|
3
|
MS_DRG
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
10
|
9
|
$564,933.78
|
$564,933.78
|
$141,429.26
|
$177,479.85
|
$147,899.88
|
2026-07-15
|
|
4
|
MS_DRG
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
10
|
9
|
$411,894.50
|
$411,894.50
|
$111,692.85
|
$140,163.58
|
$116,802.98
|
2026-07-15
|
|
166
|
MS_DRG
|
Other Resp System O.r. Procedures W Mcc
|
10
|
9
|
$418,503.87
|
$418,503.87
|
$93,812.84
|
$117,725.91
|
$98,104.92
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
10
|
9
|
$196,319.87
|
$196,319.87
|
$91,270.54
|
$114,535.58
|
$95,446.32
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia W Mv 96+ Hours
|
10
|
9
|
$441,960.35
|
$441,960.35
|
$76,879.49
|
$96,476.23
|
$80,396.86
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
10
|
9
|
$304,620.85
|
$304,620.85
|
$71,848.35
|
$90,162.64
|
$75,135.53
|
2026-07-15
|
|
166
|
OTHER
|
Other Resp System O.r. Procedures W Mcc
|
9
|
9
|
$272,769.40
|
$272,769.40
|
$64,500.84
|
$108,632.99
|
$90,527.49
|
2026-07-31
|
|
853
|
MS_DRG
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
10
|
9
|
$206,538.27
|
$206,538.27
|
$64,068.79
|
$80,400.05
|
$67,000.04
|
2026-07-15
|
|
981
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
9
|
9
|
$246,420.67
|
$246,420.67
|
$62,451.62
|
$105,181.68
|
$87,651.40
|
2026-07-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
10
|
9
|
$104,220.49
|
$104,220.49
|
$56,602.24
|
$71,030.26
|
$59,191.89
|
2026-07-15
|
|
463
|
MS_DRG
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
10
|
9
|
$203,538.33
|
$203,538.33
|
$53,369.03
|
$66,972.90
|
$55,810.75
|
2026-07-15
|
|
939
|
MS_DRG
|
O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc
|
10
|
9
|
$107,572.00
|
$107,572.00
|
$51,971.91
|
$65,219.65
|
$54,349.71
|
2026-07-15
|
|
854
|
MS_DRG
|
Infectious & Parasitic Diseases W O.r. Procedure W Cc
|
10
|
9
|
$103,522.10
|
$103,522.10
|
$51,464.22
|
$64,582.55
|
$53,818.79
|
2026-07-15
|
|
617
|
MS_DRG
|
Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Cc
|
10
|
9
|
$253,132.65
|
$253,132.65
|
$51,464.22
|
$64,582.55
|
$53,818.79
|
2026-07-15
|
|
570
|
MS_DRG
|
Skin Debridement W Mcc
|
10
|
9
|
$47,324.88
|
$47,324.88
|
$49,887.69
|
$62,604.16
|
$52,170.13
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
10
|
9
|
$336,612.23
|
$336,612.23
|
$49,368.54
|
$61,952.68
|
$51,627.24
|
2026-07-15
|
|
969
|
OTHER
|
HIV W Extensive O.r. Procedure W Mcc
|
9
|
9
|
$61,945.94
|
$61,945.94
|
$48,021.96
|
$80,879.09
|
$67,399.24
|
2026-07-31
|
|
717
|
OTHER
|
Other Male Reproductive System O.r. Proc Exc Malignancy W Cc/Mcc
|
9
|
9
|
$135,023.78
|
$135,023.78
|
$48,021.96
|
$80,879.09
|
$67,399.24
|
2026-07-31
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
9
|
9
|
$173,235.96
|
$173,235.96
|
$47,178.65
|
$79,458.78
|
$66,215.65
|
2026-07-31
|
|
501
|
MS_DRG
|
Soft Tissue Procedures W Cc
|
10
|
9
|
$216,342.28
|
$216,342.28
|
$46,345.28
|
$58,158.78
|
$48,465.65
|
2026-07-15
|
|
500
|
MS_DRG
|
Soft Tissue Procedures W Mcc
|
10
|
9
|
$249,059.42
|
$249,059.42
|
$46,345.28
|
$58,158.78
|
$48,465.65
|
2026-07-15
|
|
616
|
OTHER
|
Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Mcc
|
9
|
9
|
$147,833.28
|
$147,833.28
|
$45,994.72
|
$77,464.79
|
$64,553.99
|
2026-07-31
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures W Mcc
|
9
|
9
|
$107,837.51
|
$107,837.51
|
$44,187.23
|
$74,420.60
|
$62,017.17
|
2026-07-31
|
|
867
|
MS_DRG
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
10
|
9
|
$32,299.53
|
$32,299.53
|
$43,489.97
|
$54,575.65
|
$45,479.71
|
2026-07-15
|
|
463
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
9
|
9
|
$97,927.48
|
$97,927.48
|
$42,725.87
|
$71,959.36
|
$59,966.13
|
2026-07-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
10
|
9
|
$154,777.15
|
$154,777.15
|
$42,360.07
|
$53,157.73
|
$44,298.11
|
2026-07-15
|
|
94
|
MS_DRG
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
10
|
9
|
$81,034.84
|
$81,034.84
|
$41,791.29
|
$52,443.98
|
$43,703.32
|
2026-07-15
|
|
539
|
MS_DRG
|
Osteomyelitis W Mcc
|
10
|
9
|
$146,078.86
|
$146,078.86
|
$40,630.85
|
$50,987.73
|
$42,489.78
|
2026-07-15
|
|
464
|
MS_DRG
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
10
|
9
|
$135,207.66
|
$135,207.66
|
$40,352.19
|
$50,638.04
|
$42,198.37
|
2026-07-15
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System W Mcc
|
10
|
9
|
$21,182.89
|
$21,182.89
|
$39,791.06
|
$49,933.87
|
$41,611.56
|
2026-07-15
|
|
175
|
MS_DRG
|
Pulmonary Embolism W Mcc
|
10
|
9
|
$113,864.41
|
$113,864.41
|
$39,791.06
|
$49,933.87
|
$41,611.56
|
2026-07-15
|
|
288
|
MS_DRG
|
Acute & Subacute Endocarditis W Mcc
|
10
|
9
|
$92,872.87
|
$92,872.87
|
$39,554.39
|
$49,636.88
|
$41,364.06
|
2026-07-15
|
|
901
|
OTHER
|
Wound Debridements For Injuries W Mcc
|
9
|
9
|
$82,476.83
|
$82,476.83
|
$39,138.37
|
$65,917.25
|
$54,931.04
|
2026-07-31
|
|
570
|
OTHER
|
Skin Debridement W Mcc
|
9
|
9
|
$50,531.74
|
$50,531.74
|
$38,891.14
|
$65,500.87
|
$54,584.06
|
2026-07-31
|
|
637
|
MS_DRG
|
Diabetes W Mcc
|
10
|
9
|
$104,252.82
|
$104,252.82
|
$38,794.75
|
$48,683.61
|
$40,569.67
|
2026-07-15
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
10
|
9
|
$74,551.80
|
$74,551.80
|
$37,420.54
|
$46,959.11
|
$39,132.59
|
2026-07-15
|
|
622
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
9
|
9
|
$172,328.25
|
$172,328.25
|
$37,391.31
|
$62,974.84
|
$52,479.03
|
2026-07-31
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
9
|
9
|
$104,689.72
|
$104,689.72
|
$37,100.14
|
$62,484.44
|
$52,070.37
|
2026-07-31
|
|
189
|
MS_DRG
|
Pulmonary Edema & Respiratory Failure
|
10
|
9
|
$199,625.15
|
$199,625.15
|
$36,668.54
|
$46,015.42
|
$38,346.19
|
2026-07-15
|
|
571
|
MS_DRG
|
Skin Debridement W Cc
|
10
|
9
|
$110,446.93
|
$110,446.93
|
$36,298.27
|
$45,550.77
|
$37,958.97
|
2026-07-15
|
|
623
|
MS_DRG
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
10
|
9
|
$103,450.80
|
$103,450.80
|
$36,107.40
|
$45,311.25
|
$37,759.38
|
2026-07-15
|
|
549
|
MS_DRG
|
Septic Arthritis W Cc
|
10
|
9
|
$115,482.18
|
$115,482.18
|
$35,370.68
|
$44,386.73
|
$36,988.94
|
2026-07-15
|
|
548
|
MS_DRG
|
Septic Arthritis W Mcc
|
10
|
9
|
$119,943.87
|
$119,943.87
|
$35,370.68
|
$44,386.73
|
$36,988.94
|
2026-07-15
|
|
550
|
MS_DRG
|
Septic Arthritis Without Cc/Mcc
|
10
|
9
|
$75,234.17
|
$75,234.17
|
$35,370.68
|
$44,386.73
|
$36,988.94
|
2026-07-15
|
|
871
|
MS_DRG
|
Septicemia Without Mv 96+ Hours W Mcc
|
10
|
9
|
$126,149.88
|
$126,149.88
|
$34,924.06
|
$43,826.27
|
$36,521.89
|
2026-07-15
|
|
857
|
OTHER
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Cc
|
9
|
9
|
$165,982.98
|
$165,982.98
|
$34,350.45
|
$57,853.39
|
$48,211.16
|
2026-07-31
|
|
640
|
MS_DRG
|
Nutritional & Misc Metabolic Disorders W Mcc
|
10
|
9
|
$108,951.42
|
$108,951.42
|
$33,862.86
|
$42,494.57
|
$35,412.14
|
2026-07-15
|
|
592
|
MS_DRG
|
Skin Ulcers W Mcc
|
10
|
9
|
$51,821.21
|
$51,821.21
|
$33,710.17
|
$42,302.96
|
$35,252.46
|
2026-07-15
|
|
193
|
MS_DRG
|
Simple Pneumonia & Pleurisy W Mcc
|
10
|
9
|
$132,105.64
|
$132,105.64
|
$32,988.71
|
$41,397.59
|
$34,498.00
|
2026-07-15
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
10
|
9
|
$49,418.82
|
$49,418.82
|
$32,706.23
|
$41,043.11
|
$34,202.60
|
2026-07-15
|
|
464
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
9
|
9
|
$91,157.14
|
$91,157.14
|
$32,306.73
|
$54,411.34
|
$45,342.78
|
2026-07-31
|
|
540
|
MS_DRG
|
Osteomyelitis W Cc
|
10
|
9
|
$71,542.83
|
$71,542.83
|
$31,984.77
|
$40,137.75
|
$33,448.13
|
2026-07-15
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders W Mcc
|
10
|
9
|
$35,974.03
|
$35,974.03
|
$31,793.91
|
$39,898.24
|
$33,248.53
|
2026-07-15
|
|
867
|
OTHER
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
9
|
9
|
$101,808.82
|
$101,808.82
|
$31,460.67
|
$52,986.40
|
$44,155.33
|
2026-07-31
|
|
288
|
OTHER
|
Acute & Subacute Endocarditis W Mcc
|
9
|
9
|
$88,880.56
|
$88,880.56
|
$31,405.74
|
$52,893.88
|
$44,078.23
|
2026-07-31
|
|
393
|
OTHER
|
Other Digestive System Diagnoses W Mcc
|
9
|
9
|
$78,872.59
|
$78,872.59
|
$30,787.67
|
$51,852.92
|
$43,210.77
|
2026-07-31
|
|
391
|
MS_DRG
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
10
|
9
|
$98,670.23
|
$98,670.23
|
$30,560.94
|
$38,350.98
|
$31,959.15
|
2026-07-15
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders W Mcc
|
10
|
9
|
$108,209.50
|
$108,209.50
|
$30,480.77
|
$38,250.38
|
$31,875.32
|
2026-07-15
|
|
177
|
MS_DRG
|
Respiratory Infections & Inflammations W Mcc
|
10
|
9
|
$105,247.54
|
$105,247.54
|
$30,286.10
|
$38,006.08
|
$31,671.73
|
2026-07-15
|
|
289
|
MS_DRG
|
Acute & Subacute Endocarditis W Cc
|
10
|
9
|
$94,229.82
|
$94,229.82
|
$30,232.65
|
$37,939.01
|
$31,615.84
|
2026-07-15
|
|
862
|
OTHER
|
Postoperative & Post-traumatic Infections W Mcc
|
9
|
9
|
$118,229.35
|
$118,229.35
|
$29,875.69
|
$50,316.96
|
$41,930.80
|
2026-07-31
|
|
539
|
OTHER
|
Osteomyelitis W Mcc
|
9
|
9
|
$134,984.90
|
$134,984.90
|
$29,850.97
|
$50,275.32
|
$41,896.10
|
2026-07-31
|
|
565
|
MS_DRG
|
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc
|
10
|
9
|
$71,607.00
|
$71,607.00
|
$29,824.21
|
$37,426.45
|
$31,188.71
|
2026-07-15
|
|
314
|
OTHER
|
Other Circulatory System Diagnoses W Mcc
|
9
|
9
|
$73,838.65
|
$73,838.65
|
$29,296.09
|
$49,340.78
|
$41,117.32
|
2026-07-31
|
|
94
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
9
|
9
|
$93,003.87
|
$93,003.87
|
$29,293.34
|
$49,336.15
|
$41,113.46
|
2026-07-31
|
|
593
|
MS_DRG
|
Skin Ulcers W Cc
|
10
|
9
|
$13,852.01
|
$13,852.01
|
$29,160.00
|
$36,592.94
|
$30,494.12
|
2026-07-15
|
|
571
|
OTHER
|
Skin Debridement W Cc
|
9
|
9
|
$77,337.49
|
$77,337.49
|
$29,059.85
|
$48,942.91
|
$40,785.76
|
2026-07-31
|
|
623
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
9
|
9
|
$55,424.86
|
$55,424.86
|
$28,664.30
|
$48,276.71
|
$40,230.59
|
2026-07-31
|
|
638
|
MS_DRG
|
Diabetes W Cc
|
10
|
9
|
$76,809.79
|
$76,809.79
|
$28,293.49
|
$35,505.55
|
$29,587.96
|
2026-07-15
|
|
558
|
MS_DRG
|
Tendonitis, Myositis & Bursitis Without Mcc
|
10
|
9
|
$22,328.83
|
$22,328.83
|
$28,255.31
|
$35,457.65
|
$29,548.04
|
2026-07-15
|
|
95
|
MS_DRG
|
Bacterial & Tuberculous Infections Of Nervous System W Cc
|
10
|
9
|
$84,846.28
|
$84,846.28
|
$28,014.83
|
$35,155.86
|
$29,296.55
|
2026-07-15
|
|
917
|
OTHER
|
Poisoning & Toxic Effects Of Drugs W Mcc
|
9
|
9
|
$23,130.07
|
$23,130.07
|
$27,886.91
|
$46,967.42
|
$39,139.52
|
2026-07-31
|
|
312
|
OTHER
|
Syncope & Collapse
|
9
|
9
|
$23,317.01
|
$23,317.01
|
$27,886.91
|
$46,967.42
|
$39,139.52
|
2026-07-31
|
|
243
|
OTHER
|
Permanent Cardiac Pacemaker Implant W Cc
|
9
|
9
|
$170,807.52
|
$170,807.52
|
$27,886.91
|
$46,967.42
|
$39,139.52
|
2026-07-31
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma W Mcc
|
9
|
9
|
$296,897.65
|
$296,897.65
|
$27,886.91
|
$46,967.42
|
$39,139.52
|
2026-07-31
|
|
545
|
OTHER
|
Connective Tissue Disorders W Mcc
|
9
|
9
|
$193,692.34
|
$193,692.34
|
$27,886.91
|
$46,967.42
|
$39,139.52
|
2026-07-31
|
|
564
|
OTHER
|
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc
|
9
|
9
|
$60,613.39
|
$60,613.39
|
$27,842.96
|
$46,893.41
|
$39,077.84
|
2026-07-31
|
|
557
|
OTHER
|
Tendonitis, Myositis & Bursitis W Mcc
|
9
|
9
|
$28,141.90
|
$28,141.90
|
$27,831.97
|
$46,874.89
|
$39,062.41
|
2026-07-31
|
|
548
|
OTHER
|
Septic Arthritis W Mcc
|
9
|
9
|
$103,195.18
|
$103,195.18
|
$27,527.06
|
$46,361.36
|
$38,634.47
|
2026-07-31
|
|
637
|
OTHER
|
Diabetes W Mcc
|
9
|
9
|
$96,515.01
|
$96,515.01
|
$27,285.33
|
$45,954.24
|
$38,295.20
|
2026-07-31
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease W Mcc
|
10
|
9
|
$87,318.05
|
$87,318.05
|
$26,762.77
|
$33,584.65
|
$27,987.21
|
2026-07-15
|
|
592
|
OTHER
|
Skin Ulcers W Mcc
|
9
|
9
|
$137,690.46
|
$137,690.46
|
$26,590.36
|
$44,783.76
|
$37,319.80
|
2026-07-31
|
|
189
|
OTHER
|
Pulmonary Edema & Respiratory Failure
|
9
|
9
|
$189,127.46
|
$189,127.46
|
$25,953.06
|
$43,710.42
|
$36,425.35
|
2026-07-31
|
|
871
|
OTHER
|
Septicemia Without Mv 96+ Hours W Mcc
|
9
|
9
|
$86,951.90
|
$86,951.90
|
$25,601.46
|
$43,118.24
|
$35,931.87
|
2026-07-31
|
|
74
|
OTHER
|
Cranial & Peripheral Nerve Disorders Without Mcc
|
9
|
9
|
$194,977.44
|
$194,977.44
|
$25,345.99
|
$42,687.98
|
$35,573.32
|
2026-07-31
|
|
689
|
MS_DRG
|
Kidney & Urinary Tract Infections W Mcc
|
10
|
9
|
$30,100.06
|
$30,100.06
|
$25,251.13
|
$31,687.70
|
$26,406.42
|
2026-07-15
|
|
386
|
OTHER
|
Inflammatory Bowel Disease W Cc
|
9
|
9
|
$28,745.54
|
$28,745.54
|
$25,205.90
|
$42,452.04
|
$35,376.70
|
2026-07-31
|
|
559
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
9
|
9
|
$77,107.80
|
$77,107.80
|
$25,060.31
|
$42,206.84
|
$35,172.37
|
2026-07-31
|
|
682
|
OTHER
|
Renal Failure W Mcc
|
9
|
9
|
$61,158.03
|
$61,158.03
|
$24,942.20
|
$42,007.91
|
$35,006.59
|
2026-07-31
|
|
988
|
MS_DRG
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc
|
10
|
9
|
$126,070.82
|
$126,070.82
|
$24,300.64
|
$30,494.92
|
$25,412.43
|
2026-07-15
|
|
391
|
OTHER
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
9
|
9
|
$14,611.06
|
$14,611.06
|
$23,675.85
|
$39,875.12
|
$33,229.27
|
2026-07-31
|
|
872
|
MS_DRG
|
Septicemia Without Mv 96+ Hours Without Mcc
|
10
|
9
|
$45,687.33
|
$45,687.33
|
$23,563.90
|
$29,570.39
|
$24,642.00
|
2026-07-15
|
|
291
|
OTHER
|
Heart Failure & Shock W Mcc
|
9
|
9
|
$55,360.96
|
$55,360.96
|
$23,511.04
|
$39,597.54
|
$32,997.95
|
2026-07-31
|
|
922
|
OTHER
|
Other Injury, Poisoning & Toxic Effect Diag W Mcc
|
9
|
9
|
$41,935.33
|
$41,935.33
|
$23,480.82
|
$39,546.65
|
$32,955.54
|
2026-07-31
|
|
540
|
OTHER
|
Osteomyelitis W Cc
|
9
|
9
|
$6,979.58
|
$6,979.58
|
$23,431.37
|
$39,463.37
|
$32,886.14
|
2026-07-31
|
|
441
|
OTHER
|
Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc
|
9
|
9
|
$198,195.15
|
$198,195.15
|
$23,379.18
|
$39,375.47
|
$32,812.89
|
2026-07-31
|
|
299
|
OTHER
|
Peripheral Vascular Disorders W Mcc
|
9
|
9
|
$46,286.69
|
$46,286.69
|
$23,241.84
|
$39,144.14
|
$32,620.12
|
2026-07-31
|
|
56
|
OTHER
|
Degenerative Nervous System Disorders W Mcc
|
9
|
9
|
$169,614.47
|
$169,614.47
|
$23,153.93
|
$38,996.10
|
$32,496.75
|
2026-07-31
|
|
306
|
OTHER
|
Cardiac Congenital & Valvular Disorders W Mcc
|
9
|
9
|
$105,342.70
|
$105,342.70
|
$22,972.64
|
$38,690.76
|
$32,242.30
|
2026-07-31
|
|
177
|
OTHER
|
Respiratory Infections & Inflammations W Mcc
|
9
|
9
|
$210,160.36
|
$210,160.36
|
$22,876.49
|
$38,528.83
|
$32,107.36
|
2026-07-31
|
|
558
|
OTHER
|
Tendonitis, Myositis & Bursitis Without Mcc
|
9
|
9
|
$58,273.71
|
$58,273.71
|
$22,621.03
|
$38,098.57
|
$31,748.81
|
2026-07-31
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease W Cc
|
10
|
9
|
$53,333.31
|
$53,333.31
|
$22,525.62
|
$28,267.44
|
$23,556.20
|
2026-07-15
|
|
638
|
OTHER
|
Diabetes W Cc
|
9
|
9
|
$48,882.80
|
$48,882.80
|
$22,524.89
|
$37,936.66
|
$31,613.88
|
2026-07-31
|
|
641
|
MS_DRG
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
10
|
9
|
$29,664.10
|
$29,664.10
|
$22,365.29
|
$28,066.25
|
$23,388.54
|
2026-07-15
|
|
289
|
OTHER
|
Acute & Subacute Endocarditis W Cc
|
9
|
9
|
$4,539.51
|
$4,539.51
|
$21,428.86
|
$36,090.71
|
$30,075.59
|
2026-07-31
|
|
602
|
OTHER
|
Cellulitis W Mcc
|
9
|
9
|
$7,794.43
|
$7,794.43
|
$21,206.36
|
$35,715.97
|
$29,763.31
|
2026-07-31
|
|
949
|
OTHER
|
Aftercare W Cc/Mcc
|
9
|
9
|
$129,146.09
|
$129,146.09
|
$20,761.35
|
$34,966.49
|
$29,138.74
|
2026-07-31
|
|
95
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System W Cc
|
9
|
9
|
$75,740.76
|
$75,740.76
|
$20,695.42
|
$34,855.45
|
$29,046.21
|
2026-07-31
|
|
190
|
OTHER
|
Chronic Obstructive Pulmonary Disease W Mcc
|
9
|
9
|
$99,628.99
|
$99,628.99
|
$20,055.39
|
$33,777.50
|
$28,147.92
|
2026-07-31
|
|
683
|
OTHER
|
Renal Failure W Cc
|
9
|
9
|
$38,271.56
|
$38,271.56
|
$20,052.64
|
$33,772.87
|
$28,144.06
|
2026-07-31
|
|
689
|
OTHER
|
Kidney & Urinary Tract Infections W Mcc
|
9
|
9
|
$46,327.96
|
$46,327.96
|
$19,942.77
|
$33,587.82
|
$27,989.85
|
2026-07-31
|
|
175
|
OTHER
|
Pulmonary Embolism W Mcc
|
9
|
9
|
$220,000.00
|
$220,000.00
|
$19,907.06
|
$33,527.68
|
$27,939.73
|
2026-07-31
|
|
549
|
OTHER
|
Septic Arthritis W Cc
|
9
|
9
|
$79,022.66
|
$79,022.66
|
$19,876.84
|
$33,476.78
|
$27,897.32
|
2026-07-31
|
|
593
|
OTHER
|
Skin Ulcers W Cc
|
9
|
9
|
$127,104.18
|
$127,104.18
|
$19,786.19
|
$33,324.11
|
$27,770.09
|
2026-07-31
|
|
193
|
OTHER
|
Simple Pneumonia & Pleurisy W Mcc
|
9
|
9
|
$65,866.92
|
$65,866.92
|
$19,412.60
|
$32,694.91
|
$27,245.76
|
2026-07-31
|
|
308
|
OTHER
|
Cardiac Arrhythmia & Conduction Disorders W Mcc
|
9
|
9
|
$88,815.75
|
$88,815.75
|
$19,294.49
|
$32,495.98
|
$27,079.98
|
2026-07-31
|
|
690
|
MS_DRG
|
Kidney & Urinary Tract Infections Without Mcc
|
10
|
9
|
$56,003.64
|
$56,003.64
|
$18,498.41
|
$23,213.69
|
$19,344.75
|
2026-07-15
|
|
392
|
OTHER
|
Esophagitis, Gastroent & Misc Digest Disorders Without Mcc
|
9
|
9
|
$10,661.75
|
$10,661.75
|
$18,190.22
|
$30,636.16
|
$25,530.13
|
2026-07-31
|
|
191
|
OTHER
|
Chronic Obstructive Pulmonary Disease W Cc
|
9
|
9
|
$33,746.57
|
$33,746.57
|
$18,033.65
|
$30,372.46
|
$25,310.38
|
2026-07-31
|
|
192
|
OTHER
|
Chronic Obstructive Pulmonary Disease Without Cc/Mcc
|
9
|
9
|
$118,142.34
|
$118,142.34
|
$18,033.65
|
$30,372.46
|
$25,310.38
|
2026-07-31
|
|
313
|
MS_DRG
|
Chest Pain
|
10
|
9
|
$49,433.02
|
$49,433.02
|
$17,754.05
|
$22,279.59
|
$18,566.32
|
2026-07-15
|
|
292
|
OTHER
|
Heart Failure & Shock W Cc
|
9
|
9
|
$35,740.06
|
$35,740.06
|
$16,110.79
|
$27,133.96
|
$22,611.63
|
2026-07-31
|
|
872
|
OTHER
|
Septicemia Without Mv 96+ Hours Without Mcc
|
9
|
9
|
$49,969.44
|
$49,969.44
|
$16,072.33
|
$27,069.19
|
$22,557.66
|
2026-07-31
|
|
603
|
OTHER
|
Cellulitis Without Mcc
|
9
|
9
|
$22,430.01
|
$22,430.01
|
$15,226.27
|
$25,644.25
|
$21,370.21
|
2026-07-31
|
|
313
|
OTHER
|
Chest Pain
|
9
|
9
|
$78,701.23
|
$78,701.23
|
$14,264.85
|
$24,025.01
|
$20,020.84
|
2026-07-31
|
|
894
|
OTHER
|
Alcohol/Drug Abuse Or Dependence, Left Ama
|
9
|
9
|
$60,516.63
|
$60,516.63
|
$13,622.06
|
$22,942.42
|
$19,118.68
|
2026-07-31
|
|
0237T
|
CPT
|
Atherectomy Brachioceph Trnk
|
4
|
4
|
$11,980.50
|
$11,980.50
|
$8,386.35
|
$10,782.45
|
$9,210.19
|
2026-07-31
|
|
0236T
|
CPT
|
Atherectomy Abdominal Aorta
|
4
|
4
|
$11,980.50
|
$11,980.50
|
$8,386.35
|
$10,782.45
|
$9,210.19
|
2026-07-31
|
|
PH002475
|
CDM
|
Immun Globg(igg)/malt/iga Ov50
|
3
|
3
|
$8,741.00
|
$8,741.00
|
$6,119.00
|
$7,867.00
|
$6,556.00
|
2025-11-25
|
|
PH001622
|
CDM
|
Digoxin Immune Fab
|
3
|
3
|
$7,461.00
|
$7,461.00
|
$5,223.00
|
$6,715.00
|
$5,596.00
|
2025-11-25
|
|
PH000803
|
CDM
|
Activase
|
3
|
3
|
$6,600.00
|
$6,600.00
|
$4,620.00
|
$5,940.00
|
$4,950.00
|
2025-11-25
|
|
69024
|
CPT
|
Rituximab-pvvr 500mg/50ml
|
1
|
1
|
$5,376.00
|
$5,376.00
|
$4,032.00
|
$4,032.00
|
$4,032.00
|
2025-11-25
|
|
PH001499
|
CDM
|
Privigen
|
3
|
3
|
$5,756.00
|
$5,756.00
|
$4,029.00
|
$5,180.00
|
$4,317.00
|
2025-11-25
|
|
PH002284
|
CDM
|
Paliperidone Palmitate 234mg S
|
3
|
3
|
$5,354.00
|
$5,354.00
|
$3,748.00
|
$4,819.00
|
$4,016.00
|
2025-11-25
|
|
PH002517
|
CDM
|
Immune Globul G/gly/iga Avg 46
|
3
|
3
|
$4,462.00
|
$4,462.00
|
$3,123.00
|
$4,016.00
|
$3,347.00
|
2025-11-25
|
|
0237T
|
OTHER
|
Atherectomy Brachioceph Trnk
|
7
|
7
|
$11,980.50
|
$11,980.50
|
$3,098.52
|
$10,782.45
|
$9,584.40
|
2026-07-15
|
|
0236T
|
OTHER
|
Atherectomy Abdominal Aorta
|
7
|
7
|
$11,980.50
|
$11,980.50
|
$3,098.52
|
$10,782.45
|
$9,584.40
|
2026-07-15
|
|
PH002745
|
CDM
|
Nplate
|
3
|
3
|
$4,130.00
|
$4,130.00
|
$2,891.00
|
$3,717.00
|
$3,098.00
|
2025-11-25
|
|
1000001
|
CDM
|
Intensive Care/high Acuity
|
1
|
1
|
$3,555.00
|
$3,555.00
|
$2,666.00
|
$2,666.00
|
$2,666.00
|
2025-11-25
|
|
PH002254
|
CDM
|
Paliperidone Palmitate 156mg
|
3
|
3
|
$3,569.00
|
$3,569.00
|
$2,498.00
|
$3,212.00
|
$2,677.00
|
2025-11-25
|
|
1000002
|
CDM
|
Intermediate Care
|
1
|
1
|
$3,069.00
|
$3,069.00
|
$2,302.00
|
$2,302.00
|
$2,302.00
|
2025-11-25
|
|
74178
|
CPT
|
CT Abd & Pelvis W/Wo Contrast
|
11
|
10
|
$8,583.75
|
$8,583.75
|
$2,220.02
|
$7,725.38
|
$6,760.00
|
2026-07-31
|
|
PH002475
|
LOCAL
|
Ph002475-immun Globg(Igg)/Malt/Iga Ov50
|
7
|
7
|
$8,405.10
|
$8,405.10
|
$2,173.81
|
$7,564.59
|
$6,724.08
|
2026-07-15
|
|
PH001500
|
CDM
|
Privigen 10gm
|
3
|
3
|
$2,878.00
|
$2,878.00
|
$2,015.00
|
$2,590.00
|
$2,159.00
|
2025-11-25
|
|
74177
|
CPT
|
CT Abd & Pelvis W Contrast
|
11
|
10
|
$7,202.00
|
$7,202.00
|
$1,862.65
|
$6,481.80
|
$5,401.50
|
2026-07-31
|
|
2
|
CDM
|
Semi Private Room
|
1
|
1
|
$2,461.00
|
$2,461.00
|
$1,846.00
|
$1,846.00
|
$1,846.00
|
2025-11-25
|
|
1
|
CDM
|
Private Room
|
1
|
1
|
$2,461.00
|
$2,461.00
|
$1,846.00
|
$1,846.00
|
$1,846.00
|
2025-11-25
|
|
CP17659907337713909
|
CDM
|
Other Resp System O.r. Procedures W Mcc
|
11
|
8
|
$502,410.00
|
$502,410.00
|
$1,809.00
|
$452,169.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337728437
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
11
|
8
|
$103,749.00
|
$103,749.00
|
$1,809.00
|
$93,374.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337714433
|
CDM
|
G.i. Hemorrhage W Mcc
|
11
|
8
|
$69,060.00
|
$69,060.00
|
$1,809.00
|
$62,154.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337720169
|
CDM
|
Diabetes W Mcc
|
11
|
8
|
$197,336.00
|
$197,336.00
|
$1,809.00
|
$177,602.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337738851
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
11
|
8
|
$225,548.00
|
$225,548.00
|
$1,809.00
|
$202,993.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337727701
|
CDM
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Cc
|
11
|
8
|
$152,110.00
|
$152,110.00
|
$1,809.00
|
$136,899.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337723670
|
CDM
|
Osteomyelitis Without Cc/mcc
|
11
|
8
|
$15,026.00
|
$15,026.00
|
$1,809.00
|
$13,523.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337729346
|
CDM
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
11
|
8
|
$549,221.00
|
$549,221.00
|
$1,809.00
|
$494,299.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337722158
|
CDM
|
Osteomyelitis W Cc
|
11
|
8
|
$62,431.00
|
$62,431.00
|
$1,809.00
|
$56,188.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337703167
|
CDM
|
Degenerative Nervous System Disorders W Mcc
|
11
|
8
|
$64,371.00
|
$64,371.00
|
$1,809.00
|
$57,934.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337725157
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
11
|
8
|
$174,970.00
|
$174,970.00
|
$1,809.00
|
$157,473.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337737808
|
CDM
|
Postoperative & Post-traumatic Infections W Mcc
|
11
|
8
|
$271,237.00
|
$271,237.00
|
$1,809.00
|
$244,113.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337711557
|
CDM
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
11
|
8
|
$201,222.00
|
$201,222.00
|
$1,809.00
|
$181,100.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337708559
|
CDM
|
Periph/cranial Nerve & Other Nerv Syst Proc W Mcc
|
11
|
8
|
$337,982.00
|
$337,982.00
|
$1,809.00
|
$304,184.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337714459
|
CDM
|
Dental & Oral Diseases W Mcc
|
11
|
8
|
$71,725.00
|
$71,725.00
|
$1,809.00
|
$64,553.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337721896
|
CDM
|
Skin Ulcers W Cc
|
11
|
8
|
$76,347.00
|
$76,347.00
|
$1,809.00
|
$68,712.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337712818
|
CDM
|
Major Chest Procedures W Mcc
|
11
|
8
|
$441,622.00
|
$441,622.00
|
$1,809.00
|
$397,460.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337710656
|
CDM
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
11
|
8
|
$167,244.00
|
$167,244.00
|
$1,809.00
|
$150,520.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337713633
|
CDM
|
Heart Failure & Shock W Mcc
|
11
|
8
|
$105,663.00
|
$105,663.00
|
$1,809.00
|
$95,097.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337716113
|
CDM
|
Other Digestive System O.r. Procedures W Mcc
|
11
|
8
|
$133,288.00
|
$133,288.00
|
$1,809.00
|
$119,959.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337727976
|
CDM
|
Other Kidney & Urinary Tract Procedures W Mcc
|
11
|
8
|
$88,331.00
|
$88,331.00
|
$1,809.00
|
$79,498.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337705954
|
CDM
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
11
|
8
|
$654,759.00
|
$654,759.00
|
$1,809.00
|
$589,283.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337724526
|
CDM
|
Soft Tissue Procedures W Mcc
|
11
|
8
|
$335,263.00
|
$335,263.00
|
$1,809.00
|
$301,737.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337730958
|
CDM
|
Septicemia W Mv 96+ Hours
|
11
|
8
|
$310,028.00
|
$310,028.00
|
$1,809.00
|
$279,025.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337706988
|
CDM
|
Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim
|
11
|
8
|
$126,914.00
|
$126,914.00
|
$1,809.00
|
$114,223.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337721112
|
CDM
|
Minor Skin Disorders W Mcc
|
11
|
8
|
$41,704.00
|
$41,704.00
|
$1,809.00
|
$37,534.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337721124
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
11
|
8
|
$139,858.00
|
$139,858.00
|
$1,809.00
|
$125,872.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337722353
|
CDM
|
Diabetes W Cc
|
11
|
8
|
$114,546.00
|
$114,546.00
|
$1,809.00
|
$103,091.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337715343
|
CDM
|
Other Digestive System Diagnoses W Mcc
|
11
|
8
|
$83,435.00
|
$83,435.00
|
$1,809.00
|
$75,092.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337717818
|
CDM
|
Acute & Subacute Endocarditis W Mcc
|
11
|
8
|
$103,271.00
|
$103,271.00
|
$1,809.00
|
$92,944.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337718249
|
CDM
|
Respiratory Infections & Inflammations W Mcc
|
11
|
8
|
$125,815.00
|
$125,815.00
|
$1,809.00
|
$113,234.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337728654
|
CDM
|
Osteomyelitis W Mcc
|
11
|
8
|
$117,664.00
|
$117,664.00
|
$1,809.00
|
$105,898.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337713236
|
CDM
|
Bacterial & Tuberculous Infections Of Nervous System Without Cc/mcc
|
11
|
8
|
$33,516.00
|
$33,516.00
|
$1,809.00
|
$30,164.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337720986
|
CDM
|
Septic Arthritis W Cc
|
11
|
8
|
$126,635.00
|
$126,635.00
|
$1,809.00
|
$113,972.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337728305
|
CDM
|
Red Blood Cell Disorders W Mcc
|
11
|
8
|
$270,364.00
|
$270,364.00
|
$1,809.00
|
$243,328.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337724760
|
CDM
|
Tendonitis, Myositis & Bursitis W Mcc
|
11
|
8
|
$186,152.00
|
$186,152.00
|
$1,809.00
|
$167,537.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337734510
|
CDM
|
Septicemia Without Mv 96+ Hours W Mcc
|
11
|
8
|
$148,161.00
|
$148,161.00
|
$1,809.00
|
$133,345.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337733787
|
CDM
|
Aftercare W Cc/mcc
|
11
|
8
|
$111,022.00
|
$111,022.00
|
$1,809.00
|
$99,920.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337720647
|
CDM
|
Urinary Stones Without Esw Lithotripsy Without Mcc
|
11
|
8
|
$145,710.00
|
$145,710.00
|
$1,809.00
|
$131,139.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337713285
|
CDM
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
11
|
8
|
$15,227.00
|
$15,227.00
|
$1,809.00
|
$13,704.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337724472
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
11
|
8
|
$191,193.00
|
$191,193.00
|
$1,809.00
|
$172,074.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337727728
|
CDM
|
Other Endocrine, Nutrit & Metab O.r. Proc W Mcc
|
11
|
8
|
$280,603.00
|
$280,603.00
|
$1,809.00
|
$252,543.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337722954
|
CDM
|
Inflammation Of The Male Reproductive System W Mcc
|
11
|
8
|
$67,887.00
|
$67,887.00
|
$1,809.00
|
$61,098.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337714470
|
CDM
|
Pulmonary Edema & Respiratory Failure
|
11
|
8
|
$166,112.00
|
$166,112.00
|
$1,809.00
|
$149,501.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337732440
|
CDM
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
11
|
8
|
$129,449.00
|
$129,449.00
|
$1,809.00
|
$116,504.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337714039
|
CDM
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
11
|
8
|
$394,653.00
|
$394,653.00
|
$1,809.00
|
$355,188.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337727510
|
CDM
|
Other Skin, Subcut Tiss & Breast Proc W Mcc
|
11
|
8
|
$173,203.00
|
$173,203.00
|
$1,809.00
|
$155,883.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337726188
|
CDM
|
Septic Arthritis W Mcc
|
11
|
8
|
$290,195.00
|
$290,195.00
|
$1,809.00
|
$261,176.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337724608
|
CDM
|
Skin Ulcers W Mcc
|
11
|
8
|
$159,975.00
|
$159,975.00
|
$1,809.00
|
$143,978.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337726682
|
CDM
|
Renal Failure W Mcc
|
11
|
8
|
$106,964.00
|
$106,964.00
|
$1,809.00
|
$96,268.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337728955
|
CDM
|
Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc
|
11
|
8
|
$204,363.00
|
$204,363.00
|
$1,809.00
|
$183,927.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337721141
|
CDM
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
11
|
8
|
$211,654.00
|
$211,654.00
|
$1,809.00
|
$190,489.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337709073
|
CDM
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
11
|
8
|
$831,374.00
|
$831,374.00
|
$1,809.00
|
$748,237.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337720214
|
CDM
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
11
|
8
|
$333,853.00
|
$333,853.00
|
$1,809.00
|
$300,468.00
|
$1,899.00
|
2025-11-25
|
|
CP17659907337714497
|
CDM
|
Nonspecific Cerebrovascular Disorders W Mcc
|
11
|
8
|
$158,191.00
|
$158,191.00
|
$1,809.00
|
$142,372.00
|
$1,899.00
|
2025-11-25
|
|
3
|
OTHER
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
11
|
11
|
$803,885.40
|
$803,885.40
|
$1,803.53
|
$170,317.06
|
$141,930.88
|
2026-07-31
|
|
4
|
OTHER
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
11
|
11
|
$436,674.93
|
$436,674.93
|
$1,803.53
|
$129,405.62
|
$107,838.02
|
2026-07-31
|
|
870
|
OTHER
|
Septicemia W Mv 96+ Hours
|
11
|
11
|
$267,034.02
|
$267,034.02
|
$1,803.53
|
$90,081.05
|
$75,067.54
|
2026-07-31
|
|
207
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
11
|
11
|
$304,010.05
|
$304,010.05
|
$1,803.53
|
$86,976.71
|
$72,480.59
|
2026-07-31
|
|
208
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
11
|
11
|
$178,541.09
|
$178,541.09
|
$1,803.53
|
$52,750.45
|
$43,958.71
|
2026-07-31
|
|
PH002793
|
CDM
|
Epidiolex
|
3
|
3
|
$2,565.00
|
$2,565.00
|
$1,795.00
|
$2,309.00
|
$1,924.00
|
2025-11-25
|
|
PH001622
|
LOCAL
|
Ph001622-digoxin Immune Fab
|
7
|
7
|
$6,898.50
|
$6,898.50
|
$1,784.16
|
$6,208.65
|
$5,518.80
|
2026-07-15
|
|
85132
|
CPT
|
Noxafil 200mg/5ml Os
|
1
|
1
|
$2,159.00
|
$2,159.00
|
$1,619.00
|
$1,619.00
|
$1,619.00
|
2025-11-25
|
|
PH002826
|
CDM
|
Immune Globul G/gly/iga Avg 46
|
3
|
3
|
$2,231.00
|
$2,231.00
|
$1,562.00
|
$2,008.00
|
$1,673.00
|
2025-11-25
|
|
40261
|
CPT
|
Mycophenolate Mof. 200mg/ml-16
|
1
|
1
|
$2,071.00
|
$2,071.00
|
$1,553.00
|
$1,553.00
|
$1,553.00
|
2025-11-25
|
|
PH002744
|
CDM
|
Nplate
|
3
|
3
|
$2,065.00
|
$2,065.00
|
$1,446.00
|
$1,859.00
|
$1,549.00
|
2025-11-25
|
|
PH001694
|
CDM
|
Becaplermin 0.01% Gel
|
3
|
3
|
$2,040.00
|
$2,040.00
|
$1,428.00
|
$1,836.00
|
$1,530.00
|
2025-11-25
|
|
PH002398
|
CDM
|
Eligard
|
3
|
3
|
$2,033.00
|
$2,033.00
|
$1,423.00
|
$1,830.00
|
$1,525.00
|
2025-11-25
|
|
74176
|
CPT
|
CT Abd & Pelvis Wo Contrast
|
11
|
10
|
$5,427.50
|
$5,427.50
|
$1,403.71
|
$4,884.75
|
$4,342.00
|
2026-07-31
|
|
PH001499
|
LOCAL
|
Ph001499-privigen
|
7
|
7
|
$5,124.60
|
$5,124.60
|
$1,325.38
|
$4,612.14
|
$4,099.68
|
2026-07-15
|
|
PH002284
|
LOCAL
|
Ph002284-paliperidone Palmitate 234mg S
|
7
|
7
|
$5,022.18
|
$5,022.18
|
$1,298.89
|
$4,519.96
|
$4,017.74
|
2026-07-15
|
|
PH002179
|
CDM
|
Kengreal 50mg Vial
|
3
|
3
|
$1,802.00
|
$1,802.00
|
$1,261.00
|
$1,622.00
|
$1,352.00
|
2025-11-25
|
|
PH001262
|
LOCAL
|
Ph001262-miacalcin Inj
|
7
|
7
|
$4,865.52
|
$4,865.52
|
$1,258.37
|
$4,378.97
|
$3,892.41
|
2026-07-15
|
|
PH002457
|
CDM
|
Infliximab 100mg
|
3
|
3
|
$1,752.00
|
$1,752.00
|
$1,226.00
|
$1,577.00
|
$1,314.00
|
2025-11-25
|
|
PH002315
|
CDM
|
Dronabinol 5mg/ml Os
|
3
|
3
|
$1,750.00
|
$1,750.00
|
$1,225.00
|
$1,575.00
|
$1,313.00
|
2025-11-25
|
|
40039
|
CPT
|
Valganciclovir Hcl 50mg/ml Pwd
|
1
|
1
|
$1,605.00
|
$1,605.00
|
$1,204.00
|
$1,204.00
|
$1,204.00
|
2025-11-25
|
|
PH002821
|
CDM
|
Baclofen
|
3
|
3
|
$1,701.00
|
$1,701.00
|
$1,191.00
|
$1,531.00
|
$1,276.00
|
2025-11-25
|
|
22526
|
CPT
|
Perq Annuloplasty 1 Lvl
|
11
|
10
|
$4,537.00
|
$4,537.00
|
$1,173.40
|
$4,083.30
|
$3,573.00
|
2026-07-31
|
|
36571
|
CPT
|
Picc Line Insert W Pump
|
11
|
10
|
$4,472.50
|
$4,472.50
|
$1,156.72
|
$4,025.25
|
$3,522.00
|
2026-07-31
|
|
PH001127
|
CDM
|
Procrit
|
3
|
3
|
$1,604.00
|
$1,604.00
|
$1,123.00
|
$1,444.00
|
$1,203.00
|
2025-11-25
|
|
PH002517
|
LOCAL
|
Ph002517-immune Globul G/Gly/Iga Avg 46
|
7
|
7
|
$4,107.60
|
$4,107.60
|
$1,062.35
|
$3,696.84
|
$3,286.08
|
2026-07-15
|
|
PH002273
|
CDM
|
Zoledronic Acid/man-water 5mg/
|
3
|
3
|
$1,507.00
|
$1,507.00
|
$1,055.00
|
$1,356.00
|
$1,130.00
|
2025-11-25
|
|
PH001262
|
CDM
|
Miacalcin Inj
|
3
|
3
|
$1,500.00
|
$1,500.00
|
$1,050.00
|
$1,350.00
|
$1,125.00
|
2025-11-25
|
|
PH002785
|
CDM
|
Valganciclovir Hcl
|
3
|
3
|
$1,491.00
|
$1,491.00
|
$1,044.00
|
$1,342.00
|
$1,118.00
|
2025-11-25
|
|
PH002476
|
CDM
|
Immun Globg(igg)/malt/iga Ov50
|
3
|
3
|
$1,457.00
|
$1,457.00
|
$1,020.00
|
$1,311.00
|
$1,093.00
|
2025-11-25
|
|
31600
|
CPT
|
Tracheostomy Planned
|
11
|
10
|
$3,892.50
|
$3,892.50
|
$1,006.72
|
$3,503.25
|
$3,065.00
|
2026-07-31
|
|
71270
|
CPT
|
CT Thorax W/Wo Contrast
|
11
|
10
|
$3,794.75
|
$3,794.75
|
$981.44
|
$3,415.28
|
$2,989.00
|
2026-07-31
|
|
74170
|
CPT
|
CT Abdomen W/Wo Contrast
|
11
|
10
|
$3,624.50
|
$3,624.50
|
$937.40
|
$3,262.05
|
$2,855.00
|
2026-07-31
|
|
PH002745
|
LOCAL
|
Ph002745-nplate
|
7
|
7
|
$3,577.46
|
$3,577.46
|
$925.24
|
$3,219.71
|
$2,861.97
|
2026-07-15
|
|
PH001753
|
CDM
|
Fmt Upper Delivery
|
3
|
3
|
$1,300.00
|
$1,300.00
|
$910.00
|
$1,170.00
|
$975.00
|
2025-11-25
|
|
PH002254
|
LOCAL
|
Ph002254-paliperidone Palmitate 156mg
|
7
|
7
|
$3,348.21
|
$3,348.21
|
$865.95
|
$3,013.39
|
$2,678.57
|
2026-07-15
|
|
71260
|
CPT
|
CT Chest (Pe) W Contrast
|
20
|
10
|
$4,630.50
|
$4,630.50
|
$852.19
|
$4,167.45
|
$3,103.43
|
2026-07-31
|
|
0200
|
RC
|
—
|
7
|
7
|
$3,225.00
|
$3,225.00
|
$834.08
|
$2,902.50
|
$2,301.25
|
2026-07-15
|
|
74160
|
CPT
|
CT Abdomen W Contrast
|
11
|
10
|
$3,148.00
|
$3,148.00
|
$814.17
|
$2,833.20
|
$2,480.00
|
2026-07-31
|
|
94002
|
CPT
|
Ventilation Mgmt 1st Day
|
11
|
10
|
$3,099.00
|
$3,099.00
|
$801.49
|
$2,789.10
|
$2,441.00
|
2026-07-31
|
|
70470
|
CPT
|
CT Head/Brain W/Wo Contrast
|
11
|
10
|
$3,085.00
|
$3,085.00
|
$797.87
|
$2,776.50
|
$2,429.00
|
2026-07-31
|
|
72193
|
CPT
|
CT Pelvis W Contrast
|
11
|
10
|
$3,025.00
|
$3,025.00
|
$782.36
|
$2,722.50
|
$2,420.00
|
2026-07-31
|
|
43261
|
CPT
|
Ercp W Bx Sngl/Mult
|
11
|
10
|
$2,822.50
|
$2,822.50
|
$729.98
|
$2,540.25
|
$2,223.00
|
2026-07-31
|
|
0206
|
RC
|
—
|
7
|
7
|
$2,784.00
|
$2,784.00
|
$720.03
|
$2,505.60
|
$2,102.80
|
2026-07-15
|
|
72125
|
CPT
|
CT C Spine Wo Contrast
|
11
|
10
|
$2,700.50
|
$2,700.50
|
$698.43
|
$2,430.45
|
$2,127.00
|
2026-07-31
|
|
73701
|
CPT
|
CT Lower Extr W Contrast
|
11
|
10
|
$2,674.25
|
$2,674.25
|
$691.64
|
$2,406.83
|
$2,106.00
|
2026-07-31
|
|
PH001500
|
LOCAL
|
Ph001500-privigen 10gm
|
7
|
7
|
$2,562.30
|
$2,562.30
|
$662.69
|
$2,306.07
|
$2,049.84
|
2026-07-15
|
|
71250
|
CPT
|
CT Chest (High Resolution)
|
11
|
10
|
$2,547.25
|
$2,547.25
|
$658.80
|
$2,292.53
|
$2,006.00
|
2026-07-31
|
|
36558
|
CPT
|
Insert Central Line Without Port
|
11
|
10
|
$2,373.00
|
$2,373.00
|
$613.73
|
$2,135.70
|
$1,869.00
|
2026-07-31
|
|
PH002793
|
LOCAL
|
Ph002793-epidiolex
|
7
|
7
|
$2,355.00
|
$2,355.00
|
$609.07
|
$2,119.50
|
$1,884.00
|
2026-07-15
|
|
64420
|
CPT
|
Inj Anes Intercostal Nrv Sng
|
11
|
10
|
$2,267.00
|
$2,267.00
|
$586.31
|
$2,040.30
|
$1,785.00
|
2026-07-31
|
|
36556
|
CPT
|
Ins Non-tun Ctr Cvc Age 5 Yr/>
|
11
|
10
|
$2,259.50
|
$2,259.50
|
$584.37
|
$2,033.55
|
$1,780.00
|
2026-07-31
|
|
0120
|
RC
|
—
|
7
|
7
|
$2,232.00
|
$2,232.00
|
$577.26
|
$2,008.80
|
$1,562.40
|
2026-07-15
|
|
0110
|
RC
|
—
|
7
|
7
|
$2,232.00
|
$2,232.00
|
$577.26
|
$2,008.80
|
$1,562.40
|
2026-07-15
|
|
11047
|
CPT
|
Debr Bone Ea Addl <=20 Sq
|
11
|
10
|
$2,219.75
|
$2,219.75
|
$574.09
|
$1,997.78
|
$1,664.81
|
2026-07-31
|
|
94003
|
CPT
|
Ventilation Mgmt Ea Subsq Day
|
11
|
10
|
$2,193.50
|
$2,193.50
|
$567.30
|
$1,974.15
|
$1,727.00
|
2026-07-31
|
|
PH001845
|
LOCAL
|
Ph001845-noxafil 200mg/5ml Os
|
7
|
7
|
$2,159.33
|
$2,159.33
|
$558.47
|
$1,943.40
|
$1,727.46
|
2026-07-15
|
|
43246
|
CPT
|
Peg Placement
|
11
|
10
|
$2,129.75
|
$2,129.75
|
$550.82
|
$1,916.78
|
$1,677.00
|
2026-07-31
|
|
31645
|
CPT
|
Bronchoscopy W Aspiration Init
|
11
|
10
|
$2,110.25
|
$2,110.25
|
$545.77
|
$1,899.23
|
$1,662.00
|
2026-07-31
|
|
31624
|
CPT
|
Bronchoscopy W Lavage
|
11
|
10
|
$2,110.25
|
$2,110.25
|
$545.77
|
$1,899.23
|
$1,662.00
|
2026-07-31
|
|
31646
|
CPT
|
Bronchoscopy W Aspiration Subs
|
11
|
10
|
$2,110.25
|
$2,110.25
|
$545.77
|
$1,899.23
|
$1,582.69
|
2026-07-31
|
|
70450
|
CPT
|
CT Head/Brain Wo Contrast
|
11
|
10
|
$2,103.25
|
$2,103.25
|
$543.96
|
$2,003.00
|
$1,682.60
|
2026-07-31
|
|
73200
|
CPT
|
CT Upper Extrem Wo Contrast
|
11
|
10
|
$2,103.25
|
$2,103.25
|
$543.96
|
$1,892.93
|
$1,657.00
|
2026-07-31
|
|
94660
|
CPT
|
CPAP/Bipap Initiation & Mgmt
|
11
|
10
|
$2,089.00
|
$2,089.00
|
$540.28
|
$1,880.10
|
$1,646.00
|
2026-07-31
|
|
PH001835
|
LOCAL
|
Ph001835-mycophenolate Mof. 200mg/ml-16
|
7
|
7
|
$2,071.31
|
$2,071.31
|
$535.70
|
$1,864.18
|
$1,657.05
|
2026-07-15
|
|
PH002826
|
LOCAL
|
Ph002826-immune Globul G/Gly/Iga Avg 46
|
7
|
7
|
$2,053.80
|
$2,053.80
|
$531.17
|
$1,848.42
|
$1,643.04
|
2026-07-15
|
|
PH002398
|
LOCAL
|
Ph002398-eligard
|
7
|
7
|
$2,032.61
|
$2,032.61
|
$525.69
|
$1,829.35
|
$1,626.09
|
2026-07-15
|
|
70460
|
CPT
|
CT Head/Brain W Contrast
|
11
|
10
|
$2,003.50
|
$2,003.50
|
$518.17
|
$1,803.15
|
$1,578.00
|
2026-07-31
|
|
94762
|
CPT
|
Pulse Ox Continuous/Overnight
|
11
|
10
|
$2,000.25
|
$2,000.25
|
$517.32
|
$1,800.23
|
$1,500.19
|
2026-07-31
|
|
PH001694
|
LOCAL
|
Ph001694-becaplermin 0.01% Gel
|
7
|
7
|
$1,942.43
|
$1,942.43
|
$502.37
|
$1,748.19
|
$1,553.94
|
2026-07-15
|
|
CP17659907337730176
|
CDM
|
Septicemia Without Mv 96+ Hours Without Mcc
|
11
|
8
|
$669.00
|
$669.00
|
$468.00
|
$2,352.00
|
$1,809.00
|
2025-11-25
|
|
43235
|
CPT
|
Upper Gi Endo Dx
|
11
|
10
|
$1,809.25
|
$1,809.25
|
$467.93
|
$1,628.33
|
$1,425.00
|
2026-07-31
|
|
PH002744
|
LOCAL
|
Ph002744-nplate
|
7
|
7
|
$1,788.75
|
$1,788.75
|
$462.62
|
$1,609.88
|
$1,431.01
|
2026-07-15
|
|
31623
|
CPT
|
Brnchsc Brushing/Protected
|
11
|
10
|
$1,775.50
|
$1,775.50
|
$459.20
|
$1,597.95
|
$1,398.00
|
2026-07-31
|
|
PH002457
|
LOCAL
|
Ph002457-infliximab 100mg
|
7
|
7
|
$1,751.73
|
$1,751.73
|
$453.05
|
$1,576.56
|
$1,401.38
|
2026-07-15
|
|
PH002315
|
LOCAL
|
Ph002315-dronabinol 5mg/ml Os
|
7
|
7
|
$1,749.99
|
$1,749.99
|
$452.60
|
$1,574.99
|
$1,399.99
|
2026-07-15
|
|
PH002821
|
LOCAL
|
Ph002821-baclofen
|
7
|
7
|
$1,701.26
|
$1,701.26
|
$440.00
|
$1,531.13
|
$1,361.01
|
2026-07-15
|
|
36584
|
CPT
|
Picc Line Replacement Without Pump
|
11
|
10
|
$1,687.00
|
$1,687.00
|
$436.31
|
$1,518.30
|
$1,328.00
|
2026-07-31
|
|
36569
|
CPT
|
Ins Picc Without Pump 5y/>
|
11
|
10
|
$1,687.00
|
$1,687.00
|
$436.31
|
$1,518.30
|
$1,328.00
|
2026-07-31
|
|
31622
|
CPT
|
Brnchsc Dx -cell Washg Spx
|
12
|
10
|
$1,679.00
|
$1,679.00
|
$434.24
|
$1,511.10
|
$1,290.62
|
2026-07-31
|
|
11044
|
CPT
|
Debr Bone 1st <= 20 Sq Cm
|
11
|
10
|
$1,651.75
|
$1,651.75
|
$427.19
|
$1,486.58
|
$1,301.00
|
2026-07-31
|
|
PH002179
|
LOCAL
|
Ph002179-kengreal 50mg Vial
|
7
|
7
|
$1,605.59
|
$1,605.59
|
$415.25
|
$1,445.03
|
$1,284.47
|
2026-07-15
|
|
PH001837
|
LOCAL
|
Ph001837-valganciclovir Hcl 50mg/ml Pwd
|
7
|
7
|
$1,605.26
|
$1,605.26
|
$415.17
|
$1,444.73
|
$1,284.20
|
2026-07-15
|
|
PH001127
|
LOCAL
|
Ph001127-procrit
|
7
|
7
|
$1,603.50
|
$1,603.50
|
$414.71
|
$1,443.15
|
$1,282.80
|
2026-07-15
|
|
PH002223
|
LOCAL
|
Ph002223-voriconazole 40mg/ml 75ml
|
7
|
7
|
$1,582.95
|
$1,582.95
|
$409.40
|
$1,424.66
|
$1,266.36
|
2026-07-15
|
|
PH002273
|
LOCAL
|
Ph002273-zoledronic Acid/man-water 5mg/
|
7
|
7
|
$1,506.63
|
$1,506.63
|
$389.66
|
$1,355.97
|
$1,205.31
|
2026-07-15
|
|
PH002785
|
LOCAL
|
Ph002785-valganciclovir Hcl
|
7
|
7
|
$1,490.63
|
$1,490.63
|
$385.52
|
$1,341.57
|
$1,192.51
|
2026-07-15
|
|
93971
|
CPT
|
Duplex Extr Veins; Uni/Ltd
|
11
|
10
|
$1,413.25
|
$1,413.25
|
$365.51
|
$1,271.93
|
$1,113.00
|
2026-07-31
|
|
PH002476
|
LOCAL
|
Ph002476-immun Globg(Igg)/Malt/Iga Ov50
|
7
|
7
|
$1,400.85
|
$1,400.85
|
$362.30
|
$1,260.77
|
$1,120.68
|
2026-07-15
|
|
49083
|
CPT
|
Abd Paracentesis W/Imaging
|
11
|
10
|
$1,392.25
|
$1,392.25
|
$360.08
|
$1,253.03
|
$1,097.00
|
2026-07-31
|
|
28190
|
CPT
|
Removal Fb Foot Subq
|
11
|
10
|
$1,358.75
|
$1,358.75
|
$351.41
|
$1,222.88
|
$1,070.00
|
2026-07-31
|
|
PH001753
|
LOCAL
|
Ph001753-fmt Upper Delivery
|
7
|
7
|
$1,300.00
|
$1,300.00
|
$336.22
|
$1,170.00
|
$1,040.00
|
2026-07-15
|
|
31615
|
CPT
|
Tracheobronchoscopy Thru Incis
|
11
|
10
|
$1,293.25
|
$1,293.25
|
$334.47
|
$1,163.93
|
$1,019.00
|
2026-07-31
|
|
31603
|
CPT
|
Tracheostomy Emergent
|
11
|
10
|
$1,293.25
|
$1,293.25
|
$334.47
|
$1,163.93
|
$1,019.00
|
2026-07-31
|
|
PH001461
|
LOCAL
|
Ph001461-zoledronic Acid
|
7
|
7
|
$1,257.44
|
$1,257.44
|
$325.21
|
$1,131.70
|
$1,005.96
|
2026-07-15
|
|
PH002068
|
LOCAL
|
Ph002068-ddavp 4mcg/ml 10ml Mdv
|
7
|
7
|
$1,232.27
|
$1,232.27
|
$318.70
|
$1,109.04
|
$985.82
|
2026-07-15
|
|
PH001974
|
LOCAL
|
Ph001974-linezolid 100mg/5ml 150ml
|
7
|
7
|
$1,230.00
|
$1,230.00
|
$318.11
|
$1,107.00
|
$984.00
|
2026-07-15
|
|
36568
|
CPT
|
Ins Picc Without Pump <5y
|
11
|
10
|
$1,226.50
|
$1,226.50
|
$317.21
|
$1,103.85
|
$966.00
|
2026-07-31
|