|
6904
|
APR_DRG
|
Acute Leukemia
|
11
|
10
|
—
|
—
|
$45,078.63
|
$87,903.33
|
$56,348.29
|
2026-11-02
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
11
|
10
|
—
|
—
|
$45,294.89
|
$88,325.04
|
$56,618.61
|
2026-11-02
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
10
|
—
|
—
|
$141,385.49
|
$275,701.71
|
$176,731.86
|
2026-11-02
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
10
|
—
|
—
|
$89,273.14
|
$174,082.62
|
$111,591.43
|
2026-11-02
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
10
|
—
|
—
|
$74,667.08
|
$145,600.81
|
$93,333.85
|
2026-11-02
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
10
|
—
|
—
|
$66,446.01
|
$129,569.72
|
$83,057.51
|
2026-11-02
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
7
|
6
|
—
|
—
|
$13,800.00
|
$137,481.00
|
$72,452.00
|
2026-11-02
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
2344
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$37,815.89
|
$73,740.99
|
$47,269.86
|
2026-11-02
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
11
|
10
|
—
|
—
|
$65,108.16
|
$126,960.91
|
$81,385.20
|
2026-11-02
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
11
|
10
|
—
|
—
|
$42,705.07
|
$83,274.89
|
$53,381.34
|
2026-11-02
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
11
|
10
|
—
|
—
|
$34,562.44
|
$67,396.76
|
$43,203.05
|
2026-11-02
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
17
|
14
|
—
|
—
|
$1,935.00
|
$250,000.00
|
$106,168.20
|
2026-11-02
|
|
30233G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30240G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30230G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30230Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30240Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30240AZ
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30233AZ
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30243Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30250G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30253G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30263Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30243G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30230AZ
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30243AZ
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30250Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30260Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30260G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30233Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30253Y0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30263G0
|
OTHER
|
Autologous Op
|
2
|
1
|
—
|
—
|
$127,000.00
|
$127,000.00
|
$127,000.00
|
2026-11-02
|
|
30230Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30260Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30263Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30253Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30243G2
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30250Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30240Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30243Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30233Y1
|
OTHER
|
Bmt Allo Ip
|
8
|
5
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$92,500.00
|
2026-11-02
|
|
30263X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30263X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30263G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30253G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30243X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30253X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30253X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30250G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30230X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30233X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30240X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30240X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30260X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30243X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30260G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30240G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30243G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30250X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30260X0
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30233X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30233G1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30230X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30250X1
|
OTHER
|
Bmt Allo Ip
|
11
|
7
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$71,000.00
|
2026-11-02
|
|
30230G1
|
OTHER
|
Bmt Allo Ip
|
9
|
6
|
—
|
—
|
$30,000.00
|
$294,300.00
|
$70,000.00
|
2026-11-02
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
11
|
10
|
—
|
—
|
$92,524.47
|
$180,422.72
|
$115,655.59
|
2026-11-02
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
7
|
6
|
—
|
—
|
$13,800.00
|
$137,481.00
|
$72,452.00
|
2026-11-02
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
5
|
—
|
—
|
$34,453.00
|
$137,481.00
|
$96,702.00
|
2026-11-02
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
7
|
—
|
—
|
$12,003.00
|
$137,481.00
|
$72,452.00
|
2026-11-02
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
4
|
3
|
—
|
—
|
$13,800.00
|
$72,452.00
|
$53,452.50
|
2026-11-02
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
7
|
—
|
—
|
$11,403.00
|
$137,481.00
|
$53,452.50
|
2026-11-02
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
7
|
—
|
—
|
$11,403.00
|
$137,481.00
|
$53,452.50
|
2026-11-02
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$80,771.14
|
$157,503.72
|
$100,963.93
|
2026-11-02
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$57,853.90
|
$112,815.10
|
$72,317.38
|
2026-11-02
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$44,276.14
|
$86,338.47
|
$55,345.18
|
2026-11-02
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$38,042.75
|
$74,183.36
|
$47,553.44
|
2026-11-02
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$71,005.50
|
$138,460.73
|
$88,756.88
|
2026-11-02
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$48,537.74
|
$94,648.59
|
$60,672.17
|
2026-11-02
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$36,891.48
|
$71,938.39
|
$46,114.35
|
2026-11-02
|
|
277
|
MS_DRG
|
Cellulitis Age >17 W Cc
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
11
|
10
|
—
|
—
|
$39,025.46
|
$76,099.65
|
$48,781.82
|
2026-11-02
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
10
|
—
|
—
|
$204,845.53
|
$399,448.78
|
$256,056.91
|
2026-11-02
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
10
|
—
|
—
|
$50,021.00
|
$97,540.95
|
$62,526.25
|
2026-11-02
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
10
|
—
|
—
|
$50,000.00
|
$97,500.00
|
$62,500.00
|
2026-11-02
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
10
|
—
|
—
|
$50,000.00
|
$97,500.00
|
$62,500.00
|
2026-11-02
|
|
954
|
APR_DRG
|
Cleft Lip And Palate Repair
|
11
|
10
|
—
|
—
|
$33,567.01
|
$65,455.67
|
$41,958.76
|
2026-11-02
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$63,659.01
|
$124,135.07
|
$79,573.76
|
2026-11-02
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$46,931.69
|
$91,516.80
|
$58,664.61
|
2026-11-02
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$38,566.44
|
$75,204.56
|
$48,208.05
|
2026-11-02
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$35,209.10
|
$68,657.74
|
$44,011.38
|
2026-11-02
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
9
|
6
|
—
|
—
|
$20,314.00
|
$137,481.00
|
$72,452.00
|
2026-11-02
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
10
|
7
|
—
|
—
|
$11,403.00
|
$137,481.00
|
$53,452.50
|
2026-11-02
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
6
|
5
|
—
|
—
|
$34,453.00
|
$137,481.00
|
$96,702.00
|
2026-11-02
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
10
|
7
|
—
|
—
|
$11,403.00
|
$137,481.00
|
$53,452.50
|
2026-11-02
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$55,046.75
|
$107,341.16
|
$68,808.44
|
2026-11-02
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$39,961.53
|
$77,924.98
|
$49,951.91
|
2026-11-02
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
11
|
10
|
—
|
—
|
$33,063.46
|
$64,473.75
|
$41,329.32
|
2026-11-02
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
10
|
7
|
—
|
—
|
$11,403.00
|
$137,481.00
|
$53,452.50
|
2026-11-02
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
10
|
7
|
—
|
—
|
$11,403.00
|
$137,481.00
|
$53,452.50
|
2026-11-02
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
10
|
—
|
—
|
$56,988.86
|
$111,128.28
|
$71,236.07
|
2026-11-02
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
10
|
—
|
—
|
$33,747.22
|
$65,807.08
|
$42,184.03
|
2026-11-02
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
11
|
10
|
—
|
—
|
$54,992.69
|
$107,235.75
|
$68,740.86
|
2026-11-02
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
11
|
10
|
—
|
—
|
$40,597.59
|
$79,165.30
|
$50,746.99
|
2026-11-02
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
11
|
10
|
—
|
—
|
$33,373.01
|
$65,077.37
|
$41,716.26
|
2026-11-02
|
|
7543
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
2
|
2
|
—
|
—
|
$41,438.23
|
$53,277.73
|
$47,357.98
|
2026-11-02
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
11
|
10
|
—
|
—
|
$33,313.64
|
$64,961.60
|
$41,642.05
|
2026-11-02
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
11
|
10
|
—
|
—
|
$54,426.59
|
$106,131.85
|
$68,033.24
|
2026-11-02
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
11
|
10
|
—
|
—
|
$38,877.05
|
$75,810.25
|
$48,596.31
|
2026-11-02
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
11
|
10
|
—
|
—
|
$120,000.00
|
$234,000.00
|
$150,000.00
|
2026-11-02
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
11
|
10
|
—
|
—
|
$49,432.46
|
$96,393.30
|
$61,790.57
|
2026-11-02
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
11
|
10
|
—
|
—
|
$36,947.67
|
$72,047.96
|
$46,184.59
|
2026-11-02
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
11
|
10
|
—
|
—
|
$32,600.20
|
$63,570.39
|
$40,750.25
|
2026-11-02
|
|
5A15223
|
OTHER
|
Ecmo Ip
|
1
|
1
|
—
|
—
|
$2,539,512.08
|
$2,539,512.08
|
$2,539,512.08
|
2026-11-02
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
11
|
10
|
—
|
—
|
$54,718.12
|
$106,700.33
|
$68,397.65
|
2026-11-02
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
11
|
10
|
—
|
—
|
$44,744.70
|
$87,252.16
|
$55,930.88
|
2026-11-02
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
11
|
10
|
—
|
—
|
$38,747.72
|
$75,558.05
|
$48,434.65
|
2026-11-02
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
11
|
10
|
—
|
—
|
$151,356.52
|
$295,145.21
|
$189,195.65
|
2026-11-02
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
11
|
10
|
—
|
—
|
$52,320.18
|
$102,024.35
|
$65,400.22
|
2026-11-02
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
11
|
10
|
—
|
—
|
$66,228.69
|
$129,145.95
|
$82,785.86
|
2026-11-02
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
11
|
10
|
—
|
—
|
$53,704.67
|
$104,724.11
|
$67,130.84
|
2026-11-02
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
11
|
10
|
—
|
—
|
$43,293.42
|
$84,422.17
|
$54,116.77
|
2026-11-02
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
11
|
10
|
—
|
—
|
$39,720.89
|
$77,455.74
|
$49,651.11
|
2026-11-02
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
11
|
10
|
—
|
—
|
$139,000.00
|
$271,050.00
|
$173,750.00
|
2026-11-02
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
11
|
10
|
—
|
—
|
$110,110.47
|
$214,715.42
|
$137,638.09
|
2026-11-02
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
11
|
10
|
—
|
—
|
$59,643.74
|
$116,305.29
|
$74,554.67
|
2026-11-02
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
11
|
10
|
—
|
—
|
$48,887.57
|
$95,330.76
|
$61,109.46
|
2026-11-02
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
11
|
10
|
—
|
—
|
$39,182.36
|
$76,405.60
|
$48,977.95
|
2026-11-02
|
|
5881
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
11
|
10
|
—
|
—
|
$50,000.00
|
$97,500.00
|
$62,500.00
|
2026-11-02
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
11
|
10
|
—
|
—
|
$48,638.45
|
$94,844.98
|
$60,798.06
|
2026-11-02
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
11
|
10
|
—
|
—
|
$187,130.82
|
$364,905.10
|
$233,913.53
|
2026-11-02
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
11
|
10
|
—
|
—
|
$127,234.43
|
$248,107.14
|
$159,043.04
|
2026-11-02
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
11
|
10
|
—
|
—
|
$101,523.66
|
$197,971.14
|
$126,904.58
|
2026-11-02
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
11
|
10
|
—
|
—
|
$50,000.00
|
$97,500.00
|
$62,500.00
|
2026-11-02
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
10
|
—
|
—
|
$201,233.44
|
$392,405.21
|
$251,541.80
|
2026-11-02
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
10
|
—
|
—
|
$147,450.15
|
$287,527.79
|
$184,312.69
|
2026-11-02
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
10
|
—
|
—
|
$109,991.74
|
$214,483.89
|
$137,489.68
|
2026-11-02
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
10
|
—
|
—
|
$109,991.74
|
$214,483.89
|
$137,489.68
|
2026-11-02
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
11
|
10
|
—
|
—
|
$36,901.02
|
$71,956.99
|
$46,126.27
|
2026-11-02
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
11
|
10
|
—
|
—
|
$33,931.68
|
$66,166.78
|
$42,414.60
|
2026-11-02
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
11
|
10
|
—
|
—
|
$34,735.24
|
$67,733.72
|
$43,419.05
|
2026-11-02
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
11
|
10
|
—
|
—
|
$76,896.47
|
$149,948.12
|
$96,120.59
|
2026-11-02
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
11
|
10
|
—
|
—
|
$51,187.99
|
$99,816.58
|
$63,984.99
|
2026-11-02
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
11
|
10
|
—
|
—
|
$44,182.85
|
$86,156.56
|
$55,228.56
|
2026-11-02
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
11
|
10
|
—
|
—
|
$40,365.43
|
$78,712.59
|
$50,456.79
|
2026-11-02
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
11
|
10
|
—
|
—
|
$32,735.89
|
$63,834.99
|
$40,919.86
|
2026-11-02
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
11
|
10
|
—
|
—
|
$120,000.00
|
$234,000.00
|
$150,000.00
|
2026-11-02
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
11
|
10
|
—
|
—
|
$76,155.46
|
$148,503.15
|
$95,194.33
|
2026-11-02
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
11
|
10
|
—
|
—
|
$61,446.58
|
$119,820.83
|
$76,808.23
|
2026-11-02
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
11
|
10
|
—
|
—
|
$50,000.00
|
$97,500.00
|
$62,500.00
|
2026-11-02
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
11
|
10
|
—
|
—
|
$38,962.92
|
$75,977.69
|
$48,703.65
|
2026-11-02
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
11
|
10
|
—
|
—
|
$49,701.73
|
$96,918.37
|
$62,127.16
|
2026-11-02
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
11
|
10
|
—
|
—
|
$33,780.09
|
$65,871.18
|
$42,225.11
|
2026-11-02
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
11
|
10
|
—
|
—
|
$41,597.26
|
$81,114.66
|
$51,996.58
|
2026-11-02
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
11
|
10
|
—
|
—
|
$43,454.56
|
$84,736.39
|
$54,318.20
|
2026-11-02
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
10
|
—
|
—
|
$106,925.93
|
$208,505.57
|
$133,657.41
|
2026-11-02
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
10
|
—
|
—
|
$46,998.47
|
$91,647.02
|
$58,748.09
|
2026-11-02
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
10
|
—
|
—
|
$36,690.06
|
$71,545.62
|
$45,862.57
|
2026-11-02
|
|
1601
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
10
|
—
|
—
|
$35,744.45
|
$69,701.68
|
$44,680.56
|
2026-11-02
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
11
|
10
|
—
|
—
|
$45,836.60
|
$89,381.37
|
$57,295.75
|
2026-11-02
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
11
|
10
|
—
|
—
|
$34,163.84
|
$66,619.49
|
$42,704.80
|
2026-11-02
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
2
|
2
|
—
|
—
|
$142,154.32
|
$182,769.84
|
$162,462.08
|
2026-11-02
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
11
|
10
|
—
|
—
|
$52,992.28
|
$103,334.95
|
$66,240.35
|
2026-11-02
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
11
|
10
|
—
|
—
|
$46,961.37
|
$91,574.67
|
$58,701.71
|
2026-11-02
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
11
|
10
|
—
|
—
|
$44,991.70
|
$87,733.81
|
$56,239.63
|
2026-11-02
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
11
|
10
|
—
|
—
|
$39,041.36
|
$76,130.65
|
$48,801.70
|
2026-11-02
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
11
|
10
|
—
|
—
|
$45,647.91
|
$89,013.42
|
$57,059.89
|
2026-11-02
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
11
|
10
|
—
|
—
|
$45,534.48
|
$88,792.24
|
$56,918.10
|
2026-11-02
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
11
|
10
|
—
|
—
|
$34,017.55
|
$66,334.22
|
$42,521.94
|
2026-11-02
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
11
|
10
|
—
|
—
|
$32,685.00
|
$63,735.75
|
$40,856.25
|
2026-11-02
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
11
|
10
|
—
|
—
|
$52,238.55
|
$101,865.17
|
$65,298.19
|
2026-11-02
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
11
|
10
|
—
|
—
|
$144,854.87
|
$282,467.00
|
$181,068.59
|
2026-11-02
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
11
|
10
|
—
|
—
|
$80,000.00
|
$156,000.00
|
$100,000.00
|
2026-11-02
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
11
|
10
|
—
|
—
|
$68,683.88
|
$133,933.57
|
$85,854.85
|
2026-11-02
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
11
|
10
|
—
|
—
|
$59,092.09
|
$115,229.58
|
$73,865.11
|
2026-11-02
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$100,000.00
|
$195,000.00
|
$125,000.00
|
2026-11-02
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$92,000.00
|
$179,400.00
|
$115,000.00
|
2026-11-02
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$80,000.00
|
$156,000.00
|
$100,000.00
|
2026-11-02
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$67,000.00
|
$130,650.00
|
$83,750.00
|
2026-11-02
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
11
|
10
|
—
|
—
|
$70,000.00
|
$136,500.00
|
$87,500.00
|
2026-11-02
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
11
|
10
|
—
|
—
|
$70,000.00
|
$136,500.00
|
$87,500.00
|
2026-11-02
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
11
|
10
|
—
|
—
|
$51,018.37
|
$99,485.82
|
$63,772.96
|
2026-11-02
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$100,000.00
|
$195,000.00
|
$125,000.00
|
2026-11-02
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$86,000.00
|
$167,700.00
|
$107,500.00
|
2026-11-02
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$75,000.00
|
$146,250.00
|
$93,750.00
|
2026-11-02
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$51,640.65
|
$100,699.27
|
$64,550.81
|
2026-11-02
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
11
|
10
|
—
|
—
|
$62,000.00
|
$120,900.00
|
$77,500.00
|
2026-11-02
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
11
|
10
|
—
|
—
|
$62,000.00
|
$120,900.00
|
$77,500.00
|
2026-11-02
|
|
6132
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
11
|
10
|
—
|
—
|
$37,633.55
|
$73,385.42
|
$47,041.94
|
2026-11-02
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
11
|
10
|
—
|
—
|
$93,000.00
|
$181,350.00
|
$116,250.00
|
2026-11-02
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
11
|
10
|
—
|
—
|
$58,285.36
|
$113,656.45
|
$72,856.70
|
2026-11-02
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$89,000.00
|
$173,550.00
|
$111,250.00
|
2026-11-02
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$70,000.00
|
$136,500.00
|
$87,500.00
|
2026-11-02
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$48,588.62
|
$94,747.81
|
$60,735.78
|
2026-11-02
|
|
6121
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$32,663.80
|
$63,694.41
|
$40,829.75
|
2026-11-02
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$165,000.00
|
$321,750.00
|
$206,250.00
|
2026-11-02
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$112,953.66
|
$220,259.64
|
$141,192.08
|
2026-11-02
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$72,329.56
|
$141,042.64
|
$90,411.95
|
2026-11-02
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$55,130.20
|
$107,503.89
|
$68,912.75
|
2026-11-02
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
11
|
10
|
—
|
—
|
$71,854.64
|
$140,116.55
|
$89,818.30
|
2026-11-02
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
11
|
10
|
—
|
—
|
$45,334.12
|
$88,401.53
|
$56,667.65
|
2026-11-02
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
11
|
10
|
—
|
—
|
$90,000.00
|
$175,500.00
|
$112,500.00
|
2026-11-02
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
11
|
10
|
—
|
—
|
$68,255.60
|
$133,098.42
|
$85,319.50
|
2026-11-02
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
11
|
10
|
—
|
—
|
$39,162.21
|
$76,366.31
|
$48,952.76
|
2026-11-02
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
11
|
10
|
—
|
—
|
$73,000.00
|
$142,350.00
|
$91,250.00
|
2026-11-02
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
11
|
10
|
—
|
—
|
$120,000.00
|
$234,000.00
|
$150,000.00
|
2026-11-02
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
11
|
10
|
—
|
—
|
$91,000.00
|
$177,450.00
|
$113,750.00
|
2026-11-02
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
11
|
10
|
—
|
—
|
$80,000.00
|
$156,000.00
|
$100,000.00
|
2026-11-02
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
11
|
10
|
—
|
—
|
$121,000.00
|
$235,950.00
|
$151,250.00
|
2026-11-02
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
11
|
10
|
—
|
—
|
$99,000.00
|
$193,050.00
|
$123,750.00
|
2026-11-02
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
11
|
10
|
—
|
—
|
$79,000.00
|
$154,050.00
|
$98,750.00
|
2026-11-02
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$221,000.00
|
$430,950.00
|
$276,250.00
|
2026-11-02
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$132,000.00
|
$257,400.00
|
$165,000.00
|
2026-11-02
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$130,000.00
|
$253,500.00
|
$162,500.00
|
2026-11-02
|
|
6264
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
10
|
—
|
—
|
$36,987.95
|
$72,126.50
|
$46,234.94
|
2026-11-02
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
11
|
10
|
—
|
—
|
$202,229.14
|
$394,346.82
|
$252,786.43
|
2026-11-02
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
11
|
10
|
—
|
—
|
$87,000.00
|
$169,650.00
|
$108,750.00
|
2026-11-02
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
11
|
10
|
—
|
—
|
$33,354.00
|
$65,040.30
|
$41,692.50
|
2026-11-02
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
11
|
10
|
—
|
—
|
$46,050.74
|
$89,798.94
|
$57,563.42
|
2026-11-02
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
11
|
10
|
—
|
—
|
$125,297.46
|
$244,330.05
|
$156,621.83
|
2026-11-02
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
11
|
10
|
—
|
—
|
$235,881.75
|
$459,969.41
|
$294,852.19
|
2026-11-02
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
11
|
10
|
—
|
—
|
$95,000.00
|
$185,250.00
|
$118,750.00
|
2026-11-02
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
11
|
10
|
—
|
—
|
$57,066.24
|
$111,279.17
|
$71,332.80
|
2026-11-02
|
|
6301
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
11
|
10
|
—
|
—
|
$32,441.18
|
$63,260.30
|
$40,551.47
|
2026-11-02
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
11
|
10
|
—
|
—
|
$266,938.77
|
$520,530.60
|
$333,673.46
|
2026-11-02
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
11
|
10
|
—
|
—
|
$86,820.07
|
$169,299.14
|
$108,525.09
|
2026-11-02
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
11
|
10
|
—
|
—
|
$46,006.22
|
$89,712.13
|
$57,507.78
|
2026-11-02
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
11
|
10
|
—
|
—
|
$39,926.55
|
$77,856.77
|
$49,908.19
|
2026-11-02
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
11
|
10
|
—
|
—
|
$70,973.70
|
$138,398.71
|
$88,717.13
|
2026-11-02
|
|
6404
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem
|
11
|
10
|
—
|
—
|
$34,452.19
|
$67,181.77
|
$43,065.24
|
2026-11-02
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
11
|
10
|
—
|
—
|
$221,000.00
|
$430,950.00
|
$276,250.00
|
2026-11-02
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
11
|
10
|
—
|
—
|
$221,000.00
|
$430,950.00
|
$276,250.00
|
2026-11-02
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
11
|
10
|
—
|
—
|
$219,000.00
|
$427,050.00
|
$273,750.00
|
2026-11-02
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
11
|
10
|
—
|
—
|
$197,064.59
|
$384,275.95
|
$246,330.74
|
2026-11-02
|
|
3E0F3SD
|
OTHER
|
Nitric Oxide Therapy
|
5
|
5
|
—
|
—
|
$2,694.30
|
$1,035,260.74
|
$494,742.80
|
2026-11-02
|
|
3E0F7SD
|
OTHER
|
Nitric Oxide Therapy
|
7
|
7
|
—
|
—
|
$2,694.30
|
$1,035,260.74
|
$494,742.80
|
2026-11-02
|
|
3E0F8SD
|
OTHER
|
Nitric Oxide Therapy
|
6
|
6
|
—
|
—
|
$2,694.30
|
$1,035,260.74
|
$272,371.40
|
2026-11-02
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
11
|
10
|
—
|
—
|
$33,455.70
|
$65,238.61
|
$41,819.63
|
2026-11-02
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
11
|
10
|
—
|
—
|
$49,641.30
|
$96,800.54
|
$62,051.63
|
2026-11-02
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
11
|
10
|
—
|
—
|
$33,823.55
|
$65,955.92
|
$42,279.44
|
2026-11-02
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
11
|
10
|
—
|
—
|
$43,983.55
|
$85,767.92
|
$54,979.44
|
2026-11-02
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
11
|
10
|
—
|
—
|
$42,835.46
|
$83,529.15
|
$53,544.32
|
2026-11-02
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
11
|
10
|
—
|
—
|
$54,029.06
|
$105,356.67
|
$67,536.32
|
2026-11-02
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
11
|
10
|
—
|
—
|
$33,534.14
|
$65,391.57
|
$41,917.68
|
2026-11-02
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
9
|
8
|
—
|
—
|
$1,935.00
|
$137,481.00
|
$72,452.00
|
2026-11-02
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
11
|
10
|
—
|
—
|
$35,933.15
|
$70,069.64
|
$44,916.44
|
2026-11-02
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
11
|
10
|
—
|
—
|
$34,825.35
|
$67,909.43
|
$43,531.69
|
2026-11-02
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
11
|
10
|
—
|
—
|
$53,845.66
|
$104,999.04
|
$67,307.08
|
2026-11-02
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
11
|
10
|
—
|
—
|
$34,200.95
|
$66,691.85
|
$42,751.19
|
2026-11-02
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
11
|
10
|
—
|
—
|
$32,788.89
|
$63,938.34
|
$40,986.11
|
2026-11-02
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
11
|
10
|
—
|
—
|
$38,996.84
|
$76,043.84
|
$48,746.05
|
2026-11-02
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
11
|
10
|
—
|
—
|
$35,821.84
|
$69,852.59
|
$44,777.30
|
2026-11-02
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
11
|
10
|
—
|
—
|
$36,731.40
|
$71,626.23
|
$45,914.25
|
2026-11-02
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
11
|
10
|
—
|
—
|
$38,524.03
|
$75,121.86
|
$48,155.04
|
2026-11-02
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
11
|
10
|
—
|
—
|
$38,039.57
|
$74,177.16
|
$47,549.46
|
2026-11-02
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
11
|
10
|
—
|
—
|
$85,000.00
|
$165,750.00
|
$106,250.00
|
2026-11-02
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
11
|
10
|
—
|
—
|
$79,144.95
|
$154,332.65
|
$98,931.19
|
2026-11-02
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
11
|
10
|
—
|
—
|
$66,925.17
|
$130,504.08
|
$83,656.46
|
2026-11-02
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
11
|
10
|
—
|
—
|
$50,000.00
|
$97,500.00
|
$62,500.00
|
2026-11-02
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
2
|
2
|
—
|
—
|
$48,175.65
|
$61,940.12
|
$55,057.89
|
2026-11-02
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
11
|
10
|
—
|
—
|
$47,990.73
|
$93,581.92
|
$59,988.41
|
2026-11-02
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
5
|
4
|
—
|
—
|
$72,452.00
|
$137,481.00
|
$120,952.00
|
2026-11-02
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
11
|
10
|
—
|
—
|
$32,537.65
|
$63,448.42
|
$40,672.06
|
2026-11-02
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
11
|
10
|
—
|
—
|
$36,057.18
|
$70,311.50
|
$45,071.47
|
2026-11-02
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
11
|
10
|
—
|
—
|
$37,467.11
|
$73,060.86
|
$46,833.89
|
2026-11-02
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
11
|
10
|
—
|
—
|
$58,768.76
|
$114,599.08
|
$73,460.95
|
2026-11-02
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
11
|
10
|
—
|
—
|
$41,408.57
|
$80,746.71
|
$51,760.71
|
2026-11-02
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
11
|
10
|
—
|
—
|
$33,870.20
|
$66,046.89
|
$42,337.75
|
2026-11-02
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
11
|
10
|
—
|
—
|
$36,473.80
|
$71,123.91
|
$45,592.25
|
2026-11-02
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
11
|
10
|
—
|
—
|
$35,675.55
|
$69,567.32
|
$44,594.44
|
2026-11-02
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
11
|
10
|
—
|
—
|
$47,159.61
|
$91,961.24
|
$58,949.51
|
2026-11-02
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
11
|
10
|
—
|
—
|
$36,448.36
|
$71,074.30
|
$45,560.45
|
2026-11-02
|
|
8602
|
APR_DRG
|
Rehabilitation
|
2
|
2
|
—
|
—
|
$36,248.17
|
$46,604.79
|
$41,426.48
|
2026-11-02
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
11
|
10
|
—
|
—
|
$47,938.78
|
$93,480.62
|
$59,923.47
|
2026-11-02
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
11
|
10
|
—
|
—
|
$35,849.40
|
$69,906.33
|
$44,811.75
|
2026-11-02
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
4
|
3
|
—
|
—
|
$1,935.00
|
$190,000.00
|
$95,967.50
|
2026-11-02
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
11
|
10
|
—
|
—
|
$40,936.82
|
$79,826.80
|
$51,171.03
|
2026-11-02
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
11
|
10
|
—
|
—
|
$43,474.70
|
$84,775.66
|
$54,343.38
|
2026-11-02
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
11
|
10
|
—
|
—
|
$40,070.72
|
$78,137.90
|
$50,088.40
|
2026-11-02
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
2
|
—
|
—
|
$6,471.00
|
$94,447.80
|
$50,459.40
|
2026-11-02
|
|
234
|
APR_DRG
|
Spinal Procedures
|
11
|
10
|
—
|
—
|
$47,896.38
|
$93,397.94
|
$59,870.47
|
2026-11-02
|
|
6504
|
APR_DRG
|
Splenectomy
|
11
|
10
|
—
|
—
|
$35,049.03
|
$68,345.61
|
$43,811.29
|
2026-11-02
|
|
800
|
MS_DRG
|
Splenectomy With Cc
|
2
|
1
|
—
|
—
|
$190,000.00
|
$190,000.00
|
$190,000.00
|
2026-11-02
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
11
|
10
|
—
|
—
|
$35,181.54
|
$68,604.00
|
$43,976.93
|
2026-11-02
|
|
974
|
APR_DRG
|
Tonsil And Adenoid Procedures
|
11
|
10
|
—
|
—
|
$32,600.20
|
$63,570.39
|
$40,750.25
|
2026-11-02
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
11
|
10
|
—
|
—
|
$110,000.00
|
$214,500.00
|
$137,500.00
|
2026-11-02
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
11
|
10
|
—
|
—
|
$91,000.00
|
$177,450.00
|
$113,750.00
|
2026-11-02
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
11
|
10
|
—
|
—
|
$61,468.84
|
$119,864.24
|
$76,836.05
|
2026-11-02
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
11
|
10
|
—
|
—
|
$43,549.97
|
$84,922.44
|
$54,437.46
|
2026-11-02
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
11
|
10
|
—
|
—
|
$88,000.00
|
$171,600.00
|
$110,000.00
|
2026-11-02
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
11
|
10
|
—
|
—
|
$74,623.62
|
$145,516.06
|
$93,279.52
|
2026-11-02
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
11
|
10
|
—
|
—
|
$49,972.05
|
$97,445.50
|
$62,465.06
|
2026-11-02
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
11
|
10
|
—
|
—
|
$33,987.87
|
$66,276.35
|
$42,484.84
|
2026-11-02
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
11
|
10
|
—
|
—
|
$38,148.76
|
$74,390.08
|
$47,685.95
|
2026-11-02
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
11
|
10
|
—
|
—
|
$38,336.40
|
$74,755.98
|
$47,920.50
|
2026-11-02
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
11
|
10
|
—
|
—
|
$35,795.34
|
$69,800.91
|
$44,744.17
|
2026-11-02
|