|
0408T
|
CPT
|
Hc Ins Or Replct Perm Card Modulated System Pulse Gen W/leads
|
100
|
76
|
$79,475.00
|
$11,921.25
85% off
|
$257.50
|
$82,204.61
|
$48,442.00
|
2026-02-27
|
|
1
|
MS_DRG
|
Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc
|
83
|
69
|
—
|
—
|
$177,210.46
|
$424,566.73
|
$304,580.48
|
2026-02-27
|
|
10
|
MS_DRG
|
Ms-DRG 42.00: Pancreas Transplant
|
79
|
69
|
—
|
—
|
$51,440.15
|
$123,242.03
|
$88,412.76
|
2026-02-27
|
|
11
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$65,210.40
|
$111,880.58
|
$88,545.49
|
2026-02-27
|
|
11
|
MS_DRG
|
Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi…
|
86
|
69
|
—
|
—
|
$15,063.77
|
$84,790.30
|
$60,827.83
|
2026-02-27
|
|
113
|
APR_DRG
|
Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
1
|
—
|
—
|
$53,042.32
|
$91,003.97
|
$72,023.15
|
2026-02-27
|
|
114
|
APR_DRG
|
Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
1
|
—
|
—
|
$107,760.38
|
$184,883.01
|
$146,321.70
|
2026-02-27
|
|
12
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$73,446.54
|
$126,011.21
|
$99,728.88
|
2026-02-27
|
|
12
|
MS_DRG
|
Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi…
|
86
|
69
|
—
|
—
|
$11,791.88
|
$65,509.98
|
$46,996.29
|
2026-02-27
|
|
1204
|
APR_DRG
|
Apr-DRG 40.00: Major Respiratory And Chest Procedures
|
2
|
1
|
—
|
—
|
$36,754.50
|
$63,059.19
|
$49,906.85
|
2026-02-27
|
|
13
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$87,632.39
|
$150,349.69
|
$118,991.04
|
2026-02-27
|
|
1304
|
APR_DRG
|
Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
1
|
—
|
—
|
$34,879.35
|
$59,842.03
|
$47,360.69
|
2026-02-27
|
|
14
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$151,579.11
|
$260,062.20
|
$205,820.65
|
2026-02-27
|
|
14
|
MS_DRG
|
Ms-DRG 42.00: Allogeneic Bone Marrow Transplant
|
79
|
69
|
—
|
—
|
$83,380.79
|
$199,766.48
|
$143,310.73
|
2026-02-27
|
|
140
|
MS_DRG
|
Ms-DRG 42.00: Major Head And Neck Procedures With Mcc
|
86
|
69
|
—
|
—
|
$14,455.15
|
$70,838.76
|
$48,339.65
|
2026-02-27
|
|
16
|
MS_DRG
|
Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc
|
79
|
69
|
—
|
—
|
$39,376.47
|
$94,339.47
|
$67,678.31
|
2026-02-27
|
|
1603
|
APR_DRG
|
Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$37,207.92
|
$63,837.11
|
$50,522.51
|
2026-02-27
|
|
1604
|
APR_DRG
|
Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$69,313.44
|
$118,920.12
|
$94,116.78
|
2026-02-27
|
|
1611
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$95,721.22
|
$164,227.58
|
$129,974.40
|
2026-02-27
|
|
1612
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$100,759.17
|
$172,871.12
|
$136,815.14
|
2026-02-27
|
|
1613
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$125,492.29
|
$215,305.40
|
$170,398.85
|
2026-02-27
|
|
1614
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$163,805.66
|
$281,039.13
|
$222,422.40
|
2026-02-27
|
|
1622
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$35,461.05
|
$60,840.04
|
$48,150.54
|
2026-02-27
|
|
1623
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$44,743.47
|
$76,765.75
|
$60,754.61
|
2026-02-27
|
|
1624
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$65,326.59
|
$112,079.93
|
$88,703.26
|
2026-02-27
|
|
163
|
MS_DRG
|
Ms-DRG 42.00: Major Chest Procedures With Mcc
|
86
|
69
|
—
|
—
|
$14,739.85
|
$73,052.32
|
$52,407.10
|
2026-02-27
|
|
1633
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
2
|
1
|
—
|
—
|
$37,006.99
|
$63,492.38
|
$50,249.68
|
2026-02-27
|
|
1634
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
2
|
1
|
—
|
—
|
$55,589.10
|
$95,373.46
|
$75,481.28
|
2026-02-27
|
|
1652
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$31,226.67
|
$53,575.17
|
$42,400.92
|
2026-02-27
|
|
1653
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$37,544.73
|
$64,414.98
|
$50,979.86
|
2026-02-27
|
|
1654
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$50,835.09
|
$87,217.07
|
$69,026.08
|
2026-02-27
|
|
166
|
MS_DRG
|
Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc
|
86
|
69
|
—
|
—
|
$12,663.78
|
$62,059.99
|
$44,283.94
|
2026-02-27
|
|
1663
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$31,214.77
|
$53,554.76
|
$42,384.76
|
2026-02-27
|
|
1664
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$45,823.15
|
$78,618.14
|
$62,220.65
|
2026-02-27
|
|
1673
|
APR_DRG
|
Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$31,143.83
|
$53,433.04
|
$42,288.43
|
2026-02-27
|
|
1674
|
APR_DRG
|
Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$50,002.56
|
$85,788.71
|
$67,895.64
|
2026-02-27
|
|
1694
|
APR_DRG
|
Apr-DRG 40.00: Major Abdominal Vascular Procedures
|
2
|
1
|
—
|
—
|
$42,888.54
|
$73,583.28
|
$58,235.91
|
2026-02-27
|
|
17
|
MS_DRG
|
Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc
|
79
|
69
|
—
|
—
|
$39,376.47
|
$94,339.47
|
$67,678.31
|
2026-02-27
|
|
1764
|
APR_DRG
|
Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi…
|
2
|
1
|
—
|
—
|
$34,836.89
|
$59,769.17
|
$47,303.03
|
2026-02-27
|
|
1781
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$33,945.75
|
$58,240.26
|
$46,093.01
|
2026-02-27
|
|
1782
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$38,059.40
|
$65,297.99
|
$51,678.69
|
2026-02-27
|
|
1783
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$40,850.03
|
$70,085.83
|
$55,467.93
|
2026-02-27
|
|
1784
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$55,218.25
|
$94,737.20
|
$74,977.73
|
2026-02-27
|
|
1793
|
APR_DRG
|
Apr-DRG 40.00: Defibrillator Implants
|
2
|
1
|
—
|
—
|
$32,802.56
|
$56,278.91
|
$44,540.74
|
2026-02-27
|
|
1794
|
APR_DRG
|
Apr-DRG 40.00: Defibrillator Implants
|
2
|
1
|
—
|
—
|
$44,987.47
|
$77,184.39
|
$61,085.93
|
2026-02-27
|
|
18
|
MS_DRG
|
Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
86
|
69
|
—
|
—
|
$135,556.53
|
$664,306.88
|
$406,743.48
|
2026-02-27
|
|
1814
|
APR_DRG
|
Apr-DRG 40.00: Lower Extremity Arterial Procedures
|
2
|
1
|
—
|
—
|
$35,461.05
|
$60,840.04
|
$48,150.54
|
2026-02-27
|
|
1833
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$33,100.11
|
$56,789.40
|
$44,944.76
|
2026-02-27
|
|
1834
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$47,119.67
|
$80,842.58
|
$63,981.12
|
2026-02-27
|
|
19
|
MS_DRG
|
Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
79
|
69
|
—
|
—
|
$51,155.55
|
$122,560.17
|
$87,923.60
|
2026-02-27
|
|
2
|
MS_DRG
|
Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
83
|
69
|
—
|
—
|
$70,414.09
|
$168,700.42
|
$121,024.22
|
2026-02-27
|
|
20
|
MS_DRG
|
Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha…
|
86
|
69
|
—
|
—
|
$27,988.29
|
$137,159.11
|
$89,355.77
|
2026-02-27
|
|
204
|
APR_DRG
|
Apr-DRG 40.00: Open Craniotomy For Trauma
|
2
|
1
|
—
|
—
|
$36,924.70
|
$63,351.19
|
$50,137.94
|
2026-02-27
|
|
207
|
MS_DRG
|
Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours
|
86
|
69
|
—
|
—
|
$21,746.64
|
$106,571.35
|
$72,294.90
|
2026-02-27
|
|
21
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
2
|
1
|
—
|
—
|
$93,283.19
|
$160,044.68
|
$126,663.93
|
2026-02-27
|
|
21
|
MS_DRG
|
Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha…
|
86
|
69
|
—
|
—
|
$24,338.01
|
$119,270.57
|
$62,234.32
|
2026-02-27
|
|
212
|
MS_DRG
|
Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures
|
86
|
69
|
—
|
—
|
$39,112.72
|
$191,675.38
|
$119,677.67
|
2026-02-27
|
|
214
|
APR_DRG
|
Apr-DRG 40.00: Open Craniotomy Except Trauma
|
2
|
1
|
—
|
—
|
$40,023.66
|
$68,668.05
|
$54,345.86
|
2026-02-27
|
|
215
|
MS_DRG
|
Ms-DRG 42.00: Other Heart Assist System Implant
|
86
|
69
|
—
|
—
|
$43,582.61
|
$213,580.47
|
$116,476.16
|
2026-02-27
|
|
216
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…
|
86
|
69
|
—
|
—
|
$35,708.65
|
$174,993.41
|
$106,374.91
|
2026-02-27
|
|
217
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…
|
86
|
69
|
—
|
—
|
$22,893.80
|
$112,193.10
|
$72,195.32
|
2026-02-27
|
|
218
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…
|
86
|
69
|
—
|
—
|
$20,812.64
|
$101,994.21
|
$66,751.36
|
2026-02-27
|
|
219
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…
|
86
|
69
|
—
|
—
|
$39,507.82
|
$193,611.58
|
$85,892.00
|
2026-02-27
|
|
22
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
2
|
1
|
—
|
—
|
$108,814.42
|
$186,691.41
|
$147,752.92
|
2026-02-27
|
|
220
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…
|
86
|
69
|
—
|
—
|
$20,598.03
|
$100,942.47
|
$59,766.02
|
2026-02-27
|
|
2204
|
APR_DRG
|
Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures
|
2
|
1
|
—
|
—
|
$37,910.46
|
$65,042.46
|
$51,476.46
|
2026-02-27
|
|
221
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…
|
86
|
69
|
—
|
—
|
$15,648.79
|
$76,688.30
|
$52,229.43
|
2026-02-27
|
|
228
|
MS_DRG
|
Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc
|
86
|
69
|
—
|
—
|
$26,592.02
|
$130,316.55
|
$56,411.44
|
2026-02-27
|
|
23
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
2
|
1
|
—
|
—
|
$146,628.77
|
$251,568.97
|
$199,098.87
|
2026-02-27
|
|
23
|
MS_DRG
|
Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa…
|
86
|
69
|
—
|
—
|
$26,186.03
|
$128,326.96
|
$64,137.48
|
2026-02-27
|
|
2304
|
APR_DRG
|
Apr-DRG 40.00: Major Small Bowel Procedures
|
2
|
1
|
—
|
—
|
$33,978.63
|
$58,296.67
|
$46,137.65
|
2026-02-27
|
|
231
|
MS_DRG
|
Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc
|
86
|
69
|
—
|
—
|
$22,055.67
|
$130,715.74
|
$93,774.33
|
2026-02-27
|
|
232
|
MS_DRG
|
Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc
|
86
|
69
|
—
|
—
|
$16,586.42
|
$95,425.69
|
$68,457.56
|
2026-02-27
|
|
233
|
MS_DRG
|
Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…
|
86
|
69
|
—
|
—
|
$18,943.20
|
$120,905.46
|
$86,736.52
|
2026-02-27
|
|
234
|
MS_DRG
|
Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…
|
86
|
69
|
—
|
—
|
$12,841.72
|
$83,660.82
|
$60,017.55
|
2026-02-27
|
|
234
|
APR_DRG
|
Apr-DRG 40.00: Spinal Procedures
|
2
|
1
|
—
|
—
|
$40,579.91
|
$69,622.40
|
$55,101.15
|
2026-02-27
|
|
235
|
MS_DRG
|
Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc
|
86
|
69
|
—
|
—
|
$17,391.86
|
$92,075.99
|
$66,054.52
|
2026-02-27
|
|
236
|
MS_DRG
|
Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc
|
86
|
69
|
—
|
—
|
$11,627.38
|
$65,635.33
|
$47,086.21
|
2026-02-27
|
|
239
|
MS_DRG
|
Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And …
|
86
|
69
|
—
|
—
|
$25,396.56
|
$124,458.11
|
$56,985.16
|
2026-02-27
|
|
24
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
2
|
1
|
—
|
—
|
$237,116.59
|
$406,817.68
|
$321,967.14
|
2026-02-27
|
|
24
|
MS_DRG
|
Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa…
|
86
|
69
|
—
|
—
|
$16,232.72
|
$79,549.90
|
$43,763.74
|
2026-02-27
|
|
245
|
MS_DRG
|
Ms-DRG 42.00: Aicd Generator Procedures
|
86
|
69
|
—
|
—
|
$16,488.37
|
$80,802.74
|
$55,378.52
|
2026-02-27
|
|
25
|
MS_DRG
|
Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc
|
86
|
69
|
—
|
—
|
$17,285.83
|
$84,710.74
|
$50,941.75
|
2026-02-27
|
|
2604
|
APR_DRG
|
Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures
|
2
|
1
|
—
|
—
|
$39,514.45
|
$67,794.39
|
$53,654.42
|
2026-02-27
|
|
2614
|
APR_DRG
|
Apr-DRG 40.00: Major Biliary Tract Procedures
|
2
|
1
|
—
|
—
|
$34,732.13
|
$59,589.43
|
$47,160.78
|
2026-02-27
|
|
266
|
MS_DRG
|
Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W…
|
86
|
69
|
—
|
—
|
$32,653.55
|
$160,021.63
|
$67,195.56
|
2026-02-27
|
|
267
|
MS_DRG
|
Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W…
|
86
|
69
|
—
|
—
|
$24,518.12
|
$120,153.25
|
$53,429.33
|
2026-02-27
|
|
268
|
MS_DRG
|
Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M…
|
86
|
69
|
—
|
—
|
$22,807.73
|
$111,771.34
|
$74,439.93
|
2026-02-27
|
|
269
|
MS_DRG
|
Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou…
|
86
|
69
|
—
|
—
|
$14,177.35
|
$69,477.36
|
$47,606.43
|
2026-02-27
|
|
270
|
MS_DRG
|
Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc
|
86
|
69
|
—
|
—
|
$17,194.32
|
$84,262.28
|
$58,013.79
|
2026-02-27
|
|
273
|
MS_DRG
|
Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc
|
86
|
69
|
—
|
—
|
$12,891.11
|
$63,174.02
|
$44,926.17
|
2026-02-27
|
|
274
|
APR_DRG
|
Apr-DRG 40.00: Other Open Craniotomy
|
2
|
1
|
—
|
—
|
$35,278.41
|
$60,526.68
|
$47,902.54
|
2026-02-27
|
|
2740000009
|
CDM
|
Hc 274 Supply Implant Paracorporeal Vent Assist Device Pump
|
32
|
17
|
$109,862.00
|
$16,479.30
85% off
|
$17,281.29
|
$87,889.60
|
$56,029.62
|
2026-02-27
|
|
275
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
86
|
69
|
—
|
—
|
$25,549.80
|
$125,209.10
|
$78,715.05
|
2026-02-27
|
|
276
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu…
|
86
|
69
|
—
|
—
|
$22,551.72
|
$110,516.72
|
$69,374.86
|
2026-02-27
|
|
277
|
MS_DRG
|
Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc
|
86
|
69
|
—
|
—
|
$17,366.81
|
$85,107.59
|
$52,864.15
|
2026-02-27
|
|
278
|
MS_DRG
|
Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul…
|
86
|
69
|
—
|
—
|
$16,197.50
|
$79,377.28
|
$56,625.49
|
2026-02-27
|
|
28
|
MS_DRG
|
Ms-DRG 42.00: Spinal Procedures With Mcc
|
86
|
69
|
—
|
—
|
$11,248.62
|
$94,990.00
|
$67,509.75
|
2026-02-27
|
|
3
|
MS_DRG
|
Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…
|
86
|
69
|
—
|
—
|
$60,561.22
|
$324,051.55
|
$232,471.77
|
2026-02-27
|
|
3032
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$34,356.98
|
$58,945.79
|
$46,651.39
|
2026-02-27
|
|
3033
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$47,287.94
|
$81,131.27
|
$64,209.61
|
2026-02-27
|
|
3034
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$62,454.61
|
$107,152.51
|
$84,803.56
|
2026-02-27
|
|
304
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures
|
2
|
1
|
—
|
—
|
$31,227.55
|
$53,576.68
|
$42,402.11
|
2026-02-27
|
|
3043
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$32,395.47
|
$55,580.46
|
$43,987.96
|
2026-02-27
|
|
3044
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$47,936.45
|
$82,243.92
|
$65,090.18
|
2026-02-27
|
|
31
|
MS_DRG
|
Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc
|
86
|
69
|
—
|
—
|
$26,479.08
|
$129,763.09
|
$47,926.46
|
2026-02-27
|
|
3124
|
APR_DRG
|
Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu…
|
2
|
1
|
—
|
—
|
$42,580.59
|
$73,054.93
|
$57,817.76
|
2026-02-27
|
|
317
|
MS_DRG
|
Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
22
|
12
|
—
|
—
|
$22,465.29
|
$110,093.17
|
$64,063.26
|
2026-02-27
|
|
319
|
MS_DRG
|
Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc
|
86
|
69
|
—
|
—
|
$14,891.28
|
$72,976.06
|
$50,090.80
|
2026-02-27
|
|
3214
|
APR_DRG
|
Apr-DRG 40.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc …
|
2
|
1
|
—
|
—
|
$31,457.68
|
$53,971.50
|
$42,714.59
|
2026-02-27
|
|
323
|
MS_DRG
|
Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M…
|
86
|
69
|
—
|
—
|
$15,034.00
|
$73,675.44
|
$48,662.89
|
2026-02-27
|
|
326
|
MS_DRG
|
Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc
|
86
|
69
|
—
|
—
|
$17,671.48
|
$86,600.67
|
$57,435.79
|
2026-02-27
|
|
329
|
MS_DRG
|
Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc
|
86
|
69
|
—
|
—
|
$13,199.78
|
$72,794.20
|
$52,221.92
|
2026-02-27
|
|
33231
|
CPT
|
Hc Insert Icd Generator Only Exist Multiple Leads
|
103
|
75
|
$79,107.00
|
$11,866.05
85% off
|
$333.38
|
$82,204.61
|
$48,442.00
|
2026-02-27
|
|
33249
|
CPT
|
Hc Insert/replace Icd Single Or Dual Chamber W Lead(s)
|
105
|
77
|
$85,292.00
|
$12,793.80
85% off
|
$297.00
|
$82,204.61
|
$49,322.77
|
2026-02-27
|
|
33264
|
CPT
|
Hc Remove/replace Icd Generator Multiple Lead System
|
103
|
75
|
$75,338.00
|
$11,300.70
85% off
|
$333.38
|
$82,204.61
|
$48,442.00
|
2026-02-27
|
|
33270
|
CPT
|
Hc Inst/repl Subq Defib W Electrode
|
105
|
77
|
$78,958.00
|
$11,843.70
85% off
|
$297.00
|
$82,204.61
|
$48,442.00
|
2026-02-27
|
|
33276
|
CPT
|
Hc Insertion Phrenic Nerve Stimulator Generator & Lead
|
98
|
75
|
$84,346.00
|
$12,651.90
85% off
|
$3,416.33
|
$115,379.49
|
$67,991.48
|
2026-02-27
|
|
33287
|
CPT
|
Hc Rmvl & Rplcmt Phrenic Nerve Stimulator Pls Generator W/cath
|
98
|
75
|
$83,269.00
|
$12,490.35
85% off
|
$3,416.33
|
$78,133.08
|
$49,397.29
|
2026-02-27
|
|
33289
|
CPT
|
Hc Trnscat Impl Wrls Pul-art Prs Sen W/rt Hrt Cath/s&i/pul Art If Done
|
100
|
76
|
$102,776.00
|
$15,416.40
85% off
|
$257.50
|
$82,220.80
|
$46,857.28
|
2026-02-27
|
|
34
|
MS_DRG
|
Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc
|
86
|
69
|
—
|
—
|
$9,237.56
|
$62,302.08
|
$44,694.97
|
2026-02-27
|
|
356
|
MS_DRG
|
Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc
|
86
|
69
|
—
|
—
|
$12,006.13
|
$67,927.12
|
$48,730.32
|
2026-02-27
|
|
3614
|
APR_DRG
|
Apr-DRG 40.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$36,059.99
|
$61,867.64
|
$48,963.82
|
2026-02-27
|
|
38240
|
CPT
|
Hc Hpc Transplant Per Donor Allog
|
99
|
75
|
$64,907.00
|
$9,736.05
85% off
|
$333.38
|
$151,638.56
|
$89,358.44
|
2026-02-27
|
|
4
|
MS_DRG
|
Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…
|
86
|
69
|
—
|
—
|
$39,043.00
|
$215,107.75
|
$154,316.43
|
2026-02-27
|
|
40
|
MS_DRG
|
Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With…
|
86
|
69
|
—
|
—
|
$16,856.23
|
$82,605.47
|
$43,446.91
|
2026-02-27
|
|
4014
|
APR_DRG
|
Apr-DRG 40.00: Adrenal Procedures
|
2
|
1
|
—
|
—
|
$33,276.86
|
$57,092.65
|
$45,184.76
|
2026-02-27
|
|
4044
|
APR_DRG
|
Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures
|
2
|
1
|
—
|
—
|
$32,701.66
|
$56,105.78
|
$44,403.72
|
2026-02-27
|
|
405
|
MS_DRG
|
Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc
|
86
|
69
|
—
|
—
|
$10,967.19
|
$85,279.72
|
$60,447.32
|
2026-02-27
|
|
41
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$32,249.78
|
$55,330.51
|
$43,790.15
|
2026-02-27
|
|
42
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$48,294.47
|
$82,858.17
|
$65,576.32
|
2026-02-27
|
|
423
|
MS_DRG
|
Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
86
|
69
|
—
|
—
|
$11,025.66
|
$64,968.38
|
$46,607.75
|
2026-02-27
|
|
426
|
MS_DRG
|
Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…
|
22
|
12
|
—
|
—
|
$38,040.37
|
$186,420.22
|
$108,478.01
|
2026-02-27
|
|
427
|
MS_DRG
|
Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…
|
22
|
12
|
—
|
—
|
$25,792.74
|
$126,399.65
|
$73,552.01
|
2026-02-27
|
|
428
|
MS_DRG
|
Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…
|
22
|
12
|
—
|
—
|
$19,987.59
|
$97,950.96
|
$56,997.71
|
2026-02-27
|
|
429
|
MS_DRG
|
Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
22
|
12
|
—
|
—
|
$30,288.05
|
$148,429.32
|
$86,371.09
|
2026-02-27
|
|
43
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$70,245.34
|
$120,518.97
|
$95,382.15
|
2026-02-27
|
|
430
|
MS_DRG
|
Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
22
|
12
|
—
|
—
|
$19,865.57
|
$97,353.02
|
$56,649.76
|
2026-02-27
|
|
44
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$102,648.74
|
$176,113.04
|
$139,380.89
|
2026-02-27
|
|
4401
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
2
|
1
|
—
|
—
|
$44,958.42
|
$77,134.54
|
$61,046.48
|
2026-02-27
|
|
4402
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
2
|
1
|
—
|
—
|
$50,349.04
|
$86,383.16
|
$68,366.10
|
2026-02-27
|
|
4403
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
2
|
1
|
—
|
—
|
$58,705.23
|
$100,719.75
|
$79,712.49
|
2026-02-27
|
|
4404
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
2
|
1
|
—
|
—
|
$89,060.15
|
$152,799.27
|
$120,929.71
|
2026-02-27
|
|
4414
|
APR_DRG
|
Apr-DRG 40.00: Major Bladder Procedures
|
2
|
1
|
—
|
—
|
$40,016.28
|
$68,655.38
|
$54,335.83
|
2026-02-27
|
|
447
|
MS_DRG
|
Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma…
|
22
|
12
|
—
|
—
|
$24,347.45
|
$119,316.84
|
$69,430.52
|
2026-02-27
|
|
448
|
MS_DRG
|
Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc
|
22
|
12
|
—
|
—
|
$14,828.82
|
$72,669.97
|
$42,286.68
|
2026-02-27
|
|
450
|
MS_DRG
|
Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made…
|
22
|
12
|
—
|
—
|
$18,702.07
|
$91,651.18
|
$53,331.86
|
2026-02-27
|
|
456
|
MS_DRG
|
Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…
|
86
|
69
|
—
|
—
|
$44,898.63
|
$220,029.74
|
$93,724.03
|
2026-02-27
|
|
457
|
MS_DRG
|
Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…
|
86
|
69
|
—
|
—
|
$28,142.99
|
$137,917.22
|
$64,504.64
|
2026-02-27
|
|
458
|
MS_DRG
|
Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…
|
86
|
69
|
—
|
—
|
$23,596.84
|
$115,638.41
|
$49,290.14
|
2026-02-27
|
|
461
|
MS_DRG
|
Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi…
|
86
|
69
|
—
|
—
|
$13,924.60
|
$95,843.44
|
$68,498.01
|
2026-02-27
|
|
463
|
MS_DRG
|
Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A…
|
86
|
69
|
—
|
—
|
$15,372.81
|
$84,866.41
|
$60,882.43
|
2026-02-27
|
|
466
|
MS_DRG
|
Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc
|
86
|
69
|
—
|
—
|
$12,858.06
|
$80,294.75
|
$57,602.75
|
2026-02-27
|
|
471
|
MS_DRG
|
Ms-DRG 42.00: Cervical Spinal Fusion With Mcc
|
86
|
69
|
—
|
—
|
$22,068.74
|
$108,149.85
|
$55,062.74
|
2026-02-27
|
|
474
|
MS_DRG
|
Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord…
|
86
|
69
|
—
|
—
|
$19,229.35
|
$94,235.16
|
$51,074.48
|
2026-02-27
|
|
5
|
MS_DRG
|
Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant
|
79
|
69
|
—
|
—
|
$68,107.98
|
$163,175.36
|
$117,060.59
|
2026-02-27
|
|
5104
|
APR_DRG
|
Apr-DRG 40.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec…
|
2
|
1
|
—
|
—
|
$33,965.85
|
$58,274.75
|
$46,120.30
|
2026-02-27
|
|
52
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$36,463.35
|
$62,559.66
|
$49,511.51
|
2026-02-27
|
|
53
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$49,814.90
|
$85,466.74
|
$67,640.82
|
2026-02-27
|
|
54
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$67,647.60
|
$116,062.07
|
$91,854.84
|
2026-02-27
|
|
5484
|
APR_DRG
|
Apr-DRG 40.00: Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
2
|
1
|
—
|
—
|
$33,520.34
|
$57,510.38
|
$45,515.36
|
2026-02-27
|
|
573
|
MS_DRG
|
Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
86
|
69
|
—
|
—
|
$16,549.02
|
$96,164.24
|
$68,987.39
|
2026-02-27
|
|
576
|
MS_DRG
|
Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
86
|
69
|
—
|
—
|
$8,993.53
|
$84,781.36
|
$60,084.86
|
2026-02-27
|
|
5831
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$168,665.36
|
$289,376.84
|
$229,021.10
|
2026-02-27
|
|
5832
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$195,173.82
|
$334,857.05
|
$265,015.43
|
2026-02-27
|
|
5833
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$264,676.58
|
$454,101.98
|
$359,389.28
|
2026-02-27
|
|
5834
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$334,179.35
|
$573,346.92
|
$453,763.14
|
2026-02-27
|
|
5881
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$113,824.63
|
$195,287.35
|
$154,555.99
|
2026-02-27
|
|
5882
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$172,922.29
|
$296,680.41
|
$234,801.35
|
2026-02-27
|
|
5883
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$176,597.14
|
$302,985.30
|
$239,791.22
|
2026-02-27
|
|
5884
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$274,117.65
|
$470,299.89
|
$372,208.77
|
2026-02-27
|
|
5891
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
2
|
1
|
—
|
—
|
$53,556.36
|
$91,885.90
|
$72,721.13
|
2026-02-27
|
|
5892
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
2
|
1
|
—
|
—
|
$44,460.22
|
$76,279.80
|
$60,370.01
|
2026-02-27
|
|
5893
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
2
|
1
|
—
|
—
|
$35,364.09
|
$60,673.69
|
$48,018.89
|
2026-02-27
|
|
5912
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$53,818.80
|
$92,336.18
|
$73,077.49
|
2026-02-27
|
|
5913
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$101,140.36
|
$173,525.13
|
$137,332.74
|
2026-02-27
|
|
5914
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$172,638.79
|
$296,194.00
|
$234,416.40
|
2026-02-27
|
|
5932
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$91,120.65
|
$156,334.45
|
$123,727.55
|
2026-02-27
|
|
5933
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$114,965.62
|
$197,244.94
|
$156,105.28
|
2026-02-27
|
|
5934
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$178,777.17
|
$306,725.53
|
$242,751.35
|
2026-02-27
|
|
6
|
MS_DRG
|
Ms-DRG 42.00: Liver Transplant Without Mcc
|
79
|
69
|
—
|
—
|
$31,986.06
|
$76,633.26
|
$54,976.04
|
2026-02-27
|
|
6022
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$77,102.31
|
$132,283.37
|
$104,692.84
|
2026-02-27
|
|
6023
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$101,048.18
|
$173,366.98
|
$137,207.58
|
2026-02-27
|
|
6024
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$128,147.45
|
$219,860.83
|
$174,004.14
|
2026-02-27
|
|
6032
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
2
|
1
|
—
|
—
|
$34,503.70
|
$59,197.52
|
$46,850.61
|
2026-02-27
|
|
6033
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
2
|
1
|
—
|
—
|
$69,931.77
|
$119,980.98
|
$94,956.38
|
2026-02-27
|
|
6034
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
2
|
1
|
—
|
—
|
$143,706.36
|
$246,555.04
|
$195,130.70
|
2026-02-27
|
|
6072
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$59,291.90
|
$101,726.30
|
$80,509.10
|
2026-02-27
|
|
6073
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$76,572.57
|
$131,374.50
|
$103,973.54
|
2026-02-27
|
|
6074
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$98,428.58
|
$168,872.56
|
$133,650.57
|
2026-02-27
|
|
6082
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
2
|
1
|
—
|
—
|
$43,815.92
|
$75,174.37
|
$59,495.14
|
2026-02-27
|
|
6083
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
2
|
1
|
—
|
—
|
$59,353.50
|
$101,831.99
|
$80,592.74
|
2026-02-27
|
|
6084
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
2
|
1
|
—
|
—
|
$62,321.21
|
$106,923.65
|
$84,622.43
|
2026-02-27
|
|
6091
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$38,563.40
|
$66,162.70
|
$52,363.05
|
2026-02-27
|
|
6092
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$40,593.08
|
$69,644.99
|
$55,119.04
|
2026-02-27
|
|
6093
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$85,460.63
|
$146,623.63
|
$116,042.13
|
2026-02-27
|
|
6094
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$171,537.72
|
$294,304.90
|
$232,921.31
|
2026-02-27
|
|
61
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
2
|
1
|
—
|
—
|
$64,227.55
|
$110,194.32
|
$87,210.93
|
2026-02-27
|
|
6113
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$48,718.92
|
$83,586.38
|
$66,152.65
|
2026-02-27
|
|
6114
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$74,798.02
|
$128,329.94
|
$101,563.98
|
2026-02-27
|
|
6122
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$38,954.16
|
$66,833.12
|
$52,893.64
|
2026-02-27
|
|
6123
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$50,302.05
|
$86,302.54
|
$68,302.29
|
2026-02-27
|
|
6124
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$71,526.09
|
$122,716.34
|
$97,121.21
|
2026-02-27
|
|
6133
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…
|
2
|
1
|
—
|
—
|
$45,760.46
|
$78,510.60
|
$62,135.53
|
2026-02-27
|
|
6134
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…
|
2
|
1
|
—
|
—
|
$70,175.09
|
$120,398.44
|
$95,286.76
|
2026-02-27
|
|
6143
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…
|
2
|
1
|
—
|
—
|
$43,262.65
|
$74,225.14
|
$58,743.90
|
2026-02-27
|
|
6144
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…
|
2
|
1
|
—
|
—
|
$56,393.90
|
$96,754.24
|
$76,574.07
|
2026-02-27
|
|
616
|
MS_DRG
|
Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic …
|
86
|
69
|
—
|
—
|
$11,420.39
|
$61,948.50
|
$44,441.31
|
2026-02-27
|
|
62
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
2
|
1
|
—
|
—
|
$81,709.69
|
$140,188.20
|
$110,948.95
|
2026-02-27
|
|
6213
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$34,445.36
|
$59,097.43
|
$46,771.40
|
2026-02-27
|
|
6214
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$58,680.38
|
$100,677.12
|
$79,678.75
|
2026-02-27
|
|
622
|
MS_DRG
|
Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M…
|
86
|
69
|
—
|
—
|
$19,711.24
|
$96,596.69
|
$43,124.73
|
2026-02-27
|
|
6224
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy…
|
2
|
1
|
—
|
—
|
$46,316.64
|
$79,464.82
|
$62,890.73
|
2026-02-27
|
|
6233
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…
|
2
|
1
|
—
|
—
|
$35,052.56
|
$60,139.20
|
$47,595.88
|
2026-02-27
|
|
6234
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…
|
2
|
1
|
—
|
—
|
$42,507.22
|
$72,929.05
|
$57,718.14
|
2026-02-27
|
|
6254
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…
|
2
|
1
|
—
|
—
|
$39,159.32
|
$67,185.12
|
$53,172.22
|
2026-02-27
|
|
628
|
MS_DRG
|
Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc…
|
86
|
69
|
—
|
—
|
$20,985.13
|
$102,839.52
|
$45,305.07
|
2026-02-27
|
|
63
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
2
|
1
|
—
|
—
|
$94,124.50
|
$161,488.12
|
$127,806.31
|
2026-02-27
|
|
6302
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
2
|
1
|
—
|
—
|
$60,994.45
|
$104,647.33
|
$82,820.89
|
2026-02-27
|
|
6303
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
2
|
1
|
—
|
—
|
$96,135.40
|
$164,938.18
|
$130,536.79
|
2026-02-27
|
|
6304
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
2
|
1
|
—
|
—
|
$198,964.73
|
$341,361.06
|
$270,162.90
|
2026-02-27
|
|
6312
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
1
|
—
|
—
|
$38,786.72
|
$66,545.84
|
$52,666.28
|
2026-02-27
|
|
6313
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
1
|
—
|
—
|
$63,242.68
|
$108,504.60
|
$85,873.64
|
2026-02-27
|
|
6314
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
1
|
—
|
—
|
$164,682.94
|
$282,544.26
|
$223,613.60
|
2026-02-27
|
|
6334
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$53,334.54
|
$91,505.33
|
$72,419.93
|
2026-02-27
|
|
6344
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr…
|
2
|
1
|
—
|
—
|
$40,877.20
|
$70,132.46
|
$55,504.83
|
2026-02-27
|
|
6364
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal In…
|
2
|
1
|
—
|
—
|
$33,840.54
|
$58,059.74
|
$45,950.14
|
2026-02-27
|
|
64
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
2
|
1
|
—
|
—
|
$133,861.83
|
$229,664.91
|
$181,763.37
|
2026-02-27
|
|
650
|
MS_DRG
|
Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc
|
86
|
69
|
—
|
—
|
$16,388.87
|
$80,315.13
|
$52,386.77
|
2026-02-27
|
|
6514
|
APR_DRG
|
Apr-DRG 40.00: Other Procedures Of Blood And Blood-forming Organs
|
2
|
1
|
—
|
—
|
$33,067.00
|
$56,732.60
|
$44,899.80
|
2026-02-27
|
|
653
|
MS_DRG
|
Ms-DRG 42.00: Major Bladder Procedures With Mcc
|
86
|
69
|
—
|
—
|
$16,599.13
|
$87,456.60
|
$62,740.61
|
2026-02-27
|
|
673
|
MS_DRG
|
Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc
|
86
|
69
|
—
|
—
|
$12,672.86
|
$66,791.68
|
$47,915.77
|
2026-02-27
|
|
6804
|
APR_DRG
|
Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…
|
2
|
1
|
—
|
—
|
$44,801.19
|
$76,864.79
|
$60,832.99
|
2026-02-27
|
|
6814
|
APR_DRG
|
Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…
|
2
|
1
|
—
|
—
|
$38,202.39
|
$65,543.31
|
$51,872.85
|
2026-02-27
|
|
6904
|
APR_DRG
|
Apr-DRG 40.00: Acute Leukemia
|
2
|
1
|
—
|
—
|
$36,567.56
|
$62,738.46
|
$49,653.01
|
2026-02-27
|
|
6954
|
APR_DRG
|
Apr-DRG 40.00: Chemotherapy For Acute Leukemia
|
2
|
1
|
—
|
—
|
$34,415.58
|
$59,046.34
|
$46,730.96
|
2026-02-27
|
|
7
|
MS_DRG
|
Ms-DRG 42.00: Lung Transplant
|
79
|
69
|
—
|
—
|
$83,175.27
|
$199,274.09
|
$142,957.50
|
2026-02-27
|
|
71
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$63,805.94
|
$109,470.97
|
$86,638.46
|
2026-02-27
|
|
72
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$71,658.64
|
$122,943.74
|
$97,301.19
|
2026-02-27
|
|
73
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$91,610.30
|
$157,174.53
|
$124,392.42
|
2026-02-27
|
|
736
|
MS_DRG
|
Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi…
|
86
|
69
|
—
|
—
|
$8,570.83
|
$63,031.71
|
$44,533.27
|
2026-02-27
|
|
739
|
MS_DRG
|
Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali…
|
86
|
69
|
—
|
—
|
$5,416.96
|
$63,677.78
|
$44,989.73
|
2026-02-27
|
|
74
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$155,449.36
|
$266,702.34
|
$211,075.85
|
2026-02-27
|
|
7404
|
APR_DRG
|
Apr-DRG 40.00: Mental Illness Diagnosis With O.r. Procedure
|
2
|
1
|
—
|
—
|
$58,513.05
|
$100,390.04
|
$79,451.54
|
2026-02-27
|
|
7524
|
APR_DRG
|
Apr-DRG 40.00: Disorders Of Personality And Impulse Control
|
2
|
1
|
—
|
—
|
$38,370.55
|
$65,831.82
|
$52,101.19
|
2026-02-27
|
|
7594
|
APR_DRG
|
Apr-DRG 40.00: Eating Disorders
|
2
|
1
|
—
|
—
|
$54,752.77
|
$93,938.58
|
$74,345.68
|
2026-02-27
|
|
790
|
MS_DRG
|
Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
86
|
69
|
—
|
—
|
$11,575.81
|
$92,980.19
|
$66,047.99
|
2026-02-27
|
|
791
|
MS_DRG
|
Ms-DRG 42.00: Prematurity With Major Problems
|
86
|
69
|
—
|
—
|
$8,169.20
|
$64,856.48
|
$45,822.51
|
2026-02-27
|
|
7924
|
APR_DRG
|
Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment
|
2
|
1
|
—
|
—
|
$33,346.31
|
$57,211.81
|
$45,279.06
|
2026-02-27
|
|
793
|
MS_DRG
|
Ms-DRG 42.00: Full Term Neonate With Major Problems
|
86
|
69
|
—
|
—
|
$2,261.64
|
$66,506.71
|
$46,988.43
|
2026-02-27
|
|
799
|
MS_DRG
|
Ms-DRG 42.00: Splenic Procedures With Mcc
|
86
|
69
|
—
|
—
|
$14,348.75
|
$75,224.77
|
$53,965.59
|
2026-02-27
|
|
8
|
MS_DRG
|
Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant
|
79
|
69
|
—
|
—
|
$35,672.24
|
$85,464.73
|
$61,311.66
|
2026-02-27
|
|
81
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$31,131.46
|
$53,411.83
|
$42,271.65
|
2026-02-27
|
|
82
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$41,428.89
|
$71,078.98
|
$56,253.93
|
2026-02-27
|
|
820
|
MS_DRG
|
Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
86
|
69
|
—
|
—
|
$16,330.41
|
$91,152.43
|
$65,391.96
|
2026-02-27
|
|
823
|
MS_DRG
|
Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
86
|
69
|
—
|
—
|
$20,256.31
|
$99,267.87
|
$53,159.60
|
2026-02-27
|
|
826
|
MS_DRG
|
Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi…
|
86
|
69
|
—
|
—
|
$25,409.63
|
$124,522.17
|
$54,187.15
|
2026-02-27
|
|
83
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$49,515.24
|
$84,952.62
|
$67,233.93
|
2026-02-27
|
|
834
|
MS_DRG
|
Ms-DRG 42.00: Acute Leukemia With Mcc
|
86
|
69
|
—
|
—
|
$20,587.50
|
$100,890.86
|
$62,234.32
|
2026-02-27
|
|
837
|
MS_DRG
|
Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi…
|
86
|
69
|
—
|
—
|
$24,396.11
|
$119,555.31
|
$56,667.22
|
2026-02-27
|
|
84
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$78,635.40
|
$134,913.68
|
$106,774.54
|
2026-02-27
|
|
8413
|
APR_DRG
|
Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft
|
2
|
1
|
—
|
—
|
$42,393.20
|
$72,733.44
|
$57,563.32
|
2026-02-27
|
|
8414
|
APR_DRG
|
Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft
|
2
|
1
|
—
|
—
|
$115,516.42
|
$198,189.94
|
$156,853.18
|
2026-02-27
|
|
8424
|
APR_DRG
|
Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
1
|
—
|
—
|
$58,378.58
|
$100,159.32
|
$79,268.95
|
2026-02-27
|
|
850
|
MS_DRG
|
Ms-DRG 42.00: Acute Leukemia With Other Procedures
|
22
|
12
|
—
|
—
|
$33,452.09
|
$163,934.97
|
$95,393.83
|
2026-02-27
|
|
8504
|
APR_DRG
|
Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…
|
2
|
1
|
—
|
—
|
$40,683.63
|
$69,800.35
|
$55,241.99
|
2026-02-27
|
|
853
|
MS_DRG
|
Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
86
|
69
|
—
|
—
|
$19,025.63
|
$93,236.80
|
$56,604.09
|
2026-02-27
|
|
856
|
MS_DRG
|
Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi…
|
86
|
69
|
—
|
—
|
$14,360.01
|
$71,596.10
|
$51,362.42
|
2026-02-27
|
|
8633
|
APR_DRG
|
Apr-DRG 40.00: Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$47,050.31
|
$80,723.56
|
$63,886.93
|
2026-02-27
|
|
8634
|
APR_DRG
|
Apr-DRG 40.00: Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$73,329.72
|
$125,810.80
|
$99,570.26
|
2026-02-27
|
|
870
|
MS_DRG
|
Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours
|
86
|
69
|
—
|
—
|
$27,235.14
|
$133,468.22
|
$77,532.28
|
2026-02-27
|
|
876
|
MS_DRG
|
Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness
|
86
|
69
|
—
|
—
|
$8,944.86
|
$62,912.34
|
$44,483.93
|
2026-02-27
|
|
894
|
APR_DRG
|
Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures
|
2
|
1
|
—
|
—
|
$37,653.62
|
$64,601.81
|
$51,127.71
|
2026-02-27
|
|
901
|
MS_DRG
|
Ms-DRG 42.00: Wound Debridements For Injuries With Mcc
|
86
|
69
|
—
|
—
|
$10,361.84
|
$70,386.05
|
$50,494.34
|
2026-02-27
|
|
904
|
MS_DRG
|
Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc
|
86
|
69
|
—
|
—
|
$7,778.46
|
$61,890.29
|
$43,726.83
|
2026-02-27
|
|
907
|
MS_DRG
|
Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc
|
86
|
69
|
—
|
—
|
$9,844.00
|
$63,719.52
|
$45,711.83
|
2026-02-27
|
|
9104
|
APR_DRG
|
Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$45,268.49
|
$77,666.53
|
$61,467.51
|
2026-02-27
|
|
9114
|
APR_DRG
|
Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…
|
2
|
1
|
—
|
—
|
$42,766.81
|
$73,374.43
|
$58,070.62
|
2026-02-27
|
|
9124
|
APR_DRG
|
Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…
|
2
|
1
|
—
|
—
|
$41,551.69
|
$71,289.67
|
$56,420.68
|
2026-02-27
|
|
914
|
APR_DRG
|
Apr-DRG 40.00: Other Major Head And Neck Procedures
|
2
|
1
|
—
|
—
|
$42,357.62
|
$72,672.39
|
$57,515.01
|
2026-02-27
|
|
92
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$33,782.38
|
$57,959.97
|
$45,871.18
|
2026-02-27
|
|
924
|
APR_DRG
|
Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…
|
2
|
1
|
—
|
—
|
$33,508.52
|
$57,490.11
|
$45,499.32
|
2026-02-27
|
|
927
|
MS_DRG
|
Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…
|
86
|
69
|
—
|
—
|
$31,646.20
|
$358,237.49
|
$256,996.46
|
2026-02-27
|
|
928
|
MS_DRG
|
Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m…
|
86
|
69
|
—
|
—
|
$14,553.20
|
$103,933.37
|
$74,014.39
|
2026-02-27
|
|
93
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$46,317.82
|
$79,466.85
|
$62,892.34
|
2026-02-27
|
|
933
|
MS_DRG
|
Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without …
|
86
|
69
|
—
|
—
|
$9,668.97
|
$68,840.26
|
$48,637.15
|
2026-02-27
|
|
94
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$100,496.16
|
$172,419.88
|
$136,458.02
|
2026-02-27
|
|
9504
|
APR_DRG
|
Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$37,282.72
|
$63,965.44
|
$50,624.08
|
2026-02-27
|
|
955
|
MS_DRG
|
Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma
|
86
|
69
|
—
|
—
|
$22,765.61
|
$111,564.90
|
$76,160.07
|
2026-02-27
|
|
956
|
MS_DRG
|
Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa…
|
86
|
69
|
—
|
—
|
$25,591.46
|
$151,556.07
|
$43,985.32
|
2026-02-27
|
|
957
|
MS_DRG
|
Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
86
|
69
|
—
|
—
|
$23,150.54
|
$115,650.46
|
$82,966.64
|
2026-02-27
|
|
958
|
MS_DRG
|
Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc
|
86
|
69
|
—
|
—
|
$15,612.48
|
$76,510.34
|
$47,061.61
|
2026-02-27
|
|
969
|
MS_DRG
|
Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc
|
86
|
69
|
—
|
—
|
$18,663.58
|
$98,642.54
|
$70,765.30
|
2026-02-27
|
|
981
|
MS_DRG
|
Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc…
|
86
|
69
|
—
|
—
|
$14,461.69
|
$75,211.36
|
$53,955.97
|
2026-02-27
|
|
9990000013
|
CDM
|
Hc Heart Organ Procurement-local
|
29
|
17
|
$300,000.00
|
$45,000.00
85% off
|
$47,190.00
|
$240,000.00
|
$150,000.00
|
2026-02-27
|
|
9990000014
|
CDM
|
Hc Heart Organ Procurement-region
|
29
|
17
|
$350,000.00
|
$52,500.00
85% off
|
$55,055.00
|
$280,000.00
|
$175,000.00
|
2026-02-27
|
|
A9543
|
HCPCS
|
Hc Zevalin Y-90 P/txd Up To 40 Mci
|
101
|
75
|
$73,635.00
|
$11,045.25
85% off
|
$19,145.10
|
$159,108.74
|
$93,760.51
|
2026-02-27
|
|
C1824
|
HCPCS
|
Hc Impulse Dynamic Optimizer Smart Ipg
|
67
|
17
|
$91,000.00
|
$13,650.00
85% off
|
$21,512.40
|
$92,000.00
|
$52,780.00
|
2026-02-27
|
|
C1825
|
HCPCS
|
Hc 278 Implant C1825 Generator Cvrx Barostim
|
34
|
17
|
$115,000.00
|
$17,250.00
85% off
|
$27,186.00
|
$92,000.00
|
$58,546.50
|
2026-02-27
|
|
Q0480
|
HCPCS
|
Hc Tlc-11 Vad Portable Driver (only)
|
32
|
17
|
$166,458.00
|
$24,968.70
85% off
|
$26,183.84
|
$133,166.40
|
$86,558.16
|
2026-02-27
|