|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
116
|
MS_DRG
|
Intraocular Procedures With Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
714
|
MS_DRG
|
Transurethral Prostatectomy Without Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
708
|
MS_DRG
|
Major Male Pelvic Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
748
|
MS_DRG
|
Female Reproductive System Reconstructive Procedures
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
321
|
MS_DRG
|
Kidney & Urinary Tract Infections Age >17 Without Cc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
1
|
1
|
—
|
—
|
$550,840.00
|
$550,840.00
|
$550,840.00
|
2026-07-15
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$927,534.21
|
$464,734.60
|
2026-07-15
|
|
3E0F7SD
|
OTHER
|
Nitric Oxide Therapy Ip
|
2
|
1
|
—
|
—
|
$237,639.48
|
$501,032.00
|
$369,335.74
|
2026-07-15
|
|
3E0F8SD
|
OTHER
|
Nitric Oxide Therapy Ip
|
2
|
1
|
—
|
—
|
$237,639.48
|
$501,032.00
|
$369,335.74
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$266,938.77
|
$400,408.16
|
$333,673.46
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$235,881.75
|
$353,822.63
|
$294,852.19
|
2026-07-15
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
2
|
2
|
—
|
—
|
$34,453.00
|
$550,840.00
|
$292,646.50
|
2026-07-15
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
437
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
600
|
MS_DRG
|
Non-malignant Breast Disorders With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
68
|
MS_DRG
|
Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
78
|
MS_DRG
|
Hypertensive Encephalopathy With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
977
|
MS_DRG
|
HIV With Or Without Other Related Condition
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
672
|
MS_DRG
|
Urethral Procedures Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
598
|
MS_DRG
|
Malignant Breast Disorders With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
285
|
MS_DRG
|
Acute Myocardial Infarction, Expired Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
756
|
MS_DRG
|
Malignancy, Female Reproductive System Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
506
|
MS_DRG
|
Major Thumb Or Joint Procedures
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
976
|
MS_DRG
|
HIV With Major Related Condition Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
725
|
MS_DRG
|
Benign Prostatic Hypertrophy With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
324
|
MS_DRG
|
Urinary Stones Without Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
147
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
741
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
667
|
MS_DRG
|
Prostatectomy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
697
|
MS_DRG
|
Urethral Stricture
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
842
|
MS_DRG
|
Lymphoma And Non-acute Leukemia Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
905
|
MS_DRG
|
Skin Grafts For Injuries Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
738
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
718
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
735
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
666
|
MS_DRG
|
Prostatectomy With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
537
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
624
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
686
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
740
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
726
|
MS_DRG
|
Benign Prostatic Hypertrophy Without Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
830
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
895
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
148
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
538
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
188
|
MS_DRG
|
Pleural Effusion Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
652
|
MS_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
903
|
MS_DRG
|
Wound Debridements For Injuries Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
434
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
946
|
MS_DRG
|
Rehabilitation Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
79
|
MS_DRG
|
Hypertensive Encephalopathy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
828
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
745
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
695
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
36
|
MS_DRG
|
Carotid Artery Stent Procedures Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
376
|
MS_DRG
|
Digestive Malignancy Without Cc/mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$550,840.00
|
$276,387.50
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$221,000.00
|
$331,500.00
|
$276,250.00
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$221,000.00
|
$331,500.00
|
$276,250.00
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$221,000.00
|
$331,500.00
|
$276,250.00
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$219,000.00
|
$328,500.00
|
$273,750.00
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$204,845.53
|
$307,268.29
|
$256,056.91
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$202,229.14
|
$303,343.71
|
$252,786.43
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$201,233.44
|
$301,850.16
|
$251,541.80
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$197,064.59
|
$295,596.89
|
$246,330.74
|
2026-07-15
|
|
3E0F3SD
|
OTHER
|
Nitric Oxide Therapy Ip
|
1
|
1
|
—
|
—
|
$237,639.48
|
$237,639.48
|
$237,639.48
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$187,130.82
|
$280,696.23
|
$233,913.53
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$165,000.00
|
$247,500.00
|
$206,250.00
|
2026-07-15
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$404,340.00
|
$203,137.50
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
9
|
—
|
—
|
$151,356.52
|
$227,034.78
|
$189,195.65
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$147,450.15
|
$221,175.22
|
$184,312.69
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
9
|
—
|
—
|
$144,854.87
|
$217,282.30
|
$181,068.59
|
2026-07-15
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$351,600.00
|
$176,767.50
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$141,385.49
|
$212,078.23
|
$176,731.86
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$139,000.00
|
$208,500.00
|
$173,750.00
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$167,596.00
|
$167,596.00
|
$167,596.00
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$328,160.00
|
$165,047.50
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$132,000.00
|
$198,000.00
|
$165,000.00
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$130,000.00
|
$195,000.00
|
$162,500.00
|
2026-07-15
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
2
|
2
|
—
|
—
|
$142,154.32
|
$182,769.84
|
$162,462.08
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$322,718.57
|
$162,326.79
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
1
|
1
|
—
|
—
|
$160,488.39
|
$160,488.39
|
$160,488.39
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$127,234.43
|
$190,851.64
|
$159,043.04
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$125,297.46
|
$187,946.19
|
$156,621.83
|
2026-07-15
|
|
30233Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30243G2
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30260Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30240Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30230Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30250Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30253Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30263Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
30243Y1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$155,000.00
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$121,000.00
|
$181,500.00
|
$151,250.00
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$120,000.00
|
$180,000.00
|
$150,000.00
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$120,000.00
|
$180,000.00
|
$150,000.00
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
9
|
—
|
—
|
$120,000.00
|
$180,000.00
|
$150,000.00
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$1,935.00
|
$289,270.91
|
$145,602.95
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$112,953.66
|
$169,430.49
|
$141,192.08
|
2026-07-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
1
|
1
|
—
|
—
|
$140,640.00
|
$140,640.00
|
$140,640.00
|
2026-07-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$110,110.47
|
$165,165.71
|
$137,638.09
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$110,000.00
|
$165,000.00
|
$137,500.00
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$109,991.74
|
$164,987.61
|
$137,489.68
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$109,991.74
|
$164,987.61
|
$137,489.68
|
2026-07-15
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
4
|
4
|
—
|
—
|
$72,452.00
|
$550,840.00
|
$137,481.00
|
2026-07-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
4
|
4
|
—
|
—
|
$72,452.00
|
$550,840.00
|
$137,481.00
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
5
|
5
|
—
|
—
|
$34,453.00
|
$550,840.00
|
$137,481.00
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
5
|
5
|
—
|
—
|
$34,453.00
|
$550,840.00
|
$137,481.00
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$106,925.93
|
$160,388.89
|
$133,657.41
|
2026-07-15
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
4
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$127,340.50
|
2026-07-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
5
|
5
|
—
|
—
|
$1,935.00
|
$223,668.00
|
$127,000.00
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$101,523.66
|
$152,285.49
|
$126,904.58
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$100,000.00
|
$150,000.00
|
$125,000.00
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$100,000.00
|
$150,000.00
|
$125,000.00
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$99,000.00
|
$148,500.00
|
$123,750.00
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$95,000.00
|
$142,500.00
|
$118,750.00
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$93,000.00
|
$139,500.00
|
$116,250.00
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
9
|
—
|
—
|
$92,524.47
|
$138,786.71
|
$115,655.59
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$92,000.00
|
$138,000.00
|
$115,000.00
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$91,000.00
|
$136,500.00
|
$113,750.00
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$91,000.00
|
$136,500.00
|
$113,750.00
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$90,000.00
|
$135,000.00
|
$112,500.00
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$89,273.14
|
$133,909.71
|
$111,591.43
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$89,000.00
|
$133,500.00
|
$111,250.00
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$88,000.00
|
$132,000.00
|
$110,000.00
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$216,820.00
|
$109,377.50
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$215,809.66
|
$108,872.33
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$87,000.00
|
$130,500.00
|
$108,750.00
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$86,820.07
|
$130,230.11
|
$108,525.09
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$86,000.00
|
$129,000.00
|
$107,500.00
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$212,241.88
|
$107,088.44
|
2026-07-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$210,960.00
|
$106,447.50
|
2026-07-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$85,000.00
|
$127,500.00
|
$106,250.00
|
2026-07-15
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
4
|
4
|
—
|
—
|
$38,090.00
|
$137,481.00
|
$104,966.50
|
2026-07-15
|
|
277
|
MS_DRG
|
Cellulitis Age >17 W Cc
|
4
|
4
|
—
|
—
|
$41,020.00
|
$137,481.00
|
$104,966.50
|
2026-07-15
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
4
|
4
|
—
|
—
|
$32,230.00
|
$137,481.00
|
$104,966.50
|
2026-07-15
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
4
|
4
|
—
|
—
|
$24,612.00
|
$137,481.00
|
$104,966.50
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
6
|
6
|
—
|
—
|
$1,935.00
|
$178,847.20
|
$104,966.50
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
1
|
1
|
—
|
—
|
$102,550.00
|
$102,550.00
|
$102,550.00
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$80,771.14
|
$121,156.71
|
$100,963.93
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$80,000.00
|
$120,000.00
|
$100,000.00
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$80,000.00
|
$120,000.00
|
$100,000.00
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$80,000.00
|
$120,000.00
|
$100,000.00
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$79,144.95
|
$118,717.42
|
$98,931.19
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$79,000.00
|
$118,500.00
|
$98,750.00
|
2026-07-15
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
1
|
1
|
—
|
—
|
$96,974.19
|
$96,974.19
|
$96,974.19
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$76,896.47
|
$115,344.71
|
$96,120.59
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
5
|
5
|
—
|
—
|
$34,453.00
|
$137,481.00
|
$95,225.00
|
2026-07-15
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$76,155.46
|
$114,233.19
|
$95,194.33
|
2026-07-15
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
2
|
2
|
—
|
—
|
$1,935.00
|
$187,520.00
|
$94,727.50
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$185,566.67
|
$93,750.84
|
2026-07-15
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$75,000.00
|
$112,500.00
|
$93,750.00
|
2026-07-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$74,667.08
|
$112,000.62
|
$93,333.85
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$74,623.62
|
$111,935.43
|
$93,279.52
|
2026-07-15
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$73,000.00
|
$109,500.00
|
$91,250.00
|
2026-07-15
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$72,329.56
|
$108,494.34
|
$90,411.95
|
2026-07-15
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$71,854.64
|
$107,781.96
|
$89,818.30
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
2
|
—
|
—
|
$1,935.00
|
$175,800.00
|
$88,867.50
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$71,005.50
|
$106,508.25
|
$88,756.88
|
2026-07-15
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
9
|
9
|
—
|
—
|
$70,973.70
|
$106,460.55
|
$88,717.13
|
2026-07-15
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
2
|
2
|
—
|
—
|
$1,935.00
|
$174,335.00
|
$88,135.00
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$70,000.00
|
$105,000.00
|
$87,500.00
|
2026-07-15
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$70,000.00
|
$105,000.00
|
$87,500.00
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$70,000.00
|
$105,000.00
|
$87,500.00
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$68,683.88
|
$103,025.82
|
$85,854.85
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
9
|
9
|
—
|
—
|
$68,255.60
|
$102,383.40
|
$85,319.50
|
2026-07-15
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$67,000.00
|
$100,500.00
|
$83,750.00
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$66,925.17
|
$100,387.76
|
$83,656.46
|
2026-07-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$66,446.01
|
$99,669.01
|
$83,057.51
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$66,228.69
|
$99,343.04
|
$82,785.86
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
5
|
—
|
—
|
$34,453.00
|
$137,481.00
|
$82,040.00
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$65,108.16
|
$97,662.24
|
$81,385.20
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$63,659.01
|
$95,488.51
|
$79,573.76
|
2026-07-15
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
1
|
1
|
—
|
—
|
$78,843.64
|
$78,843.64
|
$78,843.64
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$62,000.00
|
$93,000.00
|
$77,500.00
|
2026-07-15
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$62,000.00
|
$93,000.00
|
$77,500.00
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$61,468.84
|
$92,203.26
|
$76,836.05
|
2026-07-15
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$61,446.58
|
$92,169.87
|
$76,808.23
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
2
|
—
|
—
|
$1,935.00
|
$150,406.67
|
$76,170.84
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$59,643.74
|
$89,465.61
|
$74,554.67
|
2026-07-15
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$59,092.09
|
$88,638.13
|
$73,865.11
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
9
|
—
|
—
|
$58,768.76
|
$88,153.14
|
$73,460.95
|
2026-07-15
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
1
|
1
|
—
|
—
|
$73,250.00
|
$73,250.00
|
$73,250.00
|
2026-07-15
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
9
|
—
|
—
|
$58,285.36
|
$87,428.04
|
$72,856.70
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
7
|
6
|
—
|
—
|
$12,003.00
|
$550,840.00
|
$72,452.00
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
3
|
3
|
—
|
—
|
$34,453.00
|
$169,207.50
|
$72,452.00
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$57,853.90
|
$86,780.85
|
$72,317.38
|
2026-07-15
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$57,066.24
|
$85,599.36
|
$71,332.80
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
9
|
—
|
—
|
$56,988.86
|
$85,483.29
|
$71,236.07
|
2026-07-15
|
|
30233X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30260G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30240G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30240X0
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30243X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30263G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30250X0
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30240X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30250X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30253G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30263X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30243X0
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30233X0
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30250G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30253X0
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30260X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30230X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30243G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30253X1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30230X0
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|
|
30233G1
|
OTHER
|
Bmt Allo Ip
|
9
|
5
|
—
|
—
|
$30,000.00
|
$1,184,426.30
|
$71,000.00
|
2026-07-15
|