|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
11
|
4
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
15
|
8
|
—
|
—
|
$3,617,621.00
|
$4,429,740.00
|
$3,710,000.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
15
|
8
|
—
|
—
|
$3,254,948.85
|
$3,985,651.65
|
$3,321,781.51
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
15
|
8
|
—
|
—
|
$3,180,473.76
|
$3,894,457.67
|
$3,193,000.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
15
|
8
|
—
|
—
|
$2,879,553.60
|
$3,525,984.00
|
$2,968,000.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
15
|
8
|
—
|
—
|
$2,403,458.75
|
$3,104,504.71
|
$2,403,458.75
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
15
|
8
|
—
|
—
|
$2,285,360.00
|
$2,798,400.00
|
$2,332,000.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
7
|
6
|
—
|
—
|
$755,207.60
|
$2,342,684.80
|
$924,744.00
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
59
|
31
|
—
|
—
|
$520,652.65
|
$1,487,647.46
|
$671,809.87
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
4
|
1
|
—
|
—
|
$602,594.00
|
$602,594.00
|
$602,594.00
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$570,495.00
|
$570,495.00
|
$570,495.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
18
|
10
|
—
|
—
|
$565,623.84
|
$1,867,109.66
|
$565,623.84
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
18
|
10
|
—
|
—
|
$551,318.34
|
$1,789,024.22
|
$551,318.34
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
18
|
10
|
—
|
—
|
$528,312.43
|
$1,701,734.49
|
$528,312.43
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
18
|
10
|
—
|
—
|
$516,485.97
|
$1,709,272.94
|
$516,485.97
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
18
|
10
|
—
|
—
|
$489,517.15
|
$1,616,821.32
|
$489,517.15
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
18
|
10
|
—
|
—
|
$479,504.79
|
$1,487,443.43
|
$488,051.51
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$470,663.00
|
$470,663.00
|
$470,663.00
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
60
|
31
|
—
|
—
|
$230,950.95
|
$965,423.36
|
$436,270.03
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
1
|
—
|
—
|
$410,276.00
|
$410,276.00
|
$410,276.00
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$386,124.00
|
$386,124.00
|
$386,124.00
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
4
|
1
|
—
|
—
|
$373,339.00
|
$373,339.00
|
$373,339.00
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$344,841.00
|
$344,841.00
|
$344,841.00
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
59
|
31
|
—
|
—
|
$257,748.24
|
$735,524.72
|
$332,578.37
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
7
|
6
|
—
|
—
|
$256,989.10
|
$797,190.67
|
$314,680.53
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$291,935.00
|
$291,935.00
|
$291,935.00
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
68
|
31
|
—
|
—
|
$3,500.00
|
$731,208.14
|
$289,302.52
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$288,167.00
|
$288,167.00
|
$288,167.00
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$283,662.00
|
$283,662.00
|
$283,662.00
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$280,468.00
|
$280,468.00
|
$280,468.00
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$280,468.00
|
$280,468.00
|
$280,468.00
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$278,268.00
|
$278,268.00
|
$278,268.00
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$261,689.00
|
$261,689.00
|
$261,689.00
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$246,445.00
|
$246,445.00
|
$246,445.00
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
7
|
6
|
—
|
—
|
$198,659.31
|
$616,249.30
|
$243,256.30
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
1
|
—
|
—
|
$241,335.00
|
$241,335.00
|
$241,335.00
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$237,975.00
|
$237,975.00
|
$237,975.00
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$235,879.00
|
$235,879.00
|
$235,879.00
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$231,489.00
|
$231,489.00
|
$231,489.00
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
4
|
1
|
—
|
—
|
$227,920.00
|
$227,920.00
|
$227,920.00
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$221,218.00
|
$221,218.00
|
$221,218.00
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
4
|
1
|
—
|
—
|
$217,947.00
|
$217,947.00
|
$217,947.00
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
65
|
31
|
—
|
—
|
$36,844.00
|
$477,180.73
|
$216,056.94
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$210,484.00
|
$210,484.00
|
$210,484.00
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$209,480.00
|
$209,480.00
|
$209,480.00
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$208,605.00
|
$208,605.00
|
$208,605.00
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$207,699.00
|
$207,699.00
|
$207,699.00
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$207,699.00
|
$207,699.00
|
$207,699.00
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$204,061.00
|
$204,061.00
|
$204,061.00
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
59
|
31
|
—
|
—
|
$156,591.88
|
$446,134.39
|
$202,054.04
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$199,386.00
|
$199,386.00
|
$199,386.00
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
1
|
—
|
—
|
$194,259.00
|
$194,259.00
|
$194,259.00
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
1
|
—
|
—
|
$187,915.00
|
$187,915.00
|
$187,915.00
|
2026-04-01
|
|
C1833
|
HCPCS
|
Cardiac Monitor Sys
|
1
|
1
|
—
|
—
|
$187,725.00
|
$187,725.00
|
$187,725.00
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
59
|
31
|
—
|
—
|
$145,365.13
|
$414,016.66
|
$187,567.91
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$185,225.00
|
$185,225.00
|
$185,225.00
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
1
|
—
|
—
|
$184,826.00
|
$184,826.00
|
$184,826.00
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$179,252.00
|
$179,252.00
|
$179,252.00
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
59
|
31
|
—
|
—
|
$137,103.12
|
$390,380.51
|
$176,907.25
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
59
|
31
|
—
|
—
|
$136,946.57
|
$389,932.66
|
$176,705.26
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$175,538.00
|
$175,538.00
|
$175,538.00
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$172,645.00
|
$172,645.00
|
$172,645.00
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$172,645.00
|
$172,645.00
|
$172,645.00
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
59
|
31
|
—
|
—
|
$133,362.87
|
$379,680.34
|
$172,081.13
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
60
|
31
|
—
|
—
|
$51,522.60
|
$374,612.74
|
$169,795.49
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$169,214.00
|
$169,214.00
|
$169,214.00
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$168,363.00
|
$168,363.00
|
$168,363.00
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$167,502.00
|
$167,502.00
|
$167,502.00
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$166,355.00
|
$166,355.00
|
$166,355.00
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
1
|
—
|
—
|
$165,978.00
|
$165,978.00
|
$165,978.00
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$164,320.00
|
$164,320.00
|
$164,320.00
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$163,635.00
|
$163,635.00
|
$163,635.00
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$162,854.00
|
$162,854.00
|
$162,854.00
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$162,264.00
|
$162,264.00
|
$162,264.00
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
1
|
—
|
—
|
$161,463.00
|
$161,463.00
|
$161,463.00
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
59
|
31
|
—
|
—
|
$124,804.63
|
$355,196.72
|
$161,038.24
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$158,414.00
|
$158,414.00
|
$158,414.00
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$157,266.00
|
$157,266.00
|
$157,266.00
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$156,192.00
|
$156,192.00
|
$156,192.00
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$155,882.00
|
$155,882.00
|
$155,882.00
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
62
|
31
|
—
|
—
|
$93,410.70
|
$343,018.65
|
$155,545.54
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
65
|
31
|
—
|
—
|
$54,246.09
|
$337,017.46
|
$152,838.80
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
1
|
—
|
—
|
$152,493.00
|
$152,493.00
|
$152,493.00
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$150,632.00
|
$150,632.00
|
$150,632.00
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$146,718.00
|
$146,718.00
|
$146,718.00
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$145,933.00
|
$145,933.00
|
$145,933.00
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
1
|
—
|
—
|
$144,475.00
|
$144,475.00
|
$144,475.00
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
1
|
—
|
—
|
$143,299.00
|
$143,299.00
|
$143,299.00
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
1
|
—
|
—
|
$143,299.00
|
$143,299.00
|
$143,299.00
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
1
|
—
|
—
|
$143,258.00
|
$143,258.00
|
$143,258.00
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$142,846.00
|
$142,846.00
|
$142,846.00
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$141,846.00
|
$141,846.00
|
$141,846.00
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
59
|
31
|
—
|
—
|
$109,139.20
|
$310,380.72
|
$140,824.78
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
1
|
—
|
—
|
$139,817.00
|
$139,817.00
|
$139,817.00
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
4
|
1
|
—
|
—
|
$137,350.00
|
$137,350.00
|
$137,350.00
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
4
|
1
|
—
|
—
|
$137,350.00
|
$137,350.00
|
$137,350.00
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$136,607.00
|
$136,607.00
|
$136,607.00
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
59
|
31
|
—
|
—
|
$104,923.31
|
$298,319.77
|
$135,384.91
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
1
|
—
|
—
|
$135,273.00
|
$135,273.00
|
$135,273.00
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
59
|
31
|
—
|
—
|
$102,158.46
|
$290,410.06
|
$131,817.37
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
63
|
31
|
—
|
—
|
$321.11
|
$289,497.13
|
$131,405.60
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$129,786.00
|
$129,786.00
|
$129,786.00
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
1
|
—
|
—
|
$129,391.00
|
$129,391.00
|
$129,391.00
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$127,661.00
|
$127,661.00
|
$127,661.00
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
1
|
—
|
—
|
$124,455.00
|
$124,455.00
|
$124,455.00
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
1
|
—
|
—
|
$124,234.00
|
$124,234.00
|
$124,234.00
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
61
|
31
|
—
|
—
|
$36,946.30
|
$271,080.16
|
$123,098.96
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
4
|
1
|
—
|
—
|
$121,869.00
|
$121,869.00
|
$121,869.00
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
68
|
31
|
—
|
—
|
$66,776.35
|
$264,517.44
|
$120,138.96
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
64
|
31
|
—
|
—
|
$73,256.39
|
$266,988.00
|
$119,624.65
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
4
|
1
|
—
|
—
|
$119,581.00
|
$119,581.00
|
$119,581.00
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
62
|
31
|
—
|
—
|
$68,348.85
|
$262,505.56
|
$119,231.54
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$119,211.00
|
$119,211.00
|
$119,211.00
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
4
|
1
|
—
|
—
|
$117,749.00
|
$117,749.00
|
$117,749.00
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
1
|
—
|
—
|
$117,295.00
|
$117,295.00
|
$117,295.00
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
1
|
—
|
—
|
$117,250.00
|
$117,250.00
|
$117,250.00
|
2026-04-01
|
|
6021
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$117,193.00
|
$117,193.00
|
$117,193.00
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$116,268.00
|
$116,268.00
|
$116,268.00
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$116,111.00
|
$116,111.00
|
$116,111.00
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$115,919.00
|
$115,919.00
|
$115,919.00
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
1
|
—
|
—
|
$114,786.00
|
$114,786.00
|
$114,786.00
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
4
|
1
|
—
|
—
|
$113,369.00
|
$113,369.00
|
$113,369.00
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
1
|
—
|
—
|
$113,322.00
|
$113,322.00
|
$113,322.00
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
1
|
—
|
—
|
$112,549.00
|
$112,549.00
|
$112,549.00
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
59
|
31
|
—
|
—
|
$87,055.39
|
$247,202.86
|
$112,329.54
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
59
|
31
|
—
|
—
|
$87,019.26
|
$247,099.52
|
$112,282.92
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
59
|
31
|
—
|
—
|
$86,560.47
|
$245,786.97
|
$111,690.92
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
62
|
31
|
—
|
—
|
$19,257.57
|
$245,642.28
|
$111,625.67
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$110,655.00
|
$110,655.00
|
$110,655.00
|
2026-04-01
|
|
1734
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$109,810.00
|
$109,810.00
|
$109,810.00
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
1
|
—
|
—
|
$109,773.00
|
$109,773.00
|
$109,773.00
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
4
|
1
|
—
|
—
|
$109,613.00
|
$109,613.00
|
$109,613.00
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
4
|
1
|
—
|
—
|
$108,696.00
|
$108,696.00
|
$108,696.00
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
4
|
1
|
—
|
—
|
$108,373.00
|
$108,373.00
|
$108,373.00
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
64
|
31
|
—
|
—
|
$31,594.77
|
$248,680.77
|
$108,287.95
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
1
|
—
|
—
|
$108,131.00
|
$108,131.00
|
$108,131.00
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
61
|
31
|
—
|
—
|
$59,337.52
|
$236,943.66
|
$107,702.30
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
4
|
1
|
—
|
—
|
$107,483.00
|
$107,483.00
|
$107,483.00
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$107,051.00
|
$107,051.00
|
$107,051.00
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
4
|
1
|
—
|
—
|
$106,880.00
|
$106,880.00
|
$106,880.00
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
4
|
1
|
—
|
—
|
$106,440.00
|
$106,440.00
|
$106,440.00
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$105,883.00
|
$105,883.00
|
$105,883.00
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
60
|
31
|
—
|
—
|
$62,072.82
|
$231,886.40
|
$105,421.32
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$105,153.00
|
$105,153.00
|
$105,153.00
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
4
|
1
|
—
|
—
|
$104,925.00
|
$104,925.00
|
$104,925.00
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
64
|
31
|
—
|
—
|
$36,998.55
|
$230,349.92
|
$104,728.32
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
60
|
31
|
—
|
—
|
$55,973.58
|
$230,181.12
|
$104,652.18
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$104,304.00
|
$104,304.00
|
$104,304.00
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
1
|
—
|
—
|
$103,753.00
|
$103,753.00
|
$103,753.00
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
64
|
31
|
—
|
—
|
$11,471.99
|
$226,519.09
|
$103,000.49
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
59
|
31
|
—
|
—
|
$79,825.38
|
$226,519.09
|
$103,000.49
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
1
|
—
|
—
|
$102,963.00
|
$102,963.00
|
$102,963.00
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
59
|
31
|
—
|
—
|
$79,537.58
|
$225,695.73
|
$102,629.14
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
4
|
1
|
—
|
—
|
$102,295.00
|
$102,295.00
|
$102,295.00
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
1
|
—
|
—
|
$102,028.00
|
$102,028.00
|
$102,028.00
|
2026-04-01
|
|
6934
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$101,341.00
|
$101,341.00
|
$101,341.00
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
4
|
1
|
—
|
—
|
$101,315.00
|
$101,315.00
|
$101,315.00
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$101,158.00
|
$101,158.00
|
$101,158.00
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
1
|
—
|
—
|
$100,993.00
|
$100,993.00
|
$100,993.00
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
63
|
31
|
—
|
—
|
$47,502.07
|
$221,675.42
|
$100,815.84
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$100,785.00
|
$100,785.00
|
$100,785.00
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
1
|
—
|
—
|
$100,632.00
|
$100,632.00
|
$100,632.00
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
1
|
—
|
—
|
$100,333.00
|
$100,333.00
|
$100,333.00
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
1
|
—
|
—
|
$100,199.00
|
$100,199.00
|
$100,199.00
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
1
|
—
|
—
|
$100,094.00
|
$100,094.00
|
$100,094.00
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$99,759.00
|
$99,759.00
|
$99,759.00
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$99,304.00
|
$99,304.00
|
$99,304.00
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
73
|
31
|
—
|
—
|
$2,080.00
|
$238,111.51
|
$99,209.96
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$98,623.00
|
$98,623.00
|
$98,623.00
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
4
|
1
|
—
|
—
|
$98,606.00
|
$98,606.00
|
$98,606.00
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
1
|
—
|
—
|
$98,512.00
|
$98,512.00
|
$98,512.00
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$98,277.00
|
$98,277.00
|
$98,277.00
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$97,693.00
|
$97,693.00
|
$97,693.00
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
4
|
1
|
—
|
—
|
$96,998.00
|
$96,998.00
|
$96,998.00
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
66
|
31
|
—
|
—
|
$44,262.76
|
$211,123.38
|
$96,056.53
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
60
|
31
|
—
|
—
|
$74,358.32
|
$210,878.78
|
$95,946.22
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$95,888.00
|
$95,888.00
|
$95,888.00
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
4
|
1
|
—
|
—
|
$95,503.00
|
$95,503.00
|
$95,503.00
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
1
|
—
|
—
|
$95,297.00
|
$95,297.00
|
$95,297.00
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
59
|
31
|
—
|
—
|
$73,651.45
|
$208,856.57
|
$95,034.13
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$94,333.00
|
$94,333.00
|
$94,333.00
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
59
|
31
|
—
|
—
|
$72,997.57
|
$206,985.94
|
$94,190.41
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
64
|
31
|
—
|
—
|
$77.23
|
$206,927.37
|
$94,164.00
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
62
|
31
|
—
|
—
|
$51,343.57
|
$205,428.80
|
$93,488.09
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
60
|
31
|
—
|
—
|
$72,217.25
|
$204,753.58
|
$93,183.55
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$93,124.00
|
$93,124.00
|
$93,124.00
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
59
|
31
|
—
|
—
|
$72,051.07
|
$204,278.16
|
$92,969.12
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
4
|
1
|
—
|
—
|
$92,930.00
|
$92,930.00
|
$92,930.00
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
1
|
—
|
—
|
$92,864.00
|
$92,864.00
|
$92,864.00
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
65
|
31
|
—
|
—
|
$1,820.97
|
$202,173.27
|
$92,019.74
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
61
|
31
|
—
|
—
|
$63.02
|
$202,042.36
|
$91,960.70
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
1
|
—
|
—
|
$91,783.00
|
$91,783.00
|
$91,783.00
|
2026-04-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
4
|
1
|
—
|
—
|
$91,663.00
|
$91,663.00
|
$91,663.00
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
4
|
1
|
—
|
—
|
$91,635.00
|
$91,635.00
|
$91,635.00
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
4
|
1
|
—
|
—
|
$91,204.00
|
$91,204.00
|
$91,204.00
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
4
|
1
|
—
|
—
|
$91,142.00
|
$91,142.00
|
$91,142.00
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
1
|
—
|
—
|
$90,584.00
|
$90,584.00
|
$90,584.00
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
4
|
1
|
—
|
—
|
$90,570.00
|
$90,570.00
|
$90,570.00
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
63
|
31
|
—
|
—
|
$24,383.37
|
$198,676.60
|
$90,442.63
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
4
|
1
|
—
|
—
|
$90,051.00
|
$90,051.00
|
$90,051.00
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
69
|
31
|
—
|
—
|
$3,629.80
|
$197,408.84
|
$89,870.83
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
1
|
—
|
—
|
$89,864.00
|
$89,864.00
|
$89,864.00
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
1
|
—
|
—
|
$89,746.00
|
$89,746.00
|
$89,746.00
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
59
|
31
|
—
|
—
|
$69,368.11
|
$196,602.70
|
$89,507.24
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
62
|
31
|
—
|
—
|
$16,642.24
|
$196,347.78
|
$89,392.26
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
4
|
1
|
—
|
—
|
$89,132.00
|
$89,132.00
|
$89,132.00
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
1
|
—
|
—
|
$88,627.00
|
$88,627.00
|
$88,627.00
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
64
|
31
|
—
|
—
|
$49,071.12
|
$193,677.90
|
$88,188.06
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
59
|
31
|
—
|
—
|
$68,136.22
|
$193,078.47
|
$87,917.70
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$87,567.00
|
$87,567.00
|
$87,567.00
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
60
|
31
|
—
|
—
|
$45,490.43
|
$191,755.59
|
$87,321.04
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
1
|
—
|
—
|
$87,228.00
|
$87,228.00
|
$87,228.00
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$86,970.00
|
$86,970.00
|
$86,970.00
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
59
|
31
|
—
|
—
|
$67,153.59
|
$190,267.35
|
$86,649.79
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
62
|
31
|
—
|
—
|
$321.11
|
$189,127.06
|
$86,135.48
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
62
|
31
|
—
|
—
|
$20,406.80
|
$188,458.72
|
$85,834.04
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
64
|
31
|
—
|
—
|
$40,424.47
|
$188,190.02
|
$85,712.84
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
62
|
31
|
—
|
—
|
$48,115.53
|
$187,893.75
|
$85,579.22
|
2026-04-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$85,324.00
|
$85,324.00
|
$85,324.00
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
59
|
31
|
—
|
—
|
$66,061.38
|
$187,142.74
|
$85,240.49
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
4
|
1
|
—
|
—
|
$85,171.00
|
$85,171.00
|
$85,171.00
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
1
|
—
|
—
|
$83,704.00
|
$83,704.00
|
$83,704.00
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
65
|
31
|
—
|
—
|
$45,999.58
|
$183,714.96
|
$83,694.46
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
59
|
31
|
—
|
—
|
$64,824.67
|
$183,604.72
|
$83,644.74
|
2026-04-01
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
4
|
1
|
—
|
—
|
$83,588.00
|
$83,588.00
|
$83,588.00
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
4
|
1
|
—
|
—
|
$83,217.00
|
$83,217.00
|
$83,217.00
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
61
|
31
|
—
|
—
|
$25,547.99
|
$182,371.41
|
$83,088.47
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$82,933.00
|
$82,933.00
|
$82,933.00
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
66
|
31
|
—
|
—
|
$33,621.14
|
$208,045.69
|
$82,816.56
|
2026-04-01
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$82,408.00
|
$82,408.00
|
$82,408.00
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
1
|
—
|
—
|
$82,385.00
|
$82,385.00
|
$82,385.00
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
1
|
—
|
—
|
$81,947.00
|
$81,947.00
|
$81,947.00
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
60
|
31
|
—
|
—
|
$63,329.06
|
$179,326.03
|
$81,714.91
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
59
|
31
|
—
|
—
|
$63,220.67
|
$179,015.98
|
$81,575.06
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
4
|
1
|
—
|
—
|
$81,424.00
|
$81,424.00
|
$81,424.00
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$81,072.00
|
$81,072.00
|
$81,072.00
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
4
|
1
|
—
|
—
|
$80,901.00
|
$80,901.00
|
$80,901.00
|
2026-04-01
|
|
6071
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
4
|
1
|
—
|
—
|
$80,499.00
|
$80,499.00
|
$80,499.00
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$80,113.00
|
$80,113.00
|
$80,113.00
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
1
|
—
|
—
|
$79,883.00
|
$79,883.00
|
$79,883.00
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
4
|
1
|
—
|
—
|
$79,647.00
|
$79,647.00
|
$79,647.00
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
63
|
31
|
—
|
—
|
$41,341.48
|
$173,634.89
|
$79,148.02
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
1
|
—
|
—
|
$78,817.00
|
$78,817.00
|
$78,817.00
|
2026-04-01
|
|
3613
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
1
|
—
|
—
|
$78,798.00
|
$78,798.00
|
$78,798.00
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
1
|
—
|
—
|
$78,471.00
|
$78,471.00
|
$78,471.00
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
61
|
31
|
—
|
—
|
$45,316.75
|
$171,815.93
|
$78,327.61
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
63
|
31
|
—
|
—
|
$2,545.20
|
$170,437.93
|
$77,706.08
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
70
|
31
|
—
|
—
|
$5,354.95
|
$495,902.64
|
$77,569.36
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
60
|
31
|
—
|
—
|
$39,416.68
|
$169,552.56
|
$77,306.76
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
4
|
1
|
—
|
—
|
$76,996.00
|
$76,996.00
|
$76,996.00
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
59
|
31
|
—
|
—
|
$59,665.88
|
$168,846.34
|
$76,988.23
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
4
|
1
|
—
|
—
|
$76,787.00
|
$76,787.00
|
$76,787.00
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
1
|
—
|
—
|
$76,680.00
|
$76,680.00
|
$76,680.00
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$76,091.00
|
$76,091.00
|
$76,091.00
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
62
|
31
|
—
|
—
|
$21,679.38
|
$166,348.72
|
$75,861.72
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$75,542.00
|
$75,542.00
|
$75,542.00
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
59
|
31
|
—
|
—
|
$58,499.01
|
$165,508.13
|
$75,482.59
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
4
|
1
|
—
|
—
|
$75,127.00
|
$75,127.00
|
$75,127.00
|
2026-04-01
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
4
|
1
|
—
|
—
|
$74,881.00
|
$74,881.00
|
$74,881.00
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$74,558.00
|
$74,558.00
|
$74,558.00
|
2026-04-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
4
|
1
|
—
|
—
|
$74,533.00
|
$74,533.00
|
$74,533.00
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$74,056.00
|
$74,056.00
|
$74,056.00
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
1
|
—
|
—
|
$73,896.00
|
$73,896.00
|
$73,896.00
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
59
|
31
|
—
|
—
|
$57,259.89
|
$161,963.23
|
$73,883.72
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$73,862.00
|
$73,862.00
|
$73,862.00
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
1
|
—
|
—
|
$73,838.00
|
$73,838.00
|
$73,838.00
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
69
|
31
|
—
|
—
|
$42,438.90
|
$163,104.00
|
$73,734.56
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
4
|
1
|
—
|
—
|
$73,578.00
|
$73,578.00
|
$73,578.00
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
61
|
31
|
—
|
—
|
$45,845.52
|
$161,150.21
|
$73,517.03
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
4
|
1
|
—
|
—
|
$73,352.00
|
$73,352.00
|
$73,352.00
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
59
|
31
|
—
|
—
|
$56,484.39
|
$159,744.65
|
$72,883.08
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
4
|
1
|
—
|
—
|
$72,854.00
|
$72,854.00
|
$72,854.00
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
4
|
1
|
—
|
—
|
$72,807.00
|
$72,807.00
|
$72,807.00
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
66
|
31
|
—
|
—
|
$41,544.74
|
$159,107.33
|
$72,595.62
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
62
|
31
|
—
|
—
|
$44,227.28
|
$157,946.36
|
$72,071.99
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
1
|
—
|
—
|
$71,796.00
|
$71,796.00
|
$71,796.00
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
61
|
31
|
—
|
—
|
$43,612.44
|
$157,174.68
|
$71,723.94
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
66
|
31
|
—
|
—
|
$42,004.45
|
$164,009.56
|
$71,689.74
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
63
|
31
|
—
|
—
|
$1,676.00
|
$156,702.72
|
$71,511.07
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
4
|
1
|
—
|
—
|
$71,317.00
|
$71,317.00
|
$71,317.00
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
59
|
31
|
—
|
—
|
$55,182.65
|
$156,020.61
|
$71,203.42
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
68
|
31
|
—
|
—
|
$1,632.00
|
$154,398.01
|
$70,471.57
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
61
|
31
|
—
|
—
|
$21,608.04
|
$154,353.22
|
$70,451.38
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
59
|
31
|
—
|
—
|
$54,387.87
|
$153,746.90
|
$70,177.90
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
4
|
1
|
—
|
—
|
$69,857.00
|
$69,857.00
|
$69,857.00
|
2026-04-01
|
|
1914
|
APR_DRG
|
Cardiac Catheterization For Coronary Artery Disease
|
4
|
1
|
—
|
—
|
$69,513.00
|
$69,513.00
|
$69,513.00
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
62
|
31
|
—
|
—
|
$15,137.97
|
$151,331.96
|
$69,088.68
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
61
|
31
|
—
|
—
|
$39,862.76
|
$149,078.93
|
$68,072.50
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
1
|
—
|
—
|
$68,039.00
|
$68,039.00
|
$68,039.00
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$67,547.00
|
$67,547.00
|
$67,547.00
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
61
|
31
|
—
|
—
|
$40,061.76
|
$147,890.40
|
$67,536.43
|
2026-04-01
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
1
|
—
|
—
|
$67,494.00
|
$67,494.00
|
$67,494.00
|
2026-04-01
|
|
223
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
1
|
—
|
—
|
$67,421.00
|
$67,421.00
|
$67,421.00
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
59
|
31
|
—
|
—
|
$52,008.37
|
$146,939.58
|
$67,107.58
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
1
|
—
|
—
|
$66,873.00
|
$66,873.00
|
$66,873.00
|
2026-04-01
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
4
|
1
|
—
|
—
|
$66,788.00
|
$66,788.00
|
$66,788.00
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
62
|
31
|
—
|
—
|
$36,146.85
|
$146,095.56
|
$66,726.90
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
60
|
31
|
—
|
—
|
$2,250.00
|
$145,241.20
|
$66,341.56
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
59
|
31
|
—
|
—
|
$51,389.42
|
$145,168.85
|
$66,308.93
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
68
|
31
|
—
|
—
|
$22,008.68
|
$144,745.12
|
$66,117.80
|
2026-04-01
|