|
5834
|
APR_DRG
|
Neonate With Ecmo
|
36
|
10
|
—
|
—
|
$272,497.00
|
$1,112,278.44
|
$641,828.35
|
2026-09-30
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$223,521.00
|
$703,001.04
|
$434,892.22
|
2026-09-30
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
36
|
10
|
—
|
—
|
$215,822.00
|
$524,660.64
|
$356,912.00
|
2026-09-30
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$140,773.00
|
$483,707.91
|
$299,232.39
|
2026-09-30
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$139,876.00
|
$494,355.12
|
$287,953.45
|
2026-09-30
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$145,778.00
|
$426,974.73
|
$269,582.45
|
2026-09-30
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
36
|
10
|
—
|
—
|
$206,239.00
|
$364,846.50
|
$268,303.10
|
2026-09-30
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
36
|
10
|
—
|
—
|
$134,285.00
|
$421,928.22
|
$261,013.91
|
2026-09-30
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
36
|
10
|
—
|
—
|
$202,242.00
|
$320,482.50
|
$252,450.03
|
2026-09-30
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$144,001.00
|
$355,529.79
|
$240,724.90
|
2026-09-30
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$111,805.50
|
$342,886.32
|
$227,658.10
|
2026-09-30
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
36
|
10
|
—
|
—
|
$101,370.00
|
$329,235.90
|
$223,970.00
|
2026-09-30
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
36
|
10
|
—
|
—
|
$152,435.00
|
$387,871.50
|
$221,792.92
|
2026-09-30
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
36
|
10
|
—
|
—
|
$150,711.00
|
$259,527.00
|
$201,970.56
|
2026-09-30
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
36
|
10
|
—
|
—
|
$100,191.00
|
$244,108.50
|
$198,541.58
|
2026-09-30
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$104,494.00
|
$311,856.09
|
$196,062.12
|
2026-09-30
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
36
|
10
|
—
|
—
|
$131,114.00
|
$291,958.50
|
$194,639.00
|
2026-09-30
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
36
|
10
|
—
|
—
|
$64,195.50
|
$277,793.25
|
$188,975.00
|
2026-09-30
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
36
|
10
|
—
|
—
|
$133,923.00
|
$223,041.00
|
$176,946.25
|
2026-09-30
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
10
|
—
|
—
|
$133,615.00
|
$224,754.00
|
$176,371.80
|
2026-09-30
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$82,471.00
|
$287,133.63
|
$176,181.87
|
2026-09-30
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
36
|
10
|
—
|
—
|
$36,254.00
|
$327,813.00
|
$174,621.70
|
2026-09-30
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
36
|
10
|
—
|
—
|
$43,670.00
|
$360,594.00
|
$174,621.70
|
2026-09-30
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
36
|
10
|
—
|
—
|
$28,837.00
|
$298,012.50
|
$174,621.70
|
2026-09-30
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
36
|
10
|
—
|
—
|
$129,535.00
|
$206,851.50
|
$168,239.22
|
2026-09-30
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$93,745.00
|
$238,298.76
|
$162,108.00
|
2026-09-30
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
36
|
10
|
—
|
—
|
$127,535.00
|
$197,296.50
|
$160,467.82
|
2026-09-30
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$77,283.00
|
$228,058.74
|
$153,279.93
|
2026-09-30
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
36
|
10
|
—
|
—
|
$95,899.00
|
$299,055.00
|
$148,070.00
|
2026-09-30
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$80,260.00
|
$232,133.58
|
$146,563.56
|
2026-09-30
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
36
|
10
|
—
|
—
|
$48,103.50
|
$165,000.90
|
$138,589.92
|
2026-09-30
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
36
|
10
|
—
|
—
|
$62,838.00
|
$173,476.40
|
$138,589.92
|
2026-09-30
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$43,885.00
|
$233,147.88
|
$126,883.00
|
2026-09-30
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
36
|
10
|
—
|
—
|
$90,431.00
|
$160,389.00
|
$126,280.70
|
2026-09-30
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$74,302.00
|
$185,281.74
|
$124,529.74
|
2026-09-30
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
36
|
10
|
—
|
—
|
$88,258.00
|
$158,659.50
|
$122,325.72
|
2026-09-30
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
36
|
10
|
—
|
—
|
$94,014.00
|
$152,286.00
|
$122,218.20
|
2026-09-30
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
36
|
10
|
—
|
—
|
$60,992.00
|
$195,615.84
|
$121,012.35
|
2026-09-30
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
36
|
10
|
—
|
—
|
$92,994.00
|
$192,909.00
|
$120,823.36
|
2026-09-30
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
36
|
10
|
—
|
—
|
$59,794.00
|
$186,637.08
|
$117,839.21
|
2026-09-30
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
36
|
10
|
—
|
—
|
$89,206.00
|
$147,849.00
|
$115,983.65
|
2026-09-30
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$82,397.00
|
$169,830.57
|
$115,531.00
|
2026-09-30
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
36
|
10
|
—
|
—
|
$60,429.00
|
$165,165.00
|
$110,110.00
|
2026-09-30
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
36
|
10
|
—
|
—
|
$76,165.00
|
$138,786.00
|
$109,800.45
|
2026-09-30
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
36
|
10
|
—
|
—
|
$64,329.00
|
$152,121.48
|
$109,088.20
|
2026-09-30
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
10
|
—
|
—
|
$76,592.00
|
$133,909.50
|
$99,569.60
|
2026-09-30
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$80,771.00
|
$129,366.00
|
$99,113.51
|
2026-09-30
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
36
|
10
|
—
|
—
|
$79,145.00
|
$120,273.00
|
$97,303.85
|
2026-09-30
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
36
|
10
|
—
|
—
|
$74,046.00
|
$132,748.50
|
$96,259.80
|
2026-09-30
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
36
|
10
|
—
|
—
|
$77,288.00
|
$122,560.50
|
$94,946.50
|
2026-09-30
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
36
|
10
|
—
|
—
|
$76,896.00
|
$118,428.00
|
$93,888.36
|
2026-09-30
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
36
|
10
|
—
|
—
|
$73,704.00
|
$114,232.50
|
$92,909.10
|
2026-09-30
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$58,323.00
|
$153,051.00
|
$90,510.75
|
2026-09-30
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$62,438.00
|
$127,359.33
|
$86,639.00
|
2026-09-30
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$70,285.00
|
$113,031.00
|
$86,626.71
|
2026-09-30
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
36
|
10
|
—
|
—
|
$43,490.00
|
$140,333.55
|
$85,690.52
|
2026-09-30
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
36
|
10
|
—
|
—
|
$64,992.00
|
$111,936.00
|
$85,309.90
|
2026-09-30
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$62,870.00
|
$124,154.73
|
$85,250.20
|
2026-09-30
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
36
|
10
|
—
|
—
|
$47,849.00
|
$133,933.17
|
$84,561.84
|
2026-09-30
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$63,675.00
|
$129,931.50
|
$83,343.00
|
2026-09-30
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
45
|
17
|
—
|
—
|
$7,281.00
|
$448,174.65
|
$81,909.36
|
2026-09-30
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
36
|
10
|
—
|
—
|
$66,925.00
|
$108,285.00
|
$81,648.50
|
2026-09-30
|
|
4800639
|
CDM
|
Defib Imp Sys Ins/repl Tv
|
14
|
10
|
$127,647.00
|
$41,612.93
67% off
|
$31,911.75
|
$127,647.00
|
$81,055.85
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
36
|
10
|
—
|
—
|
$66,229.00
|
$108,909.00
|
$80,919.49
|
2026-09-30
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
36
|
10
|
—
|
—
|
$64,857.00
|
$127,417.50
|
$79,431.76
|
2026-09-30
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
36
|
10
|
—
|
—
|
$52,627.00
|
$157,800.00
|
$78,831.23
|
2026-09-30
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
10
|
—
|
—
|
$60,331.00
|
$99,738.00
|
$78,430.30
|
2026-09-30
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$63,659.00
|
$103,143.00
|
$77,893.79
|
2026-09-30
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
36
|
10
|
—
|
—
|
$58,078.00
|
$93,520.50
|
$74,992.18
|
2026-09-30
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
36
|
10
|
—
|
—
|
$61,447.00
|
$92,808.00
|
$74,965.34
|
2026-09-30
|
|
4810632
|
CDM
|
Defib Imp Ins Ex Mul Lead
|
14
|
10
|
$116,043.00
|
$37,830.02
67% off
|
$29,010.75
|
$116,043.00
|
$73,687.30
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
36
|
10
|
—
|
—
|
$58,769.00
|
$94,969.50
|
$72,074.09
|
2026-09-30
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
36
|
10
|
—
|
—
|
$46,514.00
|
$180,438.00
|
$71,771.54
|
2026-09-30
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
36
|
10
|
—
|
—
|
$54,427.00
|
$104,371.50
|
$70,755.10
|
2026-09-30
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$56,265.00
|
$86,781.00
|
$70,581.88
|
2026-09-30
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
36
|
10
|
—
|
—
|
$54,029.00
|
$97,746.00
|
$70,237.70
|
2026-09-30
|
|
4800705
|
CDM
|
Defib Imp Gen Replc Mult
|
14
|
10
|
$110,411.00
|
$35,993.99
67% off
|
$27,602.75
|
$110,411.00
|
$70,110.99
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
10
|
—
|
—
|
$56,989.00
|
$116,460.00
|
$69,526.58
|
2026-09-30
|
|
4811072
|
CDM
|
Implant Pul Wireless Sens
|
14
|
10
|
$108,949.00
|
$35,517.38
67% off
|
$27,237.25
|
$108,949.00
|
$69,182.62
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
36
|
10
|
—
|
—
|
$54,993.00
|
$88,648.50
|
$68,558.18
|
2026-09-30
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$55,047.00
|
$91,825.50
|
$67,963.47
|
2026-09-30
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
36
|
10
|
—
|
—
|
$52,992.00
|
$86,253.00
|
$66,999.90
|
2026-09-30
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
36
|
10
|
—
|
—
|
$51,481.00
|
$84,786.00
|
$66,755.96
|
2026-09-30
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
36
|
10
|
—
|
—
|
$54,006.00
|
$82,069.50
|
$66,396.66
|
2026-09-30
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
36
|
10
|
—
|
—
|
$53,846.00
|
$82,447.50
|
$66,380.06
|
2026-09-30
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
36
|
10
|
—
|
—
|
$51,748.00
|
$80,557.50
|
$65,520.10
|
2026-09-30
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
36
|
10
|
—
|
—
|
$50,490.00
|
$88,686.00
|
$64,881.76
|
2026-09-30
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
36
|
10
|
—
|
—
|
$49,432.00
|
$94,156.50
|
$64,261.60
|
2026-09-30
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
36
|
10
|
—
|
—
|
$50,296.00
|
$78,480.00
|
$63,830.40
|
2026-09-30
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
36
|
10
|
—
|
—
|
$51,543.00
|
$91,300.50
|
$63,731.58
|
2026-09-30
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
36
|
10
|
—
|
—
|
$40,708.50
|
$91,162.05
|
$62,960.30
|
2026-09-30
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
36
|
10
|
—
|
—
|
$48,930.00
|
$76,782.00
|
$62,449.36
|
2026-09-30
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
10
|
—
|
—
|
$47,582.00
|
$82,965.00
|
$61,856.60
|
2026-09-30
|
|
4811308
|
CDM
|
Ins/rpl Crd Mod Sy Pg Tve
|
14
|
10
|
$97,188.00
|
$31,683.29
67% off
|
$24,297.00
|
$97,188.00
|
$61,714.38
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
36
|
10
|
—
|
—
|
$49,702.00
|
$84,928.50
|
$61,138.42
|
2026-09-30
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$46,628.00
|
$88,941.00
|
$60,994.70
|
2026-09-30
|
|
3605552
|
CDM
|
Inst/supp Ste17861x-19647
|
21
|
12
|
$98,235.00
|
$32,024.61
67% off
|
$24,558.75
|
$98,235.00
|
$60,905.70
|
2026-09-30
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
36
|
10
|
—
|
—
|
$45,477.00
|
$93,084.00
|
$60,676.59
|
2026-09-30
|
|
C1824
|
HCPCS
|
Gener Ccm 21611x-23772
|
164
|
21
|
$118,860.00
|
$38,748.36
67% off
|
$40.00
|
$130,745.00
|
$60,618.60
|
2026-09-30
|
|
C2624
|
HCPCS
|
Wrless Sens 21611x-23772
|
83
|
21
|
$118,860.00
|
$37,395.84
69% off
|
$40.00
|
$118,860.00
|
$60,618.60
|
2026-09-30
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
36
|
10
|
—
|
—
|
$49,641.00
|
$86,742.00
|
$60,562.02
|
2026-09-30
|
|
4811229
|
CDM
|
Laa Closure W/implant
|
14
|
10
|
$95,249.00
|
$31,051.18
67% off
|
$23,812.25
|
$95,249.00
|
$60,483.11
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
36
|
10
|
—
|
—
|
$36,358.00
|
$90,636.00
|
$60,424.00
|
2026-09-30
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
36
|
10
|
—
|
—
|
$40,183.00
|
$157,675.50
|
$59,671.76
|
2026-09-30
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
36
|
10
|
—
|
—
|
$47,160.00
|
$72,305.06
|
$59,421.60
|
2026-09-30
|
|
234
|
APR_DRG
|
Spinal Procedures
|
36
|
10
|
—
|
—
|
$47,896.00
|
$87,003.00
|
$59,265.40
|
2026-09-30
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$46,300.00
|
$72,807.00
|
$59,216.36
|
2026-09-30
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
36
|
10
|
—
|
—
|
$39,248.00
|
$113,470.50
|
$58,872.00
|
2026-09-30
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
36
|
10
|
—
|
—
|
$45,507.00
|
$71,908.50
|
$58,485.58
|
2026-09-30
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
36
|
10
|
—
|
—
|
$44,992.00
|
$71,767.50
|
$58,098.76
|
2026-09-30
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
36
|
10
|
—
|
—
|
$46,961.00
|
$79,830.00
|
$57,489.41
|
2026-09-30
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
36
|
10
|
—
|
—
|
$43,531.00
|
$75,081.00
|
$57,460.92
|
2026-09-30
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
36
|
10
|
—
|
—
|
$45,648.00
|
$77,668.50
|
$57,396.66
|
2026-09-30
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
36
|
10
|
—
|
—
|
$45,882.00
|
$72,595.50
|
$57,337.56
|
2026-09-30
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$46,725.00
|
$73,611.00
|
$57,257.04
|
2026-09-30
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
36
|
10
|
—
|
—
|
$45,079.00
|
$85,168.50
|
$56,975.99
|
2026-09-30
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
36
|
10
|
—
|
—
|
$45,837.00
|
$78,279.00
|
$56,411.37
|
2026-09-30
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
36
|
10
|
—
|
—
|
$43,475.00
|
$101,143.50
|
$56,035.75
|
2026-09-30
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
36
|
10
|
—
|
—
|
$44,745.00
|
$77,290.50
|
$55,979.40
|
2026-09-30
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
36
|
10
|
—
|
—
|
$43,984.00
|
$85,231.50
|
$55,971.10
|
2026-09-30
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
36
|
10
|
—
|
—
|
$42,835.00
|
$76,108.50
|
$55,685.50
|
2026-09-30
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
36
|
10
|
—
|
—
|
$43,256.00
|
$68,301.00
|
$55,551.48
|
2026-09-30
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
36
|
10
|
—
|
—
|
$42,748.00
|
$84,693.00
|
$55,259.90
|
2026-09-30
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
36
|
10
|
—
|
—
|
$43,455.00
|
$80,139.00
|
$55,120.28
|
2026-09-30
|
|
C1822
|
HCPCS
|
Nurstm Hf Rc 19647x-21611
|
83
|
21
|
$108,055.00
|
$33,996.36
69% off
|
$40.00
|
$108,055.00
|
$55,108.05
|
2026-09-30
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
36
|
10
|
—
|
—
|
$43,293.00
|
$73,695.00
|
$54,425.87
|
2026-09-30
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$43,961.00
|
$69,124.50
|
$54,016.72
|
2026-09-30
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
36
|
10
|
—
|
—
|
$43,020.00
|
$66,274.50
|
$53,903.26
|
2026-09-30
|
|
J1440
|
HCPCS
|
Fe Mi L-jslm 150mgsdvjwtb
|
43
|
15
|
$111,672.00
|
$36,405.08
67% off
|
$17,867.52
|
$116,774.00
|
$53,716.04
|
2026-09-30
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
43
|
17
|
—
|
—
|
$12,420.00
|
$334,863.27
|
$53,358.79
|
2026-09-30
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
36
|
10
|
—
|
—
|
$40,937.00
|
$67,540.50
|
$53,218.10
|
2026-09-30
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
36
|
10
|
—
|
—
|
$42,037.00
|
$69,801.00
|
$53,131.00
|
2026-09-30
|
|
4800638
|
CDM
|
Defib Imp Ins Ex Sng Lead
|
14
|
10
|
$83,261.00
|
$27,143.09
67% off
|
$20,815.25
|
$83,261.00
|
$52,870.74
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$34,773.00
|
$109,983.00
|
$52,861.54
|
2026-09-30
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$39,049.00
|
$77,492.52
|
$52,716.00
|
2026-09-30
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
16
|
8
|
—
|
—
|
$42,073.00
|
$71,416.50
|
$52,591.25
|
2026-02-28
|
|
4800704
|
CDM
|
Defib Imp Gen Replace Sng
|
14
|
10
|
$82,808.00
|
$26,995.41
67% off
|
$20,702.00
|
$82,808.00
|
$52,583.08
|
2026-02-28
|
|
C1826
|
HCPCS
|
Nrstm Cllp Rd19647x-21611
|
44
|
18
|
$108,055.00
|
$33,996.36
69% off
|
$40.00
|
$108,055.00
|
$52,406.68
|
2026-09-30
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
36
|
10
|
—
|
—
|
$41,597.00
|
$66,700.50
|
$51,827.16
|
2026-09-30
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$33,100.00
|
$77,694.00
|
$51,664.00
|
2026-09-30
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
36
|
10
|
—
|
—
|
$38,868.00
|
$73,851.00
|
$50,887.20
|
2026-09-30
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
36
|
10
|
—
|
—
|
$33,280.00
|
$90,747.00
|
$50,812.24
|
2026-09-30
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
36
|
10
|
—
|
—
|
$38,997.00
|
$71,110.50
|
$50,696.10
|
2026-09-30
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
36
|
10
|
—
|
—
|
$38,963.00
|
$77,476.50
|
$50,651.90
|
2026-09-30
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
36
|
10
|
—
|
—
|
$40,327.00
|
$66,706.50
|
$50,518.98
|
2026-09-30
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
36
|
10
|
—
|
—
|
$36,156.00
|
$75,622.50
|
$50,382.80
|
2026-09-30
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
36
|
10
|
—
|
—
|
$30,797.00
|
$96,859.50
|
$50,188.54
|
2026-09-30
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
36
|
10
|
—
|
—
|
$1,376.00
|
$91,848.54
|
$49,986.00
|
2026-09-30
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
36
|
10
|
—
|
—
|
$37,314.00
|
$74,310.00
|
$49,841.88
|
2026-09-30
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
36
|
10
|
—
|
—
|
$39,721.00
|
$62,983.50
|
$49,756.96
|
2026-09-30
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
36
|
10
|
—
|
—
|
$40,380.00
|
$65,130.00
|
$49,529.56
|
2026-09-30
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
36
|
10
|
—
|
—
|
$38,574.00
|
$60,547.50
|
$49,245.30
|
2026-09-30
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
36
|
10
|
—
|
—
|
$39,025.00
|
$71,082.00
|
$49,006.86
|
2026-09-30
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
36
|
10
|
—
|
—
|
$32,610.00
|
$74,004.00
|
$48,914.70
|
2026-09-30
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
36
|
10
|
—
|
—
|
$34,539.00
|
$73,332.00
|
$48,888.00
|
2026-09-30
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
36
|
10
|
—
|
—
|
$40,071.00
|
$85,251.00
|
$48,886.62
|
2026-09-30
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
36
|
10
|
—
|
—
|
$38,748.00
|
$66,499.50
|
$48,758.01
|
2026-09-30
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$38,970.00
|
$60,967.50
|
$48,753.64
|
2026-09-30
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
36
|
10
|
—
|
—
|
$39,041.00
|
$67,114.50
|
$48,294.68
|
2026-09-30
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
36
|
10
|
—
|
—
|
$31,932.00
|
$119,251.50
|
$48,266.96
|
2026-09-30
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
36
|
10
|
—
|
—
|
$36,948.00
|
$68,031.00
|
$48,032.40
|
2026-09-30
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
36
|
10
|
—
|
—
|
$39,182.00
|
$64,333.50
|
$48,028.82
|
2026-09-30
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
36
|
10
|
—
|
—
|
$38,336.00
|
$64,863.00
|
$47,801.71
|
2026-09-30
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
36
|
10
|
—
|
—
|
$38,877.00
|
$63,402.00
|
$47,640.57
|
2026-09-30
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$38,566.00
|
$61,002.00
|
$47,050.52
|
2026-09-30
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
36
|
10
|
—
|
—
|
$37,234.00
|
$68,454.00
|
$46,999.28
|
2026-09-30
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
36
|
10
|
—
|
—
|
$36,131.00
|
$68,430.00
|
$46,970.30
|
2026-09-30
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
36
|
10
|
—
|
—
|
$38,040.00
|
$64,471.50
|
$46,924.80
|
2026-09-30
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
36
|
10
|
—
|
—
|
$35,523.00
|
$57,223.50
|
$46,541.78
|
2026-09-30
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$38,043.00
|
$57,606.00
|
$46,412.46
|
2026-09-30
|
|
4801618
|
CDM
|
Ins 2chmbr Ldls Pm Cmpl
|
14
|
10
|
$72,695.00
|
$23,698.57
67% off
|
$18,173.75
|
$72,695.00
|
$46,161.32
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
36
|
10
|
—
|
—
|
$37,467.00
|
$62,923.50
|
$45,976.47
|
2026-09-30
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
36
|
10
|
—
|
—
|
$36,474.00
|
$65,487.00
|
$45,390.24
|
2026-09-30
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
36
|
10
|
—
|
—
|
$36,901.00
|
$64,899.00
|
$45,019.22
|
2026-09-30
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$36,891.00
|
$56,976.00
|
$45,007.02
|
2026-09-30
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
36
|
10
|
—
|
—
|
$35,933.00
|
$62,382.00
|
$44,969.57
|
2026-09-30
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
36
|
10
|
—
|
—
|
$36,731.00
|
$62,061.00
|
$44,933.51
|
2026-09-30
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
36
|
10
|
—
|
—
|
$33,932.00
|
$91,810.50
|
$44,781.30
|
2026-09-30
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
36
|
10
|
—
|
—
|
$34,372.00
|
$71,860.50
|
$44,466.56
|
2026-09-30
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
36
|
10
|
—
|
—
|
$33,306.00
|
$63,495.00
|
$44,431.40
|
2026-09-30
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
36
|
10
|
—
|
—
|
$35,182.00
|
$62,277.00
|
$44,328.48
|
2026-09-30
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
36
|
10
|
—
|
—
|
$36,057.00
|
$65,002.50
|
$44,147.97
|
2026-09-30
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
36
|
10
|
—
|
—
|
$35,132.00
|
$53,773.50
|
$43,735.78
|
2026-09-30
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
36
|
10
|
—
|
—
|
$34,720.00
|
$56,767.50
|
$43,702.84
|
2026-09-30
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
36
|
10
|
—
|
—
|
$35,387.00
|
$69,117.00
|
$43,669.90
|
2026-09-30
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
36
|
10
|
—
|
—
|
$33,534.00
|
$59,056.50
|
$43,594.20
|
2026-09-30
|
|
7114
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
36
|
10
|
—
|
—
|
$34,064.00
|
$62,485.50
|
$43,524.72
|
2026-09-30
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
36
|
10
|
—
|
—
|
$33,456.00
|
$59,985.00
|
$43,492.80
|
2026-09-30
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
36
|
10
|
—
|
—
|
$34,164.00
|
$68,895.00
|
$42,972.84
|
2026-09-30
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$33,456.00
|
$52,813.50
|
$42,954.98
|
2026-09-30
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
16
|
8
|
—
|
—
|
$32,969.00
|
$63,627.00
|
$42,953.75
|
2026-02-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
36
|
10
|
—
|
—
|
$35,049.00
|
$63,897.00
|
$42,927.69
|
2026-09-30
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
36
|
10
|
—
|
—
|
$34,825.00
|
$55,267.50
|
$42,714.85
|
2026-09-30
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
10
|
—
|
—
|
$33,747.00
|
$53,662.50
|
$42,682.51
|
2026-09-30
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
36
|
10
|
—
|
—
|
$18,948.00
|
$77,694.00
|
$42,666.00
|
2026-09-30
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
36
|
10
|
—
|
—
|
$32,789.00
|
$59,745.00
|
$42,625.70
|
2026-09-30
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
36
|
10
|
—
|
—
|
$34,735.00
|
$61,890.00
|
$42,571.75
|
2026-09-30
|
|
4800710
|
CDM
|
Pacemk Gen Repl Mult Lead
|
14
|
10
|
$66,938.00
|
$21,821.79
67% off
|
$16,734.50
|
$66,938.00
|
$42,505.63
|
2026-02-28
|
|
4800709
|
CDM
|
Pacemk Ins Exis Mlt Leads
|
14
|
10
|
$66,920.00
|
$21,815.92
67% off
|
$16,730.00
|
$66,920.00
|
$42,494.20
|
2026-02-28
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
36
|
10
|
—
|
—
|
$29,154.00
|
$62,425.50
|
$42,247.18
|
2026-09-30
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
36
|
10
|
—
|
—
|
$27,584.00
|
$62,047.23
|
$42,209.00
|
2026-09-30
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
36
|
10
|
—
|
—
|
$32,467.00
|
$56,437.50
|
$42,165.64
|
2026-09-30
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
36
|
10
|
—
|
—
|
$34,201.00
|
$51,750.00
|
$41,759.11
|
2026-09-30
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$10,211.00
|
$72,801.75
|
$41,715.25
|
2026-09-30
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
36
|
10
|
—
|
—
|
$32,600.00
|
$56,232.00
|
$41,680.01
|
2026-09-30
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
36
|
10
|
—
|
—
|
$33,870.00
|
$57,475.50
|
$41,511.30
|
2026-09-30
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
36
|
10
|
—
|
—
|
$34,018.00
|
$59,442.00
|
$41,501.96
|
2026-09-30
|
|
C1882
|
HCPCS
|
Icd Not S/d 10082x-11090
|
974
|
21
|
$89,305.00
|
$29,113.43
67% off
|
$40.00
|
$158,200.00
|
$41,370.27
|
2026-09-30
|
|
C1767
|
HCPCS
|
Neurstm Nrec 10082x-11090
|
1,226
|
21
|
$89,305.00
|
$28,097.22
69% off
|
$40.00
|
$210,560.00
|
$41,330.80
|
2026-09-30
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
36
|
10
|
—
|
—
|
$32,042.00
|
$50,736.00
|
$41,265.28
|
2026-09-30
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
36
|
10
|
—
|
—
|
$32,718.00
|
$51,454.50
|
$41,211.60
|
2026-09-30
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
36
|
10
|
—
|
—
|
$32,736.00
|
$57,729.00
|
$41,113.57
|
2026-09-30
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
36
|
10
|
—
|
—
|
$31,658.00
|
$62,031.00
|
$41,035.74
|
2026-09-30
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
36
|
10
|
—
|
—
|
$32,356.00
|
$62,061.00
|
$40,967.82
|
2026-09-30
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
36
|
10
|
—
|
—
|
$31,433.00
|
$67,882.50
|
$40,862.90
|
2026-09-30
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
45
|
17
|
—
|
—
|
$12,420.00
|
$282,086.74
|
$40,789.98
|
2026-09-30
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
36
|
10
|
—
|
—
|
$33,238.00
|
$52,383.00
|
$40,715.06
|
2026-09-30
|
|
0823T
|
CPT
|
Ins Tcat 1chmr Ldls Pm Ra
|
11
|
8
|
$72,695.00
|
$22,871.37
69% off
|
$18,173.75
|
$72,695.00
|
$40,709.20
|
2026-09-30
|
|
0797T
|
CPT
|
Ins 2chmbr Ldls Pm Rv
|
11
|
8
|
$72,695.00
|
$22,871.37
69% off
|
$18,173.75
|
$72,695.00
|
$40,709.20
|
2026-09-30
|
|
0796T
|
CPT
|
Ins 2chmbr Ldls Pm Ra
|
11
|
8
|
$72,695.00
|
$22,871.37
69% off
|
$18,173.75
|
$72,695.00
|
$40,709.20
|
2026-09-30
|
|
0795T
|
CPT
|
Ins 2chmbr Ldls Pm Cmpl
|
11
|
8
|
$72,695.00
|
$22,871.37
69% off
|
$18,173.75
|
$72,695.00
|
$40,709.20
|
2026-09-30
|
|
0DV64DZ
|
OTHER
|
Bariatric Surgery
|
10
|
6
|
—
|
—
|
$32,891.00
|
$45,964.00
|
$40,669.50
|
2026-09-30
|
|
0D964CZ
|
OTHER
|
Bariatric Surgery
|
10
|
6
|
—
|
—
|
$36,822.00
|
$45,964.00
|
$40,669.50
|
2026-09-30
|
|
0D64CA
|
OTHER
|
Bariatric Surgery
|
10
|
6
|
—
|
—
|
$36,822.00
|
$45,964.00
|
$40,669.50
|
2026-09-30
|
|
0D9643Z
|
OTHER
|
Bariatric Surgery
|
10
|
6
|
—
|
—
|
$36,822.00
|
$45,964.00
|
$40,669.50
|
2026-09-30
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
36
|
10
|
—
|
—
|
$14,904.00
|
$49,971.00
|
$40,643.08
|
2026-09-30
|
|
9202231
|
CDM
|
Perc Avf Creat Upp Single
|
16
|
11
|
$67,687.00
|
$22,065.97
67% off
|
$3,164.00
|
$67,687.00
|
$40,612.20
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
45
|
17
|
—
|
—
|
$12,420.00
|
$254,885.83
|
$40,553.99
|
2026-09-30
|
|
0408T
|
CPT
|
Ins/rpl Crd Mod Sy Pg Tve
|
46
|
22
|
$97,188.00
|
$30,577.38
69% off
|
$2,020.00
|
$98,102.31
|
$40,371.32
|
2026-09-30
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$32,972.00
|
$51,034.50
|
$40,336.86
|
2026-09-30
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
36
|
10
|
—
|
—
|
$31,961.00
|
$54,829.50
|
$40,304.22
|
2026-09-30
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
36
|
10
|
—
|
—
|
$32,046.00
|
$58,746.00
|
$40,145.43
|
2026-09-30
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$27,765.00
|
$58,167.00
|
$39,780.00
|
2026-09-30
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
36
|
10
|
—
|
—
|
$32,538.00
|
$57,328.50
|
$39,755.58
|
2026-09-30
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
36
|
10
|
—
|
—
|
$31,968.00
|
$50,290.50
|
$39,592.04
|
2026-09-30
|
|
C1735
|
HCPCS
|
Cth IV Rd Rf14761x-16237
|
44
|
18
|
$81,185.00
|
$25,542.50
69% off
|
$40.00
|
$81,185.00
|
$39,374.72
|
2026-09-30
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
36
|
10
|
—
|
—
|
$27,794.00
|
$61,563.00
|
$39,323.00
|
2026-09-30
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$31,938.00
|
$51,415.50
|
$39,310.98
|
2026-09-30
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
36
|
10
|
—
|
—
|
$29,706.00
|
$55,035.00
|
$39,211.92
|
2026-09-30
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
36
|
10
|
—
|
—
|
$31,329.00
|
$57,225.00
|
$39,024.42
|
2026-09-30
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
36
|
10
|
—
|
—
|
$30,003.00
|
$73,251.00
|
$39,003.90
|
2026-09-30
|
|
2224
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
36
|
10
|
—
|
—
|
$31,914.00
|
$64,735.50
|
$38,935.08
|
2026-09-30
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
36
|
10
|
—
|
—
|
$30,652.00
|
$54,636.00
|
$38,814.68
|
2026-09-30
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
36
|
10
|
—
|
—
|
$30,851.00
|
$56,007.00
|
$38,799.27
|
2026-09-30
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
36
|
10
|
—
|
—
|
$29,806.00
|
$48,406.50
|
$38,747.80
|
2026-09-30
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
36
|
10
|
—
|
—
|
$31,715.00
|
$54,493.50
|
$38,692.30
|
2026-09-30
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
36
|
10
|
—
|
—
|
$31,509.00
|
$51,285.00
|
$38,672.78
|
2026-09-30
|
|
3154
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
36
|
10
|
—
|
—
|
$30,730.00
|
$54,937.50
|
$38,636.93
|
2026-09-30
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
36
|
10
|
—
|
—
|
$31,220.00
|
$60,700.50
|
$38,514.20
|
2026-09-30
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
36
|
10
|
—
|
—
|
$30,728.00
|
$51,471.00
|
$38,297.02
|
2026-09-30
|
|
984
|
APR_DRG
|
Other Ear Nose Mouth And Throat Procedures
|
36
|
10
|
—
|
—
|
$29,674.00
|
$48,573.00
|
$38,162.93
|
2026-09-30
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
36
|
10
|
—
|
—
|
$29,506.00
|
$59,785.50
|
$38,160.98
|
2026-09-30
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
36
|
10
|
—
|
—
|
$30,280.00
|
$50,994.00
|
$38,147.52
|
2026-09-30
|
|
233
|
APR_DRG
|
Spinal Procedures
|
36
|
10
|
—
|
—
|
$31,166.00
|
$48,675.00
|
$38,022.52
|
2026-09-30
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
36
|
10
|
—
|
—
|
$29,956.00
|
$52,806.00
|
$37,982.81
|
2026-09-30
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
36
|
10
|
—
|
—
|
$29,353.00
|
$49,783.50
|
$37,936.93
|
2026-09-30
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
36
|
10
|
—
|
—
|
$30,820.00
|
$63,951.00
|
$37,923.40
|
2026-09-30
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
36
|
10
|
—
|
—
|
$29,617.00
|
$53,622.00
|
$37,822.44
|
2026-09-30
|
|
3606097
|
CDM
|
Inst/supp Ste11090x-12199
|
21
|
12
|
$60,995.00
|
$19,884.37
67% off
|
$15,248.75
|
$60,995.00
|
$37,816.90
|
2026-09-30
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
36
|
10
|
—
|
—
|
$29,021.00
|
$46,521.00
|
$37,727.30
|
2026-09-30
|
|
3605737
|
CDM
|
Closure Impl 13419x-14761
|
80
|
21
|
$73,805.00
|
$23,220.60
69% off
|
$40.00
|
$73,805.00
|
$37,640.55
|
2026-09-30
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
36
|
10
|
—
|
—
|
$30,531.00
|
$47,550.00
|
$37,247.82
|
2026-09-30
|
|
36836
|
CPT
|
Perc Avf Creat Upp Single
|
13
|
9
|
$67,687.00
|
$21,295.75
69% off
|
$3,164.00
|
$67,687.00
|
$37,227.85
|
2026-09-30
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
36
|
10
|
—
|
—
|
$28,318.00
|
$49,557.00
|
$36,813.40
|
2026-09-30
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
36
|
10
|
—
|
—
|
$25,176.00
|
$58,525.50
|
$36,741.00
|
2026-09-30
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
36
|
10
|
—
|
—
|
$28,211.00
|
$65,953.50
|
$36,674.30
|
2026-09-30
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
36
|
10
|
—
|
—
|
$28,382.00
|
$49,312.50
|
$36,569.26
|
2026-09-30
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
36
|
10
|
—
|
—
|
$25,906.00
|
$52,452.00
|
$36,558.60
|
2026-09-30
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
36
|
10
|
—
|
—
|
$27,476.00
|
$49,027.50
|
$36,401.64
|
2026-09-30
|
|
1661
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
36
|
10
|
—
|
—
|
$29,565.00
|
$45,753.00
|
$36,318.18
|
2026-09-30
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
36
|
10
|
—
|
—
|
$26,706.00
|
$51,697.50
|
$36,304.40
|
2026-09-30
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
36
|
10
|
—
|
—
|
$29,313.00
|
$47,566.50
|
$36,159.33
|
2026-09-30
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
36
|
10
|
—
|
—
|
$19,263.00
|
$48,307.14
|
$36,028.05
|
2026-09-30
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
36
|
10
|
—
|
—
|
$18,918.00
|
$54,222.42
|
$35,705.89
|
2026-09-30
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
36
|
10
|
—
|
—
|
$28,700.00
|
$43,878.00
|
$35,687.44
|
2026-09-30
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
36
|
10
|
—
|
—
|
$29,111.00
|
$45,441.00
|
$35,556.71
|
2026-09-30
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
36
|
10
|
—
|
—
|
$27,154.00
|
$56,302.50
|
$35,300.20
|
2026-09-30
|
|
3605059
|
CDM
|
Inst/supp Ster7755x-10082
|
12
|
9
|
$50,410.00
|
$16,433.66
67% off
|
$12,602.50
|
$50,410.00
|
$35,287.00
|
2026-02-28
|
|
3174
|
APR_DRG
|
Tendon Muscle And Other Soft Tissue Procedures
|
36
|
10
|
—
|
—
|
$27,124.00
|
$58,965.00
|
$34,879.91
|
2026-09-30
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
36
|
10
|
—
|
—
|
$28,107.00
|
$46,878.00
|
$34,849.67
|
2026-09-30
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
36
|
10
|
—
|
—
|
$28,334.00
|
$51,129.00
|
$34,649.22
|
2026-09-30
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
36
|
10
|
—
|
—
|
$26,583.00
|
$47,167.50
|
$34,557.90
|
2026-09-30
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
36
|
10
|
—
|
—
|
$28,306.00
|
$48,709.50
|
$34,533.32
|
2026-09-30
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
36
|
10
|
—
|
—
|
$28,158.00
|
$45,105.00
|
$34,381.98
|
2026-09-30
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
36
|
10
|
—
|
—
|
$27,425.00
|
$47,518.50
|
$34,340.12
|
2026-09-30
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
36
|
10
|
—
|
—
|
$28,132.00
|
$45,091.50
|
$34,321.04
|
2026-09-30
|
|
C1721
|
HCPCS
|
Icd Dual 10082x-11090
|
974
|
21
|
$73,805.00
|
$24,060.43
67% off
|
$40.00
|
$130,745.00
|
$34,218.45
|
2026-09-30
|
|
3605736
|
CDM
|
Closure Impl 12199x-13419
|
80
|
21
|
$67,095.00
|
$21,109.49
69% off
|
$40.00
|
$67,095.00
|
$34,218.45
|
2026-09-30
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
36
|
10
|
—
|
—
|
$24,559.00
|
$49,839.00
|
$34,174.03
|
2026-09-30
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
36
|
10
|
—
|
—
|
$27,839.00
|
$48,316.50
|
$33,963.58
|
2026-09-30
|
|
1203
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
36
|
10
|
—
|
—
|
$27,491.00
|
$42,268.50
|
$33,776.92
|
2026-09-30
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
36
|
10
|
—
|
—
|
$25,927.00
|
$41,322.00
|
$33,608.56
|
2026-09-30
|
|
4413
|
APR_DRG
|
Major Bladder Procedures
|
36
|
10
|
—
|
—
|
$25,758.00
|
$41,749.50
|
$33,485.40
|
2026-09-30
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
36
|
10
|
—
|
—
|
$27,424.00
|
$53,184.00
|
$33,457.28
|
2026-09-30
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
36
|
10
|
—
|
—
|
$25,717.00
|
$55,743.00
|
$33,432.10
|
2026-09-30
|
|
7944
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
36
|
10
|
—
|
—
|
$25,543.00
|
$51,544.50
|
$33,423.12
|
2026-09-30
|
|
3213
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
36
|
10
|
—
|
—
|
$25,276.00
|
$43,132.50
|
$33,364.32
|
2026-09-30
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
36
|
10
|
—
|
—
|
$27,037.00
|
$48,984.00
|
$33,357.37
|
2026-09-30
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
36
|
10
|
—
|
—
|
$26,147.00
|
$43,996.50
|
$33,349.46
|
2026-09-30
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
36
|
10
|
—
|
—
|
$21,929.00
|
$77,782.50
|
$33,143.50
|
2026-09-30
|