|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
14
|
12
|
—
|
—
|
$473,343.94
|
$1,731,359.68
|
$819,709.38
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
2
|
—
|
—
|
$50,021.00
|
$1,285,028.84
|
$667,524.92
|
2026-07-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Susp
|
35
|
15
|
$1,386,000.00
|
$415,800.00
70% off
|
$495,761.13
|
$1,386,000.00
|
$653,953.48
|
2026-07-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel Susp
|
35
|
15
|
$1,386,000.00
|
$415,800.00
70% off
|
$455,439.60
|
$1,386,000.00
|
$637,560.00
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
2
|
—
|
—
|
$46,104.88
|
$1,184,770.53
|
$617,746.24
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$413,253.63
|
$580,200.59
|
$517,426.12
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$201,591.97
|
$809,943.59
|
$514,971.79
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$221,000.00
|
$733,977.10
|
$477,488.55
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$221,000.00
|
$727,070.45
|
$474,035.22
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
2
|
—
|
—
|
$32,937.58
|
$846,282.71
|
$441,259.14
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$221,000.00
|
$652,464.47
|
$436,732.23
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$219,000.00
|
$456,253.16
|
$337,626.58
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$120,000.00
|
$553,976.59
|
$336,988.29
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$165,000.00
|
$470,214.92
|
$317,607.46
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
2
|
—
|
—
|
$190,000.00
|
$412,515.49
|
$301,257.74
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$200,000.00
|
$395,070.49
|
$297,535.24
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$200,000.00
|
$379,229.74
|
$289,614.87
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$219,000.00
|
$342,527.23
|
$280,763.61
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$127,595.34
|
$407,833.50
|
$273,916.75
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$132,000.00
|
$399,389.09
|
$265,694.55
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$121,000.00
|
$408,068.38
|
$264,534.19
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$176,854.75
|
$349,030.60
|
$262,942.67
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$130,000.00
|
$388,766.54
|
$259,383.27
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
2
|
—
|
—
|
$207,541.00
|
$307,397.93
|
$257,469.46
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$120,000.00
|
$391,283.69
|
$255,641.85
|
2026-07-15
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$92,000.00
|
$408,347.57
|
$250,173.79
|
2026-07-15
|
|
589
|
MS_DRG
|
Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W…
|
3
|
3
|
—
|
—
|
$177,227.12
|
$291,612.28
|
$247,870.44
|
2026-07-30
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
30
|
25
|
—
|
—
|
$3,903.00
|
$519,925.53
|
$247,411.07
|
2026-07-30
|
|
591
|
MS_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
3
|
3
|
—
|
—
|
$169,386.68
|
$278,711.50
|
$236,904.77
|
2026-07-30
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$90,000.00
|
$372,015.09
|
$231,007.55
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$117,988.01
|
$331,980.02
|
$224,984.02
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
2
|
—
|
—
|
$115,230.87
|
$322,822.12
|
$224,797.55
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$120,502.93
|
$317,043.31
|
$224,521.65
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$139,000.00
|
$301,705.54
|
$220,352.77
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$99,000.00
|
$316,041.77
|
$207,520.89
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$110,000.00
|
$303,433.87
|
$206,716.93
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
2
|
—
|
—
|
$159,393.37
|
$229,326.44
|
$202,343.07
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
2
|
—
|
—
|
$110,890.00
|
$276,148.51
|
$199,072.89
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$100,000.00
|
$294,169.61
|
$197,084.80
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$80,000.00
|
$307,081.07
|
$193,540.54
|
2026-07-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$100,662.13
|
$275,751.88
|
$193,248.32
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$129,004.96
|
$237,263.43
|
$189,595.20
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$88,000.00
|
$286,533.96
|
$187,266.98
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$100,000.00
|
$270,535.89
|
$185,267.95
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
31
|
25
|
—
|
—
|
$3,903.00
|
$407,354.04
|
$182,048.59
|
2026-07-30
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$85,000.00
|
$278,257.95
|
$181,628.98
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$113,919.28
|
$232,464.01
|
$178,897.01
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$91,838.03
|
$253,465.36
|
$177,251.01
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
2
|
—
|
—
|
$108,213.13
|
$234,682.03
|
$176,867.12
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
34
|
27
|
—
|
—
|
$3,903.00
|
$528,860.02
|
$171,348.18
|
2026-07-30
|
|
161
|
MS_DRG
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$122,333.30
|
$201,289.13
|
$171,095.76
|
2026-07-30
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
2
|
—
|
—
|
$99,994.66
|
$228,167.57
|
$169,088.99
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
30
|
25
|
—
|
—
|
$3,903.00
|
$406,887.76
|
$168,490.57
|
2026-07-30
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$103,900.27
|
$215,280.48
|
$164,793.89
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
31
|
25
|
—
|
—
|
$3,903.00
|
$409,758.80
|
$162,142.00
|
2026-07-30
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$91,000.00
|
$232,488.38
|
$161,744.19
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$92,000.00
|
$228,435.69
|
$160,217.85
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
2
|
—
|
—
|
$120,000.00
|
$199,065.26
|
$159,532.63
|
2026-07-15
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$100,848.83
|
$206,293.20
|
$158,621.68
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
30
|
25
|
—
|
—
|
$3,903.00
|
$1,230,334.65
|
$155,110.41
|
2026-07-30
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$120,434.08
|
$177,521.04
|
$155,009.24
|
2026-07-15
|
|
5881
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
4
|
2
|
—
|
—
|
$50,000.00
|
$258,572.78
|
$154,286.39
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$86,000.00
|
$221,367.28
|
$153,683.64
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$85,000.00
|
$220,292.62
|
$152,646.31
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$110,000.00
|
$191,205.81
|
$150,602.90
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
2
|
—
|
—
|
$106,405.61
|
$182,785.77
|
$149,924.69
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$120,000.00
|
$175,943.38
|
$147,971.69
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
2
|
—
|
—
|
$87,000.00
|
$206,680.96
|
$146,840.48
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$79,000.00
|
$214,347.63
|
$146,673.82
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$91,000.00
|
$201,037.32
|
$146,018.66
|
2026-07-15
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
2
|
—
|
—
|
$78,377.84
|
$203,208.80
|
$144,718.41
|
2026-07-15
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$73,000.00
|
$213,443.58
|
$143,221.79
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$77,000.00
|
$202,900.81
|
$139,950.40
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$109,416.21
|
$164,625.08
|
$139,812.54
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
2
|
—
|
—
|
$113,161.96
|
$151,875.37
|
$138,186.09
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
2
|
—
|
—
|
$102,205.93
|
$163,596.91
|
$138,020.06
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
2
|
—
|
—
|
$107,884.07
|
$152,943.38
|
$133,971.69
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$85,000.00
|
$180,955.52
|
$132,977.76
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$93,000.00
|
$170,359.57
|
$131,679.79
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
2
|
—
|
—
|
$94,448.38
|
$158,250.22
|
$131,079.36
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
2
|
—
|
—
|
$95,000.00
|
$166,747.81
|
$130,873.90
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$103,731.07
|
$145,985.77
|
$130,053.45
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
2
|
—
|
—
|
$93,253.48
|
$156,987.22
|
$129,790.55
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$50,000.00
|
$208,373.83
|
$129,186.91
|
2026-07-15
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
4
|
2
|
—
|
—
|
$100,144.02
|
$147,751.76
|
$128,963.25
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
2
|
—
|
—
|
$33,354.00
|
$223,873.35
|
$128,613.68
|
2026-07-15
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$87,000.00
|
$165,790.59
|
$126,395.29
|
2026-07-15
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
2
|
—
|
—
|
$60,167.19
|
$185,380.48
|
$125,786.76
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$80,000.00
|
$170,508.03
|
$125,254.01
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$80,000.00
|
$167,108.99
|
$123,554.49
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
4
|
2
|
—
|
—
|
$86,998.89
|
$149,207.54
|
$122,460.14
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$86,003.53
|
$149,801.38
|
$122,209.51
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$89,000.00
|
$154,113.32
|
$121,556.66
|
2026-07-15
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
2
|
—
|
—
|
$107,381.14
|
$123,588.46
|
$120,862.67
|
2026-07-15
|
|
212
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
17
|
14
|
—
|
—
|
$81,149.64
|
$208,695.73
|
$119,195.36
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$80,000.00
|
$154,527.68
|
$117,263.84
|
2026-07-15
|
|
7544
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
4
|
2
|
—
|
—
|
$23,548.71
|
$205,372.42
|
$115,639.26
|
2026-07-15
|
|
588
|
MS_DRG
|
Neonate Bwt <1500g W Major Procedure
|
3
|
3
|
—
|
—
|
$82,394.38
|
$135,573.00
|
$115,237.05
|
2026-07-30
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
4
|
2
|
—
|
—
|
$56,293.08
|
$166,957.03
|
$114,443.92
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
30
|
25
|
—
|
—
|
$3,903.00
|
$241,522.40
|
$114,249.35
|
2026-07-30
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$87,930.08
|
$129,823.72
|
$113,280.46
|
2026-07-15
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
4
|
2
|
—
|
—
|
$88,119.12
|
$136,178.64
|
$113,089.32
|
2026-07-15
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
2
|
—
|
—
|
$82,278.78
|
$135,602.53
|
$113,061.14
|
2026-07-15
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$80,638.12
|
$137,319.77
|
$113,017.26
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$107,104.58
|
$117,832.61
|
$111,503.49
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$94,360.87
|
$118,611.77
|
$111,212.00
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
2
|
—
|
—
|
$79,929.81
|
$134,374.98
|
$111,155.23
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$95,364.40
|
$115,520.74
|
$110,218.51
|
2026-07-15
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$66,684.33
|
$150,113.80
|
$110,056.90
|
2026-07-15
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
2
|
—
|
—
|
$90,335.06
|
$122,817.36
|
$109,908.68
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$76,663.66
|
$135,409.75
|
$109,875.93
|
2026-07-15
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
2
|
—
|
—
|
$58,779.75
|
$151,791.16
|
$108,228.88
|
2026-07-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$79,393.04
|
$128,283.74
|
$107,814.33
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$70,000.00
|
$145,513.80
|
$107,756.90
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$70,000.00
|
$145,316.60
|
$107,658.30
|
2026-07-15
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
2
|
—
|
—
|
$79,198.17
|
$127,840.58
|
$107,485.55
|
2026-07-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
2
|
—
|
—
|
$78,876.10
|
$127,446.17
|
$107,111.18
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$70,000.00
|
$142,074.88
|
$106,037.44
|
2026-07-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
2
|
—
|
—
|
$92,000.00
|
$118,578.54
|
$105,289.27
|
2026-07-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
2
|
—
|
—
|
$77,475.82
|
$124,426.03
|
$104,830.83
|
2026-07-15
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
4
|
2
|
—
|
—
|
$72,379.97
|
$129,092.51
|
$104,360.90
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$76,511.96
|
$124,002.82
|
$104,089.02
|
2026-07-15
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$76,635.65
|
$123,827.77
|
$104,069.54
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
31
|
25
|
—
|
—
|
$3,903.00
|
$269,573.96
|
$104,000.73
|
2026-07-30
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$72,734.71
|
$127,884.90
|
$103,952.23
|
2026-07-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
2
|
—
|
—
|
$67,140.38
|
$138,303.59
|
$102,721.99
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$62,000.00
|
$141,886.54
|
$101,943.27
|
2026-07-15
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
4
|
2
|
—
|
—
|
$62,391.31
|
$134,884.61
|
$101,762.29
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$77,471.15
|
$117,962.54
|
$101,596.52
|
2026-07-15
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
2
|
—
|
—
|
$73,308.82
|
$121,908.88
|
$101,280.04
|
2026-07-15
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
2
|
—
|
—
|
$77,839.89
|
$116,653.01
|
$101,144.60
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$72,101.08
|
$121,199.83
|
$100,261.15
|
2026-07-15
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$50,000.00
|
$150,319.87
|
$100,159.93
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
2
|
—
|
—
|
$4,296.30
|
$195,745.99
|
$100,021.15
|
2026-07-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
2
|
—
|
—
|
$82,614.85
|
$107,091.83
|
$98,990.67
|
2026-07-15
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$50,000.00
|
$147,767.27
|
$98,883.63
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
2
|
—
|
—
|
$55,778.48
|
$135,988.08
|
$98,676.38
|
2026-07-15
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$1,908.00
|
$194,861.88
|
$98,384.94
|
2026-07-15
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
4
|
2
|
—
|
—
|
$72,176.93
|
$116,621.99
|
$98,013.95
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
2
|
—
|
—
|
$71,825.69
|
$116,788.17
|
$97,903.82
|
2026-07-15
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
2
|
—
|
—
|
$71,330.93
|
$115,252.62
|
$96,863.88
|
2026-07-15
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$77,479.32
|
$107,993.66
|
$96,616.58
|
2026-07-15
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
4
|
2
|
—
|
—
|
$53,372.34
|
$134,384.91
|
$96,551.19
|
2026-07-15
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$72,115.08
|
$113,203.01
|
$96,270.44
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
2
|
—
|
—
|
$84,875.13
|
$97,743.37
|
$95,559.79
|
2026-07-15
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
2
|
—
|
—
|
$70,203.70
|
$113,431.23
|
$95,333.11
|
2026-07-15
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
2
|
—
|
—
|
$76,333.43
|
$106,498.00
|
$95,238.40
|
2026-07-15
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
4
|
2
|
—
|
—
|
$68,027.43
|
$115,638.17
|
$95,036.99
|
2026-07-15
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$52,257.95
|
$130,805.32
|
$94,148.38
|
2026-07-15
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
2
|
—
|
—
|
$73,096.45
|
$107,271.31
|
$93,844.42
|
2026-07-15
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
4
|
2
|
—
|
—
|
$65,113.68
|
$115,888.56
|
$93,761.82
|
2026-07-15
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
4
|
2
|
—
|
—
|
$56,936.05
|
$124,047.78
|
$93,342.99
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
31
|
25
|
—
|
—
|
$3,903.00
|
$383,310.36
|
$92,560.18
|
2026-07-30
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
4
|
2
|
—
|
—
|
$67,267.78
|
$109,420.00
|
$91,712.48
|
2026-07-15
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$70,000.00
|
$113,333.74
|
$91,666.87
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
27
|
23
|
—
|
—
|
$3,903.00
|
$213,786.42
|
$91,449.12
|
2026-07-30
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
2
|
—
|
—
|
$67,310.96
|
$108,755.90
|
$91,404.18
|
2026-07-15
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$64,870.97
|
$110,029.98
|
$90,699.01
|
2026-07-15
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
2
|
—
|
—
|
$68,941.12
|
$104,700.98
|
$90,273.45
|
2026-07-15
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
4
|
2
|
—
|
—
|
$61,958.39
|
$111,413.63
|
$89,788.65
|
2026-07-15
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
4
|
2
|
—
|
—
|
$75,278.55
|
$96,861.48
|
$89,200.53
|
2026-07-15
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
2
|
—
|
—
|
$65,615.45
|
$106,017.17
|
$89,102.14
|
2026-07-15
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
2
|
—
|
—
|
$77,408.14
|
$92,276.99
|
$88,719.08
|
2026-07-15
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$60,000.00
|
$117,362.06
|
$88,681.03
|
2026-07-15
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
4
|
2
|
—
|
—
|
$70,672.79
|
$98,481.98
|
$88,116.53
|
2026-07-15
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$57,983.92
|
$111,942.22
|
$87,866.64
|
2026-07-15
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$64,453.22
|
$104,388.55
|
$87,648.49
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
2
|
—
|
—
|
$62,999.26
|
$105,868.71
|
$87,588.77
|
2026-07-15
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
2
|
—
|
—
|
$80,582.00
|
$94,362.73
|
$87,472.36
|
2026-07-15
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
4
|
2
|
—
|
—
|
$55,871.84
|
$112,819.67
|
$87,143.52
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
34
|
27
|
—
|
—
|
$3,903.00
|
$183,606.79
|
$86,956.80
|
2026-07-30
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
2
|
—
|
—
|
$64,141.66
|
$103,269.57
|
$86,917.62
|
2026-07-15
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
2
|
—
|
—
|
$72,054.40
|
$94,038.55
|
$86,654.83
|
2026-07-15
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
2
|
—
|
—
|
$52,892.74
|
$114,758.50
|
$86,474.17
|
2026-07-15
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
4
|
2
|
—
|
—
|
$74,509.56
|
$90,912.06
|
$86,442.14
|
2026-07-15
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
4
|
2
|
—
|
—
|
$62,420.48
|
$100,852.14
|
$84,762.10
|
2026-07-15
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$53,718.90
|
$110,384.51
|
$84,741.63
|
2026-07-15
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
2
|
—
|
—
|
$62,132.25
|
$100,386.82
|
$84,370.89
|
2026-07-15
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$46,032.53
|
$116,912.26
|
$83,777.32
|
2026-07-15
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$67,146.42
|
$91,940.19
|
$82,905.82
|
2026-07-15
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
2
|
—
|
—
|
$69,333.19
|
$89,283.45
|
$82,780.37
|
2026-07-15
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
2
|
—
|
—
|
$48,072.28
|
$112,493.95
|
$82,690.20
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
34
|
27
|
—
|
—
|
$3,903.00
|
$278,158.28
|
$82,567.21
|
2026-07-30
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$73,671.73
|
$83,828.15
|
$82,439.30
|
2026-07-15
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
4
|
2
|
—
|
—
|
$56,113.38
|
$102,764.37
|
$82,248.74
|
2026-07-15
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$60,851.00
|
$97,543.95
|
$82,244.65
|
2026-07-15
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$62,000.00
|
$101,800.50
|
$81,900.25
|
2026-07-15
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
4
|
2
|
—
|
—
|
$47,869.24
|
$110,796.65
|
$81,729.86
|
2026-07-15
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
2
|
—
|
—
|
$54,406.21
|
$103,147.71
|
$81,501.31
|
2026-07-15
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$54,344.36
|
$103,113.75
|
$81,450.31
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
31
|
25
|
—
|
—
|
$3,903.00
|
$201,460.49
|
$81,172.84
|
2026-07-30
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$61,308.42
|
$99,057.34
|
$81,028.67
|
2026-07-15
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
2
|
—
|
—
|
$60,338.73
|
$95,662.73
|
$81,022.24
|
2026-07-15
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
2
|
—
|
—
|
$60,859.17
|
$94,732.10
|
$80,843.21
|
2026-07-15
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
2
|
—
|
—
|
$68,733.41
|
$87,364.56
|
$80,567.51
|
2026-07-15
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
4
|
2
|
—
|
—
|
$61,646.82
|
$92,921.79
|
$80,371.35
|
2026-07-15
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
2
|
—
|
—
|
$70,790.65
|
$82,095.39
|
$79,988.07
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
34
|
27
|
—
|
—
|
$3,903.00
|
$168,465.64
|
$79,785.44
|
2026-07-30
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
2
|
—
|
—
|
$73,341.50
|
$80,687.14
|
$79,589.32
|
2026-07-15
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
2
|
—
|
—
|
$64,097.31
|
$88,538.94
|
$79,527.90
|
2026-07-15
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
2
|
—
|
—
|
$63,687.73
|
$88,665.24
|
$79,365.75
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
31
|
25
|
—
|
—
|
$3,903.00
|
$220,920.38
|
$79,335.30
|
2026-07-30
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
31
|
25
|
—
|
—
|
$3,903.00
|
$170,879.16
|
$79,048.06
|
2026-07-30
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$60,262.88
|
$91,574.59
|
$78,936.45
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
31
|
25
|
—
|
—
|
$3,903.00
|
$191,094.74
|
$78,784.90
|
2026-07-30
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
34
|
27
|
—
|
—
|
$3,903.00
|
$165,102.06
|
$78,196.11
|
2026-07-30
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
17
|
14
|
—
|
—
|
$53,351.97
|
$136,846.64
|
$78,159.17
|
2026-07-15
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
4
|
2
|
—
|
—
|
$63,693.57
|
$85,886.62
|
$77,979.65
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$59,265.18
|
$89,312.25
|
$77,256.46
|
2026-07-15
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
2
|
—
|
—
|
$56,267.41
|
$91,842.69
|
$76,872.64
|
2026-07-15
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
4
|
2
|
—
|
—
|
$53,274.32
|
$94,294.72
|
$76,452.18
|
2026-07-15
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
2
|
—
|
—
|
$55,310.56
|
$91,997.80
|
$76,423.83
|
2026-07-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
30
|
25
|
—
|
—
|
$3,903.00
|
$295,220.90
|
$76,038.46
|
2026-07-30
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
2
|
—
|
—
|
$67,351.80
|
$77,856.56
|
$75,976.98
|
2026-07-15
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
4
|
2
|
—
|
—
|
$55,464.88
|
$96,482.58
|
$75,973.73
|
2026-07-15
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$73,341.50
|
$80,687.14
|
$75,844.62
|
2026-07-15
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$60,371.40
|
$85,100.01
|
$75,758.85
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$59,643.74
|
$91,731.90
|
$75,687.82
|
2026-07-15
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$55,534.60
|
$89,724.39
|
$75,410.37
|
2026-07-15
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$50,353.57
|
$95,204.06
|
$75,300.17
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
31
|
25
|
—
|
—
|
$3,903.00
|
$175,163.81
|
$74,637.92
|
2026-07-30
|
|
162
|
MS_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
3
|
3
|
—
|
—
|
$53,315.48
|
$87,726.13
|
$74,567.21
|
2026-07-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
25
|
—
|
—
|
$3,903.00
|
$187,751.50
|
$74,518.62
|
2026-07-30
|
|
4464
|
APR_DRG
|
Urethral And Transurethral Procedures
|
4
|
2
|
—
|
—
|
$40,136.19
|
$104,208.86
|
$74,182.10
|
2026-07-15
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
4
|
2
|
—
|
—
|
$53,501.86
|
$88,787.11
|
$73,823.54
|
2026-07-15
|
|
5144
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$50,000.00
|
$96,431.62
|
$73,215.81
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
31
|
25
|
—
|
—
|
$3,903.00
|
$161,278.05
|
$73,132.92
|
2026-07-30
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
2
|
—
|
—
|
$47,395.47
|
$93,852.42
|
$72,997.13
|
2026-07-15
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
2
|
—
|
—
|
$53,487.86
|
$86,418.42
|
$72,631.49
|
2026-07-15
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$58,373.67
|
$81,019.30
|
$72,619.57
|
2026-07-15
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
4
|
2
|
—
|
—
|
$51,341.93
|
$88,007.15
|
$72,245.40
|
2026-07-15
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$38,202.44
|
$106,283.06
|
$72,242.75
|
2026-07-15
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
4
|
2
|
—
|
—
|
$43,154.96
|
$96,726.32
|
$72,101.42
|
2026-07-15
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
4
|
2
|
—
|
—
|
$56,668.83
|
$81,831.71
|
$72,087.96
|
2026-07-15
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
4
|
2
|
—
|
—
|
$54,659.43
|
$83,675.26
|
$71,904.38
|
2026-07-15
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
4
|
2
|
—
|
—
|
$60,958.21
|
$82,760.13
|
$71,859.17
|
2026-07-15
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$54,766.78
|
$88,483.54
|
$71,806.87
|
2026-07-15
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
4
|
2
|
—
|
—
|
$43,571.54
|
$95,399.06
|
$71,666.94
|
2026-07-15
|
|
824
|
APR_DRG
|
Eye Infections And Other Eye Disorders
|
4
|
2
|
—
|
—
|
$25,902.34
|
$114,554.64
|
$71,525.08
|
2026-07-15
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
2
|
—
|
—
|
$47,796.89
|
$90,338.17
|
$71,460.82
|
2026-07-15
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$52,037.40
|
$84,794.23
|
$71,021.51
|
2026-07-15
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
2
|
—
|
—
|
$56,464.62
|
$83,205.51
|
$70,872.82
|
2026-07-15
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
2
|
—
|
—
|
$53,547.37
|
$82,819.96
|
$70,864.99
|
2026-07-15
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$55,260.38
|
$80,781.42
|
$70,788.04
|
2026-07-15
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
4
|
2
|
—
|
—
|
$55,289.55
|
$80,393.66
|
$70,610.21
|
2026-07-15
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
4
|
2
|
—
|
—
|
$61,272.25
|
$73,799.44
|
$70,604.11
|
2026-07-15
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
4
|
2
|
—
|
—
|
$51,781.85
|
$83,657.53
|
$70,312.59
|
2026-07-15
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
4
|
2
|
—
|
—
|
$55,822.83
|
$79,190.48
|
$70,301.96
|
2026-07-15
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
4
|
2
|
—
|
—
|
$51,715.34
|
$83,553.39
|
$70,223.93
|
2026-07-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
30
|
25
|
—
|
—
|
$3,903.00
|
$304,361.87
|
$69,528.61
|
2026-07-30
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
2
|
—
|
—
|
$54,283.68
|
$79,161.67
|
$69,440.90
|
2026-07-15
|
|
2834
|
APR_DRG
|
Other Disorders Of The Liver
|
4
|
2
|
—
|
—
|
$18,854.27
|
$117,488.36
|
$69,114.87
|
2026-07-15
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$61,000.00
|
$77,196.26
|
$69,098.13
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
34
|
27
|
—
|
—
|
$3,903.00
|
$215,070.45
|
$68,762.63
|
2026-07-30
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
34
|
27
|
—
|
—
|
$3,903.00
|
$161,786.64
|
$68,707.04
|
2026-07-30
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$50,000.00
|
$87,145.20
|
$68,572.60
|
2026-07-15
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
4
|
2
|
—
|
—
|
$64,461.39
|
$70,917.42
|
$68,474.86
|
2026-07-15
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$203.40
|
$136,072.28
|
$68,137.84
|
2026-07-15
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$59,116.98
|
$70,431.42
|
$67,734.51
|
2026-07-15
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
4
|
2
|
—
|
—
|
$46,843.53
|
$83,867.91
|
$67,701.26
|
2026-07-15
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
4
|
2
|
—
|
—
|
$50,000.00
|
$85,091.15
|
$67,545.57
|
2026-07-15
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$48,528.53
|
$81,311.00
|
$67,349.71
|
2026-07-15
|
|
554
|
APR_DRG
|
Head Trauma With Coma > 1 Hour Or Hemorrhage
|
4
|
2
|
—
|
—
|
$43,079.11
|
$86,379.85
|
$66,886.46
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
14
|
12
|
—
|
—
|
$53,383.16
|
$126,917.40
|
$66,332.08
|
2026-07-15
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion With Mcc
|
25
|
22
|
—
|
—
|
$3,903.00
|
$160,725.68
|
$66,214.89
|
2026-07-30
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
31
|
25
|
—
|
—
|
$3,903.00
|
$139,534.23
|
$66,086.62
|
2026-07-30
|
|
9
|
MS_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
3
|
—
|
—
|
$47,127.29
|
$77,543.98
|
$65,912.38
|
2026-07-30
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
17
|
14
|
—
|
—
|
$45,007.54
|
$115,278.67
|
$65,840.75
|
2026-07-15
|
|
9113
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$44,282.18
|
$82,963.98
|
$65,840.32
|
2026-07-15
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
4
|
2
|
—
|
—
|
$42,817.73
|
$84,526.30
|
$65,815.90
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
25
|
—
|
—
|
$3,903.00
|
$147,361.93
|
$65,538.46
|
2026-07-30
|
|
6223
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$16,275.80
|
$114,020.64
|
$65,148.22
|
2026-07-15
|
|
233
|
APR_DRG
|
Spinal Procedures
|
4
|
2
|
—
|
—
|
$56,244.08
|
$68,042.79
|
$64,959.84
|
2026-07-15
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
4
|
2
|
—
|
—
|
$47,179.60
|
$76,221.30
|
$64,062.82
|
2026-07-15
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$47,004.56
|
$76,148.18
|
$63,929.97
|
2026-07-15
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$46,931.05
|
$75,820.24
|
$63,725.57
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
2
|
—
|
—
|
$51,757.35
|
$70,207.62
|
$63,574.15
|
2026-07-15
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
2
|
—
|
—
|
$53,218.30
|
$68,472.65
|
$63,510.33
|
2026-07-15
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$54,084.14
|
$67,493.27
|
$63,496.92
|
2026-07-15
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
4
|
2
|
—
|
—
|
$46,707.00
|
$75,456.85
|
$63,420.63
|
2026-07-15
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$51,842.53
|
$69,678.05
|
$63,356.23
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
27
|
23
|
—
|
—
|
$3,903.00
|
$167,888.85
|
$63,324.66
|
2026-07-30
|
|
293
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
2
|
—
|
—
|
$58,904.83
|
$73,994.69
|
$63,081.64
|
2026-07-15
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
4
|
2
|
—
|
—
|
$46,871.54
|
$74,541.73
|
$63,053.57
|
2026-07-15
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
4
|
2
|
—
|
—
|
$54,455.22
|
$66,197.02
|
$63,052.93
|
2026-07-15
|
|
6142
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
2
|
—
|
—
|
$45,890.17
|
$75,009.26
|
$62,747.50
|
2026-07-15
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
4
|
2
|
—
|
—
|
$45,237.88
|
$75,337.20
|
$62,552.65
|
2026-07-15
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
4
|
2
|
—
|
—
|
$45,995.19
|
$74,306.85
|
$62,454.07
|
2026-07-15
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$46,841.20
|
$72,075.54
|
$61,803.79
|
2026-07-15
|
|
3444
|
APR_DRG
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
4
|
2
|
—
|
—
|
$29,384.37
|
$90,741.44
|
$61,533.92
|
2026-07-15
|
|
7513
|
APR_DRG
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
4
|
2
|
—
|
—
|
$20,825.16
|
$100,082.01
|
$61,495.86
|
2026-07-15
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
4
|
2
|
—
|
—
|
$52,452.82
|
$65,153.38
|
$61,429.61
|
2026-07-15
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
2
|
—
|
—
|
$38,438.35
|
$80,537.68
|
$61,412.54
|
2026-07-15
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
4
|
2
|
—
|
—
|
$55,213.46
|
$67,355.89
|
$61,284.68
|
2026-07-15
|
|
278
|
MS_DRG
|
Cellulitis Age >17 Without Cc
|
17
|
14
|
—
|
—
|
$41,737.50
|
$106,826.51
|
$61,013.34
|
2026-07-15
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
2
|
—
|
—
|
$43,414.01
|
$74,220.44
|
$60,990.97
|
2026-07-15
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
4
|
2
|
—
|
—
|
$46,086.21
|
$71,244.62
|
$60,973.02
|
2026-07-15
|
|
1203
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
2
|
—
|
—
|
$47,178.43
|
$69,157.34
|
$60,530.19
|
2026-07-15
|
|
424
|
APR_DRG
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
4
|
2
|
—
|
—
|
$35,575.94
|
$81,229.01
|
$60,183.62
|
2026-07-15
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
2
|
—
|
—
|
$42,338.13
|
$73,533.54
|
$60,055.70
|
2026-07-15
|