|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
30
|
10
|
—
|
—
|
$421,338.10
|
$1,397,873.54
|
$670,844.80
|
2026-08-17
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$434,480.48
|
$487,487.43
|
$460,549.47
|
2026-08-17
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
30
|
10
|
—
|
—
|
$275,512.02
|
$907,912.86
|
$435,351.29
|
2026-08-17
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$378,376.57
|
$424,538.79
|
$401,079.30
|
2026-08-17
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$324,066.41
|
$363,602.76
|
$343,510.52
|
2026-08-17
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
32
|
10
|
—
|
—
|
$210,771.37
|
$730,303.80
|
$334,821.44
|
2026-08-17
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
30
|
10
|
—
|
—
|
$209,538.21
|
$690,044.28
|
$329,733.48
|
2026-08-17
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$298,905.21
|
$335,371.87
|
$316,839.63
|
2026-08-17
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$289,573.96
|
$324,902.20
|
$306,948.51
|
2026-08-17
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$237,440.41
|
$266,408.32
|
$251,686.92
|
2026-08-17
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$226,500.77
|
$254,134.04
|
$240,090.90
|
2026-08-17
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
3
|
—
|
—
|
$224,937.41
|
$252,379.95
|
$238,433.74
|
2026-08-17
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$220,267.44
|
$247,140.23
|
$233,483.57
|
2026-08-17
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$214,678.69
|
$240,869.65
|
$227,559.49
|
2026-08-17
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$213,037.73
|
$239,028.49
|
$225,820.07
|
2026-08-17
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
6
|
1
|
—
|
—
|
$206,092.46
|
$245,466.30
|
$225,779.38
|
2026-08-17
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$210,912.37
|
$236,643.84
|
$223,567.19
|
2026-08-17
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$207,847.03
|
$233,204.52
|
$220,317.92
|
2026-08-17
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
3
|
—
|
—
|
$207,199.91
|
$232,478.45
|
$219,631.98
|
2026-08-17
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$204,830.47
|
$229,819.93
|
$217,120.37
|
2026-08-17
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
30
|
10
|
—
|
—
|
$136,968.75
|
$457,079.69
|
$215,181.50
|
2026-08-17
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$202,319.66
|
$227,002.81
|
$214,458.91
|
2026-08-17
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
3
|
—
|
—
|
$192,939.55
|
$216,478.31
|
$204,515.99
|
2026-08-17
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$192,282.44
|
$215,741.04
|
$203,819.46
|
2026-08-17
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$189,371.05
|
$212,474.47
|
$200,733.39
|
2026-08-17
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$187,471.03
|
$210,342.64
|
$198,719.36
|
2026-08-17
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$183,272.86
|
$205,632.29
|
$194,269.30
|
2026-08-17
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$181,745.83
|
$203,918.96
|
$192,650.65
|
2026-08-17
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$181,640.66
|
$203,800.96
|
$192,539.16
|
2026-08-17
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$172,766.30
|
$193,843.92
|
$183,132.35
|
2026-08-17
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
32
|
10
|
—
|
—
|
$98,641.90
|
$334,041.71
|
$180,888.82
|
2026-08-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
10
|
—
|
—
|
$96,927.50
|
$328,538.12
|
$177,724.13
|
2026-08-17
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
30
|
10
|
—
|
—
|
$112,172.03
|
$377,476.57
|
$176,039.52
|
2026-08-17
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$159,808.94
|
$179,305.75
|
$169,397.54
|
2026-08-17
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
6
|
1
|
—
|
—
|
$154,220.43
|
$183,684.15
|
$168,952.29
|
2026-08-17
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$153,724.57
|
$172,479.08
|
$162,948.10
|
2026-08-17
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
6
|
1
|
—
|
—
|
$142,357.32
|
$169,554.60
|
$155,955.96
|
2026-08-17
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$144,808.88
|
$162,475.67
|
$153,497.46
|
2026-08-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
32
|
10
|
—
|
—
|
$83,612.91
|
$285,795.18
|
$153,145.99
|
2026-08-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
10
|
—
|
—
|
$83,352.11
|
$284,957.96
|
$152,664.57
|
2026-08-17
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$143,494.59
|
$161,001.03
|
$152,104.32
|
2026-08-17
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$138,084.85
|
$154,931.30
|
$146,369.99
|
2026-08-17
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
3
|
—
|
—
|
$136,292.46
|
$152,920.24
|
$144,470.05
|
2026-08-17
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$134,565.14
|
$150,982.18
|
$142,639.10
|
2026-08-17
|
|
7
|
MS_DRG
|
Lung Transplant
|
26
|
9
|
—
|
—
|
$128,099.57
|
$428,607.54
|
$140,191.17
|
2026-08-17
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$131,906.60
|
$147,999.30
|
$139,821.04
|
2026-08-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
10
|
—
|
—
|
$76,216.00
|
$262,049.49
|
$139,491.68
|
2026-08-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
32
|
10
|
—
|
—
|
$75,890.26
|
$261,003.76
|
$138,890.35
|
2026-08-17
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
32
|
10
|
—
|
—
|
$75,641.26
|
$260,204.41
|
$138,430.73
|
2026-08-17
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$130,024.09
|
$145,887.12
|
$137,825.58
|
2026-08-17
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$125,162.59
|
$140,432.52
|
$132,672.39
|
2026-08-17
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
26
|
9
|
—
|
—
|
$118,924.31
|
$399,152.89
|
$130,355.30
|
2026-08-17
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
10
|
—
|
—
|
$71,240.14
|
$246,075.74
|
$130,306.44
|
2026-08-17
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
3
|
—
|
—
|
$120,865.55
|
$135,611.23
|
$128,117.52
|
2026-08-17
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$119,498.78
|
$134,077.71
|
$126,668.75
|
2026-08-17
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$119,318.47
|
$133,875.41
|
$126,477.62
|
2026-08-17
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
32
|
10
|
—
|
—
|
$68,672.47
|
$237,833.08
|
$125,566.67
|
2026-08-17
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$118,389.77
|
$132,833.41
|
$125,493.20
|
2026-08-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
32
|
10
|
—
|
—
|
$68,338.85
|
$236,762.01
|
$124,950.81
|
2026-08-17
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
6
|
3
|
—
|
—
|
$117,179.36
|
$131,475.33
|
$124,210.17
|
2026-08-17
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$116,554.82
|
$130,774.60
|
$123,548.15
|
2026-08-17
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$116,127.97
|
$130,295.67
|
$123,095.69
|
2026-08-17
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
26
|
10
|
—
|
—
|
$112,044.09
|
$377,065.88
|
$122,979.73
|
2026-08-17
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
32
|
10
|
—
|
—
|
$66,894.11
|
$232,124.07
|
$122,283.89
|
2026-08-17
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
30
|
10
|
—
|
—
|
$78,090.81
|
$268,068.06
|
$122,241.81
|
2026-08-17
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$114,643.50
|
$128,630.10
|
$121,522.15
|
2026-08-17
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
10
|
—
|
—
|
$109,115.27
|
$367,663.58
|
$119,840.02
|
2026-08-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
10
|
—
|
—
|
$65,360.81
|
$227,201.77
|
$119,453.48
|
2026-08-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
10
|
—
|
—
|
$65,360.81
|
$227,201.77
|
$119,453.48
|
2026-08-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
32
|
10
|
—
|
—
|
$65,125.60
|
$226,446.73
|
$119,019.29
|
2026-08-17
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
26
|
10
|
—
|
—
|
$107,667.58
|
$363,016.21
|
$118,288.11
|
2026-08-17
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$111,570.63
|
$125,182.33
|
$118,264.90
|
2026-08-17
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
6
|
1
|
—
|
—
|
$107,233.21
|
$127,720.05
|
$117,476.63
|
2026-08-17
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
32
|
10
|
—
|
—
|
$63,977.08
|
$222,759.76
|
$116,899.20
|
2026-08-17
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$109,864.59
|
$123,268.15
|
$116,456.51
|
2026-08-17
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$108,440.21
|
$121,670.00
|
$114,946.66
|
2026-08-17
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$107,463.88
|
$120,574.56
|
$113,911.76
|
2026-08-17
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
26
|
9
|
—
|
—
|
$102,120.87
|
$345,210.03
|
$112,342.05
|
2026-08-17
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
32
|
10
|
—
|
—
|
$60,962.62
|
$213,082.62
|
$111,334.65
|
2026-08-17
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$60,892.75
|
$212,858.29
|
$111,205.66
|
2026-08-17
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
32
|
10
|
—
|
—
|
$60,315.06
|
$211,003.76
|
$110,139.26
|
2026-08-17
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$103,412.22
|
$116,028.59
|
$109,616.99
|
2026-08-17
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
6
|
3
|
—
|
—
|
$103,160.61
|
$115,746.29
|
$109,350.29
|
2026-08-17
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
10
|
—
|
—
|
$59,335.82
|
$207,860.20
|
$108,331.64
|
2026-08-17
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
32
|
10
|
—
|
—
|
$58,405.79
|
$204,874.61
|
$106,614.85
|
2026-08-17
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$58,368.40
|
$204,754.59
|
$106,545.82
|
2026-08-17
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$98,614.57
|
$110,645.61
|
$104,531.48
|
2026-08-17
|
|
270693282
|
OTHER
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
3
|
3
|
$130,000.00
|
—
|
$324.00
|
$130,000.00
|
$104,000.00
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
32
|
10
|
—
|
—
|
$56,741.60
|
$199,532.17
|
$103,542.82
|
2026-08-17
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
30
|
10
|
—
|
—
|
$70,865.15
|
$244,872.05
|
$102,953.55
|
2026-08-17
|
|
270674919
|
OTHER
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
3
|
3
|
$126,820.00
|
—
|
$324.00
|
$126,820.00
|
$101,456.00
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
6
|
3
|
—
|
—
|
$95,187.44
|
$106,800.39
|
$100,898.73
|
2026-08-17
|
|
270683890
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
3
|
3
|
$125,975.00
|
—
|
$324.00
|
$125,975.00
|
$100,780.00
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
6
|
3
|
—
|
—
|
$94,753.13
|
$106,313.09
|
$100,438.36
|
2026-08-17
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$94,171.09
|
$105,660.04
|
$99,821.39
|
2026-08-17
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
32
|
10
|
—
|
—
|
$54,678.80
|
$192,910.16
|
$99,735.01
|
2026-08-17
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
32
|
10
|
—
|
—
|
$54,487.89
|
$192,297.21
|
$99,382.58
|
2026-08-17
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
32
|
10
|
—
|
—
|
$54,411.14
|
$192,050.79
|
$99,240.87
|
2026-08-17
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
26
|
10
|
—
|
—
|
$89,318.02
|
$304,109.96
|
$98,933.21
|
2026-08-17
|
|
270699302
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$122,085.00
|
—
|
$324.00
|
$122,085.00
|
$97,668.00
|
2026-07-15
|
|
270699096
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
3
|
3
|
$122,085.00
|
—
|
$324.00
|
$122,085.00
|
$97,668.00
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$92,073.31
|
$103,306.31
|
$97,597.74
|
2026-08-17
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
32
|
10
|
—
|
—
|
$55,004.56
|
$193,955.89
|
$97,386.02
|
2026-08-17
|
|
270696136
|
OTHER
|
Autologous Cultured Chondrocytes, Implant
|
2
|
2
|
$243,030.00
|
—
|
$324.00
|
$194,424.00
|
$97,374.00
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
10
|
—
|
—
|
$53,132.70
|
$187,946.80
|
$96,880.98
|
2026-08-17
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$91,342.30
|
$102,486.12
|
$96,822.87
|
2026-08-17
|
|
270677805
|
OTHER
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
3
|
3
|
$120,940.00
|
—
|
$324.00
|
$120,940.00
|
$96,752.00
|
2026-07-15
|
|
270684306
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
3
|
3
|
$120,940.00
|
—
|
$324.00
|
$120,940.00
|
$96,752.00
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
6
|
3
|
—
|
—
|
$91,173.35
|
$102,296.57
|
$96,643.79
|
2026-08-17
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$90,999.34
|
$102,101.33
|
$96,459.33
|
2026-08-17
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$90,632.57
|
$101,689.81
|
$96,070.55
|
2026-08-17
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
32
|
10
|
—
|
—
|
$52,576.65
|
$186,161.76
|
$95,854.54
|
2026-08-17
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$90,090.62
|
$101,081.74
|
$95,496.09
|
2026-08-17
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
26
|
10
|
—
|
—
|
$85,872.52
|
$293,049.09
|
$95,334.88
|
2026-08-17
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$89,924.14
|
$100,894.95
|
$95,319.62
|
2026-08-17
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$89,340.86
|
$100,240.51
|
$94,701.35
|
2026-08-17
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
32
|
10
|
—
|
—
|
$51,878.89
|
$183,921.78
|
$94,566.51
|
2026-08-17
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
32
|
10
|
—
|
—
|
$51,790.31
|
$183,637.40
|
$94,403.00
|
2026-08-17
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
30
|
10
|
—
|
—
|
$59,780.67
|
$209,288.26
|
$93,338.94
|
2026-08-17
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
6
|
1
|
—
|
—
|
$85,135.26
|
$101,400.30
|
$93,267.78
|
2026-08-17
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
3
|
—
|
—
|
$87,372.00
|
$98,031.45
|
$92,614.35
|
2026-08-17
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$87,115.39
|
$97,743.54
|
$92,342.35
|
2026-08-17
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
10
|
—
|
—
|
$50,253.08
|
$178,702.49
|
$91,565.31
|
2026-08-17
|
|
270690773
|
OTHER
|
Autologous Cultured Chondrocytes, Implant
|
2
|
2
|
$228,480.00
|
—
|
$324.00
|
$182,784.00
|
$91,554.00
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
3
|
—
|
—
|
$86,334.36
|
$96,867.22
|
$91,514.46
|
2026-08-17
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$86,279.28
|
$96,805.42
|
$91,456.07
|
2026-08-17
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
6
|
3
|
—
|
—
|
$85,991.40
|
$96,482.42
|
$91,150.92
|
2026-08-17
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
32
|
10
|
—
|
—
|
$49,733.45
|
$177,034.35
|
$90,606.10
|
2026-08-17
|
|
270697990
|
OTHER
|
Prosthetic Implant, Not Otherwise Specified
|
3
|
3
|
$112,500.00
|
—
|
$324.00
|
$112,500.00
|
$90,000.00
|
2026-07-15
|
|
270679255
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
3
|
3
|
$112,500.00
|
—
|
$324.00
|
$112,500.00
|
$90,000.00
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
32
|
10
|
—
|
—
|
$49,339.77
|
$175,770.63
|
$89,879.42
|
2026-08-17
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
28
|
9
|
—
|
—
|
$59,142.92
|
$207,240.95
|
$89,821.37
|
2026-08-17
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
6
|
3
|
—
|
—
|
$84,709.69
|
$95,044.33
|
$89,792.30
|
2026-08-17
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$84,648.31
|
$94,975.46
|
$89,727.24
|
2026-08-17
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$49,253.18
|
$175,492.64
|
$89,719.55
|
2026-08-17
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
32
|
10
|
—
|
—
|
$49,086.84
|
$174,958.68
|
$89,412.52
|
2026-08-17
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
32
|
10
|
—
|
—
|
$48,885.10
|
$174,310.97
|
$89,040.10
|
2026-08-17
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
30
|
10
|
—
|
—
|
$57,044.72
|
$200,505.24
|
$89,020.21
|
2026-08-17
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
32
|
10
|
—
|
—
|
$48,171.59
|
$172,020.48
|
$87,722.99
|
2026-08-17
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
32
|
10
|
—
|
—
|
$47,931.45
|
$171,249.59
|
$87,279.72
|
2026-08-17
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$81,623.06
|
$91,581.13
|
$86,520.47
|
2026-08-17
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
32
|
10
|
—
|
—
|
$47,503.34
|
$169,875.30
|
$86,489.46
|
2026-08-17
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$81,487.85
|
$91,429.42
|
$86,377.15
|
2026-08-17
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
6
|
3
|
—
|
—
|
$81,174.93
|
$91,078.33
|
$86,045.45
|
2026-08-17
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$81,053.54
|
$90,942.13
|
$85,916.78
|
2026-08-17
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$80,942.14
|
$90,817.14
|
$85,798.70
|
2026-08-17
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
32
|
10
|
—
|
—
|
$46,918.76
|
$167,998.62
|
$85,410.33
|
2026-08-17
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
32
|
10
|
—
|
—
|
$46,824.28
|
$167,695.29
|
$85,235.93
|
2026-08-17
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$80,406.42
|
$90,216.06
|
$85,230.83
|
2026-08-17
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
32
|
10
|
—
|
—
|
$46,686.50
|
$167,253.03
|
$84,981.60
|
2026-08-17
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
30
|
10
|
—
|
—
|
$54,326.47
|
$191,779.10
|
$84,729.45
|
2026-08-17
|
|
270696607
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$105,475.00
|
—
|
$324.00
|
$105,475.00
|
$84,380.00
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$79,328.69
|
$89,006.84
|
$84,088.43
|
2026-08-17
|
|
270675086
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
3
|
3
|
$104,940.00
|
—
|
$324.00
|
$104,940.00
|
$83,952.00
|
2026-07-15
|
|
270642321
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
3
|
3
|
$104,940.00
|
—
|
$324.00
|
$104,940.00
|
$83,952.00
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$78,943.16
|
$88,574.29
|
$83,679.78
|
2026-08-17
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
32
|
10
|
—
|
—
|
$45,886.39
|
$164,684.46
|
$83,504.61
|
2026-08-17
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
32
|
10
|
—
|
—
|
$45,771.25
|
$164,314.77
|
$83,292.07
|
2026-08-17
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
6
|
3
|
—
|
—
|
$78,417.50
|
$87,984.50
|
$83,122.58
|
2026-08-17
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$78,228.51
|
$87,772.45
|
$82,922.25
|
2026-08-17
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
32
|
10
|
—
|
—
|
$45,550.80
|
$163,607.09
|
$82,885.12
|
2026-08-17
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$45,415.97
|
$163,174.28
|
$82,636.23
|
2026-08-17
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
32
|
10
|
—
|
—
|
$45,221.09
|
$162,548.72
|
$82,276.52
|
2026-08-17
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
30
|
10
|
—
|
—
|
$52,748.88
|
$186,714.62
|
$82,239.18
|
2026-08-17
|
|
270696217
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
3
|
3
|
$102,500.00
|
—
|
$324.00
|
$102,500.00
|
$82,000.00
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$77,167.06
|
$86,581.50
|
$81,797.11
|
2026-08-17
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
3
|
—
|
—
|
$77,105.75
|
$86,512.71
|
$81,732.12
|
2026-08-17
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$76,900.47
|
$86,282.38
|
$81,514.52
|
2026-08-17
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
32
|
10
|
—
|
—
|
$44,757.58
|
$161,060.67
|
$81,420.87
|
2026-08-17
|
|
270681568
|
OTHER
|
Pump Set Impella Cp
|
4
|
4
|
$125,000.00
|
—
|
$37,500.00
|
$125,000.00
|
$81,250.00
|
2026-07-15
|
|
270681567
|
OTHER
|
Pump Set Impella 2.5 Aic
|
4
|
4
|
$125,000.00
|
—
|
$37,500.00
|
$125,000.00
|
$81,250.00
|
2026-07-15
|
|
270681568S
|
OTHER
|
Pump Set Impella Cp
|
4
|
4
|
$125,000.00
|
—
|
$37,500.00
|
$125,000.00
|
$81,250.00
|
2026-07-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
32
|
10
|
—
|
—
|
$44,571.55
|
$160,463.57
|
$81,077.51
|
2026-08-17
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
10
|
—
|
—
|
$71,691.86
|
$247,525.95
|
$80,525.27
|
2026-08-17
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
6
|
3
|
—
|
—
|
$75,707.64
|
$84,944.03
|
$80,250.12
|
2026-08-17
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$43,881.66
|
$158,248.86
|
$79,804.00
|
2026-08-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
26
|
10
|
—
|
—
|
$70,823.84
|
$244,739.38
|
$79,618.74
|
2026-08-17
|
|
270665901
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
3
|
3
|
$98,750.00
|
—
|
$324.00
|
$98,750.00
|
$79,000.00
|
2026-07-15
|
|
270682037
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
3
|
3
|
$98,750.00
|
—
|
$324.00
|
$98,750.00
|
$79,000.00
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
26
|
9
|
—
|
—
|
$57,450.11
|
$246,170.53
|
$78,900.81
|
2026-08-17
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
6
|
3
|
—
|
—
|
$73,840.12
|
$82,848.66
|
$78,270.55
|
2026-08-17
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
32
|
10
|
—
|
—
|
$42,898.49
|
$155,092.67
|
$77,989.11
|
2026-08-17
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
32
|
10
|
—
|
—
|
$42,626.88
|
$154,220.63
|
$77,487.71
|
2026-08-17
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
6
|
3
|
—
|
—
|
$72,604.73
|
$81,462.55
|
$76,961.04
|
2026-08-17
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
32
|
10
|
—
|
—
|
$42,212.56
|
$152,890.58
|
$76,722.87
|
2026-08-17
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$72,318.08
|
$81,140.94
|
$76,657.19
|
2026-08-17
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$72,231.73
|
$81,044.05
|
$76,565.65
|
2026-08-17
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
32
|
10
|
—
|
—
|
$42,121.01
|
$152,596.77
|
$76,553.92
|
2026-08-17
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
6
|
3
|
—
|
—
|
$72,071.47
|
$80,864.24
|
$76,395.79
|
2026-08-17
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
32
|
10
|
—
|
—
|
$41,999.97
|
$152,208.17
|
$76,330.46
|
2026-08-17
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
32
|
10
|
—
|
—
|
$41,950.76
|
$152,050.14
|
$76,239.63
|
2026-08-17
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
32
|
10
|
—
|
—
|
$41,873.99
|
$151,803.72
|
$76,097.93
|
2026-08-17
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
10
|
—
|
—
|
$41,714.56
|
$151,291.92
|
$75,803.62
|
2026-08-17
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$41,521.68
|
$150,672.72
|
$75,447.55
|
2026-08-17
|
|
270669117
|
OTHER
|
Autologous Cultured Chondrocytes, Implant
|
2
|
2
|
$188,000.00
|
—
|
$324.00
|
$150,400.00
|
$75,362.00
|
2026-07-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
26
|
10
|
—
|
—
|
$66,455.19
|
$230,714.98
|
$75,056.32
|
2026-08-17
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$70,789.75
|
$79,426.16
|
$75,037.16
|
2026-08-17
|
|
270700365S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$93,765.00
|
—
|
$324.00
|
$93,765.00
|
$75,012.00
|
2026-07-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
26
|
10
|
—
|
—
|
$66,406.96
|
$230,560.20
|
$75,005.96
|
2026-08-17
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
32
|
10
|
—
|
—
|
$41,251.03
|
$149,803.90
|
$74,947.96
|
2026-08-17
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$70,569.49
|
$79,179.02
|
$74,803.68
|
2026-08-17
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
6
|
3
|
—
|
—
|
$70,553.20
|
$79,160.74
|
$74,786.42
|
2026-08-17
|
|
234
|
APR_DRG
|
Spinal Procedures
|
6
|
3
|
—
|
—
|
$70,171.44
|
$78,732.41
|
$74,381.76
|
2026-08-17
|
|
270690189
|
OTHER
|
Skin Te, Per Square Centimeter
|
3
|
3
|
$92,500.00
|
—
|
$324.00
|
$92,500.00
|
$74,000.00
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
6
|
3
|
—
|
—
|
$69,203.88
|
$77,646.81
|
$73,356.14
|
2026-08-17
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$68,651.94
|
$77,027.53
|
$72,771.08
|
2026-08-17
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
32
|
10
|
—
|
—
|
$39,859.43
|
$145,336.56
|
$72,379.14
|
2026-08-17
|
|
6814
|
APR_DRG
|
Othero.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$67,979.78
|
$76,273.37
|
$72,058.60
|
2026-08-17
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
6
|
3
|
—
|
—
|
$67,958.50
|
$76,249.49
|
$72,036.04
|
2026-08-17
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
3
|
—
|
—
|
$67,950.97
|
$76,241.04
|
$72,028.05
|
2026-08-17
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
6
|
3
|
—
|
—
|
$67,461.58
|
$75,691.94
|
$71,509.29
|
2026-08-17
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
6
|
3
|
—
|
—
|
$67,449.06
|
$75,677.89
|
$71,496.02
|
2026-08-17
|
|
270699005S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270699008S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270699274S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270697402S
|
OTHER
|
Stent, Non-coated/non-covered, With Delivery System
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270699630S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270697151S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270696541S
|
OTHER
|
Embolization Protective System
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270699009S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$89,300.00
|
—
|
$324.00
|
$89,300.00
|
$71,440.00
|
2026-07-15
|
|
270694753
|
OTHER
|
Prosthesis, Penile, Inflatable
|
3
|
3
|
$88,525.00
|
—
|
$324.00
|
$88,525.00
|
$70,820.00
|
2026-07-15
|
|
270694754
|
OTHER
|
Prosthesis, Penile, Inflatable
|
3
|
3
|
$88,525.00
|
—
|
$324.00
|
$88,525.00
|
$70,820.00
|
2026-07-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$66,760.61
|
$74,905.45
|
$70,766.27
|
2026-08-17
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
30
|
10
|
—
|
—
|
$45,396.27
|
$163,111.04
|
$70,632.98
|
2026-08-17
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$66,615.47
|
$74,742.61
|
$70,612.43
|
2026-08-17
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
6
|
3
|
—
|
—
|
$66,530.35
|
$74,647.10
|
$70,522.20
|
2026-08-17
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$66,325.07
|
$74,416.77
|
$70,304.60
|
2026-08-17
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$66,281.27
|
$74,367.64
|
$70,258.17
|
2026-08-17
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
6
|
3
|
—
|
—
|
$66,271.21
|
$74,356.35
|
$70,247.51
|
2026-08-17
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
32
|
10
|
—
|
—
|
$38,686.32
|
$141,570.56
|
$70,213.64
|
2026-08-17
|
|
270697104
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$87,500.00
|
—
|
$324.00
|
$87,500.00
|
$70,000.00
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
32
|
10
|
—
|
—
|
$38,434.39
|
$140,761.86
|
$69,748.57
|
2026-08-17
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
30
|
10
|
—
|
—
|
$44,744.76
|
$161,019.61
|
$69,604.57
|
2026-08-17
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$65,557.79
|
$73,555.88
|
$69,491.28
|
2026-08-17
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$65,453.91
|
$73,439.34
|
$69,381.17
|
2026-08-17
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$65,422.57
|
$73,404.18
|
$69,347.95
|
2026-08-17
|
|
270700000S
|
OTHER
|
Stent, Non-coated/non-covered, With Delivery System
|
3
|
3
|
$86,600.00
|
—
|
$324.00
|
$86,600.00
|
$69,280.00
|
2026-07-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
6
|
3
|
—
|
—
|
$65,263.62
|
$73,225.83
|
$69,179.46
|
2026-08-17
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$65,262.39
|
$73,224.44
|
$69,178.15
|
2026-08-17
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
32
|
10
|
—
|
—
|
$38,974.67
|
$142,496.30
|
$68,865.54
|
2026-08-17
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$64,961.99
|
$72,887.40
|
$68,859.74
|
2026-08-17
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
6
|
3
|
—
|
—
|
$64,546.43
|
$72,421.14
|
$68,419.24
|
2026-08-17
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
32
|
10
|
—
|
—
|
$37,683.49
|
$138,351.22
|
$68,362.42
|
2026-08-17
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
6
|
3
|
—
|
—
|
$64,441.26
|
$72,303.14
|
$68,307.76
|
2026-08-17
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
3
|
—
|
—
|
$64,376.18
|
$72,230.13
|
$68,238.77
|
2026-08-17
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
26
|
10
|
—
|
—
|
$59,763.92
|
$209,234.59
|
$68,068.30
|
2026-08-17
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$37,522.07
|
$137,833.08
|
$68,064.48
|
2026-08-17
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$37,434.47
|
$137,551.94
|
$67,902.80
|
2026-08-17
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
32
|
10
|
—
|
—
|
$37,430.55
|
$137,539.30
|
$67,895.53
|
2026-08-17
|
|
270684662
|
OTHER
|
Cardioverter-defibrillator, Single Chamber (implantable)
|
3
|
3
|
$84,785.00
|
—
|
$324.00
|
$84,785.00
|
$67,828.00
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$37,327.22
|
$137,207.52
|
$67,704.78
|
2026-08-17
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$63,806.66
|
$71,591.12
|
$67,635.08
|
2026-08-17
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
32
|
10
|
—
|
—
|
$37,120.55
|
$136,544.09
|
$67,323.27
|
2026-08-17
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
26
|
9
|
—
|
—
|
$59,007.11
|
$206,804.99
|
$67,277.90
|
2026-08-17
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
32
|
10
|
—
|
—
|
$36,798.71
|
$135,510.96
|
$66,729.21
|
2026-08-17
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
32
|
10
|
—
|
—
|
$36,783.96
|
$135,463.54
|
$66,701.96
|
2026-08-17
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
6
|
3
|
—
|
—
|
$62,549.99
|
$70,181.13
|
$66,303.01
|
2026-08-17
|
|
270696955S
|
OTHER
|
Embolization Protective System
|
3
|
3
|
$82,475.00
|
—
|
$324.00
|
$82,475.00
|
$65,980.00
|
2026-07-15
|
|
270697714S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$82,475.00
|
—
|
$324.00
|
$82,475.00
|
$65,980.00
|
2026-07-15
|
|
270697114S
|
OTHER
|
Embolization Protective System
|
3
|
3
|
$82,475.00
|
—
|
$324.00
|
$82,475.00
|
$65,980.00
|
2026-07-15
|
|
270696907S
|
OTHER
|
Embolization Protective System
|
3
|
3
|
$82,475.00
|
—
|
$324.00
|
$82,475.00
|
$65,980.00
|
2026-07-15
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
32
|
10
|
—
|
—
|
$36,359.79
|
$134,101.87
|
$65,918.96
|
2026-08-17
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
32
|
10
|
—
|
—
|
$36,332.24
|
$134,013.42
|
$65,868.09
|
2026-08-17
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
32
|
10
|
—
|
—
|
$36,283.02
|
$133,855.49
|
$65,777.26
|
2026-08-17
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
32
|
10
|
—
|
—
|
$36,258.41
|
$133,776.49
|
$65,731.84
|
2026-08-17
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
26
|
10
|
—
|
—
|
$57,406.88
|
$201,667.85
|
$65,606.68
|
2026-08-17
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
6
|
3
|
—
|
—
|
$61,839.03
|
$69,383.43
|
$65,549.39
|
2026-08-17
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
30
|
10
|
—
|
—
|
$42,141.69
|
$152,663.13
|
$65,495.56
|
2026-08-17
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$61,678.84
|
$69,203.71
|
$65,379.60
|
2026-08-17
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
6
|
3
|
—
|
—
|
$61,364.69
|
$68,851.22
|
$65,046.59
|
2026-08-17
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
26
|
10
|
—
|
—
|
$56,814.43
|
$199,765.99
|
$64,987.97
|
2026-08-17
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
32
|
10
|
—
|
—
|
$35,828.34
|
$132,395.83
|
$64,937.94
|
2026-08-17
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
32
|
10
|
—
|
—
|
$35,792.90
|
$132,282.07
|
$64,872.54
|
2026-08-17
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
32
|
10
|
—
|
—
|
$35,740.75
|
$132,114.65
|
$64,776.26
|
2026-08-17
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$61,076.74
|
$68,528.15
|
$64,741.37
|
2026-08-17
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
32
|
10
|
—
|
—
|
$35,711.23
|
$132,019.87
|
$64,721.76
|
2026-08-17
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
32
|
10
|
—
|
—
|
$35,677.75
|
$131,912.45
|
$64,659.99
|
2026-08-17
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
32
|
10
|
—
|
—
|
$35,649.22
|
$131,820.81
|
$64,607.31
|
2026-08-17
|
|
1814
|
APR_DRG
|
Lower Extremity Vascular Procedures
|
6
|
3
|
—
|
—
|
$60,812.68
|
$68,231.88
|
$64,461.46
|
2026-08-17
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
6
|
3
|
—
|
—
|
$60,691.22
|
$68,095.60
|
$64,332.71
|
2026-08-17
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
10
|
—
|
—
|
$55,978.85
|
$197,083.66
|
$64,115.36
|
2026-08-17
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
32
|
10
|
—
|
—
|
$35,356.94
|
$130,882.44
|
$64,067.74
|
2026-08-17
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
32
|
10
|
—
|
—
|
$35,910.03
|
$132,658.06
|
$64,062.29
|
2026-08-17
|
|
270698074
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$80,000.00
|
—
|
$324.00
|
$80,000.00
|
$64,000.00
|
2026-07-15
|
|
270697758
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
3
|
3
|
$80,000.00
|
—
|
$324.00
|
$80,000.00
|
$64,000.00
|
2026-07-15
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$60,359.56
|
$67,723.47
|
$63,981.15
|
2026-08-17
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
28
|
9
|
—
|
—
|
$41,685.04
|
$151,197.13
|
$63,972.17
|
2026-08-17
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
26
|
9
|
—
|
—
|
$55,807.62
|
$196,533.92
|
$63,936.51
|
2026-08-17
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
6
|
3
|
—
|
—
|
$60,179.32
|
$67,521.24
|
$63,790.10
|
2026-08-17
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
6
|
3
|
—
|
—
|
$59,979.03
|
$67,296.52
|
$63,577.79
|
2026-08-17
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
26
|
10
|
—
|
—
|
$55,429.74
|
$195,320.77
|
$63,541.85
|
2026-08-17
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
32
|
10
|
—
|
—
|
$34,980.01
|
$129,672.44
|
$63,371.95
|
2026-08-17
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
32
|
10
|
—
|
—
|
$34,971.14
|
$129,644.05
|
$63,355.60
|
2026-08-17
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
32
|
10
|
—
|
—
|
$34,813.69
|
$129,138.55
|
$63,064.93
|
2026-08-17
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
32
|
10
|
—
|
—
|
$34,648.35
|
$128,607.74
|
$62,759.71
|
2026-08-17
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$58,980.19
|
$66,175.83
|
$62,519.03
|
2026-08-17
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
6
|
3
|
—
|
—
|
$58,912.66
|
$66,100.04
|
$62,447.43
|
2026-08-17
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
28
|
9
|
—
|
—
|
$40,596.56
|
$147,702.95
|
$62,360.52
|
2026-08-17
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
32
|
10
|
—
|
—
|
$34,390.47
|
$127,780.04
|
$62,283.75
|
2026-08-17
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$58,736.11
|
$65,901.97
|
$62,260.30
|
2026-08-17
|