|
031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
36
|
24
|
—
|
$59,260.00
|
$28,372.20
|
$82,600.50
|
$45,585.30
|
2024-12-19
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
102
|
35
|
—
|
$286,566.00
|
$271,625.00
|
$551,123.00
|
$304,152.00
|
2026-03-17
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
102
|
35
|
—
|
$73,665.00
|
$62,635.10
|
$156,508.00
|
$86,373.30
|
2026-03-17
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
102
|
35
|
—
|
$56,084.00
|
$53,176.40
|
$106,152.00
|
$58,582.80
|
2026-03-17
|
|
11
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant - Soi : 1
|
33
|
10
|
—
|
—
|
$50,490.44
|
$60,290.20
|
$50,490.44
|
2026-03-17
|
|
112
|
APR_DRG
|
UnGrouped
|
11
|
9
|
—
|
—
|
$61,532.30
|
$67,685.60
|
$61,532.30
|
2024-12-19
|
|
113
|
APR_DRG
|
UnGrouped
|
11
|
9
|
—
|
—
|
$86,144.50
|
$94,758.90
|
$86,144.50
|
2024-12-19
|
|
114
|
APR_DRG
|
UnGrouped
|
11
|
9
|
—
|
—
|
$160,319.00
|
$176,351.00
|
$160,319.00
|
2024-12-19
|
|
12
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant - Soi : 2
|
33
|
10
|
—
|
—
|
$61,446.58
|
$67,642.60
|
$61,446.58
|
2026-03-17
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
102
|
35
|
—
|
$43,440.00
|
$41,193.10
|
$80,902.50
|
$44,648.20
|
2026-03-17
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$44,991.70
|
$54,255.70
|
$44,991.70
|
2026-03-17
|
|
13
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant - Soi : 3
|
33
|
10
|
—
|
—
|
$73,704.30
|
$83,771.01
|
$76,155.46
|
2026-03-17
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4
|
33
|
10
|
—
|
—
|
$46,004.40
|
$52,732.66
|
$47,938.78
|
2026-03-17
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
102
|
35
|
—
|
$123,113.00
|
$116,706.00
|
$256,725.00
|
$141,680.00
|
2026-03-17
|
|
14
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant - Soi : 4
|
33
|
10
|
—
|
—
|
$129,535.00
|
$151,691.09
|
$137,900.99
|
2026-03-17
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
102
|
35
|
—
|
$43,944.00
|
$6,011.35
|
$83,354.80
|
$46,001.50
|
2026-03-17
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Ccmcc
|
102
|
35
|
—
|
$60,941.00
|
$57,779.70
|
$118,658.00
|
$65,484.30
|
2026-03-17
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3
|
33
|
10
|
—
|
—
|
$45,882.30
|
$51,698.32
|
$46,998.47
|
2026-03-17
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4
|
33
|
10
|
—
|
—
|
$97,139.40
|
$117,618.52
|
$106,925.93
|
2026-03-17
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems- Soi : 1
|
33
|
10
|
—
|
—
|
$109,991.74
|
$135,448.00
|
$109,991.74
|
2026-03-17
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems- Soi : 2
|
33
|
10
|
—
|
—
|
$109,991.74
|
$142,406.00
|
$109,991.74
|
2026-03-17
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems- Soi : 3
|
33
|
10
|
—
|
—
|
$161,433.00
|
$179,013.04
|
$162,739.13
|
2026-03-17
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems- Soi : 4
|
33
|
10
|
—
|
—
|
$202,241.64
|
$234,341.00
|
$202,241.64
|
2026-03-17
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2
|
33
|
10
|
—
|
—
|
$43,960.50
|
$48,703.75
|
$44,276.14
|
2026-03-17
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3
|
33
|
10
|
—
|
—
|
$56,264.60
|
$63,639.29
|
$57,853.90
|
2026-03-17
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4
|
33
|
10
|
—
|
—
|
$80,771.14
|
$91,378.90
|
$80,771.14
|
2026-03-17
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
104
|
36
|
—
|
$46,155.00
|
$30,600.00
|
$90,779.90
|
$50,099.30
|
2026-03-17
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3
|
33
|
10
|
—
|
—
|
$46,299.60
|
$53,391.51
|
$48,537.74
|
2026-03-17
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4
|
33
|
10
|
—
|
—
|
$70,285.20
|
$78,106.05
|
$71,005.50
|
2026-03-17
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx - Soi : 3
|
33
|
10
|
—
|
—
|
$46,725.00
|
$51,624.86
|
$46,931.69
|
2026-03-17
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx - Soi : 4
|
33
|
10
|
—
|
—
|
$63,659.00
|
$71,612.80
|
$63,659.00
|
2026-03-17
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
102
|
35
|
—
|
$38,556.00
|
$36,563.70
|
$77,557.90
|
$41,915.60
|
2026-03-17
|
|
1664
|
APR_DRG
|
Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4
|
33
|
10
|
—
|
—
|
$55,046.75
|
$63,038.30
|
$55,046.75
|
2026-03-17
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$54,029.06
|
$71,479.60
|
$54,029.06
|
2026-03-17
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$49,701.73
|
$56,503.90
|
$49,701.73
|
2026-03-17
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Ccmcc
|
102
|
35
|
—
|
$55,861.00
|
$52,965.40
|
$118,658.00
|
$65,484.30
|
2026-03-17
|
|
1782
|
APR_DRG
|
External Heart Assist Systems- Soi : 2
|
33
|
10
|
—
|
—
|
$43,293.42
|
$50,522.20
|
$43,293.42
|
2026-03-17
|
|
1783
|
APR_DRG
|
External Heart Assist Systems- Soi : 3
|
33
|
10
|
—
|
—
|
$51,747.50
|
$59,075.14
|
$53,704.67
|
2026-03-17
|
|
1784
|
APR_DRG
|
External Heart Assist Systems- Soi : 4
|
33
|
10
|
—
|
—
|
$66,228.69
|
$74,286.00
|
$66,228.69
|
2026-03-17
|
|
1794
|
APR_DRG
|
Defibrillator Implants- Soi : 4
|
33
|
10
|
—
|
—
|
$54,992.69
|
$63,640.50
|
$54,992.69
|
2026-03-17
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
102
|
35
|
—
|
$441,368.00
|
$348,821.00
|
$799,759.20
|
$441,368.21
|
2026-03-17
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures- Soi : 3
|
33
|
10
|
—
|
—
|
$40,327.30
|
$45,549.43
|
$41,408.57
|
2026-03-17
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures- Soi : 4
|
33
|
10
|
—
|
—
|
$58,768.76
|
$66,412.80
|
$58,768.76
|
2026-03-17
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
102
|
35
|
—
|
$73,245.00
|
$69,441.70
|
$155,615.00
|
$85,880.50
|
2026-03-17
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
102
|
35
|
—
|
$116,107.00
|
$110,066.00
|
$234,025.00
|
$119,228.00
|
2026-03-17
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
102
|
35
|
—
|
$80,743.00
|
$76,547.90
|
$165,015.00
|
$87,323.30
|
2026-03-17
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma- Soi : 4
|
33
|
10
|
—
|
—
|
$43,983.55
|
$51,956.80
|
$43,983.55
|
2026-03-17
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
102
|
35
|
—
|
$66,098.00
|
$62,667.50
|
$132,035.00
|
$70,135.30
|
2026-03-17
|
|
21
|
APR_DRG
|
Heart &or Lung Transplant - Soi : 1
|
33
|
10
|
—
|
—
|
$77,288.50
|
$85,607.63
|
$77,825.12
|
2026-03-17
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
102
|
35
|
—
|
$54,447.00
|
$51,624.90
|
$117,382.00
|
$59,999.80
|
2026-03-17
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valveâ Procedures
|
102
|
35
|
—
|
$111,433.00
|
$10,757.80
|
$213,583.00
|
$117,871.00
|
2026-03-17
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma- Soi : 4
|
33
|
10
|
—
|
—
|
$49,641.30
|
$55,313.70
|
$49,641.30
|
2026-03-17
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
102
|
35
|
—
|
$102,067.00
|
$96,759.20
|
$207,738.00
|
$114,646.00
|
2026-03-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
102
|
35
|
—
|
$100,288.00
|
$95,073.10
|
$189,298.00
|
$104,469.00
|
2026-03-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
102
|
35
|
—
|
$67,533.00
|
$64,028.30
|
$126,903.00
|
$70,035.00
|
2026-03-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
102
|
35
|
—
|
$67,533.00
|
$64,028.30
|
$122,371.39
|
$67,533.88
|
2026-03-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
102
|
35
|
—
|
$78,797.00
|
$74,704.10
|
$151,907.00
|
$83,833.70
|
2026-03-17
|
|
22
|
APR_DRG
|
Heart &or Lung Transplant - Soi : 2
|
33
|
10
|
—
|
—
|
$94,013.50
|
$111,676.03
|
$101,523.66
|
2026-03-17
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
104
|
36
|
—
|
$54,845.00
|
$25,200.00
|
$104,214.00
|
$57,513.10
|
2026-03-17
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$45,647.91
|
$53,279.10
|
$45,647.91
|
2026-03-17
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
102
|
35
|
—
|
$51,857.00
|
$47,573.90
|
$93,965.79
|
$51,857.50
|
2026-03-17
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
102
|
35
|
—
|
$50,909.00
|
$48,272.20
|
$98,089.80
|
$54,133.50
|
2026-03-17
|
|
23
|
APR_DRG
|
Heart &or Lung Transplant - Soi : 3
|
33
|
10
|
—
|
—
|
$130,623.00
|
$144,683.94
|
$131,530.85
|
2026-03-17
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
102
|
35
|
—
|
$58,904.00
|
$55,849.70
|
$112,194.00
|
$61,917.10
|
2026-03-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
66
|
26
|
—
|
$86,472.00
|
$75,063.70
|
$156,689.04
|
$112,414.87
|
2026-03-17
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
36
|
24
|
—
|
$119,307.00
|
$91,774.80
|
$166,296.00
|
$91,774.80
|
2024-12-19
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
102
|
35
|
—
|
$62,298.00
|
$59,066.00
|
$120,080.00
|
$66,269.40
|
2026-03-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
68
|
27
|
—
|
$78,459.00
|
$50,850.00
|
$142,168.90
|
$100,714.53
|
2026-03-17
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
24
|
—
|
$110,089.00
|
$84,684.60
|
$153,448.00
|
$84,684.60
|
2024-12-19
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
102
|
35
|
—
|
$56,172.00
|
$53,259.70
|
$104,673.00
|
$57,766.40
|
2026-03-17
|
|
234
|
APR_DRG
|
Spinal Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$47,896.38
|
$55,014.30
|
$47,896.38
|
2026-03-17
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
102
|
35
|
—
|
$60,317.00
|
$57,188.30
|
$115,693.00
|
$63,848.40
|
2026-03-17
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
102
|
35
|
—
|
$43,163.00
|
$40,929.80
|
$81,066.60
|
$44,738.70
|
2026-03-17
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
102
|
35
|
—
|
$50,647.00
|
$48,023.40
|
$99,137.20
|
$54,711.50
|
2026-03-17
|
|
24
|
APR_DRG
|
Heart &or Lung Transplant - Soi : 4
|
33
|
10
|
—
|
—
|
$206,387.00
|
$267,554.61
|
$243,231.46
|
2026-03-17
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
102
|
35
|
—
|
$40,335.00
|
$38,249.80
|
$75,001.40
|
$41,391.50
|
2026-03-17
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
102
|
35
|
—
|
$46,978.00
|
$44,545.80
|
$96,204.20
|
$53,092.80
|
2026-03-17
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
102
|
35
|
—
|
$46,817.00
|
$44,393.90
|
$88,104.90
|
$48,623.00
|
2026-03-17
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
66
|
26
|
—
|
$36,009.00
|
$34,149.80
|
$65,249.32
|
$46,812.43
|
2026-03-17
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$46,961.37
|
$52,879.40
|
$46,961.37
|
2026-03-17
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$41,597.26
|
$48,110.00
|
$41,597.26
|
2026-03-17
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
102
|
35
|
—
|
$62,970.00
|
$53,222.30
|
$119,384.00
|
$64,998.00
|
2026-03-17
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
102
|
35
|
—
|
$49,004.00
|
$5,023.14
|
$93,276.70
|
$51,129.10
|
2026-03-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
102
|
35
|
—
|
$70,624.00
|
$19,118.50
|
$131,016.00
|
$72,296.30
|
2026-03-17
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
102
|
35
|
—
|
$43,514.00
|
$5,309.17
|
$82,016.30
|
$45,262.80
|
2026-03-17
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
102
|
35
|
—
|
$54,268.00
|
$4,627.25
|
$101,015.00
|
$55,747.80
|
2026-03-17
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
102
|
35
|
—
|
$42,516.00
|
$40,317.20
|
$77,123.40
|
$42,649.42
|
2026-03-17
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
68
|
27
|
—
|
$34,001.00
|
$5,400.00
|
$61,611.42
|
$46,004.56
|
2026-03-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
104
|
36
|
—
|
$73,202.00
|
$37,350.00
|
$138,805.00
|
$76,603.30
|
2026-03-17
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
104
|
36
|
—
|
$61,726.00
|
$27,900.00
|
$121,755.00
|
$67,193.50
|
2026-03-17
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
102
|
35
|
—
|
$47,551.00
|
$45,088.80
|
$91,614.20
|
$50,559.70
|
2026-03-17
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
102
|
35
|
—
|
$57,228.00
|
$41,347.50
|
$103,698.93
|
$57,228.99
|
2026-03-17
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
102
|
35
|
—
|
$61,743.00
|
$49,967.60
|
$119,510.00
|
$65,954.50
|
2026-03-17
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
102
|
35
|
—
|
$217,138.00
|
$205,822.00
|
$419,489.00
|
$231,506.00
|
2026-03-17
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3
|
33
|
10
|
—
|
—
|
$49,432.46
|
$63,458.90
|
$49,432.46
|
2026-03-17
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4
|
33
|
10
|
—
|
—
|
$74,045.86
|
$92,817.90
|
$74,045.86
|
2026-03-17
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4
|
33
|
10
|
—
|
—
|
$54,426.59
|
$67,416.90
|
$54,426.59
|
2026-03-17
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
66
|
26
|
—
|
$46,141.00
|
$31,336.60
|
$83,609.07
|
$59,984.43
|
2026-03-17
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi…
|
33
|
10
|
—
|
—
|
$43,474.70
|
$51,998.70
|
$43,474.70
|
2026-03-17
|
|
317
|
OTHER
|
UnGrouped
|
35
|
24
|
—
|
$87,239.00
|
$65,573.90
|
$121,598.00
|
$67,107.20
|
2024-12-19
|
|
318
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$49,495.20
|
$49,495.20
|
$49,495.20
|
2024-12-19
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
102
|
35
|
—
|
$45,962.00
|
$43,582.80
|
$86,551.50
|
$47,765.70
|
2026-03-17
|
|
32104812
|
CDM
|
Surgery Neuroendo Vasc
|
9
|
8
|
$110,000.00
|
—
|
$200.00
|
$88,000.00
|
$88,000.00
|
2024-12-19
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
102
|
35
|
—
|
$44,578.00
|
$42,271.30
|
$83,944.90
|
$46,327.20
|
2026-03-17
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
102
|
35
|
—
|
$51,318.00
|
$48,659.30
|
$99,959.80
|
$55,165.40
|
2026-03-17
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
102
|
35
|
—
|
$47,326.00
|
$44,875.90
|
$90,441.90
|
$49,912.70
|
2026-03-17
|
|
33231
|
CPT
|
Ins Icd Gen W/exist Multi Lead
|
184
|
45
|
$133,574.00
|
$40,173.00
70% off
|
$200.00
|
$106,859.00
|
$41,105.20
|
2026-03-17
|
|
33264
|
CPT
|
Rem W/repl Icd Gen-multi Leads
|
184
|
45
|
$133,574.00
|
$40,173.00
70% off
|
$200.00
|
$106,859.00
|
$41,105.20
|
2026-03-17
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
184
|
45
|
$92,886.40
|
$40,173.00
57% off
|
$200.00
|
$80,347.00
|
$41,105.20
|
2026-03-17
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
102
|
35
|
—
|
$39,914.00
|
$37,851.00
|
$76,701.40
|
$42,329.70
|
2026-03-17
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
102
|
35
|
—
|
$45,246.00
|
$41,220.80
|
$84,068.00
|
$46,395.10
|
2026-03-17
|
|
359
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$168,083.00
|
$168,083.00
|
$168,083.00
|
2024-12-19
|
|
360
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$75,920.30
|
$75,920.30
|
$75,920.30
|
2024-12-19
|
|
361
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$78,501.60
|
$78,501.60
|
$78,501.60
|
2024-12-19
|
|
362
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$48,468.30
|
$48,468.30
|
$48,468.30
|
2024-12-19
|
|
363
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$44,043.00
|
$44,043.00
|
$44,043.00
|
2024-12-19
|
|
396
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$47,201.10
|
$47,201.10
|
$47,201.10
|
2024-12-19
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
102
|
35
|
—
|
$141,837.00
|
$134,452.00
|
$280,966.00
|
$152,768.00
|
2026-03-17
|
|
4014
|
APR_DRG
|
Adrenal Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$42,748.40
|
$49,824.38
|
$45,294.89
|
2026-03-17
|
|
402
|
MS_DRG
|
UnGrouped
|
35
|
24
|
—
|
$55,358.00
|
$15,348.40
|
$77,160.60
|
$42,583.10
|
2024-12-19
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
102
|
35
|
—
|
$56,251.00
|
$53,335.20
|
$106,793.00
|
$58,936.50
|
2026-03-17
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1
|
33
|
10
|
—
|
—
|
$42,036.80
|
$47,904.97
|
$43,549.97
|
2026-03-17
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2
|
33
|
10
|
—
|
—
|
$58,078.20
|
$67,615.72
|
$61,468.84
|
2026-03-17
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
102
|
35
|
—
|
$42,797.00
|
$40,583.30
|
$97,050.30
|
$44,256.70
|
2026-03-17
|
|
426
|
MS_DRG
|
UnGrouped
|
35
|
24
|
—
|
$147,365.00
|
$17,812.50
|
$205,405.00
|
$113,358.00
|
2024-12-19
|
|
427
|
MS_DRG
|
UnGrouped
|
35
|
24
|
—
|
$100,084.00
|
$17,145.50
|
$139,503.00
|
$76,988.30
|
2024-12-19
|
|
428
|
MS_DRG
|
UnGrouped
|
35
|
24
|
—
|
$77,674.00
|
$13,564.20
|
$108,266.00
|
$59,749.60
|
2024-12-19
|
|
429
|
MS_DRG
|
UnGrouped
|
34
|
23
|
—
|
$117,438.00
|
$90,337.30
|
$163,691.00
|
$90,337.30
|
2024-12-19
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$89,206.20
|
$108,422.58
|
$98,565.98
|
2026-03-17
|
|
430
|
MS_DRG
|
UnGrouped
|
34
|
23
|
—
|
$77,203.00
|
$59,387.30
|
$107,610.00
|
$59,387.30
|
2024-12-19
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$134,969.00
|
$163,563.26
|
$148,693.87
|
2026-03-17
|
|
4402
|
APR_DRG
|
Kidney Transplant - Soi : 2
|
33
|
10
|
—
|
—
|
$43,019.70
|
$48,601.14
|
$44,182.85
|
2026-03-17
|
|
4403
|
APR_DRG
|
Kidney Transplant - Soi : 3
|
33
|
10
|
—
|
—
|
$48,930.00
|
$56,306.79
|
$51,187.99
|
2026-03-17
|
|
4404
|
APR_DRG
|
Kidney Transplant - Soi : 4
|
33
|
10
|
—
|
—
|
$76,896.47
|
$86,133.80
|
$76,896.47
|
2026-03-17
|
|
4414
|
APR_DRG
|
Major Bladder Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$43,454.56
|
$51,166.30
|
$43,454.56
|
2026-03-17
|
|
447
|
MS_DRG
|
UnGrouped
|
34
|
23
|
—
|
$94,505.00
|
$72,696.40
|
$131,726.00
|
$72,696.40
|
2024-12-19
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
100
|
35
|
—
|
$43,694.00
|
$41,433.10
|
$80,507.80
|
$44,430.30
|
2026-03-17
|
|
450
|
MS_DRG
|
UnGrouped
|
34
|
23
|
—
|
$72,711.00
|
$55,932.20
|
$101,349.00
|
$55,932.20
|
2024-12-19
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$130,664.00
|
$169,371.00
|
$150,017.50
|
2024-12-19
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
2
|
2
|
—
|
—
|
$71,526.70
|
$116,903.00
|
$94,214.85
|
2024-12-19
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Ccmcc
|
2
|
2
|
—
|
—
|
$52,063.60
|
$88,028.20
|
$70,045.90
|
2024-12-19
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
102
|
35
|
—
|
$86,202.00
|
$71,748.20
|
$166,204.00
|
$91,724.10
|
2026-03-17
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
102
|
35
|
—
|
$61,282.00
|
$58,102.90
|
$116,119.00
|
$62,287.00
|
2026-03-17
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
102
|
35
|
—
|
$42,997.00
|
$40,773.00
|
$86,602.40
|
$46,959.10
|
2026-03-17
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
2
|
2
|
—
|
—
|
$59,791.20
|
$126,765.00
|
$93,278.10
|
2024-12-19
|
|
460
|
OTHER
|
Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$42,281.10
|
$69,914.50
|
$56,097.80
|
2024-12-19
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
102
|
35
|
—
|
$56,787.00
|
$53,843.30
|
$130,324.00
|
$66,571.30
|
2026-03-17
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
102
|
35
|
—
|
$58,590.00
|
$55,551.60
|
$108,252.00
|
$58,761.25
|
2026-03-17
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
102
|
35
|
—
|
$53,544.00
|
$50,769.30
|
$100,265.00
|
$55,333.70
|
2026-03-17
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
102
|
35
|
—
|
$49,697.00
|
$47,123.30
|
$95,627.80
|
$52,774.70
|
2026-03-17
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
102
|
35
|
—
|
$44,226.00
|
$41,937.40
|
$88,347.20
|
$48,756.70
|
2026-03-17
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
66
|
26
|
—
|
$30,127.00
|
$28,574.80
|
$54,590.98
|
$42,359.22
|
2026-03-17
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
102
|
35
|
—
|
$105,677.00
|
$100,181.00
|
$208,805.00
|
$115,235.00
|
2026-03-17
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
66
|
26
|
—
|
$32,705.00
|
$31,018.70
|
$59,263.25
|
$43,741.00
|
2026-03-17
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
66
|
26
|
—
|
$31,232.00
|
$29,622.10
|
$56,593.13
|
$41,663.00
|
2026-03-17
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
11
|
9
|
—
|
—
|
$42,072.80
|
$46,280.10
|
$42,072.80
|
2024-12-19
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
66
|
26
|
—
|
$38,552.00
|
$36,559.80
|
$69,856.84
|
$50,118.04
|
2026-03-17
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2
|
33
|
10
|
—
|
—
|
$43,531.10
|
$54,969.26
|
$49,972.05
|
2026-03-17
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$65,623.00
|
$82,085.98
|
$74,623.62
|
2026-03-17
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$92,671.30
|
$116,349.79
|
$105,772.54
|
2026-03-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
102
|
35
|
—
|
$67,289.00
|
$63,797.00
|
$121,929.14
|
$67,380.51
|
2026-03-17
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
66
|
26
|
—
|
$35,836.00
|
$28,715.10
|
$64,936.61
|
$46,588.07
|
2026-03-17
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
102
|
35
|
—
|
$50,438.00
|
$47,825.00
|
$108,623.00
|
$58,576.30
|
2026-03-17
|
|
5831
|
APR_DRG
|
Neonate W Ecmo - Soi : 1
|
33
|
10
|
—
|
—
|
$171,307.00
|
$207,872.23
|
$188,974.75
|
2026-03-17
|
|
5832
|
APR_DRG
|
Neonate W Ecmo - Soi : 2
|
33
|
10
|
—
|
—
|
$211,538.00
|
$246,366.98
|
$223,969.98
|
2026-03-17
|
|
5833
|
APR_DRG
|
Neonate W Ecmo - Soi : 3
|
33
|
10
|
—
|
—
|
$337,098.00
|
$392,603.00
|
$356,911.82
|
2026-03-17
|
|
5834
|
APR_DRG
|
Neonate W Ecmo - Soi : 4
|
33
|
10
|
—
|
—
|
$557,398.00
|
$832,317.08
|
$756,651.89
|
2026-03-17
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure - Soi : 1
|
33
|
10
|
—
|
—
|
$119,885.00
|
$170,655.83
|
$155,141.66
|
2026-03-17
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure - Soi : 2
|
33
|
10
|
—
|
—
|
$180,248.00
|
$256,582.10
|
$233,256.45
|
2026-03-17
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$185,173.00
|
$266,042.16
|
$241,856.51
|
2026-03-17
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$415,747.00
|
$526,055.54
|
$478,232.31
|
2026-03-17
|
|
5891
|
APR_DRG
|
Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…
|
33
|
10
|
—
|
—
|
$68,694.30
|
$218,276.84
|
$198,433.49
|
2026-03-17
|
|
5892
|
APR_DRG
|
Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…
|
33
|
10
|
—
|
—
|
$50,028.70
|
$218,276.84
|
$198,433.49
|
2026-03-17
|
|
5893
|
APR_DRG
|
Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…
|
33
|
10
|
—
|
—
|
$42,012.80
|
$218,276.84
|
$198,433.49
|
2026-03-17
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2
|
33
|
10
|
—
|
—
|
$72,719.10
|
$174,464.63
|
$158,604.21
|
2026-03-17
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$123,021.00
|
$214,861.60
|
$195,328.73
|
2026-03-17
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$270,582.00
|
$361,958.67
|
$329,053.34
|
2026-03-17
|
|
5931
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1
|
33
|
10
|
—
|
—
|
$1,931.74
|
$68,730.52
|
$62,482.29
|
2026-03-17
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2
|
33
|
10
|
—
|
—
|
$99,399.40
|
$138,646.10
|
$126,041.91
|
2026-03-17
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$127,840.00
|
$178,318.62
|
$162,107.84
|
2026-03-17
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$273,308.00
|
$319,504.81
|
$290,458.92
|
2026-03-17
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
102
|
35
|
—
|
$47,740.00
|
$45,267.90
|
$95,469.50
|
$52,687.40
|
2026-03-17
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1
|
33
|
10
|
—
|
—
|
$12,764.00
|
$54,477.74
|
$49,525.22
|
2026-03-17
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2
|
33
|
10
|
—
|
—
|
$80,262.20
|
$92,905.44
|
$84,459.49
|
2026-03-17
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3
|
33
|
10
|
—
|
—
|
$103,459.00
|
$127,084.12
|
$115,531.02
|
2026-03-17
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4
|
33
|
10
|
—
|
—
|
$197,214.00
|
$233,361.93
|
$212,147.21
|
2026-03-17
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2
|
33
|
10
|
—
|
—
|
$34,479.80
|
$46,430.13
|
$42,209.21
|
2026-03-17
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3
|
33
|
10
|
—
|
—
|
$49,060.10
|
$75,624.30
|
$49,060.10
|
2026-03-17
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4
|
33
|
10
|
—
|
—
|
$153,438.03
|
$225,523.00
|
$153,438.03
|
2026-03-17
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2
|
33
|
10
|
—
|
—
|
$58,284.90
|
$64,914.43
|
$59,013.12
|
2026-03-17
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3
|
33
|
10
|
—
|
—
|
$80,114.50
|
$95,303.25
|
$86,639.32
|
2026-03-17
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4
|
33
|
10
|
—
|
—
|
$153,305.00
|
$173,705.61
|
$157,914.19
|
2026-03-17
|
|
608
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$55,466.70
|
$55,466.70
|
$55,466.70
|
2024-12-19
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3
|
33
|
10
|
—
|
—
|
$56,846.10
|
$66,455.15
|
$60,413.77
|
2026-03-17
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4
|
33
|
10
|
—
|
—
|
$77,329.63
|
$92,097.40
|
$77,329.63
|
2026-03-17
|
|
6091
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure - Soi : 1
|
33
|
10
|
—
|
—
|
$41,024.40
|
$45,743.58
|
$41,585.07
|
2026-03-17
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure - Soi : 2
|
33
|
10
|
—
|
—
|
$45,225.70
|
$56,830.37
|
$51,663.97
|
2026-03-17
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$79,594.10
|
$88,749.72
|
$80,681.56
|
2026-03-17
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$262,779.00
|
$369,925.55
|
$336,295.95
|
2026-03-17
|
|
61
|
APR_DRG
|
Pancreas Transplant - Soi : 1
|
33
|
10
|
—
|
—
|
$54,005.73
|
$61,330.60
|
$54,005.73
|
2026-03-17
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3
|
33
|
10
|
—
|
—
|
$45,194.71
|
$53,289.30
|
$45,194.71
|
2026-03-17
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4
|
33
|
10
|
—
|
—
|
$116,273.00
|
$146,379.45
|
$133,072.23
|
2026-03-17
|
|
612
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$325,066.00
|
$325,066.00
|
$325,066.00
|
2024-12-19
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3
|
33
|
10
|
—
|
—
|
$48,811.40
|
$57,987.73
|
$52,716.12
|
2026-03-17
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4
|
33
|
10
|
—
|
—
|
$97,520.72
|
$122,938.00
|
$97,520.72
|
2026-03-17
|
|
613
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$115,294.00
|
$115,294.00
|
$115,294.00
|
2024-12-19
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3
|
33
|
10
|
—
|
—
|
$47,198.70
|
$53,824.73
|
$48,931.57
|
2026-03-17
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4
|
33
|
10
|
—
|
—
|
$84,935.21
|
$104,202.00
|
$84,935.21
|
2026-03-17
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3
|
33
|
10
|
—
|
—
|
$41,632.78
|
$46,994.40
|
$41,632.78
|
2026-03-17
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4
|
33
|
10
|
—
|
—
|
$64,292.94
|
$87,267.80
|
$64,292.94
|
2026-03-17
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
102
|
35
|
—
|
$36,000.00
|
$31,109.80
|
$76,238.30
|
$42,074.10
|
2026-03-17
|
|
62
|
APR_DRG
|
Pancreas Transplant - Soi : 2
|
33
|
10
|
—
|
—
|
$66,925.17
|
$73,830.20
|
$66,925.17
|
2026-03-17
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4
|
33
|
10
|
—
|
—
|
$90,816.10
|
$100,222.02
|
$91,110.93
|
2026-03-17
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4
|
33
|
10
|
—
|
—
|
$56,955.36
|
$68,851.10
|
$56,955.36
|
2026-03-17
|
|
6234
|
APR_DRG
|
Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4
|
33
|
10
|
—
|
—
|
$54,746.96
|
$65,894.30
|
$54,746.96
|
2026-03-17
|
|
6254
|
APR_DRG
|
Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4
|
33
|
10
|
—
|
—
|
$52,004.27
|
$66,183.60
|
$52,004.27
|
2026-03-17
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
102
|
35
|
—
|
$38,445.00
|
$36,458.20
|
$77,815.10
|
$42,944.30
|
2026-03-17
|
|
63
|
APR_DRG
|
Pancreas Transplant - Soi : 3
|
33
|
10
|
—
|
—
|
$79,144.95
|
$89,880.40
|
$79,144.95
|
2026-03-17
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$103,484.31
|
$116,932.00
|
$103,484.31
|
2026-03-17
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$243,895.93
|
$310,841.00
|
$243,895.93
|
2026-03-17
|
|
631
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$261,073.00
|
$261,073.00
|
$261,073.00
|
2024-12-19
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure - Soi : 3
|
33
|
10
|
—
|
—
|
$60,538.20
|
$68,215.97
|
$62,014.52
|
2026-03-17
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$265,818.00
|
$315,728.48
|
$287,025.89
|
2026-03-17
|
|
632
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$96,901.40
|
$96,901.40
|
$96,901.40
|
2024-12-19
|
|
633
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$267,995.00
|
$267,995.00
|
$267,995.00
|
2024-12-19
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly - Soi : 4
|
33
|
10
|
—
|
—
|
$85,461.60
|
$105,011.47
|
$95,464.97
|
2026-03-17
|
|
634
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$120,662.00
|
$120,662.00
|
$120,662.00
|
2024-12-19
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4
|
33
|
10
|
—
|
—
|
$54,075.28
|
$60,977.50
|
$54,075.28
|
2026-03-17
|
|
635
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$127,123.00
|
$127,123.00
|
$127,123.00
|
2024-12-19
|
|
636
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$298,290.00
|
$298,290.00
|
$298,290.00
|
2024-12-19
|
|
64
|
APR_DRG
|
Pancreas Transplant - Soi : 4
|
33
|
10
|
—
|
—
|
$92,994.09
|
$113,530.00
|
$92,994.09
|
2026-03-17
|
|
646
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$69,893.70
|
$69,893.70
|
$69,893.70
|
2024-12-19
|
|
647
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$77,936.60
|
$77,936.60
|
$77,936.60
|
2024-12-19
|
|
648
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$53,584.00
|
$53,584.00
|
$53,584.00
|
2024-12-19
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
102
|
35
|
—
|
$48,397.00
|
$25,052.40
|
$90,742.80
|
$50,078.80
|
2026-03-17
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
102
|
35
|
—
|
$53,452.00
|
$46,287.80
|
$109,644.00
|
$60,509.80
|
2026-03-17
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
102
|
35
|
—
|
$43,293.00
|
$37,630.00
|
$82,581.00
|
$45,574.50
|
2026-03-17
|
|
677
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$48,796.50
|
$48,796.50
|
$48,796.50
|
2024-12-19
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4
|
33
|
10
|
—
|
—
|
$52,992.28
|
$62,193.80
|
$52,992.28
|
2026-03-17
|
|
681
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$153,821.00
|
$153,821.00
|
$153,821.00
|
2024-12-19
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4
|
33
|
10
|
—
|
—
|
$42,835.46
|
$53,295.60
|
$42,835.46
|
2026-03-17
|
|
6904
|
APR_DRG
|
Acute Leukemia - Soi : 4
|
33
|
10
|
—
|
—
|
$45,078.63
|
$52,889.30
|
$45,078.63
|
2026-03-17
|
|
691
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$48,742.60
|
$48,742.60
|
$48,742.60
|
2024-12-19
|
|
7
|
MS_DRG
|
Lung Transplant
|
102
|
35
|
—
|
$132,634.00
|
$125,730.00
|
$256,080.00
|
$141,325.00
|
2026-03-17
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant- Soi : 1
|
33
|
10
|
—
|
—
|
$47,581.80
|
$60,840.63
|
$55,309.66
|
2026-03-17
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant- Soi : 2
|
33
|
10
|
—
|
—
|
$60,331.30
|
$73,090.61
|
$66,446.01
|
2026-03-17
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant- Soi : 3
|
33
|
10
|
—
|
—
|
$76,591.90
|
$98,200.45
|
$89,273.14
|
2026-03-17
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
102
|
35
|
—
|
$36,889.00
|
$34,984.10
|
$77,656.90
|
$42,857.00
|
2026-03-17
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
102
|
35
|
—
|
$36,974.00
|
$35,064.50
|
$78,503.00
|
$43,323.90
|
2026-03-17
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant- Soi : 4
|
33
|
10
|
—
|
—
|
$133,615.00
|
$164,819.15
|
$149,835.59
|
2026-03-17
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure - Soi : 4
|
33
|
10
|
—
|
—
|
$43,255.90
|
$50,087.93
|
$45,534.48
|
2026-03-17
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
99
|
35
|
—
|
$61,081.00
|
$8,173.00
|
$116,877.00
|
$64,501.90
|
2026-03-17
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
99
|
35
|
—
|
$41,837.00
|
$3,544.92
|
$80,046.60
|
$44,175.80
|
2026-03-17
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
99
|
35
|
—
|
$42,966.00
|
$40,744.00
|
$82,207.80
|
$45,368.50
|
2026-03-17
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
102
|
35
|
—
|
$46,636.00
|
$44,221.60
|
$94,698.80
|
$51,669.40
|
2026-03-17
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
102
|
35
|
—
|
$57,621.00
|
$54,633.10
|
$107,035.00
|
$59,070.20
|
2026-03-17
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
102
|
35
|
—
|
$41,072.00
|
$38,948.60
|
$74,423.64
|
$41,072.65
|
2026-03-17
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
102
|
35
|
—
|
$60,278.00
|
$57,151.50
|
$115,572.00
|
$63,180.90
|
2026-03-17
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
102
|
35
|
—
|
$47,206.00
|
$44,762.60
|
$92,153.60
|
$50,857.40
|
2026-03-17
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
102
|
35
|
—
|
$48,156.00
|
$45,662.80
|
$94,029.40
|
$51,892.60
|
2026-03-17
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3
|
33
|
10
|
—
|
—
|
$38,867.90
|
$46,975.58
|
$42,705.07
|
2026-03-17
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
102
|
35
|
—
|
$56,449.00
|
$53,522.90
|
$115,385.00
|
$59,999.80
|
2026-03-17
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
102
|
35
|
—
|
$49,448.00
|
$46,887.10
|
$98,556.80
|
$54,391.20
|
2026-03-17
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4
|
33
|
10
|
—
|
—
|
$64,857.30
|
$71,618.98
|
$65,108.16
|
2026-03-17
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft - Soi : 3
|
33
|
10
|
—
|
—
|
$50,296.20
|
$57,552.20
|
$52,320.18
|
2026-03-17
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft - Soi : 4
|
33
|
10
|
—
|
—
|
$153,008.00
|
$190,319.65
|
$173,017.86
|
2026-03-17
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4
|
33
|
10
|
—
|
—
|
$83,517.10
|
$101,776.92
|
$92,524.47
|
2026-03-17
|
|
850
|
MS_DRG
|
UnGrouped
|
34
|
23
|
—
|
$129,653.00
|
$99,733.10
|
$180,716.00
|
$99,733.10
|
2024-12-19
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4
|
33
|
10
|
—
|
—
|
$47,159.61
|
$59,354.40
|
$47,159.61
|
2026-03-17
|
|
8514
|
APR_DRG
|
UnGrouped
|
11
|
9
|
—
|
—
|
$73,525.10
|
$80,877.60
|
$73,525.10
|
2024-12-19
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
66
|
26
|
—
|
$50,819.00
|
$48,187.00
|
$92,085.79
|
$66,065.96
|
2026-03-17
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
36
|
24
|
—
|
$70,625.00
|
$54,327.60
|
$98,441.50
|
$54,327.60
|
2024-12-19
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
102
|
35
|
—
|
$46,838.00
|
$37,190.00
|
$88,872.80
|
$49,046.80
|
2026-03-17
|
|
8633
|
APR_DRG
|
Neonatal Aftercare - Soi : 3
|
33
|
10
|
—
|
—
|
$45,164.40
|
$50,508.60
|
$45,916.91
|
2026-03-17
|
|
8634
|
APR_DRG
|
Neonatal Aftercare - Soi : 4
|
33
|
10
|
—
|
—
|
$122,117.00
|
$139,660.80
|
$126,964.36
|
2026-03-17
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
102
|
35
|
—
|
$70,970.00
|
$67,285.30
|
$136,646.00
|
$75,411.70
|
2026-03-17
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
102
|
35
|
—
|
$39,855.00
|
$37,794.80
|
$77,500.60
|
$42,770.70
|
2026-03-17
|
|
894
|
APR_DRG
|
Major Cranialfacial Bone Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$45,836.60
|
$52,159.40
|
$45,836.60
|
2026-03-17
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
102
|
35
|
—
|
$43,242.00
|
$41,005.30
|
$87,288.10
|
$48,172.30
|
2026-03-17
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Ccmcc
|
102
|
35
|
—
|
$37,896.00
|
$35,938.40
|
$83,969.70
|
$42,032.10
|
2026-03-17
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
102
|
35
|
—
|
$39,593.00
|
$37,547.10
|
$78,557.70
|
$43,354.10
|
2026-03-17
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1
|
33
|
10
|
—
|
—
|
$34,539.10
|
$53,776.33
|
$48,887.57
|
2026-03-17
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma - Soi : 4
|
33
|
10
|
—
|
—
|
$56,988.86
|
$63,545.80
|
$56,988.86
|
2026-03-17
|
|
9114
|
APR_DRG
|
Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4
|
33
|
10
|
—
|
—
|
$51,481.30
|
$60,189.93
|
$54,718.12
|
2026-03-17
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4
|
33
|
10
|
—
|
—
|
$51,543.30
|
$57,462.41
|
$52,238.55
|
2026-03-17
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures - Soi : 4
|
33
|
10
|
—
|
—
|
$53,845.66
|
$61,479.30
|
$53,845.66
|
2026-03-17
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2
|
33
|
10
|
—
|
—
|
$36,357.70
|
$66,465.94
|
$60,423.58
|
2026-03-17
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
102
|
35
|
—
|
$218,417.00
|
$207,035.00
|
$503,802.00
|
$256,213.00
|
2026-03-17
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc
|
102
|
35
|
—
|
$73,634.00
|
$43,591.50
|
$133,425.73
|
$73,634.51
|
2026-03-17
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3
|
33
|
10
|
—
|
—
|
$62,272.00
|
$121,121.52
|
$110,110.47
|
2026-03-17
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
102
|
35
|
—
|
$40,154.00
|
$38,078.40
|
$85,263.80
|
$47,055.10
|
2026-03-17
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4
|
33
|
10
|
—
|
—
|
$137,513.00
|
$214,102.46
|
$194,638.60
|
2026-03-17
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4
|
33
|
10
|
—
|
—
|
$44,744.70
|
$51,964.50
|
$44,744.70
|
2026-03-17
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
102
|
35
|
—
|
$69,124.00
|
$65,536.30
|
$147,450.00
|
$74,029.30
|
2026-03-17
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
102
|
35
|
—
|
$38,814.00
|
$36,808.60
|
$102,359.00
|
$41,614.70
|
2026-03-17
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
102
|
35
|
—
|
$78,201.00
|
$74,138.80
|
$146,566.00
|
$80,886.60
|
2026-03-17
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
102
|
35
|
—
|
$43,419.00
|
$41,172.80
|
$81,021.70
|
$44,713.90
|
2026-03-17
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
102
|
35
|
—
|
$62,897.00
|
$59,634.10
|
$131,358.00
|
$68,594.30
|
2026-03-17
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
66
|
26
|
—
|
$37,270.00
|
$33,382.90
|
$67,534.58
|
$48,451.96
|
2026-03-17
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
102
|
35
|
—
|
$48,299.00
|
$45,798.30
|
$93,607.30
|
$51,659.70
|
2026-03-17
|