|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
3
|
3
|
—
|
—
|
$3,747,100.00
|
$4,823,000.00
|
$3,784,200.00
|
2026-09-11
|
|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
3
|
3
|
—
|
—
|
$3,747,100.00
|
$4,823,000.00
|
$3,784,200.00
|
2026-09-11
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
3
|
3
|
—
|
—
|
$3,354,999.33
|
$4,318,315.96
|
$3,388,217.14
|
2026-09-11
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
3
|
3
|
—
|
—
|
$3,224,930.00
|
$4,150,900.00
|
$3,256,860.00
|
2026-09-11
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
3
|
3
|
—
|
—
|
$2,997,680.00
|
$3,858,400.00
|
$3,027,360.00
|
2026-09-11
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
3
|
3
|
—
|
—
|
$2,427,493.34
|
$3,124,496.38
|
$2,451,527.92
|
2026-09-11
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
3
|
3
|
—
|
—
|
$2,355,320.00
|
$3,031,600.00
|
$2,378,640.00
|
2026-09-11
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$1,010,583.93
|
$1,366,064.63
|
$1,024,197.61
|
2026-09-11
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
6
|
—
|
—
|
$515,124.86
|
$1,728,089.29
|
$785,149.67
|
2026-09-11
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$638,726.92
|
$864,057.67
|
$647,331.28
|
2026-09-11
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$610,164.47
|
$825,498.37
|
$618,384.06
|
2026-09-11
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$572,346.72
|
$774,444.40
|
$580,056.86
|
2026-09-11
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
3
|
3
|
—
|
—
|
$571,280.08
|
$735,310.99
|
$576,936.32
|
2026-09-11
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
3
|
3
|
—
|
—
|
$556,831.52
|
$716,713.84
|
$562,344.71
|
2026-09-11
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
3
|
3
|
—
|
—
|
$533,595.55
|
$686,806.16
|
$538,878.68
|
2026-09-11
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
3
|
3
|
—
|
—
|
$521,650.83
|
$671,431.76
|
$526,815.69
|
2026-09-11
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$519,775.55
|
$703,473.33
|
$526,777.50
|
2026-09-11
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
11
|
6
|
—
|
—
|
$334,499.73
|
$1,121,460.43
|
$509,530.55
|
2026-09-11
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
3
|
3
|
—
|
—
|
$494,412.32
|
$636,372.30
|
$499,307.49
|
2026-09-11
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
3
|
3
|
—
|
—
|
$492,932.03
|
$634,466.96
|
$497,812.54
|
2026-09-11
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$449,155.80
|
$608,136.67
|
$455,206.43
|
2026-09-11
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$446,716.31
|
$604,843.34
|
$452,734.07
|
2026-09-11
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$439,482.83
|
$595,078.15
|
$445,403.15
|
2026-09-11
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$432,182.82
|
$585,223.13
|
$438,004.80
|
2026-09-11
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$415,934.29
|
$563,287.62
|
$421,537.38
|
2026-09-11
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$413,470.76
|
$559,961.86
|
$419,040.67
|
2026-09-11
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$398,767.25
|
$540,112.11
|
$404,139.08
|
2026-09-11
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$387,935.51
|
$525,489.27
|
$393,161.43
|
2026-09-11
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
7
|
—
|
—
|
$383,352.21
|
$519,301.82
|
$388,516.39
|
2026-09-11
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
11
|
6
|
—
|
—
|
$254,983.15
|
$854,404.31
|
$388,194.79
|
2026-09-11
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$382,892.03
|
$518,680.58
|
$388,050.01
|
2026-09-11
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
11
|
6
|
—
|
—
|
$253,490.14
|
$849,390.05
|
$385,916.59
|
2026-09-11
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$377,491.87
|
$511,390.36
|
$382,577.11
|
2026-09-11
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$369,731.69
|
$500,914.11
|
$374,712.38
|
2026-09-11
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$347,766.97
|
$471,261.74
|
$352,451.78
|
2026-09-11
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
7
|
7
|
—
|
—
|
$339,236.12
|
$459,745.09
|
$343,806.01
|
2026-09-11
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
7
|
7
|
—
|
—
|
$339,236.12
|
$459,745.09
|
$343,806.01
|
2026-09-11
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
7
|
7
|
—
|
—
|
$339,236.12
|
$459,745.09
|
$343,806.01
|
2026-09-11
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$333,926.52
|
$452,577.13
|
$338,424.88
|
2026-09-11
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
—
|
—
|
$325,746.81
|
$441,534.52
|
$330,134.98
|
2026-09-11
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$323,065.21
|
$437,914.37
|
$327,417.26
|
2026-09-11
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$320,193.26
|
$434,037.23
|
$324,506.61
|
2026-09-11
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$317,751.91
|
$430,741.41
|
$322,032.38
|
2026-09-11
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$294,687.58
|
$399,604.56
|
$298,657.34
|
2026-09-11
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$283,343.91
|
$384,290.61
|
$287,160.87
|
2026-09-11
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$281,076.29
|
$381,229.32
|
$284,862.70
|
2026-09-11
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$277,134.28
|
$375,907.61
|
$280,867.59
|
2026-09-11
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$271,144.58
|
$367,821.51
|
$274,797.20
|
2026-09-11
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$265,225.10
|
$359,830.22
|
$268,797.98
|
2026-09-11
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
11
|
6
|
—
|
—
|
$165,627.99
|
$554,305.33
|
$251,846.15
|
2026-09-11
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$235,302.45
|
$319,434.64
|
$238,472.23
|
2026-09-11
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$235,047.41
|
$319,090.33
|
$238,213.76
|
2026-09-11
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$235,047.41
|
$319,090.33
|
$238,213.76
|
2026-09-11
|
|
7
|
MS_DRG
|
Lung Transplant
|
11
|
6
|
—
|
—
|
$154,889.77
|
$518,241.10
|
$235,460.54
|
2026-09-11
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$228,495.88
|
$310,245.77
|
$231,573.97
|
2026-09-11
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$226,032.36
|
$306,920.02
|
$229,077.27
|
2026-09-11
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$216,952.62
|
$294,662.37
|
$219,875.22
|
2026-09-11
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
6
|
—
|
—
|
$143,781.02
|
$480,932.32
|
$218,509.46
|
2026-09-11
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$215,475.99
|
$292,668.92
|
$218,378.69
|
2026-09-11
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$210,909.32
|
$286,503.92
|
$213,750.51
|
2026-09-11
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$210,632.11
|
$286,129.68
|
$213,469.56
|
2026-09-11
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$204,930.71
|
$278,432.79
|
$207,691.35
|
2026-09-11
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
11
|
6
|
—
|
—
|
$135,605.81
|
$453,475.97
|
$206,034.79
|
2026-09-11
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
11
|
6
|
—
|
—
|
$135,450.92
|
$452,955.74
|
$205,798.42
|
2026-09-11
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$198,724.77
|
$270,054.78
|
$201,401.82
|
2026-09-11
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
6
|
—
|
—
|
$131,904.88
|
$441,046.38
|
$200,387.46
|
2026-09-11
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
7
|
7
|
—
|
—
|
$197,721.25
|
$268,700.02
|
$200,384.78
|
2026-09-11
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$197,508.72
|
$268,413.11
|
$200,169.38
|
2026-09-11
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
11
|
6
|
—
|
—
|
$130,152.10
|
$435,159.73
|
$197,712.89
|
2026-09-11
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$190,772.38
|
$259,319.05
|
$193,342.30
|
2026-09-11
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
11
|
6
|
—
|
—
|
$123,436.56
|
$412,605.59
|
$187,465.51
|
2026-09-11
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
11
|
6
|
—
|
—
|
$119,224.44
|
$398,459.23
|
$181,038.17
|
2026-09-11
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$177,732.16
|
$241,714.75
|
$180,126.41
|
2026-09-11
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
—
|
—
|
$176,913.45
|
$240,609.49
|
$179,296.67
|
2026-09-11
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
6
|
—
|
—
|
$117,148.78
|
$391,488.09
|
$177,870.87
|
2026-09-11
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$172,603.67
|
$234,791.29
|
$174,928.83
|
2026-09-11
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
7
|
7
|
—
|
—
|
$169,572.78
|
$230,699.59
|
$171,857.11
|
2026-09-11
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$169,129.24
|
$230,100.80
|
$171,407.60
|
2026-09-11
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$166,309.03
|
$226,293.52
|
$168,549.40
|
2026-09-11
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$164,324.17
|
$223,613.96
|
$166,537.80
|
2026-09-11
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$162,740.34
|
$221,475.79
|
$164,932.63
|
2026-09-11
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
11
|
6
|
—
|
—
|
$107,935.75
|
$360,546.17
|
$163,812.55
|
2026-09-11
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$159,472.89
|
$217,064.74
|
$161,621.17
|
2026-09-11
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$159,467.35
|
$217,057.25
|
$161,615.55
|
2026-09-11
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$158,232.82
|
$215,390.63
|
$160,364.39
|
2026-09-11
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
11
|
6
|
—
|
—
|
$103,764.15
|
$346,535.87
|
$157,447.03
|
2026-09-11
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
3
|
3
|
—
|
—
|
$154,025.51
|
$198,250.65
|
$155,550.51
|
2026-09-11
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
3
|
3
|
—
|
—
|
$154,025.51
|
$198,250.65
|
$155,550.51
|
2026-09-11
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$151,736.73
|
$206,620.92
|
$153,780.79
|
2026-09-11
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
11
|
6
|
—
|
—
|
$101,028.36
|
$337,347.74
|
$153,272.44
|
2026-09-11
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
6
|
—
|
—
|
$100,712.60
|
$336,287.26
|
$152,790.62
|
2026-09-11
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
7
|
7
|
—
|
—
|
$148,742.80
|
$202,579.11
|
$150,746.53
|
2026-09-11
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$148,116.30
|
$201,733.33
|
$150,111.58
|
2026-09-11
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$144,388.67
|
$196,701.03
|
$146,333.74
|
2026-09-11
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
7
|
—
|
—
|
$143,159.68
|
$195,041.90
|
$145,088.20
|
2026-09-11
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$143,017.38
|
$194,849.79
|
$144,943.98
|
2026-09-11
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$141,991.68
|
$193,465.10
|
$143,904.46
|
2026-09-11
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$141,527.80
|
$192,838.87
|
$143,434.34
|
2026-09-11
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
11
|
6
|
—
|
—
|
$94,342.60
|
$314,893.64
|
$143,070.52
|
2026-09-11
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$139,132.66
|
$189,605.42
|
$141,006.93
|
2026-09-11
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
3
|
3
|
—
|
—
|
$138,875.51
|
$178,750.65
|
$140,250.51
|
2026-09-11
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
3
|
3
|
—
|
—
|
$138,875.51
|
$178,750.65
|
$140,250.51
|
2026-09-11
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$137,931.39
|
$187,983.71
|
$139,789.48
|
2026-09-11
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
6
|
—
|
—
|
$92,072.71
|
$307,270.21
|
$139,606.85
|
2026-09-11
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
11
|
6
|
—
|
—
|
$91,678.31
|
$305,945.61
|
$139,005.03
|
2026-09-11
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
11
|
6
|
—
|
—
|
$91,376.85
|
$304,933.16
|
$138,545.02
|
2026-09-11
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$136,037.09
|
$185,426.40
|
$137,869.66
|
2026-09-11
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$131,355.84
|
$179,106.71
|
$133,125.35
|
2026-09-11
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$131,307.79
|
$179,041.85
|
$133,076.65
|
2026-09-11
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$130,248.83
|
$177,612.24
|
$132,003.42
|
2026-09-11
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
6
|
—
|
—
|
$86,595.17
|
$288,873.93
|
$131,248.59
|
2026-09-11
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$129,123.33
|
$176,092.83
|
$130,862.76
|
2026-09-11
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
11
|
6
|
—
|
—
|
$86,084.02
|
$287,157.16
|
$130,468.58
|
2026-09-11
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
11
|
6
|
—
|
—
|
$86,048.26
|
$287,037.11
|
$130,414.03
|
2026-09-11
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
11
|
6
|
—
|
—
|
$85,594.29
|
$285,512.42
|
$129,721.30
|
2026-09-11
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
11
|
6
|
—
|
—
|
$85,544.23
|
$285,344.35
|
$129,644.93
|
2026-09-11
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$127,502.54
|
$173,904.76
|
$129,220.14
|
2026-09-11
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
7
|
7
|
—
|
—
|
$125,586.06
|
$171,317.51
|
$127,277.84
|
2026-09-11
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
11
|
6
|
—
|
—
|
$82,939.51
|
$276,596.41
|
$125,670.35
|
2026-09-11
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$123,630.77
|
$168,677.86
|
$125,296.21
|
2026-09-11
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
11
|
6
|
—
|
—
|
$82,535.58
|
$275,239.80
|
$125,053.98
|
2026-09-11
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
3
|
3
|
—
|
—
|
$123,725.51
|
$159,250.65
|
$124,950.51
|
2026-09-11
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
3
|
3
|
—
|
—
|
$123,725.51
|
$159,250.65
|
$124,950.51
|
2026-09-11
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$121,782.66
|
$166,182.92
|
$123,423.21
|
2026-09-11
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$121,686.56
|
$166,053.19
|
$123,325.81
|
2026-09-11
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
6
|
—
|
—
|
$80,786.40
|
$269,365.16
|
$122,384.86
|
2026-09-11
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
11
|
6
|
—
|
—
|
$80,254.96
|
$267,580.36
|
$121,573.94
|
2026-09-11
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
11
|
6
|
—
|
—
|
$80,196.59
|
$267,384.27
|
$121,484.85
|
2026-09-11
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$118,193.64
|
$161,337.75
|
$119,785.84
|
2026-09-11
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
6
|
—
|
—
|
$78,929.96
|
$263,130.36
|
$119,552.10
|
2026-09-11
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
6
|
—
|
—
|
$78,929.96
|
$263,130.36
|
$119,552.10
|
2026-09-11
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$117,631.82
|
$160,579.29
|
$119,216.45
|
2026-09-11
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
11
|
6
|
—
|
—
|
$78,645.19
|
$262,173.93
|
$119,117.55
|
2026-09-11
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
7
|
7
|
—
|
—
|
$117,517.24
|
$160,424.60
|
$119,100.32
|
2026-09-11
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$116,931.39
|
$159,633.70
|
$118,506.58
|
2026-09-11
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
7
|
7
|
—
|
—
|
$116,306.73
|
$158,790.41
|
$117,873.51
|
2026-09-11
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
7
|
7
|
—
|
—
|
$115,458.45
|
$157,645.24
|
$117,013.80
|
2026-09-11
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
11
|
6
|
—
|
—
|
$77,254.65
|
$257,503.82
|
$116,995.72
|
2026-09-11
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$115,408.55
|
$157,577.87
|
$116,963.23
|
2026-09-11
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
7
|
7
|
—
|
—
|
$115,066.65
|
$157,116.31
|
$116,616.73
|
2026-09-11
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$114,765.41
|
$156,709.63
|
$116,311.43
|
2026-09-11
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
7
|
7
|
—
|
—
|
$113,438.47
|
$154,918.27
|
$114,966.61
|
2026-09-11
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
7
|
7
|
—
|
—
|
$113,242.57
|
$154,653.80
|
$114,768.07
|
2026-09-11
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
7
|
—
|
—
|
$112,237.20
|
$153,296.56
|
$113,749.16
|
2026-09-11
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$111,806.60
|
$152,715.23
|
$113,312.75
|
2026-09-11
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$111,631.03
|
$152,478.21
|
$113,134.82
|
2026-09-11
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
11
|
6
|
—
|
—
|
$73,604.96
|
$245,246.31
|
$111,426.57
|
2026-09-11
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$73,520.34
|
$244,962.18
|
$111,297.48
|
2026-09-11
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$109,387.43
|
$149,449.36
|
$110,861.00
|
2026-09-11
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
11
|
6
|
—
|
—
|
$72,820.91
|
$242,613.13
|
$110,230.19
|
2026-09-11
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
7
|
—
|
—
|
$108,249.00
|
$147,912.47
|
$109,707.23
|
2026-09-11
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
3
|
3
|
—
|
—
|
$108,575.51
|
$139,750.65
|
$109,650.51
|
2026-09-11
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
3
|
3
|
—
|
—
|
$108,575.51
|
$139,750.65
|
$109,650.51
|
2026-09-11
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$107,896.01
|
$147,435.94
|
$109,349.49
|
2026-09-11
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
11
|
6
|
—
|
—
|
$72,173.91
|
$240,440.15
|
$109,242.91
|
2026-09-11
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
11
|
6
|
—
|
—
|
$72,153.65
|
$240,372.12
|
$109,212.00
|
2026-09-11
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
6
|
—
|
—
|
$71,635.32
|
$238,631.34
|
$108,421.08
|
2026-09-11
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$106,816.71
|
$145,978.90
|
$108,255.65
|
2026-09-11
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$106,788.99
|
$145,941.47
|
$108,227.56
|
2026-09-11
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
11
|
6
|
—
|
—
|
$71,401.80
|
$237,846.98
|
$108,064.72
|
2026-09-11
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
11
|
6
|
—
|
—
|
$71,237.35
|
$237,294.73
|
$107,813.81
|
2026-09-11
|
|
0812
|
RC
|
—
|
26
|
4
|
$345,132.00
|
$138,052.80
60% off
|
$7,003.00
|
$291,192.00
|
$107,711.30
|
2026-09-11
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
7
|
7
|
—
|
—
|
$106,210.54
|
$145,160.55
|
$107,641.31
|
2026-09-11
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
7
|
7
|
—
|
—
|
$106,081.17
|
$144,985.91
|
$107,510.20
|
2026-09-11
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
7
|
—
|
—
|
$106,018.33
|
$144,901.08
|
$107,446.52
|
2026-09-11
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$105,635.78
|
$144,384.63
|
$107,058.81
|
2026-09-11
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
11
|
6
|
—
|
—
|
$70,509.32
|
$234,849.63
|
$106,702.89
|
2026-09-11
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$70,464.04
|
$234,697.57
|
$106,633.79
|
2026-09-11
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$104,471.47
|
$142,812.82
|
$105,878.82
|
2026-09-11
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$103,722.99
|
$141,802.36
|
$105,120.25
|
2026-09-11
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
11
|
6
|
—
|
—
|
$69,299.90
|
$230,787.81
|
$104,857.41
|
2026-09-11
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$103,281.29
|
$141,206.07
|
$104,672.60
|
2026-09-11
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$103,281.29
|
$141,206.07
|
$104,672.60
|
2026-09-11
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
11
|
6
|
—
|
—
|
$68,861.41
|
$229,315.15
|
$104,188.31
|
2026-09-11
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
7
|
7
|
—
|
—
|
$102,442.25
|
$140,073.37
|
$103,822.26
|
2026-09-11
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
11
|
6
|
—
|
—
|
$68,582.60
|
$228,378.72
|
$103,762.86
|
2026-09-11
|
|
234
|
APR_DRG
|
Spinal Procedures
|
7
|
7
|
—
|
—
|
$102,353.54
|
$139,953.61
|
$103,732.36
|
2026-09-11
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
11
|
6
|
—
|
—
|
$68,494.42
|
$228,082.59
|
$103,628.31
|
2026-09-11
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$100,886.15
|
$137,972.63
|
$102,245.20
|
2026-09-11
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
6
|
—
|
—
|
$67,570.96
|
$224,981.20
|
$102,219.20
|
2026-09-11
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
7
|
7
|
—
|
—
|
$100,778.96
|
$137,827.92
|
$102,136.56
|
2026-09-11
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
11
|
6
|
—
|
—
|
$67,363.63
|
$224,284.88
|
$101,902.84
|
2026-09-11
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$100,433.36
|
$137,361.37
|
$101,786.31
|
2026-09-11
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
7
|
7
|
—
|
—
|
$100,353.90
|
$137,254.09
|
$101,705.77
|
2026-09-11
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$100,291.06
|
$137,169.26
|
$101,642.09
|
2026-09-11
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
11
|
6
|
—
|
—
|
$66,906.09
|
$222,748.19
|
$101,204.65
|
2026-09-11
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
11
|
6
|
—
|
—
|
$66,391.33
|
$221,019.41
|
$100,419.19
|
2026-09-11
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
11
|
6
|
—
|
—
|
$65,996.94
|
$219,694.82
|
$99,817.36
|
2026-09-11
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
11
|
6
|
—
|
—
|
$65,765.77
|
$218,918.47
|
$99,464.63
|
2026-09-11
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
11
|
6
|
—
|
—
|
$65,672.84
|
$218,606.33
|
$99,322.81
|
2026-09-11
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
7
|
7
|
—
|
—
|
$97,951.36
|
$134,010.67
|
$99,270.87
|
2026-09-11
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
11
|
6
|
—
|
—
|
$65,570.37
|
$218,262.17
|
$99,166.45
|
2026-09-11
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
7
|
7
|
—
|
—
|
$97,546.63
|
$133,464.27
|
$98,862.43
|
2026-09-11
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
11
|
6
|
—
|
—
|
$65,310.60
|
$217,389.78
|
$98,770.08
|
2026-09-11
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
7
|
7
|
—
|
—
|
$97,304.52
|
$133,137.44
|
$98,620.32
|
2026-09-11
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
7
|
7
|
—
|
—
|
$96,792.60
|
$132,446.34
|
$98,108.40
|
2026-09-11
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
7
|
7
|
—
|
—
|
$96,330.57
|
$131,822.60
|
$97,646.37
|
2026-09-11
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
7
|
7
|
—
|
—
|
$96,145.76
|
$131,573.11
|
$97,461.56
|
2026-09-11
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
6
|
—
|
—
|
$64,125.03
|
$213,407.99
|
$96,960.97
|
2026-09-11
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
7
|
—
|
—
|
$95,617.20
|
$130,859.56
|
$96,933.00
|
2026-09-11
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
11
|
6
|
—
|
—
|
$64,086.90
|
$213,279.93
|
$96,902.79
|
2026-09-11
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
3
|
3
|
—
|
—
|
$95,950.51
|
$123,500.65
|
$96,900.51
|
2026-09-11
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
3
|
3
|
—
|
—
|
$95,950.51
|
$123,500.65
|
$96,900.51
|
2026-09-11
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
11
|
6
|
—
|
—
|
$63,660.32
|
$211,847.29
|
$96,251.87
|
2026-09-11
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
11
|
6
|
—
|
—
|
$63,451.80
|
$211,146.97
|
$95,933.69
|
2026-09-11
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$94,615.53
|
$129,507.30
|
$95,931.33
|
2026-09-11
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$94,417.79
|
$129,240.34
|
$95,733.59
|
2026-09-11
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
7
|
7
|
—
|
—
|
$93,990.87
|
$128,664.01
|
$95,306.67
|
2026-09-11
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
11
|
6
|
—
|
—
|
$62,607.00
|
$208,309.70
|
$94,644.58
|
2026-09-11
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
11
|
6
|
—
|
—
|
$62,499.76
|
$207,949.54
|
$94,480.94
|
2026-09-11
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$93,064.97
|
$127,414.04
|
$94,380.77
|
2026-09-11
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
7
|
7
|
—
|
—
|
$92,904.19
|
$127,196.98
|
$94,219.99
|
2026-09-11
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
7
|
7
|
—
|
—
|
$92,859.83
|
$127,137.11
|
$94,175.63
|
2026-09-11
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$92,516.09
|
$126,673.05
|
$93,831.89
|
2026-09-11
|
|
5204
|
APR_DRG
|
Other GYN Procedures For Malignancy
|
7
|
7
|
—
|
—
|
$91,845.22
|
$125,767.38
|
$93,161.02
|
2026-09-11
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
7
|
7
|
—
|
—
|
$91,538.44
|
$125,353.22
|
$92,854.24
|
2026-09-11
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$91,259.38
|
$124,976.49
|
$92,575.18
|
2026-09-11
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
6
|
—
|
—
|
$60,638.56
|
$201,698.72
|
$91,640.92
|
2026-09-11
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$90,122.79
|
$123,442.10
|
$91,438.59
|
2026-09-11
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
11
|
6
|
—
|
—
|
$60,009.43
|
$199,585.77
|
$90,680.91
|
2026-09-11
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
7
|
7
|
—
|
—
|
$88,891.95
|
$121,780.47
|
$90,207.75
|
2026-09-11
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
11
|
6
|
—
|
—
|
$59,532.80
|
$197,985.05
|
$89,953.63
|
2026-09-11
|
|
4854
|
APR_DRG
|
Prostatectomy Procedures
|
7
|
7
|
—
|
—
|
$88,622.13
|
$121,416.21
|
$89,937.93
|
2026-09-11
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
7
|
7
|
—
|
—
|
$88,489.07
|
$121,236.57
|
$89,804.87
|
2026-09-11
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$59,427.96
|
$197,632.89
|
$89,793.63
|
2026-09-11
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$88,322.74
|
$121,012.03
|
$89,638.54
|
2026-09-11
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
11
|
6
|
—
|
—
|
$59,226.58
|
$196,956.59
|
$89,486.35
|
2026-09-11
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
11
|
6
|
—
|
—
|
$58,982.31
|
$196,136.22
|
$89,113.62
|
2026-09-11
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
7
|
7
|
—
|
—
|
$87,480.00
|
$119,874.33
|
$88,795.80
|
2026-09-11
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
7
|
7
|
—
|
—
|
$86,755.55
|
$118,896.32
|
$88,071.35
|
2026-09-11
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
11
|
6
|
—
|
—
|
$58,118.45
|
$193,234.92
|
$87,795.42
|
2026-09-11
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$86,260.25
|
$118,227.67
|
$87,576.05
|
2026-09-11
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
11
|
6
|
—
|
—
|
$57,827.71
|
$192,258.48
|
$87,351.78
|
2026-09-11
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
7
|
7
|
—
|
—
|
$85,868.46
|
$117,698.75
|
$87,184.26
|
2026-09-11
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
7
|
7
|
—
|
—
|
$85,630.05
|
$117,376.90
|
$86,945.85
|
2026-09-11
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$85,395.34
|
$117,060.04
|
$86,711.14
|
2026-09-11
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
3
|
3
|
—
|
—
|
$85,850.51
|
$110,500.65
|
$86,700.51
|
2026-09-11
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
3
|
3
|
—
|
—
|
$85,850.51
|
$110,500.65
|
$86,700.51
|
2026-09-11
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
11
|
6
|
—
|
—
|
$57,309.38
|
$190,517.69
|
$86,560.87
|
2026-09-11
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$84,881.57
|
$116,366.45
|
$86,197.37
|
2026-09-11
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$84,667.19
|
$116,077.03
|
$85,982.99
|
2026-09-11
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
11
|
6
|
—
|
—
|
$56,601.60
|
$188,140.63
|
$85,480.85
|
2026-09-11
|
|
2992
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
7
|
—
|
—
|
$84,090.58
|
$115,298.61
|
$85,406.38
|
2026-09-11
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
6
|
—
|
—
|
$56,487.22
|
$187,756.45
|
$85,306.31
|
2026-09-11
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$83,872.50
|
$115,004.21
|
$85,188.30
|
2026-09-11
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
11
|
6
|
—
|
—
|
$56,320.40
|
$187,196.20
|
$85,051.76
|
2026-09-11
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
7
|
7
|
—
|
—
|
$83,730.20
|
$114,812.10
|
$85,046.00
|
2026-09-11
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
7
|
7
|
—
|
—
|
$83,650.73
|
$114,704.82
|
$84,966.53
|
2026-09-11
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
7
|
7
|
—
|
—
|
$83,428.96
|
$114,405.42
|
$84,744.76
|
2026-09-11
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
7
|
7
|
—
|
—
|
$83,395.69
|
$114,360.52
|
$84,711.49
|
2026-09-11
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
7
|
7
|
—
|
—
|
$83,334.71
|
$114,278.18
|
$84,650.51
|
2026-09-11
|
|
1814
|
APR_DRG
|
Lower Extremity Vascular Procedures
|
7
|
7
|
—
|
—
|
$83,262.63
|
$114,180.88
|
$84,578.43
|
2026-09-11
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
7
|
7
|
—
|
—
|
$83,077.82
|
$113,931.39
|
$84,393.62
|
2026-09-11
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
11
|
6
|
—
|
—
|
$55,834.25
|
$185,563.47
|
$84,309.93
|
2026-09-11
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
7
|
7
|
—
|
—
|
$82,802.45
|
$113,559.64
|
$84,118.25
|
2026-09-11
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
11
|
6
|
—
|
—
|
$55,613.81
|
$184,823.13
|
$83,973.57
|
2026-09-11
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$82,414.35
|
$113,035.70
|
$83,730.15
|
2026-09-11
|
|
0811
|
RC
|
—
|
11
|
4
|
$298,936.00
|
$119,574.40
60% off
|
$7,003.00
|
$224,202.00
|
$83,702.08
|
2026-09-11
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
7
|
7
|
—
|
—
|
$82,323.79
|
$112,913.45
|
$83,639.59
|
2026-09-11
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
11
|
6
|
—
|
—
|
$55,351.69
|
$183,942.74
|
$83,573.56
|
2026-09-11
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
11
|
6
|
—
|
—
|
$55,212.26
|
$183,474.53
|
$83,360.83
|
2026-09-11
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
7
|
7
|
—
|
—
|
$81,922.75
|
$112,372.05
|
$83,238.55
|
2026-09-11
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
11
|
6
|
—
|
—
|
$54,945.35
|
$182,578.12
|
$82,953.56
|
2026-09-11
|
|
120
|
EAPG
|
Car T-cell Immunotherapy
|
7
|
7
|
—
|
—
|
$75,312.42
|
$101,671.77
|
$82,843.67
|
2026-09-11
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
7
|
7
|
—
|
—
|
$81,521.72
|
$111,830.65
|
$82,837.52
|
2026-09-11
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$54,782.12
|
$182,029.88
|
$82,704.46
|
2026-09-11
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
11
|
6
|
—
|
—
|
$54,758.28
|
$181,949.84
|
$82,668.10
|
2026-09-11
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$81,296.25
|
$111,526.26
|
$82,612.05
|
2026-09-11
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
7
|
7
|
—
|
—
|
$81,288.85
|
$111,516.28
|
$82,604.65
|
2026-09-11
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
11
|
6
|
—
|
—
|
$54,546.19
|
$181,237.52
|
$82,344.46
|
2026-09-11
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
11
|
6
|
—
|
—
|
$53,984.97
|
$179,352.67
|
$81,488.09
|
2026-09-11
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
11
|
6
|
—
|
—
|
$53,969.48
|
$179,300.65
|
$81,464.45
|
2026-09-11
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
7
|
7
|
—
|
—
|
$80,065.41
|
$109,864.63
|
$81,381.21
|
2026-09-11
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
11
|
6
|
—
|
—
|
$53,759.76
|
$178,596.33
|
$81,144.45
|
2026-09-11
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$78,956.55
|
$108,367.67
|
$80,272.35
|
2026-09-11
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
7
|
7
|
—
|
—
|
$78,856.75
|
$108,232.94
|
$80,172.55
|
2026-09-11
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$78,834.57
|
$108,203.00
|
$80,150.37
|
2026-09-11
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$52,924.50
|
$175,791.07
|
$79,869.89
|
2026-09-11
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
7
|
7
|
—
|
—
|
$78,498.22
|
$107,748.92
|
$79,814.02
|
2026-09-11
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
7
|
7
|
—
|
—
|
$78,492.67
|
$107,741.44
|
$79,808.47
|
2026-09-11
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$78,405.81
|
$107,624.18
|
$79,721.61
|
2026-09-11
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
7
|
7
|
—
|
—
|
$77,943.79
|
$107,000.44
|
$79,259.59
|
2026-09-11
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
7
|
7
|
—
|
—
|
$77,903.13
|
$106,945.55
|
$79,218.93
|
2026-09-11
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
7
|
7
|
—
|
—
|
$77,888.34
|
$106,925.59
|
$79,204.14
|
2026-09-11
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
11
|
6
|
—
|
—
|
$52,145.23
|
$173,173.89
|
$78,680.79
|
2026-09-11
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$77,263.68
|
$106,082.30
|
$78,579.48
|
2026-09-11
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
7
|
7
|
—
|
—
|
$77,053.00
|
$105,797.88
|
$78,368.80
|
2026-09-11
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
7
|
7
|
—
|
—
|
$76,786.87
|
$105,438.61
|
$78,102.67
|
2026-09-11
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
11
|
6
|
—
|
—
|
$51,734.14
|
$171,793.27
|
$78,053.51
|
2026-09-11
|
|
246
|
EAPG
|
Class IV Therapeutic Radiopharmaceuticals
|
7
|
7
|
—
|
—
|
$70,956.03
|
$95,790.64
|
$78,051.63
|
2026-09-11
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
7
|
7
|
—
|
—
|
$76,609.46
|
$105,199.09
|
$77,925.26
|
2026-09-11
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
7
|
7
|
—
|
—
|
$76,550.32
|
$105,119.26
|
$77,866.12
|
2026-09-11
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
7
|
7
|
—
|
—
|
$76,493.02
|
$105,041.91
|
$77,808.82
|
2026-09-11
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
7
|
7
|
—
|
—
|
$76,236.14
|
$104,695.12
|
$77,551.94
|
2026-09-11
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
11
|
6
|
—
|
—
|
$51,405.27
|
$170,688.78
|
$77,551.68
|
2026-09-11
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$76,069.81
|
$104,470.57
|
$77,385.61
|
2026-09-11
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
11
|
6
|
—
|
—
|
$51,113.35
|
$169,708.33
|
$77,106.23
|
2026-09-11
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
11
|
6
|
—
|
—
|
$50,903.63
|
$169,004.02
|
$76,786.22
|
2026-09-11
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
11
|
6
|
—
|
—
|
$50,817.84
|
$168,715.89
|
$76,655.31
|
2026-09-11
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
11
|
6
|
—
|
—
|
$50,792.82
|
$168,631.85
|
$76,617.13
|
2026-09-11
|