|
5834
|
APR_DRG
|
Neonate With Ecmo
|
5
|
2
|
—
|
—
|
$383,172.43
|
$1,093,269.49
|
$811,406.52
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$540,700.76
|
$896,777.92
|
$710,852.79
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
2
|
—
|
—
|
$544,175.04
|
$857,425.80
|
$685,099.60
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
5
|
2
|
—
|
—
|
$562,839.48
|
$827,440.96
|
$676,886.90
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
5
|
2
|
—
|
—
|
$318,025.33
|
$865,890.25
|
$645,558.51
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$608,396.92
|
$608,396.92
|
$608,396.92
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
2
|
—
|
—
|
$411,300.47
|
$604,660.60
|
$500,505.32
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
5
|
2
|
—
|
—
|
$313,369.87
|
$638,511.01
|
$491,808.82
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
2
|
—
|
—
|
$270,291.63
|
$650,914.72
|
$491,529.54
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
2
|
—
|
—
|
$229,344.97
|
$656,877.05
|
$487,347.41
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$392,987.25
|
$577,737.99
|
$477,063.19
|
2026-04-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
4
|
1
|
—
|
—
|
$383,685.26
|
$564,062.95
|
$473,874.10
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$384,810.73
|
$565,717.52
|
$466,771.00
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
2
|
—
|
—
|
$328,093.63
|
$584,868.46
|
$458,701.12
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$368,989.07
|
$542,457.80
|
$455,723.43
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
2
|
—
|
—
|
$345,169.25
|
$564,788.90
|
$448,621.03
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$344,544.05
|
$561,184.97
|
$446,073.84
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
2
|
—
|
—
|
$365,484.84
|
$537,306.17
|
$443,528.36
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
5
|
2
|
—
|
—
|
$359,802.38
|
$528,952.27
|
$442,727.47
|
2026-04-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$357,819.66
|
$526,037.44
|
$441,928.55
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
5
|
2
|
—
|
—
|
$313,369.87
|
$551,788.22
|
$433,523.57
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
5
|
2
|
—
|
—
|
$348,051.44
|
$511,676.99
|
$420,613.97
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
2
|
—
|
—
|
$224,284.59
|
$538,761.74
|
$406,951.59
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
2
|
—
|
—
|
$139,831.70
|
$527,415.63
|
$382,435.44
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
2
|
—
|
—
|
$283,949.61
|
$470,135.99
|
$372,762.13
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
2
|
—
|
—
|
$99,222.81
|
$501,042.08
|
$356,588.35
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
5
|
2
|
—
|
—
|
$196,733.66
|
$467,125.34
|
$353,295.52
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$253,296.94
|
$432,798.52
|
$336,829.13
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
5
|
2
|
—
|
—
|
$266,397.75
|
$419,235.08
|
$335,041.93
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
2
|
—
|
—
|
$255,836.13
|
$376,109.53
|
$307,428.65
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
5
|
2
|
—
|
—
|
$241,616.17
|
$379,720.83
|
$303,528.61
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$297,425.07
|
$297,425.07
|
$297,425.07
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
2
|
—
|
—
|
$240,861.70
|
$354,095.34
|
$297,042.36
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
2
|
—
|
—
|
$235,418.68
|
$367,692.99
|
$294,205.35
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
2
|
—
|
—
|
$204,641.02
|
$362,814.05
|
$284,770.75
|
2026-04-01
|
|
7594
|
APR_DRG
|
Eating Disorders
|
5
|
2
|
—
|
—
|
$21,420.58
|
$415,712.22
|
$283,678.83
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$232,597.44
|
$341,945.89
|
$277,507.39
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
2
|
—
|
—
|
$225,070.12
|
$330,879.84
|
$270,366.70
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
2
|
—
|
—
|
$222,370.51
|
$326,911.09
|
$269,303.49
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$217,455.07
|
$319,684.81
|
$268,569.94
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
5
|
2
|
—
|
—
|
$224,864.58
|
$330,577.67
|
$268,372.76
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
5
|
2
|
—
|
—
|
$221,425.52
|
$325,521.85
|
$263,689.58
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
5
|
2
|
—
|
—
|
$219,036.73
|
$322,010.04
|
$261,120.79
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
2
|
—
|
—
|
$211,401.63
|
$310,785.53
|
$256,494.43
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
2
|
—
|
—
|
$207,859.81
|
$305,578.63
|
$251,144.50
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
5
|
2
|
—
|
—
|
$208,012.71
|
$305,803.41
|
$249,922.65
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
5
|
2
|
—
|
—
|
$143,423.48
|
$328,458.79
|
$249,437.52
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
2
|
—
|
—
|
$202,773.91
|
$298,101.76
|
$247,661.01
|
2026-04-01
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$196,605.17
|
$289,032.98
|
$242,819.08
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
2
|
—
|
—
|
$129,671.09
|
$314,507.38
|
$237,310.49
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$197,926.15
|
$290,974.97
|
$235,551.27
|
2026-04-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
4
|
1
|
—
|
—
|
$188,859.78
|
$277,646.33
|
$233,253.05
|
2026-04-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$186,656.48
|
$274,407.21
|
$230,531.85
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$157,945.83
|
$279,584.64
|
$219,494.32
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
5
|
2
|
—
|
—
|
$174,339.04
|
$256,299.12
|
$216,651.46
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
2
|
—
|
—
|
$177,367.02
|
$260,750.60
|
$215,860.97
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
5
|
2
|
—
|
—
|
$115,303.98
|
$285,134.25
|
$214,695.77
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$178,258.67
|
$266,090.17
|
$214,487.43
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
2
|
—
|
—
|
$170,679.41
|
$250,919.02
|
$212,159.03
|
2026-04-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$170,095.37
|
$250,060.42
|
$210,077.89
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$209,669.92
|
$209,669.92
|
$209,669.92
|
2026-04-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$209,248.90
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
2
|
—
|
—
|
$159,515.01
|
$249,834.04
|
$207,575.22
|
2026-04-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$167,771.75
|
$246,644.42
|
$207,208.08
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
5
|
2
|
—
|
—
|
$171,579.28
|
$252,241.94
|
$207,043.25
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
2
|
—
|
—
|
$171,952.76
|
$252,791.00
|
$206,362.42
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
2
|
—
|
—
|
$151,609.19
|
$279,424.23
|
$205,681.94
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
2
|
—
|
—
|
$144,543.81
|
$261,734.50
|
$204,817.07
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$164,916.73
|
$242,447.21
|
$203,681.97
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
5
|
2
|
—
|
—
|
$170,398.67
|
$250,506.30
|
$202,936.19
|
2026-04-01
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
5
|
2
|
—
|
—
|
$19,530.28
|
$291,328.73
|
$199,704.26
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$163,154.59
|
$239,856.65
|
$199,546.29
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
2
|
—
|
—
|
$166,450.77
|
$244,702.43
|
$198,545.81
|
2026-04-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
1
|
—
|
—
|
$160,179.26
|
$235,482.56
|
$197,830.91
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
5
|
2
|
—
|
—
|
$154,790.07
|
$227,559.81
|
$197,336.15
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
2
|
—
|
—
|
$145,131.25
|
$247,525.14
|
$195,384.64
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
2
|
—
|
—
|
$155,622.26
|
$228,783.23
|
$194,306.05
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
2
|
—
|
—
|
$161,179.39
|
$236,952.87
|
$192,590.12
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
5
|
2
|
—
|
—
|
$151,488.19
|
$233,997.50
|
$187,564.28
|
2026-04-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$151,456.29
|
$222,658.76
|
$187,057.52
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
5
|
2
|
—
|
—
|
$144,856.41
|
$216,114.98
|
$186,348.02
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
2
|
—
|
—
|
$111,420.58
|
$239,897.19
|
$183,515.86
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
2
|
—
|
—
|
$152,707.09
|
$224,497.57
|
$183,187.29
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$182,870.07
|
$182,870.07
|
$182,870.07
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$121,530.85
|
$234,203.86
|
$181,711.50
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
2
|
—
|
—
|
$150,942.44
|
$221,903.33
|
$181,129.03
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
2
|
—
|
—
|
$150,600.73
|
$223,860.07
|
$180,573.55
|
2026-04-01
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$145,447.97
|
$213,825.81
|
$179,636.89
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
2
|
—
|
—
|
$147,947.05
|
$217,499.76
|
$179,117.74
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
2
|
—
|
—
|
$123,291.07
|
$229,579.19
|
$178,955.37
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
2
|
—
|
—
|
$144,485.44
|
$212,410.77
|
$177,828.65
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
2
|
—
|
—
|
$142,505.22
|
$209,499.62
|
$177,109.08
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
2
|
—
|
—
|
$142,480.16
|
$209,462.77
|
$176,325.68
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
2
|
—
|
—
|
$140,692.95
|
$206,835.37
|
$174,102.48
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
5
|
2
|
—
|
—
|
$115,303.98
|
$224,129.07
|
$173,695.00
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
2
|
—
|
—
|
$136,020.65
|
$199,966.53
|
$172,549.52
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
2
|
—
|
—
|
$138,685.16
|
$203,883.68
|
$169,926.69
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
2
|
—
|
—
|
$132,747.03
|
$195,153.92
|
$169,794.63
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
2
|
—
|
—
|
$128,393.07
|
$214,268.74
|
$169,712.20
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
2
|
—
|
—
|
$130,200.32
|
$203,300.40
|
$169,304.19
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
2
|
—
|
—
|
$95,756.92
|
$221,715.40
|
$168,163.38
|
2026-04-01
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$135,511.81
|
$199,218.47
|
$167,365.14
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
2
|
—
|
—
|
$134,980.41
|
$198,437.25
|
$166,787.78
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
2
|
—
|
—
|
$134,068.01
|
$197,095.91
|
$164,262.86
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
2
|
—
|
—
|
$121,086.07
|
$206,898.01
|
$163,270.64
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
2
|
—
|
—
|
$132,080.27
|
$194,173.71
|
$162,680.72
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
2
|
—
|
—
|
$119,904.90
|
$204,856.52
|
$161,662.35
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
2
|
—
|
—
|
$131,471.17
|
$193,278.25
|
$160,506.65
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$160,200.16
|
$160,200.16
|
$160,200.16
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
5
|
2
|
—
|
—
|
$131,944.92
|
$193,974.72
|
$160,173.72
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
5
|
2
|
—
|
—
|
$118,484.48
|
$213,844.94
|
$159,837.29
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
5
|
2
|
—
|
—
|
$119,181.31
|
$206,799.86
|
$159,116.78
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
5
|
2
|
—
|
—
|
$130,864.57
|
$192,386.48
|
$158,358.98
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
2
|
—
|
—
|
$130,583.83
|
$191,973.76
|
$157,615.84
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$156,874.86
|
2026-04-01
|
|
1734
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$156,120.57
|
$156,120.57
|
$156,120.57
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$126,259.95
|
$185,617.14
|
$155,938.55
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
2
|
—
|
—
|
$129,829.35
|
$190,864.58
|
$155,446.25
|
2026-04-01
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
1
|
—
|
—
|
$125,610.74
|
$184,662.72
|
$155,136.73
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$102,147.42
|
$196,524.74
|
$152,511.17
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
2
|
—
|
—
|
$123,665.62
|
$181,803.16
|
$152,160.80
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
5
|
2
|
—
|
—
|
$112,004.91
|
$204,137.50
|
$151,493.68
|
2026-04-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
1
|
—
|
—
|
$122,537.65
|
$180,144.91
|
$151,341.28
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$151,230.13
|
$151,230.13
|
$151,230.13
|
2026-04-01
|
|
722
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$150,727.49
|
2026-04-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
2
|
—
|
—
|
$80,535.93
|
$199,542.75
|
$150,217.24
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
2
|
—
|
—
|
$114,827.35
|
$182,324.59
|
$149,919.80
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$98,633.27
|
$193,709.40
|
$149,916.19
|
2026-04-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
1
|
—
|
—
|
$120,981.05
|
$177,856.53
|
$149,418.79
|
2026-04-01
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$120,865.75
|
$177,687.02
|
$149,276.39
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
2
|
—
|
—
|
$124,189.50
|
$182,573.33
|
$149,011.53
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$148,771.28
|
$148,771.28
|
$148,771.28
|
2026-04-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$120,284.21
|
$176,832.10
|
$148,558.15
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
5
|
2
|
—
|
—
|
$120,935.93
|
$177,790.20
|
$148,552.37
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
2
|
—
|
—
|
$87,411.07
|
$194,759.62
|
$148,377.59
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
2
|
—
|
—
|
$115,759.25
|
$184,493.21
|
$147,147.31
|
2026-04-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$118,730.12
|
$174,547.40
|
$146,638.76
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
2
|
—
|
—
|
$117,735.00
|
$173,084.45
|
$146,184.00
|
2026-04-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$117,852.81
|
$173,257.65
|
$145,555.23
|
2026-04-01
|
|
6934
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$145,540.36
|
$145,540.36
|
$145,540.36
|
2026-04-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
5
|
2
|
—
|
—
|
$40,304.68
|
$204,185.85
|
$145,291.56
|
2026-04-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$117,534.47
|
$172,789.65
|
$145,162.06
|
2026-04-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
1
|
—
|
—
|
$116,795.03
|
$171,702.58
|
$144,248.80
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
5
|
2
|
—
|
—
|
$108,656.10
|
$180,652.49
|
$143,487.89
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$89,553.13
|
$185,617.14
|
$142,661.46
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
5
|
2
|
—
|
—
|
$109,846.73
|
$168,798.79
|
$142,293.55
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
2
|
—
|
—
|
$104,325.15
|
$179,839.06
|
$141,732.49
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
5
|
2
|
—
|
—
|
$109,555.97
|
$161,176.75
|
$140,481.86
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
2
|
—
|
—
|
$108,899.24
|
$163,954.50
|
$140,388.53
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
5
|
2
|
—
|
—
|
$98,938.01
|
$206,799.86
|
$139,115.43
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
5
|
2
|
—
|
—
|
$105,224.56
|
$174,710.95
|
$138,909.06
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
2
|
—
|
—
|
$108,023.92
|
$174,484.75
|
$138,873.69
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
5
|
2
|
—
|
—
|
$109,493.30
|
$160,968.17
|
$138,419.71
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
5
|
2
|
—
|
—
|
$99,938.23
|
$175,697.12
|
$138,071.37
|
2026-04-01
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
1
|
—
|
—
|
$111,187.76
|
$163,459.23
|
$137,323.49
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
2
|
—
|
—
|
$115,228.45
|
$169,572.65
|
$137,013.23
|
2026-04-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
5
|
2
|
—
|
—
|
$71,501.94
|
$182,348.54
|
$136,854.44
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
5
|
2
|
—
|
—
|
$106,999.23
|
$157,301.60
|
$136,056.99
|
2026-04-01
|
|
7504
|
APR_DRG
|
Schizophrenia
|
5
|
2
|
—
|
—
|
$21,036.65
|
$195,083.90
|
$135,320.65
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
5
|
2
|
—
|
—
|
$111,939.74
|
$164,564.73
|
$134,986.84
|
2026-04-01
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
1
|
—
|
—
|
$109,124.83
|
$160,426.48
|
$134,775.65
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
5
|
2
|
—
|
—
|
$109,172.46
|
$160,496.49
|
$133,975.51
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
2
|
—
|
—
|
$107,811.37
|
$158,495.54
|
$133,188.76
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
5
|
2
|
—
|
—
|
$106,846.33
|
$157,076.81
|
$132,899.06
|
2026-04-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
4
|
1
|
—
|
—
|
$107,269.95
|
$157,699.58
|
$132,484.77
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
2
|
—
|
—
|
$108,415.46
|
$159,383.62
|
$131,573.92
|
2026-04-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
1
|
—
|
—
|
$106,447.78
|
$156,490.90
|
$131,469.34
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
5
|
2
|
—
|
—
|
$103,286.96
|
$151,844.11
|
$131,189.45
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
5
|
2
|
—
|
—
|
$100,479.57
|
$149,159.41
|
$129,110.47
|
2026-04-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$89,649.64
|
$163,389.22
|
$127,741.67
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
5
|
2
|
—
|
—
|
$48,451.21
|
$175,398.63
|
$127,573.35
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
5
|
2
|
—
|
—
|
$101,028.51
|
$148,523.93
|
$127,458.77
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
2
|
—
|
—
|
$44,152.41
|
$176,069.30
|
$127,164.34
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
5
|
2
|
—
|
—
|
$93,804.49
|
$169,889.75
|
$126,661.25
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$83,361.93
|
$163,451.86
|
$126,526.23
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
2
|
—
|
—
|
$98,664.79
|
$145,048.97
|
$126,471.47
|
2026-04-01
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
1
|
—
|
—
|
$101,835.64
|
$149,710.50
|
$125,773.07
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
5
|
2
|
—
|
—
|
$95,952.65
|
$152,423.90
|
$125,290.56
|
2026-04-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
5
|
2
|
—
|
—
|
$51,142.95
|
$171,175.62
|
$125,273.47
|
2026-04-01
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$101,216.51
|
$148,800.30
|
$125,008.40
|
2026-04-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
2
|
—
|
—
|
$75,307.71
|
$163,020.72
|
$124,625.62
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
5
|
2
|
—
|
—
|
$90,593.74
|
$158,300.23
|
$124,510.25
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
2
|
—
|
—
|
$101,833.13
|
$149,706.81
|
$123,837.90
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
5
|
2
|
—
|
—
|
$95,290.91
|
$147,852.35
|
$123,722.42
|
2026-04-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
4
|
1
|
—
|
—
|
$100,038.41
|
$147,068.35
|
$123,553.38
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
5
|
2
|
—
|
—
|
$96,363.73
|
$141,666.14
|
$123,233.68
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
5
|
2
|
—
|
—
|
$99,103.44
|
$145,693.85
|
$123,009.32
|
2026-04-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
1
|
—
|
—
|
$99,386.69
|
$146,110.25
|
$122,748.47
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
5
|
2
|
—
|
—
|
$85,967.65
|
$156,885.19
|
$122,634.00
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
5
|
2
|
—
|
—
|
$101,847.41
|
$151,523.52
|
$122,206.45
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
5
|
2
|
—
|
—
|
$99,151.07
|
$145,763.86
|
$122,121.92
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
2
|
—
|
—
|
$97,504.23
|
$143,342.82
|
$122,020.44
|
2026-04-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$77,311.30
|
$158,399.73
|
$121,920.63
|
2026-04-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$98,714.92
|
$145,122.67
|
$121,918.79
|
2026-04-01
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$98,396.58
|
$144,654.68
|
$121,525.63
|
2026-04-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$98,338.93
|
$144,569.92
|
$121,454.43
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
5
|
2
|
—
|
—
|
$93,280.61
|
$144,061.27
|
$120,977.93
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
5
|
2
|
—
|
—
|
$96,942.76
|
$142,517.38
|
$120,698.23
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
5
|
2
|
—
|
—
|
$95,295.92
|
$140,096.33
|
$119,620.33
|
2026-04-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
5
|
2
|
—
|
—
|
$76,992.40
|
$153,926.14
|
$118,850.21
|
2026-04-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
2
|
—
|
—
|
$90,337.78
|
$149,728.92
|
$118,698.39
|
2026-04-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$77,437.18
|
$153,303.37
|
$118,520.61
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
2
|
—
|
—
|
$96,273.49
|
$141,533.48
|
$117,700.21
|
2026-04-01
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
4
|
1
|
—
|
—
|
$95,160.56
|
$139,897.34
|
$117,528.95
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
28
|
13
|
—
|
—
|
—
|
—
|
$117,215.05
|
2026-04-01
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
1
|
1
|
—
|
—
|
$117,116.65
|
$117,116.65
|
$117,116.65
|
2026-04-01
|
|
7574
|
APR_DRG
|
Organic Mental Health Disturbances
|
5
|
2
|
—
|
—
|
$21,154.13
|
$166,996.83
|
$116,467.20
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
5
|
2
|
—
|
—
|
$83,745.87
|
$148,103.84
|
$116,287.81
|
2026-04-01
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
5
|
2
|
—
|
—
|
$68,961.26
|
$152,356.33
|
$116,188.94
|
2026-04-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$93,488.66
|
$137,439.45
|
$115,464.05
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$115,308.97
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
5
|
2
|
—
|
—
|
$89,159.76
|
$132,654.44
|
$114,624.97
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
5
|
2
|
—
|
—
|
$90,861.74
|
$133,577.57
|
$114,302.18
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
5
|
2
|
—
|
—
|
$91,338.00
|
$134,277.72
|
$113,882.78
|
2026-04-01
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
28
|
13
|
—
|
—
|
—
|
—
|
$113,608.84
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
5
|
2
|
—
|
—
|
$88,212.27
|
$131,496.35
|
$113,457.19
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
2
|
—
|
—
|
$90,203.51
|
$141,187.09
|
$112,930.69
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
5
|
2
|
—
|
—
|
$92,548.69
|
$136,057.57
|
$112,687.27
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
2
|
—
|
—
|
$89,005.55
|
$140,947.57
|
$112,530.11
|
2026-04-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
2
|
—
|
—
|
$93,060.03
|
$136,809.31
|
$112,433.45
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
5
|
2
|
—
|
—
|
$84,615.30
|
$143,626.98
|
$112,329.34
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
2
|
—
|
—
|
$84,828.36
|
$141,749.27
|
$112,164.31
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
5
|
2
|
—
|
—
|
$85,991.42
|
$135,402.82
|
$112,044.18
|
2026-04-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
5
|
2
|
—
|
—
|
$92,844.89
|
$139,060.85
|
$112,029.94
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
5
|
2
|
—
|
—
|
$84,557.64
|
$142,349.30
|
$112,016.83
|
2026-04-01
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
2
|
—
|
—
|
$84,024.90
|
$141,515.06
|
$111,915.39
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
2
|
1
|
$12,970.00
|
$9,727.50
25% off
|
$111,567.85
|
$111,567.85
|
$111,567.85
|
2026-04-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$111,424.48
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
2
|
—
|
—
|
$91,338.00
|
$134,277.72
|
$110,304.85
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,151.29
|
$110,151.29
|
$110,151.29
|
2026-04-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
2
|
—
|
—
|
$85,554.34
|
$137,995.88
|
$109,856.08
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
5
|
2
|
—
|
—
|
$89,122.16
|
$131,020.18
|
$109,388.56
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
1
|
1
|
—
|
—
|
$108,806.48
|
$108,806.48
|
$108,806.48
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
5
|
2
|
—
|
—
|
$78,130.72
|
$153,531.64
|
$107,903.20
|
2026-04-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$90,332.85
|
$132,800.03
|
$107,895.56
|
2026-04-01
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
5
|
2
|
—
|
—
|
$85,650.85
|
$134,034.51
|
$107,213.00
|
2026-04-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
5
|
2
|
—
|
—
|
$86,200.53
|
$133,728.65
|
$107,117.37
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
2
|
—
|
—
|
$76,782.17
|
$154,687.64
|
$106,801.96
|
2026-04-01
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
4
|
1
|
—
|
—
|
$86,086.67
|
$126,557.64
|
$106,322.15
|
2026-04-01
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
2
|
—
|
—
|
$71,441.10
|
$136,879.33
|
$106,283.02
|
2026-04-01
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
4
|
1
|
—
|
—
|
$85,668.07
|
$125,942.25
|
$105,805.16
|
2026-04-01
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
4
|
1
|
—
|
—
|
$85,587.86
|
$125,824.33
|
$105,706.10
|
2026-04-01
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
5
|
2
|
—
|
—
|
$61,582.59
|
$138,626.02
|
$105,485.24
|
2026-04-01
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$61,809.18
|
$138,541.26
|
$105,473.59
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$105,346.87
|
$105,346.87
|
$105,346.87
|
2026-04-01
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$64,182.02
|
$137,586.85
|
$105,306.71
|
2026-04-01
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$74,111.85
|
$134,226.13
|
$105,033.99
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
5
|
2
|
—
|
—
|
$84,276.91
|
$123,897.07
|
$105,020.82
|
2026-04-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
1
|
—
|
—
|
$84,891.02
|
$124,799.90
|
$104,845.46
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
5
|
2
|
—
|
—
|
$81,652.50
|
$120,135.68
|
$104,703.69
|
2026-04-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
5
|
2
|
—
|
—
|
$87,254.75
|
$128,274.85
|
$104,658.30
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
2
|
—
|
—
|
$85,720.71
|
$126,019.63
|
$104,532.31
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
5
|
2
|
—
|
—
|
$80,980.73
|
$122,586.14
|
$104,530.04
|
2026-04-01
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
1
|
—
|
—
|
$84,216.75
|
$123,808.63
|
$104,012.69
|
2026-04-01
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
4
|
1
|
—
|
—
|
$83,971.10
|
$123,447.50
|
$103,709.30
|
2026-04-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
5
|
2
|
—
|
—
|
$78,975.01
|
$130,522.70
|
$103,517.59
|
2026-04-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
2
|
—
|
—
|
$85,815.96
|
$126,159.66
|
$103,432.66
|
2026-04-01
|
|
7514
|
APR_DRG
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
5
|
2
|
—
|
—
|
$34,944.29
|
$143,320.71
|
$103,312.82
|
2026-04-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
5
|
2
|
—
|
—
|
$83,319.97
|
$127,438.36
|
$102,313.64
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
5
|
2
|
—
|
—
|
$76,511.46
|
$133,311.12
|
$102,259.18
|
2026-04-01
|
|
7724
|
APR_DRG
|
Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy
|
5
|
2
|
—
|
—
|
$29,808.38
|
$142,823.23
|
$101,951.29
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
1
|
1
|
—
|
—
|
$101,826.53
|
$101,826.53
|
$101,826.53
|
2026-04-01
|
|
7534
|
APR_DRG
|
Bipolar Disorders
|
5
|
2
|
—
|
—
|
$33,993.89
|
$141,139.19
|
$101,656.57
|
2026-04-01
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
2
|
—
|
—
|
$84,096.43
|
$123,631.75
|
$100,839.51
|
2026-04-01
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
2
|
—
|
—
|
$76,530.84
|
$126,889.29
|
$100,586.79
|
2026-04-01
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
2
|
—
|
—
|
$83,324.40
|
$122,496.77
|
$100,402.32
|
2026-04-01
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$80,983.23
|
$119,054.98
|
$100,019.10
|
2026-04-01
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
2
|
—
|
—
|
$83,264.24
|
$122,408.33
|
$99,830.97
|
2026-04-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
5
|
2
|
—
|
—
|
$54,652.90
|
$132,273.08
|
$99,829.58
|
2026-04-01
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
5
|
2
|
—
|
—
|
$66,196.10
|
$128,109.03
|
$99,339.61
|
2026-04-01
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
2
|
—
|
—
|
$69,869.69
|
$126,225.99
|
$98,808.77
|
2026-04-01
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
5
|
2
|
—
|
—
|
$42,805.49
|
$134,159.80
|
$98,728.13
|
2026-04-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
5
|
2
|
—
|
—
|
$52,137.40
|
$131,267.07
|
$98,650.35
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
5
|
2
|
—
|
—
|
$74,779.40
|
$122,242.07
|
$98,334.02
|
2026-04-01
|
|
903
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,418.53
|
$97,418.53
|
$97,418.53
|
2026-04-01
|
|
9102
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
2
|
—
|
—
|
$64,568.05
|
$125,407.92
|
$97,198.62
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
5
|
2
|
—
|
—
|
$75,343.38
|
$112,121.32
|
$96,867.11
|
2026-04-01
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
2
|
—
|
—
|
$80,154.09
|
$120,219.44
|
$96,828.72
|
2026-04-01
|
|
3253
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
1
|
—
|
—
|
$78,391.41
|
$115,244.69
|
$96,818.05
|
2026-04-01
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$96,121.81
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$96,096.00
|
2026-04-01
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
5
|
2
|
—
|
—
|
$74,132.83
|
$120,702.18
|
$95,948.91
|
2026-04-01
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
5
|
2
|
—
|
—
|
$60,334.28
|
$124,685.66
|
$95,866.45
|
2026-04-01
|
|
1661
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
2
|
—
|
—
|
$57,271.20
|
$123,565.42
|
$94,500.93
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
2
|
—
|
—
|
$74,756.84
|
$109,901.44
|
$94,189.99
|
2026-04-01
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
4
|
1
|
—
|
—
|
$76,183.09
|
$111,998.21
|
$94,090.65
|
2026-04-01
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
5
|
2
|
—
|
—
|
$78,002.89
|
$114,673.52
|
$94,065.62
|
2026-04-01
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
5
|
2
|
—
|
—
|
$77,950.25
|
$114,596.13
|
$93,875.98
|
2026-04-01
|
|
6924
|
APR_DRG
|
Radiotherapy
|
5
|
2
|
—
|
—
|
$65,138.70
|
$119,445.59
|
$93,305.55
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
5
|
2
|
—
|
—
|
$74,982.43
|
$110,233.09
|
$93,298.43
|
2026-04-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
28
|
13
|
—
|
—
|
—
|
—
|
$92,853.85
|
2026-04-01
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
5
|
2
|
—
|
—
|
$76,581.64
|
$112,584.12
|
$92,809.48
|
2026-04-01
|
|
2254
|
APR_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,582.64
|
$92,582.64
|
$92,582.64
|
2026-04-01
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
5
|
2
|
—
|
—
|
$72,478.34
|
$106,551.78
|
$92,457.36
|
2026-04-01
|
|
7734
|
APR_DRG
|
Opioid Abuse And Dependence
|
5
|
2
|
—
|
—
|
$22,236.70
|
$130,854.35
|
$92,392.83
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
5
|
2
|
—
|
—
|
$70,694.21
|
$115,694.26
|
$91,895.43
|
2026-04-01
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
2
|
—
|
—
|
$71,008.91
|
$115,145.20
|
$91,589.35
|
2026-04-01
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
2
|
—
|
—
|
$69,781.58
|
$115,119.40
|
$91,326.55
|
2026-04-01
|
|
7744
|
APR_DRG
|
Cocaine Abuse And Dependence
|
5
|
2
|
—
|
—
|
$18,363.79
|
$130,334.77
|
$91,269.04
|
2026-04-01
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$73,897.07
|
$108,637.49
|
$91,267.28
|
2026-04-01
|