|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
8
|
6
|
—
|
—
|
$278,250.00
|
$465,703.11
|
$319,987.50
|
2026-09-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
5
|
3
|
—
|
—
|
$813,967.38
|
$1,362,325.75
|
$976,760.85
|
2026-09-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
5
|
3
|
—
|
—
|
$587,977.76
|
$984,090.10
|
$705,573.31
|
2026-09-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
5
|
3
|
—
|
—
|
$567,977.78
|
$950,616.42
|
$681,573.34
|
2026-09-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
5
|
3
|
—
|
—
|
$579,570.61
|
$970,019.19
|
$695,484.74
|
2026-09-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
5
|
3
|
—
|
—
|
$510,103.92
|
$853,753.76
|
$612,124.70
|
2026-09-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
7
|
4
|
—
|
—
|
$55,932.43
|
$93,613.32
|
$61,525.67
|
2026-09-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
5
|
3
|
—
|
—
|
$611,693.17
|
$1,023,782.26
|
$734,031.81
|
2026-09-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
5
|
3
|
—
|
—
|
$562,500.89
|
$941,449.83
|
$675,001.07
|
2026-09-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
7
|
5
|
—
|
—
|
$88,285.52
|
$156,706.80
|
$121,392.59
|
2026-09-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
7
|
5
|
—
|
—
|
$67,425.68
|
$97,698.43
|
$75,681.88
|
2026-09-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
4
|
2
|
—
|
—
|
$93,179.41
|
$148,326.41
|
$120,752.91
|
2026-09-01
|
|
J9183
|
HCPCS
|
Gemcitabine Intravesical Sys
|
7
|
4
|
—
|
—
|
$72,984.24
|
$122,152.70
|
$80,282.67
|
2026-09-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
7
|
4
|
—
|
—
|
$64,331.61
|
$107,670.92
|
$70,764.78
|
2026-09-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$69,772.00
|
$69,772.00
|
$69,772.00
|
2026-09-01
|
|
J3405
|
HCPCS
|
Inj Onase Abepar-brve Treat
|
10
|
6
|
—
|
—
|
$2,664,228.59
|
$4,459,081.93
|
$2,824,082.31
|
2026-09-01
|
|
J3404
|
HCPCS
|
Inj Zopapogene Per Ther Dose
|
10
|
6
|
—
|
—
|
$115,000.00
|
$204,022.32
|
$129,214.00
|
2026-09-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
10
|
6
|
—
|
—
|
$261,579.65
|
$437,802.18
|
$277,274.43
|
2026-09-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
7
|
4
|
—
|
—
|
$202,713.58
|
$340,862.48
|
$224,025.74
|
2026-09-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
10
|
6
|
—
|
—
|
$2,586,629.70
|
$4,485,540.88
|
$2,840,839.62
|
2026-09-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
8
|
5
|
—
|
—
|
$3,100,000.00
|
$4,044,129.98
|
$3,283,833.54
|
2026-09-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
10
|
6
|
—
|
—
|
$2,800,000.00
|
$4,904,335.53
|
$3,106,075.96
|
2026-09-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
6
|
—
|
—
|
$2,200,000.00
|
$3,850,995.13
|
$2,438,961.06
|
2026-09-01
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
6
|
4
|
—
|
—
|
$4,250,000.00
|
$4,955,500.00
|
$4,527,525.00
|
2026-09-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
8
|
5
|
—
|
—
|
$3,147,000.00
|
$4,107,228.38
|
$3,335,069.44
|
2026-09-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
8
|
5
|
—
|
—
|
$3,000,000.00
|
$3,975,000.00
|
$3,227,700.00
|
2026-09-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$3,500,000.00
|
$3,500,000.00
|
$3,500,000.00
|
2026-09-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
5
|
—
|
—
|
$3,200,000.00
|
$4,146,121.40
|
$3,366,650.58
|
2026-09-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
8
|
5
|
—
|
—
|
$3,500,000.00
|
$4,614,312.50
|
$3,746,821.75
|
2026-09-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
10
|
6
|
—
|
—
|
$56,824.55
|
$95,106.45
|
$67,806.71
|
2026-09-01
|
|
984
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$67,385.28
|
$74,137.95
|
$70,761.61
|
2026-09-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
13
|
8
|
—
|
—
|
$36,999.28
|
$74,866.94
|
$59,893.55
|
2026-09-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
13
|
8
|
—
|
—
|
$46,057.34
|
$90,823.19
|
$73,385.14
|
2026-09-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
13
|
8
|
—
|
—
|
$40,685.12
|
$81,359.75
|
$65,601.30
|
2026-09-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$73,746.70
|
$81,136.84
|
$77,441.77
|
2026-09-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$102,847.90
|
$113,154.27
|
$108,001.08
|
2026-09-01
|
|
94
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$249,707.42
|
$274,730.56
|
$262,218.99
|
2026-09-01
|
|
93
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$106,367.59
|
$117,026.66
|
$111,697.12
|
2026-09-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
13
|
8
|
—
|
—
|
$43,354.31
|
$86,061.66
|
$69,537.82
|
2026-09-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
13
|
8
|
—
|
—
|
$129,049.89
|
$249,672.75
|
$191,511.30
|
2026-09-01
|
|
924
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$73,394.02
|
$80,748.82
|
$77,071.42
|
2026-09-01
|
|
92
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$62,255.88
|
$68,494.52
|
$65,375.20
|
2026-09-01
|
|
914
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$92,137.50
|
$101,370.59
|
$96,754.04
|
2026-09-01
|
|
913
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$55,501.26
|
$61,063.03
|
$58,282.15
|
2026-09-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$78,494.83
|
$86,360.78
|
$82,427.80
|
2026-09-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$96,759.33
|
$106,455.57
|
$101,607.45
|
2026-09-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$117,484.28
|
$129,257.36
|
$123,370.82
|
2026-09-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$85,817.79
|
$94,417.57
|
$90,117.68
|
2026-09-01
|
|
91
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$59,142.49
|
$65,069.14
|
$62,105.82
|
2026-09-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
2
|
1
|
—
|
—
|
$62,370.00
|
$62,370.00
|
$62,370.00
|
2026-09-01
|
|
894
|
APR_DRG
|
HIV With One Significant HIV Condition Or Without Significant Related Conditions
|
2
|
1
|
—
|
—
|
$81,193.58
|
$89,329.97
|
$85,261.77
|
2026-09-01
|
|
893
|
APR_DRG
|
HIV With Multiple Significant HIV Related Conditions
|
2
|
1
|
—
|
—
|
$56,231.65
|
$61,866.61
|
$59,049.13
|
2026-09-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
13
|
8
|
—
|
—
|
$41,777.34
|
$83,283.74
|
$67,293.26
|
2026-09-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$114,468.60
|
$125,939.47
|
$120,204.04
|
2026-09-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$79,645.82
|
$87,627.11
|
$83,636.46
|
2026-09-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
2
|
1
|
—
|
—
|
$125,898.66
|
$138,514.94
|
$132,206.80
|
2026-09-01
|
|
8504
|
APR_DRG
|
Services
|
2
|
1
|
—
|
—
|
$94,286.97
|
$103,735.45
|
$99,011.21
|
2026-09-01
|
|
8503
|
APR_DRG
|
Services
|
2
|
1
|
—
|
—
|
$59,920.54
|
$65,925.16
|
$62,922.85
|
2026-09-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
13
|
8
|
—
|
—
|
$52,341.05
|
$101,892.28
|
$82,328.96
|
2026-09-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
1
|
—
|
—
|
$122,828.16
|
$135,136.75
|
$128,982.46
|
2026-09-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
1
|
—
|
—
|
$70,777.48
|
$77,870.08
|
$74,323.78
|
2026-09-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
1
|
—
|
—
|
$290,297.06
|
$319,387.68
|
$304,842.37
|
2026-09-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
1
|
—
|
—
|
$86,124.00
|
$94,754.47
|
$90,439.24
|
2026-09-01
|
|
84
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$111,056.14
|
$122,185.06
|
$116,620.60
|
2026-09-01
|
|
83
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$63,484.31
|
$69,846.06
|
$66,665.18
|
2026-09-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
13
|
8
|
—
|
—
|
$35,448.90
|
$72,135.88
|
$57,708.70
|
2026-09-01
|
|
82
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$53,843.88
|
$59,239.57
|
$56,541.72
|
2026-09-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
2
|
1
|
—
|
—
|
$55,338.03
|
$60,883.44
|
$58,110.74
|
2026-09-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
2
|
1
|
—
|
—
|
$64,569.77
|
$71,040.29
|
$67,805.03
|
2026-09-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
15
|
9
|
—
|
—
|
$4,165.30
|
$72,973.82
|
$58,379.06
|
2026-09-01
|
|
7594
|
APR_DRG
|
Eating Disorders
|
2
|
1
|
—
|
—
|
$53,739.03
|
$59,124.21
|
$56,431.62
|
2026-09-01
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
2
|
1
|
—
|
—
|
$54,042.87
|
$59,458.49
|
$56,750.68
|
2026-09-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
2
|
1
|
—
|
—
|
$74,068.41
|
$81,490.79
|
$77,779.60
|
2026-09-01
|
|
74
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$225,808.31
|
$248,436.52
|
$237,122.41
|
2026-09-01
|
|
73
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$139,581.84
|
$153,569.31
|
$146,575.58
|
2026-09-01
|
|
72
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$87,098.65
|
$95,826.79
|
$91,462.72
|
2026-09-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
2
|
1
|
—
|
—
|
$72,793.50
|
$80,088.12
|
$76,440.81
|
2026-09-01
|
|
71
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$68,693.55
|
$75,577.32
|
$72,135.43
|
2026-09-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
13
|
8
|
—
|
—
|
$78,275.54
|
$151,439.64
|
$119,242.41
|
2026-09-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
2
|
1
|
—
|
—
|
$85,469.87
|
$94,034.79
|
$89,752.33
|
2026-09-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
2
|
1
|
—
|
—
|
$62,576.39
|
$68,847.16
|
$65,711.77
|
2026-09-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
1
|
—
|
—
|
$88,474.83
|
$97,340.88
|
$92,907.86
|
2026-09-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
1
|
—
|
—
|
$81,241.24
|
$89,382.41
|
$85,311.83
|
2026-09-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
2
|
1
|
—
|
—
|
$55,715.73
|
$61,298.99
|
$58,507.36
|
2026-09-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
2
|
1
|
—
|
—
|
$63,757.16
|
$70,146.26
|
$66,951.71
|
2026-09-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
2
|
1
|
—
|
—
|
$54,422.95
|
$59,876.67
|
$57,149.81
|
2026-09-01
|
|
64
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$155,161.90
|
$170,710.64
|
$162,936.27
|
2026-09-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
2
|
1
|
—
|
—
|
$59,611.94
|
$65,585.64
|
$62,598.79
|
2026-09-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$88,944.28
|
$97,857.37
|
$93,400.82
|
2026-09-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
1
|
—
|
—
|
$131,937.18
|
$145,158.58
|
$138,547.88
|
2026-09-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
1
|
—
|
—
|
$60,691.44
|
$66,773.31
|
$63,732.38
|
2026-09-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$211,322.06
|
$232,498.60
|
$221,910.33
|
2026-09-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$140,647.04
|
$154,741.26
|
$147,694.15
|
2026-09-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$65,339.48
|
$71,887.13
|
$68,613.31
|
2026-09-01
|
|
63
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$122,840.08
|
$135,149.86
|
$128,994.97
|
2026-09-01
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
2
|
1
|
—
|
—
|
$57,236.09
|
$62,971.70
|
$60,103.89
|
2026-09-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
2
|
1
|
—
|
—
|
$56,985.87
|
$62,696.41
|
$59,841.14
|
2026-09-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
2
|
1
|
—
|
—
|
$73,047.29
|
$80,367.35
|
$76,707.32
|
2026-09-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$109,372.55
|
$120,332.75
|
$114,852.65
|
2026-09-01
|
|
62
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$100,903.37
|
$111,014.88
|
$105,959.12
|
2026-09-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$75,468.42
|
$83,031.10
|
$79,249.76
|
2026-09-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$56,187.57
|
$61,818.11
|
$59,002.84
|
2026-09-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
2
|
1
|
—
|
—
|
$90,115.53
|
$99,145.99
|
$94,630.76
|
2026-09-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
2
|
1
|
—
|
—
|
$64,655.56
|
$71,134.68
|
$67,895.12
|
2026-09-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
2
|
1
|
—
|
—
|
$120,926.53
|
$133,044.55
|
$126,985.54
|
2026-09-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
2
|
1
|
—
|
—
|
$71,092.04
|
$78,216.16
|
$74,654.10
|
2026-09-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
2
|
1
|
—
|
—
|
$55,707.39
|
$61,289.82
|
$58,498.60
|
2026-09-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$115,334.82
|
$126,892.50
|
$121,113.66
|
2026-09-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
1
|
—
|
—
|
$68,850.83
|
$75,750.36
|
$72,300.60
|
2026-09-01
|
|
61
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$83,820.83
|
$92,220.50
|
$88,020.67
|
2026-09-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$194,465.91
|
$213,953.30
|
$204,209.60
|
2026-09-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$113,864.51
|
$125,274.85
|
$119,569.68
|
2026-09-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$62,417.92
|
$68,672.81
|
$65,545.36
|
2026-09-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$56,197.10
|
$61,828.60
|
$59,012.85
|
2026-09-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
2
|
1
|
—
|
—
|
$79,647.01
|
$87,628.42
|
$83,637.71
|
2026-09-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
2
|
1
|
—
|
—
|
$77,870.48
|
$85,673.87
|
$81,772.17
|
2026-09-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
2
|
1
|
—
|
—
|
$173,903.00
|
$191,329.79
|
$182,616.40
|
2026-09-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
2
|
1
|
—
|
—
|
$114,223.15
|
$125,669.43
|
$119,946.29
|
2026-09-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
2
|
1
|
—
|
—
|
$79,842.41
|
$87,843.41
|
$83,842.91
|
2026-09-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
1
|
—
|
—
|
$195,031.87
|
$214,575.98
|
$204,803.92
|
2026-09-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
1
|
—
|
—
|
$94,174.97
|
$103,612.23
|
$98,893.60
|
2026-09-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
2
|
1
|
—
|
—
|
$189,516.42
|
$208,507.82
|
$199,012.12
|
2026-09-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
2
|
1
|
—
|
—
|
$129,630.43
|
$142,620.68
|
$136,125.55
|
2026-09-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
2
|
1
|
—
|
—
|
$109,713.32
|
$120,707.67
|
$115,210.49
|
2026-09-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$271,980.13
|
$299,235.21
|
$285,607.67
|
2026-09-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$162,297.79
|
$178,561.62
|
$170,429.71
|
2026-09-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$152,434.55
|
$167,709.99
|
$160,072.27
|
2026-09-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$138,576.22
|
$152,462.91
|
$145,519.57
|
2026-09-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$332,291.48
|
$365,590.35
|
$348,940.91
|
2026-09-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$181,312.94
|
$199,482.27
|
$190,397.60
|
2026-09-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$99,612.97
|
$109,595.17
|
$104,604.07
|
2026-09-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
1
|
—
|
—
|
$90,557.57
|
$99,632.33
|
$95,094.95
|
2026-09-01
|
|
5894
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
2
|
1
|
—
|
—
|
$563,382.90
|
$619,839.40
|
$591,611.15
|
2026-09-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
2
|
1
|
—
|
—
|
$512,166.28
|
$563,490.36
|
$537,828.32
|
2026-09-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
2
|
1
|
—
|
—
|
$465,606.03
|
$512,264.33
|
$488,935.18
|
2026-09-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
2
|
1
|
—
|
—
|
$377,121.66
|
$414,912.96
|
$396,017.31
|
2026-09-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$375,184.29
|
$412,781.44
|
$393,982.86
|
2026-09-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$253,658.44
|
$279,077.50
|
$266,367.97
|
2026-09-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$246,912.16
|
$271,655.19
|
$259,283.67
|
2026-09-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$164,224.44
|
$180,681.35
|
$172,452.90
|
2026-09-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$530,243.71
|
$583,379.34
|
$556,811.52
|
2026-09-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$461,774.17
|
$508,048.47
|
$484,911.32
|
2026-09-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$289,773.99
|
$318,812.19
|
$304,293.09
|
2026-09-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$234,663.54
|
$258,179.13
|
$246,421.34
|
2026-09-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
13
|
8
|
—
|
—
|
$39,598.95
|
$79,446.40
|
$63,849.94
|
2026-09-01
|
|
54
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$228,961.02
|
$251,905.17
|
$240,433.10
|
2026-09-01
|
|
53
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$129,822.27
|
$142,831.73
|
$136,327.00
|
2026-09-01
|
|
52
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$76,491.92
|
$84,157.16
|
$80,324.54
|
2026-09-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
2
|
1
|
—
|
—
|
$58,370.39
|
$64,219.68
|
$61,295.04
|
2026-09-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
2
|
1
|
—
|
—
|
$64,312.40
|
$70,757.14
|
$67,534.77
|
2026-09-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
2
|
1
|
—
|
—
|
$61,245.48
|
$67,382.88
|
$64,314.18
|
2026-09-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
2
|
1
|
—
|
—
|
$63,238.86
|
$69,576.02
|
$66,407.44
|
2026-09-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
2
|
1
|
—
|
—
|
$67,998.90
|
$74,813.06
|
$71,405.98
|
2026-09-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
2
|
1
|
—
|
—
|
$72,042.86
|
$79,262.26
|
$75,652.56
|
2026-09-01
|
|
51
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$62,912.39
|
$69,216.83
|
$66,064.61
|
2026-09-01
|
|
504
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$73,323.72
|
$80,671.48
|
$76,997.60
|
2026-09-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
13
|
8
|
—
|
—
|
$62,320.27
|
$120,570.99
|
$96,532.73
|
2026-09-01
|
|
494
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$81,902.52
|
$90,109.96
|
$86,006.24
|
2026-09-01
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
2
|
1
|
—
|
—
|
$56,087.48
|
$61,708.00
|
$58,897.74
|
2026-09-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
2
|
1
|
—
|
—
|
$58,839.84
|
$64,736.17
|
$61,788.00
|
2026-09-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
14
|
8
|
—
|
—
|
$36,043.06
|
$73,182.51
|
$58,546.01
|
2026-09-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
13
|
8
|
—
|
—
|
$50,793.09
|
$99,165.46
|
$80,125.69
|
2026-09-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
2
|
1
|
—
|
—
|
$62,845.67
|
$69,143.42
|
$65,994.54
|
2026-09-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc
|
13
|
8
|
—
|
—
|
$40,385.93
|
$80,832.70
|
$65,118.87
|
2026-09-01
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
2
|
1
|
—
|
—
|
$61,322.93
|
$67,468.09
|
$64,395.51
|
2026-09-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
2
|
1
|
—
|
—
|
$57,323.06
|
$63,067.40
|
$60,195.23
|
2026-09-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
2
|
1
|
—
|
—
|
$98,080.71
|
$107,909.36
|
$102,995.04
|
2026-09-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$141,006.88
|
$155,137.15
|
$148,072.02
|
2026-09-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$113,956.25
|
$125,375.79
|
$119,666.02
|
2026-09-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$100,192.04
|
$110,232.27
|
$105,212.15
|
2026-09-01
|
|
44
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$239,278.22
|
$263,256.25
|
$251,267.23
|
2026-09-01
|
|
434
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$57,044.25
|
$62,760.65
|
$59,902.45
|
2026-09-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
13
|
8
|
—
|
—
|
$34,858.37
|
$71,095.61
|
$56,876.49
|
2026-09-01
|
|
43
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$145,001.98
|
$159,532.60
|
$152,267.29
|
2026-09-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
13
|
8
|
—
|
—
|
$54,457.18
|
$105,619.94
|
$85,340.91
|
2026-09-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
8
|
—
|
—
|
$43,631.74
|
$86,550.38
|
$69,932.70
|
2026-09-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
8
|
—
|
—
|
$66,615.99
|
$128,881.91
|
$102,646.97
|
2026-09-01
|
|
42
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$98,516.79
|
$108,389.14
|
$103,452.96
|
2026-09-01
|
|
41
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$71,979.71
|
$79,192.78
|
$75,586.24
|
2026-09-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
2
|
1
|
—
|
—
|
$54,786.36
|
$60,276.49
|
$57,531.43
|
2026-09-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
2
|
1
|
—
|
—
|
$65,086.88
|
$71,609.22
|
$68,348.05
|
2026-09-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
2
|
1
|
—
|
—
|
$71,529.32
|
$78,697.26
|
$75,113.29
|
2026-09-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
2
|
1
|
—
|
—
|
$73,198.61
|
$80,533.83
|
$76,866.22
|
2026-09-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
13
|
8
|
—
|
—
|
$83,722.71
|
$161,978.27
|
$126,995.55
|
2026-09-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
12
|
6
|
—
|
—
|
$403.30
|
$164,498.86
|
$69,867.94
|
2026-09-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$78,115.93
|
$85,943.91
|
$82,029.92
|
2026-09-01
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
2
|
1
|
—
|
—
|
$76,085.62
|
$83,710.14
|
$79,897.88
|
2026-09-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
2
|
1
|
—
|
—
|
$54,885.26
|
$60,385.30
|
$57,635.28
|
2026-09-01
|
|
3214
|
APR_DRG
|
Decompression
|
2
|
1
|
—
|
—
|
$68,888.96
|
$75,792.31
|
$72,340.64
|
2026-09-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
2
|
1
|
—
|
—
|
$54,115.55
|
$59,538.46
|
$56,827.01
|
2026-09-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
13
|
8
|
—
|
—
|
$40,415.55
|
$80,884.88
|
$65,166.63
|
2026-09-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
2
|
1
|
—
|
—
|
$54,935.30
|
$60,440.36
|
$57,687.83
|
2026-09-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$77,054.30
|
$84,775.90
|
$80,915.10
|
2026-09-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$62,446.52
|
$68,704.27
|
$65,575.40
|
2026-09-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
2
|
1
|
—
|
—
|
$59,491.60
|
$65,453.24
|
$62,472.42
|
2026-09-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
2
|
1
|
—
|
—
|
$73,924.23
|
$81,332.17
|
$77,628.20
|
2026-09-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$93,208.66
|
$102,549.09
|
$97,878.88
|
2026-09-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$73,133.08
|
$80,461.73
|
$76,797.40
|
2026-09-01
|
|
304
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$88,223.43
|
$97,064.28
|
$92,643.85
|
2026-09-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$138,847.88
|
$152,761.80
|
$145,804.84
|
2026-09-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$94,379.91
|
$103,837.70
|
$99,108.80
|
2026-09-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$77,265.20
|
$85,007.93
|
$81,136.57
|
2026-09-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$66,097.27
|
$72,720.87
|
$69,409.07
|
2026-09-01
|
|
303
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$53,882.01
|
$59,281.52
|
$56,581.76
|
2026-09-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
13
|
8
|
—
|
—
|
$128,292.54
|
$248,207.49
|
$190,433.33
|
2026-09-01
|
|
294
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$65,886.38
|
$72,488.84
|
$69,187.61
|
2026-09-01
|
|
293
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$59,930.07
|
$65,935.65
|
$62,932.86
|
2026-09-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
13
|
8
|
—
|
—
|
$36,316.27
|
$73,663.78
|
$58,931.02
|
2026-09-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
13
|
8
|
—
|
—
|
$36,305.99
|
$73,645.68
|
$58,916.54
|
2026-09-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
13
|
8
|
—
|
—
|
$43,098.63
|
$85,611.28
|
$69,173.91
|
2026-09-01
|
|
274
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$76,337.02
|
$83,986.74
|
$80,161.88
|
2026-09-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
13
|
8
|
—
|
—
|
$41,572.43
|
$82,922.79
|
$67,001.61
|
2026-09-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
13
|
8
|
—
|
—
|
$37,042.19
|
$74,942.54
|
$59,954.03
|
2026-09-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
2
|
1
|
—
|
—
|
$62,749.16
|
$69,037.24
|
$65,893.20
|
2026-09-01
|
|
264
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
2
|
1
|
—
|
—
|
$61,718.51
|
$67,903.31
|
$64,810.91
|
2026-09-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
2
|
1
|
—
|
—
|
$75,382.63
|
$82,936.71
|
$79,159.67
|
2026-09-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
2
|
1
|
—
|
—
|
$77,896.70
|
$85,702.71
|
$81,799.71
|
2026-09-01
|
|
244
|
APR_DRG
|
Diverticulitis And Diverticulosis
|
2
|
1
|
—
|
—
|
$55,756.24
|
$61,343.57
|
$58,549.90
|
2026-09-01
|
|
24
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$209,172.59
|
$230,133.74
|
$219,653.16
|
2026-09-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
13
|
8
|
—
|
—
|
$35,471.87
|
$72,176.32
|
$57,741.06
|
2026-09-01
|
|
234
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$93,369.51
|
$102,726.06
|
$98,047.79
|
2026-09-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
13
|
8
|
—
|
—
|
$46,210.26
|
$91,092.58
|
$73,602.80
|
2026-09-01
|
|
233
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$54,396.74
|
$59,847.83
|
$57,122.29
|
2026-09-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
2
|
1
|
—
|
—
|
$67,332.86
|
$74,080.27
|
$70,706.57
|
2026-09-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
13
|
8
|
—
|
—
|
$36,644.48
|
$74,241.94
|
$59,393.55
|
2026-09-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
13
|
8
|
—
|
—
|
$50,953.27
|
$99,447.62
|
$80,353.68
|
2026-09-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
2
|
1
|
—
|
—
|
$64,769.94
|
$71,260.52
|
$68,015.23
|
2026-09-01
|
|
23
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$132,386.37
|
$145,652.79
|
$139,019.58
|
2026-09-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
13
|
8
|
—
|
—
|
$34,635.94
|
$70,703.79
|
$56,563.03
|
2026-09-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
2
|
1
|
—
|
—
|
$54,766.11
|
$60,254.21
|
$57,510.16
|
2026-09-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
2
|
1
|
—
|
—
|
$101,238.18
|
$111,383.24
|
$106,310.71
|
2026-09-01
|
|
224
|
APR_DRG
|
Peritoneal Adhesiolysis
|
2
|
1
|
—
|
—
|
$60,593.73
|
$66,665.82
|
$63,629.78
|
2026-09-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
2
|
1
|
—
|
—
|
$56,117.27
|
$61,740.77
|
$58,929.02
|
2026-09-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
2
|
1
|
—
|
—
|
$93,137.17
|
$102,470.43
|
$97,803.80
|
2026-09-01
|
|
22
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$95,281.87
|
$104,830.05
|
$100,055.96
|
2026-09-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
8
|
—
|
—
|
$46,410.33
|
$91,445.00
|
$73,887.56
|
2026-09-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
8
|
—
|
—
|
$39,743.41
|
$79,700.88
|
$64,082.87
|
2026-09-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
8
|
—
|
—
|
$39,743.41
|
$79,700.88
|
$64,082.87
|
2026-09-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
8
|
—
|
—
|
$59,130.67
|
$114,400.06
|
$91,992.85
|
2026-09-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
13
|
8
|
—
|
—
|
$60,183.59
|
$116,437.16
|
$93,491.52
|
2026-09-01
|
|
214
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$109,342.76
|
$120,299.98
|
$114,821.37
|
2026-09-01
|
|
213
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$54,870.96
|
$60,369.57
|
$57,620.26
|
2026-09-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
13
|
8
|
—
|
—
|
$34,494.50
|
$70,454.64
|
$56,363.71
|
2026-09-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
13
|
8
|
—
|
—
|
$65,726.87
|
$127,161.73
|
$101,381.45
|
2026-09-01
|
|
21
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$78,331.59
|
$86,181.19
|
$82,256.39
|
2026-09-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
13
|
8
|
—
|
—
|
$68,414.79
|
$132,362.05
|
$105,207.27
|
2026-09-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
13
|
8
|
—
|
—
|
$38,893.58
|
$78,203.85
|
$62,712.59
|
2026-09-01
|
|
204
|
APR_DRG
|
Syncope And Collapse
|
2
|
1
|
—
|
—
|
$119,315.62
|
$131,272.22
|
$125,293.92
|
2026-09-01
|
|
203
|
APR_DRG
|
Chest Pain
|
2
|
1
|
—
|
—
|
$54,732.74
|
$60,217.50
|
$57,475.12
|
2026-09-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
13
|
8
|
—
|
—
|
$47,561.78
|
$93,473.34
|
$75,526.46
|
2026-09-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
13
|
8
|
—
|
—
|
$68,493.37
|
$132,514.07
|
$105,319.10
|
2026-09-01
|
|
1964
|
APR_DRG
|
Cardiac Arrest And Shock
|
2
|
1
|
—
|
—
|
$62,024.72
|
$68,240.21
|
$65,132.47
|
2026-09-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis
|
13
|
8
|
—
|
—
|
$43,124.02
|
$85,655.99
|
$69,210.04
|
2026-09-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$107,729.47
|
$118,525.02
|
$113,127.24
|
2026-09-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$66,702.55
|
$73,386.80
|
$70,044.68
|
2026-09-01
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$55,285.60
|
$60,825.76
|
$58,055.68
|
2026-09-01
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$54,108.40
|
$59,530.59
|
$56,819.49
|
2026-09-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
2
|
1
|
—
|
—
|
$87,914.83
|
$96,724.76
|
$92,319.79
|
2026-09-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
2
|
1
|
—
|
—
|
$72,719.63
|
$80,006.85
|
$76,363.24
|
2026-09-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
13
|
8
|
—
|
—
|
$261,011.96
|
$504,979.66
|
$379,337.46
|
2026-09-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
2
|
1
|
—
|
—
|
$73,851.55
|
$81,252.20
|
$77,551.88
|
2026-09-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
2
|
1
|
—
|
—
|
$66,225.95
|
$72,862.44
|
$69,544.20
|
2026-09-01
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$133,405.11
|
$146,773.61
|
$140,089.36
|
2026-09-01
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$81,950.18
|
$90,162.39
|
$86,056.29
|
2026-09-01
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$78,644.96
|
$86,525.95
|
$82,585.46
|
2026-09-01
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$71,897.49
|
$79,102.33
|
$75,499.91
|
2026-09-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
2
|
1
|
—
|
—
|
$70,286.59
|
$77,329.99
|
$73,808.29
|
2026-09-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
2
|
1
|
—
|
—
|
$59,900.28
|
$65,902.88
|
$62,901.58
|
2026-09-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
2
|
1
|
—
|
—
|
$65,136.92
|
$71,664.28
|
$68,400.60
|
2026-09-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
2
|
1
|
—
|
—
|
$65,545.61
|
$72,113.92
|
$68,829.76
|
2026-09-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
1
|
—
|
—
|
$91,968.31
|
$101,184.44
|
$96,576.38
|
2026-09-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
1
|
—
|
—
|
$55,766.97
|
$61,355.36
|
$58,561.17
|
2026-09-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$104,576.76
|
$115,056.38
|
$109,816.57
|
2026-09-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$55,181.94
|
$60,711.71
|
$57,946.82
|
2026-09-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$68,096.61
|
$74,920.56
|
$71,508.58
|
2026-09-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$77,360.52
|
$85,112.80
|
$81,236.66
|
2026-09-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$60,643.78
|
$66,720.88
|
$63,682.33
|
2026-09-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$95,651.24
|
$105,236.43
|
$100,443.83
|
2026-09-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$61,436.12
|
$67,592.63
|
$64,514.38
|
2026-09-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$120,166.35
|
$132,208.20
|
$126,187.28
|
2026-09-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$62,758.69
|
$69,047.72
|
$65,903.21
|
2026-09-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$59,466.57
|
$65,425.71
|
$62,446.14
|
2026-09-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$420,547.07
|
$462,690.02
|
$441,618.55
|
2026-09-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$300,624.98
|
$330,750.56
|
$315,687.77
|
2026-09-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$221,676.19
|
$243,890.32
|
$232,783.26
|
2026-09-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$210,845.46
|
$231,974.24
|
$221,409.85
|
2026-09-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$131,090.02
|
$144,226.53
|
$137,658.27
|
2026-09-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
13
|
8
|
—
|
—
|
$35,841.18
|
$72,826.89
|
$58,261.51
|
2026-09-01
|
|
14
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$221,803.68
|
$244,030.59
|
$232,917.14
|
2026-09-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$72,640.39
|
$140,537.32
|
$111,221.72
|
2026-09-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
1
|
—
|
—
|
$90,144.12
|
$99,177.45
|
$94,660.79
|
2026-09-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
1
|
—
|
—
|
$83,480.06
|
$91,845.59
|
$87,662.82
|
2026-09-01
|
|
13
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$126,204.87
|
$138,851.84
|
$132,528.35
|
2026-09-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
2
|
1
|
—
|
—
|
$64,171.81
|
$70,602.45
|
$67,387.13
|
2026-09-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
2
|
1
|
—
|
—
|
$78,935.68
|
$86,845.81
|
$82,890.74
|
2026-09-01
|
|
12
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$105,296.43
|
$115,848.17
|
$110,572.30
|
2026-09-01
|
|
114
|
APR_DRG
|
Dental Diseases And Disorders
|
2
|
1
|
—
|
—
|
$175,146.93
|
$192,698.37
|
$183,922.65
|
2026-09-01
|
|
11
|
APR_DRG
|
Description Not Available
|
2
|
1
|
—
|
—
|
$93,849.69
|
$103,254.35
|
$98,552.02
|
2026-09-01
|
|
10
|
MS_DRG
|
Pancreas Or Islet Cell Transplant
|
13
|
8
|
—
|
—
|
$43,372.44
|
$86,093.60
|
$69,563.63
|
2026-09-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
13
|
8
|
—
|
—
|
$169,386.26
|
$327,711.49
|
$248,923.44
|
2026-09-01
|