|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
46
|
14
|
—
|
$1,059,255.00
|
$259,970.31
|
$1,028,622.00
|
$754,220.00
|
2026-03-31
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
46
|
14
|
—
|
$203,092.00
|
$50,090.20
|
$197,042.00
|
$128,200.00
|
2026-03-31
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
46
|
14
|
—
|
$154,510.00
|
$38,180.74
|
$149,855.00
|
$124,482.00
|
2026-03-31
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
24
|
7
|
—
|
$637,883.00
|
$70,145.97
|
$215,352.98
|
$76,877.95
|
2026-03-31
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
46
|
14
|
—
|
$99,856.00
|
$24,782.83
|
$96,770.00
|
$70,955.00
|
2026-03-31
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
46
|
14
|
—
|
$507,584.00
|
$121,111.05
|
$478,438.00
|
$350,807.50
|
2026-03-31
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
24
|
7
|
—
|
$1,020,198.00
|
$145,263.09
|
$427,849.44
|
$158,872.93
|
2026-03-31
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
46
|
14
|
—
|
$159,228.00
|
$39,337.40
|
$154,438.00
|
$113,238.50
|
2026-03-31
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
46
|
14
|
—
|
$124,365.00
|
$30,791.01
|
$120,575.00
|
$88,410.00
|
2026-03-31
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
46
|
14
|
—
|
$233,962.00
|
$55,988.72
|
$220,413.00
|
$161,614.00
|
2026-03-31
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
24
|
7
|
—
|
$85,534.00
|
$83,111.40
|
$219,095.39
|
$91,030.51
|
2026-03-31
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
24
|
7
|
—
|
$408,131.00
|
$82,254.11
|
$216,843.28
|
$90,850.02
|
2026-03-31
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
24
|
7
|
—
|
$328,363.00
|
$191,090.04
|
$502,755.29
|
$210,656.62
|
2026-03-31
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
24
|
7
|
—
|
$466,053.00
|
$78,515.06
|
$207,020.81
|
$86,013.32
|
2026-03-31
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
46
|
14
|
—
|
$173,515.00
|
$42,839.64
|
$168,314.00
|
$123,413.50
|
2026-03-31
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
46
|
14
|
—
|
$94,855.00
|
$23,557.04
|
$91,913.00
|
$68,358.50
|
2026-03-31
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
46
|
14
|
—
|
$144,983.00
|
$35,845.30
|
$140,601.00
|
$97,187.00
|
2026-03-31
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
46
|
14
|
—
|
$233,962.00
|
$55,988.72
|
$220,413.00
|
$161,614.00
|
2026-03-31
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
46
|
14
|
—
|
$115,594.00
|
$28,640.82
|
$112,056.00
|
$82,163.00
|
2026-03-31
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
46
|
14
|
—
|
$1,460,631.00
|
$347,936.48
|
$1,377,158.00
|
$1,009,779.00
|
2026-03-31
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
46
|
14
|
—
|
$414,527.00
|
$101,921.53
|
$402,406.00
|
$295,058.00
|
2026-03-31
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
46
|
14
|
—
|
$303,294.00
|
$74,653.81
|
$294,367.00
|
$244,436.50
|
2026-03-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
46
|
14
|
—
|
$250,663.00
|
$59,963.76
|
$239,811.00
|
$173,162.50
|
2026-03-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
46
|
14
|
—
|
$104,154.00
|
$25,094.34
|
$98,004.00
|
$71,860.00
|
2026-03-31
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
46
|
14
|
—
|
$208,032.00
|
$51,301.24
|
$205,200.00
|
$167,633.00
|
2026-03-31
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
46
|
14
|
—
|
$409,798.00
|
$100,762.10
|
$397,813.00
|
$291,690.00
|
2026-03-31
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
46
|
14
|
—
|
$398,553.00
|
$98,005.47
|
$386,890.00
|
$312,875.00
|
2026-03-31
|
|
215352
|
CDM
|
Generator Aspire Sr Model 106
|
56
|
14
|
—
|
$53,146.31
|
$40,881.78
|
$163,527.10
|
$69,499.02
|
2026-03-31
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
14
|
—
|
$397,146.00
|
$89,307.93
|
$362,260.00
|
$266,781.50
|
2026-03-31
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
14
|
—
|
$243,020.00
|
$59,878.04
|
$235,823.00
|
$176,102.50
|
2026-03-31
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
14
|
—
|
$223,898.00
|
$55,190.57
|
$217,251.00
|
$159,295.50
|
2026-03-31
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
14
|
—
|
$291,128.00
|
$71,671.38
|
$282,550.00
|
$224,792.00
|
2026-03-31
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
24
|
7
|
—
|
$1,026,264.00
|
$106,963.54
|
$281,754.98
|
$117,066.61
|
2026-03-31
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
46
|
14
|
—
|
$132,956.00
|
$32,896.96
|
$128,920.00
|
$107,104.50
|
2026-03-31
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
14
|
—
|
$199,362.00
|
$49,175.94
|
$193,420.00
|
$153,013.00
|
2026-03-31
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
14
|
—
|
$172,891.00
|
$42,686.64
|
$167,708.00
|
$134,847.00
|
2026-03-31
|
|
222700
|
CDM
|
Imp Stimulator Neuro
|
56
|
14
|
—
|
$62,551.13
|
$48,116.25
|
$192,465.00
|
$81,797.62
|
2026-03-31
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
46
|
14
|
—
|
$187,580.00
|
$46,287.51
|
$181,975.00
|
$151,064.50
|
2026-03-31
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
46
|
14
|
—
|
$117,011.00
|
$28,988.27
|
$113,433.00
|
$94,249.00
|
2026-03-31
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
14
|
—
|
$214,717.00
|
$52,939.92
|
$203,842.00
|
$173,022.50
|
2026-03-31
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
24
|
7
|
—
|
$1,450,340.00
|
$125,235.47
|
$339,549.71
|
$137,011.55
|
2026-03-31
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
46
|
14
|
—
|
$318,814.00
|
$78,458.36
|
$309,441.00
|
$229,314.50
|
2026-03-31
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
46
|
14
|
—
|
$229,891.00
|
$56,659.67
|
$223,071.00
|
$159,164.00
|
2026-03-31
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
46
|
14
|
—
|
$313,399.00
|
$72,398.55
|
$285,870.00
|
$202,318.00
|
2026-03-31
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
46
|
14
|
—
|
$200,246.00
|
$49,392.51
|
$194,278.00
|
$137,477.00
|
2026-03-31
|
|
234
|
APR_DRG
|
Spinal Procedures
|
24
|
7
|
—
|
$374,871.00
|
$67,808.35
|
$178,894.28
|
$74,326.28
|
2026-03-31
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
46
|
14
|
—
|
$221,450.00
|
$54,590.58
|
$214,873.00
|
$157,835.50
|
2026-03-31
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
46
|
14
|
—
|
$154,826.00
|
$38,258.15
|
$150,162.00
|
$110,103.50
|
2026-03-31
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
46
|
14
|
—
|
$189,595.00
|
$46,781.50
|
$183,932.00
|
$123,722.00
|
2026-03-31
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
24
|
7
|
—
|
$1,971,100.00
|
$288,183.62
|
$757,820.11
|
$314,879.56
|
2026-03-31
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
14
|
—
|
$143,156.00
|
$35,397.38
|
$142,108.00
|
$101,792.50
|
2026-03-31
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
46
|
14
|
—
|
$109,714.00
|
$27,199.37
|
$106,345.00
|
$73,921.00
|
2026-03-31
|
|
241796
|
CDM
|
Generator Sentiva
|
56
|
14
|
—
|
$65,552.15
|
$45,995.38
|
$183,981.50
|
$78,192.14
|
2026-03-31
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
46
|
14
|
—
|
$127,752.00
|
$31,621.41
|
$123,866.00
|
$90,822.50
|
2026-03-31
|
|
242603
|
CDM
|
Neurostimulator Rns-320m-k
|
56
|
14
|
—
|
$59,029.59
|
$41,418.75
|
$165,675.00
|
$70,411.88
|
2026-03-31
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
46
|
14
|
—
|
$84,922.00
|
$21,122.06
|
$82,265.00
|
$68,378.50
|
2026-03-31
|
|
243124
|
CDM
|
Stim Sentiva Vagus Nerve
|
56
|
14
|
—
|
$65,552.15
|
$45,995.38
|
$183,981.50
|
$78,192.14
|
2026-03-31
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
46
|
14
|
—
|
$183,952.00
|
$45,398.12
|
$227,345.00
|
$148,218.50
|
2026-03-31
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
46
|
14
|
—
|
$180,136.00
|
$41,577.91
|
$164,537.00
|
$121,274.00
|
2026-03-31
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
46
|
14
|
—
|
$129,196.00
|
$31,975.31
|
$125,268.00
|
$93,347.50
|
2026-03-31
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
46
|
14
|
—
|
$96,209.00
|
$23,888.83
|
$93,228.00
|
$73,818.00
|
2026-03-31
|
|
254963
|
CDM
|
Kit Impella 5.5 Aic Pump
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
46
|
14
|
—
|
$98,596.00
|
$24,474.07
|
$95,547.00
|
$70,058.00
|
2026-03-31
|
|
255502
|
CDM
|
Sys Imp Mitrl Pascal G180266 Study Only
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
46
|
14
|
—
|
$105,702.00
|
$26,215.98
|
$102,448.00
|
$75,118.50
|
2026-03-31
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
46
|
14
|
—
|
$121,131.00
|
$28,548.65
|
$113,846.00
|
$81,539.50
|
2026-03-31
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
46
|
14
|
—
|
$128,286.00
|
$31,752.28
|
$124,384.00
|
$95,767.00
|
2026-03-31
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
24
|
7
|
—
|
$646,942.00
|
$62,419.65
|
$164,738.16
|
$68,444.19
|
2026-03-31
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
46
|
14
|
—
|
$101,063.00
|
$25,078.67
|
$97,942.00
|
$71,814.50
|
2026-03-31
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
46
|
14
|
—
|
$131,629.00
|
$32,571.62
|
$127,631.00
|
$93,583.00
|
2026-03-31
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
46
|
14
|
—
|
$134,339.00
|
$33,236.13
|
$130,263.00
|
$91,109.00
|
2026-03-31
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
46
|
14
|
—
|
$225,458.00
|
$55,573.05
|
$256,878.00
|
$181,682.50
|
2026-03-31
|
|
266565
|
CDM
|
Vlv Tric Evoque G190289/s013 44mm For Study Only
|
56
|
14
|
—
|
$58,045.00
|
$44,650.00
|
$178,600.00
|
$75,905.00
|
2026-03-31
|
|
266566
|
CDM
|
Vlv Tric Evoque G190289/s013 48mm For Study Only
|
56
|
14
|
—
|
$58,045.00
|
$44,650.00
|
$178,600.00
|
$75,905.00
|
2026-03-31
|
|
266567
|
CDM
|
Vlv Tric Evoque G190289/s013 52mm For Study Only
|
56
|
14
|
—
|
$63,634.73
|
$44,650.00
|
$178,600.00
|
$75,905.00
|
2026-03-31
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
46
|
14
|
—
|
$177,105.00
|
$43,719.80
|
$210,130.00
|
$142,699.00
|
2026-03-31
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
46
|
14
|
—
|
$250,904.00
|
$61,810.72
|
$243,481.00
|
$178,528.50
|
2026-03-31
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
46
|
14
|
—
|
$156,653.00
|
$38,706.07
|
$151,936.00
|
$126,209.50
|
2026-03-31
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
46
|
14
|
—
|
$99,463.00
|
$23,103.59
|
$90,726.00
|
$77,197.50
|
2026-03-31
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
46
|
14
|
—
|
$193,208.00
|
$47,667.20
|
$209,781.00
|
$140,049.00
|
2026-03-31
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
46
|
14
|
—
|
$129,722.00
|
$32,104.35
|
$125,779.00
|
$100,020.00
|
2026-03-31
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
46
|
14
|
—
|
$94,299.00
|
$23,420.63
|
$91,373.00
|
$75,937.50
|
2026-03-31
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
46
|
14
|
—
|
$147,239.00
|
$36,398.28
|
$142,792.00
|
$109,934.50
|
2026-03-31
|
|
273011
|
CDM
|
Membrane Maci Final Assembled
|
56
|
14
|
—
|
$70,818.76
|
$49,690.75
|
$198,763.00
|
$84,474.27
|
2026-03-31
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
46
|
14
|
—
|
$96,634.00
|
$29,123.76
|
$113,970.00
|
$75,805.50
|
2026-03-31
|
|
274868
|
CDM
|
Membrane Maci Autologous Cultured Chondrocytes On Porcine Co
|
56
|
14
|
—
|
$64,597.98
|
$49,690.75
|
$198,763.00
|
$84,474.27
|
2026-03-31
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
46
|
14
|
—
|
$265,920.00
|
$65,491.77
|
$274,538.00
|
$214,304.00
|
2026-03-31
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
46
|
14
|
—
|
$233,113.00
|
$57,449.51
|
$226,201.00
|
$187,854.00
|
2026-03-31
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
46
|
14
|
—
|
$204,477.00
|
$43,233.19
|
$191,474.00
|
$156,335.50
|
2026-03-31
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
46
|
14
|
—
|
$188,332.00
|
$46,471.83
|
$182,706.00
|
$133,965.50
|
2026-03-31
|
|
278207
|
CDM
|
Sys Imp Pascal G180266 Study Only
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
278209
|
CDM
|
Sys Imp Pascal Ace G180266 Study Only
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
278928
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 26x28x100mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
46
|
14
|
—
|
$120,699.00
|
$29,892.40
|
$117,015.00
|
$85,799.50
|
2026-03-31
|
|
279002
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 26x28x150mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
279026
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 30x36x150mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
279059
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 30x32x10mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
279092
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 30x32x150mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
46
|
14
|
—
|
$228,793.00
|
$56,390.54
|
$222,005.00
|
$167,341.50
|
2026-03-31
|
|
280356
|
CDM
|
Vlv Pulm Sapien 3 And Alterra Adapt Present With Del Sys 29mm
|
56
|
14
|
—
|
$69,495.83
|
$48,762.50
|
$195,050.00
|
$82,896.25
|
2026-03-31
|
|
282727
|
CDM
|
Sys Imp Pascal Prec G180266 Study Only
|
56
|
14
|
—
|
$53,462.50
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
283735
|
CDM
|
Device Vent Assist Impella 5.5
|
56
|
14
|
—
|
$62,627.50
|
$48,175.00
|
$192,700.00
|
$81,897.50
|
2026-03-31
|
|
284577
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 28x30x150mm
|
56
|
14
|
—
|
$53,462.50
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
284709
|
CDM
|
Vlv Trans Cath W/comm Sys Sapien 3 Ultra 20mm
|
56
|
14
|
—
|
$56,936.34
|
$39,950.00
|
$159,800.00
|
$67,915.00
|
2026-03-31
|
|
284710
|
CDM
|
Vlv Trans Cath W/comm Sys Sapien 3 Ultra 23mm
|
56
|
14
|
—
|
$51,935.00
|
$39,950.00
|
$159,800.00
|
$67,915.00
|
2026-03-31
|
|
284711
|
CDM
|
Vlv Trans Cath W/comm Sys Sapien 3 Ultra 26mm
|
56
|
14
|
—
|
$56,936.34
|
$39,950.00
|
$159,800.00
|
$67,915.00
|
2026-03-31
|
|
284712
|
CDM
|
Vlv Trans Cath W/comm Sys Sapien 3 Ultra 29mm
|
56
|
14
|
—
|
$56,936.34
|
$39,950.00
|
$159,800.00
|
$67,915.00
|
2026-03-31
|
|
284858
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 28x30x150mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
285856
|
CDM
|
Generator Dual Sentive Dual Pin Receptacle 10cc
|
56
|
14
|
—
|
$59,793.99
|
$45,995.38
|
$183,981.50
|
$78,192.14
|
2026-03-31
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
46
|
14
|
—
|
$106,001.00
|
$25,533.96
|
$99,746.00
|
$73,137.50
|
2026-03-31
|
|
288239
|
CDM
|
Sys Proclaim DRG 3 Lead Perm
|
56
|
14
|
—
|
$64,924.17
|
$45,554.75
|
$182,219.00
|
$77,443.08
|
2026-03-31
|
|
288240
|
CDM
|
Sys Proclaim DRG 4 Lead Perm
|
56
|
14
|
—
|
$60,905.14
|
$42,734.75
|
$170,939.00
|
$72,649.08
|
2026-03-31
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
46
|
14
|
—
|
$126,425.00
|
$31,296.07
|
$122,577.00
|
$93,354.50
|
2026-03-31
|
|
291719
|
CDM
|
Vlv Evoque G190289/s013 56mm For Study Only
|
56
|
14
|
—
|
$63,634.73
|
$44,650.00
|
$178,600.00
|
$75,905.00
|
2026-03-31
|
|
293968
|
CDM
|
Thoraflex Hybrid Anteflo 150 30x38mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
293969
|
CDM
|
Thoraflex Hybrid Anteflo 150 30x40
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
294738
|
CDM
|
Sys Del Triclip G4 Nt
|
56
|
14
|
—
|
$59,572.50
|
$45,825.00
|
$183,300.00
|
$77,902.50
|
2026-03-31
|
|
294740
|
CDM
|
Sys Del Triclip G4 Ntw
|
56
|
14
|
—
|
$59,572.50
|
$45,825.00
|
$183,300.00
|
$77,902.50
|
2026-03-31
|
|
294742
|
CDM
|
Sys Del Triclip G4 Xt
|
56
|
14
|
—
|
$65,309.33
|
$45,825.00
|
$183,300.00
|
$77,902.50
|
2026-03-31
|
|
294744
|
CDM
|
Sys Del Triclip G4 Xtw
|
56
|
14
|
—
|
$59,572.50
|
$45,825.00
|
$183,300.00
|
$77,902.50
|
2026-03-31
|
|
295289
|
CDM
|
Stent Graft Thoraflex Hybrid Ante Flo 32x40x150mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
298890
|
CDM
|
Stent Graft Thoraflex Hybrid Dvc 30x32x100mm
|
56
|
14
|
—
|
$58,610.94
|
$41,125.00
|
$164,500.00
|
$69,912.50
|
2026-03-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
46
|
14
|
—
|
$1,017,604.00
|
$197,882.02
|
$928,215.00
|
$519,415.00
|
2026-03-31
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
24
|
7
|
—
|
$957,481.00
|
$90,924.85
|
$239,621.32
|
$99,559.38
|
2026-03-31
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
24
|
7
|
—
|
$369,707.00
|
$76,850.61
|
$202,648.30
|
$84,196.48
|
2026-03-31
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
46
|
14
|
—
|
$157,777.00
|
$38,981.64
|
$153,028.00
|
$112,205.50
|
2026-03-31
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
24
|
7
|
—
|
$305,237.00
|
$75,371.92
|
$218,632.24
|
$82,582.39
|
2026-03-31
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
46
|
14
|
—
|
$165,379.00
|
$40,845.21
|
$160,412.00
|
$117,619.50
|
2026-03-31
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
24
|
7
|
—
|
$424,672.00
|
$65,165.78
|
$190,445.28
|
$71,441.76
|
2026-03-31
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
46
|
14
|
—
|
$84,644.00
|
$26,596.62
|
$103,957.00
|
$72,749.50
|
2026-03-31
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
46
|
14
|
—
|
$160,364.00
|
$39,615.73
|
$155,541.00
|
$114,047.50
|
2026-03-31
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
46
|
14
|
—
|
$120,350.00
|
$29,806.69
|
$116,675.00
|
$85,550.00
|
2026-03-31
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
46
|
14
|
—
|
$107,830.00
|
$26,737.63
|
$104,515.00
|
$76,634.50
|
2026-03-31
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
46
|
14
|
—
|
$191,178.00
|
$47,169.52
|
$185,470.00
|
$135,992.50
|
2026-03-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
46
|
14
|
—
|
$198,126.00
|
$42,680.20
|
$180,722.00
|
$122,950.50
|
2026-03-31
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
24
|
7
|
—
|
$656,659.00
|
$98,557.47
|
$259,672.21
|
$107,890.85
|
2026-03-31
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
46
|
14
|
—
|
$130,636.00
|
$32,328.31
|
$126,667.00
|
$92,876.00
|
2026-03-31
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
46
|
14
|
—
|
$136,452.00
|
$33,754.09
|
$132,316.00
|
$97,018.50
|
2026-03-31
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
24
|
7
|
—
|
$795,388.00
|
$185,578.88
|
$519,429.16
|
$202,880.12
|
2026-03-31
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
46
|
14
|
—
|
$146,427.00
|
$36,199.21
|
$142,004.00
|
$109,430.00
|
2026-03-31
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
46
|
14
|
—
|
$101,529.00
|
$25,192.95
|
$98,395.00
|
$72,146.50
|
2026-03-31
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
46
|
14
|
—
|
$85,750.00
|
$21,324.82
|
$83,069.00
|
$67,786.00
|
2026-03-31
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
46
|
14
|
—
|
$110,496.00
|
$27,391.07
|
$107,104.00
|
$78,724.00
|
2026-03-31
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
46
|
14
|
—
|
$160,600.00
|
$39,673.80
|
$155,771.00
|
$114,903.50
|
2026-03-31
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
24
|
7
|
—
|
$266,563.00
|
$80,288.82
|
$211,680.49
|
$87,949.50
|
2026-03-31
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
46
|
14
|
—
|
$125,079.00
|
$30,966.12
|
$121,269.00
|
$88,918.50
|
2026-03-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
46
|
14
|
—
|
$670,990.00
|
$130,587.37
|
$612,048.00
|
$322,296.00
|
2026-03-31
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
46
|
14
|
—
|
$142,043.00
|
$35,124.57
|
$137,746.00
|
$101,000.00
|
2026-03-31
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
46
|
14
|
—
|
$204,325.00
|
$50,392.50
|
$198,240.00
|
$147,568.00
|
2026-03-31
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
24
|
7
|
—
|
$355,985.00
|
$70,323.51
|
$185,501.61
|
$77,071.74
|
2026-03-31
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
46
|
14
|
—
|
$105,811.00
|
$26,242.70
|
$102,554.00
|
$76,308.50
|
2026-03-31
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
46
|
14
|
—
|
$131,862.00
|
$32,628.76
|
$127,857.00
|
$93,749.00
|
2026-03-31
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
46
|
14
|
—
|
$103,104.00
|
$25,579.12
|
$99,925.00
|
$73,268.50
|
2026-03-31
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
46
|
14
|
—
|
$131,956.00
|
$32,651.80
|
$127,948.00
|
$93,816.00
|
2026-03-31
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
46
|
14
|
—
|
$132,922.00
|
$32,888.67
|
$128,887.00
|
$94,504.50
|
2026-03-31
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
46
|
14
|
—
|
$153,145.00
|
$37,846.18
|
$148,529.00
|
$108,906.50
|
2026-03-31
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
24
|
7
|
—
|
$235,933.00
|
$84,152.81
|
$221,831.17
|
$95,043.93
|
2026-03-31
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
24
|
7
|
—
|
$1,100,507.00
|
$149,921.07
|
$394,604.41
|
$169,085.85
|
2026-03-31
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
24
|
7
|
—
|
$424,813.00
|
$86,729.62
|
$228,600.46
|
$94,980.02
|
2026-03-31
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
24
|
7
|
—
|
$388,617.00
|
$64,097.25
|
$169,145.22
|
$70,275.39
|
2026-03-31
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
14
|
—
|
$318,637.00
|
$78,415.04
|
$309,270.00
|
$238,130.50
|
2026-03-31
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
14
|
—
|
$216,006.00
|
$53,256.04
|
$214,008.00
|
$174,062.50
|
2026-03-31
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
14
|
—
|
$162,567.00
|
$40,155.81
|
$189,132.00
|
$130,977.50
|
2026-03-31
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
46
|
14
|
—
|
$230,944.00
|
$56,917.72
|
$216,754.00
|
$157,941.00
|
2026-03-31
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
46
|
14
|
—
|
$107,894.00
|
$26,753.29
|
$132,413.00
|
$86,898.50
|
2026-03-31
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
14
|
—
|
$203,284.00
|
$50,137.20
|
$197,228.00
|
$144,614.50
|
2026-03-31
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
14
|
—
|
$111,082.00
|
$27,534.84
|
$107,674.00
|
$86,366.00
|
2026-03-31
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
46
|
14
|
—
|
$191,764.00
|
$47,313.29
|
$186,040.00
|
$145,069.00
|
2026-03-31
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
46
|
14
|
—
|
$129,001.00
|
$31,927.40
|
$125,078.00
|
$103,915.50
|
2026-03-31
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
46
|
14
|
—
|
$182,843.00
|
$45,126.24
|
$177,374.00
|
$136,173.00
|
2026-03-31
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
46
|
14
|
—
|
$168,834.00
|
$41,692.20
|
$163,768.00
|
$113,514.00
|
2026-03-31
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
46
|
14
|
—
|
$129,519.00
|
$32,054.58
|
$125,582.00
|
$92,081.00
|
2026-03-31
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
46
|
14
|
—
|
$110,796.00
|
$27,464.80
|
$107,396.00
|
$78,747.00
|
2026-03-31
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
46
|
14
|
—
|
$96,028.00
|
$23,844.59
|
$93,053.00
|
$77,332.00
|
2026-03-31
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
46
|
14
|
—
|
$121,259.00
|
$30,029.73
|
$117,559.00
|
$86,198.00
|
2026-03-31
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
46
|
14
|
—
|
$133,738.00
|
$33,088.67
|
$129,679.00
|
$95,085.00
|
2026-03-31
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
46
|
14
|
—
|
$132,587.00
|
$32,806.64
|
$128,562.00
|
$94,266.00
|
2026-03-31
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
46
|
14
|
—
|
$400,605.00
|
$98,508.69
|
$388,884.00
|
$285,143.00
|
2026-03-31
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
46
|
14
|
—
|
$119,357.00
|
$29,563.38
|
$115,711.00
|
$84,843.50
|
2026-03-31
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
46
|
14
|
—
|
$99,728.00
|
$24,751.48
|
$96,646.00
|
$70,864.00
|
2026-03-31
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
46
|
14
|
—
|
$107,680.00
|
$26,700.76
|
$104,369.00
|
$76,527.00
|
2026-03-31
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
24
|
7
|
—
|
$199,166.00
|
$63,051.73
|
$166,398.64
|
$69,134.14
|
2026-03-31
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
46
|
14
|
—
|
$116,488.00
|
$28,860.17
|
$112,925.00
|
$82,138.50
|
2026-03-31
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
46
|
14
|
—
|
$109,808.00
|
$27,222.41
|
$106,436.00
|
$78,042.50
|
2026-03-31
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
24
|
7
|
—
|
$644,000.00
|
$114,720.28
|
$302,131.91
|
$129,456.79
|
2026-03-31
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
46
|
14
|
—
|
$113,398.00
|
$28,102.58
|
$109,923.00
|
$80,599.50
|
2026-03-31
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
46
|
14
|
—
|
$231,752.00
|
$57,115.88
|
$224,879.00
|
$164,889.00
|
2026-03-31
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
46
|
14
|
—
|
$130,493.00
|
$32,293.28
|
$126,528.00
|
$92,774.50
|
2026-03-31
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
46
|
14
|
—
|
$203,069.00
|
$50,084.68
|
$197,020.00
|
$136,674.00
|
2026-03-31
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
46
|
14
|
—
|
$100,337.00
|
$24,900.79
|
$97,237.00
|
$80,806.00
|
2026-03-31
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
46
|
14
|
—
|
$122,767.00
|
$30,399.31
|
$119,024.00
|
$81,862.00
|
2026-03-31
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
24
|
7
|
—
|
$1,740,359.00
|
$121,319.71
|
$319,468.62
|
$136,886.42
|
2026-03-31
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
24
|
7
|
—
|
$1,776,012.00
|
$212,501.00
|
$559,001.87
|
$239,538.33
|
2026-03-31
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
24
|
7
|
—
|
$1,223,568.00
|
$160,050.78
|
$421,215.13
|
$180,489.86
|
2026-03-31
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
24
|
7
|
—
|
$1,667,808.00
|
$208,789.90
|
$549,252.81
|
$235,360.37
|
2026-03-31
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
24
|
7
|
—
|
$1,784,497.00
|
$208,789.90
|
$549,252.81
|
$235,360.37
|
2026-03-31
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
24
|
7
|
—
|
$1,340,299.00
|
$101,153.18
|
$266,491.16
|
$110,724.24
|
2026-03-31
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
24
|
7
|
—
|
$208,616.00
|
$101,153.18
|
$266,491.16
|
$110,724.24
|
2026-03-31
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
24
|
7
|
—
|
$2,234,416.00
|
$91,972.01
|
$242,372.22
|
$99,790.62
|
2026-03-31
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
24
|
7
|
—
|
$1,783,133.00
|
$98,489.25
|
$259,492.99
|
$107,816.39
|
2026-03-31
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
24
|
7
|
—
|
$2,066,070.00
|
$160,626.14
|
$422,726.62
|
$181,137.61
|
2026-03-31
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
24
|
7
|
—
|
$836,273.00
|
$92,959.99
|
$244,967.65
|
$101,780.86
|
2026-03-31
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
24
|
7
|
—
|
$1,330,301.00
|
$113,310.63
|
$298,428.79
|
$127,869.82
|
2026-03-31
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
24
|
7
|
—
|
$1,416,264.00
|
$144,691.83
|
$380,867.19
|
$163,198.76
|
2026-03-31
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
46
|
14
|
—
|
$182,538.00
|
$45,051.58
|
$177,078.00
|
$129,839.50
|
2026-03-31
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
24
|
7
|
—
|
$510,149.00
|
$79,331.25
|
$209,164.95
|
$86,904.26
|
2026-03-31
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
24
|
7
|
—
|
$1,025,038.00
|
$93,124.38
|
$245,399.50
|
$105,144.13
|
2026-03-31
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
24
|
7
|
—
|
$677,508.00
|
$125,669.46
|
$330,895.43
|
$141,783.39
|
2026-03-31
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
24
|
7
|
—
|
$1,212,463.00
|
$115,873.47
|
$305,161.36
|
$130,755.06
|
2026-03-31
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
24
|
7
|
—
|
$455,883.00
|
$62,846.24
|
$165,858.82
|
$68,909.84
|
2026-03-31
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
24
|
7
|
—
|
$468,854.00
|
$76,578.55
|
$201,933.58
|
$83,899.50
|
2026-03-31
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
24
|
7
|
—
|
$516,432.00
|
$102,852.15
|
$270,954.35
|
$112,578.77
|
2026-03-31
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
24
|
7
|
—
|
$564,801.00
|
$132,595.21
|
$349,089.36
|
$149,580.38
|
2026-03-31
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
46
|
14
|
—
|
$104,913.00
|
$25,274.98
|
$98,720.00
|
$72,385.00
|
2026-03-31
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
24
|
7
|
—
|
$287,996.00
|
$68,890.03
|
$181,735.86
|
$75,507.01
|
2026-03-31
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
24
|
7
|
—
|
$685,524.00
|
$71,026.28
|
$187,347.78
|
$77,838.85
|
2026-03-31
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
46
|
14
|
—
|
$145,536.00
|
$35,980.78
|
$141,138.00
|
$103,487.50
|
2026-03-31
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
46
|
14
|
—
|
$102,732.00
|
$25,487.88
|
$99,564.00
|
$73,003.50
|
2026-03-31
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
46
|
14
|
—
|
$140,911.00
|
$34,847.15
|
$136,647.00
|
$100,194.00
|
2026-03-31
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
46
|
14
|
—
|
$108,018.00
|
$26,783.71
|
$104,698.00
|
$76,768.00
|
2026-03-31
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
46
|
14
|
—
|
$148,570.00
|
$36,724.54
|
$144,085.00
|
$94,708.00
|
2026-03-31
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
24
|
7
|
—
|
$1,028,782.00
|
$101,897.87
|
$268,447.45
|
$111,537.11
|
2026-03-31
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
24
|
7
|
—
|
$1,366,874.00
|
$87,792.40
|
$231,392.38
|
$99,141.38
|
2026-03-31
|
|
64300452
|
CDM
|
Isoproterenol 0.2mg/ml 1ml Inj
|
68
|
15
|
—
|
$201,178.19
|
$77,265.90
|
$386,329.50
|
$183,506.51
|
2026-03-31
|
|
64304785
|
CDM
|
Pomalidomide 1mg Cap
|
68
|
15
|
—
|
$268,766.64
|
$103,224.39
|
$516,121.97
|
$245,157.93
|
2026-03-31
|
|
64304793
|
CDM
|
Pomalidomide 2mg Cap
|
68
|
15
|
—
|
$134,383.32
|
$51,612.20
|
$258,060.98
|
$122,578.97
|
2026-03-31
|
|
64304801
|
CDM
|
Pomalidomide 3mg Cap
|
68
|
15
|
—
|
$81,719.31
|
$34,408.13
|
$172,040.65
|
$81,719.31
|
2026-03-31
|
|
64316110
|
CDM
|
Tagraxofusp-erzs 100mcg Inj
|
69
|
15
|
—
|
$79,103.47
|
$30,381.03
|
$151,905.15
|
$72,154.95
|
2026-03-31
|
|
64320856
|
CDM
|
Givosiran 189mg/ml Inj
|
68
|
15
|
—
|
$99,863.83
|
$38,354.40
|
$191,772.00
|
$91,091.70
|
2026-03-31
|
|
64323983
|
CDM
|
Teplizum Mzwv 1mg/ml2ml Inj
|
68
|
15
|
—
|
$243,317.21
|
$93,450.10
|
$467,250.52
|
$221,944.00
|
2026-03-31
|
|
64323991
|
CDM
|
Teplizum Mzwv 1mg/ml2ml Inj Jw
|
68
|
15
|
—
|
$221,944.00
|
$93,450.10
|
$467,250.52
|
$221,944.00
|
2026-03-31
|
|
64401664
|
CDM
|
Antithymocy Glo Eq 50mg/ml Inj
|
68
|
15
|
—
|
$421,909.22
|
$162,041.40
|
$810,207.00
|
$384,848.32
|
2026-03-31
|
|
64477458
|
CDM
|
Carmustine 7.7mg Wafer Impl
|
69
|
15
|
—
|
$90,809.86
|
$34,877.07
|
$174,385.35
|
$82,833.04
|
2026-03-31
|
|
64486210
|
CDM
|
Foscarnet 2.4mg/0.1ml Oph Inj
|
68
|
15
|
—
|
$90,949.77
|
$38,294.64
|
$191,473.20
|
$90,949.77
|
2026-03-31
|
|
64490121
|
CDM
|
Treprostinil 0.6 Mg/ml Inh Sol
|
68
|
15
|
—
|
$81,650.41
|
$31,359.23
|
$156,796.13
|
$74,478.16
|
2026-03-31
|
|
64496193
|
CDM
|
Sipuleucel T 250ml Inj
|
68
|
15
|
—
|
$158,937.66
|
$66,921.12
|
$334,605.60
|
$158,937.66
|
2026-03-31
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
46
|
14
|
—
|
$173,443.00
|
$42,822.13
|
$168,245.00
|
$123,363.00
|
2026-03-31
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
46
|
14
|
—
|
$130,779.00
|
$32,363.33
|
$126,805.00
|
$92,978.00
|
2026-03-31
|
|
652
|
MS_DRG
|
Kidney Transplant
|
46
|
14
|
—
|
$115,699.00
|
$28,666.62
|
$112,158.00
|
$82,238.50
|
2026-03-31
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
46
|
14
|
—
|
$209,811.00
|
$51,737.17
|
$203,568.00
|
$149,262.50
|
2026-03-31
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
46
|
14
|
—
|
$106,326.00
|
$26,368.96
|
$103,055.00
|
$74,118.00
|
2026-03-31
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
46
|
14
|
—
|
$122,714.00
|
$30,386.41
|
$118,972.00
|
$87,234.50
|
2026-03-31
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
46
|
14
|
—
|
$97,386.00
|
$24,177.30
|
$94,371.00
|
$69,196.00
|
2026-03-31
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
46
|
14
|
—
|
$117,511.00
|
$29,110.85
|
$113,918.00
|
$83,528.50
|
2026-03-31
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
46
|
14
|
—
|
$129,316.00
|
$32,004.81
|
$125,385.00
|
$91,936.50
|
2026-03-31
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
46
|
14
|
—
|
$109,868.00
|
$27,237.15
|
$106,495.00
|
$78,085.50
|
2026-03-31
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
46
|
14
|
—
|
$157,739.00
|
$38,972.43
|
$152,992.00
|
$89,282.00
|
2026-03-31
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
24
|
7
|
—
|
$332,868.00
|
$74,911.63
|
$197,554.60
|
$82,079.96
|
2026-03-31
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
24
|
7
|
—
|
$469,129.00
|
$75,116.30
|
$198,092.27
|
$82,303.36
|
2026-03-31
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
24
|
7
|
—
|
$69,788.00
|
$73,323.63
|
$193,382.92
|
$80,346.55
|
2026-03-31
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia #
|
24
|
7
|
—
|
$309,196.00
|
$62,093.33
|
$163,880.94
|
$68,087.99
|
2026-03-31
|
|
7
|
MS_DRG
|
Lung Transplant
|
46
|
14
|
—
|
$491,566.00
|
$120,806.90
|
$477,233.00
|
$349,924.00
|
2026-03-31
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
46
|
14
|
—
|
$148,265.00
|
$36,649.89
|
$143,789.00
|
$105,431.50
|
2026-03-31
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
46
|
14
|
—
|
$149,893.00
|
$37,048.96
|
$145,371.00
|
$106,590.50
|
2026-03-31
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
46
|
14
|
—
|
$97,547.00
|
$24,216.93
|
$94,528.00
|
$69,324.00
|
2026-03-31
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
46
|
14
|
—
|
$282,431.00
|
$5,824.00
|
$257,621.00
|
$69,333.00
|
2026-03-31
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
46
|
14
|
—
|
$178,989.00
|
$44,181.56
|
$173,631.00
|
$127,312.00
|
2026-03-31
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
46
|
14
|
—
|
$109,774.00
|
$27,214.11
|
$106,403.00
|
$78,018.50
|
2026-03-31
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
46
|
14
|
—
|
$135,001.00
|
$33,398.34
|
$130,906.00
|
$94,564.00
|
2026-03-31
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
46
|
14
|
—
|
$219,123.00
|
$54,020.09
|
$212,613.00
|
$155,895.00
|
2026-03-31
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
46
|
14
|
—
|
$176,158.00
|
$43,487.55
|
$170,881.00
|
$115,135.00
|
2026-03-31
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
46
|
14
|
—
|
$179,767.00
|
$44,372.33
|
$174,387.00
|
$144,845.00
|
2026-03-31
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
46
|
14
|
—
|
$116,165.00
|
$28,780.91
|
$112,611.00
|
$82,570.50
|
2026-03-31
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
46
|
14
|
—
|
$214,266.00
|
$51,301.24
|
$276,615.00
|
$147,996.00
|
2026-03-31
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
46
|
14
|
—
|
$194,126.00
|
$46,507.78
|
$201,692.00
|
$134,070.00
|
2026-03-31
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
46
|
14
|
—
|
$123,717.00
|
$29,750.47
|
$121,116.00
|
$85,387.00
|
2026-03-31
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
24
|
7
|
—
|
$1,455,120.00
|
$155,397.72
|
$408,991.56
|
$169,935.52
|
2026-03-31
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
24
|
7
|
—
|
$515,755.00
|
$72,375.10
|
$190,891.12
|
$79,311.17
|
2026-03-31
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
46
|
14
|
—
|
$99,119.00
|
$23,896.20
|
$93,257.00
|
$68,379.00
|
2026-03-31
|
|
849
|
MS_DRG
|
Radiotherapy
|
46
|
14
|
—
|
$103,662.00
|
$24,977.28
|
$97,541.00
|
$71,520.00
|
2026-03-31
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
24
|
7
|
—
|
$89,115.00
|
$64,065.19
|
$169,061.01
|
$70,240.40
|
2026-03-31
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
46
|
14
|
—
|
$196,522.00
|
$46,453.40
|
$183,812.00
|
$130,553.00
|
2026-03-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
46
|
14
|
—
|
$169,845.00
|
$41,940.12
|
$164,750.00
|
$121,783.50
|
2026-03-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
46
|
14
|
—
|
$269,611.00
|
$64,473.35
|
$254,031.00
|
$168,497.00
|
2026-03-31
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
46
|
14
|
—
|
$147,964.00
|
$36,576.16
|
$143,497.00
|
$105,217.00
|
2026-03-31
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
46
|
14
|
—
|
$166,796.00
|
$41,192.66
|
$161,789.00
|
$118,629.00
|
2026-03-31
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
46
|
14
|
—
|
$145,389.00
|
$35,944.83
|
$140,996.00
|
$103,383.00
|
2026-03-31
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
24
|
7
|
—
|
$1,007,799.00
|
$76,366.90
|
$246,874.28
|
$101,636.24
|
2026-03-31
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
46
|
14
|
—
|
$149,998.00
|
$37,074.77
|
$145,473.00
|
$106,665.50
|
2026-03-31
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
24
|
7
|
—
|
$349,853.00
|
$63,653.39
|
$167,979.22
|
$69,790.90
|
2026-03-31
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
46
|
14
|
—
|
$892,120.00
|
$218,998.69
|
$866,285.00
|
$635,190.00
|
2026-03-31
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
46
|
14
|
—
|
$251,328.00
|
$61,914.87
|
$243,893.00
|
$178,831.00
|
2026-03-31
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
46
|
14
|
—
|
$119,797.00
|
$29,671.22
|
$116,139.00
|
$85,157.00
|
2026-03-31
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
46
|
14
|
—
|
$167,782.00
|
$40,237.85
|
$158,005.00
|
$115,855.00
|
2026-03-31
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
46
|
14
|
—
|
$119,556.00
|
$29,612.23
|
$115,905.00
|
$84,985.00
|
2026-03-31
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
46
|
14
|
—
|
$141,519.00
|
$33,987.26
|
$133,240.00
|
$97,696.00
|
2026-03-31
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
24
|
7
|
—
|
$360,397.00
|
$68,073.02
|
$179,589.56
|
$74,615.19
|
2026-03-31
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
46
|
14
|
—
|
$256,945.00
|
$63,291.81
|
$249,349.00
|
$182,831.50
|
2026-03-31
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
46
|
14
|
—
|
$143,934.00
|
$35,588.16
|
$139,583.00
|
$115,955.00
|
2026-03-31
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
46
|
14
|
—
|
$280,853.00
|
$69,152.53
|
$272,570.00
|
$205,756.00
|
2026-03-31
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
46
|
14
|
—
|
$154,739.00
|
$38,236.95
|
$150,078.00
|
$110,042.00
|
2026-03-31
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
46
|
14
|
—
|
$99,626.00
|
$24,726.60
|
$96,547.00
|
$70,791.50
|
2026-03-31
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
46
|
14
|
—
|
$105,428.00
|
$25,397.55
|
$127,112.00
|
$72,741.00
|
2026-03-31
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
46
|
14
|
—
|
$237,997.00
|
$58,646.73
|
$230,944.00
|
$155,119.00
|
2026-03-31
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
46
|
14
|
—
|
$139,037.00
|
$33,396.49
|
$130,899.00
|
$95,979.50
|
2026-03-31
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
46
|
14
|
—
|
$99,980.00
|
$24,813.23
|
$96,891.00
|
$71,043.50
|
2026-03-31
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
46
|
14
|
—
|
$115,864.00
|
$27,881.39
|
$109,047.00
|
$79,957.00
|
2026-03-31
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
46
|
14
|
—
|
$178,955.00
|
$44,173.26
|
$173,598.00
|
$118,342.00
|
2026-03-31
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
46
|
14
|
—
|
$92,273.00
|
$22,923.87
|
$89,405.00
|
$68,628.00
|
2026-03-31
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
46
|
14
|
—
|
$131,914.00
|
$32,641.67
|
$127,908.00
|
$85,178.00
|
2026-03-31
|