|
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
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
8
|
4
|
—
|
—
|
$251,290.00
|
$555,194.02
|
$529,957.93
|
2026-08-01
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
48
|
21
|
—
|
—
|
$483,172.29
|
$1,509,913.40
|
$518,403.60
|
2026-08-01
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
8
|
4
|
—
|
—
|
$168,049.52
|
$483,502.52
|
$461,525.14
|
2026-08-01
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
8
|
4
|
—
|
—
|
$240,423.35
|
$414,103.15
|
$395,280.28
|
2026-08-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
58
|
23
|
—
|
—
|
$304,062.04
|
$992,055.74
|
$381,219.16
|
2026-08-01
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
8
|
4
|
—
|
—
|
$197,038.03
|
$381,951.30
|
$364,589.88
|
2026-08-01
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
8
|
4
|
—
|
—
|
$207,248.53
|
$370,027.51
|
$353,208.08
|
2026-08-01
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
8
|
4
|
—
|
—
|
$89,636.13
|
$303,409.48
|
$289,618.14
|
2026-08-01
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
8
|
4
|
—
|
—
|
$82,116.09
|
$289,430.43
|
$276,274.51
|
2026-08-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
4
|
—
|
—
|
$75,672.04
|
$287,432.72
|
$274,367.59
|
2026-08-01
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
8
|
4
|
—
|
—
|
$107,026.21
|
$281,465.27
|
$268,671.40
|
2026-08-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
68
|
23
|
—
|
—
|
$235,934.19
|
$696,500.34
|
$261,973.47
|
2026-08-01
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
8
|
4
|
—
|
—
|
$191,186.49
|
$274,323.77
|
$261,854.51
|
2026-08-01
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
8
|
4
|
—
|
—
|
$165,872.48
|
$272,226.90
|
$259,852.95
|
2026-08-01
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
8
|
4
|
—
|
—
|
$201,909.31
|
$269,511.04
|
$257,260.54
|
2026-08-01
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
8
|
4
|
—
|
—
|
$179,624.33
|
$265,594.04
|
$253,521.58
|
2026-08-01
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
8
|
4
|
—
|
—
|
$95,014.66
|
$264,767.13
|
$252,732.26
|
2026-08-01
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
8
|
4
|
—
|
—
|
$139,424.50
|
$261,739.38
|
$249,842.14
|
2026-08-01
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
8
|
4
|
—
|
—
|
$87,968.96
|
$258,530.98
|
$246,779.57
|
2026-08-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
4
|
—
|
—
|
$75,672.04
|
$246,544.75
|
$235,338.17
|
2026-08-01
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
8
|
4
|
—
|
—
|
$80,672.48
|
$245,705.08
|
$234,536.66
|
2026-08-01
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
8
|
4
|
—
|
—
|
$141,247.15
|
$241,984.81
|
$230,985.50
|
2026-08-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$75,672.04
|
$239,556.89
|
$228,667.94
|
2026-08-01
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
8
|
4
|
—
|
—
|
$131,449.65
|
$234,192.33
|
$223,547.22
|
2026-08-01
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
8
|
4
|
—
|
—
|
$155,080.93
|
$232,241.04
|
$221,684.63
|
2026-08-01
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
8
|
4
|
—
|
—
|
$51,058.90
|
$232,106.65
|
$221,556.35
|
2026-08-01
|
|
1611
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
8
|
4
|
—
|
—
|
$39,549.97
|
$220,766.69
|
$210,731.84
|
2026-08-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
68
|
23
|
—
|
—
|
$171,306.44
|
$484,836.03
|
$199,701.79
|
2026-08-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
68
|
23
|
—
|
—
|
$154,691.32
|
$487,615.01
|
$198,532.59
|
2026-08-01
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$131,378.77
|
$204,209.33
|
$194,927.08
|
2026-08-01
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
8
|
4
|
—
|
—
|
$127,743.10
|
$196,434.51
|
$187,505.67
|
2026-08-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
4
|
—
|
—
|
$142,297.37
|
$185,041.73
|
$176,630.74
|
2026-08-01
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
8
|
4
|
—
|
—
|
$116,144.43
|
$183,362.29
|
$175,027.64
|
2026-08-01
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
8
|
4
|
—
|
—
|
$143,025.55
|
$176,449.54
|
$168,429.11
|
2026-08-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
4
|
—
|
—
|
$114,923.77
|
$174,159.16
|
$166,242.84
|
2026-08-01
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
8
|
4
|
—
|
—
|
$79,172.04
|
$171,951.94
|
$164,135.95
|
2026-08-01
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
8
|
4
|
—
|
—
|
$109,387.86
|
$168,554.76
|
$160,893.18
|
2026-08-01
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
8
|
4
|
—
|
—
|
$94,894.58
|
$166,149.23
|
$158,596.99
|
2026-08-01
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
8
|
4
|
—
|
—
|
$98,173.18
|
$159,937.04
|
$152,667.17
|
2026-08-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
4
|
—
|
—
|
$75,672.04
|
$154,446.13
|
$147,425.85
|
2026-08-01
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
8
|
4
|
—
|
—
|
$102,011.28
|
$152,699.62
|
$145,758.73
|
2026-08-01
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
8
|
4
|
—
|
—
|
$46,670.15
|
$152,469.22
|
$145,538.80
|
2026-08-01
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
8
|
4
|
—
|
—
|
$105,949.31
|
$151,282.50
|
$144,406.02
|
2026-08-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
8
|
4
|
—
|
—
|
$100,192.65
|
$149,735.79
|
$142,929.62
|
2026-08-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$97,897.97
|
$148,937.73
|
$142,167.84
|
2026-08-01
|
|
A9543
|
HCPCS
|
Hc Yttrium Y-90 Zevalin Per Tx Dose Up To 40mci
|
54
|
37
|
$94,628.00
|
$9,462.80
90% off
|
$95.27
|
$214,674.14
|
$141,684.93
|
2026-08-01
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
8
|
4
|
—
|
—
|
$92,273.72
|
$148,392.29
|
$141,647.18
|
2026-08-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
4
|
—
|
—
|
$89,929.96
|
$146,495.39
|
$139,836.51
|
2026-08-01
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
8
|
4
|
—
|
—
|
$87,206.47
|
$142,568.76
|
$136,088.36
|
2026-08-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
4
|
—
|
—
|
$89,050.62
|
$140,388.74
|
$134,007.43
|
2026-08-01
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
8
|
4
|
—
|
—
|
$84,858.07
|
$138,568.61
|
$132,270.04
|
2026-08-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$75,672.04
|
$137,321.03
|
$131,079.17
|
2026-08-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
68
|
23
|
—
|
—
|
$96,621.50
|
$318,213.75
|
$129,725.24
|
2026-08-01
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
8
|
4
|
—
|
—
|
$87,410.43
|
$132,143.68
|
$126,137.14
|
2026-08-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
8
|
4
|
—
|
—
|
$75,672.04
|
$131,822.16
|
$125,830.24
|
2026-08-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
72
|
24
|
—
|
—
|
$85,674.61
|
$339,832.23
|
$122,086.33
|
2026-08-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
68
|
23
|
—
|
—
|
$94,278.05
|
$297,510.12
|
$121,315.86
|
2026-08-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$83,015.69
|
$126,013.06
|
$120,285.20
|
2026-08-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
24
|
—
|
—
|
$84,183.31
|
$258,996.77
|
$118,538.74
|
2026-08-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
68
|
23
|
—
|
—
|
$97,444.07
|
$353,983.44
|
$118,476.94
|
2026-08-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
4
|
—
|
—
|
$91,004.28
|
$121,633.77
|
$116,104.96
|
2026-08-01
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
8
|
4
|
—
|
—
|
$75,672.04
|
$121,078.79
|
$115,575.21
|
2026-08-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
4
|
—
|
—
|
$80,430.55
|
$120,335.04
|
$114,865.26
|
2026-08-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
68
|
23
|
—
|
—
|
$103,317.67
|
$315,153.31
|
$112,616.26
|
2026-08-01
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
8
|
4
|
—
|
—
|
$64,970.27
|
$117,654.42
|
$112,306.49
|
2026-08-01
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$74,521.14
|
$116,720.31
|
$111,414.84
|
2026-08-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
8
|
4
|
—
|
—
|
$75,693.45
|
$116,504.42
|
$111,208.76
|
2026-08-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$75,672.04
|
$116,282.07
|
$110,996.52
|
2026-08-01
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
8
|
4
|
—
|
—
|
$82,245.02
|
$115,813.39
|
$110,549.14
|
2026-08-01
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
8
|
4
|
—
|
—
|
$69,508.53
|
$115,120.88
|
$109,888.11
|
2026-08-01
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
8
|
4
|
—
|
—
|
$72,967.77
|
$114,908.14
|
$109,685.04
|
2026-08-01
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
8
|
4
|
—
|
—
|
$75,189.86
|
$114,162.81
|
$108,973.59
|
2026-08-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
4
|
—
|
—
|
$39,375.01
|
$111,646.92
|
$106,572.06
|
2026-08-01
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
8
|
4
|
—
|
—
|
$79,026.74
|
$111,319.03
|
$106,259.07
|
2026-08-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
4
|
—
|
—
|
$39,375.01
|
$110,321.00
|
$105,306.41
|
2026-08-01
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
8
|
4
|
—
|
—
|
$74,366.81
|
$110,250.61
|
$105,239.22
|
2026-08-01
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
8
|
4
|
—
|
—
|
$80,785.30
|
$109,882.76
|
$104,888.08
|
2026-08-01
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
8
|
4
|
—
|
—
|
$94,818.85
|
$115,179.01
|
$104,300.74
|
2026-08-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
4
|
—
|
—
|
$39,375.01
|
$108,244.94
|
$103,324.71
|
2026-08-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$39,375.01
|
$108,166.50
|
$103,249.84
|
2026-08-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
56
|
23
|
—
|
—
|
$97,332.79
|
$260,031.32
|
$101,712.76
|
2026-08-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
4
|
—
|
—
|
$94,157.26
|
$103,572.98
|
$99,785.93
|
2026-08-01
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
8
|
4
|
—
|
—
|
$67,676.05
|
$104,127.96
|
$99,394.87
|
2026-08-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
56
|
23
|
—
|
—
|
$94,785.07
|
$253,194.44
|
$99,050.39
|
2026-08-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
8
|
4
|
—
|
—
|
$39,375.01
|
$103,728.10
|
$99,013.18
|
2026-08-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
72
|
24
|
—
|
—
|
$69,156.62
|
$221,495.79
|
$98,999.05
|
2026-08-01
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
8
|
4
|
—
|
—
|
$77,994.36
|
$103,430.63
|
$98,729.24
|
2026-08-01
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
8
|
4
|
—
|
—
|
$89,571.24
|
$139,012.91
|
$98,528.36
|
2026-08-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$65,206.04
|
$102,746.07
|
$98,075.80
|
2026-08-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
56
|
23
|
—
|
—
|
$93,525.77
|
$249,815.05
|
$97,734.42
|
2026-08-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
8
|
4
|
—
|
—
|
$69,634.72
|
$101,368.91
|
$96,761.23
|
2026-08-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
68
|
23
|
—
|
—
|
$83,273.53
|
$397,994.00
|
$96,683.96
|
2026-08-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$62,242.45
|
$100,876.28
|
$96,290.99
|
2026-08-01
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
8
|
4
|
—
|
—
|
$56,014.80
|
$100,204.57
|
$95,649.82
|
2026-08-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
8
|
4
|
—
|
—
|
$57,204.26
|
$99,963.06
|
$95,419.29
|
2026-08-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
24
|
—
|
—
|
$65,612.53
|
$202,842.88
|
$94,287.99
|
2026-08-01
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$75,455.79
|
$98,606.71
|
$94,124.59
|
2026-08-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
72
|
24
|
—
|
—
|
$63,475.17
|
$201,421.42
|
$93,884.20
|
2026-08-01
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
8
|
4
|
—
|
—
|
$70,234.21
|
$98,266.05
|
$93,799.41
|
2026-08-01
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
8
|
4
|
—
|
—
|
$46,945.23
|
$96,741.81
|
$92,344.46
|
2026-08-01
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
8
|
4
|
—
|
—
|
$70,243.00
|
$94,355.42
|
$90,066.54
|
2026-08-01
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
8
|
4
|
—
|
—
|
$39,375.01
|
$92,776.80
|
$88,559.68
|
2026-08-01
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
8
|
4
|
—
|
—
|
$69,921.77
|
$92,410.52
|
$88,210.04
|
2026-08-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
8
|
4
|
—
|
—
|
$70,309.30
|
$92,300.17
|
$88,104.71
|
2026-08-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
4
|
—
|
—
|
$63,392.35
|
$92,095.39
|
$87,909.24
|
2026-08-01
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
8
|
4
|
—
|
—
|
$67,755.41
|
$90,457.57
|
$86,345.86
|
2026-08-01
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
8
|
4
|
—
|
—
|
$73,896.92
|
$90,176.10
|
$86,077.19
|
2026-08-01
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
8
|
4
|
—
|
—
|
$71,422.33
|
$90,155.29
|
$86,057.32
|
2026-08-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
4
|
—
|
—
|
$68,342.88
|
$89,667.47
|
$85,591.68
|
2026-08-01
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
8
|
4
|
—
|
—
|
$53,088.33
|
$88,431.08
|
$84,411.49
|
2026-08-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
4
|
—
|
—
|
$56,249.35
|
$87,725.80
|
$83,738.26
|
2026-08-01
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$75,813.19
|
$95,172.11
|
$83,394.51
|
2026-08-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
8
|
4
|
—
|
—
|
$65,821.22
|
$86,866.89
|
$82,918.39
|
2026-08-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
8
|
4
|
—
|
—
|
$61,448.52
|
$86,839.69
|
$82,892.43
|
2026-08-01
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
8
|
4
|
—
|
—
|
$34,102.09
|
$86,830.07
|
$82,883.25
|
2026-08-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
8
|
4
|
—
|
—
|
$77,047.67
|
$84,752.44
|
$82,558.62
|
2026-08-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
4
|
—
|
—
|
$75,113.31
|
$86,204.71
|
$82,286.32
|
2026-08-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
8
|
4
|
—
|
—
|
$64,422.73
|
$86,188.71
|
$82,271.04
|
2026-08-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$39,375.01
|
$85,308.99
|
$81,431.30
|
2026-08-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
72
|
24
|
—
|
—
|
$56,648.45
|
$176,789.98
|
$81,412.18
|
2026-08-01
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
8
|
4
|
—
|
—
|
$48,565.75
|
$85,123.53
|
$81,254.28
|
2026-08-01
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
8
|
4
|
—
|
—
|
$62,529.38
|
$85,014.75
|
$81,150.45
|
2026-08-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
56
|
23
|
—
|
—
|
$77,564.07
|
$206,981.14
|
$81,054.45
|
2026-08-01
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
8
|
4
|
—
|
—
|
$62,592.13
|
$84,696.48
|
$80,846.64
|
2026-08-01
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
8
|
4
|
—
|
—
|
$63,924.45
|
$84,683.62
|
$80,834.36
|
2026-08-01
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$50,059.85
|
$83,771.98
|
$79,964.17
|
2026-08-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
8
|
4
|
—
|
—
|
$55,077.95
|
$83,639.25
|
$79,837.46
|
2026-08-01
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
8
|
4
|
—
|
—
|
$53,878.23
|
$83,599.20
|
$79,799.24
|
2026-08-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
4
|
—
|
—
|
$59,484.35
|
$83,396.08
|
$79,605.35
|
2026-08-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
68
|
23
|
—
|
—
|
$67,797.84
|
$274,936.01
|
$79,319.82
|
2026-08-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$51,522.26
|
$83,010.65
|
$79,237.44
|
2026-08-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
72
|
24
|
—
|
—
|
$52,886.87
|
$167,799.76
|
$79,045.60
|
2026-08-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
68
|
23
|
—
|
—
|
$70,035.51
|
$240,649.77
|
$78,888.20
|
2026-08-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
8
|
4
|
—
|
—
|
$50,242.26
|
$82,479.63
|
$78,730.56
|
2026-08-01
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
8
|
4
|
—
|
—
|
$39,375.01
|
$82,345.24
|
$78,602.27
|
2026-08-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
4
|
—
|
—
|
$51,604.00
|
$82,262.09
|
$78,522.90
|
2026-08-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
56
|
23
|
—
|
—
|
$74,566.92
|
$198,938.16
|
$77,922.43
|
2026-08-01
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$64,919.84
|
$81,534.33
|
$77,828.23
|
2026-08-01
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
8
|
4
|
—
|
—
|
$39,375.01
|
$79,928.51
|
$76,295.40
|
2026-08-01
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$47,054.02
|
$79,020.02
|
$75,428.20
|
2026-08-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
72
|
24
|
—
|
—
|
$52,898.55
|
$189,654.24
|
$75,380.43
|
2026-08-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$47,031.12
|
$78,815.33
|
$75,232.82
|
2026-08-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
4
|
—
|
—
|
$49,299.80
|
$78,413.90
|
$74,849.63
|
2026-08-01
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
8
|
4
|
—
|
—
|
$53,087.84
|
$78,045.95
|
$74,498.41
|
2026-08-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
8
|
4
|
—
|
—
|
$57,369.46
|
$77,708.53
|
$74,176.32
|
2026-08-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
8
|
4
|
—
|
—
|
$51,815.53
|
$77,553.32
|
$74,028.17
|
2026-08-01
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
48
|
21
|
—
|
—
|
$68,695.73
|
$214,674.14
|
$73,704.79
|
2026-08-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
8
|
4
|
—
|
—
|
$49,744.23
|
$77,129.50
|
$73,623.61
|
2026-08-01
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
8
|
4
|
—
|
—
|
$45,769.75
|
$76,899.19
|
$73,403.77
|
2026-08-01
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
8
|
4
|
—
|
—
|
$69,390.40
|
$76,643.26
|
$73,159.48
|
2026-08-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
72
|
24
|
—
|
—
|
$48,044.39
|
$162,462.07
|
$72,444.43
|
2026-08-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
8
|
4
|
—
|
—
|
$62,312.17
|
$75,432.49
|
$72,003.74
|
2026-08-01
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
8
|
4
|
—
|
—
|
$49,742.70
|
$75,366.91
|
$71,941.14
|
2026-08-01
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
8
|
4
|
—
|
—
|
$39,375.01
|
$75,280.61
|
$71,858.76
|
2026-08-01
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
8
|
4
|
—
|
—
|
$65,233.63
|
$97,510.68
|
$71,756.99
|
2026-08-01
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
8
|
4
|
—
|
—
|
$53,234.78
|
$75,055.01
|
$71,643.42
|
2026-08-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
68
|
23
|
—
|
—
|
$60,445.86
|
$200,387.64
|
$71,577.09
|
2026-08-01
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
48
|
21
|
—
|
—
|
$66,469.60
|
$207,717.49
|
$71,316.34
|
2026-08-01
|
|
6302
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
8
|
4
|
—
|
—
|
$29,659.42
|
$74,388.12
|
$71,006.84
|
2026-08-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
72
|
24
|
—
|
—
|
$49,118.78
|
$153,218.68
|
$70,787.09
|
2026-08-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
4
|
—
|
—
|
$62,358.93
|
$74,146.61
|
$70,776.31
|
2026-08-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
4
|
—
|
—
|
$39,375.01
|
$73,770.71
|
$70,417.49
|
2026-08-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
8
|
4
|
—
|
—
|
$39,375.01
|
$73,068.58
|
$69,747.28
|
2026-08-01
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
8
|
4
|
—
|
—
|
$65,228.20
|
$72,603.14
|
$69,302.99
|
2026-08-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
8
|
4
|
—
|
—
|
$39,375.01
|
$72,396.78
|
$69,106.02
|
2026-08-01
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
8
|
4
|
—
|
—
|
$49,145.29
|
$72,323.25
|
$69,035.82
|
2026-08-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
4
|
—
|
—
|
$39,375.01
|
$72,302.43
|
$69,015.96
|
2026-08-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
8
|
4
|
—
|
—
|
$49,355.54
|
$72,097.65
|
$68,820.49
|
2026-08-01
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
8
|
4
|
—
|
—
|
$48,505.07
|
$71,493.10
|
$68,243.42
|
2026-08-01
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
8
|
4
|
—
|
—
|
$45,981.03
|
$70,878.93
|
$67,657.16
|
2026-08-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
68
|
23
|
—
|
—
|
$53,158.93
|
$164,781.31
|
$67,404.11
|
2026-08-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
8
|
4
|
—
|
—
|
$39,375.01
|
$70,501.45
|
$67,296.84
|
2026-08-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
8
|
4
|
—
|
—
|
$43,186.06
|
$70,480.64
|
$67,276.98
|
2026-08-01
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
8
|
4
|
—
|
—
|
$51,518.60
|
$70,010.40
|
$66,828.10
|
2026-08-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$42,848.04
|
$69,868.05
|
$66,692.23
|
2026-08-01
|
|
5244
|
OTHER
|
Transplt Allo Hct/donor
|
48
|
21
|
—
|
—
|
$62,050.05
|
$193,906.41
|
$66,574.53
|
2026-08-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$39,375.01
|
$69,685.74
|
$66,518.21
|
2026-08-01
|
|
1652
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$39,375.01
|
$69,680.93
|
$66,513.61
|
2026-08-01
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
8
|
4
|
—
|
—
|
$52,350.26
|
$69,484.19
|
$66,325.82
|
2026-08-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
72
|
24
|
—
|
—
|
$43,312.69
|
$135,741.96
|
$66,301.01
|
2026-08-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
68
|
23
|
—
|
—
|
$29,467.84
|
$206,724.00
|
$66,194.82
|
2026-08-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
8
|
4
|
—
|
—
|
$47,540.33
|
$69,157.95
|
$66,014.41
|
2026-08-01
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
8
|
4
|
—
|
—
|
$39,375.01
|
$69,090.80
|
$65,950.31
|
2026-08-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
72
|
24
|
—
|
—
|
$43,984.69
|
$137,274.17
|
$65,674.73
|
2026-08-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
8
|
4
|
—
|
—
|
$46,683.82
|
$68,674.94
|
$65,553.35
|
2026-08-01
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
8
|
4
|
—
|
—
|
$39,375.01
|
$68,484.59
|
$65,371.65
|
2026-08-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$42,374.98
|
$68,439.82
|
$65,328.92
|
2026-08-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
56
|
23
|
—
|
—
|
$62,231.58
|
$165,835.79
|
$65,032.00
|
2026-08-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
68
|
23
|
—
|
—
|
$52,332.98
|
$166,019.65
|
$64,969.58
|
2026-08-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
8
|
4
|
—
|
—
|
$52,049.65
|
$68,038.30
|
$64,945.65
|
2026-08-01
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
8
|
4
|
—
|
—
|
$52,685.17
|
$67,697.63
|
$64,620.47
|
2026-08-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
8
|
4
|
—
|
—
|
$51,573.84
|
$67,315.35
|
$64,255.56
|
2026-08-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
56
|
23
|
—
|
—
|
$61,476.52
|
$163,809.53
|
$64,242.97
|
2026-08-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
8
|
4
|
—
|
—
|
$48,248.18
|
$67,067.46
|
$64,018.94
|
2026-08-01
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
8
|
4
|
—
|
—
|
$51,553.27
|
$66,971.54
|
$63,927.38
|
2026-08-01
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
8
|
4
|
—
|
—
|
$41,066.29
|
$66,941.11
|
$63,898.33
|
2026-08-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
8
|
4
|
—
|
—
|
$52,109.36
|
$66,757.14
|
$63,722.72
|
2026-08-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
8
|
4
|
—
|
—
|
$52,345.13
|
$66,472.53
|
$63,451.05
|
2026-08-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
58
|
23
|
—
|
—
|
$54,264.27
|
$153,781.17
|
$63,357.84
|
2026-08-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
68
|
23
|
—
|
—
|
$51,218.68
|
$160,787.45
|
$63,283.41
|
2026-08-01
|
|
1754
|
APR_DRG
|
Percutaneous Coronary Intervention Without Ami
|
8
|
4
|
—
|
—
|
$48,131.46
|
$66,197.36
|
$63,188.39
|
2026-08-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$40,175.78
|
$66,195.78
|
$63,186.88
|
2026-08-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
8
|
4
|
—
|
—
|
$57,677.07
|
$63,444.78
|
$62,997.70
|
2026-08-01
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
8
|
4
|
—
|
—
|
$47,779.03
|
$65,872.70
|
$62,878.49
|
2026-08-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
72
|
24
|
—
|
—
|
$42,788.18
|
$173,427.55
|
$62,752.91
|
2026-08-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
8
|
4
|
—
|
—
|
$58,774.30
|
$65,575.23
|
$62,594.53
|
2026-08-01
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
8
|
4
|
—
|
—
|
$50,518.57
|
$65,402.45
|
$62,429.61
|
2026-08-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
72
|
24
|
—
|
—
|
$42,206.54
|
$133,487.15
|
$62,351.78
|
2026-08-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
4
|
—
|
—
|
$47,783.12
|
$65,184.90
|
$62,221.95
|
2026-08-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
8
|
4
|
—
|
—
|
$47,783.12
|
$65,017.02
|
$62,061.70
|
2026-08-01
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
48
|
21
|
—
|
—
|
$57,720.04
|
$180,375.12
|
$61,928.79
|
2026-08-01
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
8
|
4
|
—
|
—
|
$47,130.76
|
$64,866.62
|
$61,918.14
|
2026-08-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
8
|
4
|
—
|
—
|
$38,091.41
|
$64,778.66
|
$61,834.18
|
2026-08-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
68
|
23
|
—
|
—
|
$41,893.75
|
$155,734.57
|
$61,829.60
|
2026-08-01
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
8
|
4
|
—
|
—
|
$57,022.71
|
$62,724.98
|
$61,697.29
|
2026-08-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
4
|
—
|
—
|
$46,472.29
|
$64,578.77
|
$61,643.38
|
2026-08-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
68
|
23
|
—
|
—
|
$45,103.88
|
$150,507.93
|
$61,606.57
|
2026-08-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
8
|
4
|
—
|
—
|
$48,138.30
|
$64,388.42
|
$61,461.68
|
2026-08-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
8
|
4
|
—
|
—
|
$47,983.84
|
$64,161.34
|
$61,244.91
|
2026-08-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
8
|
4
|
—
|
—
|
$47,718.71
|
$64,127.68
|
$61,212.79
|
2026-08-01
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
8
|
4
|
—
|
—
|
$45,984.33
|
$63,895.79
|
$60,991.43
|
2026-08-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
68
|
23
|
—
|
—
|
$46,644.18
|
$147,826.94
|
$60,517.60
|
2026-08-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
56
|
23
|
—
|
—
|
$57,676.35
|
$153,611.64
|
$60,271.79
|
2026-08-01
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
8
|
4
|
—
|
—
|
$54,780.61
|
$69,752.72
|
$60,258.67
|
2026-08-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
56
|
23
|
—
|
—
|
$57,634.41
|
$153,499.07
|
$60,227.96
|
2026-08-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
8
|
4
|
—
|
—
|
$36,582.48
|
$63,092.92
|
$60,225.06
|
2026-08-01
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
8
|
4
|
—
|
—
|
$44,239.39
|
$63,060.92
|
$60,194.51
|
2026-08-01
|
|
3094
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
8
|
4
|
—
|
—
|
$50,053.13
|
$62,699.45
|
$59,849.47
|
2026-08-01
|
|
913
|
APR_DRG
|
Other Major Head & Neck Procedures
|
8
|
4
|
—
|
—
|
$35,483.97
|
$62,497.90
|
$59,657.08
|
2026-08-01
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
8
|
4
|
—
|
—
|
$52,540.79
|
$62,344.36
|
$59,510.53
|
2026-08-01
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
4
|
—
|
—
|
$47,783.12
|
$62,304.40
|
$59,472.38
|
2026-08-01
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
8
|
4
|
—
|
—
|
$47,783.12
|
$62,250.01
|
$59,420.46
|
2026-08-01
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
8
|
4
|
—
|
—
|
$46,007.35
|
$62,205.15
|
$59,377.65
|
2026-08-01
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
8
|
4
|
—
|
—
|
$49,182.16
|
$61,982.88
|
$59,165.48
|
2026-08-01
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
8
|
4
|
—
|
—
|
$45,832.08
|
$61,962.07
|
$59,145.62
|
2026-08-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
4
|
—
|
—
|
$47,783.12
|
$61,925.26
|
$59,110.48
|
2026-08-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
72
|
24
|
—
|
—
|
$41,190.72
|
$154,226.09
|
$58,852.85
|
2026-08-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
8
|
4
|
—
|
—
|
$48,094.71
|
$61,608.65
|
$58,808.26
|
2026-08-01
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$43,989.82
|
$61,275.94
|
$58,490.67
|
2026-08-01
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
8
|
4
|
—
|
—
|
$51,636.30
|
$61,072.82
|
$58,296.78
|
2026-08-01
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
4
|
—
|
—
|
$47,783.12
|
$60,978.47
|
$58,206.72
|
2026-08-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
8
|
4
|
—
|
—
|
$42,365.64
|
$60,740.11
|
$57,979.19
|
2026-08-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
68
|
23
|
—
|
—
|
$47,141.06
|
$147,648.92
|
$57,593.16
|
2026-08-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
8
|
4
|
—
|
—
|
$37,957.95
|
$60,012.36
|
$57,284.53
|
2026-08-01
|
|
1651
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$36,612.09
|
$60,009.21
|
$57,281.52
|
2026-08-01
|
|
6254
|
APR_DRG
|
Neonate Bwt 2000-2499g W Other Significant Condition
|
8
|
4
|
—
|
—
|
$41,327.33
|
$59,929.20
|
$57,205.14
|
2026-08-01
|
|
893
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
8
|
4
|
—
|
—
|
$35,034.35
|
$59,902.01
|
$57,179.19
|
2026-08-01
|
|
6234
|
APR_DRG
|
Neonate Bwt 2000-2499g W Congenital/perinatal Infection
|
8
|
4
|
—
|
—
|
$51,835.99
|
$59,666.89
|
$56,954.76
|
2026-08-01
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
8
|
4
|
—
|
—
|
$47,783.12
|
$59,591.69
|
$56,882.98
|
2026-08-01
|
|
1744
|
APR_DRG
|
Percutaneous Coronary Intervention W Ami
|
8
|
4
|
—
|
—
|
$40,838.33
|
$59,486.15
|
$56,782.24
|
2026-08-01
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$34,965.74
|
$59,251.03
|
$56,557.80
|
2026-08-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
68
|
23
|
—
|
—
|
$47,406.60
|
$141,744.23
|
$56,538.74
|
2026-08-01
|
|
1662
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
8
|
4
|
—
|
—
|
$34,303.79
|
$59,115.06
|
$56,428.01
|
2026-08-01
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
8
|
4
|
—
|
—
|
$46,715.75
|
$59,043.10
|
$56,359.32
|
2026-08-01
|
|
6091
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
8
|
4
|
—
|
—
|
$36,289.02
|
$58,841.55
|
$56,166.93
|
2026-08-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
68
|
23
|
—
|
—
|
$51,483.45
|
$172,594.19
|
$56,116.96
|
2026-08-01
|
|
4844
|
APR_DRG
|
Other Male Reproductive System & Related Procedures
|
8
|
4
|
—
|
—
|
$41,030.02
|
$58,726.39
|
$56,057.01
|
2026-08-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
8
|
4
|
—
|
—
|
$44,896.82
|
$58,704.01
|
$56,035.65
|
2026-08-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
4
|
—
|
—
|
$34,879.60
|
$58,660.81
|
$55,994.41
|
2026-08-01
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
8
|
4
|
—
|
—
|
$43,943.79
|
$58,632.05
|
$55,966.96
|
2026-08-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
68
|
23
|
—
|
—
|
$46,161.16
|
$144,684.70
|
$55,934.06
|
2026-08-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
68
|
23
|
—
|
—
|
$45,753.67
|
$208,486.48
|
$55,838.71
|
2026-08-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
68
|
23
|
—
|
—
|
$51,197.50
|
$172,457.06
|
$55,805.28
|
2026-08-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
8
|
4
|
—
|
—
|
$43,827.86
|
$58,457.69
|
$55,800.53
|
2026-08-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$47,783.12
|
$58,209.80
|
$55,563.90
|
2026-08-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
8
|
4
|
—
|
—
|
$47,783.12
|
$58,179.46
|
$55,534.94
|
2026-08-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
4
|
—
|
—
|
$47,783.12
|
$58,176.23
|
$55,531.86
|
2026-08-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
8
|
4
|
—
|
—
|
$49,383.25
|
$57,873.95
|
$55,243.32
|
2026-08-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
68
|
23
|
—
|
—
|
$46,325.70
|
$143,561.26
|
$55,199.69
|
2026-08-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
8
|
4
|
—
|
—
|
$40,355.99
|
$57,793.94
|
$55,166.94
|
2026-08-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth & Throat Procedures
|
8
|
4
|
—
|
—
|
$35,595.45
|
$57,739.56
|
$55,115.04
|
2026-08-01
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
8
|
4
|
—
|
—
|
$38,969.52
|
$57,715.60
|
$55,092.17
|
2026-08-01
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
8
|
4
|
—
|
—
|
$37,293.63
|
$57,622.83
|
$55,003.61
|
2026-08-01
|
|
3224
|
APR_DRG
|
Shoulder & Elbow Joint Replacement
|
8
|
4
|
—
|
—
|
$37,845.44
|
$57,467.71
|
$54,855.54
|
2026-08-01
|
|
213
|
APR_DRG
|
Craniotomy Except For Trauma
|
8
|
4
|
—
|
—
|
$40,851.52
|
$57,446.90
|
$54,835.68
|
2026-08-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
8
|
4
|
—
|
—
|
$43,029.66
|
$57,342.93
|
$54,736.43
|
2026-08-01
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
8
|
4
|
—
|
—
|
$48,054.17
|
$57,142.96
|
$54,545.56
|
2026-08-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
56
|
23
|
—
|
—
|
$51,855.83
|
$137,992.02
|
$54,189.34
|
2026-08-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
8
|
4
|
—
|
—
|
$38,265.03
|
$56,757.53
|
$54,177.64
|
2026-08-01
|
|
7524
|
APR_DRG
|
Disorders Of Personality & Impulse Control
|
8
|
4
|
—
|
—
|
$8,232.96
|
$56,586.41
|
$54,014.30
|
2026-08-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
68
|
23
|
—
|
—
|
$46,122.06
|
$143,993.76
|
$53,944.61
|
2026-08-01
|
|
7594
|
APR_DRG
|
Eating Disorders
|
8
|
4
|
—
|
—
|
$26,499.32
|
$56,268.13
|
$53,710.49
|
2026-08-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
68
|
23
|
—
|
—
|
$43,703.68
|
$135,338.47
|
$53,657.21
|
2026-08-01
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
8
|
4
|
—
|
—
|
$50,194.60
|
$55,214.06
|
$53,272.19
|
2026-08-01
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
8
|
4
|
—
|
—
|
$40,704.45
|
$55,633.15
|
$53,104.37
|
2026-08-01
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
8
|
4
|
—
|
—
|
$39,821.27
|
$55,562.76
|
$53,037.18
|
2026-08-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
8
|
4
|
—
|
—
|
$40,337.25
|
$55,535.57
|
$53,011.22
|
2026-08-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
68
|
23
|
—
|
—
|
$44,203.81
|
$164,816.00
|
$52,771.67
|
2026-08-01
|