|
5834
|
APR_DRG
|
Neonate With Ecmo
|
12
|
5
|
—
|
—
|
$371,506.00
|
$639,606.00
|
$505,556.00
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
5
|
—
|
—
|
$286,233.00
|
$543,172.00
|
$414,702.50
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
5
|
—
|
—
|
$254,507.00
|
$560,393.00
|
$407,450.00
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
48
|
15
|
—
|
—
|
$234,161.40
|
$763,269.00
|
$396,869.00
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
5
|
—
|
—
|
$216,261.00
|
$537,500.00
|
$376,880.50
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
12
|
5
|
—
|
—
|
$323,258.40
|
$359,176.00
|
$335,403.23
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$180,767.00
|
$473,981.00
|
$327,374.00
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$156,620.00
|
$488,715.00
|
$322,667.50
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
48
|
15
|
—
|
—
|
$184,022.28
|
$570,098.00
|
$296,428.00
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
12
|
5
|
—
|
—
|
$224,625.00
|
$345,707.00
|
$285,166.00
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
5
|
—
|
—
|
$138,093.00
|
$408,239.00
|
$273,166.00
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$176,653.00
|
$366,648.00
|
$271,650.50
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
5
|
—
|
—
|
$215,384.00
|
$310,399.00
|
$262,891.50
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$165,599.00
|
$356,624.00
|
$261,111.50
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
48
|
15
|
—
|
—
|
$131,924.76
|
$480,126.00
|
$249,646.00
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$130,511.00
|
$352,181.00
|
$241,346.00
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$166,902.00
|
$307,804.00
|
$237,353.00
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
5
|
—
|
—
|
$196,083.00
|
$275,364.00
|
$235,723.50
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
48
|
15
|
—
|
—
|
$97,079.52
|
$433,754.00
|
$225,535.00
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$72,811.00
|
$378,212.00
|
$225,511.50
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
5
|
—
|
—
|
$176,171.00
|
$261,579.00
|
$218,875.00
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
5
|
—
|
—
|
$148,833.00
|
$285,283.00
|
$217,058.00
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
5
|
—
|
—
|
$195,322.50
|
$232,656.53
|
$215,507.26
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
5
|
—
|
—
|
$147,940.00
|
$282,289.00
|
$215,114.50
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$81,249.00
|
$330,630.00
|
$205,939.50
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$95,783.00
|
$310,832.00
|
$203,307.50
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
12
|
5
|
—
|
—
|
$113,103.00
|
$292,698.00
|
$202,900.50
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$120,235.00
|
$282,690.00
|
$201,462.50
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
12
|
5
|
—
|
—
|
$88,744.00
|
$297,954.00
|
$193,349.00
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
5
|
—
|
—
|
$120,058.00
|
$264,930.00
|
$192,494.00
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
5
|
—
|
—
|
$117,634.00
|
$263,420.00
|
$190,527.00
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$89,525.00
|
$286,472.00
|
$187,998.50
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
12
|
5
|
—
|
—
|
$109,011.00
|
$266,089.00
|
$187,550.00
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
5
|
—
|
—
|
$177,175.80
|
$196,862.00
|
$187,359.45
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
12
|
5
|
—
|
—
|
$177,446.00
|
$199,514.00
|
$184,021.30
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
5
|
—
|
—
|
$153,875.00
|
$209,565.00
|
$181,720.00
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
12
|
5
|
—
|
—
|
$103,782.00
|
$253,418.00
|
$178,600.00
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$123,752.00
|
$226,388.00
|
$175,070.00
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
12
|
5
|
—
|
—
|
$141,279.00
|
$208,860.00
|
$175,069.50
|
2026-02-28
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$67,252.00
|
$279,749.00
|
$173,500.50
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
5
|
—
|
—
|
$114,071.00
|
$224,122.00
|
$169,096.50
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$96,960.00
|
$237,926.00
|
$167,443.00
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
5
|
—
|
—
|
$109,447.00
|
$225,359.00
|
$167,403.00
|
2026-02-28
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
32
|
10
|
$238,702.00
|
$109,802.92
54% off
|
$57,288.48
|
$195,735.64
|
$167,091.40
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$113,875.00
|
$218,673.00
|
$166,274.00
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$71,074.00
|
$261,329.00
|
$166,201.50
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
12
|
5
|
—
|
—
|
$54,830.00
|
$246,070.00
|
$150,450.00
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
5
|
—
|
—
|
$66,347.00
|
$231,891.00
|
$149,119.00
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
48
|
15
|
—
|
—
|
$63,636.78
|
$285,977.00
|
$148,696.00
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$100,591.00
|
$188,550.00
|
$144,570.50
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$92,261.00
|
$194,342.00
|
$143,301.50
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$76,890.00
|
$207,533.00
|
$142,211.50
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
5
|
—
|
—
|
$91,959.00
|
$190,474.00
|
$141,216.50
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$96,446.00
|
$182,275.00
|
$139,360.50
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
48
|
15
|
—
|
—
|
$87,839.34
|
$265,167.00
|
$137,876.00
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
48
|
15
|
—
|
—
|
$87,869.07
|
$264,499.00
|
$137,529.00
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
12
|
5
|
—
|
—
|
$97,663.00
|
$174,747.00
|
$136,205.00
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$50,287.00
|
$220,976.00
|
$135,631.50
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$58,530.00
|
$206,706.00
|
$132,618.00
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
12
|
5
|
—
|
—
|
$85,355.00
|
$178,257.00
|
$131,806.00
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
12
|
5
|
—
|
—
|
$71,236.00
|
$192,133.00
|
$131,684.50
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
12
|
5
|
—
|
—
|
$62,955.00
|
$199,124.00
|
$131,039.50
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
5
|
—
|
—
|
$95,323.00
|
$166,249.00
|
$130,786.00
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
12
|
5
|
—
|
—
|
$70,006.00
|
$190,133.00
|
$130,069.50
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$122,470.20
|
$136,078.00
|
$129,274.10
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
12
|
5
|
—
|
—
|
$74,184.00
|
$184,102.00
|
$129,143.00
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$74,126.00
|
$176,891.00
|
$125,508.50
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
12
|
5
|
—
|
—
|
$76,177.00
|
$173,247.00
|
$124,712.00
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
12
|
5
|
—
|
—
|
$47,927.00
|
$197,140.00
|
$122,533.50
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
5
|
—
|
—
|
$98,411.00
|
$141,452.00
|
$119,931.50
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
5
|
—
|
—
|
$77,630.00
|
$160,711.00
|
$119,170.50
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
12
|
5
|
—
|
—
|
$54,725.00
|
$181,395.00
|
$118,060.00
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$67,166.00
|
$166,785.00
|
$116,975.50
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
48
|
15
|
—
|
—
|
$74,091.79
|
$223,028.00
|
$115,965.00
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$54,753.00
|
$176,582.00
|
$115,667.50
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
5
|
—
|
—
|
$81,547.00
|
$148,804.00
|
$115,175.50
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
42
|
14
|
—
|
—
|
$73,245.97
|
$220,482.00
|
$114,642.00
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$72,023.00
|
$157,150.00
|
$114,586.50
|
2026-02-28
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$42,771.00
|
$184,624.00
|
$113,697.50
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$87,870.00
|
$137,857.00
|
$112,863.50
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
48
|
15
|
—
|
—
|
$71,602.05
|
$215,533.00
|
$112,069.00
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$69,517.00
|
$154,620.00
|
$112,068.50
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$68,242.00
|
$155,439.00
|
$111,840.50
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
48
|
15
|
—
|
—
|
$51,613.02
|
$214,428.00
|
$111,494.00
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
14
|
—
|
—
|
$70,432.15
|
$212,012.00
|
$110,237.00
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
5
|
—
|
—
|
$72,485.00
|
$146,993.00
|
$109,739.00
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$74,163.00
|
$136,345.00
|
$105,254.00
|
2026-02-28
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$51,198.00
|
$155,075.00
|
$103,136.50
|
2026-02-28
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$38,787.00
|
$166,198.00
|
$102,492.50
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
15
|
—
|
—
|
$64,889.91
|
$195,329.00
|
$101,563.00
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
5
|
—
|
—
|
$61,218.00
|
$141,374.00
|
$101,296.00
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$57,686.00
|
$142,439.00
|
$100,062.50
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
5
|
—
|
—
|
$94,971.00
|
$108,658.00
|
$99,803.35
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
12
|
5
|
—
|
—
|
$46,669.00
|
$152,745.00
|
$99,707.00
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
12
|
5
|
—
|
—
|
$66,052.00
|
$131,203.00
|
$98,627.50
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
12
|
5
|
—
|
—
|
$54,107.00
|
$142,517.00
|
$98,312.00
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
5
|
—
|
—
|
$65,130.00
|
$130,549.00
|
$97,839.50
|
2026-02-28
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
5
|
—
|
—
|
$25,662.00
|
$169,695.00
|
$97,678.50
|
2026-02-28
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
12
|
5
|
—
|
—
|
$39,907.00
|
$154,917.00
|
$97,412.00
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
42
|
14
|
—
|
—
|
$61,936.91
|
$186,440.00
|
$96,941.00
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$74,241.00
|
$119,333.00
|
$96,787.00
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
12
|
5
|
—
|
—
|
$64,749.00
|
$128,035.00
|
$96,392.00
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
12
|
5
|
—
|
—
|
$58,513.00
|
$133,516.00
|
$96,014.50
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
12
|
5
|
—
|
—
|
$67,384.00
|
$124,375.00
|
$95,879.50
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$69,846.00
|
$121,849.00
|
$95,847.50
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
12
|
5
|
—
|
—
|
$52,640.00
|
$138,989.00
|
$95,814.50
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
12
|
5
|
—
|
—
|
$85,689.00
|
$106,160.00
|
$95,734.25
|
2026-02-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
12
|
5
|
—
|
—
|
$40,518.00
|
$150,800.00
|
$95,659.00
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
5
|
—
|
—
|
$66,749.00
|
$124,115.00
|
$95,432.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
12
|
5
|
—
|
—
|
$72,001.00
|
$116,358.00
|
$94,179.50
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
5
|
—
|
—
|
$64,344.00
|
$122,324.00
|
$93,334.00
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
12
|
5
|
—
|
—
|
$57,143.00
|
$129,367.00
|
$93,255.00
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
12
|
5
|
—
|
—
|
$56,450.00
|
$128,009.00
|
$92,229.50
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
5
|
—
|
—
|
$51,773.00
|
$132,024.00
|
$91,898.50
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$56,294.00
|
$125,241.00
|
$90,767.50
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
12
|
5
|
—
|
—
|
$61,321.00
|
$119,362.00
|
$90,341.50
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$51,668.00
|
$128,917.00
|
$90,292.50
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
48
|
15
|
—
|
—
|
$39,893.22
|
$171,503.00
|
$89,175.00
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
48
|
15
|
—
|
—
|
$45,375.72
|
$171,408.00
|
$89,125.00
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
12
|
5
|
—
|
—
|
$60,072.00
|
$116,890.00
|
$88,481.00
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
12
|
5
|
—
|
—
|
$43,332.00
|
$133,174.00
|
$88,253.00
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
12
|
5
|
—
|
—
|
$70,380.00
|
$105,626.00
|
$88,003.00
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
5
|
—
|
—
|
$68,168.00
|
$107,615.00
|
$87,891.50
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
42
|
14
|
—
|
—
|
$56,078.66
|
$168,805.00
|
$87,772.00
|
2026-02-28
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$53,119.00
|
$122,264.00
|
$87,691.50
|
2026-02-28
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
12
|
5
|
—
|
—
|
$34,181.00
|
$140,647.00
|
$87,414.00
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
12
|
5
|
—
|
—
|
$53,125.00
|
$121,436.00
|
$87,280.50
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
12
|
5
|
—
|
—
|
$48,122.00
|
$126,167.00
|
$87,144.50
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
12
|
5
|
—
|
—
|
$56,303.00
|
$115,106.00
|
$85,704.50
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$68,134.00
|
$102,283.00
|
$85,208.50
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
48
|
15
|
—
|
—
|
$53,496.96
|
$163,149.00
|
$84,831.00
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
12
|
5
|
—
|
—
|
$55,064.00
|
$114,326.00
|
$84,695.00
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
12
|
5
|
—
|
—
|
$64,693.00
|
$103,634.00
|
$84,163.50
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
48
|
15
|
—
|
—
|
$22,692.96
|
$161,366.00
|
$83,904.00
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
12
|
5
|
—
|
—
|
$50,332.00
|
$116,831.00
|
$83,581.50
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
48
|
15
|
—
|
—
|
$41,789.40
|
$160,441.00
|
$83,423.00
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
12
|
5
|
—
|
—
|
$49,155.00
|
$117,246.00
|
$83,200.50
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
12
|
5
|
—
|
—
|
$44,284.00
|
$121,936.00
|
$83,110.00
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
12
|
5
|
—
|
—
|
$52,280.00
|
$113,356.00
|
$82,818.00
|
2026-02-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
5
|
—
|
—
|
$70,860.00
|
$93,865.00
|
$82,362.50
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
48
|
15
|
—
|
—
|
$33,933.36
|
$158,196.00
|
$82,256.00
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
12
|
5
|
—
|
—
|
$57,390.00
|
$106,256.00
|
$81,823.00
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$36,789.36
|
$156,599.00
|
$81,425.00
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
12
|
5
|
—
|
—
|
$68,614.00
|
$94,176.00
|
$81,395.00
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$46,554.00
|
$114,330.00
|
$80,442.00
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
12
|
5
|
—
|
—
|
$48,769.00
|
$111,964.00
|
$80,366.50
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$50,176.00
|
$110,541.00
|
$80,358.50
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$60,418.00
|
$100,287.00
|
$80,352.50
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
12
|
5
|
—
|
—
|
$63,253.00
|
$96,896.00
|
$80,074.50
|
2026-02-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$45,729.00
|
$112,365.00
|
$79,047.00
|
2026-02-28
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
5
|
—
|
—
|
$42,965.00
|
$114,551.00
|
$78,758.00
|
2026-02-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
48
|
15
|
—
|
—
|
$37,121.88
|
$151,068.00
|
$78,549.00
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
12
|
5
|
—
|
—
|
$60,662.00
|
$95,883.00
|
$78,272.50
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
12
|
5
|
—
|
—
|
$48,599.00
|
$107,388.00
|
$77,993.50
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
12
|
5
|
—
|
—
|
$49,809.00
|
$105,287.00
|
$77,548.00
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
12
|
5
|
—
|
—
|
$61,991.00
|
$92,049.00
|
$77,020.00
|
2026-02-28
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
12
|
5
|
—
|
—
|
$41,533.00
|
$110,827.00
|
$76,180.00
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
12
|
5
|
—
|
—
|
$47,475.00
|
$104,020.00
|
$75,747.50
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
12
|
5
|
—
|
—
|
$54,307.00
|
$96,776.00
|
$75,541.50
|
2026-02-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
12
|
5
|
—
|
—
|
$44,131.00
|
$105,396.00
|
$74,763.50
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
14
|
—
|
—
|
$47,755.55
|
$143,752.00
|
$74,745.00
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
5
|
—
|
—
|
$52,642.00
|
$96,652.00
|
$74,647.00
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
42
|
14
|
—
|
—
|
$47,515.52
|
$143,029.00
|
$74,369.00
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
12
|
5
|
—
|
—
|
$44,903.00
|
$102,864.00
|
$73,883.50
|
2026-02-28
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
5
|
—
|
—
|
$43,202.00
|
$104,266.00
|
$73,734.00
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
12
|
5
|
—
|
—
|
$44,327.00
|
$102,448.00
|
$73,387.50
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
48
|
15
|
—
|
—
|
$39,357.72
|
$140,793.00
|
$73,206.00
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$46,047.00
|
$100,176.00
|
$73,111.50
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
5
|
—
|
—
|
$44,847.00
|
$100,980.00
|
$72,913.50
|
2026-02-28
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
12
|
5
|
—
|
—
|
$40,056.00
|
$105,039.00
|
$72,547.50
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$46,829.00
|
$97,930.00
|
$72,379.50
|
2026-02-28
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
12
|
5
|
—
|
—
|
$36,789.00
|
$107,309.00
|
$72,049.00
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
48
|
15
|
—
|
—
|
$34,874.82
|
$138,198.00
|
$71,857.00
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$52,431.00
|
$89,181.00
|
$70,806.00
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
42
|
14
|
—
|
—
|
$45,079.56
|
$135,696.00
|
$70,557.00
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
48
|
15
|
—
|
—
|
$20,373.48
|
$135,174.00
|
$70,285.00
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
48
|
15
|
—
|
—
|
$32,732.82
|
$134,946.00
|
$70,166.00
|
2026-02-28
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
12
|
5
|
—
|
—
|
$30,860.00
|
$109,156.00
|
$70,008.00
|
2026-02-28
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$40,185.00
|
$99,523.00
|
$69,854.00
|
2026-02-28
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
12
|
5
|
—
|
—
|
$54,877.00
|
$84,633.00
|
$69,755.00
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
12
|
5
|
—
|
—
|
$46,561.00
|
$90,756.00
|
$68,658.50
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
5
|
—
|
—
|
$53,621.00
|
$83,627.00
|
$68,624.00
|
2026-02-28
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
12
|
5
|
—
|
—
|
$50,390.00
|
$86,747.00
|
$68,568.50
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
48
|
15
|
—
|
—
|
$34,410.72
|
$130,890.00
|
$68,057.00
|
2026-02-28
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
12
|
5
|
—
|
—
|
$39,173.00
|
$96,871.00
|
$68,022.00
|
2026-02-28
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
12
|
5
|
—
|
—
|
$38,275.00
|
$97,737.00
|
$68,006.00
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
15
|
—
|
—
|
$36,204.90
|
$130,701.00
|
$67,959.00
|
2026-02-28
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
12
|
5
|
—
|
—
|
$41,947.00
|
$93,817.00
|
$67,882.00
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$42,546.00
|
$93,166.00
|
$67,856.00
|
2026-02-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
12
|
5
|
—
|
—
|
$35,944.00
|
$98,916.00
|
$67,430.00
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
5
|
—
|
—
|
$41,234.00
|
$93,144.00
|
$67,189.00
|
2026-02-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
12
|
5
|
—
|
—
|
$37,101.00
|
$96,875.00
|
$66,988.00
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
12
|
5
|
—
|
—
|
$43,775.00
|
$90,100.00
|
$66,937.50
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
48
|
15
|
—
|
—
|
$36,303.84
|
$127,998.00
|
$66,554.00
|
2026-02-28
|
|
33276
|
CPT
|
Hc Insj Phrnc Nrv Stim Sys
|
28
|
10
|
$94,161.00
|
$43,314.06
54% off
|
$22,598.64
|
$77,212.02
|
$66,383.51
|
2026-02-28
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
12
|
5
|
—
|
—
|
$38,592.00
|
$93,553.00
|
$66,072.50
|
2026-02-28
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$46,171.00
|
$85,692.00
|
$65,931.50
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
48
|
15
|
—
|
—
|
$36,583.65
|
$110,122.00
|
$65,848.00
|
2026-02-28
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
12
|
5
|
—
|
—
|
$46,782.00
|
$84,875.00
|
$65,828.50
|
2026-02-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
12
|
5
|
—
|
—
|
$44,060.00
|
$87,535.00
|
$65,797.50
|
2026-02-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
12
|
5
|
—
|
—
|
$48,203.00
|
$83,314.00
|
$65,758.50
|
2026-02-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$46,680.00
|
$84,542.00
|
$65,611.00
|
2026-02-28
|
|
0120
|
EAPG
|
Immunotherapy
|
26
|
10
|
—
|
—
|
$65,239.56
|
$65,891.95
|
$65,565.76
|
2026-02-28
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
12
|
5
|
—
|
—
|
$36,223.00
|
$94,695.00
|
$65,459.00
|
2026-02-28
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
12
|
5
|
—
|
—
|
$40,235.00
|
$90,388.00
|
$65,311.50
|
2026-02-28
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
12
|
5
|
—
|
—
|
$43,351.00
|
$87,206.00
|
$65,278.50
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
42
|
14
|
—
|
—
|
$41,648.52
|
$125,368.00
|
$65,187.00
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
42
|
14
|
—
|
—
|
$41,594.74
|
$125,207.00
|
$65,102.00
|
2026-02-28
|
|
0424T
|
CPT
|
Hc Ins Rplc Nstim System Sleep Apnea Complete
|
36
|
10
|
$94,161.00
|
$43,314.06
54% off
|
$22,598.64
|
$77,212.02
|
$64,886.85
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
48
|
15
|
—
|
—
|
$34,735.08
|
$124,636.00
|
$64,806.00
|
2026-02-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
12
|
5
|
—
|
—
|
$41,694.00
|
$87,614.00
|
$64,654.00
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
48
|
15
|
—
|
—
|
$38,106.18
|
$124,201.00
|
$64,579.00
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
48
|
15
|
—
|
—
|
$38,879.34
|
$123,634.00
|
$64,285.00
|
2026-02-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
12
|
5
|
—
|
—
|
$43,785.00
|
$84,511.00
|
$64,148.00
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
48
|
15
|
—
|
—
|
$23,216.22
|
$123,043.00
|
$63,977.00
|
2026-02-28
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$35,827.00
|
$91,260.00
|
$63,543.50
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
48
|
15
|
—
|
—
|
$40,567.44
|
$122,161.00
|
$63,519.00
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
48
|
15
|
—
|
—
|
$24,745.20
|
$122,161.00
|
$63,519.00
|
2026-02-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
12
|
5
|
—
|
—
|
$44,424.00
|
$81,906.00
|
$63,165.00
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
48
|
15
|
—
|
—
|
$38,879.34
|
$121,248.00
|
$63,044.00
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
12
|
5
|
—
|
—
|
$50,399.00
|
$75,446.00
|
$62,922.50
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
15
|
—
|
—
|
$32,885.82
|
$120,408.00
|
$62,607.00
|
2026-02-28
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
12
|
5
|
—
|
—
|
$42,537.00
|
$82,211.00
|
$62,374.00
|
2026-02-28
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$40,471.00
|
$83,717.00
|
$62,094.00
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$46,047.00
|
$77,833.00
|
$61,940.00
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
48
|
15
|
—
|
—
|
$28,051.02
|
$119,090.00
|
$61,922.00
|
2026-02-28
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$35,591.00
|
$88,053.00
|
$61,822.00
|
2026-02-28
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
12
|
5
|
—
|
—
|
$32,891.00
|
$90,242.00
|
$61,566.50
|
2026-02-28
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
5
|
—
|
—
|
$42,742.00
|
$80,317.00
|
$61,529.50
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
48
|
15
|
—
|
—
|
$35,676.54
|
$117,838.00
|
$61,271.00
|
2026-02-28
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
12
|
5
|
—
|
—
|
$36,139.00
|
$85,367.00
|
$60,753.00
|
2026-02-28
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
5
|
—
|
—
|
$47,526.00
|
$73,925.00
|
$60,725.50
|
2026-02-28
|
|
4214
|
APR_DRG
|
Malnutrition Failure To Thrive And Other Nutritional Disorders
|
12
|
5
|
—
|
—
|
$19,571.00
|
$101,584.00
|
$60,577.50
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
12
|
5
|
—
|
—
|
$41,822.00
|
$79,246.00
|
$60,534.00
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
48
|
15
|
—
|
—
|
$33,524.34
|
$116,160.00
|
$60,398.00
|
2026-02-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
12
|
5
|
—
|
—
|
$34,924.00
|
$85,221.00
|
$60,072.50
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
48
|
15
|
—
|
—
|
$33,676.32
|
$115,466.00
|
$60,037.00
|
2026-02-28
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
12
|
5
|
—
|
—
|
$38,855.00
|
$80,664.00
|
$59,759.50
|
2026-02-28
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$35,667.00
|
$83,516.00
|
$59,591.50
|
2026-02-28
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
12
|
5
|
—
|
—
|
$36,924.00
|
$81,351.00
|
$59,137.50
|
2026-02-28
|
|
7114
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
12
|
5
|
—
|
—
|
$44,421.00
|
$73,779.00
|
$59,100.00
|
2026-02-28
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
12
|
5
|
—
|
—
|
$40,348.00
|
$77,614.00
|
$58,981.00
|
2026-02-28
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
12
|
5
|
—
|
—
|
$33,297.00
|
$84,584.00
|
$58,940.50
|
2026-02-28
|
|
3424
|
APR_DRG
|
Fractures And Dislocations Except Femur Pelvis And Back
|
12
|
5
|
—
|
—
|
$14,995.00
|
$102,799.00
|
$58,897.00
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
12
|
5
|
—
|
—
|
$48,083.00
|
$69,684.00
|
$58,883.50
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
48
|
15
|
—
|
—
|
$21,088.50
|
$112,824.00
|
$58,664.00
|
2026-02-28
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
12
|
5
|
—
|
—
|
$32,479.00
|
$84,286.00
|
$58,382.50
|
2026-02-28
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
12
|
5
|
—
|
—
|
$37,878.00
|
$78,671.00
|
$58,274.50
|
2026-02-28
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
5
|
—
|
—
|
$29,388.00
|
$87,106.00
|
$58,247.00
|
2026-02-28
|
|
3174
|
APR_DRG
|
Tendon Muscle And Other Soft Tissue Procedures
|
12
|
5
|
—
|
—
|
$34,700.00
|
$81,749.00
|
$58,224.50
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
48
|
15
|
—
|
—
|
$37,163.23
|
$111,867.00
|
$58,166.00
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
48
|
15
|
—
|
—
|
$37,163.23
|
$111,867.00
|
$58,166.00
|
2026-02-28
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
5
|
—
|
—
|
$39,501.00
|
$76,555.00
|
$58,028.00
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
14
|
—
|
—
|
$37,007.24
|
$111,397.00
|
$57,922.00
|
2026-02-28
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
12
|
5
|
—
|
—
|
$40,650.00
|
$74,610.00
|
$57,630.00
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
42
|
14
|
—
|
—
|
$36,781.33
|
$110,717.00
|
$57,569.00
|
2026-02-28
|
|
2224
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
12
|
5
|
—
|
—
|
$41,319.00
|
$73,125.00
|
$57,222.00
|
2026-02-28
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
12
|
5
|
—
|
—
|
$38,277.00
|
$75,992.00
|
$57,134.50
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
48
|
15
|
—
|
—
|
$25,663.20
|
$109,871.00
|
$57,129.00
|
2026-02-28
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
12
|
5
|
—
|
—
|
$34,806.00
|
$79,077.00
|
$56,941.50
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
48
|
15
|
—
|
—
|
$32,603.97
|
$98,143.00
|
$56,929.26
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
48
|
15
|
—
|
—
|
$21,013.02
|
$109,311.00
|
$56,837.00
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
48
|
15
|
—
|
—
|
$22,127.88
|
$109,208.00
|
$56,784.00
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
48
|
15
|
—
|
—
|
$31,741.38
|
$109,195.00
|
$56,777.00
|
2026-02-28
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
12
|
5
|
—
|
—
|
$36,750.00
|
$76,612.00
|
$56,681.00
|
2026-02-28
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
5
|
—
|
—
|
$35,575.00
|
$77,640.00
|
$56,607.50
|
2026-02-28
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
12
|
5
|
—
|
—
|
$27,573.00
|
$85,304.00
|
$56,438.50
|
2026-02-28
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
5
|
—
|
—
|
$47,526.00
|
$64,945.00
|
$56,235.50
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
48
|
15
|
—
|
—
|
$29,871.72
|
$107,676.00
|
$55,987.00
|
2026-02-28
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$37,927.00
|
$73,842.00
|
$55,884.50
|
2026-02-28
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
12
|
5
|
—
|
—
|
$38,891.00
|
$72,810.00
|
$55,850.50
|
2026-02-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
48
|
15
|
—
|
—
|
$30,977.54
|
$93,247.00
|
$55,757.00
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$29,660.58
|
$107,200.00
|
$55,740.00
|
2026-02-28
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
12
|
5
|
—
|
—
|
$36,127.00
|
$75,009.00
|
$55,568.00
|
2026-02-28
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
12
|
5
|
—
|
—
|
$29,870.00
|
$80,992.00
|
$55,431.00
|
2026-02-28
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
12
|
5
|
—
|
—
|
$35,945.00
|
$74,810.00
|
$55,377.50
|
2026-02-28
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
12
|
5
|
—
|
—
|
$39,083.00
|
$71,284.00
|
$55,183.50
|
2026-02-28
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
12
|
5
|
—
|
—
|
$30,904.00
|
$78,557.00
|
$54,730.50
|
2026-02-28
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
12
|
5
|
—
|
—
|
$37,420.00
|
$71,865.00
|
$54,642.50
|
2026-02-28
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
12
|
5
|
—
|
—
|
$37,129.00
|
$72,101.00
|
$54,615.00
|
2026-02-28
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$36,120.00
|
$72,822.00
|
$54,471.00
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
42
|
14
|
—
|
—
|
$34,627.09
|
$104,233.00
|
$54,197.00
|
2026-02-28
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
5
|
—
|
—
|
$33,990.00
|
$74,232.00
|
$54,111.00
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
50
|
16
|
—
|
—
|
$24,229.00
|
$103,887.00
|
$54,017.00
|
2026-02-28
|
|
7594
|
APR_DRG
|
Eating Disorders
|
12
|
5
|
—
|
—
|
$41,936.40
|
$65,450.02
|
$53,693.21
|
2026-02-28
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
12
|
5
|
—
|
—
|
$31,832.00
|
$75,411.00
|
$53,621.50
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
48
|
15
|
—
|
—
|
$21,742.32
|
$103,110.00
|
$53,613.00
|
2026-02-28
|
|
6924
|
APR_DRG
|
Radiotherapy
|
12
|
5
|
—
|
—
|
$32,823.00
|
$74,173.00
|
$53,498.00
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
48
|
15
|
—
|
—
|
$21,029.34
|
$102,794.00
|
$53,449.00
|
2026-02-28
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
12
|
5
|
—
|
—
|
$35,704.00
|
$71,121.00
|
$53,412.50
|
2026-02-28
|
|
2524
|
APR_DRG
|
Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure
|
12
|
5
|
—
|
—
|
$21,312.00
|
$85,243.00
|
$53,277.50
|
2026-02-28
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
12
|
5
|
—
|
—
|
$36,156.00
|
$70,367.00
|
$53,261.50
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
48
|
15
|
—
|
—
|
$28,195.86
|
$101,942.00
|
$53,006.00
|
2026-02-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
48
|
15
|
—
|
—
|
$19,283.10
|
$101,341.00
|
$52,693.00
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
42
|
14
|
—
|
—
|
$33,640.07
|
$101,262.00
|
$52,652.00
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
48
|
15
|
—
|
—
|
$23,049.96
|
$101,221.00
|
$52,631.00
|
2026-02-28
|
|
0246
|
EAPG
|
No Active Code Description
|
26
|
10
|
—
|
—
|
$52,343.27
|
$52,866.70
|
$52,604.99
|
2026-02-28
|
|
1763
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
12
|
5
|
—
|
—
|
$27,688.00
|
$77,329.00
|
$52,508.50
|
2026-02-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$27,649.00
|
$100,857.00
|
$52,442.00
|
2026-02-28
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
5
|
—
|
—
|
$34,875.00
|
$69,920.00
|
$52,397.50
|
2026-02-28
|