Hospital

CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS

Sulphur Springs, TX · CCN 450236 · Rates published

19,226 distinct procedures filed

25 distinct payers

680,163 rate rows

2026-01-12 last MRF observed

Data quality

495,020 of 680,163 rate rows are consumer-grade (72.8%)

185,143 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	182,426
per-diem day rate — not a per-procedure price	2,278
template filing: same amount across many unrelated codes — excluded	378
placeholder amount (≤ $0.02) — excluded from medians	61

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/811708177_motherfranceshospitalsulphursprings_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	31190e4ab64333e6… · 141,491,469 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	17	$3,821,307.87	$4,203,438.66	$3,821,307.87	nat. median $3,710,000 1.0× median
J1414 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	17	$3,821,307.87	$4,203,438.66	$3,821,307.87	nat. median $3,710,000 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	25	$2,475,567.61	$4,951,135.22	$3,713,351.42	nat. median $2,468,984 1.5× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	25	$2,401,964.94	$4,803,929.88	$3,602,947.41	nat. median $2,448,600 1.5× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	17	$3,421,442.00	$4,790,018.80	$3,421,442.00	nat. median $3,325,455 1.0× median
J3394 HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	17	$3,288,796.77	$4,604,315.48	$3,288,796.77	nat. median $3,286,000 1.0× median
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	17	$3,057,046.29	$4,279,864.81	$3,057,046.29	nat. median $3,004,655 1.0× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	25	$567,859.06	$1,847,928.60	$1,207,893.83	nat. median $674,867 1.8× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	25	$544,162.92	$1,667,109.78	$1,105,636.35	nat. median $625,184 1.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	25	$531,981.64	$1,630,548.61	$1,081,265.12	nat. median $673,137 1.6× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	25	$582,593.75	$1,532,918.10	$1,057,755.93	nat. median $753,246 1.4× median
Q2053 HCPCS	Brexucabtagene Car Pos T	25	$502,694.09	$1,482,316.92	$992,505.51	nat. median $619,808 1.6× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	25	$504,203.70	$1,413,856.50	$959,030.10	nat. median $634,303 1.5× median
5834 APR_DRG		5	$726,579.36	$762,908.29	$762,908.29	nat. median $309,665 outlier · 2.5×
74 APR_DRG		5	$706,817.07	$742,157.89	$742,157.89	nat. median $187,061 outlier · 4.0×
5833 APR_DRG		5	$615,240.70	$646,002.70	$646,002.70	nat. median $244,017 outlier · 2.6×
24 APR_DRG		5	$591,844.13	$621,436.31	$621,436.31	nat. median $234,729 outlier · 2.6×
5884 APR_DRG		5	$459,912.81	$482,908.43	$482,908.43	nat. median $246,434 2.0× median
1614 APR_DRG		5	$446,606.89	$468,937.22	$468,937.22	nat. median $207,730 outlier · 2.3×
94 APR_DRG		5	$418,400.33	$439,320.33	$439,320.33	nat. median $164,834 outlier · 2.7×
6304 APR_DRG		5	$342,205.79	$359,316.06	$359,316.06	nat. median $150,721 outlier · 2.4×
6094 APR_DRG		5	$339,173.24	$356,131.88	$356,131.88	nat. median $162,982 outlier · 2.2×
J9029 HCPCS	Instill Adstiladrin, Tx Dose	25	$65,304.24	$638,400.00	$351,852.12	nat. median $69,774 outlier · 5.0×
5832 APR_DRG		5	$306,560.39	$321,888.40	$321,888.40	nat. median $156,126 outlier · 2.1×
100T CPT	Prosth Retina Receive&gen	17	$231,800.76	$343,126.13	$287,463.45	—
2004 APR_DRG		5	$270,511.29	$284,036.84	$284,036.84	nat. median $32,541 outlier · 8.7×
5831 APR_DRG		5	$269,932.52	$283,429.13	$283,429.13	nat. median $144,745 2.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	$243,454.46	$589,416.06	$266,478.64	nat. median $370,174 0.7× median
73 APR_DRG		5	$249,408.75	$261,879.17	$261,879.17	nat. median $89,273 outlier · 2.9×
5883 APR_DRG		5	$246,774.16	$259,112.85	$259,112.85	nat. median $182,665 1.4× median
5882 APR_DRG		5	$245,646.28	$257,928.58	$257,928.58	nat. median $145,336 1.8× median
44 APR_DRG		5	$245,011.07	$257,261.61	$257,261.61	nat. median $105,658 outlier · 2.4×
8414 APR_DRG		5	$243,957.80	$256,155.68	$256,155.68	nat. median $160,267 1.6× median
6314 APR_DRG		5	$241,521.24	$253,597.29	$253,597.29	nat. median $122,924 outlier · 2.1×
8504 APR_DRG		5	$235,158.62	$246,916.54	$246,916.54	nat. median $73,845 outlier · 3.3×
5914 APR_DRG		5	$233,052.10	$244,704.69	$244,704.69	nat. median $164,289 1.5× median
1613 APR_DRG		5	$232,777.54	$244,416.41	$244,416.41	nat. median $119,796 outlier · 2.0×
5881 APR_DRG		5	$231,547.30	$243,124.65	$243,124.65	nat. median $124,573 2.0× median
14 APR_DRG		5	$212,008.87	$222,609.30	$222,609.30	nat. median $129,535 1.7× median
84 APR_DRG		5	$211,159.37	$221,717.33	$221,717.33	nat. median $79,774 outlier · 2.8×
6814 APR_DRG		5	$207,407.42	$217,777.78	$217,777.78	nat. median $73,288 outlier · 3.0×
1604 APR_DRG		5	$207,291.67	$217,656.24	$217,656.24	nat. median $97,957 outlier · 2.2×
93 APR_DRG		5	$205,559.19	$215,837.14	$215,837.14	nat. median $78,990 outlier · 2.7×
2464 APR_DRG		5	$201,015.15	$211,065.89	$211,065.89	nat. median $22,749 outlier · 9.3×
6034 APR_DRG		5	$199,978.15	$209,977.04	$209,977.04	nat. median $109,499 1.9× median
64 APR_DRG		5	$194,072.80	$203,776.43	$203,776.43	nat. median $91,009 outlier · 2.2×
5891 APR_DRG		5	$194,057.50	$203,760.36	$203,760.36	nat. median $93,370 outlier · 2.2×
5934 APR_DRG		5	$193,476.82	$203,150.65	$203,150.65	nat. median $151,838 1.3× median
5892 APR_DRG		5	$188,081.36	$197,485.42	$197,485.42	nat. median $89,796 outlier · 2.2×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	18	$181,840.07	$440,244.38	$197,152.92	nat. median $265,286 0.7× median

Other procedures at this hospital

Browse this hospital's 19,226 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

J1414	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	18	17	—	—	$3,821,307.87	$4,203,438.66	$3,821,307.87	2026-01-12
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	18	17	—	—	$3,821,307.87	$4,203,438.66	$3,821,307.87	2026-01-12
J3399	HCPCS	Inj Onase Abepar-xioi Treat	45	25	—	—	$2,475,567.61	$4,951,135.22	$3,713,351.42	2026-01-12
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	45	25	—	—	$2,401,964.94	$4,803,929.88	$3,602,947.41	2026-01-12
J1413	HCPCS	Inj Delandistrogene Mox Rokl	19	17	—	—	$3,421,442.00	$4,790,018.80	$3,421,442.00	2026-01-12
J3394	HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	19	17	—	—	$3,288,796.77	$4,604,315.48	$3,288,796.77	2026-01-12
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	19	17	—	—	$3,057,046.29	$4,279,864.81	$3,057,046.29	2026-01-12
Q2056	HCPCS	Ciltacabtagene Car-pos T	44	25	—	—	$567,859.06	$1,847,928.60	$1,207,893.83	2026-01-12
Q2055	HCPCS	Idecabtagene Vicleucel Car	44	25	—	—	$544,162.92	$1,667,109.78	$1,105,636.35	2026-01-12
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	44	25	—	—	$531,981.64	$1,630,548.61	$1,081,265.12	2026-01-12
Q2042	HCPCS	Tisagenlecleucel Car-pos T	44	25	—	—	$582,593.75	$1,532,918.10	$1,057,755.93	2026-01-12
Q2053	HCPCS	Brexucabtagene Car Pos T	44	25	—	—	$502,694.09	$1,482,316.92	$992,505.51	2026-01-12
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	44	25	—	—	$504,203.70	$1,413,856.50	$959,030.10	2026-01-12
5834	APR_DRG	—	10	5	—	—	$726,579.36	$762,908.29	$762,908.29	2026-01-12
74	APR_DRG	—	10	5	—	—	$706,817.07	$742,157.89	$742,157.89	2026-01-12
5833	APR_DRG	—	10	5	—	—	$615,240.70	$646,002.70	$646,002.70	2026-01-12
24	APR_DRG	—	10	5	—	—	$591,844.13	$621,436.31	$621,436.31	2026-01-12
5884	APR_DRG	—	10	5	—	—	$459,912.81	$482,908.43	$482,908.43	2026-01-12
1614	APR_DRG	—	10	5	—	—	$446,606.89	$468,937.22	$468,937.22	2026-01-12
94	APR_DRG	—	10	5	—	—	$418,400.33	$439,320.33	$439,320.33	2026-01-12
6304	APR_DRG	—	10	5	—	—	$342,205.79	$359,316.06	$359,316.06	2026-01-12
6094	APR_DRG	—	10	5	—	—	$339,173.24	$356,131.88	$356,131.88	2026-01-12
J9029	HCPCS	Instill Adstiladrin, Tx Dose	45	25	—	—	$65,304.24	$638,400.00	$351,852.12	2026-01-12
5832	APR_DRG	—	10	5	—	—	$306,560.39	$321,888.40	$321,888.40	2026-01-12
100T	CPT	Prosth Retina Receive&gen	33	17	—	—	$231,800.76	$343,126.13	$287,463.45	2026-01-12
2004	APR_DRG	—	10	5	—	—	$270,511.29	$284,036.84	$284,036.84	2026-01-12
5831	APR_DRG	—	10	5	—	—	$269,932.52	$283,429.13	$283,429.13	2026-01-12
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	25	19	—	—	$243,454.46	$589,416.06	$266,478.64	2026-01-12
73	APR_DRG	—	10	5	—	—	$249,408.75	$261,879.17	$261,879.17	2026-01-12
5883	APR_DRG	—	10	5	—	—	$246,774.16	$259,112.85	$259,112.85	2026-01-12
5882	APR_DRG	—	10	5	—	—	$245,646.28	$257,928.58	$257,928.58	2026-01-12
44	APR_DRG	—	10	5	—	—	$245,011.07	$257,261.61	$257,261.61	2026-01-12
8414	APR_DRG	—	10	5	—	—	$243,957.80	$256,155.68	$256,155.68	2026-01-12
6314	APR_DRG	—	10	5	—	—	$241,521.24	$253,597.29	$253,597.29	2026-01-12
8504	APR_DRG	—	10	5	—	—	$235,158.62	$246,916.54	$246,916.54	2026-01-12
5914	APR_DRG	—	10	5	—	—	$233,052.10	$244,704.69	$244,704.69	2026-01-12
1613	APR_DRG	—	10	5	—	—	$232,777.54	$244,416.41	$244,416.41	2026-01-12
5881	APR_DRG	—	10	5	—	—	$231,547.30	$243,124.65	$243,124.65	2026-01-12
14	APR_DRG	—	10	5	—	—	$212,008.87	$222,609.30	$222,609.30	2026-01-12
84	APR_DRG	—	10	5	—	—	$211,159.37	$221,717.33	$221,717.33	2026-01-12
6814	APR_DRG	—	10	5	—	—	$207,407.42	$217,777.78	$217,777.78	2026-01-12
1604	APR_DRG	—	10	5	—	—	$207,291.67	$217,656.24	$217,656.24	2026-01-12
93	APR_DRG	—	10	5	—	—	$205,559.19	$215,837.14	$215,837.14	2026-01-12
2464	APR_DRG	—	10	5	—	—	$201,015.15	$211,065.89	$211,065.89	2026-01-12
6034	APR_DRG	—	10	5	—	—	$199,978.15	$209,977.04	$209,977.04	2026-01-12
64	APR_DRG	—	10	5	—	—	$194,072.80	$203,776.43	$203,776.43	2026-01-12
5891	APR_DRG	—	10	5	—	—	$194,057.50	$203,760.36	$203,760.36	2026-01-12
5934	APR_DRG	—	10	5	—	—	$193,476.82	$203,150.65	$203,150.65	2026-01-12
5892	APR_DRG	—	10	5	—	—	$188,081.36	$197,485.42	$197,485.42	2026-01-12
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	19	18	—	—	$181,840.07	$440,244.38	$197,152.92	2026-01-12
1624	APR_DRG	—	10	5	—	—	$180,827.15	$189,868.50	$189,868.50	2026-01-12
6024	APR_DRG	—	10	5	—	—	$177,859.65	$186,752.62	$186,752.62	2026-01-12
5893	APR_DRG	—	10	5	—	—	$176,416.08	$185,236.87	$185,236.87	2026-01-12
6214	APR_DRG	—	10	5	—	—	$168,897.84	$177,342.72	$177,342.72	2026-01-12
72	APR_DRG	—	10	5	—	—	$167,574.80	$175,953.54	$175,953.54	2026-01-12
1612	APR_DRG	—	10	5	—	—	$167,330.86	$175,697.39	$175,697.39	2026-01-12
8634	APR_DRG	—	10	5	—	—	$162,851.87	$170,994.45	$170,994.45	2026-01-12
6303	APR_DRG	—	10	5	—	—	$161,287.76	$169,352.14	$169,352.14	2026-01-12
1611	APR_DRG	—	10	5	—	—	$158,698.13	$166,633.03	$166,633.03	2026-01-12
4404	APR_DRG	—	10	5	—	—	$158,305.91	$166,221.20	$166,221.20	2026-01-12
54	APR_DRG	—	10	5	—	—	$157,582.69	$165,461.81	$165,461.81	2026-01-12
43	APR_DRG	—	10	5	—	—	$157,529.12	$165,405.56	$165,405.56	2026-01-12
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	21	19	—	—	$153,142.21	$370,765.36	$162,814.35	2026-01-12
5913	APR_DRG	—	10	5	—	—	$153,464.35	$161,137.56	$161,137.56	2026-01-12
6804	APR_DRG	—	10	5	—	—	$153,464.35	$161,137.56	$161,137.56	2026-01-12
6084	APR_DRG	—	10	5	—	—	$153,029.08	$160,680.52	$160,680.52	2026-01-12
4414	APR_DRG	—	10	5	—	—	$149,814.76	$157,305.49	$157,305.49	2026-01-12
23	APR_DRG	—	10	5	—	—	$145,771.04	$153,059.59	$153,059.59	2026-01-12
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	26	19	—	—	$138,351.40	$334,956.02	$150,718.86	2026-01-12
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	44	25	—	—	$57,202.71	$242,943.88	$150,073.30	2026-01-12
83	APR_DRG	—	10	5	—	—	$142,727.97	$149,864.36	$149,864.36	2026-01-12
1784	APR_DRG	—	10	5	—	—	$140,318.19	$147,334.09	$147,334.09	2026-01-12
5933	APR_DRG	—	10	5	—	—	$138,184.88	$145,094.12	$145,094.12	2026-01-12
6114	APR_DRG	—	10	5	—	—	$138,026.08	$144,927.37	$144,927.37	2026-01-12
1674	APR_DRG	—	10	5	—	—	$137,415.74	$144,286.52	$144,286.52	2026-01-12
6904	APR_DRG	—	10	5	—	—	$136,181.67	$142,990.75	$142,990.75	2026-01-12
434	APR_DRG	—	10	5	—	—	$135,347.48	$142,114.85	$142,114.85	2026-01-12
92	APR_DRG	—	10	5	—	—	$135,195.38	$141,955.14	$141,955.14	2026-01-12
A9543	HCPCS	Y90 Ibritumomab, Rx	45	25	—	—	$58,529.41	$217,595.89	$138,062.65	2026-01-12
91	APR_DRG	—	10	5	—	—	$131,112.43	$137,668.05	$137,668.05	2026-01-12
6334	APR_DRG	—	10	5	—	—	$128,356.35	$134,774.16	$134,774.16	2026-01-12
3034	APR_DRG	—	10	5	—	—	$127,573.82	$133,952.50	$133,952.50	2026-01-12
5912	APR_DRG	—	10	5	—	—	$126,709.01	$133,044.46	$133,044.46	2026-01-12
6074	APR_DRG	—	10	5	—	—	$125,469.21	$131,742.66	$131,742.66	2026-01-12
63	APR_DRG	—	10	5	—	—	$125,417.55	$131,688.42	$131,688.42	2026-01-12
J7330	HCPCS	Cultured Chondrocytes Implnt	33	17	—	—	$105,755.83	$152,334.21	$129,045.02	2026-01-12
2204	APR_DRG	—	10	5	—	—	$119,560.99	$125,539.04	$125,539.04	2026-01-12
6134	APR_DRG	—	10	5	—	—	$118,909.52	$124,854.99	$124,854.99	2026-01-12
4474	APR_DRG	—	10	5	—	—	$118,631.14	$124,562.69	$124,562.69	2026-01-12
22	APR_DRG	—	10	5	—	—	$117,102.42	$122,957.54	$122,957.54	2026-01-12
234	APR_DRG	—	10	5	—	—	$116,873.79	$122,717.47	$122,717.47	2026-01-12
9104	APR_DRG	—	10	5	—	—	$116,450.95	$122,273.49	$122,273.49	2026-01-12
6023	APR_DRG	—	10	5	—	—	$114,949.98	$120,697.48	$120,697.48	2026-01-12
53	APR_DRG	—	10	5	—	—	$113,516.93	$119,192.78	$119,192.78	2026-01-12
62	APR_DRG	—	10	5	—	—	$113,438.49	$119,110.41	$119,110.41	2026-01-12
9504	APR_DRG	—	10	5	—	—	$112,993.65	$118,643.33	$118,643.33	2026-01-12
61	APR_DRG	—	10	5	—	—	$111,973.87	$117,572.56	$117,572.56	2026-01-12
71	APR_DRG	—	10	5	—	—	$110,035.72	$115,537.50	$115,537.50	2026-01-12
13	APR_DRG	—	10	5	—	—	$109,232.14	$114,693.74	$114,693.74	2026-01-12
6093	APR_DRG	—	10	5	—	—	$109,102.99	$114,558.14	$114,558.14	2026-01-12
264	APR_DRG	—	10	5	—	—	$109,036.98	$114,488.83	$114,488.83	2026-01-12
5932	APR_DRG	—	10	5	—	—	$108,566.32	$113,994.63	$113,994.63	2026-01-12
3033	APR_DRG	—	10	5	—	—	$107,922.50	$113,318.62	$113,318.62	2026-01-12
1824	APR_DRG	—	10	5	—	—	$107,835.44	$113,227.21	$113,227.21	2026-01-12
1634	APR_DRG	—	10	5	—	—	$107,771.35	$113,159.91	$113,159.91	2026-01-12
7924	APR_DRG	—	10	5	—	—	$106,007.30	$111,307.66	$111,307.66	2026-01-12
3044	APR_DRG	—	10	5	—	—	$105,981.47	$111,280.54	$111,280.54	2026-01-12
2054	APR_DRG	—	10	5	—	—	$105,682.04	$110,966.14	$110,966.14	2026-01-12
6954	APR_DRG	—	10	5	—	—	$105,546.20	$110,823.51	$110,823.51	2026-01-12
8413	APR_DRG	—	10	5	—	—	$105,438.10	$110,710.00	$110,710.00	2026-01-12
52	APR_DRG	—	10	5	—	—	$103,666.40	$108,849.72	$108,849.72	2026-01-12
6514	APR_DRG	—	10	5	—	—	$103,319.14	$108,485.09	$108,485.09	2026-01-12
42	APR_DRG	—	10	5	—	—	$102,996.75	$108,146.59	$108,146.59	2026-01-12
6144	APR_DRG	—	10	5	—	—	$101,914.79	$107,010.53	$107,010.53	2026-01-12
1623	APR_DRG	—	10	5	—	—	$101,741.64	$106,828.72	$106,828.72	2026-01-12
214	APR_DRG	—	10	5	—	—	$101,500.57	$106,575.59	$106,575.59	2026-01-12
2304	APR_DRG	—	10	5	—	—	$101,134.17	$106,190.88	$106,190.88	2026-01-12
224	APR_DRG	—	10	5	—	—	$100,735.25	$105,772.01	$105,772.01	2026-01-12
4424	APR_DRG	—	10	5	—	—	$100,183.27	$105,192.43	$105,192.43	2026-01-12
9524	APR_DRG	—	10	5	—	—	$99,568.15	$104,546.55	$104,546.55	2026-01-12
9114	APR_DRG	—	10	5	—	—	$98,658.39	$103,591.30	$103,591.30	2026-01-12
4403	APR_DRG	—	10	5	—	—	$96,890.51	$101,735.03	$101,735.03	2026-01-12
3154	APR_DRG	—	10	5	—	—	$96,883.82	$101,728.00	$101,728.00	2026-01-12
1694	APR_DRG	—	10	5	—	—	$96,554.73	$101,382.46	$101,382.46	2026-01-12
1204	APR_DRG	—	10	5	—	—	$96,162.51	$100,970.63	$100,970.63	2026-01-12
4834	APR_DRG	—	10	5	—	—	$95,797.07	$100,586.92	$100,586.92	2026-01-12
894	APR_DRG	—	10	5	—	—	$94,769.64	$99,508.12	$99,508.12	2026-01-12
9124	APR_DRG	—	10	5	—	—	$94,644.32	$99,376.53	$99,376.53	2026-01-12
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	26	19	—	—	$91,216.02	$220,838.78	$99,369.98	2026-01-12
1304	APR_DRG	—	10	5	—	—	$94,620.40	$99,351.42	$99,351.42	2026-01-12
1654	APR_DRG	—	10	5	—	—	$93,211.27	$97,871.83	$97,871.83	2026-01-12
J9226	HCPCS	Supprelin La Implant	45	25	—	—	$46,619.75	$146,628.59	$96,624.17	2026-01-12
5911	APR_DRG	—	10	5	—	—	$91,358.26	$95,926.17	$95,926.17	2026-01-12
2604	APR_DRG	—	10	5	—	—	$90,859.85	$95,402.84	$95,402.84	2026-01-12
21	APR_DRG	—	10	5	—	—	$90,703.92	$95,239.11	$95,239.11	2026-01-12
1783	APR_DRG	—	10	5	—	—	$89,796.06	$94,285.86	$94,285.86	2026-01-12
1214	APR_DRG	—	10	5	—	—	$89,744.41	$94,231.62	$94,231.62	2026-01-12
6313	APR_DRG	—	10	5	—	—	$89,416.28	$93,887.09	$93,887.09	2026-01-12
6254	APR_DRG	—	10	5	—	—	$88,694.01	$93,128.71	$93,128.71	2026-01-12
6124	APR_DRG	—	10	5	—	—	$88,438.59	$92,860.52	$92,860.52	2026-01-12
1603	APR_DRG	—	10	5	—	—	$87,599.62	$91,979.59	$91,979.59	2026-01-12
2244	APR_DRG	—	10	5	—	—	$87,459.95	$91,832.94	$91,832.94	2026-01-12
7	MS_DRG	Lung Transplant	19	18	—	—	$84,365.46	$204,253.23	$91,469.92	2026-01-12
6022	APR_DRG	—	10	5	—	—	$86,850.57	$91,193.09	$91,193.09	2026-01-12
3614	APR_DRG	—	10	5	—	—	$86,607.58	$90,937.95	$90,937.95	2026-01-12
14	MS_DRG	Allogeneic Bone Marrow Transplant	20	19	—	—	$84,578.49	$204,768.98	$90,810.59	2026-01-12
914	APR_DRG	—	10	5	—	—	$86,141.70	$90,448.78	$90,448.78	2026-01-12
204	APR_DRG	—	10	5	—	—	$85,262.54	$89,525.67	$89,525.67	2026-01-12
51	APR_DRG	—	10	5	—	—	$84,682.82	$88,916.95	$88,916.95	2026-01-12
41	APR_DRG	—	10	5	—	—	$84,520.19	$88,746.19	$88,746.19	2026-01-12
12	APR_DRG	—	10	5	—	—	$83,900.29	$88,095.30	$88,095.30	2026-01-12
1814	APR_DRG	—	10	5	—	—	$83,865.85	$88,059.13	$88,059.13	2026-01-12
2274	APR_DRG	—	10	5	—	—	$83,609.47	$87,789.94	$87,789.94	2026-01-12
6604	APR_DRG	—	10	5	—	—	$83,334.91	$87,501.65	$87,501.65	2026-01-12
6234	APR_DRG	—	10	5	—	—	$83,317.69	$87,483.57	$87,483.57	2026-01-12
8424	APR_DRG	—	10	5	—	—	$83,223.94	$87,385.13	$87,385.13	2026-01-12
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	33	17	—	—	$71,610.00	$102,410.00	$87,010.00	2026-01-12
E0767	HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	33	17	—	—	$71,093.11	$101,670.79	$86,381.95	2026-01-12
1834	APR_DRG	—	10	5	—	—	$81,102.11	$85,157.21	$85,157.21	2026-01-12
11	APR_DRG	—	10	5	—	—	$80,750.07	$84,787.57	$84,787.57	2026-01-12
38240	CPT	Transplt Allo Hct/donor	45	25	—	—	$56,902.54	$121,833.46	$84,230.73	2026-01-12
2614	APR_DRG	—	10	5	—	—	$79,815.43	$83,806.20	$83,806.20	2026-01-12
6073	APR_DRG	—	10	5	—	—	$79,530.35	$83,506.86	$83,506.86	2026-01-12
1833	APR_DRG	—	10	5	—	—	$79,110.38	$83,065.90	$83,065.90	2026-01-12
9514	APR_DRG	—	10	5	—	—	$78,800.43	$82,740.45	$82,740.45	2026-01-12
3032	APR_DRG	—	10	5	—	—	$78,302.98	$82,218.12	$82,218.12	2026-01-12
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	34	21	—	—	$70,325.42	$170,261.55	$81,429.44	2026-01-12
504	APR_DRG	—	10	5	—	—	$77,511.84	$81,387.42	$81,387.42	2026-01-12
1782	APR_DRG	—	10	5	—	—	$77,068.91	$80,922.35	$80,922.35	2026-01-12
7104	APR_DRG	—	10	5	—	—	$76,937.85	$80,784.74	$80,784.74	2026-01-12
6033	APR_DRG	—	10	5	—	—	$76,262.46	$80,075.58	$80,075.58	2026-01-12
1622	APR_DRG	—	10	5	—	—	$75,971.65	$79,770.22	$79,770.22	2026-01-12
215	MS_DRG	Other Heart Assist System Implant	34	21	—	—	$68,394.59	$165,586.89	$79,193.73	2026-01-12
2234	APR_DRG	—	10	5	—	—	$75,095.36	$78,850.13	$78,850.13	2026-01-12
6914	APR_DRG	—	10	5	—	—	$74,633.30	$78,364.97	$78,364.97	2026-01-12
82	APR_DRG	—	10	5	—	—	$74,297.52	$78,012.40	$78,012.40	2026-01-12
6944	APR_DRG	—	10	5	—	—	$73,877.56	$77,571.43	$77,571.43	2026-01-12
7234	APR_DRG	—	10	5	—	—	$73,777.11	$77,465.96	$77,465.96	2026-01-12
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	19	18	—	—	$71,137.52	$172,227.68	$77,128.05	2026-01-12
924	APR_DRG	—	10	5	—	—	$72,984.06	$76,633.25	$76,633.25	2026-01-12
1633	APR_DRG	—	10	5	—	—	$72,177.61	$75,786.48	$75,786.48	2026-01-12
1664	APR_DRG	—	10	5	—	—	$72,035.07	$75,636.82	$75,636.82	2026-01-12
6614	APR_DRG	—	10	5	—	—	$71,380.72	$74,949.76	$74,949.76	2026-01-12
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	19	18	—	—	$68,747.05	$166,440.24	$74,536.28	2026-01-12
1781	APR_DRG	—	10	5	—	—	$70,647.94	$74,180.33	$74,180.33	2026-01-12
923	APR_DRG	—	10	5	—	—	$70,395.38	$73,915.15	$73,915.15	2026-01-12
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	26	19	—	—	$67,623.80	$163,720.79	$73,668.81	2026-01-12
1764	APR_DRG	—	10	5	—	—	$69,980.20	$73,479.21	$73,479.21	2026-01-12
5134	APR_DRG	—	10	5	—	—	$68,988.17	$72,437.57	$72,437.57	2026-01-12
1794	APR_DRG	—	10	5	—	—	$68,946.07	$72,393.37	$72,393.37	2026-01-12
3124	APR_DRG	—	10	5	—	—	$68,852.32	$72,294.94	$72,294.94	2026-01-12
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	34	21	—	—	$62,302.54	$150,837.73	$72,139.78	2026-01-12
8412	APR_DRG	—	10	5	—	—	$68,517.50	$71,943.37	$71,943.37	2026-01-12
1714	APR_DRG	—	10	5	—	—	$68,154.93	$71,562.67	$71,562.67	2026-01-12
8411	APR_DRG	—	10	5	—	—	$67,984.65	$71,383.88	$71,383.88	2026-01-12
2644	APR_DRG	—	10	5	—	—	$67,626.87	$71,008.21	$71,008.21	2026-01-12
1621	APR_DRG	—	10	5	—	—	$67,408.75	$70,779.19	$70,779.19	2026-01-12
5104	APR_DRG	—	10	5	—	—	$66,683.62	$70,017.79	$70,017.79	2026-01-12
7404	APR_DRG	—	10	5	—	—	$66,617.61	$69,948.49	$69,948.49	2026-01-12
4013	APR_DRG	—	10	5	—	—	$66,367.93	$69,686.32	$69,686.32	2026-01-12
3043	APR_DRG	—	10	5	—	—	$66,361.23	$69,679.29	$69,679.29	2026-01-12
3104	APR_DRG	—	10	5	—	—	$65,658.10	$68,941.00	$68,941.00	2026-01-12
2334	APR_DRG	—	10	5	—	—	$65,613.14	$68,893.79	$68,893.79	2026-01-12
5114	APR_DRG	—	10	5	—	—	$65,518.43	$68,794.35	$68,794.35	2026-01-12
6344	APR_DRG	—	10	5	—	—	$65,277.36	$68,541.22	$68,541.22	2026-01-12
4804	APR_DRG	—	10	5	—	—	$65,000.89	$68,250.93	$68,250.93	2026-01-12
7114	APR_DRG	—	10	5	—	—	$64,612.49	$67,843.11	$67,843.11	2026-01-12
304	APR_DRG	—	10	5	—	—	$64,444.12	$67,666.32	$67,666.32	2026-01-12
1303	APR_DRG	—	10	5	—	—	$64,248.01	$67,460.41	$67,460.41	2026-01-12
3464	APR_DRG	—	10	5	—	—	$64,231.75	$67,443.33	$67,443.33	2026-01-12
4044	APR_DRG	—	10	5	—	—	$64,030.85	$67,232.39	$67,232.39	2026-01-12
4434	APR_DRG	—	10	5	—	—	$63,546.79	$66,724.13	$66,724.13	2026-01-12
1804	APR_DRG	—	10	5	—	—	$63,515.22	$66,690.98	$66,690.98	2026-01-12
294	APR_DRG	—	10	5	—	—	$63,467.39	$66,640.76	$66,640.76	2026-01-12
734	APR_DRG	—	10	5	—	—	$63,340.16	$66,507.16	$66,507.16	2026-01-12
4684	APR_DRG	—	10	5	—	—	$63,020.64	$66,171.67	$66,171.67	2026-01-12
3134	APR_DRG	—	10	5	—	—	$62,843.66	$65,985.84	$65,985.84	2026-01-12
4402	APR_DRG	—	10	5	—	—	$62,318.46	$65,434.38	$65,434.38	2026-01-12
8154	APR_DRG	—	10	5	—	—	$62,284.03	$65,398.22	$65,398.22	2026-01-12
81	APR_DRG	—	10	5	—	—	$62,228.54	$65,339.96	$65,339.96	2026-01-12
913	APR_DRG	—	10	5	—	—	$61,805.71	$64,895.99	$64,895.99	2026-01-12
266T	CPT	Implt/rpl Crtd Sns Dev Total	45	25	—	—	$44,260.48	$92,701.22	$64,890.85	2026-01-12
1754	APR_DRG	—	10	5	—	—	$61,707.17	$64,792.53	$64,792.53	2026-01-12
850	MS_DRG	Acute Leukemia With Other Procedures	26	19	—	—	$59,467.29	$143,973.45	$64,783.18	2026-01-12
6924	APR_DRG	—	10	5	—	—	$61,664.12	$64,747.33	$64,747.33	2026-01-12
984	APR_DRG	—	10	5	—	—	$61,583.76	$64,662.95	$64,662.95	2026-01-12
2314	APR_DRG	—	10	5	—	—	$61,349.39	$64,416.85	$64,416.85	2026-01-12
1653	APR_DRG	—	10	5	—	—	$61,284.34	$64,348.55	$64,348.55	2026-01-12
8104	APR_DRG	—	10	5	—	—	$61,260.42	$64,323.44	$64,323.44	2026-01-12
6032	APR_DRG	—	10	5	—	—	$61,087.27	$64,141.63	$64,141.63	2026-01-12
1602	APR_DRG	—	10	5	—	—	$60,866.28	$63,909.59	$63,909.59	2026-01-12
4844	APR_DRG	—	10	5	—	—	$60,697.91	$63,732.81	$63,732.81	2026-01-12
6083	APR_DRG	—	10	5	—	—	$60,649.13	$63,681.58	$63,681.58	2026-01-12
494	APR_DRG	—	10	5	—	—	$60,534.33	$63,561.04	$63,561.04	2026-01-12
231	MS_DRG	Coronary Bypass With Ptca With Mcc	34	21	—	—	$54,703.15	$132,439.20	$63,340.49	2026-01-12
1704	APR_DRG	—	10	5	—	—	$60,174.63	$63,183.36	$63,183.36	2026-01-12
6903	APR_DRG	—	10	5	—	—	$59,939.30	$62,936.26	$62,936.26	2026-01-12
1673	APR_DRG	—	10	5	—	—	$59,690.57	$62,675.10	$62,675.10	2026-01-12
4054	APR_DRG	—	10	5	—	—	$59,563.34	$62,541.50	$62,541.50	2026-01-12
4014	APR_DRG	—	10	5	—	—	$59,349.05	$62,316.50	$62,316.50	2026-01-12
3254	APR_DRG	—	10	5	—	—	$59,224.69	$62,185.92	$62,185.92	2026-01-12
6613	APR_DRG	—	10	5	—	—	$58,524.43	$61,450.64	$61,450.64	2026-01-12
274	APR_DRG	—	10	5	—	—	$58,454.59	$61,377.32	$61,377.32	2026-01-12
4401	APR_DRG	—	10	5	—	—	$58,416.33	$61,337.14	$61,337.14	2026-01-12
6302	APR_DRG	—	10	5	—	—	$58,219.26	$61,130.22	$61,130.22	2026-01-12
213	APR_DRG	—	10	5	—	—	$58,091.07	$60,995.62	$60,995.62	2026-01-12
7934	APR_DRG	—	10	5	—	—	$57,721.80	$60,607.89	$60,607.89	2026-01-12
3214	APR_DRG	—	10	5	—	—	$57,702.67	$60,587.80	$60,587.80	2026-01-12
3031	APR_DRG	—	10	5	—	—	$57,683.54	$60,567.71	$60,567.71	2026-01-12
244	APR_DRG	—	10	5	—	—	$57,585.00	$60,464.25	$60,464.25	2026-01-12
1801	APR_DRG	—	10	5	—	—	$57,542.91	$60,420.06	$60,420.06	2026-01-12
3084	APR_DRG	—	10	5	—	—	$57,349.67	$60,217.15	$60,217.15	2026-01-12
6072	APR_DRG	—	10	5	—	—	$57,218.61	$60,079.54	$60,079.54	2026-01-12
5144	APR_DRG	—	10	5	—	—	$56,911.53	$59,757.10	$59,757.10	2026-01-12
233	APR_DRG	—	10	5	—	—	$56,898.14	$59,743.04	$59,743.04	2026-01-12
2224	APR_DRG	—	10	5	—	—	$56,861.78	$59,704.87	$59,704.87	2026-01-12
5124	APR_DRG	—	10	5	—	—	$56,794.82	$59,634.56	$59,634.56	2026-01-12
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	26	19	—	—	$54,672.80	$132,365.74	$59,560.10	2026-01-12
4012	APR_DRG	—	10	5	—	—	$56,555.66	$59,383.44	$59,383.44	2026-01-12
433	APR_DRG	—	10	5	—	—	$56,327.98	$59,144.37	$59,144.37	2026-01-12
1302	APR_DRG	—	10	5	—	—	$56,169.18	$58,977.63	$58,977.63	2026-01-12
6803	APR_DRG	—	10	5	—	—	$56,139.52	$58,946.49	$58,946.49	2026-01-12
404	APR_DRG	—	10	5	—	—	$56,138.56	$58,945.49	$58,945.49	2026-01-12
293	APR_DRG	—	10	5	—	—	$55,931.93	$58,728.52	$58,728.52	2026-01-12
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	26	19	—	—	$53,842.63	$130,355.84	$58,655.71	2026-01-12
E0738	HCPCS	Upper Extremity Rehab	33	17	—	—	$48,169.35	$68,887.35	$58,528.35	2026-01-12
E0739	HCPCS	Rehab Sys Active Assist Rt	33	17	—	—	$48,169.35	$68,887.35	$58,528.35	2026-01-12
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	34	21	—	—	$50,458.66	$122,163.07	$58,425.82	2026-01-12
7923	APR_DRG	—	10	5	—	—	$55,275.67	$58,039.45	$58,039.45	2026-01-12
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	34	21	—	—	$49,949.33	$120,929.95	$57,836.06	2026-01-12
6813	APR_DRG	—	10	5	—	—	$55,064.26	$57,817.47	$57,817.47	2026-01-12
4444	APR_DRG	—	10	5	—	—	$54,683.51	$57,417.69	$57,417.69	2026-01-12
2454	APR_DRG	—	10	5	—	—	$54,605.07	$57,335.32	$57,335.32	2026-01-12
6113	APR_DRG	—	10	5	—	—	$54,058.83	$56,761.76	$56,761.76	2026-01-12
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	26	19	—	—	$52,038.32	$125,987.51	$56,690.12	2026-01-12
203	APR_DRG	—	10	5	—	—	$53,604.42	$56,284.64	$56,284.64	2026-01-12
3224	APR_DRG	—	10	5	—	—	$53,471.45	$56,145.02	$56,145.02	2026-01-12
1632	APR_DRG	—	10	5	—	—	$53,434.14	$56,105.84	$56,105.84	2026-01-12
2824	APR_DRG	—	10	5	—	—	$53,158.63	$55,816.56	$55,816.56	2026-01-12
10	MS_DRG	Pancreas Transplant	19	18	—	—	$51,469.59	$124,610.60	$55,803.88	2026-01-12
J9600	HCPCS	Porfimer Sodium Injection	45	25	—	—	$24,955.32	$86,468.09	$55,711.71	2026-01-12
4624	APR_DRG	—	10	5	—	—	$53,038.09	$55,689.99	$55,689.99	2026-01-12
273	APR_DRG	—	10	5	—	—	$53,008.43	$55,658.85	$55,658.85	2026-01-12
7594	APR_DRG	—	10	5	—	—	$52,992.17	$55,641.78	$55,641.78	2026-01-12
594	APR_DRG	—	10	5	—	—	$52,952.95	$55,600.59	$55,600.59	2026-01-12
6504	APR_DRG	—	10	5	—	—	$52,868.76	$55,512.20	$55,512.20	2026-01-12
1793	APR_DRG	—	10	5	—	—	$52,866.85	$55,510.19	$55,510.19	2026-01-12
2634	APR_DRG	—	10	5	—	—	$52,840.07	$55,482.07	$55,482.07	2026-01-12
2613	APR_DRG	—	10	5	—	—	$52,757.79	$55,395.68	$55,395.68	2026-01-12
2264	APR_DRG	—	10	5	—	—	$52,686.05	$55,320.35	$55,320.35	2026-01-12
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	20	19	—	—	$51,174.57	$123,896.33	$54,945.33	2026-01-12
2074	APR_DRG	—	10	5	—	—	$52,229.73	$54,841.21	$54,841.21	2026-01-12
3054	APR_DRG	—	10	5	—	—	$52,194.33	$54,804.05	$54,804.05	2026-01-12
1934	APR_DRG	—	10	5	—	—	$51,779.15	$54,368.11	$54,368.11	2026-01-12
6123	APR_DRG	—	10	5	—	—	$51,688.27	$54,272.68	$54,272.68	2026-01-12
4454	APR_DRG	—	10	5	—	—	$51,650.96	$54,233.51	$54,233.51	2026-01-12
1832	APR_DRG	—	10	5	—	—	$51,359.19	$53,927.14	$53,927.14	2026-01-12
J7310	HCPCS	Ganciclovir Long Act Implant	33	17	—	—	$44,142.72	$63,584.64	$53,863.68	2026-01-12
1663	APR_DRG	—	10	5	—	—	$51,221.43	$53,782.50	$53,782.50	2026-01-12
6902	APR_DRG	—	10	5	—	—	$51,216.65	$53,777.48	$53,777.48	2026-01-12

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