|
5834
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$340,988.00
|
$605,663.92
|
$585,475.12
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$228,035.00
|
$527,455.31
|
$509,873.46
|
2026-07-15
|
|
75987-0150-03
|
NDC
|
Uplizna
|
68
|
19
|
$657,438.50
|
$657,438.50
|
$106,529.10
|
$664,913.00
|
$459,589.54
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$326,243.00
|
$451,747.19
|
$436,688.94
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$267,370.00
|
$416,672.58
|
$402,783.49
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$281,226.00
|
$403,664.84
|
$390,209.35
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$121,632.00
|
$330,990.91
|
$319,957.88
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$276,979.57
|
$313,561.78
|
$308,335.75
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$111,427.00
|
$315,741.10
|
$305,216.40
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$145,229.00
|
$307,051.86
|
$296,816.80
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
5
|
5
|
—
|
—
|
$259,430.00
|
$299,261.17
|
$289,285.80
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
5
|
—
|
—
|
$225,080.00
|
$296,973.68
|
$287,074.56
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
5
|
5
|
—
|
—
|
$259,709.66
|
$294,010.94
|
$284,210.57
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$243,741.00
|
$289,737.85
|
$280,079.93
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
5
|
5
|
—
|
—
|
$128,930.00
|
$288,835.78
|
$279,207.92
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
5
|
—
|
—
|
$189,192.00
|
$285,532.79
|
$276,015.03
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$119,369.00
|
$282,032.74
|
$272,631.64
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$237,578.59
|
$268,956.90
|
$264,474.29
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$109,469.00
|
$268,040.89
|
$259,106.19
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$230,844.86
|
$261,333.80
|
$256,978.24
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$178,370.00
|
$255,481.58
|
$246,965.53
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$210,436.00
|
$253,352.92
|
$244,907.81
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$69,284.00
|
$253,206.30
|
$244,766.09
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
5
|
5
|
—
|
—
|
$191,666.00
|
$263,982.43
|
$238,033.36
|
2026-07-15
|
|
25682-0028-01
|
NDC
|
Ultomiris
|
108
|
19
|
$341,654.00
|
$341,654.00
|
$198.28
|
$341,654.00
|
$226,379.77
|
2026-07-15
|
|
222
|
MS_DRG
|
Cardiac Defib Implant With Cardiac Cath With Ami/hf/shock With Comorbity
|
7
|
3
|
—
|
—
|
$159,605.94
|
$396,995.66
|
$218,630.00
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$178,274.00
|
$222,772.97
|
$215,347.20
|
2026-07-15
|
|
25682-0025-01
|
NDC
|
Ultomiris
|
72
|
19
|
$326,124.50
|
$326,124.50
|
$198.28
|
$341,654.00
|
$212,434.40
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$173,341.00
|
$214,291.38
|
$207,148.34
|
2026-07-15
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath With Comorbity
|
8
|
4
|
—
|
—
|
$132,506.57
|
$464,056.34
|
$203,908.50
|
2026-07-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$178,312.27
|
$201,862.94
|
$195,134.18
|
2026-07-15
|
|
69866-1030-01
|
NDC
|
Maci
|
33
|
19
|
$272,430.00
|
$272,430.00
|
$44,651.28
|
$272,430.00
|
$192,635.25
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
5
|
5
|
—
|
—
|
$170,032.55
|
$194,078.00
|
$192,489.68
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
5
|
—
|
—
|
$157,602.00
|
$200,030.84
|
$183,795.98
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$155,945.00
|
$189,991.10
|
$183,658.06
|
2026-07-15
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$107,433.00
|
$187,583.23
|
$181,330.45
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$148,434.00
|
$183,877.22
|
$177,747.99
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$128,767.00
|
$181,253.02
|
$175,211.25
|
2026-07-15
|
|
00597-0035-10
|
NDC
|
Spevigo
|
72
|
19
|
$247,996.00
|
$247,996.00
|
$53.79
|
$247,996.00
|
$169,468.07
|
2026-07-15
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
45
|
24
|
$281,975.00
|
$281,975.00
|
$377.88
|
$281,975.00
|
$169,185.00
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
5
|
5
|
—
|
—
|
$133,216.00
|
$174,476.11
|
$168,660.24
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$148,829.34
|
$168,486.05
|
$165,677.95
|
2026-07-15
|
|
67979000201
|
NDC
|
Supprelin La
|
35
|
20
|
$236,521.74
|
$236,521.74
|
$38,765.91
|
$236,521.74
|
$165,565.22
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$138,425.00
|
$166,580.77
|
$161,028.08
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$63,330.00
|
$166,329.43
|
$160,785.12
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$143,767.00
|
$165,034.82
|
$159,533.67
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
5
|
5
|
—
|
—
|
$135,957.00
|
$163,347.52
|
$157,902.60
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$132,843.00
|
$162,476.92
|
$157,061.02
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$125,211.00
|
$161,881.88
|
$156,485.82
|
2026-07-15
|
|
224
|
MS_DRG
|
Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock With Comorbity
|
6
|
3
|
—
|
—
|
$147,778.18
|
$251,293.00
|
$154,599.70
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$122,031.00
|
$159,812.54
|
$154,485.46
|
2026-07-15
|
|
69488-0010-61
|
NDC
|
Pluvicto
|
37
|
20
|
$216,506.00
|
$216,506.00
|
$172.42
|
$216,506.00
|
$153,091.39
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
5
|
—
|
—
|
$118,335.00
|
$155,528.98
|
$150,344.68
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$120,837.00
|
$153,150.77
|
$148,045.74
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$132,327.03
|
$149,804.20
|
$147,307.46
|
2026-07-15
|
|
0266T
|
CPT
|
Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device
|
45
|
24
|
$243,709.00
|
$243,709.00
|
$2,226.00
|
$243,709.00
|
$146,225.40
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$115,148.00
|
$151,165.18
|
$146,126.34
|
2026-07-15
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
4
|
4
|
—
|
—
|
$127,028.15
|
$143,805.46
|
$141,408.70
|
2026-07-15
|
|
69866-1030-05
|
NDC
|
Maci
|
33
|
19
|
$253,423.00
|
$253,423.00
|
$41,536.03
|
$253,423.00
|
$139,382.65
|
2026-07-15
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$118,611.00
|
$144,156.19
|
$139,350.99
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$112,648.00
|
$143,762.24
|
$137,468.28
|
2026-07-15
|
|
00310-4535-30
|
NDC
|
Imjudo
|
33
|
19
|
$189,150.00
|
$189,150.00
|
$31,001.69
|
$189,150.00
|
$133,747.97
|
2026-07-15
|
|
225
|
MS_DRG
|
Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock Without Comorbity
|
7
|
3
|
—
|
—
|
$105,430.47
|
$193,789.00
|
$130,236.00
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$116,675.49
|
$132,085.46
|
$129,884.04
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$117,210.28
|
$132,690.89
|
$128,267.85
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$109,141.00
|
$131,274.10
|
$126,898.29
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$112,053.20
|
$126,852.68
|
$124,738.47
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$88,162.00
|
$128,349.79
|
$124,071.47
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$102,712.00
|
$127,095.25
|
$122,858.75
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
5
|
5
|
—
|
—
|
$111,601.58
|
$126,341.41
|
$122,130.03
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$94,319.00
|
$125,585.94
|
$121,399.74
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
5
|
—
|
—
|
$102,028.00
|
$124,540.78
|
$120,389.41
|
2026-07-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$107,586.63
|
$121,796.18
|
$119,766.24
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$99,014.00
|
$125,353.86
|
$119,451.59
|
2026-07-15
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath Without Comorbity
|
6
|
3
|
—
|
—
|
$104,659.19
|
$185,015.00
|
$119,428.99
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$106,308.93
|
$120,349.73
|
$118,343.90
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$101,121.00
|
$127,330.76
|
$117,928.05
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$107,236.00
|
$121,438.48
|
$117,390.53
|
2026-07-15
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$100,912.00
|
$120,272.94
|
$116,263.84
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
4
|
—
|
—
|
$104,308.36
|
$118,084.94
|
$116,116.86
|
2026-07-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$104,232.78
|
$117,999.37
|
$116,032.71
|
2026-07-15
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$105,886.62
|
$119,871.65
|
$115,875.92
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
5
|
5
|
—
|
—
|
$100,507.60
|
$156,292.00
|
$113,782.19
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$99,806.32
|
$151,916.09
|
$112,988.28
|
2026-07-15
|
|
69930
|
CPT
|
Implant Cochlear Device
|
46
|
24
|
$186,530.00
|
$186,530.00
|
$1,943.00
|
$186,530.00
|
$112,589.51
|
2026-07-15
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$99,955.79
|
$113,157.50
|
$111,271.54
|
2026-07-15
|
|
00003-2328-22
|
NDC
|
Yervoy
|
185
|
20
|
$165,530.00
|
$165,530.00
|
$154.45
|
$331,060.00
|
$110,358.85
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
5
|
5
|
—
|
—
|
$91,833.00
|
$113,593.70
|
$109,807.25
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$99,669.14
|
$112,832.99
|
$109,071.89
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$88,481.00
|
$112,086.20
|
$108,349.99
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
5
|
5
|
—
|
—
|
$94,945.16
|
$188,634.00
|
$107,485.08
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms
|
5
|
5
|
—
|
—
|
$94,491.00
|
$110,583.84
|
$106,897.72
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$84,460.00
|
$110,046.43
|
$106,378.22
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
5
|
5
|
—
|
—
|
$76,009.00
|
$109,313.66
|
$105,669.87
|
2026-07-15
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$77,623.00
|
$109,050.20
|
$105,415.20
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$95,020.65
|
$107,570.54
|
$103,984.86
|
2026-07-15
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$94,692.38
|
$107,198.92
|
$103,625.62
|
2026-07-15
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
5
|
5
|
—
|
—
|
$63,702.00
|
$105,536.12
|
$102,018.25
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$93,479.87
|
$110,649.64
|
$100,811.10
|
2026-07-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma
|
5
|
5
|
—
|
—
|
$88,943.47
|
$161,012.32
|
$100,690.72
|
2026-07-15
|
|
75987-0080-10
|
NDC
|
Krystexxa
|
33
|
19
|
$142,197.00
|
$142,197.00
|
$23,306.09
|
$142,197.00
|
$100,547.50
|
2026-07-15
|
|
0424T
|
CPT
|
Insj/rplc Nstim Apnea Compl
|
33
|
18
|
$141,355.00
|
$141,355.00
|
$2,226.00
|
$141,355.00
|
$99,952.12
|
2026-07-15
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$89,402.76
|
$101,210.68
|
$99,523.83
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
5
|
5
|
—
|
—
|
$90,923.98
|
$102,932.81
|
$99,501.71
|
2026-07-15
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
47
|
25
|
$208,884.00
|
$208,884.00
|
$34,236.09
|
$208,884.00
|
$98,404.34
|
2026-07-15
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
5
|
5
|
—
|
—
|
$86,896.64
|
$100,275.00
|
$98,373.56
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$95,072.50
|
$103,826.76
|
$98,350.86
|
2026-07-15
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
1
|
1
|
—
|
—
|
$98,010.00
|
$98,010.00
|
$98,010.00
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$86,020.00
|
$100,467.31
|
$97,118.41
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
5
|
5
|
—
|
—
|
$87,167.87
|
$98,680.61
|
$95,391.26
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$86,406.51
|
$97,818.68
|
$94,558.07
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$83,069.68
|
$101,925.00
|
$94,041.14
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
5
|
5
|
—
|
—
|
$72,038.00
|
$96,469.91
|
$93,254.24
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$76,328.00
|
$95,700.52
|
$92,510.49
|
2026-07-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$81,670.22
|
$109,051.00
|
$92,456.86
|
2026-07-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
5
|
5
|
—
|
—
|
$83,382.00
|
$94,733.86
|
$91,576.06
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
5
|
5
|
—
|
—
|
$46,275.00
|
$94,723.36
|
$91,565.92
|
2026-07-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$82,206.53
|
$93,064.00
|
$91,512.93
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$80,361.68
|
$129,144.00
|
$90,975.48
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
5
|
5
|
—
|
—
|
$83,054.26
|
$94,023.70
|
$90,889.57
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$69,913.00
|
$94,907.76
|
$90,556.73
|
2026-07-15
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$84,934.00
|
$92,395.81
|
$90,511.81
|
2026-07-15
|
|
894
|
APR_DRG
|
Major Cranial/Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$84,850.00
|
$92,743.02
|
$90,421.05
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
5
|
5
|
—
|
—
|
$65,901.00
|
$92,861.68
|
$89,766.29
|
2026-07-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms
|
5
|
5
|
—
|
—
|
$66,425.00
|
$94,763.52
|
$89,316.00
|
2026-07-15
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$81,603.91
|
$92,381.78
|
$89,302.39
|
2026-07-15
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$79,350.57
|
$89,830.84
|
$88,333.65
|
2026-07-15
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$74,738.00
|
$91,242.48
|
$88,201.06
|
2026-07-15
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$73,110.00
|
$91,198.79
|
$88,158.83
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$78,569.15
|
$88,946.21
|
$88,093.00
|
2026-07-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$80,363.19
|
$90,977.20
|
$87,944.63
|
2026-07-15
|
|
00003-7125-11
|
NDC
|
Opdualag
|
144
|
19
|
$138,201.00
|
$138,201.00
|
$155.17
|
$138,201.00
|
$87,460.44
|
2026-07-15
|
|
C1827
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable, With Implantable Sti…
|
32
|
18
|
$174,600.00
|
$174,600.00
|
$28,616.94
|
$174,600.00
|
$87,300.00
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$70,024.00
|
$89,740.12
|
$86,748.78
|
2026-07-15
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
4
|
—
|
—
|
$77,021.73
|
$87,194.41
|
$85,741.17
|
2026-07-15
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
5
|
5
|
—
|
—
|
$73,855.95
|
$94,160.00
|
$83,610.50
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$63,850.00
|
$86,203.33
|
$83,329.89
|
2026-07-15
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$63,818.00
|
$85,980.04
|
$83,114.03
|
2026-07-15
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$66,897.00
|
$85,542.11
|
$82,690.71
|
2026-07-15
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$72,038.00
|
$85,140.72
|
$82,302.69
|
2026-07-15
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
5
|
5
|
—
|
—
|
$72,689.21
|
$84,554.00
|
$82,289.68
|
2026-07-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
5
|
5
|
—
|
—
|
$68,177.00
|
$89,977.44
|
$82,248.89
|
2026-07-15
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
5
|
5
|
—
|
—
|
$74,882.48
|
$84,772.62
|
$81,946.86
|
2026-07-15
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
5
|
5
|
—
|
—
|
$70,311.00
|
$84,603.30
|
$81,783.19
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$53,667.00
|
$240,835.48
|
$81,762.70
|
2026-07-15
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$67,501.00
|
$84,140.96
|
$81,336.26
|
2026-07-15
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
5
|
5
|
—
|
—
|
$62,107.00
|
$83,889.71
|
$81,093.39
|
2026-07-15
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$71,450.10
|
$84,618.00
|
$80,886.91
|
2026-07-15
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$72,542.86
|
$82,123.99
|
$80,755.26
|
2026-07-15
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$67,928.00
|
$91,387.27
|
$80,725.42
|
2026-07-15
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
5
|
5
|
—
|
—
|
$67,499.00
|
$82,218.13
|
$79,477.53
|
2026-07-15
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp
|
5
|
5
|
—
|
—
|
$69,962.76
|
$88,512.00
|
$79,203.12
|
2026-07-15
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$72,237.00
|
$81,877.88
|
$79,148.63
|
2026-07-15
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
4
|
—
|
—
|
$71,087.87
|
$80,476.84
|
$79,135.55
|
2026-07-15
|
|
6302
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$40,246.00
|
$81,150.37
|
$78,445.35
|
2026-07-15
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
4
|
—
|
—
|
$70,411.27
|
$79,710.88
|
$78,382.36
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
5
|
5
|
—
|
—
|
$69,147.38
|
$132,317.00
|
$78,280.06
|
2026-07-15
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$69,763.91
|
$78,978.01
|
$77,661.71
|
2026-07-15
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
4
|
—
|
—
|
$69,672.99
|
$78,875.09
|
$77,560.51
|
2026-07-15
|
|
50633012011
|
NDC
|
Digifab
|
35
|
20
|
$115,987.75
|
$115,987.75
|
$4,777.44
|
$115,987.75
|
$76,377.82
|
2026-07-15
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
5
|
5
|
—
|
—
|
$66,687.00
|
$78,897.79
|
$76,267.86
|
2026-07-15
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
5
|
5
|
—
|
—
|
$66,973.00
|
$78,651.68
|
$76,029.96
|
2026-07-15
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
4
|
—
|
—
|
$67,937.51
|
$76,910.39
|
$75,628.55
|
2026-07-15
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$65,819.00
|
$77,992.18
|
$75,392.44
|
2026-07-15
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$67,151.46
|
$76,020.52
|
$74,753.51
|
2026-07-15
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
5
|
5
|
—
|
—
|
$62,394.00
|
$77,322.18
|
$74,744.77
|
2026-07-15
|
|
1673
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$58,601.00
|
$76,887.68
|
$74,324.76
|
2026-07-15
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
1
|
1
|
—
|
—
|
$74,187.00
|
$74,187.00
|
$74,187.00
|
2026-07-15
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
4
|
—
|
—
|
$66,578.16
|
$75,371.50
|
$74,115.30
|
2026-07-15
|
|
278007730
|
CDM
|
Hc Impella Catheter Cad 2.5
|
31
|
18
|
$121,643.00
|
$121,643.00
|
$19,937.29
|
$121,643.00
|
$73,861.63
|
2026-07-15
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$67,464.31
|
$76,374.68
|
$73,828.87
|
2026-07-15
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$58,143.00
|
$76,219.40
|
$73,678.75
|
2026-07-15
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
4
|
—
|
—
|
$65,993.99
|
$74,710.18
|
$73,465.01
|
2026-07-15
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
5
|
5
|
—
|
—
|
$66,957.24
|
$75,800.65
|
$73,273.96
|
2026-07-15
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
5
|
5
|
—
|
—
|
$69,955.00
|
$81,668.16
|
$73,059.59
|
2026-07-15
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$64,510.00
|
$75,444.76
|
$72,929.93
|
2026-07-15
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
5
|
5
|
—
|
—
|
$70,098.04
|
$75,894.13
|
$72,515.21
|
2026-07-15
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$63,348.00
|
$74,917.84
|
$72,420.57
|
2026-07-15
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
5
|
5
|
—
|
—
|
$65,312.00
|
$76,166.96
|
$72,215.03
|
2026-07-15
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$57,500.00
|
$74,661.34
|
$72,172.63
|
2026-07-15
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
5
|
5
|
—
|
—
|
$65,563.93
|
$74,223.31
|
$71,749.21
|
2026-07-15
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
5
|
5
|
—
|
—
|
$63,190.44
|
$79,754.00
|
$71,536.34
|
2026-07-15
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
5
|
5
|
—
|
—
|
$65,235.66
|
$73,851.68
|
$71,491.00
|
2026-07-15
|
|
25682-0001-01
|
NDC
|
Soliris
|
70
|
20
|
$110,728.50
|
$110,728.50
|
$234.21
|
$126,547.00
|
$71,182.50
|
2026-07-15
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
5
|
5
|
—
|
—
|
$64,867.28
|
$73,434.65
|
$70,986.83
|
2026-07-15
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
5
|
5
|
—
|
—
|
$64,628.40
|
$73,164.23
|
$70,725.42
|
2026-07-15
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
5
|
5
|
—
|
—
|
$64,329.37
|
$72,825.70
|
$70,709.00
|
2026-07-15
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
5
|
5
|
—
|
—
|
$55,725.00
|
$73,026.40
|
$70,592.18
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$62,814.30
|
$71,110.54
|
$69,925.36
|
2026-07-15
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$54,516.00
|
$72,213.31
|
$69,806.20
|
2026-07-15
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
4
|
—
|
—
|
$62,652.53
|
$70,927.39
|
$69,745.26
|
2026-07-15
|
|
80446040101
|
NDC
|
Kimmtrak
|
35
|
20
|
$98,261.00
|
$98,261.00
|
$217.09
|
$98,261.00
|
$69,480.35
|
2026-07-15
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$63,477.08
|
$71,860.85
|
$69,465.49
|
2026-07-15
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
5
|
—
|
—
|
$61,137.46
|
$84,878.00
|
$69,212.22
|
2026-07-15
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
5
|
5
|
—
|
—
|
$63,023.94
|
$71,347.86
|
$68,969.59
|
2026-07-15
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$60,443.84
|
$82,326.00
|
$68,426.99
|
2026-07-15
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
5
|
—
|
—
|
$62,507.60
|
$70,763.32
|
$68,404.54
|
2026-07-15
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$51,688.00
|
$70,667.36
|
$68,311.78
|
2026-07-15
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$62,230.22
|
$70,449.30
|
$68,100.99
|
2026-07-15
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Comorbity Or…
|
5
|
2
|
—
|
—
|
$62,440.72
|
$109,892.00
|
$68,018.73
|
2026-07-15
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$60,077.06
|
$71,295.00
|
$68,011.76
|
2026-07-15
|
|
3094
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
5
|
5
|
—
|
—
|
$60,419.24
|
$68,399.14
|
$67,919.00
|
2026-07-15
|
|
6504
|
APR_DRG
|
Splenectomy
|
5
|
5
|
—
|
—
|
$62,046.79
|
$70,241.64
|
$67,900.26
|
2026-07-15
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
5
|
5
|
—
|
—
|
$61,827.97
|
$69,993.92
|
$67,660.79
|
2026-07-15
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
—
|
—
|
$61,795.53
|
$69,957.20
|
$67,625.29
|
2026-07-15
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
5
|
5
|
—
|
—
|
$65,363.52
|
$71,120.21
|
$67,617.43
|
2026-07-15
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$62,191.00
|
$72,570.85
|
$67,594.74
|
2026-07-15
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$61,572.07
|
$69,704.23
|
$67,380.76
|
2026-07-15
|
|
1652
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$53,430.00
|
$76,015.27
|
$67,146.82
|
2026-07-15
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
4
|
—
|
—
|
$60,038.56
|
$67,968.18
|
$66,835.38
|
2026-07-15
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
4
|
—
|
—
|
$59,986.15
|
$67,908.84
|
$66,777.03
|
2026-07-15
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
5
|
5
|
—
|
—
|
$58,851.77
|
$81,713.29
|
$66,624.64
|
2026-07-15
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
5
|
5
|
—
|
—
|
$49,641.00
|
$68,828.39
|
$66,534.10
|
2026-07-15
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$60,031.00
|
$68,793.47
|
$66,500.35
|
2026-07-15
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$59,673.21
|
$67,554.58
|
$66,428.67
|
2026-07-15
|
|
913
|
APR_DRG
|
Other Major Head & Neck Procedures
|
5
|
5
|
—
|
—
|
$48,150.00
|
$68,179.27
|
$65,906.63
|
2026-07-15
|
|
0817T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subf
|
45
|
24
|
$108,008.00
|
$108,008.00
|
$2,226.00
|
$108,008.00
|
$65,884.88
|
2026-07-15
|
|
0816T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subq
|
45
|
24
|
$108,008.00
|
$108,008.00
|
$2,226.00
|
$108,008.00
|
$65,884.88
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W…
|
5
|
5
|
—
|
—
|
$1,375.76
|
$94,651.00
|
$65,736.49
|
2026-07-15
|
|
61891
|
CPT
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
46
|
24
|
$108,010.00
|
$108,010.00
|
$863.47
|
$108,010.00
|
$65,734.89
|
2026-07-15
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
5
|
5
|
—
|
—
|
$59,942.92
|
$67,859.92
|
$65,597.91
|
2026-07-15
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
4
|
—
|
—
|
$58,760.85
|
$66,521.72
|
$65,413.03
|
2026-07-15
|
|
893
|
APR_DRG
|
Major Cranial/Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$47,540.00
|
$68,214.59
|
$65,347.40
|
2026-07-15
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
5
|
5
|
—
|
—
|
$59,368.11
|
$67,209.18
|
$65,262.00
|
2026-07-15
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
1
|
1
|
—
|
—
|
$65,254.00
|
$65,254.00
|
$65,254.00
|
2026-07-15
|
|
6234
|
APR_DRG
|
Neonate Bwt 2000-2499g W Congenital/perinatal Infection
|
5
|
5
|
—
|
—
|
$57,496.97
|
$70,339.00
|
$65,090.90
|
2026-07-15
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$59,047.50
|
$66,846.23
|
$64,618.02
|
2026-07-15
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
5
|
5
|
—
|
—
|
$57,488.00
|
$66,261.70
|
$64,052.97
|
2026-07-15
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$57,424.50
|
$65,008.87
|
$63,925.39
|
2026-07-15
|
|
0408T
|
CPT
|
Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit…
|
92
|
24
|
$100,722.00
|
$100,722.00
|
$6,155.00
|
$100,722.00
|
$63,741.87
|
2026-07-15
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
5
|
5
|
—
|
—
|
$61,352.66
|
$69,462.39
|
$63,468.26
|
2026-07-15
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
5
|
5
|
—
|
—
|
$56,895.86
|
$64,410.41
|
$63,391.00
|
2026-07-15
|
|
1651
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$49,681.00
|
$65,464.34
|
$63,282.20
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Bwt 2000-2499g W Other Significant Condition
|
5
|
5
|
—
|
—
|
$56,079.00
|
$65,377.07
|
$63,197.83
|
2026-07-15
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
5
|
5
|
—
|
—
|
$55,769.23
|
$67,011.00
|
$63,134.98
|
2026-07-15
|
|
C1824
|
HCPCS
|
Generator, Cardiac Contractility Modulation (implantable)
|
33
|
19
|
$126,100.00
|
$126,100.00
|
$12,610.00
|
$126,100.00
|
$63,050.00
|
2026-07-15
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention W Ami
|
5
|
5
|
—
|
—
|
$55,415.00
|
$64,893.73
|
$62,730.61
|
2026-07-15
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$47,447.00
|
$64,637.24
|
$62,482.67
|
2026-07-15
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$56,092.87
|
$63,501.36
|
$62,443.01
|
2026-07-15
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
4
|
—
|
—
|
$56,060.52
|
$63,464.74
|
$62,406.99
|
2026-07-15
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$55,064.83
|
$65,207.00
|
$62,337.54
|
2026-07-15
|
|
C1882
|
HCPCS
|
Aicd, Other Than Sing/dual
|
125
|
18
|
$91,486.00
|
$91,486.00
|
$14,793.78
|
$142,177.00
|
$62,258.04
|
2026-07-15
|
|
6091
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
5
|
—
|
—
|
$49,242.00
|
$64,190.54
|
$62,050.86
|
2026-07-15
|
|
4844
|
APR_DRG
|
Other Male Reproductive System & Related Procedures
|
5
|
5
|
—
|
—
|
$55,676.00
|
$64,064.92
|
$61,929.42
|
2026-07-15
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
5
|
5
|
—
|
—
|
$56,569.10
|
$64,040.50
|
$61,905.81
|
2026-07-15
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$47,330.00
|
$63,993.37
|
$61,860.26
|
2026-07-15
|
|
C1823
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable, With Transvenous Sen…
|
33
|
19
|
$123,675.00
|
$123,675.00
|
$12,367.50
|
$123,675.00
|
$61,837.50
|
2026-07-15
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$56,499.76
|
$63,961.99
|
$61,829.92
|
2026-07-15
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
5
|
5
|
—
|
—
|
$56,331.75
|
$63,771.79
|
$61,646.06
|
2026-07-15
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
5
|
5
|
—
|
—
|
$54,761.00
|
$63,047.70
|
$60,946.11
|
2026-07-15
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth & Throat Procedures
|
5
|
5
|
—
|
—
|
$48,301.00
|
$62,988.37
|
$60,888.76
|
2026-07-15
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$52,880.00
|
$62,962.24
|
$60,863.49
|
2026-07-15
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$50,606.00
|
$62,861.03
|
$60,765.66
|
2026-07-15
|
|
3224
|
APR_DRG
|
Shoulder & Elbow Joint Replacement
|
5
|
5
|
—
|
—
|
$51,354.00
|
$62,691.80
|
$60,602.08
|
2026-07-15
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$55,357.71
|
$62,669.11
|
$60,580.14
|
2026-07-15
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
5
|
5
|
—
|
—
|
$55,257.53
|
$62,555.69
|
$60,470.50
|
2026-07-15
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$53,206.07
|
$69,652.00
|
$60,233.29
|
2026-07-15
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
5
|
5
|
—
|
—
|
$51,507.00
|
$65,467.78
|
$60,067.62
|
2026-07-15
|
|
233
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$51,924.00
|
$61,917.07
|
$59,853.17
|
2026-07-15
|
|
7524
|
APR_DRG
|
Disorders Of Personality & Impulse Control
|
5
|
5
|
—
|
—
|
$11,172.00
|
$61,730.40
|
$59,672.72
|
2026-07-15
|
|
944381001
|
NDC
|
Oncaspar
|
35
|
20
|
$90,216.69
|
$90,216.69
|
$14,786.52
|
$90,216.69
|
$59,407.61
|
2026-07-15
|
|
7594
|
APR_DRG
|
Eating Disorders
|
5
|
5
|
—
|
—
|
$35,959.00
|
$61,383.19
|
$59,337.08
|
2026-07-15
|
|
0431T
|
CPT
|
Rmvl/rplc Nstim Apnea Pls Gn
|
33
|
18
|
$81,150.00
|
$81,150.00
|
$2,226.00
|
$81,150.00
|
$59,239.50
|
2026-07-15
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$53,130.58
|
$60,147.82
|
$59,145.35
|
2026-07-15
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
4
|
4
|
—
|
—
|
$53,050.44
|
$60,057.11
|
$59,056.15
|
2026-07-15
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
5
|
5
|
—
|
—
|
$53,609.93
|
$60,690.48
|
$58,667.47
|
2026-07-15
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
5
|
5
|
—
|
—
|
$53,542.10
|
$60,613.69
|
$58,593.24
|
2026-07-15
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
4
|
4
|
—
|
—
|
$52,632.77
|
$59,584.27
|
$58,591.20
|
2026-07-15
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
5
|
5
|
—
|
—
|
$53,515.89
|
$60,584.03
|
$58,564.56
|
2026-07-15
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
46
|
24
|
$95,471.00
|
$95,471.00
|
$551.09
|
$95,471.00
|
$58,251.63
|
2026-07-15
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
5
|
5
|
—
|
—
|
$53,087.43
|
$60,098.99
|
$58,095.68
|
2026-07-15
|
|
6122
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$50,556.00
|
$59,847.73
|
$57,852.81
|
2026-07-15
|
|
0888T
|
CPT
|
Histotripsy Mal Renal Tissue
|
44
|
24
|
$94,778.00
|
$94,778.00
|
$2,226.00
|
$94,778.00
|
$57,828.79
|
2026-07-15
|
|
5464
|
APR_DRG
|
Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses
|
1
|
1
|
—
|
—
|
$57,748.00
|
$57,748.00
|
$57,748.00
|
2026-07-15
|
|
50242010501
|
NDC
|
Polivy
|
35
|
20
|
$87,636.25
|
$87,636.25
|
$124.29
|
$87,636.25
|
$57,708.39
|
2026-07-15
|
|
0686T
|
CPT
|
Histotripsy Mal Hepatcel Tis
|
44
|
24
|
$94,778.00
|
$94,778.00
|
$2,226.00
|
$94,778.00
|
$57,681.89
|
2026-07-15
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
5
|
5
|
—
|
—
|
$50,941.95
|
$65,957.00
|
$57,670.13
|
2026-07-15
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
5
|
5
|
—
|
—
|
$50,884.90
|
$60,879.00
|
$57,605.54
|
2026-07-15
|
|
61630
|
CPT
|
Intracranial Angioplasty
|
34
|
19
|
$79,834.00
|
$79,834.00
|
$1,615.08
|
$79,834.00
|
$57,364.72
|
2026-07-15
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedure Only
|
5
|
5
|
—
|
—
|
$51,168.52
|
$57,926.63
|
$57,351.00
|
2026-07-15
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
5
|
5
|
—
|
—
|
$51,495.28
|
$58,296.54
|
$57,160.00
|
2026-07-15
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$46,548.00
|
$64,488.91
|
$56,965.21
|
2026-07-15
|
|
9123
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$49,227.00
|
$57,050.60
|
$56,761.08
|
2026-07-15
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$50,810.92
|
$57,521.80
|
$56,563.11
|
2026-07-15
|
|
131
|
MS_DRG
|
Cranial/facial Procedures With Complication/comorbity
|
5
|
2
|
—
|
—
|
$54,147.00
|
$99,605.65
|
$56,279.50
|
2026-07-15
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
5
|
5
|
—
|
—
|
$49,650.34
|
$61,222.66
|
$56,207.93
|
2026-07-15
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$46,246.00
|
$58,099.37
|
$56,162.73
|
2026-07-15
|
|
203
|
APR_DRG
|
Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$45,532.00
|
$58,020.86
|
$56,086.84
|
2026-07-15
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
5
|
5
|
—
|
—
|
$40,078.00
|
$57,985.96
|
$56,053.09
|
2026-07-15
|
|
33465
|
CPT
|
Replace Tricuspid Valve
|
33
|
19
|
$92,100.00
|
$92,100.00
|
$2,747.00
|
$92,100.00
|
$55,923.12
|
2026-07-15
|
|
1661
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
5
|
5
|
—
|
—
|
$41,075.00
|
$57,823.70
|
$55,896.24
|
2026-07-15
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
4
|
—
|
—
|
$50,066.49
|
$56,679.05
|
$55,734.40
|
2026-07-15
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
5
|
5
|
—
|
—
|
$48,953.77
|
$60,024.00
|
$55,419.36
|
2026-07-15
|
|
82705001001
|
NDC
|
Epkinly
|
35
|
20
|
$76,825.75
|
$76,825.75
|
$55.66
|
$76,825.75
|
$54,323.49
|
2026-07-15
|
|
3042
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$43,703.00
|
$56,085.83
|
$54,216.31
|
2026-07-15
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$47,656.01
|
$68,905.00
|
$53,950.20
|
2026-07-15
|
|
72694-0954-01
|
NDC
|
Oncaspar
|
34
|
19
|
$76,283.00
|
$76,283.00
|
$11,876.42
|
$76,283.00
|
$53,939.71
|
2026-07-15
|
|
4834
|
APR_DRG
|
Testes & Scrotal Procedures
|
5
|
5
|
—
|
—
|
$47,617.42
|
$78,963.00
|
$53,906.51
|
2026-07-15
|
|
0218T
|
CPT
|
Njx Paravert W/us Lumb/sac
|
33
|
18
|
$73,813.00
|
$73,813.00
|
$2,226.00
|
$73,813.00
|
$53,883.49
|
2026-07-15
|
|
6924
|
APR_DRG
|
Radiotherapy
|
5
|
5
|
—
|
—
|
$47,397.08
|
$54,595.00
|
$53,657.08
|
2026-07-15
|