|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
13
|
8
|
$596,755.00
|
$250,637.10
58% off
|
$95,480.80
|
$507,241.75
|
$358,053.00
|
2026-02-28
|
|
J2351
|
HCPCS
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln
|
13
|
8
|
$206,409.59
|
$86,692.03
58% off
|
$33,025.54
|
$175,448.16
|
$123,845.76
|
2026-02-28
|
|
C9293
|
HCPCS
|
Glucarpidase 1000 Unit Intravenous Solution
|
13
|
8
|
$205,870.00
|
$86,465.40
58% off
|
$32,939.20
|
$174,989.50
|
$123,522.00
|
2026-02-28
|
|
J1747
|
HCPCS
|
Spesolimab-sbzo 60 Mg/ml Intravenous Solution
|
13
|
8
|
$127,832.52
|
$53,689.66
58% off
|
$20,453.21
|
$108,657.65
|
$76,699.52
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
7
|
6
|
—
|
—
|
$371,506.00
|
$764,779.00
|
$568,142.50
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
31
|
20
|
—
|
—
|
$234,161.40
|
$775,375.00
|
$504,768.20
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
6
|
—
|
—
|
$286,233.00
|
$649,473.00
|
$467,853.00
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
6
|
—
|
—
|
$254,507.00
|
$670,064.00
|
$462,285.50
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
6
|
—
|
—
|
$216,261.00
|
$579,363.00
|
$397,812.00
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
31
|
20
|
—
|
—
|
$184,022.28
|
$579,140.00
|
$381,581.14
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
7
|
6
|
—
|
—
|
$322,101.00
|
$429,468.00
|
$375,784.50
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$180,767.00
|
$566,740.00
|
$373,753.50
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
6
|
—
|
—
|
$156,620.00
|
$584,358.00
|
$370,489.00
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
7
|
6
|
—
|
—
|
$224,625.00
|
$413,363.00
|
$318,994.00
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
6
|
—
|
—
|
$138,093.00
|
$488,132.00
|
$313,112.50
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
31
|
20
|
—
|
—
|
$131,924.76
|
$487,741.00
|
$309,832.88
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
6
|
—
|
—
|
$176,653.00
|
$438,402.00
|
$307,527.50
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
6
|
—
|
—
|
$165,599.00
|
$426,417.00
|
$296,008.00
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
7
|
6
|
—
|
—
|
$215,384.00
|
$371,145.00
|
$293,264.50
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$130,511.00
|
$421,104.00
|
$275,807.50
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
31
|
20
|
—
|
—
|
$97,079.52
|
$440,634.00
|
$268,856.76
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$166,902.00
|
$368,042.00
|
$267,472.00
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
6
|
—
|
—
|
$196,083.00
|
$329,254.00
|
$262,668.50
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
6
|
—
|
—
|
$72,811.00
|
$452,230.00
|
$262,520.50
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
6
|
—
|
—
|
$148,833.00
|
$341,114.00
|
$244,973.50
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
6
|
—
|
—
|
$176,171.00
|
$312,770.00
|
$244,470.50
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
7
|
6
|
—
|
—
|
$81,249.00
|
$395,336.00
|
$238,292.50
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$95,783.00
|
$371,663.00
|
$233,723.00
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
7
|
6
|
—
|
—
|
$113,103.00
|
$349,979.00
|
$231,541.00
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
7
|
6
|
—
|
—
|
$120,235.00
|
$338,013.00
|
$229,124.00
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
6
|
—
|
—
|
$194,622.75
|
$259,497.00
|
$227,059.88
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
6
|
—
|
—
|
$147,940.00
|
$304,274.00
|
$226,107.00
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
6
|
—
|
—
|
$88,744.00
|
$356,265.00
|
$222,504.50
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
6
|
—
|
—
|
$117,634.00
|
$314,972.00
|
$216,303.00
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
6
|
—
|
—
|
$89,525.00
|
$342,536.00
|
$216,030.50
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
7
|
6
|
—
|
—
|
$109,011.00
|
$318,164.00
|
$213,587.50
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
6
|
—
|
—
|
$177,446.00
|
$238,560.00
|
$208,003.00
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
6
|
—
|
—
|
$176,541.75
|
$235,389.00
|
$205,965.38
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
7
|
6
|
—
|
—
|
$103,782.00
|
$303,013.00
|
$203,397.50
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
6
|
—
|
—
|
$120,058.00
|
$285,564.00
|
$202,811.00
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
6
|
—
|
—
|
$153,875.00
|
$250,577.00
|
$202,226.00
|
2026-02-28
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$67,252.00
|
$334,496.00
|
$200,874.00
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$123,752.00
|
$270,693.00
|
$197,222.50
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
7
|
6
|
—
|
—
|
$141,279.00
|
$249,735.00
|
$195,507.00
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
6
|
—
|
—
|
$71,074.00
|
$312,471.00
|
$191,772.50
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$96,960.00
|
$284,488.00
|
$190,724.00
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
6
|
—
|
—
|
$109,447.00
|
$269,462.00
|
$189,454.50
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$113,875.00
|
$261,468.00
|
$187,671.50
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
31
|
20
|
—
|
—
|
$89,361.38
|
$268,695.00
|
$179,028.19
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
31
|
20
|
—
|
—
|
$87,839.34
|
$269,373.00
|
$178,606.17
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
7
|
6
|
—
|
—
|
$114,071.00
|
$241,578.00
|
$177,824.50
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
31
|
20
|
—
|
—
|
$63,636.78
|
$290,513.00
|
$177,074.89
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
7
|
6
|
—
|
—
|
$54,830.00
|
$294,227.00
|
$174,528.50
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
6
|
—
|
—
|
$66,347.00
|
$277,273.00
|
$171,810.00
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
28
|
19
|
—
|
—
|
$74,489.93
|
$223,979.00
|
$166,857.42
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$100,591.00
|
$225,450.00
|
$163,020.50
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
7
|
6
|
—
|
—
|
$76,890.00
|
$248,148.00
|
$162,519.00
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$92,261.00
|
$232,376.00
|
$162,318.50
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
19
|
—
|
—
|
$71,628.33
|
$215,374.00
|
$160,447.66
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
6
|
—
|
—
|
$91,959.00
|
$227,750.00
|
$159,854.50
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
7
|
6
|
—
|
—
|
$50,287.00
|
$264,222.00
|
$157,254.50
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
6
|
—
|
—
|
$96,446.00
|
$217,947.00
|
$157,196.50
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
7
|
6
|
—
|
—
|
$97,663.00
|
$208,945.00
|
$153,304.00
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
6
|
—
|
—
|
$58,530.00
|
$247,159.00
|
$152,844.50
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
31
|
20
|
—
|
—
|
$75,350.12
|
$226,565.00
|
$150,957.56
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
7
|
6
|
—
|
—
|
$62,955.00
|
$238,094.00
|
$150,524.50
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
7
|
6
|
—
|
—
|
$71,236.00
|
$229,734.00
|
$150,485.00
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
6
|
—
|
—
|
$85,355.00
|
$213,143.00
|
$149,249.00
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
7
|
6
|
—
|
—
|
$70,006.00
|
$227,342.00
|
$148,674.00
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
7
|
6
|
—
|
—
|
$74,184.00
|
$220,132.00
|
$147,158.00
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
6
|
—
|
—
|
$95,323.00
|
$198,785.00
|
$147,054.00
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
31
|
20
|
—
|
—
|
$72,818.10
|
$218,952.00
|
$145,885.05
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$74,126.00
|
$211,509.00
|
$142,817.50
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
4
|
—
|
—
|
$122,031.00
|
$162,708.00
|
$142,369.50
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
6
|
—
|
—
|
$47,927.00
|
$235,721.00
|
$141,824.00
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
7
|
6
|
—
|
—
|
$76,177.00
|
$207,151.00
|
$141,664.00
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
28
|
19
|
—
|
—
|
$62,988.81
|
$189,397.00
|
$141,094.70
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
7
|
6
|
—
|
—
|
$54,725.00
|
$216,895.00
|
$135,810.00
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
6
|
—
|
—
|
$77,630.00
|
$192,163.00
|
$134,896.50
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
31
|
20
|
—
|
—
|
$51,613.02
|
$217,829.00
|
$134,721.01
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
6
|
—
|
—
|
$98,411.00
|
$169,135.00
|
$133,773.00
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
7
|
6
|
—
|
—
|
$67,166.00
|
$199,425.00
|
$133,295.50
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
6
|
—
|
—
|
$54,753.00
|
$211,139.00
|
$132,946.00
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
20
|
—
|
—
|
$65,991.96
|
$198,427.00
|
$132,209.48
|
2026-02-28
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
7
|
6
|
—
|
—
|
$42,771.00
|
$220,756.00
|
$131,763.50
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
6
|
—
|
—
|
$81,547.00
|
$177,925.00
|
$129,736.00
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
19
|
—
|
—
|
$57,031.07
|
$171,483.00
|
$127,749.68
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$69,517.00
|
$184,879.00
|
$127,198.00
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$68,242.00
|
$185,859.00
|
$127,050.50
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$87,870.00
|
$164,836.00
|
$126,353.00
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
7
|
6
|
—
|
—
|
$72,485.00
|
$175,759.00
|
$124,122.00
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
7
|
6
|
—
|
—
|
$72,023.00
|
$169,389.00
|
$120,706.00
|
2026-02-28
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
7
|
6
|
—
|
—
|
$38,787.00
|
$198,724.00
|
$118,755.50
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$74,163.00
|
$163,028.00
|
$118,595.50
|
2026-02-28
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
7
|
6
|
—
|
—
|
$51,198.00
|
$185,423.00
|
$118,310.50
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
7
|
6
|
—
|
—
|
$61,218.00
|
$169,041.00
|
$115,129.50
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
7
|
6
|
—
|
—
|
$46,669.00
|
$182,638.00
|
$114,653.50
|
2026-02-28
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
6
|
—
|
—
|
$25,662.00
|
$202,905.00
|
$114,283.50
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
7
|
6
|
—
|
—
|
$57,686.00
|
$170,314.00
|
$114,000.00
|
2026-02-28
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
7
|
6
|
—
|
—
|
$39,907.00
|
$185,235.00
|
$112,571.00
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
6
|
—
|
—
|
$94,971.00
|
$129,923.00
|
$112,447.00
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
6
|
—
|
—
|
$54,107.00
|
$170,409.00
|
$112,258.00
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
7
|
6
|
—
|
—
|
$66,052.00
|
$156,880.00
|
$111,466.00
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
6
|
—
|
—
|
$65,130.00
|
$156,098.00
|
$110,614.00
|
2026-02-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
6
|
—
|
—
|
$40,518.00
|
$180,312.00
|
$110,415.00
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
31
|
20
|
—
|
—
|
$45,375.72
|
$174,127.00
|
$109,751.36
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
31
|
20
|
—
|
—
|
$53,496.96
|
$165,736.00
|
$109,616.48
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
7
|
6
|
—
|
—
|
$52,640.00
|
$166,190.00
|
$109,415.00
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
7
|
6
|
—
|
—
|
$58,513.00
|
$159,646.00
|
$109,079.50
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
7
|
6
|
—
|
—
|
$64,749.00
|
$153,092.00
|
$108,920.50
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
19
|
—
|
—
|
$48,566.60
|
$146,032.00
|
$108,789.26
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
6
|
—
|
—
|
$74,241.00
|
$142,687.00
|
$108,464.00
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
19
|
—
|
—
|
$48,322.49
|
$145,298.00
|
$108,242.24
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
7
|
6
|
—
|
—
|
$67,384.00
|
$148,716.00
|
$108,050.00
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
6
|
—
|
—
|
$69,846.00
|
$145,695.00
|
$107,770.50
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
7
|
6
|
—
|
—
|
$66,749.00
|
$148,405.00
|
$107,577.00
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
31
|
20
|
—
|
—
|
$39,893.22
|
$174,223.00
|
$107,058.11
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
7
|
6
|
—
|
—
|
$85,689.00
|
$126,935.00
|
$106,312.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
7
|
6
|
—
|
—
|
$72,001.00
|
$139,130.00
|
$105,565.50
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
7
|
6
|
—
|
—
|
$64,344.00
|
$146,263.00
|
$105,303.50
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
6
|
—
|
—
|
$51,773.00
|
$157,861.00
|
$104,817.00
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
7
|
6
|
—
|
—
|
$56,450.00
|
$153,061.00
|
$104,755.50
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$56,294.00
|
$149,751.00
|
$103,022.50
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
28
|
19
|
—
|
—
|
$45,845.17
|
$137,849.00
|
$102,693.19
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
31
|
20
|
—
|
—
|
$41,789.40
|
$162,985.00
|
$102,387.20
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
7
|
6
|
—
|
—
|
$61,321.00
|
$142,722.00
|
$102,021.50
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
7
|
6
|
—
|
—
|
$43,332.00
|
$159,236.00
|
$101,284.00
|
2026-02-28
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
6
|
—
|
—
|
$34,181.00
|
$168,172.00
|
$101,176.50
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
7
|
6
|
—
|
—
|
$60,072.00
|
$139,765.00
|
$99,918.50
|
2026-02-28
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$53,119.00
|
$146,192.00
|
$99,655.50
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
7
|
6
|
—
|
—
|
$48,122.00
|
$150,858.00
|
$99,490.00
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
7
|
6
|
—
|
—
|
$53,125.00
|
$145,201.00
|
$99,163.00
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
6
|
—
|
—
|
$68,168.00
|
$128,675.00
|
$98,421.50
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
7
|
6
|
—
|
—
|
$70,380.00
|
$126,297.00
|
$98,338.50
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
7
|
6
|
—
|
—
|
$57,143.00
|
$139,443.00
|
$98,293.00
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
20
|
—
|
—
|
$36,789.36
|
$159,083.00
|
$97,936.18
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
31
|
20
|
—
|
—
|
$33,933.36
|
$160,705.00
|
$97,319.18
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
7
|
6
|
—
|
—
|
$56,303.00
|
$137,632.00
|
$96,967.50
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
7
|
6
|
—
|
—
|
$55,064.00
|
$136,700.00
|
$95,882.00
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
7
|
6
|
—
|
—
|
$51,668.00
|
$138,958.00
|
$95,313.00
|
2026-02-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
31
|
20
|
—
|
—
|
$37,121.88
|
$153,464.00
|
$95,292.94
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$68,134.00
|
$122,300.00
|
$95,217.00
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
7
|
6
|
—
|
—
|
$44,284.00
|
$145,799.00
|
$95,041.50
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
7
|
6
|
—
|
—
|
$50,332.00
|
$139,695.00
|
$95,013.50
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
28
|
19
|
—
|
—
|
$42,355.85
|
$127,357.00
|
$94,876.93
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
31
|
20
|
—
|
—
|
$22,692.96
|
$163,925.00
|
$94,855.00
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
28
|
19
|
—
|
—
|
$42,301.15
|
$127,192.00
|
$94,754.76
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
7
|
6
|
—
|
—
|
$49,155.00
|
$140,191.00
|
$94,673.00
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
7
|
6
|
—
|
—
|
$64,693.00
|
$123,915.00
|
$94,304.00
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
7
|
6
|
—
|
—
|
$52,280.00
|
$135,540.00
|
$93,910.00
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
7
|
6
|
—
|
—
|
$57,390.00
|
$127,051.00
|
$92,220.50
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
7
|
6
|
—
|
—
|
$46,554.00
|
$136,705.00
|
$91,629.50
|
2026-02-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
6
|
—
|
—
|
$70,860.00
|
$112,234.00
|
$91,547.00
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
7
|
6
|
—
|
—
|
$48,769.00
|
$133,875.00
|
$91,322.00
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
31
|
20
|
—
|
—
|
$39,357.72
|
$143,026.00
|
$91,191.86
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
7
|
6
|
—
|
—
|
$68,614.00
|
$112,606.00
|
$90,610.00
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$60,418.00
|
$119,913.00
|
$90,165.50
|
2026-02-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$45,729.00
|
$134,356.00
|
$90,042.50
|
2026-02-28
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
6
|
—
|
—
|
$42,965.00
|
$136,969.00
|
$89,967.00
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
7
|
6
|
—
|
—
|
$63,253.00
|
$115,859.00
|
$89,556.00
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
7
|
6
|
—
|
—
|
$48,599.00
|
$128,404.00
|
$88,501.50
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
6
|
—
|
—
|
$49,809.00
|
$125,893.00
|
$87,851.00
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
7
|
6
|
—
|
—
|
$60,662.00
|
$114,647.00
|
$87,654.50
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
31
|
20
|
—
|
—
|
$34,874.82
|
$140,390.00
|
$87,632.41
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
6
|
—
|
—
|
$61,991.00
|
$110,064.00
|
$86,027.50
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
7
|
6
|
—
|
—
|
$47,475.00
|
$124,377.00
|
$85,926.00
|
2026-02-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
7
|
6
|
—
|
—
|
$44,131.00
|
$126,022.00
|
$85,076.50
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
7
|
6
|
—
|
—
|
$54,307.00
|
$115,716.00
|
$85,011.50
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
31
|
20
|
—
|
—
|
$32,732.82
|
$137,086.00
|
$84,909.41
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
31
|
20
|
—
|
—
|
$37,204.97
|
$111,869.00
|
$84,827.00
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
7
|
6
|
—
|
—
|
$50,176.00
|
$119,150.00
|
$84,663.00
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
20
|
—
|
—
|
$36,204.90
|
$132,774.00
|
$84,489.45
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
19
|
—
|
—
|
$37,635.75
|
$113,164.00
|
$84,303.82
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
6
|
—
|
—
|
$52,642.00
|
$115,567.00
|
$84,104.50
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
7
|
6
|
—
|
—
|
$44,903.00
|
$122,995.00
|
$83,949.00
|
2026-02-28
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
6
|
—
|
—
|
$43,202.00
|
$124,671.00
|
$83,936.50
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
28
|
19
|
—
|
—
|
$37,406.00
|
$112,473.00
|
$83,789.60
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
31
|
20
|
—
|
—
|
$34,410.72
|
$132,966.00
|
$83,688.36
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
7
|
6
|
—
|
—
|
$44,327.00
|
$122,498.00
|
$83,412.50
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
31
|
20
|
—
|
—
|
$36,303.84
|
$130,028.00
|
$83,165.92
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
6
|
—
|
—
|
$46,047.00
|
$119,781.00
|
$82,914.00
|
2026-02-28
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
6
|
—
|
—
|
$40,056.00
|
$125,596.00
|
$82,826.00
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
6
|
—
|
—
|
$44,847.00
|
$120,742.00
|
$82,794.50
|
2026-02-28
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
7
|
6
|
—
|
—
|
$36,789.00
|
$128,310.00
|
$82,549.50
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
31
|
20
|
—
|
—
|
$40,567.44
|
$124,098.00
|
$82,332.72
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
31
|
20
|
—
|
—
|
$38,879.34
|
$125,595.00
|
$82,237.17
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
31
|
20
|
—
|
—
|
$38,106.18
|
$126,171.00
|
$82,138.59
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$46,829.00
|
$117,095.00
|
$81,962.00
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
31
|
20
|
—
|
—
|
$38,879.34
|
$123,171.00
|
$81,025.17
|
2026-02-28
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
7
|
6
|
—
|
—
|
$30,860.00
|
$130,518.00
|
$80,689.00
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
31
|
20
|
—
|
—
|
$34,735.08
|
$126,613.00
|
$80,674.04
|
2026-02-28
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
7
|
6
|
—
|
—
|
$41,533.00
|
$119,459.00
|
$80,496.00
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
6
|
—
|
—
|
$52,431.00
|
$106,634.00
|
$79,532.50
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
31
|
20
|
—
|
—
|
$20,373.48
|
$137,318.00
|
$79,459.00
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
28
|
19
|
—
|
—
|
$35,215.18
|
$105,886.00
|
$78,882.20
|
2026-02-28
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
7
|
6
|
—
|
—
|
$54,877.00
|
$101,196.00
|
$78,036.50
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
31
|
20
|
—
|
—
|
$35,676.54
|
$119,706.00
|
$77,691.27
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
20
|
—
|
—
|
$32,885.82
|
$122,318.00
|
$77,601.91
|
2026-02-28
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
7
|
6
|
—
|
—
|
$38,275.00
|
$116,865.00
|
$77,570.00
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
7
|
6
|
—
|
—
|
$46,561.00
|
$108,517.00
|
$77,539.00
|
2026-02-28
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
7
|
6
|
—
|
—
|
$39,173.00
|
$115,829.00
|
$77,501.00
|
2026-02-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
7
|
6
|
—
|
—
|
$35,944.00
|
$118,275.00
|
$77,109.50
|
2026-02-28
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
7
|
6
|
—
|
—
|
$41,947.00
|
$112,178.00
|
$77,062.50
|
2026-02-28
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
7
|
6
|
—
|
—
|
$50,390.00
|
$103,724.00
|
$77,057.00
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$42,546.00
|
$111,398.00
|
$76,972.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
6
|
—
|
—
|
$53,621.00
|
$99,993.00
|
$76,807.00
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
19
|
—
|
—
|
$34,211.39
|
$102,868.00
|
$76,633.53
|
2026-02-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
7
|
6
|
—
|
—
|
$37,101.00
|
$115,833.00
|
$76,467.00
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
7
|
6
|
—
|
—
|
$41,234.00
|
$111,372.00
|
$76,303.00
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
31
|
20
|
—
|
—
|
$33,524.34
|
$118,002.00
|
$75,763.17
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
7
|
6
|
—
|
—
|
$43,775.00
|
$107,733.00
|
$75,754.00
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
31
|
20
|
—
|
—
|
$37,794.38
|
$113,641.00
|
$75,717.69
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
31
|
20
|
—
|
—
|
$37,794.38
|
$113,641.00
|
$75,717.69
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
31
|
20
|
—
|
—
|
$33,676.32
|
$117,297.00
|
$75,486.66
|
2026-02-28
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
7
|
6
|
—
|
—
|
$38,592.00
|
$111,862.00
|
$75,227.00
|
2026-02-28
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
7
|
6
|
—
|
—
|
$36,223.00
|
$113,228.00
|
$74,725.50
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
31
|
20
|
—
|
—
|
$28,051.02
|
$120,979.00
|
$74,515.01
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
31
|
20
|
—
|
—
|
$24,745.20
|
$124,098.00
|
$74,421.60
|
2026-02-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
7
|
6
|
—
|
—
|
$44,060.00
|
$104,666.00
|
$74,363.00
|
2026-02-28
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$46,171.00
|
$102,462.00
|
$74,316.50
|
2026-02-28
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
7
|
6
|
—
|
—
|
$40,235.00
|
$108,077.00
|
$74,156.00
|
2026-02-28
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
7
|
6
|
—
|
—
|
$46,782.00
|
$101,485.00
|
$74,133.50
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
31
|
20
|
—
|
—
|
$23,216.22
|
$124,995.00
|
$74,105.61
|
2026-02-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
7
|
6
|
—
|
—
|
$48,203.00
|
$99,618.00
|
$73,910.50
|
2026-02-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$46,680.00
|
$101,087.00
|
$73,883.50
|
2026-02-28
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
7
|
6
|
—
|
—
|
$43,351.00
|
$104,273.00
|
$73,812.00
|
2026-02-28
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
7
|
6
|
—
|
—
|
$40,185.00
|
$107,274.00
|
$73,729.50
|
2026-02-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
7
|
6
|
—
|
—
|
$41,694.00
|
$104,760.00
|
$73,227.00
|
2026-02-28
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$35,827.00
|
$109,120.00
|
$72,473.50
|
2026-02-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
7
|
6
|
—
|
—
|
$43,785.00
|
$101,050.00
|
$72,417.50
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
31
|
20
|
—
|
—
|
$31,741.38
|
$110,927.00
|
$71,334.19
|
2026-02-28
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
28
|
19
|
—
|
—
|
$31,808.60
|
$95,643.00
|
$71,251.46
|
2026-02-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
7
|
6
|
—
|
—
|
$44,424.00
|
$97,935.00
|
$71,179.50
|
2026-02-28
|
|
4214
|
APR_DRG
|
Malnutrition Failure To Thrive And Other Nutritional Disorders
|
7
|
6
|
—
|
—
|
$19,571.00
|
$121,464.00
|
$70,517.50
|
2026-02-28
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$35,591.00
|
$105,285.00
|
$70,438.00
|
2026-02-28
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
7
|
6
|
—
|
—
|
$42,537.00
|
$98,300.00
|
$70,418.50
|
2026-02-28
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
6
|
—
|
—
|
$32,891.00
|
$107,903.00
|
$70,397.00
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
7
|
6
|
—
|
—
|
$50,399.00
|
$90,211.00
|
$70,305.00
|
2026-02-28
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
7
|
6
|
—
|
—
|
$40,471.00
|
$100,101.00
|
$70,286.00
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
31
|
20
|
—
|
—
|
$29,871.72
|
$109,383.00
|
$69,627.36
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
6
|
—
|
—
|
$46,047.00
|
$93,065.00
|
$69,556.00
|
2026-02-28
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
7
|
6
|
—
|
—
|
$42,742.00
|
$96,036.00
|
$69,389.00
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
20
|
—
|
—
|
$29,660.58
|
$108,900.00
|
$69,280.29
|
2026-02-28
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
7
|
6
|
—
|
—
|
$36,139.00
|
$102,074.00
|
$69,106.50
|
2026-02-28
|
|
3424
|
APR_DRG
|
Fractures And Dislocations Except Femur Pelvis And Back
|
7
|
6
|
—
|
—
|
$14,995.00
|
$122,917.00
|
$68,956.00
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
31
|
20
|
—
|
—
|
$25,663.20
|
$111,614.00
|
$68,638.60
|
2026-02-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
7
|
6
|
—
|
—
|
$34,924.00
|
$101,900.00
|
$68,412.00
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
7
|
6
|
—
|
—
|
$41,822.00
|
$94,755.00
|
$68,288.50
|
2026-02-28
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
7
|
6
|
—
|
—
|
$47,526.00
|
$88,392.00
|
$67,959.00
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
31
|
20
|
—
|
—
|
$21,088.50
|
$114,614.00
|
$67,851.25
|
2026-02-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
31
|
20
|
—
|
—
|
$33,147.96
|
$102,457.00
|
$67,802.48
|
2026-02-28
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
6
|
—
|
—
|
$35,667.00
|
$99,861.00
|
$67,764.00
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
31
|
20
|
—
|
—
|
$29,772.78
|
$105,534.00
|
$67,653.39
|
2026-02-28
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
7
|
6
|
—
|
—
|
$38,855.00
|
$96,450.00
|
$67,652.50
|
2026-02-28
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
31
|
20
|
—
|
—
|
$29,525.47
|
$221,666.00
|
$67,318.00
|
2026-02-28
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
7
|
6
|
—
|
—
|
$33,297.00
|
$101,137.00
|
$67,217.00
|
2026-02-28
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
7
|
6
|
—
|
—
|
$36,924.00
|
$97,271.00
|
$67,097.50
|
2026-02-28
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
6
|
—
|
—
|
$29,388.00
|
$104,152.00
|
$66,770.00
|
2026-02-28
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
7
|
6
|
—
|
—
|
$32,479.00
|
$100,781.00
|
$66,630.00
|
2026-02-28
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
7
|
6
|
—
|
—
|
$40,348.00
|
$92,803.00
|
$66,575.50
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
31
|
20
|
—
|
—
|
$22,127.88
|
$110,940.00
|
$66,533.94
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
31
|
20
|
—
|
—
|
$33,157.69
|
$99,700.00
|
$66,428.85
|
2026-02-28
|
|
7114
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
7
|
6
|
—
|
—
|
$44,421.00
|
$88,218.00
|
$66,319.50
|
2026-02-28
|
|
3174
|
APR_DRG
|
Tendon Muscle And Other Soft Tissue Procedures
|
7
|
6
|
—
|
—
|
$34,700.00
|
$97,747.00
|
$66,223.50
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
31
|
20
|
—
|
—
|
$21,013.02
|
$111,045.00
|
$66,029.01
|
2026-02-28
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
7
|
6
|
—
|
—
|
$37,878.00
|
$94,067.00
|
$65,972.50
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
31
|
20
|
—
|
—
|
$28,195.86
|
$103,559.00
|
$65,877.43
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
7
|
6
|
—
|
—
|
$48,083.00
|
$83,321.00
|
$65,702.00
|
2026-02-28
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
6
|
—
|
—
|
$39,501.00
|
$91,537.00
|
$65,519.00
|
2026-02-28
|
|
0120
|
EAPG
|
Immunotherapy
|
9
|
8
|
—
|
—
|
$65,239.56
|
$65,239.56
|
$65,239.56
|
2026-02-28
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
28
|
19
|
—
|
—
|
$29,124.78
|
$87,573.00
|
$65,239.26
|
2026-02-28
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
7
|
6
|
—
|
—
|
$40,650.00
|
$89,211.00
|
$64,930.50
|
2026-02-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
31
|
20
|
—
|
—
|
$31,595.52
|
$98,184.00
|
$64,889.76
|
2026-02-28
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
7
|
6
|
—
|
—
|
$27,573.00
|
$101,998.00
|
$64,785.50
|
2026-02-28
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
7
|
6
|
—
|
—
|
$34,806.00
|
$94,552.00
|
$64,679.00
|
2026-02-28
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
7
|
6
|
—
|
—
|
$38,277.00
|
$90,864.00
|
$64,570.50
|
2026-02-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
31
|
20
|
—
|
—
|
$32,169.64
|
$96,729.00
|
$64,449.32
|
2026-02-28
|
|
2224
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
7
|
6
|
—
|
—
|
$41,319.00
|
$87,436.00
|
$64,377.50
|
2026-02-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
31
|
20
|
—
|
—
|
$28,196.88
|
$100,473.00
|
$64,334.94
|
2026-02-28
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
6
|
—
|
—
|
$35,575.00
|
$92,834.00
|
$64,204.50
|
2026-02-28
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
7
|
6
|
—
|
—
|
$36,750.00
|
$91,605.00
|
$64,177.50
|
2026-02-28
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
7
|
6
|
—
|
—
|
$29,870.00
|
$96,843.00
|
$63,356.50
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
31
|
20
|
—
|
—
|
$21,742.32
|
$104,745.00
|
$63,243.66
|
2026-02-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
31
|
20
|
—
|
—
|
$31,503.64
|
$94,726.00
|
$63,114.82
|
2026-02-28
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
7
|
6
|
—
|
—
|
$37,927.00
|
$88,293.00
|
$63,110.00
|
2026-02-28
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
7
|
6
|
—
|
—
|
$38,891.00
|
$87,059.00
|
$62,975.00
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
31
|
20
|
—
|
—
|
$23,049.96
|
$102,827.00
|
$62,938.48
|
2026-02-28
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
7
|
6
|
—
|
—
|
$36,127.00
|
$89,689.00
|
$62,908.00
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
31
|
20
|
—
|
—
|
$21,029.34
|
$104,424.00
|
$62,726.67
|
2026-02-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
31
|
20
|
—
|
—
|
$25,581.60
|
$99,866.00
|
$62,723.80
|
2026-02-28
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
7
|
6
|
—
|
—
|
$35,945.00
|
$89,451.00
|
$62,698.00
|
2026-02-28
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
7
|
6
|
—
|
—
|
$47,526.00
|
$77,655.00
|
$62,590.50
|
2026-02-28
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
28
|
19
|
—
|
—
|
$27,922.02
|
$83,957.00
|
$62,545.22
|
2026-02-28
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
7
|
6
|
—
|
—
|
$30,904.00
|
$93,931.00
|
$62,417.50
|
2026-02-28
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
7
|
6
|
—
|
—
|
$39,083.00
|
$85,235.00
|
$62,159.00
|
2026-02-28
|
|
460
|
MS_DRG
|
No Active Code Description
|
7
|
7
|
—
|
—
|
$19,687.02
|
$104,546.00
|
$62,116.51
|
2026-02-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
31
|
20
|
—
|
—
|
$26,008.98
|
$97,740.00
|
$61,874.49
|
2026-02-28
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
7
|
6
|
—
|
—
|
$37,420.00
|
$85,929.00
|
$61,674.50
|
2026-02-28
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
7
|
6
|
—
|
—
|
$37,129.00
|
$86,212.00
|
$61,670.50
|
2026-02-28
|
|
2524
|
APR_DRG
|
Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure
|
7
|
6
|
—
|
—
|
$21,312.00
|
$101,925.00
|
$61,618.50
|
2026-02-28
|