|
6904
|
APR_DRG
|
Acute Leukemia
|
3
|
1
|
—
|
—
|
$122,444.00
|
$127,595.00
|
$122,444.00
|
2026-09-30
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
21
|
7
|
—
|
—
|
$8,470.05
|
$90,191.72
|
$90,191.72
|
2026-09-30
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
3
|
1
|
—
|
—
|
$108,864.00
|
$128,207.00
|
$108,864.00
|
2026-09-30
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
3
|
1
|
—
|
—
|
$65,802.00
|
$68,177.00
|
$65,802.00
|
2026-09-30
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$340,265.00
|
$424,108.00
|
$340,265.00
|
2026-09-30
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$195,049.00
|
$252,687.00
|
$195,049.00
|
2026-09-30
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$153,640.00
|
$188,075.00
|
$153,640.00
|
2026-09-30
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
7
|
—
|
—
|
$11,754.98
|
$128,276.89
|
$128,276.89
|
2026-09-30
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$121,172.00
|
$156,553.00
|
$121,172.00
|
2026-09-30
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
3
|
1
|
—
|
—
|
$82,638.00
|
$88,368.00
|
$82,638.00
|
2026-09-30
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$165,166.00
|
$184,288.00
|
$165,166.00
|
2026-09-30
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$98,981.00
|
$120,876.00
|
$98,981.00
|
2026-09-30
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$82,681.00
|
$97,829.00
|
$82,681.00
|
2026-09-30
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
3
|
1
|
—
|
—
|
$72,792.00
|
$75,004.00
|
$75,004.00
|
2026-09-30
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
3
|
1
|
—
|
—
|
$76,860.00
|
$79,021.00
|
$79,021.00
|
2026-09-30
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
1
|
—
|
—
|
$212,685.00
|
$261,889.00
|
$212,685.00
|
2026-09-30
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
1
|
—
|
—
|
$75,904.00
|
$91,341.00
|
$75,904.00
|
2026-09-30
|
|
1924
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions
|
3
|
1
|
—
|
—
|
$66,465.00
|
$71,555.00
|
$66,465.00
|
2026-09-30
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
14
|
7
|
—
|
—
|
$69,191.47
|
$69,191.47
|
$69,191.47
|
2026-02-28
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
3
|
1
|
—
|
—
|
$72,157.00
|
$80,389.00
|
$72,157.00
|
2026-09-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
14
|
7
|
—
|
—
|
$94,491.83
|
$94,491.83
|
$94,491.83
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
14
|
7
|
—
|
—
|
$75,756.19
|
$75,756.19
|
$75,756.19
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$211,551.00
|
$228,622.00
|
$211,551.00
|
2026-09-30
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$143,284.00
|
$163,755.00
|
$143,284.00
|
2026-09-30
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$111,950.00
|
$125,323.00
|
$111,950.00
|
2026-09-30
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$97,212.00
|
$107,680.00
|
$97,212.00
|
2026-09-30
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$178,989.00
|
$200,980.00
|
$178,989.00
|
2026-09-30
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$117,907.00
|
$137,385.00
|
$117,907.00
|
2026-09-30
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$94,024.00
|
$104,421.00
|
$94,024.00
|
2026-09-30
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$84,160.00
|
$90,399.00
|
$84,160.00
|
2026-09-30
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
3
|
1
|
—
|
—
|
$103,126.00
|
$113,420.00
|
$103,126.00
|
2026-09-30
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
3
|
1
|
—
|
—
|
$105,318.00
|
$110,461.00
|
$105,318.00
|
2026-09-30
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
21
|
7
|
—
|
—
|
$42,238.06
|
$369,237.85
|
$369,237.85
|
2026-09-30
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
3
|
1
|
—
|
—
|
$71,581.00
|
$76,527.00
|
$71,581.00
|
2026-09-30
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
21
|
7
|
—
|
—
|
$8,812.50
|
$81,661.01
|
$81,661.01
|
2026-09-30
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
21
|
7
|
—
|
—
|
$10,636.20
|
$106,659.82
|
$106,659.82
|
2026-09-30
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$165,791.00
|
$180,186.00
|
$165,791.00
|
2026-09-30
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$118,990.00
|
$132,840.00
|
$118,990.00
|
2026-09-30
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$98,974.00
|
$109,162.00
|
$98,974.00
|
2026-09-30
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$85,238.00
|
$99,659.00
|
$85,238.00
|
2026-09-30
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
14
|
7
|
—
|
—
|
$76,528.68
|
$76,528.68
|
$76,528.68
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
14
|
7
|
—
|
—
|
$82,966.12
|
$82,966.12
|
$82,966.12
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$145,940.00
|
$155,809.00
|
$145,940.00
|
2026-09-30
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$99,241.00
|
$113,111.00
|
$99,241.00
|
2026-09-30
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$83,966.00
|
$93,586.00
|
$83,966.00
|
2026-09-30
|
|
1661
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$75,289.00
|
$84,260.00
|
$75,289.00
|
2026-09-30
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$147,115.00
|
$161,306.00
|
$147,115.00
|
2026-09-30
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$91,727.00
|
$95,521.00
|
$91,727.00
|
2026-09-30
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
7
|
—
|
—
|
$6,583.84
|
$66,854.41
|
$66,854.41
|
2026-09-30
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$147,334.00
|
$155,656.00
|
$147,334.00
|
2026-09-30
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$102,833.00
|
$114,911.00
|
$102,833.00
|
2026-09-30
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$84,644.00
|
$94,462.00
|
$84,644.00
|
2026-09-30
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$74,894.00
|
$79,558.00
|
$74,894.00
|
2026-09-30
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
3
|
1
|
—
|
—
|
$80,374.00
|
$94,294.00
|
$80,374.00
|
2026-09-30
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
1
|
—
|
—
|
$154,054.00
|
$156,077.00
|
$156,077.00
|
2026-09-30
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
1
|
—
|
—
|
$101,548.00
|
$110,041.00
|
$101,548.00
|
2026-09-30
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
1
|
—
|
—
|
$73,026.00
|
$79,702.00
|
$73,026.00
|
2026-09-30
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$209,586.00
|
$214,882.00
|
$214,882.00
|
2026-09-30
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$139,918.00
|
$146,913.00
|
$146,913.00
|
2026-09-30
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$104,580.00
|
$106,608.00
|
$106,608.00
|
2026-09-30
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$89,571.00
|
$92,274.00
|
$89,571.00
|
2026-09-30
|
|
7594
|
APR_DRG
|
Eating Disorders
|
3
|
1
|
—
|
—
|
$67,796.00
|
$79,923.00
|
$79,923.00
|
2026-09-30
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
21
|
7
|
—
|
—
|
$20,760.85
|
$209,832.15
|
$209,832.15
|
2026-09-30
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
3
|
1
|
—
|
—
|
$77,581.00
|
$82,970.00
|
$77,581.00
|
2026-09-30
|
|
3264
|
APR_DRG
|
Elective Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$66,898.00
|
$73,389.00
|
$66,898.00
|
2026-09-30
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$131,103.00
|
$154,879.00
|
$131,103.00
|
2026-09-30
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
21
|
7
|
—
|
—
|
$20,883.40
|
$232,264.79
|
$232,264.79
|
2026-09-30
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$120,303.00
|
$126,649.00
|
$120,303.00
|
2026-09-30
|
|
9503
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$66,164.00
|
$73,749.00
|
$66,164.00
|
2026-09-30
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
3
|
1
|
—
|
—
|
$104,783.00
|
$109,675.00
|
$104,783.00
|
2026-09-30
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
1
|
—
|
—
|
$389,650.00
|
$489,725.00
|
$389,650.00
|
2026-09-30
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
1
|
—
|
—
|
$128,085.00
|
$148,092.00
|
$128,085.00
|
2026-09-30
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$171,979.00
|
$187,459.00
|
$171,979.00
|
2026-09-30
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$131,781.00
|
$152,010.00
|
$131,781.00
|
2026-09-30
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$116,964.00
|
$122,542.00
|
$116,964.00
|
2026-09-30
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$106,929.00
|
$112,429.00
|
$106,929.00
|
2026-09-30
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
1
|
—
|
—
|
$350,191.00
|
$550,922.00
|
$350,191.00
|
2026-09-30
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
1
|
—
|
—
|
$158,582.00
|
$311,666.00
|
$158,582.00
|
2026-09-30
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
1
|
—
|
—
|
$92,589.00
|
$171,028.00
|
$92,589.00
|
2026-09-30
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
1
|
—
|
—
|
$87,957.00
|
$138,376.00
|
$87,957.00
|
2026-09-30
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
3
|
1
|
—
|
—
|
$102,407.00
|
$110,905.00
|
$102,407.00
|
2026-09-30
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
3
|
1
|
—
|
—
|
$79,852.00
|
$91,087.00
|
$91,087.00
|
2026-09-30
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
3
|
1
|
—
|
—
|
$78,670.00
|
$100,141.00
|
$100,141.00
|
2026-09-30
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
3
|
1
|
—
|
—
|
$69,465.00
|
$70,535.00
|
$69,465.00
|
2026-09-30
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
3
|
1
|
—
|
—
|
$525,586.00
|
$688,464.00
|
$525,586.00
|
2026-09-30
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
3
|
1
|
—
|
—
|
$332,647.00
|
$372,296.00
|
$332,647.00
|
2026-09-30
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
3
|
1
|
—
|
—
|
$239,416.00
|
$287,361.00
|
$239,416.00
|
2026-09-30
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
3
|
1
|
—
|
—
|
$196,824.00
|
$220,283.00
|
$196,824.00
|
2026-09-30
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
21
|
7
|
—
|
—
|
$27,410.81
|
$275,789.72
|
$275,789.72
|
2026-09-30
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
21
|
7
|
—
|
—
|
$11,083.89
|
$107,891.50
|
$107,891.50
|
2026-09-30
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
3
|
1
|
—
|
—
|
$81,450.00
|
$89,769.00
|
$81,450.00
|
2026-09-30
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
3
|
1
|
—
|
—
|
$70,225.00
|
$74,322.00
|
$70,225.00
|
2026-09-30
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$542,523.00
|
$572,442.00
|
$542,523.00
|
2026-09-30
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$411,107.00
|
$460,631.00
|
$411,107.00
|
2026-09-30
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$311,330.00
|
$329,685.00
|
$329,685.00
|
2026-09-30
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$311,330.00
|
$313,576.00
|
$313,576.00
|
2026-09-30
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
3
|
1
|
—
|
—
|
$95,127.00
|
$104,448.00
|
$95,127.00
|
2026-09-30
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
3
|
1
|
—
|
—
|
$96,043.00
|
$109,228.00
|
$109,228.00
|
2026-09-30
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
3
|
1
|
—
|
—
|
$80,155.00
|
$85,240.00
|
$85,240.00
|
2026-09-30
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
7
|
—
|
—
|
$7,696.65
|
$78,924.49
|
$78,924.49
|
2026-09-30
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
3
|
1
|
—
|
—
|
$90,759.00
|
$98,318.00
|
$90,759.00
|
2026-09-30
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
3
|
1
|
—
|
—
|
$73,184.00
|
$80,119.00
|
$73,184.00
|
2026-09-30
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$199,408.00
|
$217,655.00
|
$199,408.00
|
2026-09-30
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$124,606.00
|
$144,887.00
|
$124,606.00
|
2026-09-30
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$109,554.00
|
$125,059.00
|
$109,554.00
|
2026-09-30
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$98,232.00
|
$114,254.00
|
$98,232.00
|
2026-09-30
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
3
|
1
|
—
|
—
|
$88,355.00
|
$92,659.00
|
$88,355.00
|
2026-09-30
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$329,876.00
|
$390,327.00
|
$329,876.00
|
2026-09-30
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$187,696.00
|
$215,557.00
|
$187,696.00
|
2026-09-30
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$156,599.00
|
$173,924.00
|
$156,599.00
|
2026-09-30
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$139,578.00
|
$142,913.00
|
$139,578.00
|
2026-09-30
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
21
|
7
|
—
|
—
|
$10,084.93
|
$104,265.97
|
$104,265.97
|
2026-09-30
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
1
|
—
|
—
|
$110,284.00
|
$110,378.00
|
$110,378.00
|
2026-09-30
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
1
|
—
|
—
|
$71,670.00
|
$74,010.00
|
$71,670.00
|
2026-09-30
|
|
7
|
MS_DRG
|
Lung Transplant
|
21
|
7
|
—
|
—
|
$12,666.88
|
$127,953.79
|
$127,953.79
|
2026-09-30
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
3
|
1
|
—
|
—
|
$70,742.00
|
$75,279.00
|
$70,742.00
|
2026-09-30
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
3
|
1
|
—
|
—
|
$130,812.00
|
$140,680.00
|
$130,812.00
|
2026-09-30
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
3
|
1
|
—
|
—
|
$83,321.00
|
$95,614.00
|
$83,321.00
|
2026-09-30
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
3
|
1
|
—
|
—
|
$111,379.00
|
$117,741.00
|
$111,379.00
|
2026-09-30
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
3
|
1
|
—
|
—
|
$118,455.00
|
$122,998.00
|
$118,455.00
|
2026-09-30
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
1
|
—
|
—
|
$247,376.00
|
$302,653.00
|
$247,376.00
|
2026-09-30
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
1
|
—
|
—
|
$116,844.00
|
$133,029.00
|
$116,844.00
|
2026-09-30
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
1
|
—
|
—
|
$75,649.00
|
$103,851.00
|
$75,649.00
|
2026-09-30
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
3
|
1
|
—
|
—
|
$120,754.00
|
$129,740.00
|
$120,754.00
|
2026-09-30
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
3
|
1
|
—
|
—
|
$85,085.00
|
$90,486.00
|
$85,085.00
|
2026-09-30
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
3
|
1
|
—
|
—
|
$92,349.00
|
$96,700.00
|
$92,349.00
|
2026-09-30
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
2
|
1
|
—
|
—
|
$87,509.00
|
$87,509.00
|
$87,509.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$143,985.00
|
$149,994.00
|
$143,985.00
|
2026-09-30
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$71,991.00
|
$79,627.00
|
$71,991.00
|
2026-09-30
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
3
|
1
|
—
|
—
|
$122,421.00
|
$132,924.00
|
$122,421.00
|
2026-09-30
|
|
2603
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
3
|
1
|
—
|
—
|
$66,845.00
|
$76,347.00
|
$66,845.00
|
2026-09-30
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
3
|
1
|
—
|
—
|
$125,607.00
|
$127,348.00
|
$125,607.00
|
2026-09-30
|
|
1203
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
3
|
1
|
—
|
—
|
$70,561.00
|
$78,364.00
|
$70,561.00
|
2026-09-30
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
3
|
1
|
—
|
—
|
$103,786.00
|
$110,506.00
|
$103,786.00
|
2026-09-30
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
3
|
1
|
—
|
—
|
$123,346.00
|
$129,206.00
|
$123,346.00
|
2026-09-30
|
|
2203
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
3
|
1
|
—
|
—
|
$66,310.00
|
$73,080.00
|
$66,310.00
|
2026-09-30
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
3
|
1
|
—
|
—
|
$75,243.00
|
$78,922.00
|
$78,922.00
|
2026-09-30
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
3
|
1
|
—
|
—
|
$110,156.00
|
$128,885.00
|
$110,156.00
|
2026-09-30
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$88,011.00
|
$96,286.00
|
$88,011.00
|
2026-09-30
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
3
|
1
|
—
|
—
|
$82,633.00
|
$83,516.00
|
$82,633.00
|
2026-09-30
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
7
|
—
|
—
|
$10,780.09
|
$102,562.37
|
$102,562.37
|
2026-09-30
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
7
|
—
|
—
|
$7,060.68
|
$69,541.00
|
$69,541.00
|
2026-09-30
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
3
|
1
|
—
|
—
|
$70,227.00
|
$92,514.00
|
$70,227.00
|
2026-09-30
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$131,261.00
|
$147,861.00
|
$131,261.00
|
2026-09-30
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$73,905.00
|
$87,786.00
|
$73,905.00
|
2026-09-30
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
3
|
1
|
—
|
—
|
$172,770.00
|
$224,607.00
|
$172,770.00
|
2026-09-30
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
3
|
1
|
—
|
—
|
$92,013.00
|
$103,974.00
|
$92,013.00
|
2026-09-30
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$271,440.00
|
$290,060.00
|
$290,060.00
|
2026-09-30
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$111,091.00
|
$140,062.00
|
$140,062.00
|
2026-09-30
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$70,245.00
|
$95,578.00
|
$70,245.00
|
2026-09-30
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$279,015.00
|
$375,300.00
|
$279,015.00
|
2026-09-30
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$210,776.00
|
$261,607.00
|
$210,776.00
|
2026-09-30
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$163,517.00
|
$191,249.00
|
$163,517.00
|
2026-09-30
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$118,452.00
|
$136,800.00
|
$118,452.00
|
2026-09-30
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$115,812.00
|
$136,800.00
|
$115,812.00
|
2026-09-30
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$82,520.00
|
$83,280.00
|
$83,280.00
|
2026-09-30
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$216,894.00
|
$279,359.00
|
$216,894.00
|
2026-09-30
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$163,216.00
|
$196,185.00
|
$163,216.00
|
2026-09-30
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$118,743.00
|
$133,629.00
|
$118,743.00
|
2026-09-30
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$134,021.00
|
$150,255.00
|
$134,021.00
|
2026-09-30
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$96,157.00
|
$110,800.00
|
$96,157.00
|
2026-09-30
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$164,501.00
|
$235,412.00
|
$164,501.00
|
2026-09-30
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$98,696.00
|
$102,338.00
|
$98,696.00
|
2026-09-30
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
1
|
—
|
—
|
$112,241.00
|
$113,738.00
|
$112,241.00
|
2026-09-30
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
1
|
—
|
—
|
$87,037.00
|
$94,273.00
|
$87,037.00
|
2026-09-30
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$158,118.00
|
$172,519.00
|
$158,118.00
|
2026-09-30
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$99,443.00
|
$119,370.00
|
$99,443.00
|
2026-09-30
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$77,925.00
|
$78,589.00
|
$77,925.00
|
2026-09-30
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$371,775.00
|
$594,926.00
|
$371,775.00
|
2026-09-30
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$162,156.00
|
$182,695.00
|
$162,156.00
|
2026-09-30
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$92,138.00
|
$116,987.00
|
$92,138.00
|
2026-09-30
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$83,578.00
|
$94,165.00
|
$83,578.00
|
2026-09-30
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$84,751.00
|
$96,850.00
|
$84,751.00
|
2026-09-30
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$71,616.00
|
$73,326.00
|
$71,616.00
|
2026-09-30
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$128,485.00
|
$161,180.00
|
$128,485.00
|
2026-09-30
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
3
|
1
|
—
|
—
|
$85,123.00
|
$91,998.00
|
$85,123.00
|
2026-09-30
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
1
|
—
|
—
|
$88,554.00
|
$100,757.00
|
$88,554.00
|
2026-09-30
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$382,814.00
|
$582,113.00
|
$382,814.00
|
2026-09-30
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$250,628.00
|
$442,300.00
|
$250,628.00
|
2026-09-30
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$148,150.00
|
$359,142.00
|
$148,150.00
|
2026-09-30
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$386,671.00
|
$513,838.00
|
$386,671.00
|
2026-09-30
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$260,447.00
|
$367,075.00
|
$260,447.00
|
2026-09-30
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$202,505.00
|
$285,408.00
|
$202,505.00
|
2026-09-30
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$588,192.00
|
$846,019.00
|
$588,192.00
|
2026-09-30
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$377,250.00
|
$547,658.00
|
$377,250.00
|
2026-09-30
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$367,217.00
|
$528,184.00
|
$367,217.00
|
2026-09-30
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$244,241.00
|
$351,301.00
|
$244,241.00
|
2026-09-30
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
3
|
1
|
—
|
—
|
$139,950.00
|
$449,331.00
|
$139,950.00
|
2026-09-30
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
3
|
1
|
—
|
—
|
$101,923.00
|
$449,331.00
|
$101,923.00
|
2026-09-30
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
3
|
1
|
—
|
—
|
$85,592.00
|
$449,331.00
|
$85,592.00
|
2026-09-30
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$120,910.00
|
$168,883.00
|
$120,910.00
|
2026-09-30
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$399,792.00
|
$431,465.00
|
$399,792.00
|
2026-09-30
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$216,567.00
|
$234,329.00
|
$216,567.00
|
2026-09-30
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$92,301.00
|
$105,660.00
|
$105,660.00
|
2026-09-30
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
1
|
—
|
—
|
$376,075.00
|
$507,765.00
|
$376,075.00
|
2026-09-30
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
1
|
—
|
—
|
$123,334.00
|
$140,425.00
|
$123,334.00
|
2026-09-30
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
1
|
—
|
—
|
$71,961.00
|
$74,412.00
|
$71,961.00
|
2026-09-30
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
3
|
1
|
—
|
—
|
$78,427.00
|
$95,662.00
|
$78,427.00
|
2026-09-30
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$788,597.00
|
$1,338,559.00
|
$788,597.00
|
2026-09-30
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$686,765.00
|
$808,188.00
|
$686,765.00
|
2026-09-30
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$430,963.00
|
$507,155.00
|
$430,963.00
|
2026-09-30
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$349,000.00
|
$427,913.00
|
$349,000.00
|
2026-09-30
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
3
|
1
|
—
|
—
|
$78,883.00
|
$80,335.00
|
$78,883.00
|
2026-09-30
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
3
|
1
|
—
|
—
|
$78,198.00
|
$86,417.00
|
$78,198.00
|
2026-09-30
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$94,696.00
|
$97,276.00
|
$97,276.00
|
2026-09-30
|
|
3253
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$69,422.00
|
$73,389.00
|
$69,422.00
|
2026-09-30
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$81,980.00
|
$85,706.00
|
$81,980.00
|
2026-09-30
|
|
7944
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
3
|
1
|
—
|
—
|
$68,132.00
|
$77,545.00
|
$68,132.00
|
2026-09-30
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
3
|
1
|
—
|
—
|
$128,057.00
|
$140,509.00
|
$128,057.00
|
2026-09-30
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
3
|
1
|
—
|
—
|
$81,598.00
|
$95,737.00
|
$81,598.00
|
2026-09-30
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
3
|
1
|
—
|
—
|
$120,285.00
|
$124,495.00
|
$120,285.00
|
2026-09-30
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
3
|
1
|
—
|
—
|
$75,544.00
|
$82,399.00
|
$75,544.00
|
2026-09-30
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$84,923.00
|
$89,094.00
|
$89,094.00
|
2026-09-30
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
3
|
1
|
—
|
—
|
$71,996.00
|
$78,799.00
|
$71,996.00
|
2026-09-30
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$121,245.00
|
$123,385.00
|
$123,385.00
|
2026-09-30
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
3
|
1
|
—
|
—
|
$68,168.00
|
$71,275.00
|
$71,275.00
|
2026-09-30
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
1
|
—
|
—
|
$152,929.00
|
$165,482.00
|
$165,482.00
|
2026-09-30
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
1
|
—
|
—
|
$94,918.00
|
$100,111.00
|
$100,111.00
|
2026-09-30
|
|
1672
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
1
|
—
|
—
|
$67,582.00
|
$72,353.00
|
$67,582.00
|
2026-09-30
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
3
|
1
|
—
|
—
|
$78,251.00
|
$88,851.00
|
$78,251.00
|
2026-09-30
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
3
|
1
|
—
|
—
|
$88,042.00
|
$91,584.00
|
$88,042.00
|
2026-09-30
|
|
984
|
APR_DRG
|
Other Ear Nose Mouth And Throat Procedures
|
3
|
1
|
—
|
—
|
$82,013.00
|
$86,636.00
|
$82,013.00
|
2026-09-30
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
3
|
1
|
—
|
—
|
$83,382.00
|
$87,323.00
|
$83,382.00
|
2026-09-30
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
21
|
7
|
—
|
—
|
$9,739.17
|
$103,731.39
|
$103,731.39
|
2026-09-30
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
3
|
1
|
—
|
—
|
$96,642.00
|
$101,708.00
|
$96,642.00
|
2026-09-30
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
3
|
1
|
—
|
—
|
$91,133.00
|
$98,573.00
|
$91,133.00
|
2026-09-30
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
3
|
1
|
—
|
—
|
$142,331.00
|
$152,409.00
|
$142,331.00
|
2026-09-30
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
3
|
1
|
—
|
—
|
$88,773.00
|
$96,805.00
|
$88,773.00
|
2026-09-30
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
3
|
1
|
—
|
—
|
$83,415.00
|
$86,759.00
|
$83,415.00
|
2026-09-30
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
3
|
1
|
—
|
—
|
$82,090.00
|
$83,084.00
|
$82,090.00
|
2026-09-30
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
3
|
1
|
—
|
—
|
$92,809.00
|
$92,897.00
|
$92,897.00
|
2026-09-30
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
21
|
7
|
—
|
—
|
$7,453.20
|
$73,080.37
|
$73,080.37
|
2026-09-30
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
3
|
1
|
—
|
—
|
$110,380.00
|
$113,531.00
|
$113,531.00
|
2026-09-30
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
3
|
1
|
—
|
—
|
$66,027.00
|
$77,974.00
|
$66,027.00
|
2026-09-30
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
3
|
1
|
—
|
—
|
$88,419.00
|
$101,393.00
|
$88,419.00
|
2026-09-30
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
3
|
1
|
—
|
—
|
$88,971.00
|
$94,416.00
|
$94,416.00
|
2026-09-30
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
3
|
1
|
—
|
—
|
$95,614.00
|
$103,968.00
|
$95,614.00
|
2026-09-30
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
3
|
1
|
—
|
—
|
$94,822.00
|
$109,042.00
|
$94,822.00
|
2026-09-30
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
3
|
1
|
—
|
—
|
$100,676.00
|
$107,671.00
|
$100,676.00
|
2026-09-30
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
3
|
1
|
—
|
—
|
$89,059.00
|
$89,607.00
|
$89,059.00
|
2026-09-30
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
3
|
1
|
—
|
—
|
$81,165.00
|
$87,236.00
|
$81,165.00
|
2026-09-30
|
|
2224
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
3
|
1
|
—
|
—
|
$82,205.00
|
$90,333.00
|
$82,205.00
|
2026-09-30
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$262,832.00
|
$263,219.00
|
$262,832.00
|
2026-09-30
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$208,082.00
|
$224,019.00
|
$208,082.00
|
2026-09-30
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$170,924.00
|
$189,431.00
|
$170,924.00
|
2026-09-30
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$141,986.00
|
$152,863.00
|
$141,986.00
|
2026-09-30
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
21
|
7
|
—
|
—
|
$7,018.72
|
$78,061.92
|
$78,061.92
|
2026-09-30
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
2
|
1
|
—
|
—
|
$107,143.00
|
$107,143.00
|
$107,143.00
|
2026-02-28
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
3
|
1
|
—
|
—
|
$70,189.00
|
$77,623.00
|
$70,189.00
|
2026-09-30
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
3
|
1
|
—
|
—
|
$84,493.00
|
$92,097.00
|
$84,493.00
|
2026-09-30
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
3
|
1
|
—
|
—
|
$94,026.00
|
$102,059.00
|
$94,026.00
|
2026-09-30
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$98,135.00
|
$106,050.00
|
$98,135.00
|
2026-09-30
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$73,798.00
|
$77,626.00
|
$73,798.00
|
2026-09-30
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$153,752.00
|
$166,344.00
|
$153,752.00
|
2026-09-30
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$102,698.00
|
$117,206.00
|
$102,698.00
|
2026-09-30
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$88,498.00
|
$95,869.00
|
$88,498.00
|
2026-09-30
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$86,614.00
|
$90,465.00
|
$86,614.00
|
2026-09-30
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
3
|
1
|
—
|
—
|
$86,275.00
|
$90,705.00
|
$86,275.00
|
2026-09-30
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
3
|
1
|
—
|
—
|
$97,546.00
|
$103,239.00
|
$97,546.00
|
2026-09-30
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
3
|
1
|
—
|
—
|
$69,458.00
|
$74,640.00
|
$69,458.00
|
2026-09-30
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
3
|
1
|
—
|
—
|
$81,848.00
|
$89,724.00
|
$81,848.00
|
2026-09-30
|
|
7114
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
3
|
1
|
—
|
—
|
$86,747.00
|
$100,979.00
|
$86,747.00
|
2026-09-30
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
3
|
1
|
—
|
—
|
$69,515.00
|
$69,651.00
|
$69,651.00
|
2026-09-30
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
3
|
1
|
—
|
—
|
$133,485.00
|
$137,411.00
|
$137,411.00
|
2026-09-30
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
3
|
1
|
—
|
—
|
$93,142.00
|
$103,167.00
|
$93,142.00
|
2026-09-30
|
|
6924
|
APR_DRG
|
Radiotherapy
|
3
|
1
|
—
|
—
|
$67,781.00
|
$69,863.00
|
$69,863.00
|
2026-09-30
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
3
|
1
|
—
|
—
|
$75,422.00
|
$87,750.00
|
$75,422.00
|
2026-09-30
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$117,155.00
|
$135,690.00
|
$117,155.00
|
2026-09-30
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$89,617.00
|
$101,471.00
|
$89,617.00
|
2026-09-30
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$75,501.00
|
$82,799.00
|
$75,501.00
|
2026-09-30
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$66,337.00
|
$66,753.00
|
$66,753.00
|
2026-09-30
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
7
|
—
|
—
|
$6,760.59
|
$68,109.59
|
$68,109.59
|
2026-09-30
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
3
|
1
|
—
|
—
|
$81,626.00
|
$84,791.00
|
$81,626.00
|
2026-09-30
|
|
3154
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
3
|
1
|
—
|
—
|
$83,033.00
|
$86,981.00
|
$83,033.00
|
2026-09-30
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
21
|
7
|
—
|
—
|
$6,978.52
|
$77,614.48
|
$77,614.48
|
2026-09-30
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
3
|
1
|
—
|
—
|
$120,382.00
|
$123,055.00
|
$120,382.00
|
2026-09-30
|
|
3123
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
3
|
1
|
—
|
—
|
$67,495.00
|
$68,957.00
|
$67,495.00
|
2026-09-30
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
3
|
1
|
—
|
—
|
$115,871.00
|
$118,802.00
|
$118,802.00
|
2026-09-30
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
14
|
7
|
—
|
—
|
$82,920.10
|
$82,920.10
|
$82,920.10
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
3
|
1
|
—
|
—
|
$127,363.00
|
$135,570.00
|
$127,363.00
|
2026-09-30
|
|
233
|
APR_DRG
|
Spinal Procedures
|
3
|
1
|
—
|
—
|
$80,619.00
|
$88,215.00
|
$80,619.00
|
2026-09-30
|
|
6504
|
APR_DRG
|
Splenectomy
|
3
|
1
|
—
|
—
|
$91,457.00
|
$99,206.00
|
$91,457.00
|
2026-09-30
|
|
3174
|
APR_DRG
|
Tendon Muscle And Other Soft Tissue Procedures
|
3
|
1
|
—
|
—
|
$75,088.00
|
$76,773.00
|
$75,088.00
|
2026-09-30
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
3
|
1
|
—
|
—
|
$95,263.00
|
$99,581.00
|
$95,263.00
|
2026-09-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
21
|
7
|
—
|
—
|
$13,548.37
|
$138,343.77
|
$138,343.77
|
2026-09-30
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$343,714.00
|
$420,876.00
|
$343,714.00
|
2026-09-30
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$227,173.00
|
$278,990.00
|
$227,173.00
|
2026-09-30
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$147,902.00
|
$173,987.00
|
$147,902.00
|
2026-09-30
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$107,051.00
|
$123,268.00
|
$107,051.00
|
2026-09-30
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$235,998.00
|
$299,388.00
|
$235,998.00
|
2026-09-30
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$167,116.00
|
$211,221.00
|
$167,116.00
|
2026-09-30
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$110,857.00
|
$141,445.00
|
$110,857.00
|
2026-09-30
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$71,261.00
|
$93,565.00
|
$93,565.00
|
2026-09-30
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
30
|
9
|
—
|
—
|
$294.02
|
$80,901.35
|
$75,146.24
|
2026-09-30
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
3
|
1
|
—
|
—
|
$83,864.00
|
$88,677.00
|
$83,864.00
|
2026-09-30
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
3
|
1
|
—
|
—
|
$70,266.00
|
$86,657.00
|
$70,266.00
|
2026-09-30
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
3
|
1
|
—
|
—
|
$95,084.00
|
$107,980.00
|
$95,084.00
|
2026-09-30
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
3
|
1
|
—
|
—
|
$102,728.00
|
$108,511.00
|
$102,728.00
|
2026-09-30
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
3
|
1
|
—
|
—
|
$90,116.00
|
$101,318.00
|
$90,116.00
|
2026-09-30
|
|
L8699
|
HCPCS
|
Vnt Asst Dvc 23772x-26149
|
228
|
10
|
$118,395.50
|
$69,626.40
41% off
|
$18,346.02
|
$154,762.00
|
$79,580.56
|
2026-09-30
|