|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
2
|
2
|
—
|
—
|
$4,505,000.00
|
$4,730,250.00
|
$4,617,625.00
|
2026-04-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
8
|
4
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
10
|
6
|
—
|
—
|
$3,691,450.00
|
$3,876,022.50
|
$3,710,000.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
10
|
6
|
—
|
—
|
$3,321,376.38
|
$3,487,445.20
|
$3,321,781.51
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
10
|
6
|
—
|
—
|
$3,193,000.00
|
$3,407,650.46
|
$3,193,000.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
10
|
6
|
—
|
—
|
$2,938,320.00
|
$3,085,236.00
|
$2,968,000.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
10
|
6
|
—
|
—
|
$2,403,458.75
|
$2,716,441.62
|
$2,403,458.75
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
6
|
—
|
—
|
$2,332,000.00
|
$2,448,600.00
|
$2,332,000.00
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
3
|
1
|
—
|
—
|
$1,364,621.21
|
$1,364,621.21
|
$1,364,621.21
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$1,004,523.80
|
$1,004,523.80
|
$1,004,523.80
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$986,866.41
|
$986,866.41
|
$986,866.41
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$986,866.41
|
$986,866.41
|
$986,866.41
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$902,650.62
|
$902,650.62
|
$902,650.62
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$876,428.51
|
$876,428.51
|
$876,428.51
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
3
|
3
|
—
|
—
|
$770,620.00
|
$924,744.00
|
$809,151.00
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$757,703.56
|
$757,703.56
|
$757,703.56
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$754,965.98
|
$754,965.98
|
$754,965.98
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$754,965.98
|
$754,965.98
|
$754,965.98
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
1
|
—
|
—
|
$732,826.78
|
$732,826.78
|
$732,826.78
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$706,768.93
|
$706,768.93
|
$706,768.93
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$684,606.26
|
$684,606.26
|
$684,606.26
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$681,888.23
|
$681,888.23
|
$681,888.23
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$624,332.56
|
$624,332.56
|
$624,332.56
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$591,379.92
|
$591,379.92
|
$591,379.92
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
3
|
1
|
—
|
—
|
$589,315.00
|
$589,315.00
|
$589,315.00
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
1
|
—
|
—
|
$572,658.78
|
$572,658.78
|
$572,658.78
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$570,683.81
|
$570,683.81
|
$570,683.81
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
12
|
7
|
—
|
—
|
$565,623.84
|
$1,172,719.79
|
$565,623.84
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$560,011.16
|
$560,011.16
|
$560,011.16
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
3
|
1
|
—
|
—
|
$560,011.16
|
$560,011.16
|
$560,011.16
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
11
|
7
|
—
|
—
|
$551,318.34
|
$706,193.77
|
$551,318.34
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$544,770.66
|
$544,770.66
|
$544,770.66
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
35
|
23
|
—
|
—
|
$416,680.75
|
$1,735,257.64
|
$540,864.57
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$539,283.76
|
$539,283.76
|
$539,283.76
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$532,576.69
|
$532,576.69
|
$532,576.69
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
11
|
7
|
—
|
—
|
$528,312.43
|
$671,737.30
|
$528,312.43
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
11
|
7
|
—
|
—
|
$516,485.97
|
$674,713.00
|
$516,485.97
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
3
|
1
|
—
|
—
|
$502,377.27
|
$502,377.27
|
$502,377.27
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
12
|
7
|
—
|
—
|
$489,517.15
|
$1,101,637.94
|
$489,517.15
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
11
|
7
|
—
|
—
|
$488,051.51
|
$587,148.72
|
$488,051.51
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$482,815.31
|
$482,815.31
|
$482,815.31
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$478,274.83
|
$478,274.83
|
$478,274.83
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
3
|
1
|
—
|
—
|
$474,731.62
|
$474,731.62
|
$474,731.62
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
3
|
1
|
—
|
—
|
$474,731.62
|
$474,731.62
|
$474,731.62
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
3
|
1
|
—
|
—
|
$473,214.22
|
$473,214.22
|
$473,214.22
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$462,381.22
|
$462,381.22
|
$462,381.22
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$462,056.62
|
$462,056.62
|
$462,056.62
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$439,201.74
|
$439,201.74
|
$439,201.74
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$436,530.64
|
$436,530.64
|
$436,530.64
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$435,748.48
|
$435,748.48
|
$435,748.48
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$431,047.66
|
$431,047.66
|
$431,047.66
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$426,065.27
|
$426,065.27
|
$426,065.27
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$422,479.04
|
$422,479.04
|
$422,479.04
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
1
|
—
|
—
|
$411,161.10
|
$411,161.10
|
$411,161.10
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$406,104.39
|
$406,104.39
|
$406,104.39
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$393,843.95
|
$393,843.95
|
$393,843.95
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
1
|
—
|
—
|
$388,888.92
|
$388,888.92
|
$388,888.92
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$384,809.93
|
$384,809.93
|
$384,809.93
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
3
|
1
|
—
|
—
|
$375,459.14
|
$375,459.14
|
$375,459.14
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$370,903.02
|
$370,903.02
|
$370,903.02
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$367,019.57
|
$367,019.57
|
$367,019.57
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$361,075.11
|
$361,075.11
|
$361,075.11
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
1
|
—
|
—
|
$359,100.14
|
$359,100.14
|
$359,100.14
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$357,805.66
|
$357,805.66
|
$357,805.66
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
3
|
1
|
—
|
—
|
$352,064.56
|
$352,064.56
|
$352,064.56
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$351,133.78
|
$351,133.78
|
$351,133.78
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
35
|
23
|
—
|
—
|
$270,543.04
|
$1,126,112.40
|
$350,999.35
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$350,848.29
|
$350,848.29
|
$350,848.29
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$349,874.49
|
$349,874.49
|
$349,874.49
|
2026-04-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
1
|
—
|
—
|
$347,649.23
|
$347,649.23
|
$347,649.23
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
3
|
1
|
—
|
—
|
$342,318.77
|
$342,318.77
|
$342,318.77
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
1
|
—
|
—
|
$337,805.68
|
$337,805.68
|
$337,805.68
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$331,388.01
|
$331,388.01
|
$331,388.01
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
3
|
1
|
—
|
—
|
$328,044.25
|
$328,044.25
|
$328,044.25
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$327,199.51
|
$327,199.51
|
$327,199.51
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$321,223.76
|
$321,223.76
|
$321,223.76
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$317,336.40
|
$317,336.40
|
$317,336.40
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
3
|
1
|
—
|
—
|
$316,077.11
|
$316,077.11
|
$316,077.11
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$303,503.80
|
$303,503.80
|
$303,503.80
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$298,744.32
|
$298,744.32
|
$298,744.32
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
3
|
1
|
—
|
—
|
$298,419.72
|
$298,419.72
|
$298,419.72
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
3
|
1
|
—
|
—
|
$298,267.20
|
$298,267.20
|
$298,267.20
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$296,307.87
|
$296,307.87
|
$296,307.87
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
3
|
1
|
—
|
—
|
$293,445.14
|
$293,445.14
|
$293,445.14
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$292,467.44
|
$292,467.44
|
$292,467.44
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
3
|
1
|
—
|
—
|
$290,437.72
|
$290,437.72
|
$290,437.72
|
2026-04-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
3
|
1
|
—
|
—
|
$288,885.12
|
$288,885.12
|
$288,885.12
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
3
|
1
|
—
|
—
|
$287,578.90
|
$287,578.90
|
$287,578.90
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$286,045.85
|
$286,045.85
|
$286,045.85
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
2
|
2
|
—
|
—
|
$278,250.00
|
$292,162.50
|
$285,206.25
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$284,829.59
|
$284,829.59
|
$284,829.59
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
3
|
1
|
—
|
—
|
$283,198.77
|
$283,198.77
|
$283,198.77
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$281,133.85
|
$281,133.85
|
$281,133.85
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
1
|
—
|
—
|
$281,133.85
|
$281,133.85
|
$281,133.85
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
3
|
1
|
—
|
—
|
$280,910.94
|
$280,910.94
|
$280,910.94
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$280,895.29
|
$280,895.29
|
$280,895.29
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$280,891.38
|
$280,891.38
|
$280,891.38
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
3
|
1
|
—
|
—
|
$277,187.83
|
$277,187.83
|
$277,187.83
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
1
|
—
|
—
|
$276,961.00
|
$276,961.00
|
$276,961.00
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$276,753.73
|
$276,753.73
|
$276,753.73
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
3
|
1
|
—
|
—
|
$276,268.78
|
$276,268.78
|
$276,268.78
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$275,596.12
|
$275,596.12
|
$275,596.12
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$273,288.73
|
$273,288.73
|
$273,288.73
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
3
|
1
|
—
|
—
|
$273,277.00
|
$273,277.00
|
$273,277.00
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$269,788.54
|
$269,788.54
|
$269,788.54
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
3
|
1
|
—
|
—
|
$267,586.74
|
$267,586.74
|
$267,586.74
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
35
|
23
|
—
|
—
|
$206,208.86
|
$857,948.49
|
$267,415.01
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$266,859.33
|
$266,859.33
|
$266,859.33
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
3
|
1
|
—
|
—
|
$266,663.79
|
$266,663.79
|
$266,663.79
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$265,686.08
|
$265,686.08
|
$265,686.08
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$265,627.42
|
$265,627.42
|
$265,627.42
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
3
|
1
|
—
|
—
|
$264,501.10
|
$264,501.10
|
$264,501.10
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
3
|
1
|
—
|
—
|
$261,634.46
|
$261,634.46
|
$261,634.46
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
1
|
—
|
—
|
$259,334.89
|
$259,334.89
|
$259,334.89
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$259,115.89
|
$259,115.89
|
$259,115.89
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
1
|
—
|
—
|
$258,760.00
|
$258,760.00
|
$258,760.00
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$258,533.17
|
$258,533.17
|
$258,533.17
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$258,439.31
|
$258,439.31
|
$258,439.31
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
3
|
1
|
—
|
—
|
$257,203.49
|
$257,203.49
|
$257,203.49
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
6
|
3
|
—
|
—
|
$250,000.00
|
$548,550.00
|
$256,116.89
|
2026-04-01
|
|
6021
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$253,918.39
|
$253,918.39
|
$253,918.39
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$253,824.53
|
$253,824.53
|
$253,824.53
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
3
|
1
|
—
|
—
|
$253,081.48
|
$253,081.48
|
$253,081.48
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
3
|
1
|
—
|
—
|
$250,656.76
|
$250,656.76
|
$250,656.76
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
3
|
1
|
—
|
—
|
$249,350.55
|
$249,350.55
|
$249,350.55
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$248,063.88
|
$248,063.88
|
$248,063.88
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
3
|
1
|
—
|
—
|
$247,735.37
|
$247,735.37
|
$247,735.37
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
3
|
1
|
—
|
—
|
$247,664.98
|
$247,664.98
|
$247,664.98
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
3
|
1
|
—
|
—
|
$247,180.04
|
$247,180.04
|
$247,180.04
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
3
|
1
|
—
|
—
|
$247,086.18
|
$247,086.18
|
$247,086.18
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
3
|
1
|
—
|
—
|
$246,452.62
|
$246,452.62
|
$246,452.62
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
3
|
1
|
—
|
—
|
$245,439.72
|
$245,439.72
|
$245,439.72
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$245,408.43
|
$245,408.43
|
$245,408.43
|
2026-04-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
3
|
1
|
—
|
—
|
$245,287.19
|
$245,287.19
|
$245,287.19
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$245,044.72
|
$245,044.72
|
$245,044.72
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$243,691.58
|
$243,691.58
|
$243,691.58
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
3
|
1
|
—
|
—
|
$243,503.86
|
$243,503.86
|
$243,503.86
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
3
|
1
|
—
|
—
|
$241,919.97
|
$241,919.97
|
$241,919.97
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$241,036.12
|
$241,036.12
|
$241,036.12
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
3
|
1
|
—
|
—
|
$241,036.12
|
$241,036.12
|
$241,036.12
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
3
|
1
|
—
|
—
|
$240,695.88
|
$240,695.88
|
$240,695.88
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
3
|
1
|
—
|
—
|
$240,148.37
|
$240,148.37
|
$240,148.37
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$239,639.96
|
$239,639.96
|
$239,639.96
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
3
|
1
|
—
|
—
|
$238,200.77
|
$238,200.77
|
$238,200.77
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$237,496.82
|
$237,496.82
|
$237,496.82
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
3
|
1
|
—
|
—
|
$237,109.65
|
$237,109.65
|
$237,109.65
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
3
|
1
|
—
|
—
|
$236,882.82
|
$236,882.82
|
$236,882.82
|
2026-04-01
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
3
|
1
|
—
|
—
|
$236,749.86
|
$236,749.86
|
$236,749.86
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$236,745.94
|
$236,745.94
|
$236,745.94
|
2026-04-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
3
|
1
|
—
|
—
|
$236,558.22
|
$236,558.22
|
$236,558.22
|
2026-04-01
|
|
6071
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
3
|
1
|
—
|
—
|
$236,261.00
|
$236,261.00
|
$236,261.00
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
3
|
1
|
—
|
—
|
$236,053.73
|
$236,053.73
|
$236,053.73
|
2026-04-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
3
|
1
|
—
|
—
|
$233,785.45
|
$233,785.45
|
$233,785.45
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
3
|
1
|
—
|
—
|
$233,378.72
|
$233,378.72
|
$233,378.72
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
3
|
1
|
—
|
—
|
$233,234.02
|
$233,234.02
|
$233,234.02
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$231,974.73
|
$231,974.73
|
$231,974.73
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$231,736.17
|
$231,736.17
|
$231,736.17
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
3
|
1
|
—
|
—
|
$231,431.13
|
$231,431.13
|
$231,431.13
|
2026-04-01
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
3
|
1
|
—
|
—
|
$230,848.41
|
$230,848.41
|
$230,848.41
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$228,533.20
|
$228,533.20
|
$228,533.20
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
4
|
3
|
—
|
—
|
$202,713.58
|
$417,454.87
|
$228,052.78
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
3
|
1
|
—
|
—
|
$226,311.85
|
$226,311.85
|
$226,311.85
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
3
|
1
|
—
|
—
|
$225,607.90
|
$225,607.90
|
$225,607.90
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
3
|
1
|
—
|
—
|
$224,681.04
|
$224,681.04
|
$224,681.04
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$224,352.53
|
$224,352.53
|
$224,352.53
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
3
|
1
|
—
|
—
|
$223,034.58
|
$223,034.58
|
$223,034.58
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
1
|
—
|
—
|
$222,764.73
|
$222,764.73
|
$222,764.73
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$222,369.74
|
$222,369.74
|
$222,369.74
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$221,837.86
|
$221,837.86
|
$221,837.86
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
3
|
1
|
—
|
—
|
$218,165.60
|
$218,165.60
|
$218,165.60
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
3
|
1
|
—
|
—
|
$217,778.42
|
$217,778.42
|
$217,778.42
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
3
|
1
|
—
|
—
|
$216,425.28
|
$216,425.28
|
$216,425.28
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
37
|
23
|
—
|
—
|
$2,377.25
|
$852,913.44
|
$215,250.97
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
3
|
1
|
—
|
—
|
$212,858.60
|
$212,858.60
|
$212,858.60
|
2026-04-01
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
3
|
1
|
—
|
—
|
$212,682.61
|
$212,682.61
|
$212,682.61
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
3
|
1
|
—
|
—
|
$210,695.91
|
$210,695.91
|
$210,695.91
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
1
|
—
|
—
|
$209,886.37
|
$209,886.37
|
$209,886.37
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$209,381.87
|
$209,381.87
|
$209,381.87
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
3
|
1
|
—
|
—
|
$209,092.47
|
$209,092.47
|
$209,092.47
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
1
|
—
|
—
|
$208,353.33
|
$208,353.33
|
$208,353.33
|
2026-04-01
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
3
|
1
|
—
|
—
|
$207,637.64
|
$207,637.64
|
$207,637.64
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
3
|
1
|
—
|
—
|
$207,234.83
|
$207,234.83
|
$207,234.83
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$206,820.28
|
$206,820.28
|
$206,820.28
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
3
|
1
|
—
|
—
|
$206,245.39
|
$206,245.39
|
$206,245.39
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$202,506.64
|
$202,506.64
|
$202,506.64
|
2026-04-01
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$202,354.11
|
$202,354.11
|
$202,354.11
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$202,150.75
|
$202,150.75
|
$202,150.75
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
3
|
1
|
—
|
—
|
$200,758.50
|
$200,758.50
|
$200,758.50
|
2026-04-01
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
3
|
1
|
—
|
—
|
$198,658.38
|
$198,658.38
|
$198,658.38
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
3
|
1
|
—
|
—
|
$198,192.99
|
$198,192.99
|
$198,192.99
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$197,708.05
|
$197,708.05
|
$197,708.05
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
3
|
1
|
—
|
—
|
$197,708.05
|
$197,708.05
|
$197,708.05
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$197,406.92
|
$197,406.92
|
$197,406.92
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
1
|
—
|
—
|
$196,953.26
|
$196,953.26
|
$196,953.26
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
1
|
—
|
—
|
$196,953.26
|
$196,953.26
|
$196,953.26
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
3
|
1
|
—
|
—
|
$195,682.24
|
$195,682.24
|
$195,682.24
|
2026-04-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
3
|
1
|
—
|
—
|
$194,681.07
|
$194,681.07
|
$194,681.07
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
3
|
1
|
—
|
—
|
$192,049.08
|
$192,049.08
|
$192,049.08
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
1
|
—
|
—
|
$190,692.02
|
$190,692.02
|
$190,692.02
|
2026-04-01
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
3
|
1
|
—
|
—
|
$190,633.36
|
$190,633.36
|
$190,633.36
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$190,121.04
|
$190,121.04
|
$190,121.04
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
3
|
1
|
—
|
—
|
$188,466.76
|
$188,466.76
|
$188,466.76
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
3
|
1
|
—
|
—
|
$188,208.65
|
$188,208.65
|
$188,208.65
|
2026-04-01
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
3
|
1
|
—
|
—
|
$187,782.37
|
$187,782.37
|
$187,782.37
|
2026-04-01
|
|
C1833
|
HCPCS
|
Cardiac Monitor Sys
|
1
|
1
|
—
|
—
|
$187,725.00
|
$187,725.00
|
$187,725.00
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
1
|
—
|
—
|
$186,941.54
|
$186,941.54
|
$186,941.54
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$181,673.65
|
$181,673.65
|
$181,673.65
|
2026-04-01
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
3
|
1
|
—
|
—
|
$178,572.36
|
$178,572.36
|
$178,572.36
|
2026-04-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$177,946.63
|
$177,946.63
|
$177,946.63
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$177,770.64
|
$177,770.64
|
$177,770.64
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
3
|
1
|
—
|
—
|
$177,070.60
|
$177,070.60
|
$177,070.60
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$175,287.27
|
$175,287.27
|
$175,287.27
|
2026-04-01
|
|
1934
|
APR_DRG
|
Acute And Subacute Endocarditis
|
3
|
1
|
—
|
—
|
$174,587.23
|
$174,587.23
|
$174,587.23
|
2026-04-01
|
|
2284
|
APR_DRG
|
Inguinal, Femoral And Umbilical Hernia Procedures
|
3
|
1
|
—
|
—
|
$174,258.72
|
$174,258.72
|
$174,258.72
|
2026-04-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
1
|
—
|
—
|
$172,850.82
|
$172,850.82
|
$172,850.82
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
3
|
1
|
—
|
—
|
$172,072.57
|
$172,072.57
|
$172,072.57
|
2026-04-01
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
3
|
1
|
—
|
—
|
$171,857.47
|
$171,857.47
|
$171,857.47
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
1
|
—
|
—
|
$170,649.02
|
$170,649.02
|
$170,649.02
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
3
|
1
|
—
|
—
|
$169,413.20
|
$169,413.20
|
$169,413.20
|
2026-04-01
|
|
5464
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$168,466.78
|
$168,466.78
|
$168,466.78
|
2026-04-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
3
|
1
|
—
|
—
|
$168,024.86
|
$168,024.86
|
$168,024.86
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$167,360.02
|
$167,360.02
|
$167,360.02
|
2026-04-01
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
3
|
1
|
—
|
—
|
$167,305.26
|
$167,305.26
|
$167,305.26
|
2026-04-01
|
|
6081
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
1
|
—
|
—
|
$165,991.23
|
$165,991.23
|
$165,991.23
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
3
|
1
|
—
|
—
|
$162,749.15
|
$162,749.15
|
$162,749.15
|
2026-04-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
3
|
1
|
—
|
—
|
$162,358.07
|
$162,358.07
|
$162,358.07
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
35
|
23
|
—
|
—
|
$125,226.69
|
$520,390.84
|
$162,201.26
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
3
|
1
|
—
|
—
|
$162,013.91
|
$162,013.91
|
$162,013.91
|
2026-04-01
|
|
1924
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions
|
3
|
1
|
—
|
—
|
$161,020.56
|
$161,020.56
|
$161,020.56
|
2026-04-01
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
1
|
—
|
—
|
$159,964.64
|
$159,964.64
|
$159,964.64
|
2026-04-01
|
|
903
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$159,819.94
|
$159,819.94
|
$159,819.94
|
2026-04-01
|
|
2254
|
APR_DRG
|
Description Not Available
|
3
|
1
|
—
|
—
|
$158,865.70
|
$158,865.70
|
$158,865.70
|
2026-04-01
|
|
6112
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$157,798.04
|
$157,798.04
|
$157,798.04
|
2026-04-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$157,743.29
|
$157,743.29
|
$157,743.29
|
2026-04-01
|
|
6132
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
1
|
—
|
—
|
$157,512.55
|
$157,512.55
|
$157,512.55
|
2026-04-01
|
|
4624
|
APR_DRG
|
Nephritis And Nephrosis
|
3
|
1
|
—
|
—
|
$157,141.02
|
$157,141.02
|
$157,141.02
|
2026-04-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$157,051.07
|
$157,051.07
|
$157,051.07
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
1
|
—
|
—
|
$156,992.41
|
$156,992.41
|
$156,992.41
|
2026-04-01
|
|
9503
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
1
|
—
|
—
|
$156,214.15
|
$156,214.15
|
$156,214.15
|
2026-04-01
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
3
|
1
|
—
|
—
|
$155,584.51
|
$155,584.51
|
$155,584.51
|
2026-04-01
|
|
974
|
APR_DRG
|
Tonsil And Adenoid Procedures
|
3
|
1
|
—
|
—
|
$155,424.17
|
$155,424.17
|
$155,424.17
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$154,360.42
|
$154,360.42
|
$154,360.42
|
2026-04-01
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
3
|
1
|
—
|
—
|
$154,067.11
|
$154,067.11
|
$154,067.11
|
2026-04-01
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$153,910.68
|
$153,910.68
|
$153,910.68
|
2026-04-01
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$153,832.46
|
$153,832.46
|
$153,832.46
|
2026-04-01
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
3
|
1
|
—
|
—
|
$153,277.12
|
$153,277.12
|
$153,277.12
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$151,626.75
|
$151,626.75
|
$151,626.75
|
2026-04-01
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$151,298.24
|
$151,298.24
|
$151,298.24
|
2026-04-01
|
|
3434
|
APR_DRG
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
3
|
1
|
—
|
—
|
$150,637.31
|
$150,637.31
|
$150,637.31
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
35
|
23
|
—
|
—
|
$116,238.95
|
$482,927.29
|
$150,524.20
|
2026-04-01
|
|
3144
|
APR_DRG
|
Foot And Toe Procedures
|
3
|
1
|
—
|
—
|
$150,371.38
|
$150,371.38
|
$150,371.38
|
2026-04-01
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
3
|
1
|
—
|
—
|
$149,952.92
|
$149,952.92
|
$149,952.92
|
2026-04-01
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
3
|
1
|
—
|
—
|
$149,737.82
|
$149,737.82
|
$149,737.82
|
2026-04-01
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
1
|
—
|
—
|
$149,366.29
|
$149,366.29
|
$149,366.29
|
2026-04-01
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
3
|
1
|
—
|
—
|
$149,002.58
|
$149,002.58
|
$149,002.58
|
2026-04-01
|
|
564
|
APR_DRG
|
Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N…
|
3
|
1
|
—
|
—
|
$148,767.94
|
$148,767.94
|
$148,767.94
|
2026-04-01
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
3
|
1
|
—
|
—
|
$148,083.54
|
$148,083.54
|
$148,083.54
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
3
|
1
|
—
|
—
|
$147,512.56
|
$147,512.56
|
$147,512.56
|
2026-04-01
|
|
9102
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$147,023.71
|
$147,023.71
|
$147,023.71
|
2026-04-01
|
|
9101
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
1
|
—
|
—
|
$147,023.71
|
$147,023.71
|
$147,023.71
|
2026-04-01
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
1
|
—
|
—
|
$146,061.64
|
$146,061.64
|
$146,061.64
|
2026-04-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
3
|
1
|
—
|
—
|
$145,302.94
|
$145,302.94
|
$145,302.94
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
3
|
1
|
—
|
—
|
$144,935.32
|
$144,935.32
|
$144,935.32
|
2026-04-01
|
|
2794
|
APR_DRG
|
Hepatic Coma And Other Major Acute Liver Disorders
|
3
|
1
|
—
|
—
|
$144,896.21
|
$144,896.21
|
$144,896.21
|
2026-04-01
|
|
3213
|
APR_DRG
|
Decompression
|
3
|
1
|
—
|
—
|
$144,802.35
|
$144,802.35
|
$144,802.35
|
2026-04-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$144,704.58
|
$144,704.58
|
$144,704.58
|
2026-04-01
|
|
243
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
3
|
1
|
—
|
—
|
$144,321.32
|
$144,321.32
|
$144,321.32
|
2026-04-01
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
3
|
1
|
—
|
—
|
$144,098.41
|
$144,098.41
|
$144,098.41
|
2026-04-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
1
|
—
|
—
|
$143,965.44
|
$143,965.44
|
$143,965.44
|
2026-04-01
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
3
|
1
|
—
|
—
|
$143,515.69
|
$143,515.69
|
$143,515.69
|
2026-04-01
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
3
|
1
|
—
|
—
|
$142,901.69
|
$142,901.69
|
$142,901.69
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
35
|
23
|
—
|
—
|
$109,624.68
|
$455,357.05
|
$141,930.79
|
2026-04-01
|
|
2264
|
APR_DRG
|
Anal Procedures
|
3
|
1
|
—
|
—
|
$141,920.07
|
$141,920.07
|
$141,920.07
|
2026-04-01
|
|
1104
|
APR_DRG
|
Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies
|
3
|
1
|
—
|
—
|
$141,873.14
|
$141,873.14
|
$141,873.14
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
35
|
23
|
—
|
—
|
$109,499.36
|
$454,834.66
|
$141,767.97
|
2026-04-01
|
|
7244
|
APR_DRG
|
Other Infectious And Parasitic Diseases
|
3
|
1
|
—
|
—
|
$141,595.47
|
$141,595.47
|
$141,595.47
|
2026-04-01
|
|
6223
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$141,016.67
|
$141,016.67
|
$141,016.67
|
2026-04-01
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
3
|
1
|
—
|
—
|
$140,907.17
|
$140,907.17
|
$140,907.17
|
2026-04-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$140,598.21
|
$140,598.21
|
$140,598.21
|
2026-04-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$140,269.70
|
$140,269.70
|
$140,269.70
|
2026-04-01
|
|
3494
|
APR_DRG
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure
|
3
|
1
|
—
|
—
|
$139,671.35
|
$139,671.35
|
$139,671.35
|
2026-04-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
1
|
—
|
—
|
$139,526.65
|
$139,526.65
|
$139,526.65
|
2026-04-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
3
|
1
|
—
|
—
|
$138,877.45
|
$138,877.45
|
$138,877.45
|
2026-04-01
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
3
|
1
|
—
|
—
|
$138,537.21
|
$138,537.21
|
$138,537.21
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
35
|
23
|
—
|
—
|
$106,630.38
|
$442,875.90
|
$138,040.53
|
2026-04-01
|
|
6121
|
APR_DRG
|
Respiratory Condition
|
3
|
1
|
—
|
—
|
$137,590.79
|
$137,590.79
|
$137,590.79
|
2026-04-01
|
|
484
|
APR_DRG
|
Peripheral, Cranial And Autonomic Nerve Disorders
|
3
|
1
|
—
|
—
|
$136,265.01
|
$136,265.01
|
$136,265.01
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
35
|
23
|
—
|
—
|
$105,212.28
|
$436,964.83
|
$136,198.10
|
2026-04-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
1
|
—
|
—
|
$135,396.81
|
$135,396.81
|
$135,396.81
|
2026-04-01
|
|
2824
|
APR_DRG
|
Disorders Of Pancreas Except Malignancy
|
3
|
1
|
—
|
—
|
$135,189.54
|
$135,189.54
|
$135,189.54
|
2026-04-01
|
|
6301
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
1
|
—
|
—
|
$134,876.67
|
$134,876.67
|
$134,876.67
|
2026-04-01
|
|
3444
|
APR_DRG
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
3
|
1
|
—
|
—
|
$134,250.94
|
$134,250.94
|
$134,250.94
|
2026-04-01
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$134,149.26
|
$134,149.26
|
$134,149.26
|
2026-04-01
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
1
|
—
|
—
|
$134,149.26
|
$134,149.26
|
$134,149.26
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
40
|
23
|
—
|
—
|
$1,290.16
|
$556,604.66
|
$133,914.61
|
2026-04-01
|
|
454
|
APR_DRG
|
Cva And Precerebral Occlusion With Infarction
|
3
|
1
|
—
|
—
|
$133,758.17
|
$133,758.17
|
$133,758.17
|
2026-04-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
3
|
1
|
—
|
—
|
$133,687.78
|
$133,687.78
|
$133,687.78
|
2026-04-01
|
|
2804
|
APR_DRG
|
Alcoholic Liver Disease
|
3
|
1
|
—
|
—
|
$133,449.22
|
$133,449.22
|
$133,449.22
|
2026-04-01
|
|
2064
|
APR_DRG
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure
|
3
|
1
|
—
|
—
|
$133,144.17
|
$133,144.17
|
$133,144.17
|
2026-04-01
|
|
2203
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
3
|
1
|
—
|
—
|
$133,077.69
|
$133,077.69
|
$133,077.69
|
2026-04-01
|