Hospital

COOK CHILDRENS MEDICAL CENTER

Fort Worth, TX · CCN 453300 · Rates published

17,622 distinct procedures filed

31 distinct payers

1,150,246 rate rows

2026-01-01 last MRF observed

Data quality

1,011,544 of 1,150,246 rate rows are consumer-grade (87.9%)

138,702 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	137,130
placeholder amount (≤ $0.02) — excluded from medians	1,333
percent-of-charges filed in the dollar field — excluded from medians	237
per-diem day rate — not a per-procedure price	2

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

Source MRF file	https://cookchildrens.pt.panaceainc.com/MRFDownload/cookchildrens/cookchildrens
Found on page	https://www.cookchildrens.org/about/compliance/standard-charges/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	4e7f81061e8d1757… · 13,339,975 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3399 HCPCS	Inj Onase Abepar-xioi Treat	4	$2,486,909.51	$3,552,727.88	$2,605,333.78	nat. median $2,468,984 1.1× median
5834 APR_DRG		13	$907,463.74	$1,034,508.66	$998,210.11	nat. median $309,665 outlier · 3.2×
0074 APR_DRG		12	$882,781.56	$1,006,370.98	$971,059.72	nat. median $178,275 outlier · 5.4×
5833 APR_DRG		13	$768,406.94	$875,983.91	$845,247.63	nat. median $244,017 outlier · 3.5×
0024 APR_DRG		12	$739,185.72	$842,671.72	$813,104.29	nat. median $372,987 outlier · 2.2×
710 MS_DRG	Penis Procedures Without Cc/mcc	1	$787,926.00	$787,926.00	$787,926.00	nat. median $15,113 outlier · 52.1×
5884 APR_DRG		13	$574,409.65	$654,827.00	$631,850.62	nat. median $246,434 outlier · 2.6×
1614 APR_DRG		13	$557,791.18	$635,881.95	$613,570.30	nat. median $207,730 outlier · 3.0×
0094 APR_DRG		13	$522,562.50	$595,721.25	$574,818.75	nat. median $166,008 outlier · 3.5×
6304 APR_DRG		13	$427,399.07	$487,234.94	$470,138.98	nat. median $150,721 outlier · 3.1×
6094 APR_DRG		13	$423,611.56	$482,917.18	$465,972.72	nat. median $162,982 outlier · 2.9×
5832 APR_DRG		13	$382,879.63	$436,482.78	$421,167.59	nat. median $156,126 outlier · 2.7×
0114 APR_DRG		13	$363,569.27	$414,468.97	$399,926.20	nat. median $197,700 outlier · 2.0×
2004 APR_DRG		13	$337,855.98	$385,155.82	$371,641.58	nat. median $32,541 outlier · 11.4×
5831 APR_DRG		13	$337,133.13	$384,331.77	$370,846.44	nat. median $144,745 outlier · 2.6×
163 MS_DRG	Major Chest Procedures With Mcc	1	$362,002.00	$362,002.00	$362,002.00	nat. median $44,937 outlier · 8.1×
0073 APR_DRG		12	$311,499.89	$355,109.87	$342,649.88	nat. median $98,566 outlier · 3.5×
5883 APR_DRG		13	$308,209.41	$351,358.73	$339,030.35	nat. median $182,665 1.9× median
5882 APR_DRG		13	$306,800.74	$349,752.84	$337,480.81	nat. median $145,336 outlier · 2.3×
0044 APR_DRG		13	$306,007.39	$348,848.42	$336,608.13	nat. median $195,681 1.7× median
8414 APR_DRG		13	$304,691.92	$347,348.79	$335,161.11	nat. median $160,267 outlier · 2.1×
6314 APR_DRG		13	$301,648.76	$343,879.59	$331,813.64	nat. median $122,924 outlier · 2.7×
8504 APR_DRG		13	$293,702.15	$334,820.45	$323,072.37	nat. median $73,845 outlier · 4.4×
5914 APR_DRG		13	$291,071.20	$331,821.17	$320,178.32	nat. median $164,289 1.9× median
1613 APR_DRG		13	$290,728.29	$331,430.25	$319,801.12	nat. median $119,796 outlier · 2.7×
5881 APR_DRG		13	$289,191.78	$329,678.63	$318,110.96	nat. median $124,573 outlier · 2.6×
Q2042 HCPCS	Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension	25	$171,000.00	$655,500.00	$313,500.00	nat. median $753,246 outlier · 0.4×
690 MS_DRG	Kidney And Urinary Tract Infections Without Mcc	2	$228,168.00	$356,022.00	$292,095.00	nat. median $8,979 outlier · 32.5×
0014 APR_DRG		12	$264,789.18	$301,859.67	$291,268.10	nat. median $190,591 1.5× median
303 MS_DRG	Atherosclerosis Without Mcc	1	$290,845.00	$290,845.00	$290,845.00	nat. median $7,837 outlier · 37.1×
0084 APR_DRG		12	$263,728.20	$300,650.15	$290,101.02	nat. median $80,857 outlier · 3.6×
6814 APR_DRG		13	$259,042.19	$295,308.10	$284,946.41	nat. median $73,288 outlier · 3.9×
1604 APR_DRG		13	$258,897.62	$295,143.29	$284,787.38	nat. median $97,957 outlier · 2.9×
0093 APR_DRG		13	$256,733.84	$292,676.58	$282,407.22	nat. median $78,641 outlier · 3.6×
2464 APR_DRG		13	$251,058.54	$286,206.74	$276,164.39	nat. median $22,749 outlier · 12.1×
6034 APR_DRG		13	$249,763.38	$284,730.25	$274,739.72	nat. median $109,499 outlier · 2.5×
0064 APR_DRG		12	$242,387.88	$276,322.18	$266,626.67	nat. median $98,565 outlier · 2.7×
5891 APR_DRG		13	$242,368.76	$276,300.39	$266,605.64	nat. median $93,370 outlier · 2.9×
5934 APR_DRG		13	$241,643.52	$275,473.61	$265,807.87	nat. median $151,838 1.8× median
5892 APR_DRG		13	$234,904.84	$267,791.52	$258,395.32	nat. median $89,796 outlier · 2.9×
1624 APR_DRG		13	$225,844.68	$257,462.94	$248,429.15	nat. median $81,781 outlier · 3.0×
6024 APR_DRG		13	$222,138.41	$253,237.79	$244,352.25	nat. median $118,620 outlier · 2.1×
5893 APR_DRG		13	$220,335.45	$251,182.41	$242,369.00	nat. median $69,788 outlier · 3.5×
724 MS_DRG	Malignancy, Male Reproductive System Without Cc/mcc	1	$237,712.00	$237,712.00	$237,712.00	nat. median $8,019 outlier · 29.6×
6214 APR_DRG		13	$210,945.52	$240,477.89	$232,040.07	nat. median $69,160 outlier · 3.4×
0072 APR_DRG		12	$209,293.11	$238,594.15	$230,222.42	nat. median $63,496 outlier · 3.6×
1612 APR_DRG		13	$208,988.44	$238,246.82	$229,887.28	nat. median $85,444 outlier · 2.7×
0113 APR_DRG		13	$206,598.84	$235,522.68	$227,258.72	nat. median $128,705 1.8× median
175 MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	1	$225,630.00	$225,630.00	$225,630.00	nat. median $14,623 outlier · 15.4×
8634 APR_DRG		13	$203,394.38	$231,869.59	$223,733.82	nat. median $69,502 outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 17,622 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	8	4	—	—	$2,486,909.51	$3,552,727.88	$2,605,333.78	2026-01-01
5834	APR_DRG	—	35	13	—	—	$907,463.74	$1,034,508.66	$998,210.11	2026-01-01
0074	APR_DRG	—	32	12	—	—	$882,781.56	$1,006,370.98	$971,059.72	2026-01-01
5833	APR_DRG	—	35	13	—	—	$768,406.94	$875,983.91	$845,247.63	2026-01-01
0024	APR_DRG	—	32	12	—	—	$739,185.72	$842,671.72	$813,104.29	2026-01-01
710	MS_DRG	Penis Procedures Without Cc/mcc	1	1	—	—	$787,926.00	$787,926.00	$787,926.00	2026-01-01
5884	APR_DRG	—	35	13	—	—	$574,409.65	$654,827.00	$631,850.62	2026-01-01
1614	APR_DRG	—	35	13	—	—	$557,791.18	$635,881.95	$613,570.30	2026-01-01
0094	APR_DRG	—	35	13	—	—	$522,562.50	$595,721.25	$574,818.75	2026-01-01
6304	APR_DRG	—	35	13	—	—	$427,399.07	$487,234.94	$470,138.98	2026-01-01
6094	APR_DRG	—	35	13	—	—	$423,611.56	$482,917.18	$465,972.72	2026-01-01
5832	APR_DRG	—	35	13	—	—	$382,879.63	$436,482.78	$421,167.59	2026-01-01
0114	APR_DRG	—	35	13	—	—	$363,569.27	$414,468.97	$399,926.20	2026-01-01
2004	APR_DRG	—	35	13	—	—	$337,855.98	$385,155.82	$371,641.58	2026-01-01
5831	APR_DRG	—	35	13	—	—	$337,133.13	$384,331.77	$370,846.44	2026-01-01
163	MS_DRG	Major Chest Procedures With Mcc	1	1	—	—	$362,002.00	$362,002.00	$362,002.00	2026-01-01
0073	APR_DRG	—	32	12	—	—	$311,499.89	$355,109.87	$342,649.88	2026-01-01
5883	APR_DRG	—	35	13	—	—	$308,209.41	$351,358.73	$339,030.35	2026-01-01
5882	APR_DRG	—	35	13	—	—	$306,800.74	$349,752.84	$337,480.81	2026-01-01
0044	APR_DRG	—	35	13	—	—	$306,007.39	$348,848.42	$336,608.13	2026-01-01
8414	APR_DRG	—	35	13	—	—	$304,691.92	$347,348.79	$335,161.11	2026-01-01
6314	APR_DRG	—	35	13	—	—	$301,648.76	$343,879.59	$331,813.64	2026-01-01
8504	APR_DRG	—	35	13	—	—	$293,702.15	$334,820.45	$323,072.37	2026-01-01
5914	APR_DRG	—	35	13	—	—	$291,071.20	$331,821.17	$320,178.32	2026-01-01
1613	APR_DRG	—	35	13	—	—	$290,728.29	$331,430.25	$319,801.12	2026-01-01
5881	APR_DRG	—	35	13	—	—	$289,191.78	$329,678.63	$318,110.96	2026-01-01
Q2042	HCPCS	Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension	67	25	$712,500.00	$534,375.00 25% off	$171,000.00	$655,500.00	$313,500.00	2026-01-01
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	2	2	—	—	$228,168.00	$356,022.00	$292,095.00	2026-01-01
0014	APR_DRG	—	32	12	—	—	$264,789.18	$301,859.67	$291,268.10	2026-01-01
303	MS_DRG	Atherosclerosis Without Mcc	1	1	—	—	$290,845.00	$290,845.00	$290,845.00	2026-01-01
0084	APR_DRG	—	32	12	—	—	$263,728.20	$300,650.15	$290,101.02	2026-01-01
6814	APR_DRG	—	35	13	—	—	$259,042.19	$295,308.10	$284,946.41	2026-01-01
1604	APR_DRG	—	35	13	—	—	$258,897.62	$295,143.29	$284,787.38	2026-01-01
0093	APR_DRG	—	35	13	—	—	$256,733.84	$292,676.58	$282,407.22	2026-01-01
2464	APR_DRG	—	35	13	—	—	$251,058.54	$286,206.74	$276,164.39	2026-01-01
6034	APR_DRG	—	35	13	—	—	$249,763.38	$284,730.25	$274,739.72	2026-01-01
0064	APR_DRG	—	32	12	—	—	$242,387.88	$276,322.18	$266,626.67	2026-01-01
5891	APR_DRG	—	35	13	—	—	$242,368.76	$276,300.39	$266,605.64	2026-01-01
5934	APR_DRG	—	35	13	—	—	$241,643.52	$275,473.61	$265,807.87	2026-01-01
5892	APR_DRG	—	35	13	—	—	$234,904.84	$267,791.52	$258,395.32	2026-01-01
1624	APR_DRG	—	35	13	—	—	$225,844.68	$257,462.94	$248,429.15	2026-01-01
6024	APR_DRG	—	35	13	—	—	$222,138.41	$253,237.79	$244,352.25	2026-01-01
5893	APR_DRG	—	35	13	—	—	$220,335.45	$251,182.41	$242,369.00	2026-01-01
724	MS_DRG	Malignancy, Male Reproductive System Without Cc/mcc	1	1	—	—	$237,712.00	$237,712.00	$237,712.00	2026-01-01
6214	APR_DRG	—	35	13	—	—	$210,945.52	$240,477.89	$232,040.07	2026-01-01
0072	APR_DRG	—	32	12	—	—	$209,293.11	$238,594.15	$230,222.42	2026-01-01
1612	APR_DRG	—	35	13	—	—	$208,988.44	$238,246.82	$229,887.28	2026-01-01
0113	APR_DRG	—	35	13	—	—	$206,598.84	$235,522.68	$227,258.72	2026-01-01
175	MS_DRG	Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	1	1	—	—	$225,630.00	$225,630.00	$225,630.00	2026-01-01
8634	APR_DRG	—	35	13	—	—	$203,394.38	$231,869.59	$223,733.82	2026-01-01
6303	APR_DRG	—	35	13	—	—	$201,440.89	$229,642.61	$221,584.98	2026-01-01
1611	APR_DRG	—	35	13	—	—	$198,206.56	$225,955.48	$218,027.22	2026-01-01
ALUIP	HCPCS	Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Ip	1	1	—	—	$218,000.00	$218,000.00	$218,000.00	2026-01-01
4404	APR_DRG	—	32	12	—	—	$197,716.69	$225,397.03	$217,488.36	2026-01-01
0054	APR_DRG	—	35	13	—	—	$196,813.43	$224,367.31	$216,494.77	2026-01-01
0043	APR_DRG	—	35	13	—	—	$196,746.52	$224,291.03	$216,421.17	2026-01-01
6804	APR_DRG	—	35	13	—	—	$191,669.81	$218,503.58	$210,836.79	2026-01-01
5913	APR_DRG	—	35	13	—	—	$191,669.81	$218,503.58	$210,836.79	2026-01-01
6084	APR_DRG	—	35	13	—	—	$191,126.18	$217,883.85	$210,238.80	2026-01-01
4414	APR_DRG	—	35	13	—	—	$187,111.65	$213,307.28	$205,822.82	2026-01-01
ALUOP	HCPCS	Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Op	1	1	—	—	$205,500.00	$205,500.00	$205,500.00	2026-01-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	1	1	—	—	$202,136.00	$202,136.00	$202,136.00	2026-01-01
0023	APR_DRG	—	32	12	—	—	$182,061.23	$207,549.80	$200,267.35	2026-01-01
625	MS_DRG	Thyroid, Parathyroid And Thyroglossal Procedures With Mcc	1	1	—	—	$199,035.00	$199,035.00	$199,035.00	2026-01-01
0083	APR_DRG	—	32	12	—	—	$178,260.57	$203,217.05	$196,086.63	2026-01-01
1784	APR_DRG	—	35	13	—	—	$175,250.87	$199,785.99	$192,775.96	2026-01-01
ALRIP	HCPCS	Tandem Hsc Autologous/ Allogeneic - Related Bmt Ip	1	1	—	—	$192,000.00	$192,000.00	$192,000.00	2026-01-01
5933	APR_DRG	—	35	13	—	—	$172,586.47	$196,748.58	$189,845.12	2026-01-01
6114	APR_DRG	—	35	13	—	—	$172,388.13	$196,522.47	$189,626.94	2026-01-01
1674	APR_DRG	—	35	13	—	—	$171,625.85	$195,653.47	$188,788.44	2026-01-01
6904	APR_DRG	—	35	13	—	—	$170,084.55	$193,896.39	$187,093.01	2026-01-01
0434	APR_DRG	—	35	13	—	—	$169,042.69	$192,708.67	$185,946.96	2026-01-01
0092	APR_DRG	—	35	13	—	—	$168,852.72	$192,492.10	$185,737.99	2026-01-01
0091	APR_DRG	—	35	13	—	—	$163,753.31	$186,678.77	$180,128.64	2026-01-01
ALROP	HCPCS	Tandem Hsc Autologous/ Allogeneic - Related Bmt Op	1	1	—	—	$179,500.00	$179,500.00	$179,500.00	2026-01-01
BMTCB	HCPCS	Cord Blood	1	1	—	—	$178,000.00	$178,000.00	$178,000.00	2026-01-01
6334	APR_DRG	—	35	13	—	—	$160,311.09	$182,754.64	$176,342.20	2026-01-01
3034	APR_DRG	—	35	13	—	—	$159,333.74	$181,640.46	$175,267.11	2026-01-01
5912	APR_DRG	—	35	13	—	—	$158,253.64	$180,409.15	$174,079.00	2026-01-01
6074	APR_DRG	—	35	13	—	—	$156,705.18	$178,643.91	$172,375.70	2026-01-01
52	MS_DRG	Spinal Disorders And Injuries With Cc/mcc	1	1	—	—	$172,309.00	$172,309.00	$172,309.00	2026-01-01
0063	APR_DRG	—	32	12	—	—	$156,640.66	$178,570.35	$172,304.73	2026-01-01
2204	APR_DRG	—	35	13	—	—	$149,326.10	$170,231.75	$164,258.71	2026-01-01
6134	APR_DRG	—	35	13	—	—	$148,512.44	$169,304.18	$163,363.68	2026-01-01
4474	APR_DRG	—	35	13	—	—	$148,164.75	$168,907.82	$162,981.23	2026-01-01
0022	APR_DRG	—	32	12	—	—	$146,255.46	$166,731.22	$160,881.01	2026-01-01
0234	APR_DRG	—	35	13	—	—	$145,969.91	$166,405.70	$160,566.90	2026-01-01
9104	APR_DRG	—	35	13	—	—	$145,441.80	$165,803.65	$159,985.98	2026-01-01
0112	APR_DRG	—	35	13	—	—	$143,573.14	$163,673.38	$157,930.45	2026-01-01
6023	APR_DRG	—	35	13	—	—	$143,567.16	$163,666.56	$157,923.88	2026-01-01
0053	APR_DRG	—	35	13	—	—	$141,777.35	$161,626.18	$155,955.09	2026-01-01
0062	APR_DRG	—	32	12	—	—	$141,679.38	$161,514.49	$155,847.32	2026-01-01
9504	APR_DRG	—	35	13	—	—	$141,123.80	$160,881.13	$155,236.18	2026-01-01
014-U	MS_DRG	Allo Bmt-unrelated	4	4	—	—	$120,000.00	$200,000.00	$154,000.00	2026-01-01
0061	APR_DRG	—	32	12	—	—	$139,850.14	$159,429.16	$153,835.15	2026-01-01
J9348	HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	68	25	$345,537.25	$259,152.94 25% off	$82,928.94	$317,894.27	$152,036.39	2026-01-01
0071	APR_DRG	—	32	12	—	—	$137,429.48	$156,669.61	$151,172.43	2026-01-01
0013	APR_DRG	—	32	12	—	—	$136,425.84	$155,525.46	$150,068.42	2026-01-01
6093	APR_DRG	—	35	13	—	—	$136,264.55	$155,341.59	$149,891.01	2026-01-01
0264	APR_DRG	—	35	13	—	—	$136,182.10	$155,247.59	$149,800.31	2026-01-01
5932	APR_DRG	—	35	13	—	—	$135,594.26	$154,577.46	$149,153.69	2026-01-01
3033	APR_DRG	—	35	13	—	—	$134,790.16	$153,660.78	$148,269.18	2026-01-01
1824	APR_DRG	—	35	13	—	—	$134,681.44	$153,536.84	$148,149.58	2026-01-01
1634	APR_DRG	—	35	13	—	—	$134,601.38	$153,445.57	$148,061.52	2026-01-01
815	MS_DRG	Reticuloendothelial And Immunity Disorders With Cc	1	1	—	—	$147,587.00	$147,587.00	$147,587.00	2026-01-01
7924	APR_DRG	—	35	13	—	—	$132,398.17	$150,933.91	$145,637.99	2026-01-01
3044	APR_DRG	—	35	13	—	—	$132,365.91	$150,897.14	$145,602.50	2026-01-01
2054	APR_DRG	—	35	13	—	—	$131,991.94	$150,470.81	$145,191.13	2026-01-01
6954	APR_DRG	—	35	13	—	—	$131,822.28	$150,277.40	$145,004.51	2026-01-01
8413	APR_DRG	—	35	13	—	—	$131,687.27	$150,123.49	$144,856.00	2026-01-01
27	MS_DRG	Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc	1	1	—	—	$144,169.00	$144,169.00	$144,169.00	2026-01-01
0052	APR_DRG	—	35	13	—	—	$129,474.50	$147,600.93	$142,421.95	2026-01-01
6514	APR_DRG	—	35	13	—	—	$129,040.78	$147,106.49	$141,944.86	2026-01-01
0042	APR_DRG	—	35	13	—	—	$128,638.14	$146,647.48	$141,501.95	2026-01-01
6144	APR_DRG	—	35	13	—	—	$127,286.82	$145,106.97	$140,015.50	2026-01-01
1623	APR_DRG	—	35	13	—	—	$127,070.56	$144,860.44	$139,777.62	2026-01-01
0214	APR_DRG	—	35	13	—	—	$126,769.47	$144,517.20	$139,446.42	2026-01-01
2304	APR_DRG	—	35	13	—	—	$126,311.86	$143,995.52	$138,943.05	2026-01-01
0224	APR_DRG	—	35	13	—	—	$125,813.63	$143,427.54	$138,394.99	2026-01-01
89	MS_DRG	Concussion With Cc	1	1	—	—	$137,692.00	$137,692.00	$137,692.00	2026-01-01
4424	APR_DRG	—	35	13	—	—	$125,124.23	$142,641.62	$137,636.65	2026-01-01
9524	APR_DRG	—	35	13	—	—	$124,355.97	$141,765.81	$136,791.57	2026-01-01
9114	APR_DRG	—	35	13	—	—	$123,219.72	$140,470.48	$135,541.69	2026-01-01
621	MS_DRG	O.r. Procedures For Obesity Without Cc/mcc	2	2	—	—	$19,224.00	$251,633.00	$135,428.50	2026-01-01
4403	APR_DRG	—	32	12	—	—	$121,011.73	$137,953.37	$133,112.90	2026-01-01
3154	APR_DRG	—	35	13	—	—	$121,003.37	$137,943.84	$133,103.71	2026-01-01
137	MS_DRG	Mouth Procedures With Cc/mcc	1	1	—	—	$132,727.00	$132,727.00	$132,727.00	2026-01-01
1694	APR_DRG	—	35	13	—	—	$120,592.35	$137,475.28	$132,651.59	2026-01-01
1204	APR_DRG	—	35	13	—	—	$120,102.49	$136,916.84	$132,112.74	2026-01-01
4834	APR_DRG	—	35	13	—	—	$119,646.07	$136,396.52	$131,610.68	2026-01-01
0894	APR_DRG	—	35	13	—	—	$118,362.86	$134,933.66	$130,199.15	2026-01-01
9124	APR_DRG	—	35	13	—	—	$118,206.34	$134,755.23	$130,026.97	2026-01-01
1304	APR_DRG	—	35	13	—	—	$118,176.47	$134,721.18	$129,994.12	2026-01-01
014-R	MS_DRG	Allo Bmt-related	4	4	—	—	$95,000.00	$170,000.00	$128,500.00	2026-01-01
1654	APR_DRG	—	35	13	—	—	$116,416.53	$132,714.84	$128,058.18	2026-01-01
5911	APR_DRG	—	35	13	—	—	$114,102.20	$130,076.51	$125,512.42	2026-01-01
2604	APR_DRG	—	35	13	—	—	$113,479.71	$129,366.87	$124,827.68	2026-01-01
0021	APR_DRG	—	32	12	—	—	$113,284.96	$129,144.85	$124,613.46	2026-01-01
652-L	MS_DRG	Kidney - Live Donor	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
650-C	MS_DRG	Kidney - Live Donor	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
650-L	MS_DRG	Kidney - Live Donor	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
651-C	MS_DRG	Kidney - Live Donor	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
652-C	MS_DRG	Kidney - Live Donor	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
651-L	MS_DRG	Kidney - Live Donor	1	1	—	—	$124,000.00	$124,000.00	$124,000.00	2026-01-01
1783	APR_DRG	—	35	13	—	—	$112,151.09	$127,852.24	$123,366.20	2026-01-01
1214	APR_DRG	—	35	13	—	—	$112,086.57	$127,778.69	$123,295.23	2026-01-01
6313	APR_DRG	—	35	13	—	—	$111,676.76	$127,311.51	$122,844.44	2026-01-01
6254	APR_DRG	—	35	13	—	—	$110,774.68	$126,283.14	$121,852.15	2026-01-01
6124	APR_DRG	—	35	13	—	—	$110,455.67	$125,919.46	$121,501.24	2026-01-01
1603	APR_DRG	—	35	13	—	—	$109,407.83	$124,724.93	$120,348.61	2026-01-01
2244	APR_DRG	—	35	13	—	—	$109,233.39	$124,526.06	$120,156.73	2026-01-01
TAUIP	HCPCS	Tandem Hsc Autologous/ Autologous Bmt - Ip	1	1	—	—	$120,000.00	$120,000.00	$120,000.00	2026-01-01
6022	APR_DRG	—	35	13	—	—	$108,472.30	$123,658.42	$119,319.53	2026-01-01
3614	APR_DRG	—	35	13	—	—	$108,168.82	$123,312.45	$118,985.70	2026-01-01
0914	APR_DRG	—	35	13	—	—	$107,586.96	$122,649.13	$118,345.66	2026-01-01
0204	APR_DRG	—	35	13	—	—	$106,488.93	$121,397.38	$117,137.82	2026-01-01
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	2	1	—	—	$114,669.00	$118,663.00	$116,666.00	2026-01-01
54288122048	NDC	Propylene Glycol (bulk) 99.5 % (not Less Than Usp) Liquid	69	25	$265,104.00	$198,828.00 25% off	$63,624.96	$243,895.68	$116,645.76	2026-01-01
0051	APR_DRG	—	35	13	—	—	$105,764.89	$120,571.97	$116,341.38	2026-01-01
0041	APR_DRG	—	35	13	—	—	$105,561.77	$120,340.42	$116,117.95	2026-01-01
0012	APR_DRG	—	32	12	—	—	$104,787.54	$119,457.80	$115,266.29	2026-01-01
1814	APR_DRG	—	35	13	—	—	$104,744.53	$119,408.76	$115,218.98	2026-01-01
2274	APR_DRG	—	35	13	—	—	$104,424.32	$119,043.72	$114,866.75	2026-01-01
6604	APR_DRG	—	35	13	—	—	$104,081.41	$118,652.81	$114,489.55	2026-01-01
6234	APR_DRG	—	35	13	—	—	$104,059.91	$118,628.30	$114,465.90	2026-01-01
8424	APR_DRG	—	35	13	—	—	$103,942.82	$118,494.81	$114,337.10	2026-01-01
483	MS_DRG	Major Joint/limb Reattachment Procedure Of Upper Extremities	1	1	—	—	$111,557.00	$111,557.00	$111,557.00	2026-01-01
1834	APR_DRG	—	35	13	—	—	$101,292.75	$115,473.74	$111,422.03	2026-01-01
0011	APR_DRG	—	32	12	—	—	$100,853.06	$114,972.49	$110,938.37	2026-01-01
2614	APR_DRG	—	35	13	—	—	$99,685.74	$113,641.74	$109,654.31	2026-01-01
6073	APR_DRG	—	35	13	—	—	$99,329.69	$113,235.85	$109,262.66	2026-01-01
1833	APR_DRG	—	35	13	—	—	$98,805.18	$112,637.91	$108,685.70	2026-01-01
9514	APR_DRG	—	35	13	—	—	$98,418.06	$112,196.59	$108,259.87	2026-01-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$107,684.00	$107,684.00	$107,684.00	2026-01-01
3032	APR_DRG	—	35	13	—	—	$97,796.76	$111,488.31	$107,576.44	2026-01-01
0504	APR_DRG	—	35	13	—	—	$96,808.67	$110,361.88	$106,489.54	2026-01-01
1782	APR_DRG	—	35	13	—	—	$96,255.47	$109,731.24	$105,881.02	2026-01-01
7104	APR_DRG	—	35	13	—	—	$96,091.79	$109,544.64	$105,700.97	2026-01-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	1	—	—	$104,653.00	$105,390.00	$105,021.50	2026-01-01
6033	APR_DRG	—	35	13	—	—	$95,248.26	$108,583.02	$104,773.09	2026-01-01
1622	APR_DRG	—	35	13	—	—	$94,885.04	$108,168.95	$104,373.54	2026-01-01
2234	APR_DRG	—	35	13	—	—	$93,790.60	$106,921.28	$103,169.66	2026-01-01
816	MS_DRG	Reticuloendothelial And Immunity Disorders Without Cc/mcc	1	1	—	—	$102,884.00	$102,884.00	$102,884.00	2026-01-01
6914	APR_DRG	—	35	13	—	—	$93,213.51	$106,263.40	$102,534.86	2026-01-01
0082	APR_DRG	—	32	12	—	—	$92,794.14	$105,785.32	$102,073.55	2026-01-01
6944	APR_DRG	—	35	13	—	—	$92,269.62	$105,187.37	$101,496.58	2026-01-01
7234	APR_DRG	—	35	13	—	—	$92,144.17	$105,044.35	$101,358.59	2026-01-01
309	MS_DRG	Cardiac Arrhythmia And Conduction Disorders With Cc	1	1	—	—	$100,894.00	$100,894.00	$100,894.00	2026-01-01
0924	APR_DRG	—	35	13	—	—	$91,153.68	$103,915.20	$100,269.05	2026-01-01
1633	APR_DRG	—	35	13	—	—	$90,146.46	$102,766.96	$99,161.11	2026-01-01
1664	APR_DRG	—	35	13	—	—	$89,968.44	$102,564.02	$98,965.28	2026-01-01
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	2	2	—	—	$58,491.00	$138,660.00	$98,575.50	2026-01-01
6614	APR_DRG	—	35	13	—	—	$89,151.19	$101,632.36	$98,066.31	2026-01-01
1781	APR_DRG	—	35	13	—	—	$88,235.98	$100,589.02	$97,059.58	2026-01-01
0923	APR_DRG	—	35	13	—	—	$87,920.55	$100,229.43	$96,712.61	2026-01-01
1764	APR_DRG	—	35	13	—	—	$87,402.00	$99,638.28	$96,142.20	2026-01-01
5134	APR_DRG	—	35	13	—	—	$86,163.00	$98,225.82	$94,779.30	2026-01-01
1794	APR_DRG	—	35	13	—	—	$86,110.43	$98,165.89	$94,721.47	2026-01-01
3124	APR_DRG	—	35	13	—	—	$85,993.34	$98,032.41	$94,592.67	2026-01-01
115	MS_DRG	Extraocular Procedures Except Orbit	1	1	—	—	$94,134.00	$94,134.00	$94,134.00	2026-01-01
8412	APR_DRG	—	35	13	—	—	$85,575.16	$97,555.68	$94,132.68	2026-01-01
1714	APR_DRG	—	35	13	—	—	$85,122.33	$97,039.46	$93,634.56	2026-01-01
8411	APR_DRG	—	35	13	—	—	$84,909.65	$96,797.00	$93,400.62	2026-01-01
121	MS_DRG	Acute Major Eye Infections With Cc/mcc	1	1	—	—	$93,353.00	$93,353.00	$93,353.00	2026-01-01
98	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc	2	2	—	—	$84,535.00	$101,568.00	$93,051.50	2026-01-01
38230	HCPCS	Hc Marrow Procurement Domest	391	25	$230,864.19	$173,148.14 25% off	$177.41	$244,188.15	$92,969.12	2026-01-01
2644	APR_DRG	—	35	13	—	—	$84,462.80	$96,287.59	$92,909.08	2026-01-01
1621	APR_DRG	—	35	13	—	—	$84,190.38	$95,977.03	$92,609.42	2026-01-01
5104	APR_DRG	—	35	13	—	—	$83,284.72	$94,944.58	$91,613.19	2026-01-01
7404	APR_DRG	—	35	13	—	—	$83,202.28	$94,850.60	$91,522.51	2026-01-01
4013	APR_DRG	—	35	13	—	—	$82,890.44	$94,495.10	$91,179.48	2026-01-01
3043	APR_DRG	—	35	13	—	—	$82,882.08	$94,485.57	$91,170.29	2026-01-01
3104	APR_DRG	—	35	13	—	—	$82,003.90	$93,484.45	$90,204.29	2026-01-01
2334	APR_DRG	—	35	13	—	—	$81,947.74	$93,420.42	$90,142.51	2026-01-01
5114	APR_DRG	—	35	13	—	—	$81,829.46	$93,285.58	$90,012.41	2026-01-01
0111	APR_DRG	—	35	13	—	—	$81,649.04	$93,079.91	$89,813.94	2026-01-01
6344	APR_DRG	—	35	13	—	—	$81,528.37	$92,942.34	$89,681.21	2026-01-01
4804	APR_DRG	—	35	13	—	—	$81,183.07	$92,548.70	$89,301.38	2026-01-01
7114	APR_DRG	—	35	13	—	—	$80,697.98	$91,995.70	$88,767.78	2026-01-01
0304	APR_DRG	—	35	13	—	—	$80,487.70	$91,755.98	$88,536.47	2026-01-01
1303	APR_DRG	—	35	13	—	—	$80,242.76	$91,476.75	$88,267.04	2026-01-01
3464	APR_DRG	—	35	13	—	—	$80,222.45	$91,453.59	$88,244.70	2026-01-01
4044	APR_DRG	—	35	13	—	—	$79,971.54	$91,167.56	$87,968.69	2026-01-01
50300	HCPCS	Hc Kidney Acquisit-cadaveric	67	25	$198,965.16	$149,223.87 25% off	$47,751.64	$198,965.16	$87,544.67	2026-01-01
50320	HCPCS	Hc Kidney Acquisit-living	67	25	$198,965.16	$149,223.87 25% off	$47,751.64	$198,965.16	$87,544.67	2026-01-01
4434	APR_DRG	—	35	13	—	—	$79,366.97	$90,478.35	$87,303.67	2026-01-01
1804	APR_DRG	—	35	13	—	—	$79,327.55	$90,433.41	$87,260.31	2026-01-01
0294	APR_DRG	—	35	13	—	—	$79,267.81	$90,365.30	$87,194.59	2026-01-01
0734	APR_DRG	—	35	13	—	—	$79,108.90	$90,184.15	$87,019.79	2026-01-01
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	68	25	$197,350.00	$148,012.50 25% off	$47,364.00	$181,562.00	$86,834.00	2026-01-01
4684	APR_DRG	—	35	13	—	—	$78,709.83	$89,729.21	$86,580.81	2026-01-01
3134	APR_DRG	—	35	13	—	—	$78,488.80	$89,477.23	$86,337.68	2026-01-01
4402	APR_DRG	—	32	12	—	—	$77,832.85	$88,729.45	$85,616.14	2026-01-01
8154	APR_DRG	—	35	13	—	—	$77,789.84	$88,680.42	$85,568.82	2026-01-01
0081	APR_DRG	—	32	12	—	—	$77,720.54	$88,601.42	$85,492.59	2026-01-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	4	4	—	—	$80,000.00	$92,000.00	$85,000.00	2026-01-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	4	4	—	—	$80,000.00	$92,000.00	$85,000.00	2026-01-01
0913	APR_DRG	—	35	13	—	—	$77,192.44	$87,999.38	$84,911.68	2026-01-01
1754	APR_DRG	—	35	13	—	—	$77,069.37	$87,859.08	$84,776.31	2026-01-01
6924	APR_DRG	—	35	13	—	—	$77,015.61	$87,797.80	$84,717.17	2026-01-01
0984	APR_DRG	—	35	13	—	—	$76,915.25	$87,683.39	$84,606.78	2026-01-01
424	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Cc	1	1	—	—	$84,440.00	$84,440.00	$84,440.00	2026-01-01
2314	APR_DRG	—	35	13	—	—	$76,622.52	$87,349.67	$84,284.77	2026-01-01
1653	APR_DRG	—	35	13	—	—	$76,541.27	$87,257.05	$84,195.40	2026-01-01
8104	APR_DRG	—	35	13	—	—	$76,511.40	$87,223.00	$84,162.54	2026-01-01
6032	APR_DRG	—	35	13	—	—	$76,295.14	$86,976.46	$83,924.65	2026-01-01
1602	APR_DRG	—	35	13	—	—	$76,019.15	$86,661.83	$83,621.07	2026-01-01
4844	APR_DRG	—	35	13	—	—	$75,808.86	$86,422.10	$83,389.75	2026-01-01
6083	APR_DRG	—	35	13	—	—	$75,747.93	$86,352.64	$83,322.72	2026-01-01
0494	APR_DRG	—	35	13	—	—	$75,604.55	$86,189.19	$83,165.01	2026-01-01
283	MS_DRG	Acute Myocardial Infarction, Expired With Mcc	1	1	—	—	$83,103.00	$83,103.00	$83,103.00	2026-01-01
263	MS_DRG	Vein Ligation And Stripping	1	1	—	—	$82,778.00	$82,778.00	$82,778.00	2026-01-01
1704	APR_DRG	—	35	13	—	—	$75,155.30	$85,677.04	$82,670.83	2026-01-01
TAUOP	HCPCS	Tandem Hsc Autologous/ Autologous Bmt - Op	1	1	—	—	$82,500.00	$82,500.00	$82,500.00	2026-01-01
6903	APR_DRG	—	35	13	—	—	$74,861.38	$85,341.97	$82,347.52	2026-01-01
1673	APR_DRG	—	35	13	—	—	$74,550.74	$84,987.84	$82,005.81	2026-01-01
4054	APR_DRG	—	35	13	—	—	$74,391.83	$84,806.69	$81,831.01	2026-01-01
4014	APR_DRG	—	35	13	—	—	$74,124.19	$84,501.58	$81,536.61	2026-01-01
3254	APR_DRG	—	35	13	—	—	$73,968.87	$84,324.51	$81,365.76	2026-01-01
6613	APR_DRG	—	35	13	—	—	$73,094.27	$83,327.47	$80,403.70	2026-01-01
0274	APR_DRG	—	35	13	—	—	$73,007.05	$83,228.04	$80,307.76	2026-01-01
4401	APR_DRG	—	32	12	—	—	$72,959.26	$83,173.56	$80,255.19	2026-01-01
6302	APR_DRG	—	35	13	—	—	$72,713.13	$82,892.97	$79,984.44	2026-01-01
0213	APR_DRG	—	35	13	—	—	$72,553.03	$82,710.45	$79,808.33	2026-01-01
7934	APR_DRG	—	35	13	—	—	$72,091.84	$82,184.70	$79,301.02	2026-01-01
3214	APR_DRG	—	35	13	—	—	$72,067.94	$82,157.45	$79,274.73	2026-01-01
3031	APR_DRG	—	35	13	—	—	$72,044.05	$82,130.22	$79,248.46	2026-01-01
0244	APR_DRG	—	35	13	—	—	$71,920.98	$81,989.92	$79,113.08	2026-01-01
1801	APR_DRG	—	35	13	—	—	$71,868.41	$81,929.99	$79,055.25	2026-01-01
3084	APR_DRG	—	35	13	—	—	$71,627.06	$81,654.85	$78,789.77	2026-01-01
6072	APR_DRG	—	35	13	—	—	$71,463.37	$81,468.24	$78,609.71	2026-01-01
5144	APR_DRG	—	35	13	—	—	$71,079.84	$81,031.02	$78,187.82	2026-01-01
0233	APR_DRG	—	35	13	—	—	$71,063.11	$81,011.95	$78,169.42	2026-01-01
2224	APR_DRG	—	35	13	—	—	$71,017.71	$80,960.19	$78,119.48	2026-01-01
5124	APR_DRG	—	35	13	—	—	$70,934.08	$80,864.85	$78,027.49	2026-01-01
4012	APR_DRG	—	35	13	—	—	$70,635.38	$80,524.33	$77,698.92	2026-01-01
0433	APR_DRG	—	35	13	—	—	$70,351.01	$80,200.15	$77,386.11	2026-01-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	1	1	—	—	$77,320.00	$77,320.00	$77,320.00	2026-01-01
1302	APR_DRG	—	35	13	—	—	$70,152.68	$79,974.06	$77,167.95	2026-01-01
6803	APR_DRG	—	35	13	—	—	$70,115.64	$79,931.83	$77,127.20	2026-01-01
0404	APR_DRG	—	35	13	—	—	$70,114.44	$79,930.46	$77,125.88	2026-01-01
0293	APR_DRG	—	35	13	—	—	$69,856.37	$79,636.26	$76,842.01	2026-01-01
346	MS_DRG	Minor Small And Large Bowel Procedures Without Cc/mcc	2	2	—	—	$50,052.00	$102,536.00	$76,294.00	2026-01-01
7923	APR_DRG	—	35	13	—	—	$69,036.73	$78,701.87	$75,940.40	2026-01-01
6813	APR_DRG	—	35	13	—	—	$68,772.68	$78,400.86	$75,649.95	2026-01-01
639	MS_DRG	Diabetes Without Cc/mcc	2	2	—	—	$46,328.00	$104,415.00	$75,371.50	2026-01-01
4444	APR_DRG	—	35	13	—	—	$68,297.15	$77,858.75	$75,126.87	2026-01-01
2454	APR_DRG	—	35	13	—	—	$68,199.18	$77,747.07	$75,019.10	2026-01-01
421	MS_DRG	Hepatobiliary Diagnostic Procedures With Cc	2	2	—	—	$37,745.00	$112,214.00	$74,979.50	2026-01-01
6113	APR_DRG	—	35	13	—	—	$67,516.95	$76,969.32	$74,268.65	2026-01-01
0203	APR_DRG	—	35	13	—	—	$66,949.42	$76,322.34	$73,644.36	2026-01-01
251	MS_DRG	Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc	1	1	—	—	$73,515.00	$73,515.00	$73,515.00	2026-01-01
3224	APR_DRG	—	35	13	—	—	$66,783.34	$76,133.01	$73,461.67	2026-01-01
1632	APR_DRG	—	35	13	—	—	$66,736.74	$76,079.88	$73,410.41	2026-01-01
2824	APR_DRG	—	35	13	—	—	$66,392.64	$75,687.61	$73,031.90	2026-01-01
4624	APR_DRG	—	35	13	—	—	$66,242.10	$75,515.99	$72,866.31	2026-01-01
0273	APR_DRG	—	35	13	—	—	$66,205.06	$75,473.77	$72,825.57	2026-01-01
7594	APR_DRG	—	35	13	—	—	$66,184.75	$75,450.62	$72,803.23	2026-01-01
0594	APR_DRG	—	35	13	—	—	$66,135.76	$75,394.77	$72,749.34	2026-01-01

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