|
6332423
|
CDM
|
Peg-electrolyte 4l Liq
|
24
|
7
|
$1,439,136.00
|
$784,329.12
46% off
|
$705,176.64
|
$1,439,136.00
|
$1,309,613.76
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$871,388.00
|
$1,568,499.00
|
$1,219,943.50
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$649,944.00
|
$1,169,899.00
|
$909,921.50
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$758,866.00
|
$948,583.00
|
$853,724.50
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
6
|
—
|
—
|
$441,765.00
|
$795,177.00
|
$618,471.00
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$599,481.00
|
$599,481.00
|
$599,481.00
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$427,266.00
|
$769,079.00
|
$598,172.50
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$423,005.00
|
$761,408.00
|
$592,206.50
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
16
|
6
|
—
|
—
|
$415,558.00
|
$748,004.00
|
$581,781.00
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
16
|
6
|
—
|
—
|
$580,765.00
|
$580,765.00
|
$580,765.00
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$410,806.00
|
$739,451.00
|
$575,128.50
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$476,208.00
|
$595,260.00
|
$535,734.00
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$416,856.00
|
$521,070.00
|
$468,963.00
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$405,770.00
|
$507,213.00
|
$456,491.50
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$454,268.00
|
$454,268.00
|
$454,268.00
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$320,512.00
|
$576,922.00
|
$448,717.00
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
16
|
6
|
—
|
—
|
$385,641.00
|
$482,051.00
|
$433,846.00
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$308,308.00
|
$554,955.00
|
$431,631.50
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
16
|
6
|
—
|
—
|
$430,558.00
|
$430,558.00
|
$430,558.00
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$386,956.00
|
$386,956.00
|
$386,956.00
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
6
|
—
|
—
|
$379,799.00
|
$379,799.00
|
$379,799.00
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$375,989.00
|
$375,989.00
|
$375,989.00
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
34
|
12
|
—
|
—
|
$19,981.00
|
$375,032.60
|
$367,679.01
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
16
|
6
|
—
|
—
|
$367,570.00
|
$367,570.00
|
$367,570.00
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
16
|
6
|
—
|
—
|
$364,509.00
|
$364,509.00
|
$364,509.00
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$364,297.00
|
$364,297.00
|
$364,297.00
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
6
|
—
|
—
|
$346,497.00
|
$346,497.00
|
$346,497.00
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$239,664.00
|
$431,396.00
|
$335,530.00
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$287,790.00
|
$359,737.00
|
$323,763.50
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$276,941.00
|
$346,176.00
|
$311,558.50
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$269,883.00
|
$337,353.00
|
$303,618.00
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
16
|
6
|
—
|
—
|
$290,426.00
|
$290,426.00
|
$290,426.00
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
34
|
12
|
—
|
—
|
$34,082.00
|
$280,216.75
|
$274,722.30
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
16
|
6
|
—
|
—
|
$273,347.00
|
$273,347.00
|
$273,347.00
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
6
|
—
|
—
|
$239,304.00
|
$299,130.00
|
$269,217.00
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
16
|
6
|
—
|
—
|
$190,908.00
|
$343,634.00
|
$267,271.00
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
16
|
6
|
—
|
—
|
$264,551.00
|
$264,551.00
|
$264,551.00
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$232,905.00
|
$291,131.00
|
$262,018.00
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
16
|
6
|
—
|
—
|
$260,774.00
|
$260,774.00
|
$260,774.00
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$181,771.00
|
$327,188.00
|
$254,479.50
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$223,765.00
|
$279,707.00
|
$251,736.00
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
6
|
—
|
—
|
$251,023.00
|
$251,023.00
|
$251,023.00
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$174,719.00
|
$314,494.00
|
$244,606.50
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
16
|
6
|
—
|
—
|
$237,442.00
|
$237,442.00
|
$237,442.00
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
16
|
6
|
—
|
—
|
$235,014.00
|
$235,014.00
|
$235,014.00
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$233,761.00
|
$233,761.00
|
$233,761.00
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
16
|
6
|
—
|
—
|
$229,928.00
|
$229,928.00
|
$229,928.00
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
16
|
6
|
—
|
—
|
$220,343.00
|
$220,343.00
|
$220,343.00
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
16
|
6
|
—
|
—
|
$217,487.00
|
$217,487.00
|
$217,487.00
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$215,527.00
|
$215,527.00
|
$215,527.00
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
16
|
6
|
—
|
—
|
$207,401.00
|
$207,401.00
|
$207,401.00
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
16
|
6
|
—
|
—
|
$148,092.00
|
$266,565.00
|
$207,328.50
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$180,684.00
|
$225,855.00
|
$203,269.50
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$180,352.00
|
$225,440.00
|
$202,896.00
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$179,180.00
|
$223,975.00
|
$201,577.50
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$141,974.00
|
$255,553.00
|
$198,763.50
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$197,780.00
|
$197,780.00
|
$197,780.00
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
16
|
6
|
—
|
—
|
$190,035.00
|
$190,035.00
|
$190,035.00
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
16
|
6
|
—
|
—
|
$188,869.00
|
$188,869.00
|
$188,869.00
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$133,603.00
|
$240,486.00
|
$187,044.50
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
16
|
6
|
—
|
—
|
$184,661.00
|
$184,661.00
|
$184,661.00
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
6
|
—
|
—
|
$163,703.00
|
$204,629.00
|
$184,166.00
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$130,888.00
|
$235,599.00
|
$183,243.50
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$183,196.00
|
$183,196.00
|
$183,196.00
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
16
|
6
|
—
|
—
|
$182,856.00
|
$182,856.00
|
$182,856.00
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
16
|
6
|
—
|
—
|
$182,506.00
|
$182,506.00
|
$182,506.00
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
36
|
12
|
—
|
—
|
$24,836.00
|
$236,054.79
|
$180,935.83
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$175,231.00
|
$175,231.00
|
$175,231.00
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$154,767.00
|
$193,458.00
|
$174,112.50
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
16
|
6
|
—
|
—
|
$154,643.00
|
$193,303.00
|
$173,973.00
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
16
|
6
|
—
|
—
|
$124,025.00
|
$223,244.00
|
$173,634.50
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
16
|
6
|
—
|
—
|
$173,040.00
|
$173,040.00
|
$173,040.00
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
16
|
6
|
—
|
—
|
$172,463.00
|
$172,463.00
|
$172,463.00
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
16
|
6
|
—
|
—
|
$169,894.00
|
$169,894.00
|
$169,894.00
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$169,770.00
|
$169,770.00
|
$169,770.00
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
36
|
12
|
—
|
—
|
$24,836.00
|
$213,293.82
|
$164,088.24
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
6
|
—
|
—
|
$163,430.00
|
$163,430.00
|
$163,430.00
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
16
|
6
|
—
|
—
|
$162,802.00
|
$162,802.00
|
$162,802.00
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
16
|
6
|
—
|
—
|
$162,560.00
|
$162,560.00
|
$162,560.00
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
16
|
6
|
—
|
—
|
$162,337.00
|
$162,337.00
|
$162,337.00
|
2026-02-28
|
|
J9347
|
HCPCS
|
Tre-actl300mg/15mlsdvjwtb
|
24
|
7
|
$177,840.00
|
$96,922.80
45% off
|
$87,141.60
|
$177,840.00
|
$161,834.40
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$161,262.00
|
$161,262.00
|
$161,262.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
16
|
6
|
—
|
—
|
$159,101.00
|
$159,101.00
|
$159,101.00
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$158,327.00
|
$158,327.00
|
$158,327.00
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
16
|
6
|
—
|
—
|
$157,273.00
|
$157,273.00
|
$157,273.00
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
16
|
6
|
—
|
—
|
$156,893.00
|
$156,893.00
|
$156,893.00
|
2026-02-28
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
16
|
6
|
—
|
—
|
$154,232.00
|
$154,232.00
|
$154,232.00
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
16
|
6
|
—
|
—
|
$136,282.00
|
$170,352.00
|
$153,317.00
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
16
|
6
|
—
|
—
|
$151,838.00
|
$151,838.00
|
$151,838.00
|
2026-02-28
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$131,209.00
|
$164,012.00
|
$147,610.50
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
16
|
6
|
—
|
—
|
$145,616.00
|
$145,616.00
|
$145,616.00
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
16
|
6
|
—
|
—
|
$145,041.00
|
$145,041.00
|
$145,041.00
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
16
|
6
|
—
|
—
|
$144,867.00
|
$144,867.00
|
$144,867.00
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
16
|
6
|
—
|
—
|
$144,546.00
|
$144,546.00
|
$144,546.00
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$127,970.00
|
$159,963.00
|
$143,966.50
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
16
|
6
|
—
|
—
|
$141,532.00
|
$141,532.00
|
$141,532.00
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
16
|
6
|
—
|
—
|
$141,501.00
|
$141,501.00
|
$141,501.00
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
16
|
6
|
—
|
—
|
$140,735.00
|
$140,735.00
|
$140,735.00
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
16
|
6
|
—
|
—
|
$138,794.00
|
$138,794.00
|
$138,794.00
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
16
|
6
|
—
|
—
|
$137,687.00
|
$137,687.00
|
$137,687.00
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$97,851.00
|
$176,132.00
|
$136,991.50
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
16
|
6
|
—
|
—
|
$136,338.00
|
$136,338.00
|
$136,338.00
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
16
|
6
|
—
|
—
|
$136,296.00
|
$136,296.00
|
$136,296.00
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
16
|
6
|
—
|
—
|
$135,299.00
|
$135,299.00
|
$135,299.00
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
16
|
6
|
—
|
—
|
$135,274.00
|
$135,274.00
|
$135,274.00
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
6
|
—
|
—
|
$133,894.00
|
$133,894.00
|
$133,894.00
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
16
|
6
|
—
|
—
|
$133,432.00
|
$133,432.00
|
$133,432.00
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
16
|
6
|
—
|
—
|
$133,020.00
|
$133,020.00
|
$133,020.00
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
16
|
6
|
—
|
—
|
$132,933.00
|
$132,933.00
|
$132,933.00
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
16
|
6
|
—
|
—
|
$132,913.00
|
$132,913.00
|
$132,913.00
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
16
|
6
|
—
|
—
|
$94,060.00
|
$169,308.00
|
$131,684.00
|
2026-02-28
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$131,483.00
|
$131,483.00
|
$131,483.00
|
2026-02-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
6
|
—
|
—
|
$116,752.00
|
$145,940.00
|
$131,346.00
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
16
|
6
|
—
|
—
|
$131,274.00
|
$131,274.00
|
$131,274.00
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
16
|
6
|
—
|
—
|
$93,649.00
|
$168,568.00
|
$131,108.50
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
16
|
6
|
—
|
—
|
$130,891.00
|
$130,891.00
|
$130,891.00
|
2026-02-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$130,286.00
|
$130,286.00
|
$130,286.00
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
16
|
6
|
—
|
—
|
$129,455.00
|
$129,455.00
|
$129,455.00
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
16
|
6
|
—
|
—
|
$129,244.00
|
$129,244.00
|
$129,244.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
16
|
6
|
—
|
—
|
$129,111.00
|
$129,111.00
|
$129,111.00
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
16
|
6
|
—
|
—
|
$112,623.00
|
$140,779.00
|
$126,701.00
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
16
|
6
|
—
|
—
|
$125,450.00
|
$125,450.00
|
$125,450.00
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$123,703.00
|
$123,703.00
|
$123,703.00
|
2026-02-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$109,883.00
|
$137,354.00
|
$123,618.50
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
16
|
6
|
—
|
—
|
$123,073.00
|
$123,073.00
|
$123,073.00
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$109,058.00
|
$136,322.00
|
$122,690.00
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
16
|
6
|
—
|
—
|
$122,495.00
|
$122,495.00
|
$122,495.00
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
16
|
6
|
—
|
—
|
$121,966.00
|
$121,966.00
|
$121,966.00
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
16
|
6
|
—
|
—
|
$121,721.00
|
$121,721.00
|
$121,721.00
|
2026-02-28
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
16
|
6
|
—
|
—
|
$86,661.00
|
$155,990.00
|
$121,325.50
|
2026-02-28
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
16
|
6
|
—
|
—
|
$121,056.00
|
$121,056.00
|
$121,056.00
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
16
|
6
|
—
|
—
|
$120,695.00
|
$120,695.00
|
$120,695.00
|
2026-02-28
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
16
|
6
|
—
|
—
|
$120,293.00
|
$120,293.00
|
$120,293.00
|
2026-02-28
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
16
|
6
|
—
|
—
|
$106,252.00
|
$132,816.00
|
$119,534.00
|
2026-02-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
16
|
6
|
—
|
—
|
$118,392.00
|
$118,392.00
|
$118,392.00
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
6
|
—
|
—
|
$118,290.00
|
$118,290.00
|
$118,290.00
|
2026-02-28
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
16
|
6
|
—
|
—
|
$118,155.00
|
$118,155.00
|
$118,155.00
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
16
|
6
|
—
|
—
|
$117,800.00
|
$117,800.00
|
$117,800.00
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
16
|
6
|
—
|
—
|
$116,375.00
|
$116,375.00
|
$116,375.00
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
16
|
6
|
—
|
—
|
$115,783.00
|
$115,783.00
|
$115,783.00
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
16
|
6
|
—
|
—
|
$114,682.00
|
$114,682.00
|
$114,682.00
|
2026-02-28
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$101,811.00
|
$127,264.00
|
$114,537.50
|
2026-02-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
16
|
6
|
—
|
—
|
$101,673.00
|
$127,091.00
|
$114,382.00
|
2026-02-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
16
|
6
|
—
|
—
|
$113,953.00
|
$113,953.00
|
$113,953.00
|
2026-02-28
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
16
|
6
|
—
|
—
|
$113,629.00
|
$113,629.00
|
$113,629.00
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
16
|
6
|
—
|
—
|
$113,513.00
|
$113,513.00
|
$113,513.00
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
16
|
6
|
—
|
—
|
$113,480.00
|
$113,480.00
|
$113,480.00
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
16
|
6
|
—
|
—
|
$113,159.00
|
$113,159.00
|
$113,159.00
|
2026-02-28
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
16
|
6
|
—
|
—
|
$112,209.00
|
$112,209.00
|
$112,209.00
|
2026-02-28
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
16
|
6
|
—
|
—
|
$111,246.00
|
$111,246.00
|
$111,246.00
|
2026-02-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
16
|
6
|
—
|
—
|
$110,655.00
|
$110,655.00
|
$110,655.00
|
2026-02-28
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
16
|
6
|
—
|
—
|
$110,621.00
|
$110,621.00
|
$110,621.00
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
36
|
12
|
—
|
—
|
$24,836.00
|
$140,759.13
|
$110,398.35
|
2026-02-28
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$109,660.00
|
$109,660.00
|
$109,660.00
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
16
|
6
|
—
|
—
|
$109,373.00
|
$109,373.00
|
$109,373.00
|
2026-02-28
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$109,365.00
|
$109,365.00
|
$109,365.00
|
2026-02-28
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
16
|
6
|
—
|
—
|
$108,545.00
|
$108,545.00
|
$108,545.00
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
16
|
6
|
—
|
—
|
$108,438.00
|
$108,438.00
|
$108,438.00
|
2026-02-28
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
16
|
6
|
—
|
—
|
$96,175.00
|
$120,219.00
|
$108,197.00
|
2026-02-28
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
16
|
6
|
—
|
—
|
$107,787.00
|
$107,787.00
|
$107,787.00
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
34
|
12
|
—
|
—
|
$34,082.00
|
$109,861.14
|
$107,707.00
|
2026-02-28
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
16
|
6
|
—
|
—
|
$107,489.00
|
$107,489.00
|
$107,489.00
|
2026-02-28
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$107,418.00
|
$107,418.00
|
$107,418.00
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
16
|
6
|
—
|
—
|
$106,788.00
|
$106,788.00
|
$106,788.00
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
34
|
12
|
—
|
—
|
$34,082.00
|
$108,611.44
|
$106,481.80
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
16
|
6
|
—
|
—
|
$94,578.00
|
$118,223.00
|
$106,400.50
|
2026-02-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
16
|
6
|
—
|
—
|
$105,653.00
|
$105,653.00
|
$105,653.00
|
2026-02-28
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
16
|
6
|
—
|
—
|
$105,264.00
|
$105,264.00
|
$105,264.00
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
16
|
6
|
—
|
—
|
$105,115.00
|
$105,115.00
|
$105,115.00
|
2026-02-28
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
16
|
6
|
—
|
—
|
$105,067.00
|
$105,067.00
|
$105,067.00
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
16
|
6
|
—
|
—
|
$104,777.00
|
$104,777.00
|
$104,777.00
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
16
|
6
|
—
|
—
|
$104,329.00
|
$104,329.00
|
$104,329.00
|
2026-02-28
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
16
|
6
|
—
|
—
|
$103,898.00
|
$103,898.00
|
$103,898.00
|
2026-02-28
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
6
|
—
|
—
|
$92,353.00
|
$115,441.00
|
$103,897.00
|
2026-02-28
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$103,895.00
|
$103,895.00
|
$103,895.00
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
34
|
12
|
—
|
—
|
$34,082.00
|
$105,640.16
|
$103,568.78
|
2026-02-28
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$92,024.00
|
$115,029.00
|
$103,526.50
|
2026-02-28
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
16
|
6
|
—
|
—
|
$103,388.00
|
$103,388.00
|
$103,388.00
|
2026-02-28
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
16
|
6
|
—
|
—
|
$102,921.00
|
$102,921.00
|
$102,921.00
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
16
|
6
|
—
|
—
|
$102,650.00
|
$102,650.00
|
$102,650.00
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
36
|
12
|
—
|
—
|
$24,836.00
|
$130,217.08
|
$102,595.17
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
12
|
—
|
—
|
$44,795.00
|
$104,454.03
|
$102,405.91
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$102,309.00
|
$102,309.00
|
$102,309.00
|
2026-02-28
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
16
|
6
|
—
|
—
|
$102,045.00
|
$102,045.00
|
$102,045.00
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
12
|
—
|
—
|
$19,981.00
|
$130,544.90
|
$101,624.07
|
2026-02-28
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
16
|
6
|
—
|
—
|
$101,357.00
|
$101,357.00
|
$101,357.00
|
2026-02-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
16
|
6
|
—
|
—
|
$101,059.00
|
$101,059.00
|
$101,059.00
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
16
|
6
|
—
|
—
|
$100,701.00
|
$100,701.00
|
$100,701.00
|
2026-02-28
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
16
|
6
|
—
|
—
|
$100,650.00
|
$100,650.00
|
$100,650.00
|
2026-02-28
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
16
|
6
|
—
|
—
|
$71,742.00
|
$129,135.00
|
$100,438.50
|
2026-02-28
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
16
|
6
|
—
|
—
|
$100,287.00
|
$100,287.00
|
$100,287.00
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
16
|
6
|
—
|
—
|
$99,577.00
|
$99,577.00
|
$99,577.00
|
2026-02-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
16
|
6
|
—
|
—
|
$99,025.00
|
$99,025.00
|
$99,025.00
|
2026-02-28
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
16
|
6
|
—
|
—
|
$98,975.00
|
$98,975.00
|
$98,975.00
|
2026-02-28
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
16
|
6
|
—
|
—
|
$98,448.00
|
$98,448.00
|
$98,448.00
|
2026-02-28
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
16
|
6
|
—
|
—
|
$98,409.00
|
$98,409.00
|
$98,409.00
|
2026-02-28
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
16
|
6
|
—
|
—
|
$98,093.00
|
$98,093.00
|
$98,093.00
|
2026-02-28
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
16
|
6
|
—
|
—
|
$97,789.00
|
$97,789.00
|
$97,789.00
|
2026-02-28
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
16
|
6
|
—
|
—
|
$97,702.00
|
$97,702.00
|
$97,702.00
|
2026-02-28
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
16
|
6
|
—
|
—
|
$97,631.00
|
$97,631.00
|
$97,631.00
|
2026-02-28
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
16
|
6
|
—
|
—
|
$97,285.00
|
$97,285.00
|
$97,285.00
|
2026-02-28
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
16
|
6
|
—
|
—
|
$97,251.00
|
$97,251.00
|
$97,251.00
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
6
|
—
|
—
|
$97,192.00
|
$97,192.00
|
$97,192.00
|
2026-02-28
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
6
|
—
|
—
|
$86,106.00
|
$107,633.00
|
$96,869.50
|
2026-02-28
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
16
|
6
|
—
|
—
|
$96,696.00
|
$96,696.00
|
$96,696.00
|
2026-02-28
|
|
7114
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
16
|
6
|
—
|
—
|
$95,854.00
|
$95,854.00
|
$95,854.00
|
2026-02-28
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
16
|
6
|
—
|
—
|
$95,707.00
|
$95,707.00
|
$95,707.00
|
2026-02-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
16
|
6
|
—
|
—
|
$95,333.00
|
$95,333.00
|
$95,333.00
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
34
|
12
|
—
|
—
|
$34,082.00
|
$96,265.36
|
$94,377.80
|
2026-02-28
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
16
|
6
|
—
|
—
|
$94,189.00
|
$94,189.00
|
$94,189.00
|
2026-02-28
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$94,187.00
|
$94,187.00
|
$94,187.00
|
2026-02-28
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
16
|
6
|
—
|
—
|
$94,018.00
|
$94,018.00
|
$94,018.00
|
2026-02-28
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
16
|
6
|
—
|
—
|
$93,530.00
|
$93,530.00
|
$93,530.00
|
2026-02-28
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
16
|
6
|
—
|
—
|
$93,364.00
|
$93,364.00
|
$93,364.00
|
2026-02-28
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$92,995.00
|
$92,995.00
|
$92,995.00
|
2026-02-28
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$92,781.00
|
$92,781.00
|
$92,781.00
|
2026-02-28
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
16
|
6
|
—
|
—
|
$92,668.00
|
$92,668.00
|
$92,668.00
|
2026-02-28
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
16
|
6
|
—
|
—
|
$92,173.00
|
$92,173.00
|
$92,173.00
|
2026-02-28
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
16
|
6
|
—
|
—
|
$92,136.00
|
$92,136.00
|
$92,136.00
|
2026-02-28
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
16
|
6
|
—
|
—
|
$92,069.00
|
$92,069.00
|
$92,069.00
|
2026-02-28
|
|
3154
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
16
|
6
|
—
|
—
|
$91,750.00
|
$91,750.00
|
$91,750.00
|
2026-02-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
16
|
6
|
—
|
—
|
$91,362.00
|
$91,362.00
|
$91,362.00
|
2026-02-28
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
16
|
6
|
—
|
—
|
$91,314.00
|
$91,314.00
|
$91,314.00
|
2026-02-28
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
16
|
6
|
—
|
—
|
$91,308.00
|
$91,308.00
|
$91,308.00
|
2026-02-28
|
|
2224
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
16
|
6
|
—
|
—
|
$90,835.00
|
$90,835.00
|
$90,835.00
|
2026-02-28
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
16
|
6
|
—
|
—
|
$90,708.00
|
$90,708.00
|
$90,708.00
|
2026-02-28
|
|
984
|
APR_DRG
|
Other Ear Nose Mouth And Throat Procedures
|
16
|
6
|
—
|
—
|
$90,624.00
|
$90,624.00
|
$90,624.00
|
2026-02-28
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
16
|
6
|
—
|
—
|
$90,587.00
|
$90,587.00
|
$90,587.00
|
2026-02-28
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
16
|
6
|
—
|
—
|
$90,441.00
|
$90,441.00
|
$90,441.00
|
2026-02-28
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
16
|
6
|
—
|
—
|
$90,196.00
|
$90,196.00
|
$90,196.00
|
2026-02-28
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
16
|
6
|
—
|
—
|
$90,165.00
|
$90,165.00
|
$90,165.00
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
34
|
12
|
—
|
—
|
$34,082.00
|
$91,902.31
|
$90,100.30
|
2026-02-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
16
|
6
|
—
|
—
|
$90,001.00
|
$90,001.00
|
$90,001.00
|
2026-02-28
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
16
|
6
|
—
|
—
|
$89,686.00
|
$89,686.00
|
$89,686.00
|
2026-02-28
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
16
|
6
|
—
|
—
|
$79,515.00
|
$99,394.00
|
$89,454.50
|
2026-02-28
|
|
233
|
APR_DRG
|
Spinal Procedures
|
16
|
6
|
—
|
—
|
$89,083.00
|
$89,083.00
|
$89,083.00
|
2026-02-28
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
16
|
6
|
—
|
—
|
$79,135.00
|
$98,919.00
|
$89,027.00
|
2026-02-28
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
16
|
6
|
—
|
—
|
$88,813.00
|
$88,813.00
|
$88,813.00
|
2026-02-28
|
|
7594
|
APR_DRG
|
Eating Disorders
|
16
|
6
|
—
|
—
|
$88,314.00
|
$88,314.00
|
$88,314.00
|
2026-02-28
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
16
|
6
|
—
|
—
|
$62,521.00
|
$112,537.00
|
$87,529.00
|
2026-02-28
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
16
|
6
|
—
|
—
|
$77,620.00
|
$97,025.00
|
$87,322.50
|
2026-02-28
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
16
|
6
|
—
|
—
|
$87,317.00
|
$87,317.00
|
$87,317.00
|
2026-02-28
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
16
|
6
|
—
|
—
|
$87,207.00
|
$87,207.00
|
$87,207.00
|
2026-02-28
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
16
|
6
|
—
|
—
|
$87,165.00
|
$87,165.00
|
$87,165.00
|
2026-02-28
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
16
|
6
|
—
|
—
|
$86,467.00
|
$86,467.00
|
$86,467.00
|
2026-02-28
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
16
|
6
|
—
|
—
|
$86,407.00
|
$86,407.00
|
$86,407.00
|
2026-02-28
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
16
|
6
|
—
|
—
|
$85,726.00
|
$85,726.00
|
$85,726.00
|
2026-02-28
|
|
C1882
|
HCPCS
|
Icd Not S/d 14761x-16237
|
184
|
11
|
$115,845.50
|
$63,135.80
45% off
|
$20,536.25
|
$142,612.54
|
$85,481.42
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
36
|
12
|
—
|
—
|
$24,836.00
|
$106,182.56
|
$84,804.91
|
2026-02-28
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
16
|
6
|
—
|
—
|
$83,873.00
|
$83,873.00
|
$83,873.00
|
2026-02-28
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
16
|
6
|
—
|
—
|
$83,591.00
|
$83,591.00
|
$83,591.00
|
2026-02-28
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
16
|
6
|
—
|
—
|
$83,475.00
|
$83,475.00
|
$83,475.00
|
2026-02-28
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
16
|
6
|
—
|
—
|
$83,428.00
|
$83,428.00
|
$83,428.00
|
2026-02-28
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
16
|
6
|
—
|
—
|
$83,340.00
|
$83,340.00
|
$83,340.00
|
2026-02-28
|
|
1661
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
16
|
6
|
—
|
—
|
$83,194.00
|
$83,194.00
|
$83,194.00
|
2026-02-28
|
|
3174
|
APR_DRG
|
Tendon Muscle And Other Soft Tissue Procedures
|
16
|
6
|
—
|
—
|
$82,971.00
|
$82,971.00
|
$82,971.00
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
34
|
12
|
—
|
—
|
$34,082.00
|
$84,570.96
|
$82,912.70
|
2026-02-28
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
16
|
6
|
—
|
—
|
$82,878.00
|
$82,878.00
|
$82,878.00
|
2026-02-28
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
16
|
6
|
—
|
—
|
$82,757.00
|
$82,757.00
|
$82,757.00
|
2026-02-28
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
16
|
6
|
—
|
—
|
$81,664.00
|
$81,664.00
|
$81,664.00
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
34
|
12
|
—
|
—
|
$44,795.00
|
$83,246.75
|
$81,614.46
|
2026-02-28
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
16
|
6
|
—
|
—
|
$81,546.00
|
$81,546.00
|
$81,546.00
|
2026-02-28
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
16
|
6
|
—
|
—
|
$80,867.00
|
$80,867.00
|
$80,867.00
|
2026-02-28
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
16
|
6
|
—
|
—
|
$76,964.00
|
$84,660.00
|
$80,812.00
|
2026-02-28
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
16
|
6
|
—
|
—
|
$80,693.00
|
$80,693.00
|
$80,693.00
|
2026-02-28
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
16
|
6
|
—
|
—
|
$79,732.00
|
$79,732.00
|
$79,732.00
|
2026-02-28
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
16
|
6
|
—
|
—
|
$79,555.00
|
$79,555.00
|
$79,555.00
|
2026-02-28
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
16
|
6
|
—
|
—
|
$79,549.00
|
$79,549.00
|
$79,549.00
|
2026-02-28
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
16
|
6
|
—
|
—
|
$79,194.00
|
$79,194.00
|
$79,194.00
|
2026-02-28
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
16
|
6
|
—
|
—
|
$79,096.00
|
$79,096.00
|
$79,096.00
|
2026-02-28
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
16
|
6
|
—
|
—
|
$78,758.00
|
$78,758.00
|
$78,758.00
|
2026-02-28
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
16
|
6
|
—
|
—
|
$78,169.00
|
$78,169.00
|
$78,169.00
|
2026-02-28
|
|
1203
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
16
|
6
|
—
|
—
|
$77,969.00
|
$77,969.00
|
$77,969.00
|
2026-02-28
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
16
|
6
|
—
|
—
|
$69,120.00
|
$86,400.00
|
$77,760.00
|
2026-02-28
|
|
6264
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams Normal Newborn Or Neonate With Other Proble…
|
16
|
6
|
—
|
—
|
$55,479.00
|
$99,863.00
|
$77,671.00
|
2026-02-28
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
16
|
6
|
—
|
—
|
$77,642.00
|
$77,642.00
|
$77,642.00
|
2026-02-28
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
16
|
6
|
—
|
—
|
$77,600.00
|
$77,600.00
|
$77,600.00
|
2026-02-28
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
16
|
6
|
—
|
—
|
$77,597.00
|
$77,597.00
|
$77,597.00
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
34
|
12
|
—
|
—
|
$34,082.00
|
$79,140.99
|
$77,589.20
|
2026-02-28
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
16
|
6
|
—
|
—
|
$77,558.00
|
$77,558.00
|
$77,558.00
|
2026-02-28
|
|
6924
|
APR_DRG
|
Radiotherapy
|
16
|
6
|
—
|
—
|
$77,197.00
|
$77,197.00
|
$77,197.00
|
2026-02-28
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
16
|
6
|
—
|
—
|
$76,758.00
|
$76,758.00
|
$76,758.00
|
2026-02-28
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
16
|
6
|
—
|
—
|
$76,750.00
|
$76,750.00
|
$76,750.00
|
2026-02-28
|
|
3253
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
16
|
6
|
—
|
—
|
$76,710.00
|
$76,710.00
|
$76,710.00
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
34
|
12
|
—
|
—
|
$34,082.00
|
$78,039.31
|
$76,509.12
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
34
|
12
|
—
|
—
|
$34,082.00
|
$77,255.51
|
$75,740.69
|
2026-02-28
|
|
7944
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
16
|
6
|
—
|
—
|
$75,285.00
|
$75,285.00
|
$75,285.00
|
2026-02-28
|
|
1672
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
16
|
6
|
—
|
—
|
$74,677.00
|
$74,677.00
|
$74,677.00
|
2026-02-28
|
|
3123
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
16
|
6
|
—
|
—
|
$74,581.00
|
$74,581.00
|
$74,581.00
|
2026-02-28
|
|
3264
|
APR_DRG
|
Elective Knee Joint Replacement
|
16
|
6
|
—
|
—
|
$73,922.00
|
$73,922.00
|
$73,922.00
|
2026-02-28
|
|
2603
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
16
|
6
|
—
|
—
|
$73,863.00
|
$73,863.00
|
$73,863.00
|
2026-02-28
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
16
|
6
|
—
|
—
|
$73,761.00
|
$73,761.00
|
$73,761.00
|
2026-02-28
|
|
1924
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions
|
16
|
6
|
—
|
—
|
$73,443.00
|
$73,443.00
|
$73,443.00
|
2026-02-28
|
|
2203
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
16
|
6
|
—
|
—
|
$73,271.00
|
$73,271.00
|
$73,271.00
|
2026-02-28
|
|
9503
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
16
|
6
|
—
|
—
|
$73,111.00
|
$73,111.00
|
$73,111.00
|
2026-02-28
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
16
|
6
|
—
|
—
|
$64,915.00
|
$81,143.00
|
$73,029.00
|
2026-02-28
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
16
|
6
|
—
|
—
|
$72,959.00
|
$72,959.00
|
$72,959.00
|
2026-02-28
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
16
|
6
|
—
|
—
|
$72,711.00
|
$72,711.00
|
$72,711.00
|
2026-02-28
|
|
4413
|
APR_DRG
|
Major Bladder Procedures
|
16
|
6
|
—
|
—
|
$72,483.00
|
$72,483.00
|
$72,483.00
|
2026-02-28
|
|
2284
|
APR_DRG
|
Inguinal Femoral And Umbilical Hernia Procedures
|
16
|
6
|
—
|
—
|
$72,201.00
|
$72,201.00
|
$72,201.00
|
2026-02-28
|