|
J9999
|
HCPCS
|
Lifileucel Til/dose 7.5b-72b Snij
|
27
|
20
|
$3,759,504.00
|
$2,628,607.60
30% off
|
$1,584,254.99
|
$3,646,718.88
|
$1,804,561.92
|
2026-02-12
|
|
5834
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$196,675.71
|
$196,675.71
|
$196,675.71
|
2026-02-12
|
|
5884
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$161,354.36
|
$161,354.36
|
$161,354.36
|
2026-02-12
|
|
5833
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$155,808.03
|
$155,808.03
|
$155,808.03
|
2026-02-12
|
|
1614
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$154,275.49
|
$154,275.49
|
$154,275.49
|
2026-02-12
|
|
24
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$148,875.12
|
$148,875.12
|
$148,875.12
|
2026-02-12
|
|
1613
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$118,151.38
|
$118,151.38
|
$118,151.38
|
2026-02-12
|
|
6304
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
1
|
1
|
—
|
—
|
$117,129.69
|
$117,129.69
|
$117,129.69
|
2026-02-12
|
|
5832
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$114,867.37
|
$114,867.37
|
$114,867.37
|
2026-02-12
|
|
8414
|
APR_DRG
|
Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$108,810.20
|
$108,810.20
|
$108,810.20
|
2026-02-12
|
|
5934
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$105,234.28
|
$105,234.28
|
$105,234.28
|
2026-02-12
|
|
5883
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$103,920.67
|
$103,920.67
|
$103,920.67
|
2026-02-12
|
|
5882
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$101,804.31
|
$101,804.31
|
$101,804.31
|
2026-02-12
|
|
5914
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$101,585.38
|
$101,585.38
|
$101,585.38
|
2026-02-12
|
|
114
|
APR_DRG
|
Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$101,439.42
|
$101,439.42
|
$101,439.42
|
2026-02-12
|
|
6094
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$100,928.57
|
$100,928.57
|
$100,928.57
|
2026-02-12
|
|
5831
|
APR_DRG
|
Apr-DRG 40.00: Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$99,250.08
|
$99,250.08
|
$99,250.08
|
2026-02-12
|
|
74
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$97,571.59
|
$97,571.59
|
$97,571.59
|
2026-02-12
|
|
6314
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$96,914.78
|
$96,914.78
|
$96,914.78
|
2026-02-12
|
|
44
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$96,695.85
|
$96,695.85
|
$96,695.85
|
2026-02-12
|
|
14
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$95,163.31
|
$95,163.31
|
$95,163.31
|
2026-02-12
|
|
1612
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$94,871.40
|
$94,871.40
|
$94,871.40
|
2026-02-12
|
|
94
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$94,652.47
|
$94,652.47
|
$94,652.47
|
2026-02-12
|
|
23
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$92,025.26
|
$92,025.26
|
$92,025.26
|
2026-02-12
|
|
1611
|
APR_DRG
|
Apr-DRG 40.00: Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$90,127.83
|
$90,127.83
|
$90,127.83
|
2026-02-12
|
|
6034
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
1
|
1
|
—
|
—
|
$84,581.50
|
$84,581.50
|
$84,581.50
|
2026-02-12
|
|
64
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$84,070.66
|
$84,070.66
|
$84,070.66
|
2026-02-12
|
|
6024
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$75,386.27
|
$75,386.27
|
$75,386.27
|
2026-02-12
|
|
L8614
|
HCPCS
|
Imp Dev Cochlear Int&ext Cmp Lvl 01
|
270
|
20
|
$120,454.00
|
$64,442.89
46% off
|
$21,225.92
|
$212,433.88
|
$71,898.64
|
2026-02-12
|
|
22
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$68,307.41
|
$68,307.41
|
$68,307.41
|
2026-02-12
|
|
5933
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$67,650.61
|
$67,650.61
|
$67,650.61
|
2026-02-12
|
|
5881
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$66,993.80
|
$66,993.80
|
$66,993.80
|
2026-02-12
|
|
43
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$66,118.07
|
$66,118.07
|
$66,118.07
|
2026-02-12
|
|
1604
|
APR_DRG
|
Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$65,242.33
|
$65,242.33
|
$65,242.33
|
2026-02-12
|
|
54
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$63,709.79
|
$63,709.79
|
$63,709.79
|
2026-02-12
|
|
1624
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$61,520.45
|
$61,520.45
|
$61,520.45
|
2026-02-12
|
|
00250
|
EAPG
|
Eapg 3.18: Cochlear Device Implantation
|
1
|
1
|
—
|
—
|
$60,094.34
|
$60,094.34
|
$60,094.34
|
2026-02-12
|
|
5913
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$59,550.05
|
$59,550.05
|
$59,550.05
|
2026-02-12
|
|
6023
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$59,477.07
|
$59,477.07
|
$59,477.07
|
2026-02-12
|
|
63
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$59,112.18
|
$59,112.18
|
$59,112.18
|
2026-02-12
|
|
3034
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$58,820.27
|
$58,820.27
|
$58,820.27
|
2026-02-12
|
|
21
|
APR_DRG
|
Apr-DRG 40.00: Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$58,528.36
|
$58,528.36
|
$58,528.36
|
2026-02-12
|
|
6074
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$57,944.53
|
$57,944.53
|
$57,944.53
|
2026-02-12
|
|
73
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$57,506.66
|
$57,506.66
|
$57,506.66
|
2026-02-12
|
|
6303
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
1
|
1
|
—
|
—
|
$56,557.95
|
$56,557.95
|
$56,557.95
|
2026-02-12
|
|
4404
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
1
|
1
|
—
|
—
|
$55,901.15
|
$55,901.15
|
$55,901.15
|
2026-02-12
|
|
13
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$55,025.41
|
$55,025.41
|
$55,025.41
|
2026-02-12
|
|
8424
|
APR_DRG
|
Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns
|
1
|
1
|
—
|
—
|
$54,952.43
|
$54,952.43
|
$54,952.43
|
2026-02-12
|
|
5932
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$53,638.83
|
$53,638.83
|
$53,638.83
|
2026-02-12
|
|
C1882
|
HCPCS
|
Imp Icd Chamber Non Sgl/dual Lvl 01
|
162
|
20
|
$87,602.00
|
$46,867.07
46% off
|
$25,840.25
|
$118,964.68
|
$52,736.92
|
2026-02-12
|
|
1634
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
1
|
1
|
—
|
—
|
$52,325.23
|
$52,325.23
|
$52,325.23
|
2026-02-12
|
|
1784
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$52,033.31
|
$52,033.31
|
$52,033.31
|
2026-02-12
|
|
62
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$51,303.53
|
$51,303.53
|
$51,303.53
|
2026-02-12
|
|
6093
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$50,281.84
|
$50,281.84
|
$50,281.84
|
2026-02-12
|
|
113
|
APR_DRG
|
Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$49,916.95
|
$49,916.95
|
$49,916.95
|
2026-02-12
|
|
84
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$49,333.13
|
$49,333.13
|
$49,333.13
|
2026-02-12
|
|
C1721
|
HCPCS
|
Imp Icd Chamber Dual Lvl 01
|
135
|
20
|
$87,604.00
|
$61,251.84
30% off
|
$18,457.32
|
$127,461.88
|
$48,499.32
|
2026-02-12
|
|
1654
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$47,873.57
|
$47,873.57
|
$47,873.57
|
2026-02-12
|
|
1674
|
APR_DRG
|
Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$47,070.81
|
$47,070.81
|
$47,070.81
|
2026-02-12
|
|
53
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$46,924.85
|
$46,924.85
|
$46,924.85
|
2026-02-12
|
|
2793784
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 24
|
27
|
20
|
$96,364.00
|
$47,892.91
50% off
|
$40,607.79
|
$93,473.08
|
$46,254.72
|
2026-02-12
|
|
12
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$46,122.10
|
$46,122.10
|
$46,122.10
|
2026-02-12
|
|
42
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$45,465.29
|
$45,465.29
|
$45,465.29
|
2026-02-12
|
|
6022
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$45,392.32
|
$45,392.32
|
$45,392.32
|
2026-02-12
|
|
3044
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$45,173.38
|
$45,173.38
|
$45,173.38
|
2026-02-12
|
|
6073
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$45,100.40
|
$45,100.40
|
$45,100.40
|
2026-02-12
|
|
72
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$44,954.45
|
$44,954.45
|
$44,954.45
|
2026-02-12
|
|
3033
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$44,516.58
|
$44,516.58
|
$44,516.58
|
2026-02-12
|
|
1834
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$44,370.62
|
$44,370.62
|
$44,370.62
|
2026-02-12
|
|
6114
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$44,005.73
|
$44,005.73
|
$44,005.73
|
2026-02-12
|
|
93
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$43,640.84
|
$43,640.84
|
$43,640.84
|
2026-02-12
|
|
1664
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$43,130.00
|
$43,130.00
|
$43,130.00
|
2026-02-12
|
|
8634
|
APR_DRG
|
Apr-DRG 40.00: Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$43,130.00
|
$43,130.00
|
$43,130.00
|
2026-02-12
|
|
9104
|
APR_DRG
|
Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$42,619.15
|
$42,619.15
|
$42,619.15
|
2026-02-12
|
|
1794
|
APR_DRG
|
Apr-DRG 40.00: Defibrillator Implants
|
1
|
1
|
—
|
—
|
$42,327.24
|
$42,327.24
|
$42,327.24
|
2026-02-12
|
|
6804
|
APR_DRG
|
Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…
|
1
|
1
|
—
|
—
|
$42,181.28
|
$42,181.28
|
$42,181.28
|
2026-02-12
|
|
6124
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$42,108.31
|
$42,108.31
|
$42,108.31
|
2026-02-12
|
|
1623
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$42,108.31
|
$42,108.31
|
$42,108.31
|
2026-02-12
|
|
2793776
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 23
|
27
|
20
|
$87,604.00
|
$43,539.19
50% off
|
$36,916.33
|
$84,975.88
|
$42,049.92
|
2026-02-12
|
|
6134
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…
|
1
|
1
|
—
|
—
|
$41,305.55
|
$41,305.55
|
$41,305.55
|
2026-02-12
|
|
6033
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
1
|
1
|
—
|
—
|
$41,159.59
|
$41,159.59
|
$41,159.59
|
2026-02-12
|
|
11
|
APR_DRG
|
Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$40,940.66
|
$40,940.66
|
$40,940.66
|
2026-02-12
|
|
61
|
APR_DRG
|
Apr-DRG 40.00: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$40,356.83
|
$40,356.83
|
$40,356.83
|
2026-02-12
|
|
1694
|
APR_DRG
|
Apr-DRG 40.00: Major Abdominal Vascular Procedures
|
1
|
1
|
—
|
—
|
$40,356.83
|
$40,356.83
|
$40,356.83
|
2026-02-12
|
|
9114
|
APR_DRG
|
Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…
|
1
|
1
|
—
|
—
|
$40,283.86
|
$40,283.86
|
$40,283.86
|
2026-02-12
|
|
71
|
APR_DRG
|
Apr-DRG 40.00: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$40,064.92
|
$40,064.92
|
$40,064.92
|
2026-02-12
|
|
3124
|
APR_DRG
|
Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu…
|
1
|
1
|
—
|
—
|
$40,064.92
|
$40,064.92
|
$40,064.92
|
2026-02-12
|
|
914
|
APR_DRG
|
Apr-DRG 40.00: Other Major Head And Neck Procedures
|
1
|
1
|
—
|
—
|
$39,918.97
|
$39,918.97
|
$39,918.97
|
2026-02-12
|
|
8413
|
APR_DRG
|
Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$39,918.97
|
$39,918.97
|
$39,918.97
|
2026-02-12
|
|
9124
|
APR_DRG
|
Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…
|
1
|
1
|
—
|
—
|
$39,116.21
|
$39,116.21
|
$39,116.21
|
2026-02-12
|
|
1783
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$38,459.41
|
$38,459.41
|
$38,459.41
|
2026-02-12
|
|
8504
|
APR_DRG
|
Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…
|
1
|
1
|
—
|
—
|
$38,313.45
|
$38,313.45
|
$38,313.45
|
2026-02-12
|
|
234
|
APR_DRG
|
Apr-DRG 40.00: Spinal Procedures
|
1
|
1
|
—
|
—
|
$38,240.47
|
$38,240.47
|
$38,240.47
|
2026-02-12
|
|
2793768
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 22
|
27
|
20
|
$78,844.00
|
$39,185.47
50% off
|
$33,224.86
|
$76,478.68
|
$37,845.12
|
2026-02-12
|
|
C1767
|
HCPCS
|
Imp Generator Neurostim Lvl 01
|
135
|
20
|
$65,704.00
|
$35,151.64
46% off
|
$11,997.26
|
$106,218.88
|
$37,669.72
|
2026-02-12
|
|
C1722
|
HCPCS
|
Imp Icd Chamber Sgl Lvl 01
|
81
|
20
|
$65,704.00
|
$45,939.58
30% off
|
$18,457.32
|
$84,975.88
|
$37,669.72
|
2026-02-12
|
|
214
|
APR_DRG
|
Apr-DRG 40.00: Open Craniotomy Except Trauma
|
1
|
1
|
—
|
—
|
$37,656.65
|
$37,656.65
|
$37,656.65
|
2026-02-12
|
|
4414
|
APR_DRG
|
Apr-DRG 40.00: Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$37,656.65
|
$37,656.65
|
$37,656.65
|
2026-02-12
|
|
2604
|
APR_DRG
|
Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures
|
1
|
1
|
—
|
—
|
$37,218.78
|
$37,218.78
|
$37,218.78
|
2026-02-12
|
|
6313
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$37,218.78
|
$37,218.78
|
$37,218.78
|
2026-02-12
|
|
4403
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
1
|
1
|
—
|
—
|
$36,853.89
|
$36,853.89
|
$36,853.89
|
2026-02-12
|
|
00224
|
EAPG
|
Eapg 3.18: Level IV Nerve Procedure W Or Without Neurological Device
|
1
|
1
|
—
|
—
|
$36,793.69
|
$36,793.69
|
$36,793.69
|
2026-02-12
|
|
6084
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
1
|
1
|
—
|
—
|
$36,707.93
|
$36,707.93
|
$36,707.93
|
2026-02-12
|
|
7404
|
APR_DRG
|
Apr-DRG 40.00: Mental Illness Diagnosis With O.r. Procedure
|
1
|
1
|
—
|
—
|
$36,707.93
|
$36,707.93
|
$36,707.93
|
2026-02-12
|
|
6814
|
APR_DRG
|
Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…
|
1
|
1
|
—
|
—
|
$35,978.15
|
$35,978.15
|
$35,978.15
|
2026-02-12
|
|
6302
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
1
|
1
|
—
|
—
|
$35,905.18
|
$35,905.18
|
$35,905.18
|
2026-02-12
|
|
1782
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$35,832.20
|
$35,832.20
|
$35,832.20
|
2026-02-12
|
|
2204
|
APR_DRG
|
Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures
|
1
|
1
|
—
|
—
|
$35,686.24
|
$35,686.24
|
$35,686.24
|
2026-02-12
|
|
894
|
APR_DRG
|
Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$35,467.31
|
$35,467.31
|
$35,467.31
|
2026-02-12
|
|
1653
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$35,321.35
|
$35,321.35
|
$35,321.35
|
2026-02-12
|
|
9504
|
APR_DRG
|
Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$35,102.42
|
$35,102.42
|
$35,102.42
|
2026-02-12
|
|
1603
|
APR_DRG
|
Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$35,029.44
|
$35,029.44
|
$35,029.44
|
2026-02-12
|
|
6083
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
1
|
1
|
—
|
—
|
$34,956.46
|
$34,956.46
|
$34,956.46
|
2026-02-12
|
|
6072
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$34,883.48
|
$34,883.48
|
$34,883.48
|
2026-02-12
|
|
1633
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
1
|
1
|
—
|
—
|
$34,883.48
|
$34,883.48
|
$34,883.48
|
2026-02-12
|
|
204
|
APR_DRG
|
Apr-DRG 40.00: Open Craniotomy For Trauma
|
1
|
1
|
—
|
—
|
$34,737.53
|
$34,737.53
|
$34,737.53
|
2026-02-12
|
|
1204
|
APR_DRG
|
Apr-DRG 40.00: Major Respiratory And Chest Procedures
|
1
|
1
|
—
|
—
|
$34,591.57
|
$34,591.57
|
$34,591.57
|
2026-02-12
|
|
6214
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$34,518.59
|
$34,518.59
|
$34,518.59
|
2026-02-12
|
|
6904
|
APR_DRG
|
Apr-DRG 40.00: Acute Leukemia
|
1
|
1
|
—
|
—
|
$34,445.62
|
$34,445.62
|
$34,445.62
|
2026-02-12
|
|
52
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$34,372.64
|
$34,372.64
|
$34,372.64
|
2026-02-12
|
|
7594
|
APR_DRG
|
Apr-DRG 40.00: Eating Disorders
|
1
|
1
|
—
|
—
|
$34,372.64
|
$34,372.64
|
$34,372.64
|
2026-02-12
|
|
3614
|
APR_DRG
|
Apr-DRG 40.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
1
|
1
|
—
|
—
|
$33,934.77
|
$33,934.77
|
$33,934.77
|
2026-02-12
|
|
2793750
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 21
|
27
|
20
|
$70,084.00
|
$34,831.75
50% off
|
$29,533.40
|
$67,981.48
|
$33,640.32
|
2026-02-12
|
|
1814
|
APR_DRG
|
Apr-DRG 40.00: Lower Extremity Arterial Procedures
|
1
|
1
|
—
|
—
|
$33,423.92
|
$33,423.92
|
$33,423.92
|
2026-02-12
|
|
1622
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$33,423.92
|
$33,423.92
|
$33,423.92
|
2026-02-12
|
|
6144
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…
|
1
|
1
|
—
|
—
|
$33,204.99
|
$33,204.99
|
$33,204.99
|
2026-02-12
|
|
274
|
APR_DRG
|
Apr-DRG 40.00: Other Open Craniotomy
|
1
|
1
|
—
|
—
|
$33,204.99
|
$33,204.99
|
$33,204.99
|
2026-02-12
|
|
1764
|
APR_DRG
|
Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi…
|
1
|
1
|
—
|
—
|
$32,840.10
|
$32,840.10
|
$32,840.10
|
2026-02-12
|
|
1304
|
APR_DRG
|
Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$32,840.10
|
$32,840.10
|
$32,840.10
|
2026-02-12
|
|
2614
|
APR_DRG
|
Apr-DRG 40.00: Major Biliary Tract Procedures
|
1
|
1
|
—
|
—
|
$32,694.14
|
$32,694.14
|
$32,694.14
|
2026-02-12
|
|
6954
|
APR_DRG
|
Apr-DRG 40.00: Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$32,402.23
|
$32,402.23
|
$32,402.23
|
2026-02-12
|
|
3032
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$32,329.25
|
$32,329.25
|
$32,329.25
|
2026-02-12
|
|
5104
|
APR_DRG
|
Apr-DRG 40.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec…
|
1
|
1
|
—
|
—
|
$31,964.36
|
$31,964.36
|
$31,964.36
|
2026-02-12
|
|
2304
|
APR_DRG
|
Apr-DRG 40.00: Major Small Bowel Procedures
|
1
|
1
|
—
|
—
|
$31,964.36
|
$31,964.36
|
$31,964.36
|
2026-02-12
|
|
1781
|
APR_DRG
|
Apr-DRG 40.00: External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$31,964.36
|
$31,964.36
|
$31,964.36
|
2026-02-12
|
|
92
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$31,818.41
|
$31,818.41
|
$31,818.41
|
2026-02-12
|
|
5912
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$31,672.45
|
$31,672.45
|
$31,672.45
|
2026-02-12
|
|
4402
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
1
|
1
|
—
|
—
|
$31,599.47
|
$31,599.47
|
$31,599.47
|
2026-02-12
|
|
924
|
APR_DRG
|
Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…
|
1
|
1
|
—
|
—
|
$31,526.50
|
$31,526.50
|
$31,526.50
|
2026-02-12
|
|
5891
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
1
|
1
|
—
|
—
|
$31,526.50
|
$31,526.50
|
$31,526.50
|
2026-02-12
|
|
7924
|
APR_DRG
|
Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment
|
1
|
1
|
—
|
—
|
$31,380.54
|
$31,380.54
|
$31,380.54
|
2026-02-12
|
|
6334
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$31,380.54
|
$31,380.54
|
$31,380.54
|
2026-02-12
|
|
4014
|
APR_DRG
|
Apr-DRG 40.00: Adrenal Procedures
|
1
|
1
|
—
|
—
|
$31,307.56
|
$31,307.56
|
$31,307.56
|
2026-02-12
|
|
6514
|
APR_DRG
|
Apr-DRG 40.00: Other Procedures Of Blood And Blood-forming Organs
|
1
|
1
|
—
|
—
|
$31,161.61
|
$31,161.61
|
$31,161.61
|
2026-02-12
|
|
1833
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$31,161.61
|
$31,161.61
|
$31,161.61
|
2026-02-12
|
|
83
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$31,088.63
|
$31,088.63
|
$31,088.63
|
2026-02-12
|
|
1793
|
APR_DRG
|
Apr-DRG 40.00: Defibrillator Implants
|
1
|
1
|
—
|
—
|
$30,869.69
|
$30,869.69
|
$30,869.69
|
2026-02-12
|
|
4044
|
APR_DRG
|
Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures
|
1
|
1
|
—
|
—
|
$30,796.72
|
$30,796.72
|
$30,796.72
|
2026-02-12
|
|
3043
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$30,504.80
|
$30,504.80
|
$30,504.80
|
2026-02-12
|
|
41
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$30,358.85
|
$30,358.85
|
$30,358.85
|
2026-02-12
|
|
6123
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$29,629.07
|
$29,629.07
|
$29,629.07
|
2026-02-12
|
|
3214
|
APR_DRG
|
Apr-DRG 40.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc …
|
1
|
1
|
—
|
—
|
$29,629.07
|
$29,629.07
|
$29,629.07
|
2026-02-12
|
|
2793743
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 20
|
27
|
20
|
$61,324.00
|
$30,478.03
50% off
|
$25,841.93
|
$59,484.28
|
$29,435.52
|
2026-02-12
|
|
304
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures
|
1
|
1
|
—
|
—
|
$29,410.13
|
$29,410.13
|
$29,410.13
|
2026-02-12
|
|
1663
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$29,410.13
|
$29,410.13
|
$29,410.13
|
2026-02-12
|
|
1652
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$29,410.13
|
$29,410.13
|
$29,410.13
|
2026-02-12
|
|
00097
|
EAPG
|
Eapg 3.18: Aicd And Related Cardiac Device Insertion Or Replacement
|
1
|
1
|
—
|
—
|
$29,387.14
|
$29,387.14
|
$29,387.14
|
2026-02-12
|
|
1673
|
APR_DRG
|
Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$29,337.16
|
$29,337.16
|
$29,337.16
|
2026-02-12
|
|
2644
|
APR_DRG
|
Apr-DRG 40.00: Other Hepatobiliary, Pancreas And Abdominal Procedures
|
1
|
1
|
—
|
—
|
$29,045.24
|
$29,045.24
|
$29,045.24
|
2026-02-12
|
|
7104
|
APR_DRG
|
Apr-DRG 40.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu…
|
1
|
1
|
—
|
—
|
$28,972.27
|
$28,972.27
|
$28,972.27
|
2026-02-12
|
|
264
|
APR_DRG
|
Apr-DRG 40.00: Other Nervous System And Related Procedures
|
1
|
1
|
—
|
—
|
$28,972.27
|
$28,972.27
|
$28,972.27
|
2026-02-12
|
|
5114
|
APR_DRG
|
Apr-DRG 40.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
1
|
1
|
—
|
—
|
$28,899.29
|
$28,899.29
|
$28,899.29
|
2026-02-12
|
|
224
|
APR_DRG
|
Apr-DRG 40.00: Ventricular Shunt Procedures
|
1
|
1
|
—
|
—
|
$28,826.31
|
$28,826.31
|
$28,826.31
|
2026-02-12
|
|
3254
|
APR_DRG
|
Apr-DRG 40.00: Non-elective Or Complex Knee Joint Replacement
|
1
|
1
|
—
|
—
|
$28,826.31
|
$28,826.31
|
$28,826.31
|
2026-02-12
|
|
4054
|
APR_DRG
|
Apr-DRG 40.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde…
|
1
|
1
|
—
|
—
|
$28,753.33
|
$28,753.33
|
$28,753.33
|
2026-02-12
|
|
6113
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$28,680.35
|
$28,680.35
|
$28,680.35
|
2026-02-12
|
|
51
|
APR_DRG
|
Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$28,534.40
|
$28,534.40
|
$28,534.40
|
2026-02-12
|
|
1621
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$28,461.42
|
$28,461.42
|
$28,461.42
|
2026-02-12
|
|
1704
|
APR_DRG
|
Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh…
|
1
|
1
|
—
|
—
|
$28,461.42
|
$28,461.42
|
$28,461.42
|
2026-02-12
|
|
1824
|
APR_DRG
|
Apr-DRG 40.00: Other Peripheral Vascular And Related Procedures
|
1
|
1
|
—
|
—
|
$28,388.44
|
$28,388.44
|
$28,388.44
|
2026-02-12
|
|
1214
|
APR_DRG
|
Apr-DRG 40.00: Other Respiratory And Chest Procedures
|
1
|
1
|
—
|
—
|
$28,315.46
|
$28,315.46
|
$28,315.46
|
2026-02-12
|
|
4401
|
APR_DRG
|
Apr-DRG 40.00: Kidney Transplant
|
1
|
1
|
—
|
—
|
$28,242.49
|
$28,242.49
|
$28,242.49
|
2026-02-12
|
|
6504
|
APR_DRG
|
Apr-DRG 40.00: Splenectomy
|
1
|
1
|
—
|
—
|
$28,242.49
|
$28,242.49
|
$28,242.49
|
2026-02-12
|
|
2314
|
APR_DRG
|
Apr-DRG 40.00: Major Large Bowel Procedures
|
1
|
1
|
—
|
—
|
$28,169.51
|
$28,169.51
|
$28,169.51
|
2026-02-12
|
|
00337
|
EAPG
|
Eapg 3.18: Level Iii Brachytherapy Sources
|
1
|
1
|
—
|
—
|
$28,006.44
|
$28,006.44
|
$28,006.44
|
2026-02-12
|
|
4474
|
APR_DRG
|
Apr-DRG 40.00: Other Kidney, Urinary Tract And Related Procedures
|
1
|
1
|
—
|
—
|
$27,804.62
|
$27,804.62
|
$27,804.62
|
2026-02-12
|
|
8633
|
APR_DRG
|
Apr-DRG 40.00: Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$27,658.66
|
$27,658.66
|
$27,658.66
|
2026-02-12
|
|
00223
|
EAPG
|
Eapg 3.18: Level Iii Nerve Procedure W Or Without Neurological Device
|
1
|
1
|
—
|
—
|
$27,621.13
|
$27,621.13
|
$27,621.13
|
2026-02-12
|
|
03030
|
EAPG
|
Eapg 3.18: Spinal Implantation Of Drug Infusion Device
|
1
|
1
|
—
|
—
|
$27,621.13
|
$27,621.13
|
$27,621.13
|
2026-02-12
|
|
1632
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
1
|
1
|
—
|
—
|
$27,585.68
|
$27,585.68
|
$27,585.68
|
2026-02-12
|
|
6224
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$27,293.77
|
$27,293.77
|
$27,293.77
|
2026-02-12
|
|
7114
|
APR_DRG
|
Apr-DRG 40.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr…
|
1
|
1
|
—
|
—
|
$27,293.77
|
$27,293.77
|
$27,293.77
|
2026-02-12
|
|
294
|
APR_DRG
|
Apr-DRG 40.00: Other Percutaneous Intracranial Procedures
|
1
|
1
|
—
|
—
|
$26,928.88
|
$26,928.88
|
$26,928.88
|
2026-02-12
|
|
3031
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$26,928.88
|
$26,928.88
|
$26,928.88
|
2026-02-12
|
|
6133
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…
|
1
|
1
|
—
|
—
|
$26,928.88
|
$26,928.88
|
$26,928.88
|
2026-02-12
|
|
1832
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$26,782.93
|
$26,782.93
|
$26,782.93
|
2026-02-12
|
|
3094
|
APR_DRG
|
Apr-DRG 40.00: Other Significant Hip And Femur Surgery
|
1
|
1
|
—
|
—
|
$26,709.95
|
$26,709.95
|
$26,709.95
|
2026-02-12
|
|
1754
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Cardiac Intervention Without Ami
|
1
|
1
|
—
|
—
|
$26,636.97
|
$26,636.97
|
$26,636.97
|
2026-02-12
|
|
4424
|
APR_DRG
|
Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Malignancy
|
1
|
1
|
—
|
—
|
$26,563.99
|
$26,563.99
|
$26,563.99
|
2026-02-12
|
|
112
|
APR_DRG
|
Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$26,491.01
|
$26,491.01
|
$26,491.01
|
2026-02-12
|
|
2324
|
APR_DRG
|
Apr-DRG 40.00: Gastric Fundoplication
|
1
|
1
|
—
|
—
|
$26,272.08
|
$26,272.08
|
$26,272.08
|
2026-02-12
|
|
5892
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
1
|
1
|
—
|
—
|
$26,199.10
|
$26,199.10
|
$26,199.10
|
2026-02-12
|
|
2294
|
APR_DRG
|
Apr-DRG 40.00: Other Digestive System And Abdominal Procedures
|
1
|
1
|
—
|
—
|
$26,199.10
|
$26,199.10
|
$26,199.10
|
2026-02-12
|
|
2224
|
APR_DRG
|
Apr-DRG 40.00: Other Stomach, Esophageal And Duodenal Procedures
|
1
|
1
|
—
|
—
|
$26,199.10
|
$26,199.10
|
$26,199.10
|
2026-02-12
|
|
91
|
APR_DRG
|
Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$26,126.12
|
$26,126.12
|
$26,126.12
|
2026-02-12
|
|
9514
|
APR_DRG
|
Apr-DRG 40.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno…
|
1
|
1
|
—
|
—
|
$26,126.12
|
$26,126.12
|
$26,126.12
|
2026-02-12
|
|
1831
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$26,053.15
|
$26,053.15
|
$26,053.15
|
2026-02-12
|
|
82
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$25,980.17
|
$25,980.17
|
$25,980.17
|
2026-02-12
|
|
6082
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
1
|
1
|
—
|
—
|
$25,761.23
|
$25,761.23
|
$25,761.23
|
2026-02-12
|
|
5124
|
APR_DRG
|
Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal…
|
1
|
1
|
—
|
—
|
$25,615.28
|
$25,615.28
|
$25,615.28
|
2026-02-12
|
|
3054
|
APR_DRG
|
Apr-DRG 40.00: Amputation Of Lower Limb Except Toes
|
1
|
1
|
—
|
—
|
$25,469.32
|
$25,469.32
|
$25,469.32
|
2026-02-12
|
|
6143
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…
|
1
|
1
|
—
|
—
|
$25,469.32
|
$25,469.32
|
$25,469.32
|
2026-02-12
|
|
913
|
APR_DRG
|
Apr-DRG 40.00: Other Major Head And Neck Procedures
|
1
|
1
|
—
|
—
|
$25,469.32
|
$25,469.32
|
$25,469.32
|
2026-02-12
|
|
3134
|
APR_DRG
|
Apr-DRG 40.00: Knee And Lower Leg Procedures Except Foot
|
1
|
1
|
—
|
—
|
$25,396.34
|
$25,396.34
|
$25,396.34
|
2026-02-12
|
|
9103
|
APR_DRG
|
Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$25,396.34
|
$25,396.34
|
$25,396.34
|
2026-02-12
|
|
1303
|
APR_DRG
|
Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$25,323.37
|
$25,323.37
|
$25,323.37
|
2026-02-12
|
|
2793735
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 19
|
27
|
20
|
$52,564.00
|
$26,124.31
50% off
|
$22,150.47
|
$50,987.08
|
$25,230.72
|
2026-02-12
|
|
1792
|
APR_DRG
|
Apr-DRG 40.00: Defibrillator Implants
|
1
|
1
|
—
|
—
|
$25,177.41
|
$25,177.41
|
$25,177.41
|
2026-02-12
|
|
2234
|
APR_DRG
|
Apr-DRG 40.00: Other Small And Large Bowel Procedures
|
1
|
1
|
—
|
—
|
$25,177.41
|
$25,177.41
|
$25,177.41
|
2026-02-12
|
|
244
|
APR_DRG
|
Apr-DRG 40.00: Open Extracranial Vascular Procedures
|
1
|
1
|
—
|
—
|
$25,177.41
|
$25,177.41
|
$25,177.41
|
2026-02-12
|
|
6234
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…
|
1
|
1
|
—
|
—
|
$25,031.45
|
$25,031.45
|
$25,031.45
|
2026-02-12
|
|
C1785
|
HCPCS
|
Imp Pcmkr Dual Rr Lvl 01
|
189
|
20
|
$43,804.00
|
$30,627.32
30% off
|
$7,382.93
|
$106,218.88
|
$24,969.80
|
2026-02-12
|
|
1631
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
1
|
1
|
—
|
—
|
$24,958.48
|
$24,958.48
|
$24,958.48
|
2026-02-12
|
|
3624
|
APR_DRG
|
Apr-DRG 40.00: Mastectomy Procedures
|
1
|
1
|
—
|
—
|
$24,958.48
|
$24,958.48
|
$24,958.48
|
2026-02-12
|
|
4034
|
APR_DRG
|
Apr-DRG 40.00: Procedures For Obesity
|
1
|
1
|
—
|
—
|
$24,812.52
|
$24,812.52
|
$24,812.52
|
2026-02-12
|
|
1693
|
APR_DRG
|
Apr-DRG 40.00: Major Abdominal Vascular Procedures
|
1
|
1
|
—
|
—
|
$24,812.52
|
$24,812.52
|
$24,812.52
|
2026-02-12
|
|
1662
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$24,739.54
|
$24,739.54
|
$24,739.54
|
2026-02-12
|
|
7934
|
APR_DRG
|
Apr-DRG 40.00: Moderately Extensive O.r. Procedures For Other Complications Of T…
|
1
|
1
|
—
|
—
|
$24,739.54
|
$24,739.54
|
$24,739.54
|
2026-02-12
|
|
2274
|
APR_DRG
|
Apr-DRG 40.00: Hernia Procedures Except Inguinal, Femoral And Umbilical
|
1
|
1
|
—
|
—
|
$24,666.56
|
$24,666.56
|
$24,666.56
|
2026-02-12
|
|
893
|
APR_DRG
|
Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$24,593.59
|
$24,593.59
|
$24,593.59
|
2026-02-12
|
|
5144
|
APR_DRG
|
Apr-DRG 40.00: Female Reproductive System Reconstructive Procedures
|
1
|
1
|
—
|
—
|
$24,593.59
|
$24,593.59
|
$24,593.59
|
2026-02-12
|
|
2244
|
APR_DRG
|
Apr-DRG 40.00: Peritoneal Adhesiolysis
|
1
|
1
|
—
|
—
|
$24,447.63
|
$24,447.63
|
$24,447.63
|
2026-02-12
|
|
3154
|
APR_DRG
|
Apr-DRG 40.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme…
|
1
|
1
|
—
|
—
|
$24,155.72
|
$24,155.72
|
$24,155.72
|
2026-02-12
|
|
4844
|
APR_DRG
|
Apr-DRG 40.00: Other Male Reproductive System And Related Procedures
|
1
|
1
|
—
|
—
|
$24,155.72
|
$24,155.72
|
$24,155.72
|
2026-02-12
|
|
1651
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$24,155.72
|
$24,155.72
|
$24,155.72
|
2026-02-12
|
|
213
|
APR_DRG
|
Apr-DRG 40.00: Open Craniotomy Except Trauma
|
1
|
1
|
—
|
—
|
$24,155.72
|
$24,155.72
|
$24,155.72
|
2026-02-12
|
|
6344
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr…
|
1
|
1
|
—
|
—
|
$24,082.74
|
$24,082.74
|
$24,082.74
|
2026-02-12
|
|
7524
|
APR_DRG
|
Apr-DRG 40.00: Disorders Of Personality And Impulse Control
|
1
|
1
|
—
|
—
|
$24,082.74
|
$24,082.74
|
$24,082.74
|
2026-02-12
|
|
1744
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Cardiac Intervention With Ami
|
1
|
1
|
—
|
—
|
$24,082.74
|
$24,082.74
|
$24,082.74
|
2026-02-12
|
|
1804
|
APR_DRG
|
Apr-DRG 40.00: Other Circulatory System Procedures
|
1
|
1
|
—
|
—
|
$24,009.76
|
$24,009.76
|
$24,009.76
|
2026-02-12
|
|
6092
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$23,863.81
|
$23,863.81
|
$23,863.81
|
2026-02-12
|
|
4804
|
APR_DRG
|
Apr-DRG 40.00: Major Male Pelvic Procedures
|
1
|
1
|
—
|
—
|
$23,790.83
|
$23,790.83
|
$23,790.83
|
2026-02-12
|
|
5184
|
APR_DRG
|
Apr-DRG 40.00: Other Female Reproductive System And Related Procedures
|
1
|
1
|
—
|
—
|
$23,644.87
|
$23,644.87
|
$23,644.87
|
2026-02-12
|
|
3204
|
APR_DRG
|
Apr-DRG 40.00: Other Musculoskeletal System And Connective Tissue Procedures
|
1
|
1
|
—
|
—
|
$23,571.89
|
$23,571.89
|
$23,571.89
|
2026-02-12
|
|
504
|
APR_DRG
|
Apr-DRG 40.00: Non-bacterial Infections Of Nervous System Except Viral Meningiti…
|
1
|
1
|
—
|
—
|
$23,571.89
|
$23,571.89
|
$23,571.89
|
2026-02-12
|
|
233
|
APR_DRG
|
Apr-DRG 40.00: Spinal Procedures
|
1
|
1
|
—
|
—
|
$23,498.92
|
$23,498.92
|
$23,498.92
|
2026-02-12
|
|
3104
|
APR_DRG
|
Apr-DRG 40.00: Vertebral And Intervertebral Spinal Procedures Including Disc Pro…
|
1
|
1
|
—
|
—
|
$23,352.96
|
$23,352.96
|
$23,352.96
|
2026-02-12
|
|
5194
|
APR_DRG
|
Apr-DRG 40.00: Uterine And Adnexa Procedures For Leiomyoma
|
1
|
1
|
—
|
—
|
$23,061.05
|
$23,061.05
|
$23,061.05
|
2026-02-12
|
|
6254
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…
|
1
|
1
|
—
|
—
|
$23,061.05
|
$23,061.05
|
$23,061.05
|
2026-02-12
|
|
6122
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
1
|
1
|
—
|
—
|
$22,915.09
|
$22,915.09
|
$22,915.09
|
2026-02-12
|
|
6312
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$22,842.11
|
$22,842.11
|
$22,842.11
|
2026-02-12
|
|
1714
|
APR_DRG
|
Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or…
|
1
|
1
|
—
|
—
|
$22,769.14
|
$22,769.14
|
$22,769.14
|
2026-02-12
|
|
8423
|
APR_DRG
|
Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns
|
1
|
1
|
—
|
—
|
$22,696.16
|
$22,696.16
|
$22,696.16
|
2026-02-12
|
|
6091
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$22,696.16
|
$22,696.16
|
$22,696.16
|
2026-02-12
|
|
1602
|
APR_DRG
|
Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$22,696.16
|
$22,696.16
|
$22,696.16
|
2026-02-12
|
|
3234
|
APR_DRG
|
Apr-DRG 40.00: Non-elective Or Complex Hip Joint Replacement
|
1
|
1
|
—
|
—
|
$22,623.18
|
$22,623.18
|
$22,623.18
|
2026-02-12
|
|
3244
|
APR_DRG
|
Apr-DRG 40.00: Elective Hip Joint Replacement
|
1
|
1
|
—
|
—
|
$22,623.18
|
$22,623.18
|
$22,623.18
|
2026-02-12
|
|
9102
|
APR_DRG
|
Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$22,550.20
|
$22,550.20
|
$22,550.20
|
2026-02-12
|
|
3224
|
APR_DRG
|
Apr-DRG 40.00: Shoulder And Elbow Joint Replacement
|
1
|
1
|
—
|
—
|
$22,477.22
|
$22,477.22
|
$22,477.22
|
2026-02-12
|
|
734
|
APR_DRG
|
Apr-DRG 40.00: Orbit And Eye Procedures
|
1
|
1
|
—
|
—
|
$22,404.25
|
$22,404.25
|
$22,404.25
|
2026-02-12
|
|
4444
|
APR_DRG
|
Apr-DRG 40.00: Renal Dialysis Access Device Procedures
|
1
|
1
|
—
|
—
|
$22,404.25
|
$22,404.25
|
$22,404.25
|
2026-02-12
|
|
9524
|
APR_DRG
|
Apr-DRG 40.00: Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$22,404.25
|
$22,404.25
|
$22,404.25
|
2026-02-12
|
|
3174
|
APR_DRG
|
Apr-DRG 40.00: Tendon, Muscle And Other Soft Tissue Procedures
|
1
|
1
|
—
|
—
|
$22,331.27
|
$22,331.27
|
$22,331.27
|
2026-02-12
|
|
203
|
APR_DRG
|
Apr-DRG 40.00: Open Craniotomy For Trauma
|
1
|
1
|
—
|
—
|
$22,258.29
|
$22,258.29
|
$22,258.29
|
2026-02-12
|
|
494
|
APR_DRG
|
Apr-DRG 40.00: Bacterial And Tuberculous Infections Of Nervous System
|
1
|
1
|
—
|
—
|
$22,258.29
|
$22,258.29
|
$22,258.29
|
2026-02-12
|
|
1661
|
APR_DRG
|
Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$22,258.29
|
$22,258.29
|
$22,258.29
|
2026-02-12
|
|
303
|
APR_DRG
|
Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures
|
1
|
1
|
—
|
—
|
$22,258.29
|
$22,258.29
|
$22,258.29
|
2026-02-12
|
|
1791
|
APR_DRG
|
Apr-DRG 40.00: Defibrillator Implants
|
1
|
1
|
—
|
—
|
$22,185.31
|
$22,185.31
|
$22,185.31
|
2026-02-12
|
|
6803
|
APR_DRG
|
Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…
|
1
|
1
|
—
|
—
|
$22,039.36
|
$22,039.36
|
$22,039.36
|
2026-02-12
|
|
9123
|
APR_DRG
|
Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…
|
1
|
1
|
—
|
—
|
$22,039.36
|
$22,039.36
|
$22,039.36
|
2026-02-12
|
|
4834
|
APR_DRG
|
Apr-DRG 40.00: Penis, Testes And Scrotal Procedures
|
1
|
1
|
—
|
—
|
$21,747.44
|
$21,747.44
|
$21,747.44
|
2026-02-12
|
|
4434
|
APR_DRG
|
Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Non-malignancy
|
1
|
1
|
—
|
—
|
$21,601.49
|
$21,601.49
|
$21,601.49
|
2026-02-12
|
|
3042
|
APR_DRG
|
Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$21,601.49
|
$21,601.49
|
$21,601.49
|
2026-02-12
|
|
6924
|
APR_DRG
|
Apr-DRG 40.00: Radiotherapy
|
1
|
1
|
—
|
—
|
$21,455.53
|
$21,455.53
|
$21,455.53
|
2026-02-12
|
|
1813
|
APR_DRG
|
Apr-DRG 40.00: Lower Extremity Arterial Procedures
|
1
|
1
|
—
|
—
|
$21,382.55
|
$21,382.55
|
$21,382.55
|
2026-02-12
|
|
984
|
APR_DRG
|
Apr-DRG 40.00: Other Ear, Nose, Mouth And Throat Procedures
|
1
|
1
|
—
|
—
|
$21,382.55
|
$21,382.55
|
$21,382.55
|
2026-02-12
|
|
2793727
|
CDM
|
Fix Extrnl Lw/up/pelvic Lvl 18
|
27
|
20
|
$43,804.00
|
$21,770.59
50% off
|
$18,459.01
|
$42,489.88
|
$21,025.92
|
2026-02-12
|
|
5484
|
APR_DRG
|
Apr-DRG 40.00: Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
1
|
1
|
—
|
—
|
$21,017.66
|
$21,017.66
|
$21,017.66
|
2026-02-12
|
|
5893
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
1
|
1
|
—
|
—
|
$20,798.73
|
$20,798.73
|
$20,798.73
|
2026-02-12
|
|
1301
|
APR_DRG
|
Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$20,725.75
|
$20,725.75
|
$20,725.75
|
2026-02-12
|
|
1302
|
APR_DRG
|
Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$20,725.75
|
$20,725.75
|
$20,725.75
|
2026-02-12
|
|
3253
|
APR_DRG
|
Apr-DRG 40.00: Non-elective Or Complex Knee Joint Replacement
|
1
|
1
|
—
|
—
|
$20,725.75
|
$20,725.75
|
$20,725.75
|
2026-02-12
|
|
6233
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…
|
1
|
1
|
—
|
—
|
$20,652.77
|
$20,652.77
|
$20,652.77
|
2026-02-12
|
|
2634
|
APR_DRG
|
Apr-DRG 40.00: Cholecystectomy
|
1
|
1
|
—
|
—
|
$20,652.77
|
$20,652.77
|
$20,652.77
|
2026-02-12
|
|
4454
|
APR_DRG
|
Apr-DRG 40.00: Other Bladder Procedures
|
1
|
1
|
—
|
—
|
$20,652.77
|
$20,652.77
|
$20,652.77
|
2026-02-12
|
|
1774
|
APR_DRG
|
Apr-DRG 40.00: Cardiac Pacemaker And Defibrillator Revision Except Device Replac…
|
1
|
1
|
—
|
—
|
$20,652.77
|
$20,652.77
|
$20,652.77
|
2026-02-12
|
|
6032
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
1
|
1
|
—
|
—
|
$20,287.88
|
$20,287.88
|
$20,287.88
|
2026-02-12
|
|
1703
|
APR_DRG
|
Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh…
|
1
|
1
|
—
|
—
|
$20,287.88
|
$20,287.88
|
$20,287.88
|
2026-02-12
|
|
6213
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$20,287.88
|
$20,287.88
|
$20,287.88
|
2026-02-12
|
|
6914
|
APR_DRG
|
Apr-DRG 40.00: Lymphoma, Myeloma And Non-acute Leukemia
|
1
|
1
|
—
|
—
|
$20,214.91
|
$20,214.91
|
$20,214.91
|
2026-02-12
|
|
3634
|
APR_DRG
|
Apr-DRG 40.00: Breast Procedures Except Mastectomy
|
1
|
1
|
—
|
—
|
$20,141.93
|
$20,141.93
|
$20,141.93
|
2026-02-12
|
|
273
|
APR_DRG
|
Apr-DRG 40.00: Other Open Craniotomy
|
1
|
1
|
—
|
—
|
$20,141.93
|
$20,141.93
|
$20,141.93
|
2026-02-12
|
|
2203
|
APR_DRG
|
Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures
|
1
|
1
|
—
|
—
|
$19,995.97
|
$19,995.97
|
$19,995.97
|
2026-02-12
|
|
3164
|
APR_DRG
|
Apr-DRG 40.00: Hand And Wrist Procedures
|
1
|
1
|
—
|
—
|
$19,922.99
|
$19,922.99
|
$19,922.99
|
2026-02-12
|
|
6364
|
APR_DRG
|
Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal In…
|
1
|
1
|
—
|
—
|
$19,922.99
|
$19,922.99
|
$19,922.99
|
2026-02-12
|
|
3084
|
APR_DRG
|
Apr-DRG 40.00: Hip And Femur Fracture Repair
|
1
|
1
|
—
|
—
|
$19,922.99
|
$19,922.99
|
$19,922.99
|
2026-02-12
|
|
1203
|
APR_DRG
|
Apr-DRG 40.00: Major Respiratory And Chest Procedures
|
1
|
1
|
—
|
—
|
$19,850.02
|
$19,850.02
|
$19,850.02
|
2026-02-12
|
|
434
|
APR_DRG
|
Apr-DRG 40.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory …
|
1
|
1
|
—
|
—
|
$19,850.02
|
$19,850.02
|
$19,850.02
|
2026-02-12
|
|
6903
|
APR_DRG
|
Apr-DRG 40.00: Acute Leukemia
|
1
|
1
|
—
|
—
|
$19,777.04
|
$19,777.04
|
$19,777.04
|
2026-02-12
|
|
1763
|
APR_DRG
|
Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi…
|
1
|
1
|
—
|
—
|
$19,777.04
|
$19,777.04
|
$19,777.04
|
2026-02-12
|
|
3123
|
APR_DRG
|
Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu…
|
1
|
1
|
—
|
—
|
$19,777.04
|
$19,777.04
|
$19,777.04
|
2026-02-12
|
|
9101
|
APR_DRG
|
Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$19,704.06
|
$19,704.06
|
$19,704.06
|
2026-02-12
|
|
2603
|
APR_DRG
|
Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures
|
1
|
1
|
—
|
—
|
$19,704.06
|
$19,704.06
|
$19,704.06
|
2026-02-12
|
|
81
|
APR_DRG
|
Apr-DRG 40.00: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$19,558.10
|
$19,558.10
|
$19,558.10
|
2026-02-12
|
|
1672
|
APR_DRG
|
Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$19,412.15
|
$19,412.15
|
$19,412.15
|
2026-02-12
|
|
5134
|
APR_DRG
|
Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
1
|
1
|
—
|
—
|
$19,266.19
|
$19,266.19
|
$19,266.19
|
2026-02-12
|
|
9503
|
APR_DRG
|
Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$19,266.19
|
$19,266.19
|
$19,266.19
|
2026-02-12
|
|
3644
|
APR_DRG
|
Apr-DRG 40.00: Other Skin, Subcutaneous Tissue And Related Procedures
|
1
|
1
|
—
|
—
|
$19,193.21
|
$19,193.21
|
$19,193.21
|
2026-02-12
|
|
4413
|
APR_DRG
|
Apr-DRG 40.00: Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$19,120.24
|
$19,120.24
|
$19,120.24
|
2026-02-12
|
|
3264
|
APR_DRG
|
Apr-DRG 40.00: Elective Knee Joint Replacement
|
1
|
1
|
—
|
—
|
$19,120.24
|
$19,120.24
|
$19,120.24
|
2026-02-12
|