	18	6	—	—	$146,762.87	$154,101.10	$148,230.52	2026-01-13
1611	APR_DRG	—	18	6	—	—	$144,406.46	$151,626.86	$145,850.54	2026-01-13
4404	APR_DRG	—	14	5	—	—	$144,049.56	$151,252.12	$144,049.56	2026-01-13
54	APR_DRG	—	18	6	—	—	$143,391.47	$150,561.12	$144,825.40	2026-01-13
43	APR_DRG	—	18	6	—	—	$143,342.72	$150,509.94	$144,776.16	2026-01-13
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	33	23	—	—	$51,101.02	$147,925.57	$57,555.89	2026-01-13
5913	APR_DRG	—	18	6	—	—	$139,644.01	$146,626.29	$141,040.47	2026-01-13
6804	APR_DRG	—	18	6	—	—	$139,644.01	$146,626.29	$141,040.47	2026-01-13
6084	APR_DRG	—	18	6	—	—	$139,247.93	$146,210.41	$140,640.42	2026-01-13
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	40	24	—	—	$49,049.65	$144,344.36	$56,794.33	2026-01-13
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	40	24	—	—	$49,549.82	$143,722.11	$57,373.47	2026-01-13
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	33	23	—	—	$47,317.14	$143,246.50	$53,294.05	2026-01-13
4414	APR_DRG	—	18	6	—	—	$136,323.09	$143,139.32	$137,686.33	2026-01-13
23	APR_DRG	—	14	5	—	—	$132,643.53	$139,275.78	$132,643.53	2026-01-13
83	APR_DRG	—	18	6	—	—	$129,874.50	$136,368.30	$131,173.26	2026-01-13
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	33	23	—	—	$45,025.53	$135,702.46	$50,712.96	2026-01-13
1784	APR_DRG	—	18	6	—	—	$127,681.73	$134,065.89	$128,958.57	2026-01-13
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	39	23	—	—	$44,799.21	$134,044.39	$51,872.77	2026-01-13
5933	APR_DRG	—	18	6	—	—	$125,740.54	$132,027.64	$126,997.96	2026-01-13
6114	APR_DRG	—	18	6	—	—	$125,596.04	$131,875.91	$126,852.01	2026-01-13
1674	APR_DRG	—	18	6	—	—	$125,040.67	$131,292.77	$126,291.09	2026-01-13
6904	APR_DRG	—	18	6	—	—	$123,917.73	$130,113.69	$125,156.92	2026-01-13
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	33	23	—	—	$44,098.72	$129,934.93	$49,669.09	2026-01-13
434	APR_DRG	—	18	6	—	—	$123,158.67	$129,316.67	$124,390.27	2026-01-13
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	39	23	—	—	$42,267.33	$129,297.64	$48,941.12	2026-01-13
92	APR_DRG	—	18	6	—	—	$123,020.26	$129,171.34	$124,250.48	2026-01-13
955	MS_DRG	Craniotomy For Multiple Significant Trauma	33	23	—	—	$8,752.00	$126,537.95	$47,842.46	2026-01-13
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	37	23	—	—	$42,502.52	$125,607.40	$48,318.65	2026-01-13
91	APR_DRG	—	18	6	—	—	$119,305.01	$125,270.33	$120,498.07	2026-01-13
6334	APR_DRG	—	18	6	—	—	$116,797.13	$122,637.05	$117,965.11	2026-01-13
10	MS_DRG	Pancreas Transplant	26	21	—	—	$50,542.54	$122,366.14	$54,000.71	2026-01-13
3034	APR_DRG	—	18	6	—	—	$116,085.06	$121,889.38	$117,245.92	2026-01-13
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	26	21	—	—	$50,252.83	$121,664.76	$53,691.18	2026-01-13
5912	APR_DRG	—	18	6	—	—	$115,298.14	$121,063.11	$116,451.14	2026-01-13
6074	APR_DRG	—	18	6	—	—	$114,169.99	$119,878.55	$115,311.70	2026-01-13
63	APR_DRG	—	14	5	—	—	$114,122.98	$119,829.19	$114,122.98	2026-01-13
38240	CPT	Transplt Allo Hct/donor	40	24	—	—	$2,295.72	$119,712.78	$59,856.39	2026-01-13
2204	APR_DRG	—	18	6	—	—	$108,793.84	$114,233.59	$109,881.79	2026-01-13
6134	APR_DRG	—	18	6	—	—	$108,201.04	$113,611.15	$109,283.06	2026-01-13
4474	APR_DRG	—	18	6	—	—	$107,947.72	$113,345.17	$109,027.21	2026-01-13
22	APR_DRG	—	14	5	—	—	$106,556.68	$111,884.58	$106,556.68	2026-01-13
234	APR_DRG	—	18	6	—	—	$106,348.63	$111,666.13	$107,412.13	2026-01-13
9104	APR_DRG	—	18	6	—	—	$105,963.88	$111,262.13	$107,023.53	2026-01-13
6023	APR_DRG	—	18	6	—	—	$104,598.08	$109,828.04	$105,644.07	2026-01-13
53	APR_DRG	—	18	6	—	—	$103,294.08	$108,458.85	$104,327.04	2026-01-13
62	APR_DRG	—	14	5	—	—	$103,222.70	$108,383.90	$103,222.70	2026-01-13
9504	APR_DRG	—	18	6	—	—	$102,817.93	$107,958.88	$103,846.12	2026-01-13
61	APR_DRG	—	14	5	—	—	$101,889.98	$106,984.54	$101,889.98	2026-01-13
71	APR_DRG	—	14	5	—	—	$100,126.37	$105,132.75	$100,126.37	2026-01-13
13	APR_DRG	—	14	5	—	—	$99,395.16	$104,364.97	$99,395.16	2026-01-13
6093	APR_DRG	—	18	6	—	—	$99,277.64	$104,241.58	$100,270.43	2026-01-13
264	APR_DRG	—	18	6	—	—	$99,217.58	$104,178.52	$100,209.76	2026-01-13
5932	APR_DRG	—	18	6	—	—	$98,789.30	$103,728.82	$99,777.21	2026-01-13
3033	APR_DRG	—	18	6	—	—	$98,203.46	$103,113.69	$99,185.51	2026-01-13
1824	APR_DRG	—	18	6	—	—	$98,124.24	$103,030.51	$99,105.49	2026-01-13
1634	APR_DRG	—	18	6	—	—	$98,065.92	$102,969.27	$99,046.59	2026-01-13
7924	APR_DRG	—	18	6	—	—	$96,460.74	$101,283.83	$97,425.36	2026-01-13
3044	APR_DRG	—	18	6	—	—	$96,437.23	$101,259.15	$97,401.61	2026-01-13
2054	APR_DRG	—	18	6	—	—	$96,164.77	$100,973.07	$97,126.43	2026-01-13
6954	APR_DRG	—	18	6	—	—	$96,041.16	$100,843.27	$97,001.58	2026-01-13
8413	APR_DRG	—	18	6	—	—	$95,942.80	$100,739.99	$96,902.24	2026-01-13
52	APR_DRG	—	18	6	—	—	$94,330.65	$99,047.24	$95,273.96	2026-01-13
6514	APR_DRG	—	18	6	—	—	$94,014.66	$98,715.45	$94,954.82	2026-01-13
42	APR_DRG	—	18	6	—	—	$93,721.31	$98,407.42	$94,658.53	2026-01-13
6144	APR_DRG	—	18	6	—	—	$92,736.78	$97,373.67	$93,664.16	2026-01-13
1623	APR_DRG	—	18	6	—	—	$92,579.22	$97,208.24	$93,505.02	2026-01-13
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	49	26	—	—	$76,230.00	$97,020.00	$86,625.00	2026-01-13
214	APR_DRG	—	18	6	—	—	$92,359.86	$96,977.91	$93,283.47	2026-01-13
2304	APR_DRG	—	18	6	—	—	$92,026.46	$96,627.84	$92,946.74	2026-01-13
E0767	HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	48	26	—	—	$75,679.76	$96,319.69	$85,999.73	2026-01-13
224	APR_DRG	—	18	6	—	—	$91,663.47	$96,246.69	$92,580.11	2026-01-13
4424	APR_DRG	—	18	6	—	—	$91,161.19	$95,719.31	$92,072.82	2026-01-13
9524	APR_DRG	—	18	6	—	—	$90,601.47	$95,131.60	$91,507.49	2026-01-13
9114	APR_DRG	—	18	6	—	—	$89,773.63	$94,262.37	$90,671.38	2026-01-13
4403	APR_DRG	—	14	5	—	—	$88,164.97	$92,573.27	$88,164.97	2026-01-13
3154	APR_DRG	—	18	6	—	—	$88,158.87	$92,566.87	$89,040.47	2026-01-13
1694	APR_DRG	—	18	6	—	—	$87,859.43	$92,252.45	$88,738.03	2026-01-13
1204	APR_DRG	—	18	6	—	—	$87,502.53	$91,877.70	$88,377.57	2026-01-13
4834	APR_DRG	—	18	6	—	—	$87,170.00	$91,528.55	$88,041.71	2026-01-13
894	APR_DRG	—	18	6	—	—	$86,235.09	$90,546.90	$87,097.45	2026-01-13
9124	APR_DRG	—	18	6	—	—	$86,121.06	$90,427.16	$86,982.28	2026-01-13
1304	APR_DRG	—	18	6	—	—	$86,099.30	$90,404.31	$86,960.30	2026-01-13
1654	APR_DRG	—	18	6	—	—	$84,817.06	$89,057.97	$85,665.24	2026-01-13
5911	APR_DRG	—	18	6	—	—	$83,130.92	$87,287.52	$83,962.24	2026-01-13
2604	APR_DRG	—	18	6	—	—	$82,677.40	$86,811.32	$83,504.18	2026-01-13
21	APR_DRG	—	14	5	—	—	$82,535.51	$86,662.33	$82,535.51	2026-01-13
1783	APR_DRG	—	18	6	—	—	$81,709.41	$85,794.93	$82,526.51	2026-01-13
1214	APR_DRG	—	18	6	—	—	$81,662.41	$85,745.58	$82,479.04	2026-01-13
6313	APR_DRG	—	18	6	—	—	$81,363.83	$85,432.07	$82,177.48	2026-01-13
6254	APR_DRG	—	18	6	—	—	$80,706.61	$84,741.99	$81,513.68	2026-01-13
6124	APR_DRG	—	18	6	—	—	$80,474.19	$84,497.94	$81,278.94	2026-01-13
1603	APR_DRG	—	18	6	—	—	$79,710.77	$83,696.35	$80,507.89	2026-01-13
2244	APR_DRG	—	18	6	—	—	$79,583.68	$83,562.91	$80,379.52	2026-01-13
6022	APR_DRG	—	18	6	—	—	$79,029.18	$82,980.68	$79,819.48	2026-01-13
3614	APR_DRG	—	18	6	—	—	$78,808.07	$82,748.52	$79,596.16	2026-01-13
914	APR_DRG	—	18	6	—	—	$78,384.14	$82,303.39	$79,167.99	2026-01-13
204	APR_DRG	—	18	6	—	—	$77,584.16	$81,463.41	$78,360.01	2026-01-13
51	APR_DRG	—	18	6	—	—	$77,056.65	$80,909.52	$77,827.23	2026-01-13
41	APR_DRG	—	18	6	—	—	$76,908.66	$80,754.14	$77,677.76	2026-01-13
12	APR_DRG	—	14	5	—	—	$76,344.58	$80,161.86	$76,344.58	2026-01-13
1814	APR_DRG	—	18	6	—	—	$76,313.25	$80,128.95	$77,076.39	2026-01-13
2274	APR_DRG	—	18	6	—	—	$76,079.96	$79,884.00	$76,840.77	2026-01-13
6604	APR_DRG	—	18	6	—	—	$75,830.12	$79,621.67	$76,588.43	2026-01-13
6234	APR_DRG	—	18	6	—	—	$75,814.46	$79,605.22	$76,572.61	2026-01-13
8424	APR_DRG	—	18	6	—	—	$75,729.15	$79,515.65	$76,486.45	2026-01-13
1834	APR_DRG	—	18	6	—	—	$73,798.40	$77,488.36	$74,536.39	2026-01-13
11	APR_DRG	—	14	5	—	—	$73,478.06	$77,152.01	$73,478.06	2026-01-13
2614	APR_DRG	—	18	6	—	—	$72,627.59	$76,259.01	$73,353.88	2026-01-13
6073	APR_DRG	—	18	6	—	—	$72,368.19	$75,986.64	$73,091.88	2026-01-13
1833	APR_DRG	—	18	6	—	—	$71,986.04	$75,585.38	$72,705.91	2026-01-13
9514	APR_DRG	—	18	6	—	—	$71,704.00	$75,289.24	$72,421.05	2026-01-13
3032	APR_DRG	—	18	6	—	—	$71,251.35	$74,813.96	$71,963.87	2026-01-13
504	APR_DRG	—	18	6	—	—	$70,531.45	$74,058.07	$71,236.77	2026-01-13
1782	APR_DRG	—	18	6	—	—	$70,128.42	$73,634.88	$70,829.71	2026-01-13
7104	APR_DRG	—	18	6	—	—	$70,009.16	$73,509.66	$70,709.26	2026-01-13
6033	APR_DRG	—	18	6	—	—	$69,394.59	$72,864.36	$70,088.54	2026-01-13
1622	APR_DRG	—	18	6	—	—	$69,129.96	$72,586.50	$69,821.27	2026-01-13
2234	APR_DRG	—	18	6	—	—	$68,332.59	$71,749.26	$69,015.92	2026-01-13
6914	APR_DRG	—	18	6	—	—	$67,912.15	$71,307.79	$68,591.28	2026-01-13
82	APR_DRG	—	18	6	—	—	$67,606.61	$70,986.97	$68,282.68	2026-01-13
6944	APR_DRG	—	18	6	—	—	$67,224.46	$70,585.72	$67,896.71	2026-01-13
7234	APR_DRG	—	18	6	—	—	$67,133.06	$70,489.75	$67,804.40	2026-01-13
924	APR_DRG	—	18	6	—	—	$66,411.42	$69,732.03	$67,075.54	2026-01-13
1633	APR_DRG	—	18	6	—	—	$65,677.60	$68,961.52	$66,334.39	2026-01-13
1664	APR_DRG	—	18	6	—	—	$65,547.90	$68,825.33	$66,203.38	2026-01-13
6614	APR_DRG	—	18	6	—	—	$64,952.48	$68,200.14	$65,602.01	2026-01-13
1781	APR_DRG	—	18	6	—	—	$64,285.69	$67,500.01	$64,928.56	2026-01-13
923	APR_DRG	—	18	6	—	—	$64,055.88	$67,258.71	$64,696.44	2026-01-13
1764	APR_DRG	—	18	6	—	—	$63,678.08	$66,862.03	$64,314.87	2026-01-13
5134	APR_DRG	—	18	6	—	—	$62,775.39	$65,914.19	$63,403.15	2026-01-13
1794	APR_DRG	—	18	6	—	—	$62,737.08	$65,873.98	$63,364.46	2026-01-13
3124	APR_DRG	—	18	6	—	—	$62,651.78	$65,784.40	$63,278.31	2026-01-13
8412	APR_DRG	—	18	6	—	—	$62,347.11	$65,464.50	$62,970.58	2026-01-13
E0738	HCPCS	Upper Extremity Rehab	48	26	—	—	$51,277.05	$65,261.70	$58,269.38	2026-01-13
E0739	HCPCS	Rehab Sys Active Assist Rt	48	26	—	—	$51,277.05	$65,261.70	$58,269.38	2026-01-13
1714	APR_DRG	—	18	6	—	—	$62,017.19	$65,118.08	$62,637.37	2026-01-13
8411	APR_DRG	—	18	6	—	—	$61,862.24	$64,955.39	$62,480.87	2026-01-13
2644	APR_DRG	—	18	6	—	—	$61,536.68	$64,613.55	$62,152.06	2026-01-13
1621	APR_DRG	—	18	6	—	—	$61,338.21	$64,405.15	$61,951.60	2026-01-13
5104	APR_DRG	—	18	6	—	—	$60,678.38	$63,712.33	$61,285.17	2026-01-13
7404	APR_DRG	—	18	6	—	—	$60,618.31	$63,649.26	$61,224.50	2026-01-13
4013	APR_DRG	—	18	6	—	—	$60,391.11	$63,410.70	$60,995.03	2026-01-13
3043	APR_DRG	—	18	6	—	—	$60,385.02	$63,404.31	$60,988.88	2026-01-13
3104	APR_DRG	—	18	6	—	—	$59,745.21	$62,732.51	$60,342.67	2026-01-13
2334	APR_DRG	—	18	6	—	—	$59,704.30	$62,689.55	$60,301.35	2026-01-13
5114	APR_DRG	—	18	6	—	—	$59,618.12	$62,599.06	$60,214.31	2026-01-13
6344	APR_DRG	—	18	6	—	—	$59,398.76	$62,368.73	$59,992.75	2026-01-13
4804	APR_DRG	—	18	6	—	—	$59,147.18	$62,104.58	$59,738.66	2026-01-13
7114	APR_DRG	—	18	6	—	—	$58,793.77	$61,733.49	$59,381.71	2026-01-13
304	APR_DRG	—	18	6	—	—	$58,640.56	$61,572.62	$59,226.97	2026-01-13
1303	APR_DRG	—	18	6	—	—	$58,462.11	$61,385.25	$59,046.74	2026-01-13
3464	APR_DRG	—	18	6	—	—	$58,447.31	$61,369.71	$59,031.79	2026-01-13
4044	APR_DRG	—	18	6	—	—	$58,264.51	$61,177.77	$58,847.16	2026-01-13
4434	APR_DRG	—	18	6	—	—	$57,824.04	$60,715.27	$58,402.29	2026-01-13
1804	APR_DRG	—	18	6	—	—	$57,795.31	$60,685.11	$58,373.27	2026-01-13
294	APR_DRG	—	18	6	—	—	$57,751.79	$60,639.41	$58,329.32	2026-01-13
734	APR_DRG	—	18	6	—	—	$57,636.01	$60,517.85	$58,212.38	2026-01-13
4684	APR_DRG	—	18	6	—	—	$57,345.27	$60,212.57	$57,918.73	2026-01-13
3134	APR_DRG	—	18	6	—	—	$57,184.23	$60,043.47	$57,756.08	2026-01-13
4402	APR_DRG	—	14	5	—	—	$56,706.33	$59,541.68	$56,706.33	2026-01-13
8154	APR_DRG	—	18	6	—	—	$56,674.99	$59,508.77	$57,241.75	2026-01-13
81	APR_DRG	—	18	6	—	—	$56,624.50	$59,455.76	$57,190.76	2026-01-13
913	APR_DRG	—	18	6	—	—	$56,239.75	$59,051.77	$56,802.15	2026-01-13
1754	APR_DRG	—	18	6	—	—	$56,150.09	$58,957.62	$56,711.60	2026-01-13
6924	APR_DRG	—	18	6	—	—	$56,110.91	$58,916.49	$56,672.03	2026-01-13
984	APR_DRG	—	18	6	—	—	$56,037.79	$58,839.72	$56,598.18	2026-01-13
2314	APR_DRG	—	18	6	—	—	$55,824.52	$58,615.78	$56,382.77	2026-01-13
1653	APR_DRG	—	18	6	—	—	$55,765.33	$58,553.63	$56,322.99	2026-01-13
8104	APR_DRG	—	18	6	—	—	$55,743.57	$58,530.78	$56,301.01	2026-01-13
6032	APR_DRG	—	18	6	—	—	$55,586.01	$58,365.34	$56,141.88	2026-01-13
1602	APR_DRG	—	18	6	—	—	$55,384.93	$58,154.20	$55,938.79	2026-01-13
4844	APR_DRG	—	18	6	—	—	$55,231.72	$57,993.34	$55,784.04	2026-01-13
6083	APR_DRG	—	18	6	—	—	$55,187.33	$57,946.72	$55,739.21	2026-01-13
494	APR_DRG	—	18	6	—	—	$55,082.87	$57,837.04	$55,633.71	2026-01-13
1704	APR_DRG	—	18	6	—	—	$54,755.56	$57,493.37	$55,303.12	2026-01-13
6903	APR_DRG	—	18	6	—	—	$54,541.42	$57,268.52	$55,086.84	2026-01-13
1673	APR_DRG	—	18	6	—	—	$54,315.09	$57,030.88	$54,858.25	2026-01-13
4054	APR_DRG	—	18	6	—	—	$54,199.32	$56,909.32	$54,741.32	2026-01-13
4014	APR_DRG	—	18	6	—	—	$54,004.33	$56,704.58	$54,544.38	2026-01-13
3254	APR_DRG	—	18	6	—	—	$53,891.17	$56,585.75	$54,430.08	2026-01-13
6613	APR_DRG	—	18	6	—	—	$53,253.97	$55,916.70	$53,786.51	2026-01-13
274	APR_DRG	—	18	6	—	—	$53,190.42	$55,849.97	$53,722.33	2026-01-13
4401	APR_DRG	—	14	5	—	—	$53,155.60	$55,813.41	$53,155.60	2026-01-13
6302	APR_DRG	—	18	6	—	—	$52,976.28	$55,625.12	$53,506.05	2026-01-13
213	APR_DRG	—	18	6	—	—	$52,859.63	$55,502.65	$53,388.24	2026-01-13
7934	APR_DRG	—	18	6	—	—	$52,523.63	$55,149.84	$53,048.87	2026-01-13
3214	APR_DRG	—	18	6	—	—	$52,506.22	$55,131.56	$53,031.29	2026-01-13
3031	APR_DRG	—	18	6	—	—	$52,488.81	$55,113.28	$53,013.70	2026-01-13
244	APR_DRG	—	18	6	—	—	$52,399.15	$55,019.13	$52,923.15	2026-01-13
1801	APR_DRG	—	18	6	—	—	$52,360.84	$54,978.92	$52,884.46	2026-01-13
3084	APR_DRG	—	18	6	—	—	$52,185.01	$54,794.29	$52,706.87	2026-01-13
6072	APR_DRG	—	18	6	—	—	$52,065.75	$54,669.07	$52,586.41	2026-01-13
5144	APR_DRG	—	18	6	—	—	$51,786.32	$54,375.67	$52,304.19	2026-01-13
233	APR_DRG	—	18	6	—	—	$51,774.13	$54,362.87	$52,291.88	2026-01-13
2224	APR_DRG	—	18	6	—	—	$51,741.06	$54,328.14	$52,258.47	2026-01-13
5124	APR_DRG	—	18	6	—	—	$51,680.12	$54,264.16	$52,196.93	2026-01-13
4012	APR_DRG	—	18	6	—	—	$51,462.50	$54,035.65	$51,977.13	2026-01-13
433	APR_DRG	—	18	6	—	—	$51,255.32	$53,818.12	$51,767.88	2026-01-13
1302	APR_DRG	—	18	6	—	—	$51,110.82	$53,666.39	$51,621.93	2026-01-13
6803	APR_DRG	—	18	6	—	—	$51,083.84	$53,638.06	$51,594.68	2026-01-13
404	APR_DRG	—	18	6	—	—	$51,082.96	$53,637.14	$51,593.80	2026-01-13
293	APR_DRG	—	18	6	—	—	$50,894.94	$53,439.72	$51,403.90	2026-01-13
7923	APR_DRG	—	18	6	—	—	$50,297.78	$52,812.70	$50,800.76	2026-01-13
6813	APR_DRG	—	18	6	—	—	$50,105.40	$52,610.70	$50,606.46	2026-01-13
4444	APR_DRG	—	18	6	—	—	$49,758.95	$52,246.93	$50,256.54	2026-01-13
2454	APR_DRG	—	18	6	—	—	$49,687.57	$52,171.98	$50,184.45	2026-01-13
6113	APR_DRG	—	18	6	—	—	$49,190.52	$51,650.07	$49,682.43	2026-01-13
203	APR_DRG	—	18	6	—	—	$48,777.04	$51,215.92	$49,264.82	2026-01-13
3224	APR_DRG	—	18	6	—	—	$48,656.04	$51,088.87	$49,142.60	2026-01-13
1632	APR_DRG	—	18	6	—	—	$48,622.09	$51,053.22	$49,108.32	2026-01-13
2824	APR_DRG	—	18	6	—	—	$48,371.39	$50,789.99	$48,855.11	2026-01-13
4624	APR_DRG	—	18	6	—	—	$48,261.71	$50,674.82	$48,744.33	2026-01-13
273	APR_DRG	—	18	6	—	—	$48,234.72	$50,646.49	$48,717.07	2026-01-13
7594	APR_DRG	—	18	6	—	—	$48,219.92	$50,630.95	$48,702.12	2026-01-13
594	APR_DRG	—	18	6	—	—	$48,184.23	$50,593.47	$48,666.08	2026-01-13
6504	APR_DRG	—	18	6	—	—	$48,107.63	$50,513.04	$48,588.71	2026-01-13
1793	APR_DRG	—	18	6	—	—	$48,105.89	$50,511.21	$48,586.96	2026-01-13
2634	APR_DRG	—	18	6	—	—	$48,081.52	$50,485.62	$48,562.34	2026-01-13
2613	APR_DRG	—	18	6	—	—	$48,006.65	$50,407.01	$48,486.73	2026-01-13
2264	APR_DRG	—	18	6	—	—	$47,941.37	$50,338.46	$48,420.79	2026-01-13
2074	APR_DRG	—	18	6	—	—	$47,526.14	$49,902.48	$48,001.41	2026-01-13
3054	APR_DRG	—	18	6	—	—	$47,493.93	$49,868.66	$47,968.88	2026-01-13
1934	APR_DRG	—	18	6	—	—	$47,116.14	$49,471.98	$47,587.31	2026-01-13
6123	APR_DRG	—	18	6	—	—	$47,033.45	$49,385.14	$47,503.79	2026-01-13

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