|
5831
|
APR_DRG
|
Neonate With Ecmo
|
56
|
14
|
—
|
—
|
$171,306.53
|
$696,747.25
|
$300,760.12
|
2025-12-24
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
56
|
14
|
—
|
—
|
$153,918.40
|
$466,019.66
|
$201,791.44
|
2025-12-24
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
56
|
14
|
—
|
—
|
$119,885.29
|
$519,684.04
|
$185,172.75
|
2025-12-24
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
56
|
14
|
—
|
—
|
$96,610.62
|
$451,470.64
|
$155,087.73
|
2025-12-24
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
56
|
14
|
—
|
—
|
$69,693.91
|
$225,769.25
|
$102,136.84
|
2025-12-24
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
56
|
14
|
—
|
—
|
$68,511.60
|
$283,358.85
|
$92,130.34
|
2025-12-24
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
8
|
8
|
—
|
—
|
$63,505.40
|
$152,412.96
|
$63,505.40
|
2025-12-24
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
56
|
14
|
—
|
—
|
$59,477.23
|
$292,283.13
|
$95,003.71
|
2025-12-24
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
56
|
14
|
—
|
—
|
$52,545.99
|
$295,245.48
|
$101,127.49
|
2025-12-24
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
56
|
14
|
—
|
—
|
$52,485.94
|
$147,727.83
|
$64,684.41
|
2025-12-24
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
56
|
14
|
—
|
—
|
$48,217.10
|
$171,288.70
|
$61,162.49
|
2025-12-24
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
56
|
14
|
—
|
—
|
$47,716.65
|
$181,719.34
|
$69,509.54
|
2025-12-24
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
56
|
14
|
—
|
—
|
$45,926.29
|
$202,718.53
|
$75,023.07
|
2025-12-24
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
8
|
8
|
—
|
—
|
$44,578.75
|
$106,989.00
|
$44,578.75
|
2025-12-24
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
56
|
14
|
—
|
—
|
$43,965.78
|
$184,580.96
|
$68,761.36
|
2025-12-24
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
56
|
14
|
—
|
—
|
$43,173.82
|
$300,808.91
|
$67,324.44
|
2025-12-24
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
56
|
14
|
—
|
—
|
$42,514.47
|
$132,070.94
|
$50,409.07
|
2025-12-24
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
56
|
14
|
—
|
—
|
$41,838.87
|
$142,411.80
|
$58,406.26
|
2025-12-24
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
56
|
14
|
—
|
—
|
$41,309.64
|
$153,748.86
|
$57,781.95
|
2025-12-24
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
56
|
14
|
—
|
—
|
$41,024.38
|
$328,473.60
|
$68,063.08
|
2025-12-24
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
56
|
14
|
—
|
—
|
$38,440.81
|
$350,698.15
|
$101,912.42
|
2025-12-24
|
|
1661
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
56
|
14
|
—
|
—
|
$36,955.73
|
$125,360.21
|
$48,712.55
|
2025-12-24
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
56
|
14
|
—
|
—
|
$36,761.80
|
$126,557.85
|
$50,475.38
|
2025-12-24
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
56
|
14
|
—
|
—
|
$32,765.71
|
$103,509.83
|
$43,988.30
|
2025-12-24
|
|
1671
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
56
|
14
|
—
|
—
|
$31,629.69
|
$142,146.88
|
$45,302.29
|
2025-12-24
|
|
1601
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
56
|
14
|
—
|
—
|
$31,259.35
|
$212,492.31
|
$51,883.99
|
2025-12-24
|
|
1691
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
56
|
14
|
—
|
—
|
$31,170.52
|
$112,365.73
|
$40,294.98
|
2025-12-24
|
|
3041
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
56
|
14
|
—
|
—
|
$30,294.74
|
$134,067.74
|
$47,325.37
|
2025-12-24
|
|
9101
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
56
|
14
|
—
|
—
|
$28,630.74
|
$126,369.56
|
$41,347.79
|
2025-12-24
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
56
|
14
|
—
|
—
|
$25,220.17
|
$141,875.38
|
$48,584.93
|
2025-12-24
|
|
6121
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
56
|
14
|
—
|
—
|
$24,801.05
|
$139,702.11
|
$48,311.57
|
2025-12-24
|
|
1701
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
56
|
14
|
—
|
—
|
$24,461.99
|
$83,790.96
|
$32,912.40
|
2025-12-24
|
|
6301
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
56
|
14
|
—
|
—
|
$23,865.20
|
$353,227.86
|
$85,565.21
|
2025-12-24
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
56
|
14
|
—
|
—
|
$23,647.51
|
$191,631.56
|
$76,485.33
|
2025-12-24
|
|
201
|
APR_DRG
|
Open Craniotomy For Trauma
|
56
|
14
|
—
|
—
|
$22,609.07
|
$103,323.21
|
$35,089.67
|
2025-12-24
|
|
3251
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
56
|
14
|
—
|
—
|
$22,360.10
|
$83,558.88
|
$33,123.38
|
2025-12-24
|
|
9121
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
56
|
14
|
—
|
—
|
$22,084.85
|
$112,751.06
|
$32,667.65
|
2025-12-24
|
|
1751
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
56
|
14
|
—
|
—
|
$21,984.76
|
$80,767.31
|
$30,796.44
|
2025-12-24
|
|
291
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
56
|
14
|
—
|
—
|
$21,755.81
|
$75,950.48
|
$27,478.45
|
2025-12-24
|
|
1741
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
56
|
14
|
—
|
—
|
$21,496.82
|
$72,578.69
|
$28,889.72
|
2025-12-24
|
|
211
|
APR_DRG
|
Open Craniotomy Except Trauma
|
56
|
14
|
—
|
—
|
$21,240.34
|
$109,998.90
|
$36,913.18
|
2025-12-24
|
|
1201
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
56
|
14
|
—
|
—
|
$20,322.02
|
$110,977.54
|
$32,733.65
|
2025-12-24
|
|
301
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
56
|
14
|
—
|
—
|
$20,041.77
|
$84,296.73
|
$34,690.10
|
2025-12-24
|
|
1821
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
56
|
14
|
—
|
—
|
$19,887.88
|
$81,102.30
|
$26,379.97
|
2025-12-24
|
|
3221
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
56
|
14
|
—
|
—
|
$19,598.87
|
$70,115.54
|
$27,142.06
|
2025-12-24
|
|
2601
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
56
|
14
|
—
|
—
|
$19,351.15
|
$105,157.99
|
$31,649.55
|
2025-12-24
|
|
3211
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
56
|
14
|
—
|
—
|
$19,303.60
|
$88,583.71
|
$30,253.29
|
2025-12-24
|
|
271
|
APR_DRG
|
Other Open Craniotomy
|
56
|
14
|
—
|
—
|
$18,577.95
|
$97,521.13
|
$29,138.07
|
2025-12-24
|
|
3231
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
56
|
14
|
—
|
—
|
$18,170.08
|
$67,170.70
|
$26,394.51
|
2025-12-24
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
56
|
14
|
—
|
—
|
$18,051.23
|
$334,704.09
|
$44,277.93
|
2025-12-24
|
|
1761
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
56
|
14
|
—
|
—
|
$17,971.15
|
$93,825.30
|
$29,430.21
|
2025-12-24
|
|
1711
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
56
|
14
|
—
|
—
|
$17,448.18
|
$70,306.03
|
$25,212.97
|
2025-12-24
|
|
231
|
APR_DRG
|
Spinal Procedures
|
56
|
14
|
—
|
—
|
$17,319.32
|
$109,403.36
|
$34,483.51
|
2025-12-24
|
|
6131
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
56
|
14
|
—
|
—
|
$17,160.43
|
$118,411.46
|
$40,256.51
|
2025-12-24
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
8
|
8
|
—
|
—
|
$16,960.00
|
$40,704.00
|
$16,960.00
|
2025-12-24
|
|
6801
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
56
|
14
|
—
|
—
|
$16,918.96
|
$123,680.90
|
$31,621.56
|
2025-12-24
|
|
1811
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
56
|
14
|
—
|
—
|
$16,828.88
|
$94,812.75
|
$32,096.36
|
2025-12-24
|
|
2311
|
APR_DRG
|
Major Large Bowel Procedures
|
56
|
14
|
—
|
—
|
$16,491.07
|
$79,326.64
|
$26,732.47
|
2025-12-24
|
|
891
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
56
|
14
|
—
|
—
|
$16,473.56
|
$103,726.08
|
$34,555.13
|
2025-12-24
|
|
911
|
APR_DRG
|
Other Major Head And Neck Procedures
|
56
|
14
|
—
|
—
|
$16,459.80
|
$122,259.93
|
$36,891.29
|
2025-12-24
|
|
9111
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
56
|
14
|
—
|
—
|
$16,409.75
|
$112,615.33
|
$30,174.47
|
2025-12-24
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
8
|
8
|
—
|
—
|
$16,310.00
|
$39,144.00
|
$16,310.00
|
2025-12-24
|
|
9501
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
56
|
14
|
—
|
—
|
$16,150.77
|
$103,338.54
|
$29,619.92
|
2025-12-24
|
|
3241
|
APR_DRG
|
Elective Hip Joint Replacement
|
56
|
14
|
—
|
—
|
$15,998.13
|
$66,640.85
|
$22,853.67
|
2025-12-24
|
|
2611
|
APR_DRG
|
Major Biliary Tract Procedures
|
56
|
14
|
—
|
—
|
$15,946.83
|
$95,673.21
|
$26,771.72
|
2025-12-24
|
|
3261
|
APR_DRG
|
Elective Knee Joint Replacement
|
56
|
14
|
—
|
—
|
$15,921.81
|
$57,464.79
|
$22,550.90
|
2025-12-24
|
|
2201
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
56
|
14
|
—
|
—
|
$15,525.21
|
$105,952.76
|
$29,831.50
|
2025-12-24
|
|
6221
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
56
|
14
|
—
|
—
|
$15,520.20
|
$78,239.85
|
$26,136.00
|
2025-12-24
|
|
4411
|
APR_DRG
|
Major Bladder Procedures
|
56
|
14
|
—
|
—
|
$15,396.34
|
$101,751.18
|
$31,558.07
|
2025-12-24
|
|
3081
|
APR_DRG
|
Hip And Femur Fracture Repair
|
56
|
14
|
—
|
—
|
$15,326.28
|
$60,322.05
|
$22,902.31
|
2025-12-24
|
|
3091
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
56
|
14
|
—
|
—
|
$15,268.72
|
$76,500.04
|
$26,327.58
|
2025-12-24
|
|
4421
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
56
|
14
|
—
|
—
|
$15,172.39
|
$77,960.41
|
$23,527.40
|
2025-12-24
|
|
6501
|
APR_DRG
|
Splenectomy
|
56
|
14
|
—
|
—
|
$15,161.13
|
$78,560.33
|
$26,460.35
|
2025-12-24
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
8
|
8
|
—
|
—
|
$15,119.69
|
$36,287.26
|
$15,119.69
|
2025-12-24
|
|
7921
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
56
|
14
|
—
|
—
|
$14,962.20
|
$90,006.86
|
$25,268.18
|
2025-12-24
|
|
5111
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
56
|
14
|
—
|
—
|
$14,882.13
|
$88,242.15
|
$24,090.56
|
2025-12-24
|
|
2241
|
APR_DRG
|
Peritoneal Adhesiolysis
|
56
|
14
|
—
|
—
|
$14,854.60
|
$74,109.14
|
$23,111.87
|
2025-12-24
|
|
3611
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
56
|
14
|
—
|
—
|
$14,808.31
|
$102,048.94
|
$25,491.04
|
2025-12-24
|
|
221
|
APR_DRG
|
Ventricular Shunt Procedures
|
56
|
14
|
—
|
—
|
$14,691.96
|
$77,408.66
|
$22,385.75
|
2025-12-24
|
|
3131
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
56
|
14
|
—
|
—
|
$14,628.15
|
$75,895.74
|
$25,337.78
|
2025-12-24
|
|
1211
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
56
|
14
|
—
|
—
|
$14,599.37
|
$88,950.48
|
$26,266.74
|
2025-12-24
|
|
8501
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Heal…
|
56
|
14
|
—
|
—
|
$14,550.08
|
$67,448.14
|
$24,098.66
|
2025-12-24
|
|
5101
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Proced…
|
56
|
14
|
—
|
—
|
$14,385.43
|
$92,034.31
|
$24,143.89
|
2025-12-24
|
|
2641
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
56
|
14
|
—
|
—
|
$14,370.42
|
$83,013.70
|
$21,102.88
|
2025-12-24
|
|
2301
|
APR_DRG
|
Major Small Bowel Procedures
|
56
|
14
|
—
|
—
|
$14,359.16
|
$89,150.79
|
$26,567.17
|
2025-12-24
|
|
4801
|
APR_DRG
|
Major Male Pelvic Procedures
|
56
|
14
|
—
|
—
|
$14,235.30
|
$75,168.84
|
$22,753.74
|
2025-12-24
|
|
4011
|
APR_DRG
|
Adrenal Procedures
|
56
|
14
|
—
|
—
|
$14,225.29
|
$93,512.20
|
$31,536.01
|
2025-12-24
|
|
8511
|
APR_DRG
|
Gender Related Procedures
|
56
|
14
|
—
|
—
|
$14,091.67
|
$91,906.39
|
$22,082.98
|
2025-12-24
|
|
921
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
56
|
14
|
—
|
—
|
$14,030.11
|
$87,966.28
|
$25,221.42
|
2025-12-24
|
|
4051
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
56
|
14
|
—
|
—
|
$13,872.47
|
$82,131.35
|
$21,845.26
|
2025-12-24
|
|
3621
|
APR_DRG
|
Mastectomy Procedures
|
56
|
14
|
—
|
—
|
$13,774.88
|
$67,792.51
|
$23,579.95
|
2025-12-24
|
|
5121
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
56
|
14
|
—
|
—
|
$13,771.13
|
$81,675.94
|
$22,349.15
|
2025-12-24
|
|
4471
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
56
|
14
|
—
|
—
|
$13,734.85
|
$78,282.26
|
$21,394.54
|
2025-12-24
|
|
261
|
APR_DRG
|
Other Nervous System And Related Procedures
|
56
|
14
|
—
|
—
|
$13,644.76
|
$79,797.38
|
$23,591.37
|
2025-12-24
|
|
2231
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
56
|
14
|
—
|
—
|
$12,974.16
|
$69,719.25
|
$21,030.47
|
2025-12-24
|
|
8421
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
56
|
14
|
—
|
—
|
$12,901.60
|
$182,693.65
|
$31,164.90
|
2025-12-24
|
|
1801
|
APR_DRG
|
Other Circulatory System Procedures
|
56
|
14
|
—
|
—
|
$12,881.58
|
$67,216.69
|
$20,895.50
|
2025-12-24
|
|
4431
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
56
|
14
|
—
|
—
|
$12,871.57
|
$62,864.03
|
$19,897.42
|
2025-12-24
|
|
1771
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
56
|
14
|
—
|
—
|
$12,859.06
|
$61,981.66
|
$24,247.58
|
2025-12-24
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
56
|
14
|
—
|
—
|
$12,763.97
|
$246,517.91
|
$101,893.49
|
2025-12-24
|
|
6811
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
56
|
14
|
—
|
—
|
$12,645.12
|
$105,985.61
|
$23,603.57
|
2025-12-24
|
|
3121
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
56
|
14
|
—
|
—
|
$12,590.07
|
$103,406.41
|
$28,993.26
|
2025-12-24
|
|
4841
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
56
|
14
|
—
|
—
|
$12,538.77
|
$71,652.55
|
$18,377.77
|
2025-12-24
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
8
|
8
|
—
|
—
|
$12,453.00
|
$29,887.20
|
$12,453.00
|
2025-12-24
|
|
2271
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
56
|
14
|
—
|
—
|
$12,382.38
|
$69,964.46
|
$19,922.44
|
2025-12-24
|
|
2321
|
APR_DRG
|
Gastric Fundoplication
|
56
|
14
|
—
|
—
|
$12,362.36
|
$86,019.84
|
$19,426.53
|
2025-12-24
|
|
4031
|
APR_DRG
|
Procedures For Obesity
|
56
|
14
|
—
|
—
|
$12,341.09
|
$80,007.56
|
$19,374.60
|
2025-12-24
|
|
3101
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
56
|
14
|
—
|
—
|
$12,294.80
|
$73,220.21
|
$21,498.24
|
2025-12-24
|
|
2291
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
56
|
14
|
—
|
—
|
$12,288.54
|
$75,626.44
|
$23,132.51
|
2025-12-24
|
|
9511
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
56
|
14
|
—
|
—
|
$12,179.70
|
$75,600.16
|
$22,115.19
|
2025-12-24
|
|
1311
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease
|
56
|
14
|
—
|
—
|
$12,087.11
|
$50,215.65
|
$20,655.91
|
2025-12-24
|
|
6111
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
56
|
14
|
—
|
—
|
$12,080.86
|
$145,341.19
|
$41,311.21
|
2025-12-24
|
|
K0863
|
HCPCS
|
Pwc Gp3 Vhd Mult Pow Opt S/b
|
8
|
8
|
—
|
—
|
$12,064.92
|
$28,955.81
|
$12,064.92
|
2025-12-24
|
|
K0860
|
HCPCS
|
Pwc Gp3 Vhd Sing Pow Opt S/b
|
8
|
8
|
—
|
—
|
$12,064.92
|
$28,955.81
|
$12,064.92
|
2025-12-24
|
|
K0864
|
HCPCS
|
Pwc Gp3 Xhd Mult Pow Opt S/b
|
8
|
8
|
—
|
—
|
$11,964.50
|
$28,714.80
|
$11,964.50
|
2025-12-24
|
|
3141
|
APR_DRG
|
Foot And Toe Procedures
|
56
|
14
|
—
|
—
|
$11,957.00
|
$53,357.35
|
$16,456.82
|
2025-12-24
|
|
2631
|
APR_DRG
|
Cholecystectomy
|
56
|
14
|
—
|
—
|
$11,751.81
|
$61,486.85
|
$18,665.37
|
2025-12-24
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
8
|
8
|
—
|
—
|
$11,705.58
|
$28,093.39
|
$11,705.58
|
2025-12-24
|
|
K0854
|
HCPCS
|
Pwc Gp 3 Xhd Seat/back
|
8
|
8
|
—
|
—
|
$11,566.32
|
$27,759.17
|
$11,566.32
|
2025-12-24
|
|
3201
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
56
|
14
|
—
|
—
|
$11,552.88
|
$70,514.03
|
$21,593.47
|
2025-12-24
|
|
6511
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
56
|
14
|
—
|
—
|
$11,474.06
|
$81,450.43
|
$22,093.14
|
2025-12-24
|
|
241
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
56
|
14
|
—
|
—
|
$11,427.77
|
$76,530.69
|
$21,234.72
|
2025-12-24
|
|
7111
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
56
|
14
|
—
|
—
|
$11,416.51
|
$74,514.19
|
$21,266.46
|
2025-12-24
|
|
K0840
|
HCPCS
|
Pwc Gp2 Xhd Sing Pow Opt S/b
|
8
|
8
|
—
|
—
|
$11,397.96
|
$27,355.10
|
$11,397.96
|
2025-12-24
|
|
3051
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
56
|
14
|
—
|
—
|
$11,355.21
|
$70,984.76
|
$20,765.22
|
2025-12-24
|
|
2331
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
56
|
14
|
—
|
—
|
$11,338.94
|
$55,645.34
|
$19,248.08
|
2025-12-24
|
|
3631
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
56
|
14
|
—
|
—
|
$11,205.07
|
$67,877.90
|
$26,467.54
|
2025-12-24
|
|
6251
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
56
|
14
|
—
|
—
|
$11,056.19
|
$75,208.63
|
$23,314.24
|
2025-12-24
|
|
7931
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
56
|
14
|
—
|
—
|
$10,984.87
|
$70,980.38
|
$19,567.90
|
2025-12-24
|
|
K0855
|
HCPCS
|
Pwc Gp 3 Xhd Cap Chair
|
8
|
8
|
—
|
—
|
$10,926.12
|
$26,222.69
|
$10,926.12
|
2025-12-24
|
|
7101
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
56
|
14
|
—
|
—
|
$10,858.51
|
$81,713.16
|
$22,917.95
|
2025-12-24
|
|
1921
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions
|
56
|
14
|
—
|
—
|
$10,725.89
|
$57,092.58
|
$17,708.42
|
2025-12-24
|
|
3151
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
56
|
14
|
—
|
—
|
$10,710.88
|
$71,324.13
|
$23,100.92
|
2025-12-24
|
|
4451
|
APR_DRG
|
Other Bladder Procedures
|
56
|
14
|
—
|
—
|
$10,633.31
|
$61,224.11
|
$17,303.37
|
2025-12-24
|
|
5131
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
56
|
14
|
—
|
—
|
$10,565.75
|
$60,357.08
|
$17,938.78
|
2025-12-24
|
|
3171
|
APR_DRG
|
Tendon Muscle And Other Soft Tissue Procedures
|
56
|
14
|
—
|
—
|
$10,494.43
|
$64,499.55
|
$18,676.01
|
2025-12-24
|
|
4041
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
56
|
14
|
—
|
—
|
$10,289.25
|
$81,829.20
|
$21,611.78
|
2025-12-24
|
|
1911
|
APR_DRG
|
Cardiac Catheterization For Coronary Artery Disease
|
56
|
14
|
—
|
—
|
$10,049.03
|
$44,063.05
|
$14,927.17
|
2025-12-24
|
|
731
|
APR_DRG
|
Orbit And Eye Procedures
|
56
|
14
|
—
|
—
|
$10,010.25
|
$61,843.73
|
$17,385.47
|
2025-12-24
|
|
5191
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
56
|
14
|
—
|
—
|
$10,000.24
|
$72,037.90
|
$18,193.07
|
2025-12-24
|
|
9521
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
56
|
14
|
—
|
—
|
$9,957.70
|
$70,419.88
|
$19,103.42
|
2025-12-24
|
|
2281
|
APR_DRG
|
Inguinal Femoral And Umbilical Hernia Procedures
|
56
|
14
|
—
|
—
|
$9,853.86
|
$56,127.03
|
$16,408.50
|
2025-12-24
|
|
4831
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
56
|
14
|
—
|
—
|
$9,843.85
|
$60,291.40
|
$18,493.50
|
2025-12-24
|
|
4441
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
56
|
14
|
—
|
—
|
$9,785.04
|
$64,786.38
|
$19,963.72
|
2025-12-24
|
|
6231
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
56
|
14
|
—
|
—
|
$9,611.14
|
$74,879.83
|
$27,356.31
|
2025-12-24
|
|
6141
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
56
|
14
|
—
|
—
|
$9,558.59
|
$99,167.91
|
$35,621.56
|
2025-12-24
|
|
401
|
APR_DRG
|
Spinal Disorders And Injuries
|
56
|
14
|
—
|
—
|
$9,504.79
|
$48,928.05
|
$17,805.85
|
2025-12-24
|
|
491
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
56
|
14
|
—
|
—
|
$9,474.76
|
$64,427.30
|
$22,387.63
|
2025-12-24
|
|
8631
|
APR_DRG
|
Neonatal Aftercare
|
56
|
14
|
—
|
—
|
$9,389.69
|
$152,646.75
|
$37,076.46
|
2025-12-24
|
|
6901
|
APR_DRG
|
Acute Leukemia
|
56
|
14
|
—
|
—
|
$9,349.65
|
$105,177.69
|
$25,899.68
|
2025-12-24
|
|
6911
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
56
|
14
|
—
|
—
|
$9,252.06
|
$60,766.51
|
$16,699.85
|
2025-12-24
|
|
7941
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
56
|
14
|
—
|
—
|
$9,168.24
|
$58,524.49
|
$16,089.30
|
2025-12-24
|
|
981
|
APR_DRG
|
Other Ear Nose Mouth And Throat Procedures
|
56
|
14
|
—
|
—
|
$9,148.22
|
$70,448.34
|
$18,383.08
|
2025-12-24
|
|
2341
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis
|
56
|
14
|
—
|
—
|
$9,105.68
|
$50,940.18
|
$15,683.16
|
2025-12-24
|
|
4461
|
APR_DRG
|
Urethral And Transurethral Procedures
|
56
|
14
|
—
|
—
|
$9,061.89
|
$53,127.45
|
$15,551.79
|
2025-12-24
|
|
951
|
APR_DRG
|
Cleft Lip And Palate Repair
|
56
|
14
|
—
|
—
|
$9,060.64
|
$42,254.55
|
$13,611.14
|
2025-12-24
|
|
5181
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
56
|
14
|
—
|
—
|
$9,011.85
|
$71,624.09
|
$18,861.01
|
2025-12-24
|
|
3161
|
APR_DRG
|
Hand And Wrist Procedures
|
56
|
14
|
—
|
—
|
$8,990.58
|
$59,669.59
|
$16,722.06
|
2025-12-24
|
|
431
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
56
|
14
|
—
|
—
|
$8,928.02
|
$60,324.24
|
$16,322.95
|
2025-12-24
|
|
E1008
|
HCPCS
|
Pwr Seat Combo Pwr Shear
|
8
|
8
|
—
|
—
|
$8,742.05
|
$20,980.92
|
$8,742.05
|
2025-12-24
|
|
E1007
|
HCPCS
|
Pwr Seat Combo W/shear
|
8
|
8
|
—
|
—
|
$8,741.27
|
$20,979.05
|
$8,741.27
|
2025-12-24
|
|
K0853
|
HCPCS
|
Pwc Gp 3 Vhd Cap Chair
|
8
|
8
|
—
|
—
|
$8,730.72
|
$20,953.73
|
$8,730.72
|
2025-12-24
|
|
5141
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
56
|
14
|
—
|
—
|
$8,709.08
|
$78,242.85
|
$19,085.28
|
2025-12-24
|
|
8601
|
APR_DRG
|
Rehabilitation
|
56
|
14
|
—
|
—
|
$8,531.67
|
$20,023.00
|
$13,026.83
|
2025-12-24
|
|
K0852
|
HCPCS
|
Pwc Gp 3 Vhd Seat/back
|
8
|
8
|
—
|
—
|
$8,499.12
|
$20,397.89
|
$8,499.12
|
2025-12-24
|
|
1901
|
APR_DRG
|
Acute Myocardial Infarction
|
56
|
14
|
—
|
—
|
$8,493.88
|
$32,837.65
|
$11,722.88
|
2025-12-24
|
|
1931
|
APR_DRG
|
Acute And Subacute Endocarditis
|
56
|
14
|
—
|
—
|
$8,463.86
|
$41,987.44
|
$15,150.02
|
2025-12-24
|
|
2261
|
APR_DRG
|
Anal And Perineal Procedures
|
56
|
14
|
—
|
—
|
$8,452.60
|
$50,736.55
|
$14,684.29
|
2025-12-24
|
|
581
|
APR_DRG
|
Other Disorders Of Nervous System
|
56
|
14
|
—
|
—
|
$8,448.84
|
$35,835.03
|
$14,473.17
|
2025-12-24
|
|
451
|
APR_DRG
|
Cva And Precerebral Occlusion With Infarction
|
56
|
14
|
—
|
—
|
$8,441.34
|
$37,818.69
|
$13,586.59
|
2025-12-24
|
|
9301
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
56
|
14
|
—
|
—
|
$8,412.56
|
$54,476.16
|
$14,081.41
|
2025-12-24
|
|
8901
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
56
|
14
|
—
|
—
|
$8,288.70
|
$47,909.95
|
$12,457.76
|
2025-12-24
|
|
411
|
APR_DRG
|
Nervous System Malignancy
|
56
|
14
|
—
|
—
|
$8,283.69
|
$29,163.71
|
$11,094.50
|
2025-12-24
|
|
3641
|
APR_DRG
|
Other Skin Subcutaneous Tissue And Related Procedures
|
56
|
14
|
—
|
—
|
$8,229.90
|
$54,756.41
|
$15,907.58
|
2025-12-24
|
|
8931
|
APR_DRG
|
HIV With Multiple Significant HIV Related Conditions
|
56
|
14
|
—
|
—
|
$8,193.61
|
$30,845.23
|
$11,697.54
|
2025-12-24
|
|
3431
|
APR_DRG
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
56
|
14
|
—
|
—
|
$8,157.33
|
$41,803.53
|
$13,299.15
|
2025-12-24
|
|
6081
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
56
|
14
|
—
|
—
|
$8,137.31
|
$104,656.10
|
$53,971.81
|
2025-12-24
|
|
441
|
APR_DRG
|
Intracranial Hemorrhage
|
56
|
14
|
—
|
—
|
$8,048.48
|
$29,308.23
|
$14,301.13
|
2025-12-24
|
|
2221
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
56
|
14
|
—
|
—
|
$8,037.22
|
$70,612.55
|
$18,988.17
|
2025-12-24
|
|
1101
|
APR_DRG
|
Ear Nose Mouth Throat And Cranial Or Facial Malignancies
|
56
|
14
|
—
|
—
|
$7,829.54
|
$39,106.10
|
$11,985.77
|
2025-12-24
|
|
8921
|
APR_DRG
|
HIV With Major HIV Related Condition
|
56
|
14
|
—
|
—
|
$7,799.51
|
$32,754.45
|
$10,763.11
|
2025-12-24
|
|
4821
|
APR_DRG
|
Transurethral Prostatectomy
|
56
|
14
|
—
|
—
|
$7,797.01
|
$51,688.98
|
$14,820.67
|
2025-12-24
|
|
7401
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
56
|
14
|
—
|
—
|
$7,739.95
|
$54,069.86
|
$18,254.66
|
2025-12-24
|
|
6611
|
APR_DRG
|
Coagulation And Platelet Disorders
|
56
|
14
|
—
|
—
|
$7,704.42
|
$44,428.69
|
$12,795.40
|
2025-12-24
|
|
2401
|
APR_DRG
|
Digestive Malignancy
|
56
|
14
|
—
|
—
|
$7,666.89
|
$35,147.54
|
$11,879.90
|
2025-12-24
|
|
5171
|
APR_DRG
|
Dilation And Curettage For Non-obstetric Diagnoses
|
56
|
14
|
—
|
—
|
$7,648.12
|
$47,141.45
|
$13,532.95
|
2025-12-24
|
|
1351
|
APR_DRG
|
Major Chest And Respiratory Trauma
|
56
|
14
|
—
|
—
|
$7,644.37
|
$39,858.59
|
$11,802.49
|
2025-12-24
|
|
501
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
56
|
14
|
—
|
—
|
$7,345.35
|
$67,759.68
|
$17,565.48
|
2025-12-24
|
|
3441
|
APR_DRG
|
Osteomyelitis Septic Arthritis And Other Musculoskeletal Infections
|
56
|
14
|
—
|
—
|
$7,195.21
|
$36,108.71
|
$12,296.05
|
2025-12-24
|
|
421
|
APR_DRG
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
56
|
14
|
—
|
—
|
$7,167.69
|
$39,417.00
|
$11,917.74
|
2025-12-24
|
|
461
|
APR_DRG
|
Nonspecific Cva And Precerebral Occlusion Without Infarction
|
56
|
14
|
—
|
—
|
$7,161.43
|
$36,855.33
|
$10,754.67
|
2025-12-24
|
|
471
|
APR_DRG
|
Transient Ischemia
|
56
|
14
|
—
|
—
|
$7,112.64
|
$30,527.76
|
$10,237.95
|
2025-12-24
|
|
2841
|
APR_DRG
|
Disorders Of Gallbladder And Biliary Tract
|
56
|
14
|
—
|
—
|
$7,022.56
|
$38,177.76
|
$12,126.06
|
2025-12-24
|
|
2061
|
APR_DRG
|
Malfunction Reaction Complication Of Cardiac Or Vascular Device Or Procedure
|
56
|
14
|
—
|
—
|
$6,858.66
|
$36,174.40
|
$9,624.74
|
2025-12-24
|
|
6961
|
APR_DRG
|
Other Chemotherapy
|
56
|
14
|
—
|
—
|
$6,786.10
|
$45,681.08
|
$11,834.69
|
2025-12-24
|
|
551
|
APR_DRG
|
Head Trauma With Coma > 1 Hour Or Hemorrhage
|
56
|
14
|
—
|
—
|
$6,744.81
|
$45,805.88
|
$13,311.19
|
2025-12-24
|
|
7591
|
APR_DRG
|
Eating Disorders
|
56
|
14
|
—
|
—
|
$6,720.04
|
$39,230.28
|
$10,491.80
|
2025-12-24
|
|
6921
|
APR_DRG
|
Radiotherapy
|
56
|
14
|
—
|
—
|
$6,716.03
|
$60,011.14
|
$18,590.15
|
2025-12-24
|
|
1361
|
APR_DRG
|
Respiratory Malignancy
|
56
|
14
|
—
|
—
|
$6,709.78
|
$35,070.78
|
$12,245.85
|
2025-12-24
|
|
3461
|
APR_DRG
|
Connective Tissue Disorders
|
56
|
14
|
—
|
—
|
$6,698.52
|
$49,418.49
|
$12,458.70
|
2025-12-24
|
|
6601
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
56
|
14
|
—
|
—
|
$6,669.74
|
$44,036.78
|
$10,873.68
|
2025-12-24
|
|
1421
|
APR_DRG
|
Interstitial And Alveolar Lung Diseases
|
56
|
14
|
—
|
—
|
$6,663.49
|
$35,219.41
|
$10,597.65
|
2025-12-24
|
|
481
|
APR_DRG
|
Peripheral Cranial And Autonomic Nerve Disorders
|
56
|
14
|
—
|
—
|
$6,657.23
|
$35,219.79
|
$10,013.37
|
2025-12-24
|
|
2411
|
APR_DRG
|
Peptic Ulcer And Gastritis
|
56
|
14
|
—
|
—
|
$6,622.20
|
$40,636.54
|
$11,149.08
|
2025-12-24
|
|
1371
|
APR_DRG
|
Major Respiratory Infections And Inflammations
|
56
|
14
|
—
|
—
|
$6,602.18
|
$33,861.44
|
$10,095.32
|
2025-12-24
|
|
2811
|
APR_DRG
|
Malignancy Of Hepatobiliary System And Pancreas
|
56
|
14
|
—
|
—
|
$6,594.67
|
$30,597.83
|
$11,621.53
|
2025-12-24
|
|
6941
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
56
|
14
|
—
|
—
|
$6,590.92
|
$39,003.19
|
$11,438.88
|
2025-12-24
|
|
6951
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
56
|
14
|
—
|
—
|
$6,509.60
|
$90,466.65
|
$13,420.19
|
2025-12-24
|
|
3471
|
APR_DRG
|
Other Back And Neck Disorders Fractures And Injuries
|
56
|
14
|
—
|
—
|
$6,483.32
|
$36,156.88
|
$10,770.61
|
2025-12-24
|
|
2461
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
56
|
14
|
—
|
—
|
$6,482.07
|
$29,450.54
|
$10,753.42
|
2025-12-24
|
|
561
|
APR_DRG
|
Brain Contusion Or Laceration And Complicated Skull Fracture Coma < 1 Hour Or N…
|
56
|
14
|
—
|
—
|
$6,478.32
|
$36,642.94
|
$11,959.66
|
2025-12-24
|
|
4611
|
APR_DRG
|
Kidney And Urinary Tract Malignancy
|
56
|
14
|
—
|
—
|
$6,335.69
|
$31,543.68
|
$10,988.94
|
2025-12-24
|
|
7241
|
APR_DRG
|
Other Infectious And Parasitic Diseases
|
56
|
14
|
—
|
—
|
$6,228.10
|
$42,893.88
|
$10,738.24
|
2025-12-24
|
|
7201
|
APR_DRG
|
Septicemia And Disseminated Infections
|
56
|
14
|
—
|
—
|
$6,225.59
|
$38,177.76
|
$10,935.92
|
2025-12-24
|
|
1341
|
APR_DRG
|
Pulmonary Embolism
|
56
|
14
|
—
|
—
|
$6,219.34
|
$34,985.20
|
$10,838.80
|
2025-12-24
|
|
2531
|
APR_DRG
|
Other And Unspecified Gastrointestinal Hemorrhage
|
56
|
14
|
—
|
—
|
$6,204.32
|
$34,265.18
|
$10,692.26
|
2025-12-24
|
|
521
|
APR_DRG
|
Alteration In Consciousness
|
56
|
14
|
—
|
—
|
$6,204.32
|
$35,338.03
|
$9,477.90
|
2025-12-24
|
|
8941
|
APR_DRG
|
HIV With One Significant HIV Condition Or Without Significant Related Conditions
|
56
|
14
|
—
|
—
|
$6,143.02
|
$28,975.43
|
$10,154.60
|
2025-12-24
|
|
2521
|
APR_DRG
|
Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure
|
56
|
14
|
—
|
—
|
$6,133.01
|
$35,574.49
|
$10,081.09
|
2025-12-24
|
|
3841
|
APR_DRG
|
Contusion Open Wound And Other Trauma To Skin And Subcutaneous Tissue
|
56
|
14
|
—
|
—
|
$6,100.48
|
$32,421.65
|
$10,318.49
|
2025-12-24
|
|
541
|
APR_DRG
|
Migraine And Other Headaches
|
56
|
14
|
—
|
—
|
$6,100.48
|
$26,341.49
|
$9,153.85
|
2025-12-24
|
|
2451
|
APR_DRG
|
Inflammatory Bowel Disease
|
56
|
14
|
—
|
—
|
$6,079.21
|
$33,325.90
|
$10,392.31
|
2025-12-24
|
|
7211
|
APR_DRG
|
Post-operative Post-traumatic Other Device Infections
|
56
|
14
|
—
|
—
|
$6,075.46
|
$38,786.44
|
$11,303.28
|
2025-12-24
|
|
8131
|
APR_DRG
|
Other Complications Of Treatment
|
56
|
14
|
—
|
—
|
$6,037.92
|
$33,041.26
|
$9,889.20
|
2025-12-24
|
|
3821
|
APR_DRG
|
Malignant Breast Disorders
|
56
|
14
|
—
|
—
|
$5,987.88
|
$28,865.95
|
$10,285.97
|
2025-12-24
|
|
2041
|
APR_DRG
|
Syncope And Collapse
|
56
|
14
|
—
|
—
|
$5,979.12
|
$26,207.94
|
$8,924.43
|
2025-12-24
|
|
5301
|
APR_DRG
|
Female Reproductive System Malignancy
|
56
|
14
|
—
|
—
|
$5,924.07
|
$32,500.46
|
$10,713.22
|
2025-12-24
|
|
821
|
APR_DRG
|
Eye Infections And Other Eye Disorders
|
56
|
14
|
—
|
—
|
$5,924.07
|
$33,943.33
|
$9,810.22
|
2025-12-24
|
|
2421
|
APR_DRG
|
Major Esophageal Disorders
|
56
|
14
|
—
|
—
|
$5,916.57
|
$39,307.53
|
$10,428.74
|
2025-12-24
|
|
6341
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
56
|
14
|
—
|
—
|
$5,910.31
|
$69,292.55
|
$13,175.59
|
2025-12-24
|
|
971
|
APR_DRG
|
Tonsil And Adenoid Procedures
|
56
|
14
|
—
|
—
|
$5,897.80
|
$45,571.60
|
$12,326.24
|
2025-12-24
|
|
571
|
APR_DRG
|
Concussion Closed Skull Fracture Nos And Uncomplicated Intracranial Injury Co…
|
56
|
14
|
—
|
—
|
$5,861.52
|
$35,581.05
|
$12,006.73
|
2025-12-24
|
|
5001
|
APR_DRG
|
Malignancy Male Reproductive System
|
56
|
14
|
—
|
—
|
$5,842.75
|
$36,143.75
|
$10,249.83
|
2025-12-24
|
|
591
|
APR_DRG
|
Anoxic And Other Severe Brain Damage
|
56
|
14
|
—
|
—
|
$5,778.94
|
$33,196.73
|
$12,373.78
|
2025-12-24
|
|
1401
|
APR_DRG
|
Chronic Obstructive Pulmonary Disease
|
56
|
14
|
—
|
—
|
$5,770.18
|
$29,132.19
|
$8,822.93
|
2025-12-24
|
|
2071
|
APR_DRG
|
Other Circulatory System Diagnoses
|
56
|
14
|
—
|
—
|
$5,765.18
|
$31,804.21
|
$9,592.53
|
2025-12-24
|
|
4231
|
APR_DRG
|
Inborn Errors Of Metabolism
|
56
|
14
|
—
|
—
|
$5,762.68
|
$47,870.54
|
$10,444.39
|
2025-12-24
|
|
3801
|
APR_DRG
|
Skin Ulcers
|
56
|
14
|
—
|
—
|
$5,761.43
|
$33,030.33
|
$10,062.80
|
2025-12-24
|
|
2481
|
APR_DRG
|
Major Gastrointestinal And Peritoneal Infections
|
56
|
14
|
—
|
—
|
$5,755.17
|
$34,766.56
|
$10,233.58
|
2025-12-24
|
|
2431
|
APR_DRG
|
Other Esophageal Disorders
|
56
|
14
|
—
|
—
|
$5,750.17
|
$34,199.50
|
$9,927.05
|
2025-12-24
|
|
2821
|
APR_DRG
|
Disorders Of Pancreas Except Malignancy
|
56
|
14
|
—
|
—
|
$5,741.41
|
$43,894.46
|
$10,378.70
|
2025-12-24
|
|
3491
|
APR_DRG
|
Malfunction Reaction Complication Of Orthopedic Device Or Procedure
|
56
|
14
|
—
|
—
|
$5,708.88
|
$34,116.30
|
$10,884.62
|
2025-12-24
|
|
2441
|
APR_DRG
|
Diverticulitis And Diverticulosis
|
56
|
14
|
—
|
—
|
$5,653.83
|
$34,359.33
|
$10,224.81
|
2025-12-24
|
|
2801
|
APR_DRG
|
Alcoholic Liver Disease
|
56
|
14
|
—
|
—
|
$5,617.55
|
$40,448.24
|
$10,059.51
|
2025-12-24
|
|
1941
|
APR_DRG
|
Heart Failure
|
56
|
14
|
—
|
—
|
$5,570.00
|
$32,036.30
|
$9,729.37
|
2025-12-24
|
|
5391
|
APR_DRG
|
Cesarean Section With Sterilization
|
56
|
14
|
—
|
—
|
$5,563.64
|
$27,283.90
|
$8,575.02
|
2025-12-24
|
|
3421
|
APR_DRG
|
Fractures And Dislocations Except Femur Pelvis And Back
|
56
|
14
|
—
|
—
|
$5,562.50
|
$31,629.06
|
$9,819.76
|
2025-12-24
|
|
3411
|
APR_DRG
|
Fracture Of Pelvis Or Dislocation Of Hip
|
56
|
14
|
—
|
—
|
$5,554.99
|
$28,224.44
|
$8,589.28
|
2025-12-24
|
|
4651
|
APR_DRG
|
Urinary Stones And Acquired Upper Urinary Tract Obstruction
|
56
|
14
|
—
|
—
|
$5,547.48
|
$32,524.55
|
$9,690.11
|
2025-12-24
|
|
1431
|
APR_DRG
|
Other Respiratory Diagnoses Except Signs Symptoms And Miscellaneous Diagnoses
|
56
|
14
|
—
|
—
|
$5,517.46
|
$32,951.63
|
$10,522.27
|
2025-12-24
|
|
5471
|
APR_DRG
|
Antepartum With O.r. Procedure
|
56
|
14
|
—
|
—
|
$5,505.29
|
$28,250.03
|
$10,899.57
|
2025-12-24
|
|
6621
|
APR_DRG
|
Sickle Cell Anemia Crisis
|
56
|
14
|
—
|
—
|
$5,487.43
|
$39,487.06
|
$10,091.58
|
2025-12-24
|
|
1991
|
APR_DRG
|
Hypertension
|
56
|
14
|
—
|
—
|
$5,483.68
|
$28,368.94
|
$8,812.29
|
2025-12-24
|
|
6361
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
56
|
14
|
—
|
—
|
$5,476.17
|
$57,363.58
|
$16,618.38
|
2025-12-24
|
|
2541
|
APR_DRG
|
Other Digestive System Diagnoses
|
56
|
14
|
—
|
—
|
$5,393.59
|
$32,750.06
|
$9,983.66
|
2025-12-24
|
|
2831
|
APR_DRG
|
Other Disorders Of The Liver
|
56
|
14
|
—
|
—
|
$5,377.33
|
$33,001.85
|
$9,460.69
|
2025-12-24
|
|
1441
|
APR_DRG
|
Respiratory Signs Symptoms And Miscellaneous Diagnoses
|
56
|
14
|
—
|
—
|
$5,351.06
|
$31,758.05
|
$9,579.39
|
2025-12-24
|
|
4241
|
APR_DRG
|
Other Endocrine Disorders
|
56
|
14
|
—
|
—
|
$5,342.30
|
$34,663.66
|
$10,142.71
|
2025-12-24
|
|
2791
|
APR_DRG
|
Hepatic Coma And Other Major Acute Liver Disorders
|
56
|
14
|
—
|
—
|
$5,341.05
|
$37,777.09
|
$9,345.11
|
2025-12-24
|
|
5311
|
APR_DRG
|
Female Reproductive System Infections
|
56
|
14
|
—
|
—
|
$5,339.80
|
$32,277.14
|
$9,775.19
|
2025-12-24
|
|
8431
|
APR_DRG
|
Extensive Third Degree Burns Without Skin Graft
|
56
|
14
|
—
|
—
|
$5,296.01
|
$37,967.58
|
$10,305.04
|
2025-12-24
|
|
511
|
APR_DRG
|
Viral Meningitis
|
56
|
14
|
—
|
—
|
$5,287.25
|
$42,473.50
|
$11,544.76
|
2025-12-24
|
|
3511
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
56
|
14
|
—
|
—
|
$5,269.73
|
$33,420.05
|
$9,215.93
|
2025-12-24
|
|
2051
|
APR_DRG
|
Cardiomyopathy
|
56
|
14
|
—
|
—
|
$5,245.96
|
$36,237.89
|
$8,986.51
|
2025-12-24
|
|
6631
|
APR_DRG
|
Other Anemia And Disorders Of Blood And Blood-forming Organs
|
56
|
14
|
—
|
—
|
$5,195.92
|
$31,007.25
|
$9,851.36
|
2025-12-24
|
|
531
|
APR_DRG
|
Seizure
|
56
|
14
|
—
|
—
|
$5,172.15
|
$36,187.54
|
$8,795.24
|
2025-12-24
|
|
1971
|
APR_DRG
|
Peripheral And Other Vascular Disorders
|
56
|
14
|
—
|
—
|
$5,157.13
|
$29,774.58
|
$9,116.62
|
2025-12-24
|
|
2511
|
APR_DRG
|
Abdominal Pain
|
56
|
14
|
—
|
—
|
$5,124.60
|
$23,663.78
|
$8,455.72
|
2025-12-24
|
|
2471
|
APR_DRG
|
Intestinal Obstruction
|
56
|
14
|
—
|
—
|
$5,122.10
|
$31,657.53
|
$9,050.32
|
2025-12-24
|
|
3401
|
APR_DRG
|
Fracture Of Femur
|
56
|
14
|
—
|
—
|
$5,120.85
|
$25,750.34
|
$8,612.90
|
2025-12-24
|
|
4261
|
APR_DRG
|
Non-hypovolemic Sodium Disorders
|
56
|
14
|
—
|
—
|
$5,060.80
|
$31,322.54
|
$9,146.34
|
2025-12-24
|
|
4691
|
APR_DRG
|
Acute Kidney Injury
|
56
|
14
|
—
|
—
|
$5,032.02
|
$36,091.20
|
$9,319.00
|
2025-12-24
|
|
4681
|
APR_DRG
|
Other Kidney And Urinary Tract Diagnoses Signs And Symptoms
|
56
|
14
|
—
|
—
|
$5,032.02
|
$32,782.91
|
$9,199.52
|
2025-12-24
|
|
5011
|
APR_DRG
|
Male Reproductive System Diagnoses Except Malignancy
|
56
|
14
|
—
|
—
|
$4,975.72
|
$34,298.03
|
$9,038.28
|
2025-12-24
|
|
1151
|
APR_DRG
|
Other Ear Nose Mouth Throat And Cranial Or Facial Diagnoses
|
56
|
14
|
—
|
—
|
$4,971.97
|
$33,192.34
|
$9,638.98
|
2025-12-24
|
|
8101
|
APR_DRG
|
Hemorrhage Or Hematoma Due To Complication
|
56
|
14
|
—
|
—
|
$4,969.46
|
$37,869.05
|
$9,643.35
|
2025-12-24
|
|
1391
|
APR_DRG
|
Other Pneumonia
|
56
|
14
|
—
|
—
|
$4,961.96
|
$29,996.96
|
$9,059.24
|
2025-12-24
|
|
4271
|
APR_DRG
|
Thyroid Disorders
|
56
|
14
|
—
|
—
|
$4,935.68
|
$38,396.71
|
$9,638.82
|
2025-12-24
|
|
2001
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
56
|
14
|
—
|
—
|
$4,921.92
|
$31,598.41
|
$9,428.31
|
2025-12-24
|
|
2011
|
APR_DRG
|
Cardiac Arrhythmia And Conduction Disorders
|
56
|
14
|
—
|
—
|
$4,826.84
|
$30,271.59
|
$8,643.39
|
2025-12-24
|
|
3831
|
APR_DRG
|
Cellulitis And Other Skin Infections
|
56
|
14
|
—
|
—
|
$4,751.77
|
$32,730.36
|
$8,921.45
|
2025-12-24
|
|
3851
|
APR_DRG
|
Other Skin Subcutaneous Tissue And Breast Disorders
|
56
|
14
|
—
|
—
|
$4,705.48
|
$30,521.19
|
$8,725.03
|
2025-12-24
|
|
4661
|
APR_DRG
|
Malfunction Reaction Complication Of Genitourinary Device Or Procedure
|
56
|
14
|
—
|
—
|
$4,704.23
|
$26,906.38
|
$8,805.88
|
2025-12-24
|
|
4621
|
APR_DRG
|
Nephritis And Nephrosis
|
56
|
14
|
—
|
—
|
$4,674.20
|
$41,923.94
|
$10,457.52
|
2025-12-24
|
|
6311
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
56
|
14
|
—
|
—
|
$4,565.35
|
$332,272.78
|
$52,345.19
|
2025-12-24
|
|
4211
|
APR_DRG
|
Malnutrition Failure To Thrive And Other Nutritional Disorders
|
56
|
14
|
—
|
—
|
$4,376.43
|
$34,208.25
|
$9,120.07
|
2025-12-24
|
|
1961
|
APR_DRG
|
Cardiac Arrest And Shock
|
56
|
14
|
—
|
—
|
$4,352.66
|
$30,928.43
|
$8,614.93
|
2025-12-24
|
|
8151
|
APR_DRG
|
Other Injury Poisoning And Toxic Effect Diagnoses
|
56
|
14
|
—
|
—
|
$4,193.77
|
$37,418.01
|
$8,642.76
|
2025-12-24
|
|
1331
|
APR_DRG
|
Respiratory Failure
|
56
|
14
|
—
|
—
|
$4,094.93
|
$34,744.24
|
$10,678.03
|
2025-12-24
|
|
8611
|
APR_DRG
|
Signs Symptoms And Other Factors Influencing Health Status
|
56
|
14
|
—
|
—
|
$4,091.17
|
$24,416.95
|
$9,034.06
|
2025-12-24
|
|
3811
|
APR_DRG
|
Major Skin Disorders
|
56
|
14
|
—
|
—
|
$4,052.39
|
$45,913.15
|
$10,424.99
|
2025-12-24
|
|
6211
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
56
|
14
|
—
|
—
|
$3,967.31
|
$113,520.08
|
$24,012.84
|
2025-12-24
|
|
8441
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
56
|
14
|
—
|
—
|
$3,941.04
|
$44,003.94
|
$9,868.87
|
2025-12-24
|
|
5481
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
56
|
14
|
—
|
—
|
$3,747.28
|
$37,607.06
|
$11,436.55
|
2025-12-24
|
|
6391
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
56
|
14
|
—
|
—
|
$3,425.58
|
$49,990.45
|
$11,485.94
|
2025-12-24
|
|
6331
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
56
|
14
|
—
|
—
|
$1,940.49
|
$106,827.05
|
$13,920.01
|
2025-12-24
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
56
|
14
|
—
|
—
|
$1,931.73
|
$341,634.44
|
$126,044.58
|
2025-12-24
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
56
|
14
|
—
|
—
|
$1,652.73
|
$256,275.94
|
$55,924.50
|
2025-12-24
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
56
|
14
|
—
|
—
|
$1,092.23
|
$338,227.13
|
$106,959.76
|
2025-12-24
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational …
|
56
|
14
|
—
|
—
|
$1,091.78
|
$85,867.83
|
$50,028.73
|
2025-12-24
|