|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
5
|
—
|
—
|
$3,264,000.00
|
$4,808,870.75
|
$3,420,102.04
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
8
|
5
|
—
|
—
|
$3,162,000.00
|
$4,710,246.29
|
$3,349,959.65
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
7
|
5
|
—
|
—
|
$3,570,000.00
|
$4,422,320.00
|
$3,731,332.50
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
8
|
5
|
—
|
—
|
$2,856,000.00
|
$4,271,323.00
|
$3,037,794.38
|
2026-04-01
|
|
C9172
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$3,570,000.00
|
$3,570,000.00
|
$3,570,000.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
8
|
5
|
—
|
—
|
$2,146,250.00
|
$3,559,910.38
|
$2,531,832.82
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
9
|
5
|
—
|
—
|
$529,192.86
|
$1,620,915.58
|
$621,312.51
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
9
|
5
|
—
|
—
|
$527,123.43
|
$1,550,084.80
|
$594,162.39
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
9
|
5
|
—
|
—
|
$516,726.08
|
$1,540,960.85
|
$590,665.09
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
9
|
5
|
—
|
—
|
$526,587.59
|
$1,526,661.02
|
$585,183.83
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
9
|
5
|
—
|
—
|
$489,455.96
|
$1,460,677.41
|
$559,891.68
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
9
|
5
|
—
|
—
|
$460,530.40
|
$1,340,352.11
|
$513,769.84
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$316,966.51
|
$785,522.28
|
$503,998.48
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
17
|
9
|
—
|
—
|
$379,596.13
|
$666,483.34
|
$379,596.13
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$447,276.53
|
$644,341.62
|
$515,644.23
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$263,075.77
|
$622,148.60
|
$405,744.39
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$450,150.52
|
$616,066.84
|
$505,299.56
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
6
|
3
|
—
|
—
|
$499,534.17
|
$594,522.50
|
$545,357.19
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$503,275.91
|
$549,442.16
|
$549,442.16
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$189,717.92
|
$471,971.06
|
$302,424.03
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$223,589.67
|
$467,687.08
|
$319,108.42
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$259,224.69
|
$458,774.92
|
$334,805.24
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$366,110.91
|
$434,453.15
|
$425,002.05
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
17
|
9
|
—
|
—
|
$246,417.72
|
$432,520.87
|
$246,417.72
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$271,404.43
|
$420,232.35
|
$325,213.95
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$349,809.77
|
$415,109.05
|
$400,854.10
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$342,531.59
|
$406,472.26
|
$390,859.56
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$285,529.67
|
$405,805.04
|
$326,845.53
|
2026-04-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$341,529.78
|
$405,283.44
|
$405,283.44
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$285,012.49
|
$403,215.59
|
$325,472.16
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$259,224.69
|
$396,463.95
|
$308,550.71
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$320,270.91
|
$393,866.45
|
$380,056.15
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$225,467.22
|
$390,859.56
|
$312,786.71
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$328,448.26
|
$389,759.97
|
$389,759.97
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
3
|
—
|
—
|
$185,531.89
|
$387,104.33
|
$264,380.68
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$325,329.04
|
$386,058.49
|
$372,130.45
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$115,671.08
|
$378,952.06
|
$222,811.13
|
2026-04-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
3
|
1
|
—
|
—
|
$318,506.03
|
$377,961.82
|
$377,961.82
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
6
|
3
|
—
|
—
|
$309,811.04
|
$367,643.74
|
$346,440.21
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$82,078.74
|
$360,002.47
|
$196,489.87
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$234,887.78
|
$337,796.21
|
$270,546.55
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$162,741.31
|
$335,633.04
|
$230,252.83
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
17
|
9
|
—
|
—
|
$187,788.61
|
$329,523.62
|
$187,788.61
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
18
|
9
|
—
|
—
|
$186,687.79
|
$327,589.74
|
$186,687.79
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$220,368.58
|
$301,223.53
|
$247,211.24
|
2026-04-01
|
|
7594
|
APR_DRG
|
Eating Disorders
|
6
|
3
|
—
|
—
|
$17,719.46
|
$298,692.33
|
$135,525.51
|
2026-04-01
|
|
0100T
|
HCPCS
|
Prosth Retina Receive&Gen
|
3
|
1
|
—
|
—
|
$255,660.18
|
$284,435.03
|
$284,435.03
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
6
|
3
|
—
|
—
|
$199,868.86
|
$272,832.25
|
$224,058.57
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$226,038.46
|
$270,237.50
|
$246,773.31
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$246,034.89
|
$268,604.04
|
$268,604.04
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$214,398.24
|
$266,682.81
|
$254,420.14
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$194,742.19
|
$264,190.15
|
$217,618.77
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
3
|
—
|
—
|
$169,282.41
|
$260,684.60
|
$202,244.10
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$134,951.90
|
$252,347.51
|
$195,643.89
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$197,249.99
|
$245,690.67
|
$215,344.02
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$198,476.99
|
$237,739.63
|
$216,683.58
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$191,069.87
|
$237,522.52
|
$208,597.00
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$118,642.25
|
$236,000.09
|
$164,200.63
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$197,938.68
|
$234,888.06
|
$223,927.01
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
6
|
3
|
—
|
—
|
$185,754.04
|
$233,889.87
|
$202,793.53
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$184,891.49
|
$231,366.62
|
$201,851.86
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$193,563.29
|
$229,695.92
|
$229,695.92
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$107,266.05
|
$225,975.90
|
$153,767.09
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$141,989.11
|
$225,624.67
|
$187,580.57
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$188,174.95
|
$223,301.72
|
$215,025.71
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$183,626.31
|
$219,722.03
|
$200,470.63
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
6
|
3
|
—
|
—
|
$185,022.26
|
$219,560.52
|
$206,670.09
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$180,495.16
|
$214,188.34
|
$213,631.21
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
18
|
9
|
—
|
—
|
$120,501.69
|
$213,782.51
|
$121,905.32
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$3,342.34
|
$212,630.81
|
$99,365.50
|
2026-04-01
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
6
|
3
|
—
|
—
|
$16,155.77
|
$209,321.87
|
$97,015.98
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$165,405.30
|
$209,067.69
|
$180,578.17
|
2026-04-01
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$175,004.17
|
$207,672.35
|
$207,672.35
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
13
|
7
|
—
|
—
|
$8,803.98
|
$206,498.51
|
$75,383.68
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$95,381.34
|
$204,871.08
|
$138,387.19
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$130,655.38
|
$200,883.65
|
$155,961.98
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$155,184.42
|
$200,470.63
|
$184,152.83
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$137,783.29
|
$200,470.63
|
$173,564.86
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
17
|
9
|
—
|
—
|
$113,987.84
|
$199,873.39
|
$113,987.84
|
2026-04-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$168,109.76
|
$199,490.96
|
$199,490.96
|
2026-04-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$166,148.54
|
$197,163.63
|
$197,163.63
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
6
|
3
|
—
|
—
|
$151,926.87
|
$196,512.60
|
$180,287.19
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
6
|
3
|
—
|
—
|
$128,941.05
|
$195,173.05
|
$165,892.22
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$114,286.53
|
$193,505.71
|
$156,433.55
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
6
|
3
|
—
|
—
|
$105,466.59
|
$193,122.98
|
$151,025.09
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$147,458.49
|
$191,187.77
|
$161,048.90
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$173,442.40
|
$189,352.53
|
$189,352.53
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
6
|
3
|
—
|
—
|
$119,569.01
|
$188,058.19
|
$144,506.35
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$157,879.71
|
$187,351.25
|
$183,391.80
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
6
|
3
|
—
|
—
|
$106,086.87
|
$186,760.58
|
$148,479.21
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
6
|
3
|
—
|
—
|
$88,067.70
|
$186,760.58
|
$137,787.80
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
17
|
9
|
—
|
—
|
$105,797.12
|
$185,484.27
|
$105,797.12
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
6
|
3
|
—
|
—
|
$99,698.94
|
$184,356.20
|
$143,587.86
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
6
|
3
|
—
|
—
|
$115,895.22
|
$183,600.22
|
$152,851.45
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$138,524.05
|
$183,075.39
|
$166,037.57
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$150,821.89
|
$181,632.22
|
$164,657.01
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$152,727.87
|
$181,237.71
|
$169,397.55
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$143,001.73
|
$179,990.65
|
$156,119.49
|
2026-04-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$151,407.00
|
$179,670.27
|
$179,670.27
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$120,054.95
|
$177,848.66
|
$140,469.86
|
2026-04-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$149,338.68
|
$177,215.86
|
$177,215.86
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$140,976.40
|
$175,820.52
|
$153,908.38
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
17
|
9
|
—
|
—
|
$99,769.40
|
$174,895.00
|
$99,769.40
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
17
|
9
|
—
|
—
|
$99,655.19
|
$174,694.36
|
$99,655.19
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$118,162.12
|
$174,452.61
|
$150,006.98
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
3
|
1
|
—
|
—
|
$146,797.34
|
$174,200.13
|
$174,200.13
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$145,228.81
|
$173,132.00
|
$172,338.79
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
6
|
3
|
—
|
—
|
$92,168.93
|
$172,367.92
|
$122,938.54
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$121,076.07
|
$172,286.97
|
$150,744.10
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$137,885.48
|
$170,252.41
|
$150,533.92
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
9
|
—
|
—
|
$97,040.62
|
$170,101.20
|
$97,040.62
|
2026-04-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$142,580.37
|
$169,195.97
|
$169,195.97
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$100,532.31
|
$168,277.22
|
$125,780.22
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
6
|
3
|
—
|
—
|
$125,313.51
|
$168,128.95
|
$139,244.96
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
17
|
9
|
—
|
—
|
$95,748.28
|
$167,830.86
|
$95,748.28
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$151,273.12
|
$165,149.63
|
$165,149.63
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
6
|
3
|
—
|
—
|
$101,988.39
|
$164,954.36
|
$125,174.96
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$102,211.27
|
$164,657.01
|
$136,056.52
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
6
|
3
|
—
|
—
|
$126,848.18
|
$163,944.60
|
$150,527.04
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
6
|
3
|
—
|
—
|
$96,718.06
|
$163,146.93
|
$132,105.60
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
6
|
3
|
—
|
—
|
$133,617.88
|
$161,303.18
|
$145,874.85
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$95,381.34
|
$161,038.41
|
$119,918.43
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$124,579.40
|
$160,845.13
|
$136,007.25
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
6
|
3
|
—
|
—
|
$126,825.87
|
$160,518.98
|
$150,500.56
|
2026-04-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$134,815.80
|
$159,981.98
|
$159,981.98
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$132,316.26
|
$159,439.20
|
$144,453.82
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
6
|
3
|
—
|
—
|
$79,211.69
|
$159,304.17
|
$110,361.25
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
17
|
9
|
—
|
—
|
$90,796.77
|
$159,132.26
|
$90,796.77
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
6
|
3
|
—
|
—
|
$125,235.02
|
$158,453.76
|
$148,612.75
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
6
|
3
|
—
|
—
|
$128,610.83
|
$158,359.03
|
$152,618.72
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
6
|
3
|
—
|
—
|
$93,663.54
|
$157,781.14
|
$127,835.78
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$131,692.12
|
$156,275.20
|
$148,735.84
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
17
|
9
|
—
|
—
|
$87,691.10
|
$153,676.34
|
$87,691.10
|
2026-04-01
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$129,467.61
|
$153,635.44
|
$153,635.44
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
6
|
3
|
—
|
—
|
$83,498.20
|
$153,427.12
|
$119,810.23
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
6
|
3
|
—
|
—
|
$97,777.88
|
$152,441.88
|
$127,831.64
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
9
|
—
|
—
|
$86,160.67
|
$150,987.74
|
$86,160.67
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
6
|
3
|
—
|
—
|
$120,150.12
|
$150,910.96
|
$142,578.65
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
3
|
—
|
—
|
$100,164.38
|
$148,657.76
|
$117,312.79
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$123,447.83
|
$148,555.85
|
$146,491.95
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
6
|
3
|
—
|
—
|
$96,934.48
|
$148,067.02
|
$125,327.59
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$99,187.30
|
$147,190.94
|
$116,161.38
|
2026-04-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
6
|
3
|
—
|
—
|
$33,340.69
|
$146,709.06
|
$80,014.93
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
6
|
3
|
—
|
—
|
$97,519.06
|
$145,558.43
|
$124,525.54
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$117,568.62
|
$145,304.54
|
$139,515.26
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$39,333.82
|
$144,453.82
|
$89,496.28
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$34,554.59
|
$144,453.82
|
$86,660.60
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
6
|
3
|
—
|
—
|
$119,337.96
|
$143,580.37
|
$141,614.88
|
2026-04-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$66,620.64
|
$143,372.96
|
$96,775.67
|
2026-04-01
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$120,623.13
|
$143,139.96
|
$143,139.96
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$84,498.02
|
$141,204.49
|
$105,620.64
|
2026-04-01
|
|
1734
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$129,145.50
|
$140,992.21
|
$140,992.21
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
3
|
—
|
—
|
$72,307.87
|
$139,936.24
|
$98,432.08
|
2026-04-01
|
|
6021
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$30,031.95
|
$139,929.28
|
$81,904.96
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$68,346.12
|
$139,698.13
|
$104,532.25
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$117,448.14
|
$139,372.28
|
$134,588.12
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$81,591.06
|
$139,181.65
|
$103,181.51
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
17
|
9
|
—
|
—
|
$79,367.73
|
$139,054.17
|
$79,367.73
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
6
|
3
|
—
|
—
|
$117,026.44
|
$138,871.87
|
$138,205.10
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
6
|
3
|
—
|
—
|
$69,546.50
|
$138,654.15
|
$104,766.35
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
6
|
3
|
—
|
—
|
$116,486.49
|
$138,231.12
|
$131,213.66
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$116,236.60
|
$137,934.58
|
$129,110.54
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
6
|
3
|
—
|
—
|
$85,410.34
|
$137,653.74
|
$113,720.76
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$112,371.89
|
$137,137.62
|
$122,679.93
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
6
|
3
|
—
|
—
|
$95,243.23
|
$136,984.92
|
$119,248.64
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$125,100.05
|
$136,575.66
|
$136,575.66
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
6
|
3
|
—
|
—
|
$97,463.28
|
$136,526.40
|
$120,355.88
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
6
|
3
|
—
|
—
|
$110,078.48
|
$135,344.11
|
$130,626.93
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
6
|
3
|
—
|
—
|
$104,799.46
|
$134,815.48
|
$124,362.47
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
6
|
3
|
—
|
—
|
$89,439.88
|
$134,705.59
|
$114,761.40
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$123,066.04
|
$134,355.07
|
$134,355.07
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
17
|
9
|
—
|
—
|
$76,291.92
|
$133,650.72
|
$76,291.92
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
6
|
3
|
—
|
—
|
$84,821.30
|
$133,525.19
|
$111,480.43
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
1
|
—
|
—
|
$112,387.78
|
$133,367.30
|
$133,367.30
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$74,079.82
|
$133,367.30
|
$96,631.52
|
2026-04-01
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
3
|
1
|
—
|
—
|
$111,809.89
|
$132,681.54
|
$132,681.54
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
6
|
3
|
—
|
—
|
$95,757.95
|
$132,559.75
|
$108,124.61
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
6
|
3
|
—
|
—
|
$91,938.83
|
$131,567.97
|
$114,807.12
|
2026-04-01
|
|
6934
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$120,393.37
|
$131,437.23
|
$131,437.23
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
6
|
3
|
—
|
—
|
$107,648.71
|
$131,228.82
|
$127,743.58
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
6
|
3
|
—
|
—
|
$108,805.44
|
$131,180.30
|
$118,786.32
|
2026-04-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
6
|
3
|
—
|
—
|
$59,147.58
|
$131,018.79
|
$87,490.99
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$87,824.49
|
$130,885.88
|
$112,053.55
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
6
|
3
|
—
|
—
|
$83,031.88
|
$130,101.47
|
$108,850.67
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
6
|
3
|
—
|
—
|
$75,318.62
|
$129,709.27
|
$104,094.50
|
2026-04-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
3
|
1
|
—
|
—
|
$109,074.44
|
$129,435.46
|
$129,435.46
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$86,299.47
|
$129,215.70
|
$101,552.55
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
6
|
3
|
—
|
—
|
$75,267.30
|
$128,555.40
|
$103,535.60
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$75,508.27
|
$128,013.51
|
$103,430.39
|
2026-04-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
3
|
1
|
—
|
—
|
$107,688.87
|
$127,791.24
|
$127,791.24
|
2026-04-01
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$107,586.23
|
$127,669.45
|
$127,669.45
|
2026-04-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
3
|
1
|
—
|
—
|
$107,068.59
|
$127,055.18
|
$127,055.18
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
6
|
3
|
—
|
—
|
$85,776.25
|
$126,531.86
|
$108,844.17
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$82,670.54
|
$126,239.69
|
$98,317.71
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
6
|
3
|
—
|
—
|
$40,079.64
|
$126,025.22
|
$74,978.43
|
2026-04-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
3
|
1
|
—
|
—
|
$105,685.25
|
$125,413.61
|
$125,413.61
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$89,359.16
|
$125,368.60
|
$101,601.77
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
6
|
3
|
—
|
—
|
$89,928.52
|
$124,798.20
|
$110,513.86
|
2026-04-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$104,904.33
|
$124,486.91
|
$124,486.91
|
2026-04-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$104,620.97
|
$124,150.65
|
$124,150.65
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
6
|
3
|
—
|
—
|
$95,107.13
|
$123,407.50
|
$112,949.59
|
2026-04-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$103,962.76
|
$123,369.58
|
$123,369.58
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
6
|
3
|
—
|
—
|
$76,543.55
|
$122,282.04
|
$101,419.71
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
6
|
3
|
—
|
—
|
$95,318.87
|
$121,839.21
|
$104,062.61
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$95,966.14
|
$120,410.08
|
$113,880.22
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
6
|
3
|
—
|
—
|
$68,105.15
|
$120,393.03
|
$95,547.76
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
6
|
3
|
—
|
—
|
$79,363.78
|
$119,799.99
|
$101,956.31
|
2026-04-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
6
|
3
|
—
|
—
|
$52,631.78
|
$119,487.36
|
$85,952.09
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
6
|
3
|
—
|
—
|
$78,520.39
|
$118,754.11
|
$100,976.89
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
6
|
3
|
—
|
—
|
$99,640.93
|
$118,240.99
|
$110,110.49
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
6
|
3
|
—
|
—
|
$97,177.68
|
$117,890.13
|
$115,317.93
|
2026-04-01
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$98,971.57
|
$117,446.68
|
$117,446.68
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$68,958.36
|
$117,441.38
|
$87,125.56
|
2026-04-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$74,159.65
|
$117,396.37
|
$89,945.80
|
2026-04-01
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
6
|
3
|
—
|
—
|
$50,813.35
|
$117,325.51
|
$83,883.04
|
2026-04-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
6
|
3
|
—
|
—
|
$62,295.77
|
$117,131.60
|
$83,358.16
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$86,791.45
|
$115,965.11
|
$104,607.08
|
2026-04-01
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$97,135.29
|
$115,267.62
|
$115,267.62
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
6
|
3
|
—
|
—
|
$84,825.76
|
$114,979.87
|
$102,989.54
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$96,503.86
|
$114,518.32
|
$110,423.12
|
2026-04-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$63,953.18
|
$113,811.38
|
$82,863.92
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
6
|
3
|
—
|
—
|
$74,940.63
|
$113,739.90
|
$88,831.46
|
2026-04-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
3
|
1
|
—
|
—
|
$95,484.20
|
$113,308.32
|
$113,308.32
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
6
|
3
|
—
|
—
|
$88,214.95
|
$113,295.48
|
$104,682.11
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$71,113.85
|
$112,723.18
|
$86,314.17
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
6
|
3
|
—
|
—
|
$86,291.66
|
$112,499.71
|
$102,723.43
|
2026-04-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
3
|
1
|
—
|
—
|
$94,752.37
|
$112,439.88
|
$112,439.88
|
2026-04-01
|
|
6071
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
6
|
3
|
—
|
—
|
$48,613.39
|
$111,700.14
|
$80,001.38
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
6
|
3
|
—
|
—
|
$80,878.77
|
$110,749.00
|
$98,709.96
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
6
|
3
|
—
|
—
|
$72,083.38
|
$110,707.32
|
$93,472.26
|
2026-04-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
6
|
3
|
—
|
—
|
$63,689.38
|
$110,597.08
|
$81,365.58
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
6
|
3
|
—
|
—
|
$66,563.39
|
$110,396.59
|
$90,054.74
|
2026-04-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$64,057.31
|
$110,149.62
|
$81,377.88
|
2026-04-01
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
6
|
3
|
—
|
—
|
$57,045.89
|
$109,469.16
|
$77,263.88
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
6
|
3
|
—
|
—
|
$88,257.35
|
$109,075.98
|
$104,732.42
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
6
|
3
|
—
|
—
|
$84,249.85
|
$108,870.78
|
$91,978.21
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
6
|
3
|
—
|
—
|
$72,681.34
|
$108,494.31
|
$92,813.51
|
2026-04-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$74,728.89
|
$107,581.35
|
$86,121.01
|
2026-04-01
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
3
|
1
|
—
|
—
|
$90,646.96
|
$107,568.11
|
$107,568.11
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
6
|
3
|
—
|
—
|
$90,644.73
|
$107,565.46
|
$104,858.38
|
2026-04-01
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$90,095.86
|
$106,914.13
|
$106,914.13
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
6
|
3
|
—
|
—
|
$81,302.70
|
$106,730.35
|
$97,120.99
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
6
|
3
|
—
|
—
|
$69,275.95
|
$106,413.71
|
$82,652.45
|
2026-04-01
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
3
|
2
|
—
|
—
|
$96,880.82
|
$105,767.84
|
$105,767.84
|
2026-04-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$89,047.19
|
$105,669.71
|
$105,669.71
|
2026-04-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
3
|
1
|
—
|
—
|
$88,467.08
|
$104,981.31
|
$104,981.31
|
2026-04-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
3
|
1
|
—
|
—
|
$87,869.12
|
$104,271.72
|
$104,271.72
|
2026-04-01
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$87,585.76
|
$103,935.46
|
$103,935.46
|
2026-04-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$87,534.44
|
$103,874.57
|
$103,874.57
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
6
|
3
|
—
|
—
|
$85,695.93
|
$101,948.12
|
$101,692.86
|
2026-04-01
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
6
|
3
|
—
|
—
|
$69,506.78
|
$101,679.62
|
$80,783.76
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$74,617.82
|
$101,443.98
|
$83,474.42
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
6
|
3
|
—
|
—
|
$73,626.85
|
$101,271.88
|
$82,860.96
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
6
|
3
|
—
|
—
|
$67,065.41
|
$101,256.56
|
$86,166.58
|
2026-04-01
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$84,705.28
|
$100,517.28
|
$100,517.28
|
2026-04-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
6
|
3
|
—
|
—
|
$76,802.82
|
$99,916.25
|
$84,023.42
|
2026-04-01
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
6
|
3
|
—
|
—
|
$49,554.95
|
$99,623.33
|
$75,029.01
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$91,118.96
|
$99,477.43
|
$99,477.43
|
2026-04-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
6
|
3
|
—
|
—
|
$70,771.95
|
$99,151.07
|
$80,408.98
|
2026-04-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
3
|
1
|
—
|
—
|
$83,217.07
|
$98,751.27
|
$98,751.27
|
2026-04-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
6
|
3
|
—
|
—
|
$82,835.53
|
$98,298.51
|
$92,503.04
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
3
|
2
|
—
|
—
|
$90,006.50
|
$98,262.93
|
$98,262.93
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
6
|
3
|
—
|
—
|
$75,017.41
|
$98,217.46
|
$89,492.91
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
6
|
3
|
—
|
—
|
$82,380.37
|
$97,758.38
|
$95,930.56
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
6
|
3
|
—
|
—
|
$81,302.70
|
$96,479.54
|
$90,574.24
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
6
|
3
|
—
|
—
|
$79,330.32
|
$96,322.76
|
$94,138.97
|
2026-04-01
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
6
|
3
|
—
|
—
|
$70,851.79
|
$96,304.79
|
$79,253.29
|
2026-04-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
6
|
3
|
—
|
—
|
$71,306.49
|
$96,085.03
|
$79,408.89
|
2026-04-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$77,106.53
|
$95,417.81
|
$84,179.63
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$87,144.66
|
$95,138.57
|
$95,138.57
|
2026-04-01
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
6
|
3
|
—
|
—
|
$64,515.15
|
$94,126.80
|
$81,388.07
|
2026-04-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
6
|
3
|
—
|
—
|
$65,329.43
|
$93,781.53
|
$75,175.65
|
2026-04-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
6
|
3
|
—
|
—
|
$76,296.05
|
$92,166.44
|
$83,294.80
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$66,543.31
|
$91,784.95
|
$81,518.92
|
2026-04-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
6
|
3
|
—
|
—
|
$68,923.65
|
$91,565.41
|
$76,203.85
|
2026-04-01
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
3
|
1
|
—
|
—
|
$76,628.33
|
$90,932.61
|
$90,932.61
|
2026-04-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$76,387.36
|
$90,646.66
|
$84,179.63
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
6
|
3
|
—
|
—
|
$76,302.58
|
$90,546.04
|
$89,570.05
|
2026-04-01
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
3
|
1
|
—
|
—
|
$76,255.72
|
$90,490.44
|
$90,490.44
|
2026-04-01
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
3
|
1
|
—
|
—
|
$76,184.32
|
$90,405.72
|
$90,405.72
|
2026-04-01
|
|
8503
|
APR_DRG
|
Services
|
6
|
3
|
—
|
—
|
$60,690.87
|
$90,331.72
|
$77,380.89
|
2026-04-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
3
|
1
|
—
|
—
|
$75,564.05
|
$89,669.66
|
$89,669.66
|
2026-04-01
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$74,963.86
|
$88,957.42
|
$88,957.42
|
2026-04-01
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
6
|
3
|
—
|
—
|
$73,408.18
|
$88,830.34
|
$80,142.02
|
2026-04-01
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$74,745.20
|
$88,697.95
|
$88,697.95
|
2026-04-01
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$74,169.55
|
$88,014.84
|
$81,612.31
|
2026-04-01
|
|
903
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$80,586.21
|
$87,978.50
|
$87,978.50
|
2026-04-01
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$72,637.62
|
$87,951.30
|
$79,300.77
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
6
|
3
|
—
|
—
|
$66,744.12
|
$86,752.63
|
$79,333.32
|
2026-04-01
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
1
|
—
|
—
|
$72,085.61
|
$85,541.89
|
$85,541.89
|
2026-04-01
|
|
2254
|
APR_DRG
|
Description Not Available
|
3
|
2
|
—
|
—
|
$76,585.88
|
$83,611.22
|
$83,611.22
|
2026-04-01
|
|
3253
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$69,778.55
|
$82,804.17
|
$82,804.17
|
2026-04-01
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
6
|
3
|
—
|
—
|
$69,432.71
|
$82,393.78
|
$76,741.03
|
2026-04-01
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
6
|
3
|
—
|
—
|
$69,385.86
|
$82,338.17
|
$76,119.57
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
5
|
2
|
—
|
—
|
$31,905.54
|
$81,744.87
|
$78,771.08
|
2026-04-01
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
6
|
3
|
—
|
—
|
$68,167.62
|
$80,892.53
|
$77,409.86
|
2026-04-01
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
3
|
1
|
—
|
—
|
$67,812.86
|
$80,471.55
|
$80,471.55
|
2026-04-01
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
3
|
1
|
—
|
—
|
$65,778.01
|
$78,056.84
|
$78,056.84
|
2026-04-01
|
|
9503
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$64,765.04
|
$77,853.22
|
$76,854.79
|
2026-04-01
|
|
3264
|
APR_DRG
|
Elective Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$64,276.41
|
$76,274.94
|
$76,274.94
|
2026-04-01
|