|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$481,227.24
|
$481,227.24
|
$481,227.24
|
2025-12-28
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
2
|
1
|
—
|
—
|
$250,153.61
|
$683,016.15
|
$466,584.88
|
2025-12-28
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
2
|
1
|
—
|
—
|
$225,742.21
|
$616,363.58
|
$421,052.90
|
2025-12-28
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
2
|
1
|
—
|
—
|
$218,249.91
|
$595,906.71
|
$407,078.31
|
2025-12-28
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$164,582.38
|
$449,373.57
|
$306,977.97
|
2025-12-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$152,383.12
|
$416,064.88
|
$284,224.00
|
2025-12-28
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
2
|
1
|
—
|
—
|
$150,977.16
|
$412,226.06
|
$281,601.61
|
2025-12-28
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
1
|
—
|
—
|
$149,467.26
|
$408,103.44
|
$278,785.35
|
2025-12-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$148,641.40
|
$405,848.55
|
$277,244.97
|
2025-12-28
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
2
|
1
|
—
|
—
|
$145,491.88
|
$397,249.14
|
$271,370.51
|
2025-12-28
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
2
|
1
|
—
|
—
|
$137,873.90
|
$376,449.08
|
$257,161.49
|
2025-12-28
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
2
|
1
|
—
|
—
|
$130,238.99
|
$355,602.83
|
$242,920.91
|
2025-12-28
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
2
|
1
|
—
|
—
|
$130,238.99
|
$355,602.83
|
$242,920.91
|
2025-12-28
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
2
|
1
|
—
|
—
|
$130,238.99
|
$355,602.83
|
$242,920.91
|
2025-12-28
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
2
|
1
|
—
|
—
|
$130,048.84
|
$355,083.65
|
$242,566.24
|
2025-12-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
1
|
1
|
—
|
—
|
$239,174.58
|
$239,174.58
|
$239,174.58
|
2025-12-28
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
2
|
1
|
—
|
—
|
$123,372.73
|
$336,855.28
|
$230,114.01
|
2025-12-28
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
2
|
1
|
—
|
—
|
$123,372.73
|
$336,855.28
|
$230,114.01
|
2025-12-28
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
2
|
1
|
—
|
—
|
$123,372.73
|
$336,855.28
|
$230,114.01
|
2025-12-28
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
2
|
1
|
—
|
—
|
$123,372.73
|
$336,855.28
|
$230,114.01
|
2025-12-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$227,196.39
|
$227,196.39
|
$227,196.39
|
2025-12-28
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
2
|
1
|
—
|
—
|
$118,178.32
|
$322,672.53
|
$220,425.43
|
2025-12-28
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
2
|
1
|
—
|
—
|
$117,979.30
|
$322,129.15
|
$220,054.23
|
2025-12-28
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$116,896.43
|
$319,172.49
|
$218,034.46
|
2025-12-28
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
2
|
1
|
—
|
—
|
$109,516.93
|
$299,023.60
|
$204,270.26
|
2025-12-28
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
2
|
1
|
—
|
—
|
$109,516.93
|
$299,023.60
|
$204,270.26
|
2025-12-28
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
2
|
1
|
—
|
—
|
$109,516.93
|
$299,023.60
|
$204,270.26
|
2025-12-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
1
|
1
|
—
|
—
|
$201,759.69
|
$201,759.69
|
$201,759.69
|
2025-12-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
2
|
1
|
—
|
—
|
$105,738.96
|
$288,708.27
|
$197,223.61
|
2025-12-28
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
2
|
1
|
—
|
—
|
$105,153.21
|
$287,108.94
|
$196,131.08
|
2025-12-28
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
2
|
1
|
—
|
—
|
$103,161.49
|
$281,670.79
|
$192,416.14
|
2025-12-28
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$97,096.91
|
$265,112.14
|
$181,104.53
|
2025-12-28
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$92,979.73
|
$253,870.65
|
$173,425.19
|
2025-12-28
|
|
483
|
MS_DRG
|
Major Joint/limb Reattachment Procedure Of Upper Extremities
|
1
|
1
|
—
|
—
|
$172,615.07
|
$172,615.07
|
$172,615.07
|
2025-12-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$91,972.60
|
$251,120.78
|
$171,546.69
|
2025-12-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$91,972.60
|
$251,120.78
|
$171,546.69
|
2025-12-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$91,972.60
|
$251,120.78
|
$171,546.69
|
2025-12-28
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$90,502.18
|
$247,105.96
|
$168,804.07
|
2025-12-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
1
|
1
|
—
|
—
|
$163,964.52
|
$163,964.52
|
$163,964.52
|
2025-12-28
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
2
|
1
|
—
|
—
|
$86,261.72
|
$235,527.89
|
$160,894.80
|
2025-12-28
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$85,918.49
|
$234,590.73
|
$160,254.61
|
2025-12-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$85,779.91
|
$234,212.35
|
$159,996.13
|
2025-12-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$85,779.91
|
$234,212.35
|
$159,996.13
|
2025-12-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$85,779.91
|
$234,212.35
|
$159,996.13
|
2025-12-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$83,507.81
|
$228,008.63
|
$155,758.22
|
2025-12-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$79,679.88
|
$217,556.91
|
$148,618.40
|
2025-12-28
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
1
|
—
|
—
|
$79,355.98
|
$216,672.55
|
$148,014.27
|
2025-12-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$77,515.74
|
$211,647.97
|
$144,581.85
|
2025-12-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$73,732.13
|
$201,317.24
|
$137,524.68
|
2025-12-28
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
1
|
—
|
—
|
$73,390.51
|
$200,384.49
|
$136,887.50
|
2025-12-28
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
1
|
—
|
—
|
$73,390.51
|
$200,384.49
|
$136,887.50
|
2025-12-28
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
1
|
—
|
—
|
$73,390.51
|
$200,384.49
|
$136,887.50
|
2025-12-28
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
2
|
1
|
—
|
—
|
$72,533.23
|
$198,043.79
|
$135,288.51
|
2025-12-28
|
|
6091
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
2
|
1
|
—
|
—
|
$72,533.23
|
$198,043.79
|
$135,288.51
|
2025-12-28
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
2
|
1
|
—
|
—
|
$72,533.23
|
$198,043.79
|
$135,288.51
|
2025-12-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
2
|
1
|
—
|
—
|
$72,506.64
|
$197,971.20
|
$135,238.92
|
2025-12-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
2
|
1
|
—
|
—
|
$72,506.64
|
$197,971.20
|
$135,238.92
|
2025-12-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
2
|
1
|
—
|
—
|
$72,506.64
|
$197,971.20
|
$135,238.92
|
2025-12-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
2
|
1
|
—
|
—
|
$69,594.81
|
$190,020.76
|
$129,807.79
|
2025-12-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$67,276.78
|
$183,691.65
|
$125,484.21
|
2025-12-28
|
|
104
|
APR_DRG
|
Head Trauma With Deep Coma
|
2
|
1
|
—
|
—
|
$67,145.45
|
$183,333.06
|
$125,239.26
|
2025-12-28
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
2
|
1
|
—
|
—
|
$66,547.61
|
$181,700.74
|
$124,124.17
|
2025-12-28
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
2
|
1
|
—
|
—
|
$66,547.61
|
$181,700.74
|
$124,124.17
|
2025-12-28
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
2
|
1
|
—
|
—
|
$66,547.61
|
$181,700.74
|
$124,124.17
|
2025-12-28
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$66,019.87
|
$180,259.80
|
$123,139.83
|
2025-12-28
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$65,583.98
|
$179,069.66
|
$122,326.82
|
2025-12-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$121,637.11
|
$121,637.11
|
$121,637.11
|
2025-12-28
|
|
5931
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
2
|
1
|
—
|
—
|
$65,000.65
|
$177,476.93
|
$121,238.79
|
2025-12-28
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
2
|
1
|
—
|
—
|
$65,000.65
|
$177,476.93
|
$121,238.79
|
2025-12-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$64,538.98
|
$176,216.38
|
$120,377.68
|
2025-12-28
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
1
|
—
|
—
|
$64,362.53
|
$175,734.61
|
$120,048.57
|
2025-12-28
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
1
|
—
|
—
|
$64,362.53
|
$175,734.61
|
$120,048.57
|
2025-12-28
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
1
|
—
|
—
|
$64,362.53
|
$175,734.61
|
$120,048.57
|
2025-12-28
|
|
102
|
APR_DRG
|
Head Trauma With Deep Coma
|
2
|
1
|
—
|
—
|
$62,322.47
|
$170,164.46
|
$116,243.46
|
2025-12-28
|
|
101
|
APR_DRG
|
Head Trauma With Deep Coma
|
2
|
1
|
—
|
—
|
$62,322.47
|
$170,164.46
|
$116,243.46
|
2025-12-28
|
|
103
|
APR_DRG
|
Head Trauma With Deep Coma
|
2
|
1
|
—
|
—
|
$62,322.47
|
$170,164.46
|
$116,243.46
|
2025-12-28
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$60,954.37
|
$166,429.03
|
$113,691.70
|
2025-12-28
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$60,954.37
|
$166,429.03
|
$113,691.70
|
2025-12-28
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$60,487.06
|
$165,153.09
|
$112,820.07
|
2025-12-28
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$60,346.06
|
$164,768.11
|
$112,557.08
|
2025-12-28
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
2
|
1
|
—
|
—
|
$59,447.70
|
$162,315.22
|
$110,881.46
|
2025-12-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$58,406.72
|
$159,472.95
|
$108,939.84
|
2025-12-28
|
|
155
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Cc
|
1
|
1
|
—
|
—
|
$108,611.29
|
$108,611.29
|
$108,611.29
|
2025-12-28
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$57,364.13
|
$156,626.28
|
$106,995.20
|
2025-12-28
|
|
8412
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
2
|
1
|
—
|
—
|
$57,059.57
|
$155,794.71
|
$106,427.14
|
2025-12-28
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$56,485.10
|
$154,226.18
|
$105,355.64
|
2025-12-28
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$55,693.09
|
$152,063.68
|
$103,878.38
|
2025-12-28
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$55,693.09
|
$152,063.68
|
$103,878.38
|
2025-12-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
1
|
1
|
—
|
—
|
$102,315.64
|
$102,315.64
|
$102,315.64
|
2025-12-28
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
2
|
1
|
—
|
—
|
$54,415.23
|
$148,574.64
|
$101,494.93
|
2025-12-28
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$54,269.40
|
$148,176.46
|
$101,222.93
|
2025-12-28
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$54,269.40
|
$148,176.46
|
$101,222.93
|
2025-12-28
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$54,227.50
|
$148,062.06
|
$101,144.78
|
2025-12-28
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
2
|
1
|
—
|
—
|
$53,682.84
|
$146,574.93
|
$100,128.88
|
2025-12-28
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
2
|
1
|
—
|
—
|
$100,014.65
|
$100,014.65
|
$100,014.65
|
2025-12-28
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$53,500.75
|
$146,077.75
|
$99,789.25
|
2025-12-28
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$53,280.79
|
$145,477.18
|
$99,378.98
|
2025-12-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$52,985.90
|
$144,672.02
|
$98,828.96
|
2025-12-28
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$52,825.57
|
$144,234.24
|
$98,529.90
|
2025-12-28
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$52,825.57
|
$144,234.24
|
$98,529.90
|
2025-12-28
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$52,825.57
|
$144,234.24
|
$98,529.90
|
2025-12-28
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
2
|
1
|
—
|
—
|
$52,650.73
|
$143,756.86
|
$98,203.79
|
2025-12-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$52,612.05
|
$143,651.27
|
$98,131.66
|
2025-12-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$52,317.16
|
$142,846.10
|
$97,581.63
|
2025-12-28
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
2
|
1
|
—
|
—
|
$51,651.65
|
$141,028.98
|
$96,340.32
|
2025-12-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
1
|
—
|
—
|
$51,581.55
|
$140,837.59
|
$96,209.57
|
2025-12-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$96,153.43
|
$96,153.43
|
$96,153.43
|
2025-12-28
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
2
|
1
|
—
|
—
|
$51,146.47
|
$139,649.65
|
$95,398.06
|
2025-12-28
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$51,106.18
|
$139,539.65
|
$95,322.92
|
2025-12-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
2
|
1
|
—
|
—
|
$50,912.00
|
$139,009.48
|
$94,960.74
|
2025-12-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
2
|
1
|
—
|
—
|
$50,783.09
|
$138,657.49
|
$94,720.29
|
2025-12-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
2
|
1
|
—
|
—
|
$49,474.62
|
$135,084.85
|
$92,279.74
|
2025-12-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$49,170.06
|
$134,253.29
|
$91,711.68
|
2025-12-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
2
|
1
|
—
|
—
|
$48,909.81
|
$133,542.72
|
$91,226.26
|
2025-12-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
2
|
1
|
—
|
—
|
$48,548.86
|
$132,557.17
|
$90,553.02
|
2025-12-28
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
2
|
1
|
—
|
—
|
$48,423.17
|
$132,213.99
|
$90,318.58
|
2025-12-28
|
|
1324
|
APR_DRG
|
Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period
|
2
|
1
|
—
|
—
|
$47,959.88
|
$130,949.04
|
$89,454.46
|
2025-12-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$47,866.42
|
$130,693.85
|
$89,280.14
|
2025-12-28
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
2
|
1
|
—
|
—
|
$47,795.52
|
$130,500.26
|
$89,147.89
|
2025-12-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$88,514.58
|
$88,514.58
|
$88,514.58
|
2025-12-28
|
|
6031
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$47,389.44
|
$129,391.51
|
$88,390.48
|
2025-12-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
2
|
1
|
—
|
—
|
$47,157.40
|
$128,757.94
|
$87,957.67
|
2025-12-28
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$46,781.93
|
$127,732.79
|
$87,257.36
|
2025-12-28
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$46,416.14
|
$126,734.03
|
$86,575.08
|
2025-12-28
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
1
|
1
|
—
|
—
|
$86,496.93
|
$86,496.93
|
$86,496.93
|
2025-12-28
|
|
6112
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
2
|
1
|
—
|
—
|
$45,898.88
|
$125,321.70
|
$85,610.29
|
2025-12-28
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
2
|
1
|
—
|
—
|
$45,824.75
|
$125,119.31
|
$85,472.03
|
2025-12-28
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
2
|
1
|
—
|
—
|
$45,268.01
|
$123,599.18
|
$84,433.60
|
2025-12-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
2
|
1
|
—
|
—
|
$44,892.54
|
$122,574.02
|
$83,733.28
|
2025-12-28
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$44,885.29
|
$122,554.22
|
$83,719.76
|
2025-12-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$44,885.29
|
$122,554.22
|
$83,719.76
|
2025-12-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$44,885.29
|
$122,554.22
|
$83,719.76
|
2025-12-28
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
2
|
1
|
—
|
—
|
$44,541.26
|
$121,614.87
|
$83,078.07
|
2025-12-28
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
2
|
1
|
—
|
—
|
$43,984.51
|
$120,094.74
|
$82,039.62
|
2025-12-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
1
|
1
|
—
|
—
|
$81,084.22
|
$81,084.22
|
$81,084.22
|
2025-12-28
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$43,468.86
|
$118,686.80
|
$81,077.83
|
2025-12-28
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
2
|
1
|
—
|
—
|
$43,357.67
|
$118,383.21
|
$80,870.44
|
2025-12-28
|
|
1763
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
2
|
1
|
—
|
—
|
$43,357.67
|
$118,383.21
|
$80,870.44
|
2025-12-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
2
|
1
|
—
|
—
|
$43,344.78
|
$118,348.02
|
$80,846.40
|
2025-12-28
|
|
8411
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
2
|
1
|
—
|
—
|
$43,240.84
|
$118,064.23
|
$80,652.54
|
2025-12-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
2
|
1
|
—
|
—
|
$42,621.25
|
$116,372.51
|
$79,496.88
|
2025-12-28
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$42,616.41
|
$116,359.31
|
$79,487.86
|
2025-12-28
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$42,568.88
|
$116,229.51
|
$79,399.20
|
2025-12-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
2
|
1
|
—
|
—
|
$42,418.21
|
$115,818.13
|
$79,118.17
|
2025-12-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
2
|
1
|
—
|
—
|
$42,244.98
|
$115,345.15
|
$78,795.07
|
2025-12-28
|
|
5894
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
1
|
—
|
—
|
$42,203.08
|
$115,230.76
|
$78,716.92
|
2025-12-28
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
1
|
—
|
—
|
$42,203.08
|
$115,230.76
|
$78,716.92
|
2025-12-28
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
1
|
—
|
—
|
$42,203.08
|
$115,230.76
|
$78,716.92
|
2025-12-28
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
1
|
—
|
—
|
$42,203.08
|
$115,230.76
|
$78,716.92
|
2025-12-28
|
|
1754
|
APR_DRG
|
Percutaneous Coronary Intervention Without Ami
|
2
|
1
|
—
|
—
|
$41,819.57
|
$114,183.60
|
$78,001.58
|
2025-12-28
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$41,610.89
|
$113,613.83
|
$77,612.36
|
2025-12-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
—
|
—
|
$77,034.46
|
$77,034.46
|
$77,034.46
|
2025-12-28
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
2
|
1
|
—
|
—
|
$40,927.65
|
$111,748.32
|
$76,337.99
|
2025-12-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
2
|
1
|
—
|
—
|
$40,912.34
|
$111,706.52
|
$76,309.43
|
2025-12-28
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
2
|
1
|
—
|
—
|
$40,732.66
|
$111,215.94
|
$75,974.30
|
2025-12-28
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$40,104.21
|
$109,500.02
|
$74,802.11
|
2025-12-28
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
2
|
1
|
—
|
—
|
$39,782.73
|
$108,622.26
|
$74,202.49
|
2025-12-28
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
2
|
1
|
—
|
—
|
$39,781.12
|
$108,617.86
|
$74,199.49
|
2025-12-28
|
|
7924
|
APR_DRG
|
Extensive Or Procedures For Other Complications Of Treatment
|
2
|
1
|
—
|
—
|
$39,730.36
|
$108,479.26
|
$74,104.81
|
2025-12-28
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$39,593.39
|
$108,105.28
|
$73,849.33
|
2025-12-28
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$39,593.39
|
$108,105.28
|
$73,849.33
|
2025-12-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$73,742.76
|
$73,742.76
|
$73,742.76
|
2025-12-28
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$39,160.72
|
$106,923.93
|
$73,042.32
|
2025-12-28
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$39,160.72
|
$106,923.93
|
$73,042.32
|
2025-12-28
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
2
|
1
|
—
|
—
|
$39,080.96
|
$106,706.14
|
$72,893.55
|
2025-12-28
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$38,840.86
|
$106,050.57
|
$72,445.71
|
2025-12-28
|
|
6122
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$38,807.82
|
$105,960.38
|
$72,384.10
|
2025-12-28
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
2
|
1
|
—
|
—
|
$38,786.07
|
$105,900.98
|
$72,343.52
|
2025-12-28
|
|
893
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
2
|
1
|
—
|
—
|
$38,359.85
|
$104,737.23
|
$71,548.54
|
2025-12-28
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
1
|
1
|
—
|
—
|
$71,532.85
|
$71,532.85
|
$71,532.85
|
2025-12-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
2
|
1
|
—
|
—
|
$38,162.45
|
$104,198.26
|
$71,180.35
|
2025-12-28
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
2
|
1
|
—
|
—
|
$38,004.53
|
$103,767.08
|
$70,885.80
|
2025-12-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$37,331.76
|
$101,930.16
|
$69,630.96
|
2025-12-28
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
1
|
1
|
—
|
—
|
$68,566.57
|
$68,566.57
|
$68,566.57
|
2025-12-28
|
|
213
|
APR_DRG
|
Craniotomy Except For Trauma
|
2
|
1
|
—
|
—
|
$36,350.41
|
$99,250.68
|
$67,800.54
|
2025-12-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
2
|
1
|
—
|
—
|
$36,002.34
|
$98,300.33
|
$67,151.33
|
2025-12-28
|
|
1611
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
2
|
1
|
—
|
—
|
$35,880.68
|
$97,968.14
|
$66,924.41
|
2025-12-28
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
2
|
1
|
—
|
—
|
$35,157.15
|
$95,992.63
|
$65,574.89
|
2025-12-28
|
|
3042
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$35,152.32
|
$95,979.43
|
$65,565.88
|
2025-12-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$35,129.76
|
$95,917.83
|
$65,523.79
|
2025-12-28
|
|
2444
|
APR_DRG
|
Diverticulitis & Diverticulosis
|
2
|
1
|
—
|
—
|
$34,855.01
|
$95,167.67
|
$65,011.34
|
2025-12-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$34,769.60
|
$94,934.48
|
$64,852.04
|
2025-12-28
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$34,346.61
|
$93,779.53
|
$64,063.07
|
2025-12-28
|
|
1744
|
APR_DRG
|
Percutaneous Coronary Intervention W Ami
|
2
|
1
|
—
|
—
|
$34,327.27
|
$93,726.73
|
$64,027.00
|
2025-12-28
|
|
9123
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$34,270.06
|
$93,570.54
|
$63,920.30
|
2025-12-28
|
|
6213
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
2
|
1
|
—
|
—
|
$34,142.76
|
$93,222.96
|
$63,682.86
|
2025-12-28
|
|
9102
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$33,972.76
|
$92,758.78
|
$63,365.77
|
2025-12-28
|
|
9101
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$33,972.76
|
$92,758.78
|
$63,365.77
|
2025-12-28
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$33,972.76
|
$92,758.78
|
$63,365.77
|
2025-12-28
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$33,720.57
|
$92,070.21
|
$62,895.39
|
2025-12-28
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
2
|
1
|
—
|
—
|
$33,647.25
|
$91,870.02
|
$62,758.64
|
2025-12-28
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$33,602.94
|
$91,749.02
|
$62,675.98
|
2025-12-28
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
2
|
1
|
—
|
—
|
$33,471.61
|
$91,390.44
|
$62,431.03
|
2025-12-28
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
2
|
1
|
—
|
—
|
$33,234.73
|
$90,743.67
|
$61,989.20
|
2025-12-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
2
|
1
|
—
|
—
|
$33,169.46
|
$90,565.48
|
$61,867.47
|
2025-12-28
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
2
|
1
|
—
|
—
|
$33,142.88
|
$90,492.88
|
$61,817.88
|
2025-12-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
2
|
1
|
—
|
—
|
$33,106.62
|
$90,393.89
|
$61,750.26
|
2025-12-28
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
2
|
1
|
—
|
—
|
$33,106.62
|
$90,393.89
|
$61,750.26
|
2025-12-28
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
2
|
1
|
—
|
—
|
$33,106.62
|
$90,393.89
|
$61,750.26
|
2025-12-28
|
|
1652
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$32,845.57
|
$89,681.12
|
$61,263.35
|
2025-12-28
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
2
|
1
|
—
|
—
|
$32,679.59
|
$89,227.94
|
$60,953.76
|
2025-12-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
2
|
1
|
—
|
—
|
$32,420.96
|
$88,521.77
|
$60,471.37
|
2025-12-28
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
2
|
1
|
—
|
—
|
$32,409.68
|
$88,490.97
|
$60,450.32
|
2025-12-28
|
|
892
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
2
|
1
|
—
|
—
|
$32,357.31
|
$88,347.98
|
$60,352.65
|
2025-12-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
2
|
1
|
—
|
—
|
$31,978.62
|
$87,314.03
|
$59,646.32
|
2025-12-28
|
|
404
|
APR_DRG
|
Spinal Disorders & Injuries
|
2
|
1
|
—
|
—
|
$31,802.17
|
$86,832.25
|
$59,317.21
|
2025-12-28
|
|
2203
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
2
|
1
|
—
|
—
|
$31,736.11
|
$86,651.86
|
$59,193.99
|
2025-12-28
|
|
6071
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
2
|
1
|
—
|
—
|
$31,500.03
|
$86,007.29
|
$58,753.66
|
2025-12-28
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
2
|
1
|
—
|
—
|
$31,484.72
|
$85,965.49
|
$58,725.11
|
2025-12-28
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$31,464.58
|
$85,910.49
|
$58,687.54
|
2025-12-28
|
|
6302
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$31,464.58
|
$85,910.49
|
$58,687.54
|
2025-12-28
|
|
6301
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
1
|
—
|
—
|
$31,464.58
|
$85,910.49
|
$58,687.54
|
2025-12-28
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
1
|
—
|
—
|
$30,922.34
|
$84,429.96
|
$57,676.15
|
2025-12-28
|
|
6333
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
2
|
1
|
—
|
—
|
$30,835.32
|
$84,192.37
|
$57,513.85
|
2025-12-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
2
|
1
|
—
|
—
|
$30,756.36
|
$83,976.78
|
$57,366.57
|
2025-12-28
|
|
3094
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
2
|
1
|
—
|
—
|
$30,669.35
|
$83,739.19
|
$57,204.27
|
2025-12-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
2
|
1
|
—
|
—
|
$30,643.56
|
$83,668.79
|
$57,156.18
|
2025-12-28
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$56,925.00
|
$56,925.00
|
$56,925.00
|
2025-12-28
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
2
|
1
|
—
|
—
|
$30,427.63
|
$83,079.22
|
$56,753.43
|
2025-12-28
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
2
|
1
|
—
|
—
|
$30,351.09
|
$82,870.23
|
$56,610.66
|
2025-12-28
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
2
|
1
|
—
|
—
|
$30,351.09
|
$82,870.23
|
$56,610.66
|
2025-12-28
|
|
6223
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$30,326.92
|
$82,804.23
|
$56,565.57
|
2025-12-28
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth & Throat Procedures
|
2
|
1
|
—
|
—
|
$30,318.86
|
$82,782.23
|
$56,550.54
|
2025-12-28
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
2
|
1
|
—
|
—
|
$30,278.58
|
$82,672.24
|
$56,475.41
|
2025-12-28
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
2
|
1
|
—
|
—
|
$30,115.82
|
$82,227.86
|
$56,171.84
|
2025-12-28
|
|
2303
|
APR_DRG
|
Major Small Bowel Procedures
|
2
|
1
|
—
|
—
|
$30,027.20
|
$81,985.87
|
$56,006.54
|
2025-12-28
|
|
1673
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$30,011.08
|
$81,941.87
|
$55,976.47
|
2025-12-28
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$29,887.81
|
$81,605.29
|
$55,746.55
|
2025-12-28
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
2
|
1
|
—
|
—
|
$29,878.14
|
$81,578.89
|
$55,728.51
|
2025-12-28
|
|
3041
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$29,721.03
|
$81,149.91
|
$55,435.47
|
2025-12-28
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
2
|
1
|
—
|
—
|
$29,541.35
|
$80,659.33
|
$55,100.34
|
2025-12-28
|
|
8632
|
APR_DRG
|
Neonatal Aftercare
|
2
|
1
|
—
|
—
|
$29,185.23
|
$79,686.97
|
$54,436.10
|
2025-12-28
|
|
1203
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
2
|
1
|
—
|
—
|
$28,958.02
|
$79,066.60
|
$54,012.31
|
2025-12-28
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
2
|
1
|
—
|
—
|
$28,711.47
|
$78,393.43
|
$53,552.45
|
2025-12-28
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
3
|
2
|
—
|
—
|
$17,830.02
|
$53,434.58
|
$53,434.58
|
2025-12-28
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
2
|
1
|
—
|
—
|
$28,409.33
|
$77,568.47
|
$52,988.90
|
2025-12-28
|
|
4844
|
APR_DRG
|
Other Male Reproductive System & Related Procedures
|
2
|
1
|
—
|
—
|
$28,371.46
|
$77,465.07
|
$52,918.26
|
2025-12-28
|
|
7934
|
APR_DRG
|
Moderately Extensive Or Procedures For Other Complications Of Treatment
|
2
|
1
|
—
|
—
|
$28,304.59
|
$77,282.48
|
$52,793.54
|
2025-12-28
|
|
6312
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
2
|
1
|
—
|
—
|
$28,223.21
|
$77,060.29
|
$52,641.75
|
2025-12-28
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
1
|
1
|
—
|
—
|
$52,442.64
|
$52,442.64
|
$52,442.64
|
2025-12-28
|
|
3213
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
2
|
1
|
—
|
—
|
$28,026.62
|
$76,523.52
|
$52,275.07
|
2025-12-28
|
|
2603
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
2
|
1
|
—
|
—
|
$27,971.02
|
$76,371.72
|
$52,171.37
|
2025-12-28
|
|
2824
|
APR_DRG
|
Disorders Of Pancreas Except Malignancy
|
2
|
1
|
—
|
—
|
$27,324.04
|
$74,605.20
|
$50,964.62
|
2025-12-28
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
2
|
1
|
—
|
—
|
$27,299.87
|
$74,539.21
|
$50,919.54
|
2025-12-28
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma & Non-acute Leukemia
|
2
|
1
|
—
|
—
|
$27,239.44
|
$74,374.21
|
$50,806.82
|
2025-12-28
|
|
6142
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$27,228.96
|
$74,345.62
|
$50,787.29
|
2025-12-28
|
|
6222
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$27,145.17
|
$74,116.83
|
$50,631.00
|
2025-12-28
|
|
6924
|
APR_DRG
|
Radiotherapy
|
2
|
1
|
—
|
—
|
$27,111.33
|
$74,024.43
|
$50,567.88
|
2025-12-28
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$26,908.29
|
$73,470.06
|
$50,189.18
|
2025-12-28
|
|
584
|
APR_DRG
|
Other Disorders Of Nervous System
|
2
|
1
|
—
|
—
|
$26,753.60
|
$73,047.67
|
$49,900.63
|
2025-12-28
|
|
6121
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
1
|
—
|
—
|
$26,712.50
|
$72,935.48
|
$49,823.99
|
2025-12-28
|
|
1314
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease
|
2
|
1
|
—
|
—
|
$26,616.62
|
$72,673.69
|
$49,645.15
|
2025-12-28
|
|
6081
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
2
|
1
|
—
|
—
|
$26,529.61
|
$72,436.10
|
$49,482.86
|
2025-12-28
|
|
8624
|
APR_DRG
|
Other Aftercare & Convalescence
|
2
|
1
|
—
|
—
|
$26,473.21
|
$72,282.11
|
$49,377.66
|
2025-12-28
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
2
|
1
|
—
|
—
|
$26,320.12
|
$71,864.13
|
$49,092.12
|
2025-12-28
|
|
8904
|
APR_DRG
|
HIV W Multiple Major HIV Related Conditions
|
2
|
1
|
—
|
—
|
$26,179.93
|
$71,481.35
|
$48,830.64
|
2025-12-28
|
|
6393
|
APR_DRG
|
Neonate Birthwt >2499g W Other Significant Condition
|
2
|
1
|
—
|
—
|
$26,084.05
|
$71,219.56
|
$48,651.80
|
2025-12-28
|
|
6394
|
APR_DRG
|
Neonate Birthwt >2499g W Other Significant Condition
|
2
|
1
|
—
|
—
|
$26,084.05
|
$71,219.56
|
$48,651.80
|
2025-12-28
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
2
|
1
|
—
|
—
|
$26,080.83
|
$71,210.76
|
$48,645.79
|
2025-12-28
|
|
6614
|
APR_DRG
|
Coagulation & Platelet Disorders
|
2
|
1
|
—
|
—
|
$25,949.50
|
$70,852.17
|
$48,400.83
|
2025-12-28
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
2
|
1
|
—
|
—
|
$25,940.63
|
$70,827.98
|
$48,384.30
|
2025-12-28
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device And Vessel Repair
|
2
|
1
|
—
|
—
|
$25,878.59
|
$70,658.58
|
$48,268.59
|
2025-12-28
|
|
454
|
APR_DRG
|
Cva & Precerebral Occlusion W Infarct
|
2
|
1
|
—
|
—
|
$25,808.50
|
$70,467.19
|
$48,137.85
|
2025-12-28
|
|
6604
|
APR_DRG
|
Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul
|
2
|
1
|
—
|
—
|
$25,662.66
|
$70,069.01
|
$47,865.83
|
2025-12-28
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
2
|
1
|
—
|
—
|
$25,524.08
|
$69,690.63
|
$47,607.36
|
2025-12-28
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$25,457.21
|
$69,508.04
|
$47,482.62
|
2025-12-28
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
2
|
1
|
—
|
—
|
$25,446.73
|
$69,479.44
|
$47,463.09
|
2025-12-28
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
2
|
1
|
—
|
—
|
$47,244.45
|
$47,244.45
|
$47,244.45
|
2025-12-28
|
|
233
|
APR_DRG
|
Spinal Procedures
|
2
|
1
|
—
|
—
|
$25,295.26
|
$69,065.86
|
$47,180.56
|
2025-12-28
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
2
|
1
|
—
|
—
|
$25,262.23
|
$68,975.66
|
$47,118.95
|
2025-12-28
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
2
|
1
|
—
|
—
|
$25,248.53
|
$68,938.26
|
$47,093.39
|
2025-12-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
2
|
1
|
—
|
—
|
$25,153.46
|
$68,678.67
|
$46,916.07
|
2025-12-28
|
|
4413
|
APR_DRG
|
Major Bladder Procedures
|
2
|
1
|
—
|
—
|
$25,048.71
|
$68,392.69
|
$46,720.70
|
2025-12-28
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
1
|
1
|
—
|
—
|
$46,544.60
|
$46,544.60
|
$46,544.60
|
2025-12-28
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$24,879.51
|
$67,930.71
|
$46,405.11
|
2025-12-28
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
2
|
1
|
—
|
—
|
$24,872.26
|
$67,910.91
|
$46,391.59
|
2025-12-28
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
2
|
1
|
—
|
—
|
$24,819.09
|
$67,765.71
|
$46,292.40
|
2025-12-28
|
|
1823
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
2
|
1
|
—
|
—
|
$24,645.86
|
$67,292.74
|
$45,969.30
|
2025-12-28
|
|
1822
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
2
|
1
|
—
|
—
|
$24,645.86
|
$67,292.74
|
$45,969.30
|
2025-12-28
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
2
|
1
|
—
|
—
|
$45,886.35
|
$45,886.35
|
$45,886.35
|
2025-12-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$24,586.24
|
$67,129.94
|
$45,858.09
|
2025-12-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
1
|
1
|
—
|
—
|
$45,740.52
|
$45,740.52
|
$45,740.52
|
2025-12-28
|
|
3444
|
APR_DRG
|
Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections
|
2
|
1
|
—
|
—
|
$24,475.85
|
$66,828.56
|
$45,652.21
|
2025-12-28
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
2
|
1
|
—
|
—
|
$24,460.54
|
$66,786.76
|
$45,623.65
|
2025-12-28
|
|
3023
|
APR_DRG
|
Knee Joint Replacement
|
2
|
1
|
—
|
—
|
$24,458.93
|
$66,782.36
|
$45,620.65
|
2025-12-28
|
|
7204
|
APR_DRG
|
Septicemia & Disseminated Infections
|
2
|
1
|
—
|
—
|
$24,441.21
|
$66,733.96
|
$45,587.59
|
2025-12-28
|
|
7402
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
2
|
1
|
—
|
—
|
$24,380.78
|
$66,568.97
|
$45,474.88
|
2025-12-28
|
|
7401
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
2
|
1
|
—
|
—
|
$24,380.78
|
$66,568.97
|
$45,474.88
|
2025-12-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
2
|
1
|
—
|
—
|
$24,380.78
|
$66,568.97
|
$45,474.88
|
2025-12-28
|
|
7403
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
2
|
1
|
—
|
—
|
$24,380.78
|
$66,568.97
|
$45,474.88
|
2025-12-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$45,456.68
|
$45,456.68
|
$45,456.68
|
2025-12-28
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
2
|
1
|
—
|
—
|
$24,213.19
|
$66,111.39
|
$45,162.29
|
2025-12-28
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$24,208.36
|
$66,098.19
|
$45,153.28
|
2025-12-28
|
|
7113
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
2
|
1
|
—
|
—
|
$24,181.77
|
$66,025.59
|
$45,103.68
|
2025-12-28
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
1
|
1
|
—
|
—
|
$45,003.96
|
$45,003.96
|
$45,003.96
|
2025-12-28
|
|
554
|
APR_DRG
|
Head Trauma W Coma >1 Hr Or Hemorrhage
|
2
|
1
|
—
|
—
|
$24,123.76
|
$65,867.20
|
$44,995.48
|
2025-12-28
|
|
203
|
APR_DRG
|
Craniotomy For Trauma
|
2
|
1
|
—
|
—
|
$24,019.82
|
$65,583.41
|
$44,801.62
|
2025-12-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
2
|
1
|
—
|
—
|
$23,987.59
|
$65,495.42
|
$44,741.51
|
2025-12-28
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
3
|
2
|
—
|
—
|
$17,830.02
|
$44,582.54
|
$44,582.54
|
2025-12-28
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
2
|
1
|
—
|
—
|
$23,817.59
|
$65,031.24
|
$44,424.41
|
2025-12-28
|