|
64654
|
CPT
|
1st Opn Implt Bat Modulj Sys
|
79
|
79
|
—
|
$45,111.59
|
$6,500.00
|
$98,893.14
|
$45,000.50
|
2026-09-28
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
111
|
71
|
—
|
$47,768.78
|
$19,907.80
|
$104,722.67
|
$48,708.22
|
2026-09-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
115
|
73
|
—
|
$40,265.78
|
$12,998.00
|
$90,337.38
|
$42,710.72
|
2026-09-28
|
|
J0202
|
HCPCS
|
Alemtuzumab 30mg
|
66
|
62
|
$10,590.00
|
$76,348.11
|
$529.50
|
$95,435.14
|
$65,489.00
|
2026-09-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
105
|
68
|
—
|
$100,577.10
|
$19,441.02
|
$242,199.87
|
$110,019.64
|
2026-09-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
15
|
10
|
—
|
—
|
$75,611.37
|
$80,678.13
|
$77,879.71
|
2026-09-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
15
|
10
|
—
|
—
|
$36,953.93
|
$46,021.77
|
$38,062.55
|
2026-09-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
111
|
71
|
—
|
$43,172.31
|
$22,164.20
|
$137,146.10
|
$44,017.95
|
2026-09-28
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
111
|
71
|
—
|
$38,085.64
|
$17,271.38
|
$83,479.06
|
$38,827.47
|
2026-09-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
121
|
76
|
—
|
$58,997.03
|
$28,961.69
|
$378,527.91
|
$60,165.62
|
2026-09-28
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
121
|
76
|
—
|
$37,521.80
|
$20,669.96
|
$146,312.79
|
$39,272.85
|
2026-09-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
15
|
10
|
—
|
—
|
$34,208.12
|
$39,350.04
|
$37,476.23
|
2026-09-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
98
|
63
|
—
|
$51,326.55
|
$34,750.51
|
$188,986.46
|
$53,892.88
|
2026-09-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
105
|
68
|
—
|
$47,302.82
|
$9,449.07
|
$188,986.46
|
$52,125.77
|
2026-09-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
111
|
71
|
—
|
$48,036.55
|
$27,180.57
|
$261,786.99
|
$51,438.76
|
2026-09-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
16
|
10
|
—
|
—
|
$45,558.36
|
$48,513.54
|
$46,203.37
|
2026-09-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
111
|
71
|
—
|
$61,039.61
|
$40,382.67
|
$133,837.26
|
$64,091.59
|
2026-09-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
121
|
76
|
—
|
$82,496.23
|
$54,497.74
|
$212,666.05
|
$85,081.93
|
2026-09-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
121
|
76
|
—
|
$56,549.12
|
$37,055.59
|
$135,776.49
|
$62,465.35
|
2026-09-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
121
|
76
|
—
|
$56,549.12
|
$26,237.94
|
$135,776.49
|
$60,551.15
|
2026-09-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
121
|
76
|
—
|
$65,471.86
|
$44,045.13
|
$211,702.44
|
$68,291.51
|
2026-09-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
121
|
76
|
—
|
$46,497.92
|
$30,712.80
|
$106,181.24
|
$50,661.60
|
2026-09-28
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
121
|
76
|
—
|
$44,130.92
|
$26,866.81
|
$106,181.24
|
$47,574.45
|
2026-09-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
16
|
10
|
—
|
—
|
$35,262.70
|
$39,799.96
|
$37,904.72
|
2026-09-28
|
|
277
|
MS_DRG
|
Cellulitis Age >17 W Cc
|
111
|
71
|
—
|
$40,719.59
|
$27,190.72
|
$163,038.40
|
$43,590.93
|
2026-09-28
|
|
278
|
MS_DRG
|
Cellulitis Age >17 Without Cc
|
111
|
71
|
—
|
$48,386.00
|
$4,055.09
|
$106,076.79
|
$49,338.04
|
2026-09-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
117
|
74
|
—
|
$42,419.99
|
$18,976.00
|
$272,535.86
|
$43,093.61
|
2026-09-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
111
|
71
|
—
|
$42,222.62
|
$22,506.13
|
$327,818.67
|
$43,697.20
|
2026-09-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
99
|
66
|
—
|
$352,685.91
|
$72,715.95
|
$2,002,042.70
|
$356,249.67
|
2026-09-28
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
10
|
—
|
—
|
$131,545.36
|
$219,867.92
|
$136,807.17
|
2026-09-28
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
10
|
—
|
—
|
$50,021.00
|
$52,522.05
|
$50,021.00
|
2026-09-28
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
10
|
—
|
—
|
$48,895.78
|
$51,500.00
|
$50,000.00
|
2026-09-28
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
112
|
71
|
—
|
$52,836.05
|
$18,976.00
|
$115,839.66
|
$53,878.91
|
2026-09-28
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
112
|
71
|
—
|
$75,042.55
|
$18,976.00
|
$273,655.62
|
$76,657.61
|
2026-09-28
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
112
|
71
|
—
|
$40,615.23
|
$18,976.00
|
$146,158.35
|
$41,408.68
|
2026-09-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
121
|
76
|
—
|
$65,204.09
|
$44,476.10
|
$150,793.39
|
$70,336.00
|
2026-09-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
121
|
76
|
—
|
$47,548.74
|
$30,841.16
|
$110,309.00
|
$50,907.87
|
2026-09-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
121
|
76
|
—
|
$71,551.94
|
$48,067.56
|
$218,792.21
|
$76,625.60
|
2026-09-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
121
|
76
|
—
|
$52,401.64
|
$35,148.16
|
$135,973.33
|
$58,032.65
|
2026-09-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
121
|
76
|
—
|
$50,832.28
|
$33,921.89
|
$111,443.62
|
$55,751.70
|
2026-09-28
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
121
|
76
|
—
|
$37,243.53
|
$24,242.19
|
$87,321.00
|
$39,866.58
|
2026-09-28
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
111
|
71
|
—
|
$40,138.76
|
$26,209.70
|
$87,983.35
|
$42,145.70
|
2026-09-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
111
|
71
|
—
|
$57,809.47
|
$39,078.82
|
$142,364.02
|
$61,901.52
|
2026-09-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
111
|
71
|
—
|
$49,713.50
|
$32,943.60
|
$200,839.49
|
$52,199.17
|
2026-09-28
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
111
|
71
|
—
|
$35,003.54
|
$22,546.68
|
$77,193.00
|
$36,753.72
|
2026-09-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
16
|
10
|
—
|
—
|
$82,630.34
|
$96,725.42
|
$92,119.45
|
2026-09-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
111
|
71
|
—
|
$175,059.65
|
$118,846.11
|
$451,569.59
|
$187,526.71
|
2026-09-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
111
|
71
|
—
|
$52,933.92
|
$34,504.16
|
$155,705.47
|
$56,677.72
|
2026-09-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
111
|
71
|
—
|
$41,870.72
|
$27,479.14
|
$116,912.44
|
$44,694.65
|
2026-09-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
111
|
71
|
—
|
$176,073.28
|
$123,251.29
|
$438,539.68
|
$193,288.76
|
2026-09-28
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
111
|
71
|
—
|
$34,860.35
|
$13,554.58
|
$96,675.35
|
$36,603.37
|
2026-09-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
111
|
71
|
—
|
$41,312.54
|
$27,747.87
|
$90,558.47
|
$43,378.16
|
2026-09-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
16
|
10
|
—
|
—
|
$88,873.77
|
$94,728.09
|
$90,217.23
|
2026-09-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
16
|
10
|
—
|
—
|
$75,232.49
|
$95,318.67
|
$78,241.79
|
2026-09-28
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
104
|
67
|
—
|
$51,438.18
|
$2,562.52
|
$112,772.90
|
$52,716.92
|
2026-09-28
|
|
5881
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
16
|
10
|
—
|
—
|
$50,000.00
|
$52,500.00
|
$50,000.00
|
2026-09-28
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
106
|
68
|
—
|
$37,088.20
|
$4,269.10
|
$81,290.79
|
$37,405.22
|
2026-09-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
111
|
71
|
—
|
$61,381.82
|
$29,153.03
|
$134,588.02
|
$62,599.08
|
2026-09-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
10
|
9
|
—
|
—
|
$42,748.50
|
$56,183.54
|
$53,508.13
|
2026-09-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
15
|
10
|
—
|
—
|
$111,047.26
|
$138,492.30
|
$114,378.68
|
2026-09-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
15
|
10
|
—
|
—
|
$62,352.43
|
$67,519.29
|
$64,223.00
|
2026-09-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
15
|
10
|
—
|
—
|
$45,376.96
|
$48,383.19
|
$46,738.27
|
2026-09-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
15
|
10
|
—
|
—
|
$41,730.88
|
$45,189.30
|
$42,982.81
|
2026-09-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
91
|
59
|
—
|
$230,057.81
|
$112,885.71
|
$592,614.42
|
$234,717.44
|
2026-09-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
91
|
59
|
—
|
$95,026.89
|
$61,973.42
|
$527,020.84
|
$99,778.24
|
2026-09-28
|
|
212
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
111
|
71
|
—
|
$91,324.32
|
$41,831.92
|
$201,384.64
|
$97,367.13
|
2026-09-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
111
|
71
|
—
|
$52,876.49
|
$36,325.83
|
$518,619.95
|
$55,520.31
|
2026-09-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
10
|
—
|
—
|
$95,167.09
|
$99,925.44
|
$96,139.80
|
2026-09-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
10
|
—
|
—
|
$64,392.40
|
$69,787.65
|
$66,968.10
|
2026-09-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
10
|
—
|
—
|
$51,457.42
|
$54,273.28
|
$51,688.84
|
2026-09-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
16
|
10
|
—
|
—
|
$49,247.34
|
$51,709.71
|
$49,854.53
|
2026-09-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
111
|
71
|
—
|
$43,309.04
|
$29,099.24
|
$94,938.56
|
$45,474.49
|
2026-09-28
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
60
|
60
|
—
|
$45,111.59
|
$1,472.64
|
$98,893.14
|
$45,996.81
|
2026-09-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
111
|
71
|
—
|
$46,182.43
|
$31,972.39
|
$258,611.36
|
$49,443.98
|
2026-09-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
111
|
71
|
—
|
$67,012.92
|
$26,400.00
|
$271,028.61
|
$71,762.36
|
2026-09-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
98
|
63
|
—
|
$41,390.20
|
$26,947.10
|
$165,653.25
|
$42,199.47
|
2026-09-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
15
|
10
|
—
|
—
|
$67,242.62
|
$72,629.72
|
$69,259.90
|
2026-09-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
94
|
61
|
—
|
$86,765.08
|
$59,950.74
|
$331,493.71
|
$92,325.40
|
2026-09-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
94
|
61
|
—
|
$40,869.24
|
$28,268.43
|
$429,104.52
|
$43,491.68
|
2026-09-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
94
|
61
|
—
|
$150,422.23
|
$79,779.81
|
$1,513,993.04
|
$172,638.72
|
2026-09-28
|
|
02HA0QZ
|
OTHER
|
Lvad
|
6
|
3
|
—
|
—
|
$142,954.00
|
$174,334.00
|
$174,334.00
|
2026-09-28
|
|
02HA3QZ
|
OTHER
|
Lvad
|
6
|
3
|
—
|
—
|
$142,954.00
|
$174,334.00
|
$174,334.00
|
2026-09-28
|
|
02HA4QZ
|
OTHER
|
Lvad
|
6
|
3
|
—
|
—
|
$142,954.00
|
$174,334.00
|
$174,334.00
|
2026-09-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
111
|
71
|
—
|
$50,801.54
|
$29,598.33
|
$111,750.33
|
$51,802.88
|
2026-09-28
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
111
|
71
|
—
|
$40,446.96
|
$16,901.46
|
$119,301.21
|
$41,236.98
|
2026-09-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
111
|
71
|
—
|
$45,394.51
|
$29,258.15
|
$302,839.44
|
$48,346.14
|
2026-09-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
16
|
10
|
—
|
—
|
$55,523.63
|
$58,299.81
|
$56,279.32
|
2026-09-28
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
111
|
71
|
—
|
$39,613.74
|
$26,039.11
|
$322,003.03
|
$40,802.16
|
2026-09-28
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
111
|
71
|
—
|
$37,862.36
|
$15,954.70
|
$129,234.29
|
$38,599.63
|
2026-09-28
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
111
|
71
|
—
|
$40,541.61
|
$25,711.17
|
$113,447.59
|
$42,483.20
|
2026-09-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
111
|
71
|
—
|
$41,199.30
|
$22,126.60
|
$104,968.21
|
$42,004.67
|
2026-09-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
16
|
10
|
—
|
—
|
$80,871.28
|
$89,125.58
|
$84,106.13
|
2026-09-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
16
|
10
|
—
|
—
|
$80,000.00
|
$84,000.00
|
$80,000.00
|
2026-09-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
16
|
10
|
—
|
—
|
$59,057.68
|
$73,197.55
|
$69,711.95
|
2026-09-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$100,000.00
|
$105,000.00
|
$100,000.00
|
2026-09-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$89,874.13
|
$94,760.00
|
$92,000.00
|
2026-09-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$47,292.77
|
$51,477.59
|
$49,184.48
|
2026-09-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
16
|
10
|
—
|
—
|
$56,871.22
|
$64,416.78
|
$61,349.31
|
2026-09-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
16
|
10
|
—
|
—
|
$48,849.76
|
$54,356.82
|
$50,803.75
|
2026-09-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$91,955.70
|
$101,956.74
|
$97,101.66
|
2026-09-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$67,217.52
|
$74,305.35
|
$69,906.23
|
2026-09-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
16
|
10
|
—
|
—
|
$62,000.00
|
$65,100.00
|
$62,000.00
|
2026-09-28
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
16
|
10
|
—
|
—
|
$44,753.39
|
$50,388.10
|
$47,988.67
|
2026-09-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
16
|
10
|
—
|
—
|
$78,699.03
|
$88,799.84
|
$81,846.99
|
2026-09-28
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
16
|
10
|
—
|
—
|
$34,992.18
|
$40,817.40
|
$38,873.71
|
2026-09-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$69,359.04
|
$79,040.12
|
$72,133.40
|
2026-09-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$43,210.73
|
$50,775.36
|
$44,939.16
|
2026-09-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
10
|
—
|
—
|
$165,000.00
|
$173,250.00
|
$165,000.00
|
2026-09-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
16
|
10
|
—
|
—
|
$70,449.10
|
$74,665.80
|
$71,110.29
|
2026-09-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
16
|
10
|
—
|
—
|
$45,295.99
|
$49,009.65
|
$46,675.86
|
2026-09-28
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
16
|
10
|
—
|
—
|
$25,482.20
|
$39,171.28
|
$37,305.98
|
2026-09-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
16
|
10
|
—
|
—
|
$1,200.00
|
$69,952.39
|
$66,249.01
|
2026-09-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
16
|
10
|
—
|
—
|
$55,399.71
|
$58,169.70
|
$56,098.25
|
2026-09-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
16
|
10
|
—
|
—
|
$41,444.54
|
$43,516.77
|
$41,781.12
|
2026-09-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
10
|
—
|
—
|
$120,000.00
|
$126,000.00
|
$120,000.00
|
2026-09-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
10
|
—
|
—
|
$91,000.00
|
$95,550.00
|
$91,000.00
|
2026-09-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
16
|
10
|
—
|
—
|
$68,150.11
|
$72,620.90
|
$70,350.17
|
2026-09-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
10
|
—
|
—
|
$121,000.00
|
$127,050.00
|
$121,000.00
|
2026-09-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
10
|
—
|
—
|
$99,000.00
|
$103,950.00
|
$99,000.00
|
2026-09-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
16
|
10
|
—
|
—
|
$61,516.96
|
$66,963.93
|
$63,775.17
|
2026-09-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
10
|
—
|
—
|
$221,000.00
|
$232,050.00
|
$221,000.00
|
2026-09-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
10
|
—
|
—
|
$132,000.00
|
$138,600.00
|
$132,000.00
|
2026-09-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
16
|
10
|
—
|
—
|
$101,342.38
|
$114,211.19
|
$108,772.56
|
2026-09-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
16
|
10
|
—
|
—
|
$87,000.00
|
$91,350.00
|
$87,000.00
|
2026-09-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
16
|
10
|
—
|
—
|
$48,983.85
|
$60,560.67
|
$50,943.21
|
2026-09-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
16
|
10
|
—
|
—
|
$1,200.00
|
$72,711.39
|
$68,093.77
|
2026-09-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
10
|
—
|
—
|
$182,103.81
|
$221,861.29
|
$211,296.47
|
2026-09-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
10
|
—
|
—
|
$95,000.00
|
$99,750.00
|
$95,000.00
|
2026-09-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
16
|
10
|
—
|
—
|
$27,512.41
|
$39,890.58
|
$37,991.03
|
2026-09-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
16
|
10
|
—
|
—
|
$186,976.63
|
$208,745.64
|
$194,455.70
|
2026-09-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
16
|
10
|
—
|
—
|
$55,653.58
|
$58,951.78
|
$56,144.55
|
2026-09-28
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
16
|
10
|
—
|
—
|
$1,200.00
|
$44,123.38
|
$40,493.78
|
2026-09-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
16
|
10
|
—
|
—
|
$221,000.00
|
$232,050.00
|
$221,000.00
|
2026-09-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
16
|
10
|
—
|
—
|
$221,000.00
|
$232,050.00
|
$221,000.00
|
2026-09-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
16
|
10
|
—
|
—
|
$134,684.62
|
$152,588.90
|
$145,322.76
|
2026-09-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
16
|
10
|
—
|
—
|
$69,493.60
|
$77,855.74
|
$72,273.35
|
2026-09-28
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
117
|
74
|
—
|
$51,948.62
|
$19,759.16
|
$114,509.68
|
$54,219.39
|
2026-09-28
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
65
|
65
|
—
|
$45,111.59
|
$388.00
|
$98,893.14
|
$45,996.81
|
2026-09-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
121
|
76
|
—
|
$43,380.22
|
$29,000.91
|
$110,309.00
|
$47,285.39
|
2026-09-28
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
111
|
71
|
—
|
$38,893.78
|
$24,145.82
|
$231,237.69
|
$39,652.10
|
2026-09-28
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
117
|
74
|
—
|
$39,460.85
|
$14,856.88
|
$110,309.00
|
$40,230.74
|
2026-09-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
111
|
71
|
—
|
$83,905.44
|
$58,733.81
|
$234,590.02
|
$91,268.91
|
2026-09-28
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
111
|
71
|
—
|
$36,953.91
|
$23,720.81
|
$90,593.65
|
$38,392.19
|
2026-09-28
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
111
|
71
|
—
|
$37,347.06
|
$19,481.20
|
$122,287.28
|
$38,073.82
|
2026-09-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
121
|
76
|
—
|
$46,040.87
|
$28,961.69
|
$110,309.00
|
$48,763.50
|
2026-09-28
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
111
|
71
|
—
|
$37,446.54
|
$24,229.63
|
$91,580.86
|
$39,318.87
|
2026-09-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
111
|
71
|
—
|
$64,999.44
|
$42,552.28
|
$142,524.64
|
$66,290.53
|
2026-09-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
94
|
61
|
—
|
$61,406.07
|
$42,984.25
|
$254,735.84
|
$67,242.30
|
2026-09-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
15
|
10
|
—
|
—
|
$41,018.96
|
$50,791.40
|
$48,372.76
|
2026-09-28
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
111
|
71
|
—
|
$47,611.83
|
$31,433.82
|
$110,183.91
|
$50,975.47
|
2026-09-28
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
117
|
74
|
—
|
$36,731.45
|
$14,856.88
|
$82,087.18
|
$37,103.94
|
2026-09-28
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
111
|
71
|
—
|
$40,154.91
|
$26,424.37
|
$88,018.79
|
$42,162.66
|
2026-09-28
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
106
|
68
|
—
|
$36,193.51
|
$4,199.38
|
$79,327.95
|
$36,896.72
|
2026-09-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
111
|
71
|
—
|
$55,411.76
|
$27,771.50
|
$390,586.18
|
$56,507.18
|
2026-09-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
111
|
71
|
—
|
$45,467.31
|
$21,711.21
|
$99,673.55
|
$46,359.79
|
2026-09-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
111
|
71
|
—
|
$59,271.25
|
$14,151.16
|
$143,744.31
|
$60,445.44
|
2026-09-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
94
|
61
|
—
|
$48,696.65
|
$31,501.56
|
$414,358.28
|
$51,131.48
|
2026-09-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
105
|
68
|
—
|
$61,073.59
|
$8,184.45
|
$146,544.07
|
$67,622.79
|
2026-09-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
111
|
71
|
—
|
$43,006.48
|
$6,365.22
|
$99,737.52
|
$45,156.80
|
2026-09-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
111
|
71
|
—
|
$56,355.80
|
$18,595.28
|
$123,561.55
|
$57,470.49
|
2026-09-28
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
112
|
71
|
—
|
$57,010.24
|
$18,976.00
|
$176,973.88
|
$58,139.11
|
2026-09-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
117
|
74
|
—
|
$71,337.57
|
$37,951.00
|
$227,851.88
|
$72,758.01
|
2026-09-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
117
|
74
|
—
|
$51,596.74
|
$33,130.96
|
$113,120.77
|
$53,144.65
|
2026-09-28
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
117
|
74
|
—
|
$37,112.46
|
$25,366.87
|
$87,859.65
|
$39,726.15
|
2026-09-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
111
|
71
|
—
|
$51,962.39
|
$26,717.72
|
$113,922.95
|
$52,987.42
|
2026-09-28
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
111
|
71
|
—
|
$39,994.77
|
$27,752.78
|
$87,897.23
|
$41,629.18
|
2026-09-28
|
|
D92BHZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD20DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D726JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D924DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D929DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD23JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D020JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D928DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D723JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D928HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD24HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF20JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D920JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D929HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D925HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB21HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD27JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92BJZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB22HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D021HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB28HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD25JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF21HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD24DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD20HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD23DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD25HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D020HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D724HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D725DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB22JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D724DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D921JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D727DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D727JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD22HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD25DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF21JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF22DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF22HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D721HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D725JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D924HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB28JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D820DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D927DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D726DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92CJZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD20JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D020DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D721JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D726HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D722DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92BDZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB27HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD21JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D921HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D925DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D926JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92CHZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D027DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB26HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD21HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD23HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D026HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D721DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB21JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92CDZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D728DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB27DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB28DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD27HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF20HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D021JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D720DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D021DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D027JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB26DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D728HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D926HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD22DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D722JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D820JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D720HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D723HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D927HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D921DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D925JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D927JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD22JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D720JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB20HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD21DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92DJZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB20DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92DDZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D724JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D722HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D926DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D92DHZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB25JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD24JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D027HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D723DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D727HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D820HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D026JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D920DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB25DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D026DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D924JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D929JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D928JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB20JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
D725HZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB21DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB22DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DB26JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DD27DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF20DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF21DZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
DF22JZZ
|
OTHER
|
Stereotactic Radiosurgery
|
4
|
2
|
—
|
—
|
$35,294.00
|
$37,058.00
|
$36,176.00
|
2026-09-28
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
111
|
71
|
—
|
$43,703.79
|
$23,503.06
|
$266,757.65
|
$45,014.91
|
2026-09-28
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
111
|
71
|
—
|
$37,463.56
|
$24,196.30
|
$119,080.20
|
$38,734.82
|
2026-09-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
111
|
71
|
—
|
$47,479.17
|
$28,561.17
|
$157,601.39
|
$48,412.70
|
2026-09-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
111
|
71
|
—
|
$115,409.22
|
$78,962.74
|
$664,447.89
|
$123,615.53
|
2026-09-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
10
|
—
|
—
|
$66,782.14
|
$71,513.08
|
$69,107.89
|
2026-09-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
16
|
10
|
—
|
—
|
$41,876.47
|
$44,855.03
|
$43,340.67
|
2026-09-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
16
|
10
|
—
|
—
|
$43,560.21
|
$48,884.60
|
$45,302.62
|
2026-09-28
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
71
|
71
|
—
|
$64,407.30
|
$624.00
|
$255,887.12
|
$65,029.45
|
2026-09-28
|
|
323
|
MS_DRG
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
111
|
71
|
—
|
$38,364.72
|
$14,938.36
|
$84,091.34
|
$40,282.96
|
2026-09-28
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
111
|
71
|
—
|
$39,603.23
|
$19,701.61
|
$86,808.46
|
$39,810.70
|
2026-09-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
111
|
71
|
—
|
$49,464.33
|
$20,198.33
|
$108,442.52
|
$50,438.38
|
2026-09-28
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
111
|
71
|
—
|
$37,306.62
|
$17,858.16
|
$81,902.22
|
$38,229.73
|
2026-09-28
|