|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
34
|
17
|
—
|
—
|
$3,853,477.39
|
$4,415,442.85
|
$4,054,179.34
|
2026-08-01
|
|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
34
|
17
|
—
|
—
|
$3,782,239.10
|
$4,333,815.64
|
$3,979,230.72
|
2026-08-01
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
34
|
17
|
—
|
—
|
$3,488,950.08
|
$3,997,755.29
|
$3,670,666.22
|
2026-08-01
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
34
|
17
|
—
|
—
|
$3,447,555.53
|
$3,950,324.05
|
$3,627,115.72
|
2026-08-01
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
34
|
17
|
—
|
—
|
$3,113,921.13
|
$3,568,034.62
|
$3,276,104.52
|
2026-08-01
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
36
|
18
|
—
|
—
|
$2,506,049.97
|
$4,568,320.26
|
$2,649,625.75
|
2026-08-01
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
36
|
18
|
—
|
—
|
$2,446,652.31
|
$4,460,043.28
|
$2,586,825.10
|
2026-08-01
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
48
|
21
|
—
|
—
|
$555,210.52
|
$1,735,032.86
|
$595,694.62
|
2026-08-01
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
48
|
21
|
—
|
—
|
$553,039.35
|
$1,728,247.97
|
$593,365.14
|
2026-08-01
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
48
|
21
|
—
|
—
|
$552,477.17
|
$1,726,491.15
|
$592,761.96
|
2026-08-01
|
|
9413
|
OTHER
|
Lisocabtagene Mara Car Pos T
|
48
|
21
|
—
|
—
|
$542,130.81
|
$1,694,158.78
|
$581,661.18
|
2026-08-01
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
48
|
21
|
—
|
—
|
$513,519.96
|
$1,604,749.88
|
$550,964.13
|
2026-08-01
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
48
|
21
|
—
|
—
|
$483,172.29
|
$1,509,913.40
|
$518,403.60
|
2026-08-01
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
12
|
5
|
—
|
—
|
$251,290.00
|
$555,194.02
|
$462,650.04
|
2026-08-01
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
12
|
5
|
—
|
—
|
$168,049.52
|
$483,502.52
|
$402,908.63
|
2026-08-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
62
|
23
|
—
|
—
|
$304,062.04
|
$1,264,132.50
|
$382,851.56
|
2026-08-01
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
12
|
5
|
—
|
—
|
$240,423.35
|
$414,103.15
|
$345,077.27
|
2026-08-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
72
|
23
|
—
|
—
|
$234,473.03
|
$820,655.62
|
$334,124.08
|
2026-08-01
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
12
|
5
|
—
|
—
|
$197,038.03
|
$381,951.30
|
$318,284.74
|
2026-08-01
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
12
|
5
|
—
|
—
|
$207,248.53
|
$370,027.51
|
$308,348.50
|
2026-08-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
72
|
23
|
—
|
—
|
$171,306.44
|
$625,423.84
|
$254,636.85
|
2026-08-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
72
|
23
|
—
|
—
|
$154,691.32
|
$621,758.22
|
$253,144.42
|
2026-08-01
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
12
|
5
|
—
|
—
|
$89,636.13
|
$303,409.48
|
$252,834.87
|
2026-08-01
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
12
|
5
|
—
|
—
|
$82,116.09
|
$289,430.43
|
$241,185.96
|
2026-08-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
5
|
—
|
—
|
$75,672.04
|
$287,432.72
|
$239,521.24
|
2026-08-01
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
12
|
5
|
—
|
—
|
$107,026.21
|
$281,465.27
|
$234,548.49
|
2026-08-01
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
12
|
5
|
—
|
—
|
$191,186.49
|
$274,323.77
|
$228,597.39
|
2026-08-01
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
12
|
5
|
—
|
—
|
$165,872.48
|
$272,226.90
|
$226,850.04
|
2026-08-01
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
12
|
5
|
—
|
—
|
$201,909.31
|
$269,511.04
|
$224,586.89
|
2026-08-01
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
12
|
5
|
—
|
—
|
$179,624.33
|
$265,594.04
|
$221,322.80
|
2026-08-01
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
12
|
5
|
—
|
—
|
$95,014.66
|
$264,767.13
|
$220,633.72
|
2026-08-01
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
12
|
5
|
—
|
—
|
$139,424.50
|
$261,739.38
|
$218,110.66
|
2026-08-01
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
12
|
5
|
—
|
—
|
$87,968.96
|
$258,530.98
|
$215,437.06
|
2026-08-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$75,672.04
|
$246,544.75
|
$205,448.79
|
2026-08-01
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
12
|
5
|
—
|
—
|
$80,672.48
|
$245,705.08
|
$204,749.08
|
2026-08-01
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
12
|
5
|
—
|
—
|
$141,247.15
|
$241,984.81
|
$201,648.93
|
2026-08-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$75,672.04
|
$239,556.89
|
$199,625.72
|
2026-08-01
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
12
|
5
|
—
|
—
|
$131,449.65
|
$234,192.33
|
$195,155.37
|
2026-08-01
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$155,080.93
|
$232,241.04
|
$193,529.33
|
2026-08-01
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
12
|
5
|
—
|
—
|
$51,058.90
|
$232,106.65
|
$193,417.34
|
2026-08-01
|
|
1611
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
12
|
5
|
—
|
—
|
$39,549.97
|
$220,766.69
|
$183,967.61
|
2026-08-01
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$131,378.77
|
$204,209.33
|
$170,170.16
|
2026-08-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
72
|
23
|
—
|
—
|
$96,621.50
|
$406,036.08
|
$165,314.69
|
2026-08-01
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
12
|
5
|
—
|
—
|
$127,743.10
|
$196,434.51
|
$163,691.31
|
2026-08-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
76
|
24
|
—
|
—
|
$83,458.45
|
$339,832.23
|
$160,657.51
|
2026-08-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
72
|
23
|
—
|
—
|
$94,278.05
|
$379,671.26
|
$154,580.44
|
2026-08-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$140,179.61
|
$185,041.73
|
$154,197.57
|
2026-08-01
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
12
|
5
|
—
|
—
|
$116,144.43
|
$183,362.29
|
$152,798.07
|
2026-08-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
72
|
23
|
—
|
—
|
$94,949.89
|
$353,983.44
|
$147,963.85
|
2026-08-01
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
12
|
5
|
—
|
—
|
$133,670.53
|
$176,449.54
|
$147,037.58
|
2026-08-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
5
|
—
|
—
|
$114,923.77
|
$174,159.16
|
$145,128.99
|
2026-08-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
76
|
24
|
—
|
—
|
$82,002.37
|
$287,008.30
|
$143,989.99
|
2026-08-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
72
|
23
|
—
|
—
|
$100,684.76
|
$352,396.67
|
$143,475.79
|
2026-08-01
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
12
|
5
|
—
|
—
|
$79,172.04
|
$171,951.94
|
$143,289.68
|
2026-08-01
|
|
A9543
|
HCPCS
|
Hc Yttrium Y-90 Zevalin Per Tx Dose Up To 40mci
|
108
|
37
|
$94,628.00
|
$9,462.80
90% off
|
$95.27
|
$214,674.14
|
$141,684.93
|
2026-08-01
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
12
|
5
|
—
|
—
|
$109,387.86
|
$168,554.76
|
$140,458.77
|
2026-08-01
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$94,894.58
|
$166,149.23
|
$138,454.21
|
2026-08-01
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
12
|
5
|
—
|
—
|
$98,173.18
|
$159,937.04
|
$133,277.51
|
2026-08-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
5
|
—
|
—
|
$75,672.04
|
$154,446.13
|
$128,701.87
|
2026-08-01
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
12
|
5
|
—
|
—
|
$102,011.28
|
$152,699.62
|
$127,246.48
|
2026-08-01
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
12
|
5
|
—
|
—
|
$46,670.15
|
$152,469.22
|
$127,054.49
|
2026-08-01
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
12
|
5
|
—
|
—
|
$105,949.31
|
$151,282.50
|
$126,065.58
|
2026-08-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
12
|
5
|
—
|
—
|
$100,192.65
|
$149,735.79
|
$124,776.69
|
2026-08-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$97,897.97
|
$148,937.73
|
$124,111.66
|
2026-08-01
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
12
|
5
|
—
|
—
|
$92,273.72
|
$148,392.29
|
$123,657.13
|
2026-08-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
72
|
23
|
—
|
—
|
$83,273.53
|
$397,994.00
|
$123,138.84
|
2026-08-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$89,929.96
|
$146,495.39
|
$122,076.42
|
2026-08-01
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
12
|
5
|
—
|
—
|
$87,206.47
|
$142,568.76
|
$118,804.31
|
2026-08-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
76
|
24
|
—
|
—
|
$69,156.62
|
$247,428.90
|
$118,136.61
|
2026-08-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
76
|
24
|
—
|
—
|
$64,411.63
|
$225,440.69
|
$117,662.84
|
2026-08-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$89,050.62
|
$140,388.74
|
$116,987.67
|
2026-08-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
76
|
24
|
—
|
—
|
$63,475.17
|
$224,472.38
|
$116,702.08
|
2026-08-01
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
12
|
5
|
—
|
—
|
$84,858.07
|
$138,568.61
|
$115,470.93
|
2026-08-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$75,672.04
|
$137,321.03
|
$114,431.31
|
2026-08-01
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$87,410.43
|
$132,143.68
|
$110,116.96
|
2026-08-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
12
|
5
|
—
|
—
|
$75,672.04
|
$131,822.16
|
$109,849.04
|
2026-08-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$83,015.69
|
$126,013.06
|
$105,008.25
|
2026-08-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
74
|
23
|
—
|
—
|
$52,332.98
|
$256,562.54
|
$101,508.29
|
2026-08-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
60
|
23
|
—
|
—
|
$94,841.24
|
$331,944.33
|
$101,480.12
|
2026-08-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
12
|
5
|
—
|
—
|
$91,004.28
|
$121,633.77
|
$101,358.92
|
2026-08-01
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$75,672.04
|
$121,078.79
|
$100,896.46
|
2026-08-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
72
|
23
|
—
|
—
|
$70,035.51
|
$246,653.66
|
$100,423.27
|
2026-08-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$80,430.55
|
$120,335.04
|
$100,276.68
|
2026-08-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
72
|
23
|
—
|
—
|
$66,003.95
|
$274,936.01
|
$99,784.46
|
2026-08-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
60
|
23
|
—
|
—
|
$92,353.71
|
$323,237.97
|
$98,818.46
|
2026-08-01
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$64,970.27
|
$117,654.42
|
$98,042.88
|
2026-08-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
76
|
24
|
—
|
—
|
$56,648.45
|
$202,024.85
|
$97,577.96
|
2026-08-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
60
|
23
|
—
|
—
|
$91,124.15
|
$318,934.52
|
$97,502.84
|
2026-08-01
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$74,521.14
|
$116,720.31
|
$97,264.48
|
2026-08-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
12
|
5
|
—
|
—
|
$75,693.45
|
$116,504.42
|
$97,084.58
|
2026-08-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$75,672.04
|
$116,282.07
|
$96,899.28
|
2026-08-01
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
12
|
5
|
—
|
—
|
$82,245.02
|
$115,813.39
|
$96,508.73
|
2026-08-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
76
|
24
|
—
|
—
|
$51,456.59
|
$189,654.24
|
$96,024.51
|
2026-08-01
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
12
|
5
|
—
|
—
|
$69,508.53
|
$115,120.88
|
$95,931.65
|
2026-08-01
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
12
|
5
|
—
|
—
|
$72,967.77
|
$114,908.14
|
$95,754.37
|
2026-08-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
76
|
24
|
—
|
—
|
$52,886.87
|
$193,172.25
|
$95,694.37
|
2026-08-01
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
12
|
5
|
—
|
—
|
$79,013.72
|
$115,179.01
|
$95,607.92
|
2026-08-01
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
12
|
5
|
—
|
—
|
$75,189.86
|
$114,162.81
|
$95,133.28
|
2026-08-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$39,375.01
|
$111,646.92
|
$93,036.76
|
2026-08-01
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
12
|
5
|
—
|
—
|
$79,026.74
|
$111,319.03
|
$92,763.52
|
2026-08-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
5
|
—
|
—
|
$39,375.01
|
$110,321.00
|
$91,931.85
|
2026-08-01
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$74,366.81
|
$110,250.61
|
$91,873.20
|
2026-08-01
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
12
|
5
|
—
|
—
|
$80,785.30
|
$109,882.76
|
$91,566.66
|
2026-08-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
5
|
—
|
—
|
$78,462.41
|
$103,572.98
|
$91,153.76
|
2026-08-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
72
|
23
|
—
|
—
|
$60,445.86
|
$223,732.21
|
$91,090.98
|
2026-08-01
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
12
|
5
|
—
|
—
|
$74,640.82
|
$139,012.91
|
$90,316.63
|
2026-08-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
5
|
—
|
—
|
$39,375.01
|
$108,244.94
|
$90,201.84
|
2026-08-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$39,375.01
|
$108,166.50
|
$90,136.48
|
2026-08-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
76
|
24
|
—
|
—
|
$48,044.39
|
$178,173.04
|
$87,320.09
|
2026-08-01
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
12
|
5
|
—
|
—
|
$67,676.05
|
$104,127.96
|
$86,771.11
|
2026-08-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
12
|
5
|
—
|
—
|
$39,375.01
|
$103,728.10
|
$86,437.91
|
2026-08-01
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
12
|
5
|
—
|
—
|
$77,994.36
|
$103,430.63
|
$86,190.02
|
2026-08-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
76
|
24
|
—
|
—
|
$49,118.78
|
$172,497.52
|
$85,832.31
|
2026-08-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
72
|
23
|
—
|
—
|
$53,158.93
|
$210,649.28
|
$85,764.35
|
2026-08-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$65,206.04
|
$102,746.07
|
$85,619.57
|
2026-08-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
12
|
5
|
—
|
—
|
$69,634.72
|
$101,368.91
|
$84,471.96
|
2026-08-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$62,242.45
|
$100,876.28
|
$84,061.45
|
2026-08-01
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
12
|
5
|
—
|
—
|
$56,014.80
|
$100,204.57
|
$83,501.71
|
2026-08-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
12
|
5
|
—
|
—
|
$57,204.26
|
$99,963.06
|
$83,300.46
|
2026-08-01
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$74,700.17
|
$98,606.71
|
$82,170.19
|
2026-08-01
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
12
|
5
|
—
|
—
|
$70,234.21
|
$98,266.05
|
$81,886.31
|
2026-08-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
60
|
23
|
—
|
—
|
$75,539.48
|
$264,388.18
|
$80,827.24
|
2026-08-01
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
12
|
5
|
—
|
—
|
$46,945.23
|
$96,741.81
|
$80,616.15
|
2026-08-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
72
|
23
|
—
|
—
|
$51,218.68
|
$197,730.17
|
$80,504.43
|
2026-08-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
76
|
24
|
—
|
—
|
$43,312.69
|
$160,622.85
|
$80,496.95
|
2026-08-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
76
|
24
|
—
|
—
|
$41,585.03
|
$173,427.55
|
$80,051.19
|
2026-08-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
76
|
24
|
—
|
—
|
$43,984.69
|
$156,822.57
|
$80,022.60
|
2026-08-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
23
|
—
|
—
|
$41,893.75
|
$193,172.25
|
$78,648.70
|
2026-08-01
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
12
|
5
|
—
|
—
|
$70,243.00
|
$94,355.42
|
$78,627.54
|
2026-08-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
72
|
23
|
—
|
—
|
$45,103.88
|
$192,473.00
|
$78,364.01
|
2026-08-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
60
|
23
|
—
|
—
|
$72,613.12
|
$254,145.93
|
$77,696.04
|
2026-08-01
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$39,375.01
|
$92,776.80
|
$77,312.06
|
2026-08-01
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
12
|
5
|
—
|
—
|
$69,921.77
|
$92,410.52
|
$77,006.83
|
2026-08-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
72
|
23
|
—
|
—
|
$46,644.18
|
$189,058.95
|
$76,974.01
|
2026-08-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
12
|
5
|
—
|
—
|
$69,922.61
|
$92,300.17
|
$76,914.87
|
2026-08-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
12
|
5
|
—
|
—
|
$63,392.35
|
$92,095.39
|
$76,744.23
|
2026-08-01
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$63,176.07
|
$95,172.11
|
$76,444.10
|
2026-08-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
76
|
24
|
—
|
—
|
$40,025.32
|
$154,226.09
|
$75,848.23
|
2026-08-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
12
|
5
|
—
|
—
|
$64,204.78
|
$84,752.44
|
$75,495.02
|
2026-08-01
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
12
|
5
|
—
|
—
|
$67,755.41
|
$90,457.57
|
$75,379.41
|
2026-08-01
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
12
|
5
|
—
|
—
|
$68,313.51
|
$90,176.10
|
$75,144.86
|
2026-08-01
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
12
|
5
|
—
|
—
|
$68,297.75
|
$90,155.29
|
$75,127.52
|
2026-08-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
12
|
5
|
—
|
—
|
$67,928.19
|
$89,667.47
|
$74,721.01
|
2026-08-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
76
|
24
|
—
|
—
|
$42,206.54
|
$155,169.67
|
$74,539.32
|
2026-08-01
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
48
|
21
|
—
|
—
|
$68,695.73
|
$214,674.14
|
$73,704.79
|
2026-08-01
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
12
|
5
|
—
|
—
|
$53,088.33
|
$88,431.08
|
$73,690.71
|
2026-08-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
12
|
5
|
—
|
—
|
$65,304.96
|
$86,204.71
|
$73,474.38
|
2026-08-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
72
|
23
|
—
|
—
|
$47,141.06
|
$179,890.33
|
$73,241.06
|
2026-08-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$56,249.35
|
$87,725.80
|
$73,102.99
|
2026-08-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
74
|
23
|
—
|
—
|
$40,276.06
|
$145,290.19
|
$72,645.10
|
2026-08-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
12
|
5
|
—
|
—
|
$65,806.59
|
$86,866.89
|
$72,387.25
|
2026-08-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
12
|
5
|
—
|
—
|
$61,448.52
|
$86,839.69
|
$72,364.59
|
2026-08-01
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
12
|
5
|
—
|
—
|
$34,102.09
|
$86,830.07
|
$72,356.58
|
2026-08-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
72
|
23
|
—
|
—
|
$47,406.60
|
$176,584.54
|
$71,895.14
|
2026-08-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
12
|
5
|
—
|
—
|
$64,422.73
|
$86,188.71
|
$71,822.12
|
2026-08-01
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
48
|
21
|
—
|
—
|
$66,469.60
|
$207,717.49
|
$71,316.34
|
2026-08-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$39,375.01
|
$85,308.99
|
$71,089.03
|
2026-08-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
72
|
23
|
—
|
—
|
$49,795.73
|
$174,285.05
|
$70,965.27
|
2026-08-01
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
12
|
5
|
—
|
—
|
$48,565.75
|
$85,123.53
|
$70,934.49
|
2026-08-01
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
12
|
5
|
—
|
—
|
$62,529.38
|
$85,014.75
|
$70,843.85
|
2026-08-01
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
12
|
5
|
—
|
—
|
$62,592.13
|
$84,696.48
|
$70,578.62
|
2026-08-01
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
12
|
5
|
—
|
—
|
$63,924.45
|
$84,683.62
|
$70,567.91
|
2026-08-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
72
|
23
|
—
|
—
|
$46,325.70
|
$172,386.41
|
$70,185.90
|
2026-08-01
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$50,059.85
|
$83,771.98
|
$69,808.23
|
2026-08-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
12
|
5
|
—
|
—
|
$55,077.95
|
$83,639.25
|
$69,697.62
|
2026-08-01
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
12
|
5
|
—
|
—
|
$53,878.23
|
$83,599.20
|
$69,664.25
|
2026-08-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
72
|
23
|
—
|
—
|
$44,480.47
|
$208,486.48
|
$69,594.60
|
2026-08-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
12
|
5
|
—
|
—
|
$59,484.35
|
$83,396.08
|
$69,494.99
|
2026-08-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$51,522.26
|
$83,010.65
|
$69,173.80
|
2026-08-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
12
|
5
|
—
|
—
|
$50,242.26
|
$82,479.63
|
$68,731.30
|
2026-08-01
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$39,375.01
|
$82,345.24
|
$68,619.31
|
2026-08-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
72
|
23
|
—
|
—
|
$46,122.06
|
$168,451.59
|
$68,583.87
|
2026-08-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
5
|
—
|
—
|
$51,604.00
|
$82,262.09
|
$68,550.01
|
2026-08-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
72
|
23
|
—
|
—
|
$43,703.68
|
$167,550.45
|
$68,216.96
|
2026-08-01
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$61,766.88
|
$81,534.33
|
$67,943.57
|
2026-08-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
74
|
23
|
—
|
—
|
$38,651.99
|
$135,281.97
|
$67,640.98
|
2026-08-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
72
|
23
|
—
|
—
|
$44,203.81
|
$164,816.00
|
$67,086.62
|
2026-08-01
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
12
|
5
|
—
|
—
|
$58,061.61
|
$76,643.26
|
$66,629.08
|
2026-08-01
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
12
|
5
|
—
|
—
|
$39,375.01
|
$79,928.51
|
$66,605.42
|
2026-08-01
|
|
5244
|
OTHER
|
Transplt Allo Hct/donor
|
48
|
21
|
—
|
—
|
$62,050.05
|
$193,906.41
|
$66,574.53
|
2026-08-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
72
|
23
|
—
|
—
|
$46,396.27
|
$162,386.95
|
$66,114.69
|
2026-08-01
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$47,054.02
|
$79,020.02
|
$65,848.36
|
2026-08-01
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
12
|
5
|
—
|
—
|
$54,359.99
|
$97,510.68
|
$65,776.49
|
2026-08-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
72
|
23
|
—
|
—
|
$46,119.60
|
$161,418.61
|
$65,720.43
|
2026-08-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$47,031.12
|
$78,815.33
|
$65,677.79
|
2026-08-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
72
|
23
|
—
|
—
|
$29,467.84
|
$210,737.03
|
$65,629.54
|
2026-08-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
72
|
23
|
—
|
—
|
$45,957.43
|
$160,851.02
|
$65,489.35
|
2026-08-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
12
|
5
|
—
|
—
|
$49,299.80
|
$78,413.90
|
$65,343.27
|
2026-08-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
72
|
23
|
—
|
—
|
$40,860.91
|
$160,371.25
|
$65,294.01
|
2026-08-01
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$53,087.84
|
$78,045.95
|
$65,036.66
|
2026-08-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
60
|
23
|
—
|
—
|
$60,569.16
|
$211,992.04
|
$64,809.00
|
2026-08-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
12
|
5
|
—
|
—
|
$57,369.46
|
$77,708.53
|
$64,755.48
|
2026-08-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
12
|
5
|
—
|
—
|
$51,815.53
|
$77,553.32
|
$64,626.14
|
2026-08-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$49,744.23
|
$77,129.50
|
$64,272.97
|
2026-08-01
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
12
|
5
|
—
|
—
|
$45,769.75
|
$76,899.19
|
$64,081.05
|
2026-08-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
60
|
23
|
—
|
—
|
$59,831.93
|
$209,411.77
|
$64,020.17
|
2026-08-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
72
|
23
|
—
|
—
|
$39,344.22
|
$159,733.52
|
$63,821.63
|
2026-08-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
62
|
23
|
—
|
—
|
$54,264.27
|
$209,534.62
|
$63,459.06
|
2026-08-01
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
12
|
5
|
—
|
—
|
$55,000.99
|
$72,603.14
|
$62,864.64
|
2026-08-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
12
|
5
|
—
|
—
|
$57,144.39
|
$75,432.49
|
$62,858.83
|
2026-08-01
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
12
|
5
|
—
|
—
|
$49,742.70
|
$75,366.91
|
$62,804.18
|
2026-08-01
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
12
|
5
|
—
|
—
|
$39,375.01
|
$75,280.61
|
$62,732.26
|
2026-08-01
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
12
|
5
|
—
|
—
|
$53,234.78
|
$75,055.01
|
$62,544.27
|
2026-08-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
72
|
23
|
—
|
—
|
$43,537.51
|
$153,095.47
|
$62,331.73
|
2026-08-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
72
|
23
|
—
|
—
|
$43,666.33
|
$152,832.16
|
$62,224.52
|
2026-08-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
76
|
24
|
—
|
—
|
$33,240.01
|
$123,354.66
|
$62,129.31
|
2026-08-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
12
|
5
|
—
|
—
|
$56,170.26
|
$74,146.61
|
$62,073.11
|
2026-08-01
|
|
6302
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
12
|
5
|
—
|
—
|
$29,659.42
|
$74,388.12
|
$61,988.54
|
2026-08-01
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
48
|
21
|
—
|
—
|
$57,720.04
|
$180,375.12
|
$61,928.79
|
2026-08-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
12
|
5
|
—
|
—
|
$39,375.01
|
$73,770.71
|
$61,474.05
|
2026-08-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
76
|
24
|
—
|
—
|
$35,144.42
|
$124,360.99
|
$61,378.82
|
2026-08-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
12
|
5
|
—
|
—
|
$39,375.01
|
$73,068.58
|
$60,888.95
|
2026-08-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
23
|
—
|
—
|
$37,080.60
|
$148,262.52
|
$60,364.02
|
2026-08-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
12
|
5
|
—
|
—
|
$39,375.01
|
$72,396.78
|
$60,329.13
|
2026-08-01
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
12
|
5
|
—
|
—
|
$49,145.29
|
$72,323.25
|
$60,267.85
|
2026-08-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
5
|
—
|
—
|
$39,375.01
|
$72,302.43
|
$60,250.51
|
2026-08-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
12
|
5
|
—
|
—
|
$49,355.54
|
$72,097.65
|
$60,079.87
|
2026-08-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
60
|
23
|
—
|
—
|
$56,121.54
|
$196,425.39
|
$60,050.04
|
2026-08-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
60
|
23
|
—
|
—
|
$56,080.59
|
$196,282.06
|
$60,006.22
|
2026-08-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
72
|
23
|
—
|
—
|
$41,919.39
|
$146,717.86
|
$59,735.13
|
2026-08-01
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
12
|
5
|
—
|
—
|
$48,505.07
|
$71,493.10
|
$59,576.08
|
2026-08-01
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
12
|
5
|
—
|
—
|
$45,981.03
|
$70,878.93
|
$59,064.29
|
2026-08-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
72
|
23
|
—
|
—
|
$39,169.10
|
$144,795.80
|
$58,952.57
|
2026-08-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
12
|
5
|
—
|
—
|
$39,375.01
|
$70,501.45
|
$58,749.73
|
2026-08-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
12
|
5
|
—
|
—
|
$43,186.06
|
$70,480.64
|
$58,732.39
|
2026-08-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
72
|
23
|
—
|
—
|
$41,198.88
|
$144,196.08
|
$58,708.40
|
2026-08-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
72
|
23
|
—
|
—
|
$40,388.91
|
$141,725.77
|
$58,551.21
|
2026-08-01
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
12
|
5
|
—
|
—
|
$51,518.60
|
$70,010.40
|
$58,340.53
|
2026-08-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$42,848.04
|
$69,868.05
|
$58,221.91
|
2026-08-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
12
|
5
|
—
|
—
|
$39,375.01
|
$69,685.74
|
$58,069.98
|
2026-08-01
|
|
1652
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$39,375.01
|
$69,680.93
|
$58,065.98
|
2026-08-01
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
12
|
5
|
—
|
—
|
$52,350.26
|
$69,484.19
|
$57,902.03
|
2026-08-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
72
|
23
|
—
|
—
|
$40,592.87
|
$142,075.03
|
$57,844.84
|
2026-08-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
12
|
5
|
—
|
—
|
$48,063.02
|
$63,444.78
|
$57,709.97
|
2026-08-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
12
|
5
|
—
|
—
|
$47,540.33
|
$69,157.95
|
$57,630.18
|
2026-08-01
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
12
|
5
|
—
|
—
|
$39,375.01
|
$69,090.80
|
$57,574.22
|
2026-08-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
12
|
5
|
—
|
—
|
$46,683.82
|
$68,674.94
|
$57,227.68
|
2026-08-01
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
12
|
5
|
—
|
—
|
$39,375.01
|
$68,484.59
|
$57,069.05
|
2026-08-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$42,374.98
|
$68,439.82
|
$57,031.75
|
2026-08-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
12
|
5
|
—
|
—
|
$49,676.95
|
$65,575.23
|
$56,709.48
|
2026-08-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
12
|
5
|
—
|
—
|
$51,542.87
|
$68,038.30
|
$56,697.15
|
2026-08-01
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
12
|
5
|
—
|
—
|
$47,517.73
|
$62,724.98
|
$56,469.55
|
2026-08-01
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
12
|
5
|
—
|
—
|
$51,284.80
|
$67,697.63
|
$56,413.28
|
2026-08-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
72
|
23
|
—
|
—
|
$37,532.67
|
$138,070.04
|
$56,214.23
|
2026-08-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
12
|
5
|
—
|
—
|
$50,995.20
|
$67,315.35
|
$56,094.71
|
2026-08-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
72
|
23
|
—
|
—
|
$39,331.55
|
$137,660.44
|
$56,047.46
|
2026-08-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
12
|
5
|
—
|
—
|
$48,248.18
|
$67,067.46
|
$55,888.15
|
2026-08-01
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
12
|
5
|
—
|
—
|
$50,734.74
|
$66,971.54
|
$55,808.21
|
2026-08-01
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
12
|
5
|
—
|
—
|
$41,066.29
|
$66,941.11
|
$55,782.86
|
2026-08-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
12
|
5
|
—
|
—
|
$50,572.32
|
$66,757.14
|
$55,629.55
|
2026-08-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
72
|
23
|
—
|
—
|
$38,366.96
|
$134,284.37
|
$55,620.87
|
2026-08-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
72
|
23
|
—
|
—
|
$38,216.08
|
$397,994.00
|
$55,561.50
|
2026-08-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
12
|
5
|
—
|
—
|
$50,356.71
|
$66,472.53
|
$55,392.38
|
2026-08-01
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
12
|
5
|
—
|
—
|
$45,649.36
|
$69,752.72
|
$55,236.49
|
2026-08-01
|
|
1754
|
APR_DRG
|
Percutaneous Coronary Intervention Without Ami
|
12
|
5
|
—
|
—
|
$48,131.46
|
$66,197.36
|
$55,163.08
|
2026-08-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
12
|
5
|
—
|
—
|
$40,175.78
|
$66,195.78
|
$55,161.76
|
2026-08-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
74
|
23
|
—
|
—
|
$28,026.09
|
$175,262.19
|
$55,082.40
|
2026-08-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
72
|
23
|
—
|
—
|
$36,630.96
|
$134,939.67
|
$54,939.72
|
2026-08-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
74
|
23
|
—
|
—
|
$30,122.74
|
$212,779.27
|
$54,919.37
|
2026-08-01
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
12
|
5
|
—
|
—
|
$47,779.03
|
$65,872.70
|
$54,892.53
|
2026-08-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
72
|
23
|
—
|
—
|
$37,026.84
|
$133,883.58
|
$54,509.74
|
2026-08-01
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
12
|
5
|
—
|
—
|
$49,546.06
|
$65,402.45
|
$54,500.67
|
2026-08-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
72
|
23
|
—
|
—
|
$36,586.98
|
$133,825.09
|
$54,485.92
|
2026-08-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
76
|
24
|
—
|
—
|
$6,458.00
|
$174,688.78
|
$54,403.08
|
2026-08-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$47,783.12
|
$65,184.90
|
$54,319.38
|
2026-08-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
72
|
23
|
—
|
—
|
$38,086.95
|
$133,304.32
|
$54,275.81
|
2026-08-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
12
|
5
|
—
|
—
|
$47,783.12
|
$65,017.02
|
$54,179.48
|
2026-08-01
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
12
|
5
|
—
|
—
|
$47,130.76
|
$64,866.62
|
$54,054.16
|
2026-08-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
12
|
5
|
—
|
—
|
$38,091.41
|
$64,778.66
|
$53,980.86
|
2026-08-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
60
|
23
|
—
|
—
|
$50,438.51
|
$176,534.78
|
$53,969.21
|
2026-08-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
5
|
—
|
—
|
$46,472.29
|
$64,578.77
|
$53,814.29
|
2026-08-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
72
|
23
|
—
|
—
|
$37,693.25
|
$131,926.38
|
$53,712.89
|
2026-08-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
72
|
23
|
—
|
—
|
$35,563.91
|
$131,888.40
|
$53,697.42
|
2026-08-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
12
|
5
|
—
|
—
|
$48,138.30
|
$64,388.42
|
$53,655.67
|
2026-08-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
12
|
5
|
—
|
—
|
$47,983.84
|
$64,161.34
|
$53,466.44
|
2026-08-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
12
|
5
|
—
|
—
|
$47,718.71
|
$64,127.68
|
$53,438.38
|
2026-08-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
76
|
24
|
—
|
—
|
$31,255.78
|
$121,502.78
|
$53,378.90
|
2026-08-01
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
12
|
5
|
—
|
—
|
$45,984.33
|
$63,895.79
|
$53,245.15
|
2026-08-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
72
|
23
|
—
|
—
|
$34,955.45
|
$129,322.72
|
$52,652.82
|
2026-08-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
12
|
5
|
—
|
—
|
$36,582.48
|
$63,092.92
|
$52,576.11
|
2026-08-01
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
12
|
5
|
—
|
—
|
$44,239.39
|
$63,060.92
|
$52,549.44
|
2026-08-01
|
|
3094
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
12
|
5
|
—
|
—
|
$47,498.39
|
$62,699.45
|
$52,248.22
|
2026-08-01
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
12
|
5
|
—
|
—
|
$47,229.38
|
$62,344.36
|
$52,246.56
|
2026-08-01
|
|
913
|
APR_DRG
|
Other Major Head & Neck Procedures
|
12
|
5
|
—
|
—
|
$35,483.97
|
$62,497.90
|
$52,080.27
|
2026-08-01
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
5
|
—
|
—
|
$47,199.11
|
$62,304.40
|
$51,919.02
|
2026-08-01
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
12
|
5
|
—
|
—
|
$47,157.91
|
$62,250.01
|
$51,873.70
|
2026-08-01
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
12
|
5
|
—
|
—
|
$46,007.35
|
$62,205.15
|
$51,836.32
|
2026-08-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
60
|
23
|
—
|
—
|
$48,436.61
|
$169,528.13
|
$51,827.18
|
2026-08-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
76
|
24
|
—
|
—
|
$26,918.98
|
$98,549.53
|
$51,819.04
|
2026-08-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
76
|
24
|
—
|
—
|
$29,035.32
|
$104,850.71
|
$51,753.82
|
2026-08-01
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
12
|
5
|
—
|
—
|
$46,955.55
|
$61,982.88
|
$51,651.10
|
2026-08-01
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
12
|
5
|
—
|
—
|
$45,832.08
|
$61,962.07
|
$51,633.76
|
2026-08-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
5
|
—
|
—
|
$46,911.90
|
$61,925.26
|
$51,603.09
|
2026-08-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
72
|
23
|
—
|
—
|
$33,174.85
|
$126,400.08
|
$51,462.89
|
2026-08-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
12
|
5
|
—
|
—
|
$46,672.04
|
$61,608.65
|
$51,339.25
|
2026-08-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
60
|
23
|
—
|
—
|
$47,933.43
|
$167,767.01
|
$51,288.78
|
2026-08-01
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
12
|
5
|
—
|
—
|
$46,266.12
|
$61,072.82
|
$51,264.52
|
2026-08-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
72
|
23
|
—
|
—
|
$35,108.76
|
$135,056.29
|
$51,154.69
|
2026-08-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
76
|
24
|
—
|
—
|
$26,557.05
|
$122,587.60
|
$51,122.32
|
2026-08-01
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
12
|
5
|
—
|
—
|
$43,989.82
|
$61,275.94
|
$51,062.00
|
2026-08-01
|