|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel Susp
|
20
|
12
|
$1,386,000.00
|
$498,960.00
64% off
|
$455,439.60
|
$1,386,000.00
|
$559,948.28
|
2026-07-31
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Susp
|
20
|
12
|
$1,386,000.00
|
$498,960.00
64% off
|
$495,761.13
|
$1,386,000.00
|
$583,775.71
|
2026-07-31
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
4
|
2
|
—
|
—
|
$60,826.75
|
$80,393.66
|
$75,501.93
|
2026-07-31
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
17
|
14
|
—
|
—
|
$67,098.02
|
$383,310.36
|
$181,502.45
|
2026-07-31
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
17
|
14
|
—
|
—
|
$56,986.61
|
$146,241.12
|
$83,524.77
|
2026-07-31
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
17
|
14
|
—
|
—
|
$50,387.10
|
$129,183.27
|
$73,782.28
|
2026-07-31
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
2
|
—
|
—
|
$58,540.13
|
$83,205.51
|
$77,039.16
|
2026-07-31
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
2
|
—
|
—
|
$86,228.02
|
$203,208.80
|
$173,963.60
|
2026-07-31
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
2
|
—
|
—
|
$110,010.42
|
$228,167.57
|
$198,628.28
|
2026-07-31
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$139,000.00
|
$301,705.54
|
$261,029.15
|
2026-07-31
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$114,307.29
|
$215,280.48
|
$190,037.18
|
2026-07-31
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
17
|
14
|
—
|
—
|
$53,666.05
|
$137,658.46
|
$78,622.83
|
2026-07-31
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
17
|
14
|
—
|
—
|
$158,938.88
|
$409,758.80
|
$234,031.37
|
2026-07-31
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
2
|
—
|
—
|
$79,271.11
|
$94,038.55
|
$90,346.69
|
2026-07-31
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$59,643.74
|
$91,731.90
|
$83,709.86
|
2026-07-31
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
2
|
—
|
—
|
$102,593.90
|
$156,987.22
|
$143,388.89
|
2026-07-31
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$84,175.23
|
$124,002.82
|
$114,045.92
|
2026-07-31
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$132,497.46
|
$177,521.04
|
$166,265.14
|
2026-07-31
|
|
9113
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$48,716.67
|
$82,963.98
|
$74,402.15
|
2026-07-31
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$111,503.48
|
$117,832.61
|
$113,085.77
|
2026-07-31
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$75,844.62
|
$80,687.14
|
$77,055.25
|
2026-07-31
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
2
|
—
|
—
|
$50,000.00
|
$87,145.20
|
$77,858.90
|
2026-07-31
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
2
|
—
|
—
|
$87,130.53
|
$127,840.58
|
$117,663.07
|
2026-07-31
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
4
|
2
|
—
|
—
|
$47,934.83
|
$95,399.06
|
$83,533.00
|
2026-07-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
17
|
14
|
—
|
—
|
$51,728.81
|
$132,651.27
|
$75,763.00
|
2026-07-31
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
2
|
—
|
—
|
$124,496.82
|
$151,875.37
|
$145,030.73
|
2026-07-31
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
4
|
2
|
—
|
—
|
$6,728.90
|
$103,548.77
|
$79,343.80
|
2026-07-31
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
4
|
2
|
—
|
—
|
$110,174.74
|
$147,751.76
|
$138,357.51
|
2026-07-31
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
2
|
—
|
—
|
$120,000.00
|
$199,065.26
|
$179,298.95
|
2026-07-31
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
2
|
—
|
—
|
$70,066.26
|
$88,665.24
|
$84,015.49
|
2026-07-31
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
2
|
—
|
—
|
$190,000.00
|
$412,515.49
|
$356,886.62
|
2026-07-31
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
2
|
—
|
—
|
$90,519.76
|
$135,602.53
|
$124,331.84
|
2026-07-31
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
2
|
—
|
—
|
$119,052.22
|
$234,682.03
|
$205,774.58
|
2026-07-31
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
17
|
14
|
—
|
—
|
$16,550.75
|
$220,920.38
|
$104,622.17
|
2026-07-31
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
2
|
—
|
—
|
$66,193.04
|
$185,380.48
|
$155,583.61
|
2026-07-31
|
|
824
|
APR_DRG
|
Eye Infections And Other Eye Disorders
|
4
|
2
|
—
|
—
|
$28,495.53
|
$114,554.64
|
$93,039.86
|
2026-07-31
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
2
|
—
|
—
|
$58,189.83
|
$114,758.50
|
$100,616.33
|
2026-07-31
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
13
|
11
|
—
|
—
|
$61,434.26
|
$295,220.90
|
$139,798.26
|
2026-07-31
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$64,219.83
|
$81,019.30
|
$76,819.43
|
2026-07-31
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
2
|
—
|
—
|
$59,098.76
|
$110,384.51
|
$97,563.07
|
2026-07-31
|
|
7594
|
APR_DRG
|
Eating Disorders
|
4
|
2
|
—
|
—
|
$30,803.55
|
$84,612.54
|
$71,160.29
|
2026-07-31
|
|
7544
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
4
|
2
|
—
|
—
|
$25,906.11
|
$205,372.42
|
$160,505.84
|
2026-07-31
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
4
|
2
|
—
|
—
|
$50,000.00
|
$85,091.15
|
$76,318.36
|
2026-07-31
|
|
7513
|
APR_DRG
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
4
|
2
|
—
|
—
|
$22,909.72
|
$100,082.01
|
$80,788.94
|
2026-07-31
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
4
|
2
|
—
|
—
|
$79,405.91
|
$116,621.99
|
$107,317.97
|
2026-07-31
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$200,000.00
|
$379,229.74
|
$334,422.30
|
2026-07-31
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
4
|
2
|
—
|
—
|
$51,904.34
|
$76,221.30
|
$70,142.06
|
2026-07-31
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$132,000.00
|
$317,043.31
|
$270,782.48
|
2026-07-31
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$110,744.75
|
$275,751.88
|
$234,500.10
|
2026-07-31
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
4
|
2
|
—
|
—
|
$81,972.22
|
$90,912.06
|
$88,677.10
|
2026-07-31
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
2
|
—
|
—
|
$75,845.93
|
$104,700.98
|
$97,487.22
|
2026-07-31
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$87,344.93
|
$128,283.74
|
$118,049.04
|
2026-07-31
|
|
7
|
MS_DRG
|
Lung Transplant
|
13
|
11
|
—
|
—
|
$141,952.32
|
$1,230,334.65
|
$582,509.12
|
2026-07-31
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
2
|
—
|
—
|
$52,886.45
|
$112,493.95
|
$97,592.07
|
2026-07-31
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
2
|
—
|
—
|
$115,000.00
|
$152,943.38
|
$143,457.54
|
2026-07-31
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
2
|
—
|
—
|
$60,849.86
|
$91,997.80
|
$84,210.82
|
2026-07-31
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
2
|
—
|
—
|
$85,235.64
|
$124,426.03
|
$114,628.43
|
2026-07-31
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
2
|
—
|
—
|
$35,874.82
|
$80,429.11
|
$69,290.53
|
2026-07-31
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
2
|
—
|
—
|
$87,935.48
|
$134,374.98
|
$122,765.11
|
2026-07-31
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
4
|
2
|
—
|
—
|
$37,868.05
|
$81,689.90
|
$70,734.44
|
2026-07-31
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
17
|
14
|
—
|
—
|
$56,940.80
|
$201,460.49
|
$95,409.28
|
2026-07-31
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
2
|
—
|
—
|
$68,354.96
|
$100,386.82
|
$92,378.86
|
2026-07-31
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
2
|
—
|
—
|
$61,902.58
|
$91,842.69
|
$84,357.66
|
2026-07-31
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$85,000.00
|
$278,257.95
|
$229,943.46
|
2026-07-31
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
4
|
2
|
—
|
—
|
$74,004.96
|
$109,420.00
|
$100,566.24
|
2026-07-31
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$94,617.65
|
$149,801.38
|
$136,005.44
|
2026-07-31
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
2
|
—
|
—
|
$126,772.99
|
$322,822.12
|
$273,809.84
|
2026-07-31
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
2
|
—
|
—
|
$69,308.82
|
$105,868.71
|
$96,728.74
|
2026-07-31
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
2
|
—
|
—
|
$121,997.26
|
$276,148.51
|
$237,610.70
|
2026-07-31
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
2
|
—
|
—
|
$95,000.00
|
$166,747.81
|
$148,810.86
|
2026-07-31
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
2
|
—
|
—
|
$70,516.88
|
$88,538.94
|
$84,033.42
|
2026-07-31
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$85,000.00
|
$220,292.62
|
$186,469.46
|
2026-07-31
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
2
|
—
|
—
|
$61,364.67
|
$135,988.08
|
$117,332.23
|
2026-07-31
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
2
|
—
|
—
|
$52,141.85
|
$93,852.42
|
$83,424.78
|
2026-07-31
|
|
6252
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
3
|
2
|
—
|
—
|
$1,861.30
|
$82,511.96
|
$82,511.96
|
2026-07-31
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$61,096.35
|
$89,724.39
|
$82,567.38
|
2026-07-31
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$51,630.90
|
$75,820.24
|
$69,772.90
|
2026-07-31
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$73,000.00
|
$213,443.58
|
$178,332.68
|
2026-07-31
|
|
6223
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$16,275.80
|
$114,020.64
|
$89,584.43
|
2026-07-31
|
|
6222
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$14,813.15
|
$101,691.93
|
$79,972.23
|
2026-07-31
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$84,342.12
|
$135,409.75
|
$122,642.84
|
2026-07-31
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
3
|
2
|
—
|
—
|
$275.45
|
$101,740.67
|
$101,740.67
|
2026-07-31
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$85,000.00
|
$180,955.52
|
$156,966.64
|
2026-07-31
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
2
|
—
|
—
|
$4,296.30
|
$195,745.99
|
$195,745.99
|
2026-07-31
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
2
|
—
|
—
|
$64,666.60
|
$151,791.16
|
$130,010.02
|
2026-07-31
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$62,000.00
|
$141,886.54
|
$121,914.90
|
2026-07-31
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
2
|
—
|
—
|
$62,000.00
|
$101,800.50
|
$91,850.38
|
2026-07-31
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$89,000.00
|
$154,113.32
|
$137,834.99
|
2026-07-31
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$70,000.00
|
$150,113.80
|
$130,085.35
|
2026-07-31
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$57,491.44
|
$130,805.32
|
$107,965.27
|
2026-07-31
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
2
|
—
|
—
|
$93,000.00
|
$170,359.57
|
$151,019.68
|
2026-07-31
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
2
|
—
|
—
|
$203.40
|
$136,072.28
|
$136,072.28
|
2026-07-31
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
2
|
—
|
—
|
$50,000.00
|
$150,319.87
|
$125,239.90
|
2026-07-31
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$165,000.00
|
$470,214.92
|
$393,911.19
|
2026-07-31
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$114,121.14
|
$145,985.77
|
$138,019.61
|
2026-07-31
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$66,945.35
|
$97,543.95
|
$89,894.29
|
2026-07-31
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$55,130.20
|
$88,483.54
|
$80,145.20
|
2026-07-31
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$70,000.00
|
$145,316.60
|
$126,487.45
|
2026-07-31
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$70,000.00
|
$142,074.88
|
$124,056.16
|
2026-07-31
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$61,000.00
|
$77,196.26
|
$73,147.20
|
2026-07-31
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$100,000.00
|
$294,169.61
|
$245,627.21
|
2026-07-31
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$86,000.00
|
$221,367.28
|
$187,525.46
|
2026-07-31
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$70,908.44
|
$104,388.55
|
$96,018.52
|
2026-07-31
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$80,000.00
|
$307,081.07
|
$250,310.80
|
2026-07-31
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$80,000.00
|
$154,527.68
|
$135,895.76
|
2026-07-31
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$50,642.37
|
$116,912.26
|
$100,344.79
|
2026-07-31
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
2
|
—
|
—
|
$38,202.44
|
$106,283.06
|
$89,262.90
|
2026-07-31
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$100,000.00
|
$270,535.89
|
$227,901.92
|
2026-07-31
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$92,000.00
|
$228,435.69
|
$165,832.08
|
2026-07-31
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
2
|
—
|
—
|
$80,000.00
|
$167,108.99
|
$145,331.74
|
2026-07-31
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
13
|
11
|
—
|
—
|
$50,828.01
|
$304,361.87
|
$144,125.87
|
2026-07-31
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$121,000.00
|
$408,068.38
|
$297,668.28
|
2026-07-31
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$99,000.00
|
$316,041.77
|
$261,781.33
|
2026-07-31
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$79,000.00
|
$214,347.63
|
$180,510.72
|
2026-07-31
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
2
|
—
|
—
|
$1,908.00
|
$194,861.88
|
$194,861.88
|
2026-07-31
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$120,000.00
|
$391,283.69
|
$323,462.77
|
2026-07-31
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$91,000.00
|
$232,488.38
|
$197,116.29
|
2026-07-31
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
2
|
—
|
—
|
$80,000.00
|
$170,508.03
|
$147,881.02
|
2026-07-31
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
2
|
—
|
—
|
$87,000.00
|
$206,680.96
|
$176,760.72
|
2026-07-31
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
2
|
—
|
—
|
$33,354.00
|
$223,873.35
|
$176,243.51
|
2026-07-31
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
2
|
—
|
—
|
$207,541.00
|
$307,397.93
|
$282,433.70
|
2026-07-31
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$221,000.00
|
$652,464.47
|
$544,598.35
|
2026-07-31
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$132,000.00
|
$399,389.09
|
$332,541.82
|
2026-07-31
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$130,000.00
|
$388,766.54
|
$324,074.90
|
2026-07-31
|
|
5881
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
4
|
2
|
—
|
—
|
$50,000.00
|
$258,572.78
|
$206,429.59
|
2026-07-31
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$221,000.00
|
$733,977.10
|
$605,732.82
|
2026-07-31
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$221,000.00
|
$727,070.45
|
$600,552.84
|
2026-07-31
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$219,000.00
|
$456,253.16
|
$396,939.87
|
2026-07-31
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
2
|
—
|
—
|
$219,000.00
|
$342,527.23
|
$311,645.42
|
2026-07-31
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
17
|
14
|
—
|
—
|
$49,052.78
|
$125,734.47
|
$71,812.52
|
2026-07-31
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
17
|
14
|
—
|
—
|
$32,238.57
|
$269,218.61
|
$127,488.00
|
2026-07-31
|
|
554
|
APR_DRG
|
Head Trauma With Coma > 1 Hour Or Hemorrhage
|
4
|
2
|
—
|
—
|
$47,393.07
|
$86,379.85
|
$76,633.15
|
2026-07-31
|
|
5404
|
APR_DRG
|
Cesarean Section Without Sterilization
|
4
|
2
|
—
|
—
|
$32,931.07
|
$83,772.16
|
$71,061.89
|
2026-07-31
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$88,000.00
|
$286,533.96
|
$236,900.47
|
2026-07-31
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$77,000.00
|
$202,900.81
|
$171,425.61
|
2026-07-31
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$60,000.00
|
$117,362.06
|
$103,021.54
|
2026-07-31
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
4
|
2
|
—
|
—
|
$58,859.97
|
$88,787.11
|
$81,305.32
|
2026-07-31
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
4
|
2
|
—
|
—
|
$70,072.69
|
$85,886.62
|
$81,933.14
|
2026-07-31
|
|
5144
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
2
|
—
|
—
|
$50,000.00
|
$96,431.62
|
$84,823.71
|
2026-07-31
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
4
|
2
|
—
|
—
|
$67,820.90
|
$92,921.79
|
$86,646.57
|
2026-07-31
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
2
|
—
|
—
|
$74,052.46
|
$108,755.90
|
$100,080.04
|
2026-07-31
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
2
|
—
|
—
|
$77,235.00
|
$113,431.23
|
$104,382.17
|
2026-07-31
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
2
|
—
|
—
|
$63,000.00
|
$99,057.34
|
$90,043.01
|
2026-07-31
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
4
|
2
|
—
|
—
|
$60,958.21
|
$82,760.13
|
$77,309.65
|
2026-07-31
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
13
|
11
|
—
|
—
|
$113,017.51
|
$241,522.40
|
$115,519.55
|
2026-07-31
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
4
|
2
|
—
|
—
|
$68,474.86
|
$70,917.42
|
$69,085.51
|
2026-07-31
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
4
|
2
|
—
|
—
|
$60,133.50
|
$83,675.26
|
$77,789.82
|
2026-07-31
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
4
|
2
|
—
|
—
|
$50,601.29
|
$74,306.85
|
$68,380.46
|
2026-07-31
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
4
|
2
|
—
|
—
|
$61,930.82
|
$166,957.03
|
$140,700.47
|
2026-07-31
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
17
|
14
|
—
|
—
|
$49,713.30
|
$175,163.81
|
$82,959.64
|
2026-07-31
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
17
|
14
|
—
|
—
|
$60,539.81
|
$168,465.64
|
$80,586.41
|
2026-07-31
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
14
|
—
|
—
|
$71,689.55
|
$161,278.05
|
$92,113.02
|
2026-07-31
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
4
|
2
|
—
|
—
|
$55,464.88
|
$96,482.58
|
$86,228.15
|
2026-07-31
|
|
4464
|
APR_DRG
|
Urethral And Transurethral Procedures
|
4
|
2
|
—
|
—
|
$44,155.33
|
$104,208.86
|
$89,195.48
|
2026-07-31
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
4
|
2
|
—
|
—
|
$51,384.41
|
$75,456.85
|
$69,438.74
|
2026-07-31
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
4
|
2
|
—
|
—
|
$51,534.61
|
$83,867.91
|
$75,784.58
|
2026-07-31
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
4
|
2
|
—
|
—
|
$61,467.37
|
$112,819.67
|
$99,981.60
|
2026-07-31
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
2
|
—
|
—
|
$92,000.00
|
$118,578.54
|
$111,933.90
|
2026-07-31
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$90,000.00
|
$372,015.09
|
$301,511.32
|
2026-07-31
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$125,330.00
|
$232,464.01
|
$205,680.51
|
2026-07-31
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$110,950.16
|
$206,293.20
|
$182,457.44
|
2026-07-31
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
2
|
—
|
—
|
$71,368.04
|
$110,029.98
|
$100,364.49
|
2026-07-31
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$110,000.00
|
$303,433.87
|
$255,075.40
|
2026-07-31
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
4
|
2
|
—
|
—
|
$61,413.45
|
$79,190.48
|
$74,746.22
|
2026-07-31
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$91,000.00
|
$201,037.32
|
$173,527.99
|
2026-07-31
|
|
424
|
APR_DRG
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
4
|
2
|
—
|
—
|
$39,138.24
|
$81,229.01
|
$70,706.32
|
2026-07-31
|
|
4214
|
APR_DRG
|
Malnutrition, Failure To Thrive And Other Nutritional Disorders
|
4
|
2
|
—
|
—
|
$29,251.69
|
$83,817.07
|
$70,175.73
|
2026-07-31
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$70,000.00
|
$145,513.80
|
$126,635.35
|
2026-07-31
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
2
|
—
|
—
|
$70,000.00
|
$113,333.74
|
$102,500.30
|
2026-07-31
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
4
|
2
|
—
|
—
|
$68,639.96
|
$134,884.61
|
$118,323.45
|
2026-07-31
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
4
|
2
|
—
|
—
|
$68,672.06
|
$100,852.14
|
$92,807.12
|
2026-07-31
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
2
|
—
|
—
|
$76,277.29
|
$89,283.45
|
$86,031.91
|
2026-07-31
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
2
|
—
|
—
|
$78,475.15
|
$115,252.62
|
$106,058.25
|
2026-07-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
17
|
14
|
—
|
—
|
$151,830.74
|
$528,860.02
|
$250,410.02
|
2026-07-31
|
|
3844
|
APR_DRG
|
Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue
|
4
|
2
|
—
|
—
|
$27,219.44
|
$84,414.09
|
$70,115.43
|
2026-07-31
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
4
|
2
|
—
|
—
|
$49,768.10
|
$75,337.20
|
$68,944.93
|
2026-07-31
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
4
|
2
|
—
|
—
|
$56,967.65
|
$83,657.53
|
$76,985.06
|
2026-07-31
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
4
|
2
|
—
|
—
|
$56,894.48
|
$83,553.39
|
$76,888.66
|
2026-07-31
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
2
|
—
|
—
|
$85,636.19
|
$116,653.01
|
$108,898.80
|
2026-07-31
|
|
3444
|
APR_DRG
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
4
|
2
|
—
|
—
|
$32,326.39
|
$90,741.44
|
$76,137.68
|
2026-07-31
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
17
|
14
|
—
|
—
|
$54,668.89
|
$170,879.16
|
$80,931.16
|
2026-07-31
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
2
|
—
|
—
|
$85,161.18
|
$92,276.99
|
$90,498.04
|
2026-07-31
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
4
|
2
|
—
|
—
|
$58,609.64
|
$94,294.72
|
$85,373.45
|
2026-07-31
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
4
|
2
|
—
|
—
|
$77,751.09
|
$98,481.98
|
$93,299.25
|
2026-07-31
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
2
|
—
|
—
|
$58,844.57
|
$86,418.42
|
$79,524.95
|
2026-07-31
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
4
|
2
|
—
|
—
|
$68,163.67
|
$111,413.63
|
$100,601.14
|
2026-07-31
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
4
|
2
|
—
|
—
|
$56,483.66
|
$88,007.15
|
$80,126.27
|
2026-07-31
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
4
|
2
|
—
|
—
|
$47,476.52
|
$96,726.32
|
$84,413.87
|
2026-07-31
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
4
|
2
|
—
|
—
|
$47,105.50
|
$84,526.30
|
$75,171.10
|
2026-07-31
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
4
|
2
|
—
|
—
|
$62,344.21
|
$81,831.71
|
$76,959.84
|
2026-07-31
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
2
|
—
|
—
|
$86,776.20
|
$127,446.17
|
$117,278.68
|
2026-07-31
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
2
|
—
|
—
|
$52,583.47
|
$90,338.17
|
$80,899.49
|
2026-07-31
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
4
|
2
|
—
|
—
|
$67,408.80
|
$73,799.44
|
$72,201.77
|
2026-07-31
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
4
|
2
|
—
|
—
|
$81,539.58
|
$96,861.48
|
$93,031.01
|
2026-07-31
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
2
|
—
|
—
|
$97,000.00
|
$122,817.36
|
$116,363.02
|
2026-07-31
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
2
|
—
|
—
|
$73,770.46
|
$87,364.56
|
$83,966.04
|
2026-07-31
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$85,239.50
|
$107,993.66
|
$102,305.12
|
2026-07-31
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$120,000.00
|
$175,943.38
|
$161,957.54
|
2026-07-31
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$104,916.30
|
$115,520.74
|
$112,869.62
|
2026-07-31
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$81,050.46
|
$83,828.15
|
$83,133.73
|
2026-07-31
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
2
|
—
|
—
|
$65,037.62
|
$70,431.42
|
$69,082.96
|
2026-07-31
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$57,248.80
|
$84,794.23
|
$77,907.87
|
2026-07-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
17
|
14
|
—
|
—
|
$180,222.40
|
$407,354.04
|
$232,657.90
|
2026-07-31
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
2
|
—
|
—
|
$79,589.32
|
$80,687.14
|
$79,863.77
|
2026-07-31
|
|
2844
|
APR_DRG
|
Disorders Of Gallbladder And Biliary Tract
|
4
|
2
|
—
|
—
|
$19,238.05
|
$89,582.58
|
$71,996.45
|
2026-07-31
|
|
2834
|
APR_DRG
|
Other Disorders Of The Liver
|
4
|
2
|
—
|
—
|
$20,741.38
|
$117,488.36
|
$93,301.61
|
2026-07-31
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
17
|
14
|
—
|
—
|
$53,351.97
|
$136,846.64
|
$78,159.17
|
2026-07-31
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
2
|
—
|
—
|
$80,417.54
|
$107,271.31
|
$100,557.87
|
2026-07-31
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
17
|
14
|
—
|
—
|
$75,391.42
|
$269,573.96
|
$127,656.23
|
2026-07-31
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
17
|
14
|
—
|
—
|
$45,911.93
|
$117,616.25
|
$67,175.85
|
2026-07-31
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
4
|
2
|
—
|
—
|
$42,869.60
|
$115,888.56
|
$93,761.82
|
2026-07-31
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
2
|
—
|
—
|
$66,381.76
|
$95,662.73
|
$88,342.49
|
2026-07-31
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
2
|
—
|
—
|
$80,651.19
|
$121,908.88
|
$111,594.46
|
2026-07-31
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
4
|
2
|
—
|
—
|
$95,712.74
|
$149,207.54
|
$135,833.84
|
2026-07-31
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
4
|
2
|
—
|
—
|
$59,786.88
|
$103,113.75
|
$92,282.03
|
2026-07-31
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$220,000.00
|
$809,943.59
|
$662,457.69
|
2026-07-31
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
2
|
—
|
—
|
$112,443.22
|
$163,596.91
|
$150,808.48
|
2026-07-31
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
17
|
14
|
—
|
—
|
$57,174.47
|
$146,726.68
|
$83,802.09
|
2026-07-31
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
2
|
—
|
—
|
$72,187.10
|
$106,017.17
|
$97,559.65
|
2026-07-31
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
2
|
—
|
—
|
$58,910.04
|
$82,819.96
|
$76,842.48
|
2026-07-31
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
17
|
14
|
—
|
—
|
$68,355.79
|
$161,786.64
|
$92,403.50
|
2026-07-31
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
2
|
—
|
—
|
$48,612.10
|
$94,732.10
|
$80,843.21
|
2026-07-31
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$140,000.00
|
$407,833.50
|
$340,875.12
|
2026-07-31
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
4
|
2
|
—
|
—
|
$52,663.07
|
$110,796.65
|
$96,263.26
|
2026-07-31
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
4
|
2
|
—
|
—
|
$58,717.47
|
$134,384.91
|
$115,468.05
|
2026-07-31
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
2
|
—
|
—
|
$80,582.00
|
$94,362.73
|
$84,027.18
|
2026-07-31
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
2
|
—
|
—
|
$59,854.92
|
$103,147.71
|
$92,324.51
|
2026-07-31
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
4
|
2
|
—
|
—
|
$62,638.20
|
$124,047.78
|
$108,695.38
|
2026-07-31
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
2
|
—
|
—
|
$67,140.38
|
$138,303.59
|
$120,512.79
|
2026-07-31
|
|
2203
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
2
|
—
|
—
|
$37,547.61
|
$81,189.13
|
$70,278.75
|
2026-07-31
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$101,036.65
|
$253,465.36
|
$215,358.18
|
2026-07-31
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
17
|
14
|
—
|
—
|
$34,828.76
|
$151,482.24
|
$71,748.08
|
2026-07-31
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
14
|
—
|
—
|
$64,244.81
|
$147,361.93
|
$84,164.92
|
2026-07-31
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
14
|
—
|
—
|
$49,230.24
|
$126,193.16
|
$72,074.49
|
2026-07-31
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
14
|
—
|
—
|
$49,230.24
|
$126,193.16
|
$72,074.49
|
2026-07-31
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
14
|
—
|
—
|
$73,046.55
|
$187,751.50
|
$107,233.19
|
2026-07-31
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
17
|
14
|
—
|
—
|
$77,228.97
|
$191,094.74
|
$109,142.66
|
2026-07-31
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
2
|
—
|
—
|
$103,908.51
|
$158,250.22
|
$144,664.79
|
2026-07-31
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
2
|
—
|
—
|
$59,720.12
|
$79,161.67
|
$74,301.28
|
2026-07-31
|
|
212
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
17
|
14
|
—
|
—
|
$81,149.64
|
$208,695.73
|
$119,195.36
|
2026-07-31
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
2
|
—
|
—
|
$50,000.00
|
$208,373.83
|
$168,780.37
|
2026-07-31
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
17
|
14
|
—
|
—
|
$58,027.46
|
$165,102.06
|
$78,978.07
|
2026-07-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
17
|
14
|
—
|
—
|
$70,533.32
|
$278,158.28
|
$131,720.31
|
2026-07-31
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
2
|
—
|
—
|
$118,136.87
|
$123,588.46
|
$122,225.56
|
2026-07-31
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
2
|
—
|
—
|
$42,287.40
|
$80,537.68
|
$70,975.11
|
2026-07-31
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
17
|
14
|
—
|
—
|
$86,253.06
|
$183,606.79
|
$87,826.37
|
2026-07-31
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
13
|
11
|
—
|
—
|
$124,212.39
|
$406,887.76
|
$192,664.70
|
2026-07-31
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$115,000.00
|
$164,625.08
|
$152,218.81
|
2026-07-31
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$73,871.45
|
$91,940.19
|
$87,423.00
|
2026-07-31
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
2
|
—
|
—
|
$60,794.66
|
$80,781.42
|
$75,784.73
|
2026-07-31
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
4
|
2
|
—
|
—
|
$90,000.00
|
$136,178.64
|
$124,633.98
|
2026-07-31
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
2
|
—
|
—
|
$83,978.80
|
$106,498.00
|
$100,868.20
|
2026-07-31
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
4
|
2
|
—
|
—
|
$41,007.45
|
$77,437.78
|
$68,330.20
|
2026-07-31
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
14
|
12
|
—
|
—
|
$473,343.94
|
$1,731,359.68
|
$819,709.38
|
2026-07-31
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$88,714.74
|
$137,319.77
|
$125,168.51
|
2026-07-31
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
2
|
—
|
—
|
$66,417.70
|
$85,100.01
|
$80,429.43
|
2026-07-31
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$141,926.97
|
$237,263.43
|
$213,429.32
|
2026-07-31
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$96,737.21
|
$129,823.72
|
$121,552.09
|
2026-07-31
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$84,311.31
|
$123,827.77
|
$113,948.65
|
2026-07-31
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
2
|
—
|
—
|
$79,337.87
|
$113,203.01
|
$104,736.73
|
2026-07-31
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
4
|
2
|
—
|
—
|
$51,565.42
|
$74,541.73
|
$68,797.65
|
2026-07-31
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
4
|
2
|
—
|
—
|
$74,435.81
|
$115,638.17
|
$105,337.58
|
2026-07-31
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
4
|
2
|
—
|
—
|
$61,733.12
|
$102,764.37
|
$92,506.56
|
2026-07-31
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
2
|
—
|
—
|
$77,880.75
|
$82,095.39
|
$81,041.73
|
2026-07-31
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
2
|
—
|
—
|
$70,565.66
|
$103,269.57
|
$95,093.59
|
2026-07-31
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
2
|
—
|
—
|
$93,376.22
|
$231,531.45
|
$97,743.37
|
2026-07-31
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
2
|
—
|
—
|
$117,063.61
|
$182,785.77
|
$166,355.23
|
2026-07-31
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
2
|
—
|
—
|
$47,761.52
|
$74,220.44
|
$67,605.71
|
2026-07-31
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$70,155.55
|
$117,962.54
|
$101,596.52
|
2026-07-31
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$53,388.42
|
$81,311.00
|
$74,330.36
|
2026-07-31
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$79,322.46
|
$121,199.83
|
$110,730.49
|
2026-07-31
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$66,298.31
|
$91,574.59
|
$85,255.51
|
2026-07-31
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$51,711.77
|
$76,148.18
|
$70,039.08
|
2026-07-31
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$103,812.23
|
$118,611.77
|
$114,911.89
|
2026-07-31
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$65,200.66
|
$120,590.15
|
$89,312.25
|
2026-07-31
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$51,532.04
|
$72,075.54
|
$71,304.95
|
2026-07-31
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
17
|
14
|
—
|
—
|
$49,126.81
|
$215,070.45
|
$101,852.64
|
2026-07-31
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$110,000.00
|
$191,205.81
|
$170,904.36
|
2026-07-31
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$80,019.56
|
$127,884.90
|
$115,918.57
|
2026-07-31
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$63,791.05
|
$111,942.22
|
$99,904.43
|
2026-07-31
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
2
|
—
|
—
|
$55,396.28
|
$95,204.06
|
$85,252.11
|
2026-07-31
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$454,651.66
|
$580,200.59
|
$548,813.35
|
2026-07-31
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$200,000.00
|
$395,070.49
|
$346,302.87
|
2026-07-31
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$176,854.75
|
$349,030.60
|
$305,986.64
|
2026-07-31
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
2
|
—
|
—
|
$117,988.01
|
$331,980.02
|
$278,482.02
|
2026-07-31
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
2
|
—
|
—
|
$175,359.69
|
$229,326.44
|
$215,834.75
|
2026-07-31
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$120,000.00
|
$553,976.59
|
$445,482.44
|
2026-07-31
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
13
|
11
|
—
|
—
|
$89,656.00
|
$213,786.42
|
$131,733.01
|
2026-07-31
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
2
|
—
|
—
|
$90,889.50
|
$107,091.83
|
$103,041.25
|
2026-07-31
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
2
|
—
|
—
|
$74,097.40
|
$77,856.56
|
$76,916.77
|
2026-07-31
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$92,000.00
|
$408,347.57
|
$329,260.68
|
2026-07-31
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
4
|
2
|
—
|
—
|
$79,629.29
|
$129,092.51
|
$116,726.70
|
2026-07-31
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
2
|
—
|
—
|
$79,019.48
|
$116,788.17
|
$107,346.00
|
2026-07-31
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$87,000.00
|
$165,790.59
|
$146,092.94
|
2026-07-31
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
2
|
—
|
—
|
$50,021.00
|
$1,285,028.84
|
$1,285,028.84
|
2026-07-31
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
2
|
—
|
—
|
$50,721.96
|
$1,184,770.53
|
$1,184,770.53
|
2026-07-31
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
2
|
—
|
—
|
$36,235.57
|
$846,282.71
|
$846,282.71
|
2026-07-31
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$50,000.00
|
$147,767.27
|
$123,325.45
|
2026-07-31
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
13
|
11
|
—
|
—
|
$78,655.71
|
$167,888.85
|
$80,310.61
|
2026-07-31
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
13
|
11
|
—
|
—
|
$246,180.17
|
$519,925.53
|
$307,181.17
|
2026-07-31
|