Hospital

FROEDTERT COMMUNITY HOSPITAL

New Berlin, WI · CCN 520213 · Rates published

16,253 distinct procedures filed

26 distinct payers

308,748 rate rows

2025-12-31 last MRF observed

Data quality

308,449 of 308,748 rate rows are consumer-grade (99.9%)

299 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
per-diem day rate — not a per-procedure price	128
placeholder amount (≤ $0.02) — excluded from medians	115
percent-of-charges filed in the dollar field — excluded from medians	37
exceeds 10× this hospital's gross charge — excluded from medians	19

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

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8215/843381796_froedtert-community-hospital-new-berlin_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/FroedtertCommunityHospitalNewBerlin/8215
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	106143f40b11c391… · 260,517,240 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
J3391 HCPCS	Inj, Atidarsagene Autotemcel	10	$4,505,000.00	$4,505,000.00	$4,505,000.00	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	2	$3,539,340.00	$3,932,600.00	$3,932,600.00	nat. median $3,710,000 1.1× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	10	$3,539,340.00	$3,932,600.00	$3,685,266.67	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	10	$3,168,979.56	$3,521,088.40	$3,316,462.59	nat. median $3,325,455 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	10	$3,046,122.00	$3,384,580.00	$3,248,445.72	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	10	$2,831,472.00	$3,146,080.00	$2,945,740.00	nat. median $3,006,423 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	10	$2,455,110.61	$2,455,110.61	$2,455,110.61	nat. median $2,469,189 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	10	$2,224,728.00	$2,471,920.00	$2,332,000.00	nat. median $2,448,600 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	10	$770,620.00	$770,620.00	$770,620.00	nat. median $824,563 0.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	$306,021.79	$980,422.29	$600,240.92	nat. median $370,174 1.6× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	10	$539,605.14	$599,561.27	$591,726.20	nat. median $754,974 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	10	$525,957.70	$584,397.44	$565,868.95	nat. median $675,122 0.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	10	$492,727.62	$562,538.19	$562,538.19	nat. median $674,188 0.8× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	10	$504,010.06	$560,011.18	$557,317.93	nat. median $625,184 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	10	$466,999.36	$533,230.17	$533,230.17	nat. median $634,511 0.8× median
Q2053 HCPCS	Brexucabtagene Car Pos T	10	$465,601.14	$517,334.60	$489,304.61	nat. median $620,080 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	17	$198,595.83	$636,254.63	$389,532.21	nat. median $265,286 1.5× median
5834 APR_DRG	Neonate With Ecmo	10	$378,938.34	$390,306.49	$378,938.34	nat. median $309,665 1.2× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	17	$151,303.72	$484,741.75	$296,771.95	nat. median $206,368 1.4× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	17	$150,415.76	$481,896.94	$295,030.28	nat. median $202,986 1.5× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	10	$278,250.00	$278,250.00	$278,250.00	nat. median $324,450 0.9× median
J3403 HCPCS	Revakinagene, Per Implant	10	$257,500.00	$257,500.00	$257,500.00	nat. median $265,000 1.0× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	$247,213.99	$254,630.41	$247,213.99	nat. median $246,434 1.0× median
5833 APR_DRG	Neonate With Ecmo	10	$245,488.00	$252,852.64	$245,488.00	nat. median $244,017 1.0× median
24 APR_DRG	Heart And/or Lung Transplant	10	$218,930.57	$225,498.49	$218,930.57	nat. median $234,738 0.9× median
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	10	$205,640.00	$205,640.00	$205,640.00	nat. median $209,753 1.0× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	17	$98,160.16	$314,482.19	$192,534.46	nat. median $133,176 1.4× median
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	$192,506.09	$198,281.27	$192,506.09	nat. median $117,173 1.6× median
5832 APR_DRG	Neonate With Ecmo	10	$188,489.85	$194,144.55	$188,489.85	nat. median $156,126 1.2× median
1614 APR_DRG	Implantable Heart Assist Systems	10	$187,622.16	$193,250.82	$187,622.16	nat. median $207,730 0.9× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	$180,333.85	$185,743.87	$180,333.85	nat. median $150,721 1.2× median
7 MS_DRG	Lung Transplant	17	$91,773.66	$294,021.34	$180,007.78	nat. median $122,708 1.5× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	10	$177,863.71	$183,199.62	$177,863.71	nat. median $160,267 1.1× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	17	$85,166.76	$272,854.40	$167,048.81	nat. median $117,303 1.4× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	$162,544.37	$167,420.70	$162,544.37	nat. median $162,982 1.0× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	$160,781.53	$165,604.98	$160,781.53	nat. median $182,736 0.9× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	$159,577.89	$164,365.23	$159,577.89	nat. median $122,924 1.3× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	$80,304.60	$257,277.19	$157,512.02	nat. median $108,660 1.4× median
209 MS_DRG	Complex Aortic Arch Procedures	17	$80,212.48	$256,982.04	$157,331.32	nat. median $98,017 1.6× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	$157,046.34	$161,757.73	$157,046.34	nat. median $164,279 1.0× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	17	$78,103.49	$250,225.32	$153,194.68	nat. median $98,905 1.5× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	17	$77,061.04	$246,885.57	$151,149.99	nat. median $102,358 1.5× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	10	$149,068.06	$153,540.10	$149,068.06	nat. median $187,294 0.8× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	10	$148,321.02	$152,770.65	$148,321.02	nat. median $164,834 0.9× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	$145,621.86	$149,990.52	$145,621.86	nat. median $151,838 1.0× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	17	$73,067.00	$234,089.59	$143,315.95	nat. median $100,136 1.4× median
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	$141,082.56	$145,315.04	$141,082.56	nat. median $145,336 1.0× median
215 MS_DRG	Other Heart Assist System Implant	17	$70,561.87	$226,063.73	$138,402.30	nat. median $99,019 1.4× median
5831 APR_DRG	Neonate With Ecmo	10	$137,007.08	$141,117.29	$137,007.08	nat. median $145,122 0.9× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	17	$69,327.37	$222,108.69	$135,980.92	nat. median $93,672 1.5× median

Other procedures at this hospital

Browse this hospital's 16,253 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

1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	17	—	—	$198,595.83	$636,254.63	$389,532.21	2025-12-31
10	MS_DRG	Pancreas Transplant	25	17	—	—	$50,851.74	$162,917.09	$99,742.23	2025-12-31
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	25	17	—	—	$38,651.35	$123,829.89	$75,811.99	2025-12-31
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$43,957.49	$45,276.21	$43,957.49	2025-12-31
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$96,398.26	$99,290.21	$96,398.26	2025-12-31
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$112,269.57	$115,637.66	$112,269.57	2025-12-31
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	10	—	—	$192,506.09	$198,281.27	$192,506.09	2025-12-31
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	25	17	—	—	$29,877.35	$95,720.06	$58,602.40	2025-12-31
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$49,819.64	$51,314.23	$49,819.64	2025-12-31
1204	APR_DRG	Major Respiratory And Chest Procedures	10	10	—	—	$47,056.90	$48,468.61	$47,056.90	2025-12-31
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$62,016.45	$63,876.94	$62,016.45	2025-12-31
14	MS_DRG	Allogeneic Bone Marrow Transplant	25	17	—	—	$85,166.76	$272,854.40	$167,048.81	2025-12-31
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	10	10	—	—	$132,569.64	$136,546.73	$132,569.64	2025-12-31
140	MS_DRG	Major Head And Neck Procedures With Mcc	25	17	—	—	$30,226.73	$96,839.37	$59,287.67	2025-12-31
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc	25	17	—	—	$26,550.88	$85,062.81	$52,077.74	2025-12-31
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	25	17	—	—	$42,021.76	$134,627.91	$82,422.83	2025-12-31
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	10	10	—	—	$44,334.62	$45,664.66	$44,334.62	2025-12-31
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	10	10	—	—	$109,464.93	$112,748.88	$109,464.93	2025-12-31
1611	APR_DRG	Implantable Heart Assist Systems	10	10	—	—	$97,091.11	$100,003.84	$97,091.11	2025-12-31
1612	APR_DRG	Implantable Heart Assist Systems	10	10	—	—	$101,904.96	$104,962.11	$101,904.96	2025-12-31
1613	APR_DRG	Implantable Heart Assist Systems	10	10	—	—	$126,950.24	$130,758.75	$126,950.24	2025-12-31
1614	APR_DRG	Implantable Heart Assist Systems	10	10	—	—	$187,622.16	$193,250.82	$187,622.16	2025-12-31
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	10	10	—	—	$47,740.36	$49,172.57	$47,740.36	2025-12-31
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	10	10	—	—	$74,729.82	$76,971.71	$74,729.82	2025-12-31
163	MS_DRG	Major Chest Procedures With Mcc	25	17	—	—	$31,760.99	$101,754.79	$62,297.02	2025-12-31
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	10	10	—	—	$62,249.08	$64,116.55	$62,249.08	2025-12-31
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	10	10	—	—	$58,134.59	$59,878.63	$58,134.59	2025-12-31
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	25	17	—	—	$26,487.81	$84,860.74	$51,954.03	2025-12-31
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	10	10	—	—	$50,909.13	$52,436.40	$50,909.13	2025-12-31
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	10	10	—	—	$62,672.45	$64,552.62	$62,672.45	2025-12-31
1694	APR_DRG	Major Abdominal Vascular Procedures	10	10	—	—	$44,864.91	$46,210.86	$44,864.91	2025-12-31
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	25	17	—	—	$38,496.86	$123,334.94	$75,508.97	2025-12-31
1783	APR_DRG	External Heart Assist Systems	10	10	—	—	$43,940.87	$45,259.10	$43,940.87	2025-12-31
1784	APR_DRG	External Heart Assist Systems	10	10	—	—	$59,653.96	$61,443.58	$59,653.96	2025-12-31
1794	APR_DRG	Defibrillator Implants	10	10	—	—	$48,345.07	$49,795.42	$48,345.07	2025-12-31
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	25	17	—	—	$306,021.79	$980,422.29	$600,240.92	2025-12-31
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	10	10	—	—	$51,987.06	$53,546.67	$51,987.06	2025-12-31
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	25	17	—	—	$50,560.48	$161,983.96	$99,170.94	2025-12-31
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	25	17	—	—	$80,304.60	$257,277.19	$157,512.02	2025-12-31
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	25	17	—	—	$55,763.50	$178,653.24	$109,376.32	2025-12-31
204	APR_DRG	Open Craniotomy For Trauma	10	10	—	—	$43,946.65	$45,265.05	$43,946.65	2025-12-31
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	25	17	—	—	$45,600.52	$146,093.43	$89,442.33	2025-12-31
209	MS_DRG	Complex Aortic Arch Procedures	25	17	—	—	$80,212.48	$256,982.04	$157,331.32	2025-12-31
21	APR_DRG	Heart And/or Lung Transplant	10	10	—	—	$82,272.45	$84,740.62	$82,272.45	2025-12-31
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	25	17	—	—	$37,515.36	$120,190.44	$73,583.82	2025-12-31
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	25	17	—	—	$77,061.04	$246,885.57	$151,149.99	2025-12-31
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	25	17	—	—	$40,442.86	$129,569.46	$79,325.91	2025-12-31
214	APR_DRG	Open Craniotomy Except Trauma	10	10	—	—	$49,052.37	$50,523.94	$49,052.37	2025-12-31
215	MS_DRG	Other Heart Assist System Implant	25	17	—	—	$70,561.87	$226,063.73	$138,402.30	2025-12-31
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	17	—	—	$69,327.37	$222,108.69	$135,980.92	2025-12-31
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	17	—	—	$46,596.91	$149,285.61	$91,396.67	2025-12-31
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	17	—	—	$46,596.91	$149,285.61	$91,396.67	2025-12-31
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	17	—	—	$54,413.50	$174,328.12	$106,728.37	2025-12-31
22	APR_DRG	Heart And/or Lung Transplant	10	10	—	—	$89,461.07	$92,144.90	$89,461.07	2025-12-31
22	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…	25	17	—	—	$22,517.16	$72,139.69	$44,165.86	2025-12-31
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	17	—	—	$37,791.73	$121,075.89	$74,125.92	2025-12-31
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	10	10	—	—	$45,159.68	$46,514.47	$45,159.68	2025-12-31
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	25	17	—	—	$35,718.18	$114,432.70	$70,058.78	2025-12-31
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	25	17	—	—	$35,060.53	$112,325.77	$68,768.86	2025-12-31
23	APR_DRG	Heart And/or Lung Transplant	10	10	—	—	$122,928.23	$126,616.08	$122,928.23	2025-12-31
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	25	17	—	—	$40,608.68	$130,100.73	$79,651.17	2025-12-31
231	MS_DRG	Coronary Bypass With Ptca With Mcc	25	17	—	—	$59,739.83	$191,392.45	$117,175.61	2025-12-31
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	25	17	—	—	$42,963.58	$137,645.27	$84,270.14	2025-12-31
2324	APR_DRG	Gastric Fundoplication	10	10	—	—	$45,667.58	$47,037.61	$45,667.58	2025-12-31
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	17	—	—	$54,178.93	$173,576.62	$106,268.28	2025-12-31
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	25	17	—	—	$38,712.30	$124,025.14	$75,931.53	2025-12-31
234	APR_DRG	Spinal Procedures	10	10	—	—	$45,035.42	$46,386.48	$45,035.42	2025-12-31
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	25	17	—	—	$41,588.77	$133,240.69	$81,573.54	2025-12-31
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	25	17	—	—	$29,684.60	$95,102.52	$58,224.32	2025-12-31
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	25	17	—	—	$34,878.41	$111,742.28	$68,411.63	2025-12-31
24	APR_DRG	Heart And/or Lung Transplant	10	10	—	—	$218,930.57	$225,498.49	$218,930.57	2025-12-31
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	25	17	—	—	$27,722.30	$88,815.78	$54,375.41	2025-12-31
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	25	17	—	—	$22,626.28	$72,489.33	$44,379.92	2025-12-31
245	MS_DRG	Aicd Generator Procedures	25	17	—	—	$32,332.17	$103,584.73	$63,417.36	2025-12-31
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	25	17	—	—	$32,220.92	$103,228.28	$63,199.13	2025-12-31
252	MS_DRG	Other Vascular Procedures With Mcc	25	17	—	—	$24,720.39	$79,198.36	$48,487.37	2025-12-31
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	25	17	—	—	$23,051.49	$73,851.57	$45,213.92	2025-12-31
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	10	10	—	—	$46,679.05	$48,079.42	$46,679.05	2025-12-31
264	MS_DRG	Other Circulatory System O.r. Procedures	25	17	—	—	$23,673.69	$75,844.98	$46,434.34	2025-12-31
265	MS_DRG	Aicd Lead Procedures	25	17	—	—	$25,640.95	$82,147.61	$50,292.98	2025-12-31
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	25	17	—	—	$43,429.88	$139,139.19	$85,184.76	2025-12-31
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	25	17	—	—	$33,738.17	$108,089.20	$66,175.12	2025-12-31
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	25	17	—	—	$48,741.33	$156,155.84	$95,602.81	2025-12-31
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	25	17	—	—	$29,928.38	$95,883.53	$58,702.48	2025-12-31
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	25	17	—	—	$37,391.34	$119,793.12	$73,340.57	2025-12-31
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	25	17	—	—	$25,202.28	$80,742.24	$49,432.57	2025-12-31
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	25	17	—	—	$29,236.02	$93,665.35	$57,344.45	2025-12-31
274	APR_DRG	Other Open Craniotomy	10	10	—	—	$45,979.69	$47,359.08	$45,979.69	2025-12-31
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	25	17	—	—	$23,327.16	$74,734.76	$45,754.63	2025-12-31
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	25	17	—	—	$50,530.72	$161,888.60	$99,112.56	2025-12-31
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	25	17	—	—	$42,566.73	$136,373.85	$83,491.74	2025-12-31
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	25	17	—	—	$32,729.74	$104,858.42	$64,197.15	2025-12-31
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	25	17	—	—	$39,445.76	$126,375.00	$77,370.18	2025-12-31
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	25	17	—	—	$25,557.33	$81,879.71	$50,128.96	2025-12-31
28	MS_DRG	Spinal Procedures With Mcc	25	17	—	—	$42,578.78	$136,412.44	$83,515.37	2025-12-31
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	25	17	—	—	$24,176.84	$77,456.97	$47,421.24	2025-12-31
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	25	17	—	—	$150,415.76	$481,896.94	$295,030.28	2025-12-31
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	10	—	—	$53,577.23	$55,184.55	$53,577.23	2025-12-31
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	10	10	—	—	$78,620.34	$80,978.95	$78,620.34	2025-12-31
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	10	10	—	—	$55,123.32	$56,777.02	$55,123.32	2025-12-31
31	MS_DRG	Ventricular Shunt Procedures With Mcc	25	17	—	—	$31,751.78	$101,725.27	$62,278.95	2025-12-31
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	10	10	—	—	$51,622.21	$53,170.88	$51,622.21	2025-12-31
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	25	17	—	—	$47,384.94	$151,810.30	$92,942.35	2025-12-31
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	25	17	—	—	$31,627.05	$101,325.68	$62,034.31	2025-12-31
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	25	17	—	—	$30,666.81	$98,249.29	$60,150.86	2025-12-31
325	MS_DRG	Coronary Intravascular Lithotripsy Without Intraluminal Device	25	17	—	—	$22,751.01	$72,888.92	$44,624.56	2025-12-31
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	25	17	—	—	$35,344.01	$113,233.93	$69,324.86	2025-12-31
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	25	17	—	—	$32,573.83	$104,358.94	$63,891.35	2025-12-31
332	MS_DRG	Rectal Resection With Mcc	25	17	—	—	$25,658.67	$82,204.37	$50,327.73	2025-12-31
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	25	17	—	—	$25,305.75	$81,073.71	$49,635.51	2025-12-31
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	25	17	—	—	$27,430.33	$87,880.37	$53,802.73	2025-12-31
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	25	17	—	—	$31,130.27	$99,734.13	$61,059.92	2025-12-31
359	MS_DRG	Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc	25	17	—	—	$24,368.19	$78,069.97	$47,796.54	2025-12-31
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	10	10	—	—	$50,016.15	$51,516.63	$50,016.15	2025-12-31
37	MS_DRG	Extracranial Procedures With Mcc	25	17	—	—	$23,329.99	$74,743.84	$45,760.19	2025-12-31
38240	CPT	Hc Hematopoietic Progenitor Cell (hpc) Allogeneic Transplantation Per Donor	69	26	$66,110.50	$36,360.78 45% off	$7,392.57	$58,177.24	$48,921.77	2025-12-31
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	25	17	—	—	$98,160.16	$314,482.19	$192,534.46	2025-12-31
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc	25	17	—	—	$27,363.00	$87,664.68	$53,670.68	2025-12-31
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	25	17	—	—	$28,491.92	$91,281.43	$55,884.95	2025-12-31
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	25	17	—	—	$38,767.57	$124,202.23	$76,039.95	2025-12-31
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…	25	17	—	—	$25,268.19	$80,953.38	$49,561.84	2025-12-31
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$45,209.53	$46,565.82	$45,209.53	2025-12-31
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	25	17	—	—	$23,409.36	$74,998.12	$45,915.87	2025-12-31
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc	25	17	—	—	$25,246.93	$80,885.27	$49,520.14	2025-12-31
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$50,945.25	$52,473.61	$50,945.25	2025-12-31
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	25	17	—	—	$24,144.95	$77,354.80	$47,358.69	2025-12-31
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	25	17	—	—	$29,430.89	$94,289.71	$57,726.70	2025-12-31
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	25	17	—	—	$78,103.49	$250,225.32	$153,194.68	2025-12-31
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	25	17	—	—	$51,155.76	$163,891.09	$100,338.54	2025-12-31
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	25	17	—	—	$39,841.20	$127,641.89	$78,145.80	2025-12-31
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	25	17	—	—	$63,847.97	$204,553.96	$125,233.44	2025-12-31
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$82,559.99	$85,036.79	$82,559.99	2025-12-31
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	25	17	—	—	$40,869.47	$130,936.24	$80,162.69	2025-12-31
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	10	10	—	—	$131,660.77	$135,610.59	$131,660.77	2025-12-31
4404	APR_DRG	Kidney Transplant	10	10	—	—	$69,836.50	$71,931.60	$69,836.50	2025-12-31
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	25	17	—	—	$47,350.22	$151,699.05	$92,874.24	2025-12-31
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	25	17	—	—	$30,053.11	$96,283.12	$58,947.12	2025-12-31
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	25	17	—	—	$37,769.06	$121,003.24	$74,081.44	2025-12-31
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	25	17	—	—	$22,892.75	$73,343.00	$44,902.56	2025-12-31
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	17	—	—	$59,552.03	$190,790.79	$116,807.26	2025-12-31
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	17	—	—	$42,258.46	$135,386.22	$82,887.09	2025-12-31
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	25	17	—	—	$29,569.79	$94,734.71	$57,999.14	2025-12-31
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	25	17	—	—	$39,139.62	$125,394.19	$76,769.70	2025-12-31
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	25	17	—	—	$40,390.41	$129,401.45	$79,223.05	2025-12-31
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	25	17	—	—	$36,888.90	$118,183.40	$72,355.06	2025-12-31
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	25	17	—	—	$24,991.82	$80,067.93	$49,019.74	2025-12-31
471	MS_DRG	Cervical Spinal Fusion With Mcc	25	17	—	—	$34,219.35	$109,630.80	$67,118.93	2025-12-31
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	25	17	—	—	$30,422.32	$97,466.00	$59,671.31	2025-12-31
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	25	17	—	—	$24,481.57	$78,433.24	$48,018.94	2025-12-31
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	25	17	—	—	$22,869.36	$73,268.08	$44,856.69	2025-12-31
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc	25	17	—	—	$26,019.38	$83,360.01	$51,035.24	2025-12-31
495	MS_DRG	Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…	25	17	—	—	$25,694.10	$82,317.89	$50,397.23	2025-12-31
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	25	17	—	—	$73,067.00	$234,089.59	$143,315.95	2025-12-31
500	MS_DRG	Soft Tissue Procedures With Mcc	25	17	—	—	$22,427.86	$71,853.62	$43,990.72	2025-12-31
515	MS_DRG	Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc	25	17	—	—	$22,584.47	$72,355.38	$44,297.91	2025-12-31
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…	25	17	—	—	$26,484.97	$84,851.66	$51,948.47	2025-12-31
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	10	—	—	$59,322.34	$61,102.01	$59,322.34	2025-12-31
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	10	10	—	—	$85,879.04	$88,455.41	$85,879.04	2025-12-31
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	25	17	—	—	$46,427.54	$148,742.99	$91,064.46	2025-12-31
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	25	17	—	—	$24,600.63	$78,814.67	$48,252.46	2025-12-31
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	25	17	—	—	$34,733.14	$111,276.84	$68,126.68	2025-12-31
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc	25	17	—	—	$22,950.15	$73,526.90	$45,015.15	2025-12-31
5831	APR_DRG	Neonate With Ecmo	10	10	—	—	$137,007.08	$141,117.29	$137,007.08	2025-12-31
5832	APR_DRG	Neonate With Ecmo	10	10	—	—	$188,489.85	$194,144.55	$188,489.85	2025-12-31
5833	APR_DRG	Neonate With Ecmo	10	10	—	—	$245,488.00	$252,852.64	$245,488.00	2025-12-31
5834	APR_DRG	Neonate With Ecmo	10	10	—	—	$378,938.34	$390,306.49	$378,938.34	2025-12-31
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	10	—	—	$120,927.70	$124,555.53	$120,927.70	2025-12-31
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	10	—	—	$141,082.56	$145,315.04	$141,082.56	2025-12-31
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	10	—	—	$160,781.53	$165,604.98	$160,781.53	2025-12-31
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	10	10	—	—	$247,213.99	$254,630.41	$247,213.99	2025-12-31
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	10	—	—	$96,571.65	$99,468.80	$96,571.65	2025-12-31
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	10	—	—	$93,722.94	$96,534.63	$93,722.94	2025-12-31
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	10	—	—	$91,726.02	$94,477.80	$91,726.02	2025-12-31
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	10	—	—	$53,135.80	$54,729.87	$53,135.80	2025-12-31
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	10	—	—	$88,393.97	$91,045.79	$88,393.97	2025-12-31
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	10	—	—	$116,565.40	$120,062.36	$116,565.40	2025-12-31
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	10	10	—	—	$157,046.34	$161,757.73	$157,046.34	2025-12-31
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	10	—	—	$82,718.94	$85,200.51	$82,718.94	2025-12-31
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	10	—	—	$100,993.92	$104,023.74	$100,993.92	2025-12-31
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	10	10	—	—	$145,621.86	$149,990.52	$145,621.86	2025-12-31
6	MS_DRG	Liver Transplant Without Mcc	25	17	—	—	$32,860.83	$105,278.45	$64,454.30	2025-12-31
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	10	—	—	$61,340.93	$63,181.16	$61,340.93	2025-12-31
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	10	—	—	$76,704.34	$79,005.47	$76,704.34	2025-12-31
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	10	—	—	$108,135.57	$111,379.64	$108,135.57	2025-12-31
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	10	—	—	$59,496.46	$61,281.35	$59,496.46	2025-12-31
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	10	10	—	—	$134,695.16	$138,736.01	$134,695.16	2025-12-31
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	10	—	—	$57,368.05	$59,089.09	$57,368.05	2025-12-31
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	10	—	—	$82,872.83	$85,359.01	$82,872.83	2025-12-31
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	10	10	—	—	$52,359.86	$53,930.66	$52,359.86	2025-12-31
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	10	—	—	$60,690.71	$62,511.43	$60,690.71	2025-12-31
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	10	10	—	—	$162,544.37	$167,420.70	$162,544.37	2025-12-31
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	10	10	—	—	$67,166.96	$69,181.97	$67,166.96	2025-12-31
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	10	10	—	—	$59,195.91	$60,971.79	$59,195.91	2025-12-31
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	10	10	—	—	$67,482.68	$69,507.16	$67,482.68	2025-12-31
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	10	10	—	—	$48,329.18	$49,779.06	$48,329.18	2025-12-31
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	25	17	—	—	$24,714.01	$79,177.93	$48,474.86	2025-12-31
62	APR_DRG	Pancreas Transplant	10	10	—	—	$54,246.96	$55,874.37	$54,246.96	2025-12-31
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	10	10	—	—	$56,858.70	$58,564.46	$56,858.70	2025-12-31
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	25	17	—	—	$25,222.84	$80,808.08	$49,472.88	2025-12-31
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	10	10	—	—	$47,281.59	$48,700.04	$47,281.59	2025-12-31
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc	25	17	—	—	$26,410.56	$84,613.27	$51,802.52	2025-12-31
63	APR_DRG	Pancreas Transplant	10	10	—	—	$67,750.00	$69,782.50	$67,750.00	2025-12-31
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	10	—	—	$49,276.34	$50,754.63	$49,276.34	2025-12-31
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	10	—	—	$86,109.51	$88,692.80	$86,109.51	2025-12-31
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	10	10	—	—	$180,333.85	$185,743.87	$180,333.85	2025-12-31
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	10	—	—	$47,917.37	$49,354.89	$47,917.37	2025-12-31
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	10	10	—	—	$159,577.89	$164,365.23	$159,577.89	2025-12-31
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	10	10	—	—	$56,285.78	$57,974.35	$56,285.78	2025-12-31
64	APR_DRG	Pancreas Transplant	10	10	—	—	$95,366.57	$98,227.57	$95,366.57	2025-12-31
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	25	17	—	—	$33,317.22	$106,740.59	$65,349.46	2025-12-31
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	25	17	—	—	$26,261.74	$84,136.48	$51,510.62	2025-12-31
652	MS_DRG	Kidney Transplant	25	17	—	—	$22,886.37	$73,322.57	$44,890.05	2025-12-31
653	MS_DRG	Major Bladder Procedures With Mcc	25	17	—	—	$36,825.12	$117,979.07	$72,229.96	2025-12-31
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	25	17	—	—	$22,562.50	$72,285.00	$44,254.82	2025-12-31
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	25	17	—	—	$29,775.30	$95,393.13	$58,402.24	2025-12-31
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	10	10	—	—	$56,810.30	$58,514.61	$56,810.30	2025-12-31
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	10	10	—	—	$51,765.26	$53,318.22	$51,765.26	2025-12-31
6904	APR_DRG	Acute Leukemia	10	10	—	—	$51,279.04	$52,817.41	$51,279.04	2025-12-31
6954	APR_DRG	Chemotherapy For Acute Leukemia	10	10	—	—	$45,442.89	$46,806.18	$45,442.89	2025-12-31
7	MS_DRG	Lung Transplant	25	17	—	—	$91,773.66	$294,021.34	$180,007.78	2025-12-31
71	APR_DRG	Allogeneic Bone Marrow Transplant	10	10	—	—	$55,500.45	$57,165.46	$55,500.45	2025-12-31
72	APR_DRG	Allogeneic Bone Marrow Transplant	10	10	—	—	$58,421.42	$60,174.06	$58,421.42	2025-12-31
73	APR_DRG	Allogeneic Bone Marrow Transplant	10	10	—	—	$72,855.00	$75,040.65	$72,855.00	2025-12-31
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	25	17	—	—	$25,331.26	$81,155.45	$49,685.55	2025-12-31
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	25	17	—	—	$25,390.08	$81,343.89	$49,800.92	2025-12-31
74	APR_DRG	Allogeneic Bone Marrow Transplant	10	10	—	—	$149,068.06	$153,540.10	$149,068.06	2025-12-31
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	10	10	—	—	$51,553.58	$53,100.19	$51,553.58	2025-12-31
7594	APR_DRG	Eating Disorders	10	10	—	—	$48,410.09	$49,862.39	$48,410.09	2025-12-31
799	MS_DRG	Splenic Procedures With Mcc	25	17	—	—	$32,094.77	$102,824.15	$62,951.71	2025-12-31
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	25	17	—	—	$39,717.89	$127,246.84	$77,903.94	2025-12-31
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc	25	17	—	—	$28,233.96	$90,455.01	$55,378.99	2025-12-31
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	25	17	—	—	$41,561.84	$133,154.42	$81,520.72	2025-12-31
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	25	17	—	—	$32,490.91	$104,093.30	$63,728.72	2025-12-31
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	25	17	—	—	$33,149.97	$106,204.77	$65,021.42	2025-12-31
834	MS_DRG	Acute Leukemia With Mcc	25	17	—	—	$38,905.05	$124,642.69	$76,309.61	2025-12-31
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	25	17	—	—	$34,046.44	$109,076.83	$66,779.77	2025-12-31
84	APR_DRG	Autologous Bone Marrow Transplant	10	10	—	—	$73,884.53	$76,101.07	$73,884.53	2025-12-31
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	25	17	—	—	$22,924.64	$73,445.17	$44,965.11	2025-12-31
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	10	10	—	—	$56,920.11	$58,627.71	$56,920.11	2025-12-31
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	10	10	—	—	$177,863.71	$183,199.62	$177,863.71	2025-12-31
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	10	10	—	—	$91,090.24	$93,822.95	$91,090.24	2025-12-31
850	MS_DRG	Acute Leukemia With Other Procedures	25	17	—	—	$61,366.93	$196,605.29	$120,367.05	2025-12-31
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	10	10	—	—	$58,654.77	$60,414.41	$58,654.77	2025-12-31
8514	APR_DRG	Gender Related Procedures	10	10	—	—	$92,469.45	$95,243.53	$92,469.45	2025-12-31
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	25	17	—	—	$34,998.17	$112,125.97	$68,646.54	2025-12-31
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	25	17	—	—	$32,235.09	$103,273.68	$63,226.93	2025-12-31
8634	APR_DRG	Neonatal Aftercare	10	10	—	—	$69,020.83	$71,091.45	$69,020.83	2025-12-31
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	25	17	—	—	$48,981.57	$156,925.51	$96,074.02	2025-12-31
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	25	17	—	—	$27,389.23	$87,748.69	$53,722.11	2025-12-31
901	MS_DRG	Wound Debridements For Injuries With Mcc	25	17	—	—	$29,739.88	$95,279.61	$58,332.74	2025-12-31
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	25	17	—	—	$26,030.01	$83,394.06	$51,056.09	2025-12-31
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	25	17	—	—	$27,207.82	$87,167.47	$53,366.27	2025-12-31
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	10	10	—	—	$52,624.28	$54,203.01	$52,624.28	2025-12-31
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	10	10	—	—	$49,352.92	$50,833.51	$49,352.92	2025-12-31
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	10	10	—	—	$46,153.08	$47,537.67	$46,153.08	2025-12-31
914	APR_DRG	Other Major Head And Neck Procedures	10	10	—	—	$49,866.60	$51,362.60	$49,866.60	2025-12-31
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	25	17	—	—	$151,303.72	$484,741.75	$296,771.95	2025-12-31
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	25	17	—	—	$50,830.48	$162,848.98	$99,700.53	2025-12-31
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc	25	17	—	—	$22,824.71	$73,125.04	$44,769.12	2025-12-31
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	10	10	—	—	$63,921.61	$65,839.26	$63,921.61	2025-12-31
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	25	17	—	—	$27,596.87	$88,413.92	$54,129.38	2025-12-31
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc	25	17	—	—	$25,713.95	$82,381.46	$50,436.15	2025-12-31
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	10	10	—	—	$148,321.02	$152,770.65	$148,321.02	2025-12-31
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	25	17	—	—	$24,940.79	$79,904.46	$48,919.66	2025-12-31
955	MS_DRG	Craniotomy For Multiple Significant Trauma	25	17	—	—	$47,701.02	$152,822.89	$93,562.29	2025-12-31
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	25	17	—	—	$26,667.10	$85,435.15	$52,305.70	2025-12-31
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	25	17	—	—	$53,999.63	$173,002.21	$105,916.61	2025-12-31
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	25	17	—	—	$29,862.48	$95,672.39	$58,573.21	2025-12-31
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	25	17	—	—	$43,379.57	$138,978.00	$85,086.07	2025-12-31
97	MS_DRG	Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc	25	17	—	—	$25,595.60	$82,002.31	$50,204.02	2025-12-31
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	25	17	—	—	$33,249.19	$106,522.63	$65,216.02	2025-12-31
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	25	17	—	—	$24,295.91	$77,838.39	$47,654.76	2025-12-31
A9543	HCPCS	Y90 Ibritumomab, Rx	10	10	—	—	$56,824.55	$56,824.55	$56,824.55	2025-12-31
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	15	10	—	—	$3,539,340.00	$3,932,600.00	$3,685,266.67	2025-12-31
J1413	HCPCS	Inj Delandistrogene Mox Rokl	15	10	—	—	$3,168,979.56	$3,521,088.40	$3,316,462.59	2025-12-31
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	5	2	—	—	$3,539,340.00	$3,932,600.00	$3,932,600.00	2025-12-31
J3391	HCPCS	Inj, Atidarsagene Autotemcel	10	10	—	—	$4,505,000.00	$4,505,000.00	$4,505,000.00	2025-12-31
J3392	HCPCS	Inj, Exagamglogene Autotem	15	10	—	—	$2,224,728.00	$2,471,920.00	$2,332,000.00	2025-12-31
J3393	HCPCS	Inj, Betibeglogene Autotemce	15	10	—	—	$2,831,472.00	$3,146,080.00	$2,945,740.00	2025-12-31
J3394	HCPCS	Inj, Lovotibeglogene Autotem	15	10	—	—	$3,046,122.00	$3,384,580.00	$3,248,445.72	2025-12-31
J3399	HCPCS	Inj Onase Abepar-xioi Treat	10	10	—	—	$2,455,110.61	$2,455,110.61	$2,455,110.61	2025-12-31
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	10	10	—	—	$205,640.00	$205,640.00	$205,640.00	2025-12-31
J3403	HCPCS	Revakinagene, Per Implant	10	10	—	—	$257,500.00	$257,500.00	$257,500.00	2025-12-31
J7330	HCPCS	Cultured Chondrocytes Implnt	5	2	—	—	$69,449.29	$77,165.88	$77,165.88	2025-12-31
J9029	HCPCS	Instill Adstiladrin, Tx Dose	15	10	—	—	$60,485.54	$67,206.16	$63,342.28	2025-12-31
J9226	HCPCS	Supprelin La Implant	15	10	—	—	$43,179.76	$47,977.51	$45,020.65	2025-12-31
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	10	10	—	—	$93,216.70	$93,216.70	$93,216.70	2025-12-31
L7180	HCPCS	Electronic Elbow Sequential	10	10	—	—	$46,980.38	$46,980.38	$46,980.38	2025-12-31
L7181	HCPCS	Electronic Elbo Simultaneous	10	10	—	—	$48,370.76	$48,370.76	$48,370.76	2025-12-31
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	10	10	—	—	$67,452.66	$67,452.66	$67,452.66	2025-12-31
Q0480	HCPCS	Driver Pneumatic Vad, Rep	10	10	—	—	$108,727.22	$108,727.22	$108,727.22	2025-12-31
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	15	10	—	—	$466,999.36	$533,230.17	$533,230.17	2025-12-31
Q2042	HCPCS	Tisagenlecleucel Car-pos T	15	10	—	—	$539,605.14	$599,561.27	$591,726.20	2025-12-31
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	15	10	—	—	$52,981.82	$58,868.69	$55,272.32	2025-12-31
Q2053	HCPCS	Brexucabtagene Car Pos T	15	10	—	—	$465,601.14	$517,334.60	$489,304.61	2025-12-31
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	15	10	—	—	$492,727.62	$562,538.19	$562,538.19	2025-12-31
Q2055	HCPCS	Idecabtagene Vicleucel Car	15	10	—	—	$504,010.06	$560,011.18	$557,317.93	2025-12-31
Q2056	HCPCS	Ciltacabtagene Car-pos T	15	10	—	—	$525,957.70	$584,397.44	$565,868.95	2025-12-31
Q2057	HCPCS	Afamitresgene Autoleucel	10	10	—	—	$770,620.00	$770,620.00	$770,620.00	2025-12-31
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	10	10	—	—	$278,250.00	$278,250.00	$278,250.00	2025-12-31

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