|
0044
|
APR_DRG
|
—
|
8
|
5
|
$513,650.42
|
$410,920.34
|
$94,924.07
|
$262,732.19
|
$207,830.51
|
2024-12-30
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
46
|
23
|
$513,650.42
|
$410,920.34
|
$36,721.45
|
$301,085.28
|
$168,903.36
|
2024-12-30
|
|
0054
|
APR_DRG
|
—
|
10
|
7
|
$488,761.46
|
$391,009.17
|
$75,671.54
|
$200,471.75
|
$158,580.28
|
2024-12-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
46
|
23
|
$488,761.46
|
$391,009.17
|
$29,097.33
|
$207,593.40
|
$117,495.55
|
2024-12-30
|
|
0043
|
APR_DRG
|
—
|
8
|
5
|
$513,650.42
|
$410,920.34
|
$52,896.03
|
$146,406.38
|
$115,812.65
|
2024-12-30
|
|
0053
|
APR_DRG
|
—
|
10
|
7
|
$488,761.46
|
$391,009.17
|
$50,665.55
|
$134,224.99
|
$106,176.74
|
2024-12-30
|
|
3034
|
APR_DRG
|
—
|
16
|
9
|
$62,482.82
|
$49,986.26
|
$55,652.27
|
$158,384.24
|
$91,210.17
|
2024-12-30
|
|
0042
|
APR_DRG
|
—
|
8
|
5
|
$513,650.42
|
$410,920.34
|
$37,758.27
|
$104,507.87
|
$82,669.44
|
2024-12-30
|
|
0041
|
APR_DRG
|
—
|
8
|
5
|
$513,650.42
|
$410,920.34
|
$37,758.27
|
$104,507.87
|
$82,669.44
|
2024-12-30
|
|
3044
|
APR_DRG
|
—
|
16
|
9
|
$87,046.15
|
$69,636.92
|
$46,905.34
|
$133,490.82
|
$76,874.57
|
2024-12-30
|
|
0264
|
APR_DRG
|
—
|
1
|
1
|
$73,724.89
|
$58,979.91
20% off
|
$76,741.71
|
$76,741.71
|
$76,741.71
|
2024-12-30
|
|
6804
|
APR_DRG
|
—
|
16
|
9
|
$53,061.91
|
$42,449.53
|
$45,700.29
|
$130,061.31
|
$74,899.58
|
2024-12-30
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
23
|
$111,708.87
|
$89,367.10
|
$15,662.53
|
$119,039.99
|
$67,351.26
|
2024-12-30
|
|
0052
|
APR_DRG
|
—
|
10
|
7
|
$488,761.46
|
$391,009.17
|
$32,067.46
|
$84,954.26
|
$67,201.84
|
2024-12-30
|
|
0051
|
APR_DRG
|
—
|
10
|
7
|
$488,761.46
|
$391,009.17
|
$31,258.03
|
$82,809.90
|
$65,505.58
|
2024-12-30
|
|
0504
|
APR_DRG
|
—
|
1
|
1
|
$55,302.30
|
$44,241.84
20% off
|
$65,376.95
|
$65,376.95
|
$65,376.95
|
2024-12-30
|
|
1694
|
APR_DRG
|
—
|
16
|
9
|
$96,568.58
|
$77,254.86
20% off
|
$36,692.34
|
$104,425.00
|
$60,136.17
|
2024-12-30
|
|
3214
|
APR_DRG
|
—
|
16
|
9
|
$48,753.54
|
$39,002.83
20% off
|
$36,085.98
|
$102,699.34
|
$59,142.40
|
2024-12-30
|
|
3033
|
APR_DRG
|
—
|
16
|
9
|
$62,482.82
|
$49,986.26
|
$35,696.73
|
$101,591.54
|
$58,504.44
|
2024-12-30
|
|
0904
|
APR_DRG
|
—
|
2
|
2
|
$20,204.22
|
$16,163.38
|
$57,368.14
|
$58,987.90
|
$58,178.02
|
2024-12-30
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
46
|
23
|
$139,103.85
|
$111,283.08
20% off
|
$17,522.46
|
$97,554.78
|
$55,214.91
|
2024-12-30
|
|
4034
|
APR_DRG
|
—
|
16
|
9
|
$37,049.92
|
$29,639.94
|
$33,595.69
|
$95,612.06
|
$55,060.99
|
2024-12-30
|
|
6904
|
APR_DRG
|
—
|
17
|
9
|
$48,125.60
|
$38,500.48
|
$44,713.37
|
$127,252.57
|
$53,317.41
|
2024-12-30
|
|
3174
|
APR_DRG
|
—
|
16
|
9
|
$57,961.41
|
$46,369.13
|
$32,274.18
|
$91,851.08
|
$52,895.11
|
2024-12-30
|
|
3614
|
APR_DRG
|
—
|
10
|
7
|
$34,132.60
|
$27,306.08
|
$49,042.14
|
$102,274.13
|
$52,683.90
|
2024-12-30
|
|
1824
|
APR_DRG
|
—
|
16
|
9
|
$56,279.79
|
$45,023.83
20% off
|
$32,039.19
|
$91,182.34
|
$52,510.00
|
2024-12-30
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With McC
|
46
|
23
|
$78,214.14
|
$62,571.31
20% off
|
$7,330.40
|
$96,802.07
|
$52,066.24
|
2024-12-30
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
46
|
23
|
$123,065.41
|
$98,452.33
|
$5,536.88
|
$98,358.32
|
$51,947.60
|
2024-12-30
|
|
2614
|
APR_DRG
|
—
|
16
|
9
|
$52,617.13
|
$42,093.70
20% off
|
$31,367.97
|
$89,272.04
|
$51,409.90
|
2024-12-30
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With McC
|
9
|
7
|
$54,474.54
|
$43,579.63
20% off
|
$49,708.78
|
$50,675.06
|
$50,675.06
|
2024-12-30
|
|
0494
|
APR_DRG
|
—
|
16
|
9
|
$88,623.35
|
$70,898.68
20% off
|
$30,483.72
|
$86,755.52
|
$49,960.68
|
2024-12-30
|
|
9504
|
APR_DRG
|
—
|
17
|
9
|
$47,382.18
|
$37,905.74
20% off
|
$41,450.20
|
$117,965.69
|
$49,426.31
|
2024-12-30
|
|
3124
|
APR_DRG
|
—
|
9
|
7
|
$31,571.74
|
$25,257.39
20% off
|
$45,986.36
|
$54,835.35
|
$49,401.20
|
2024-12-30
|
|
6814
|
APR_DRG
|
—
|
9
|
7
|
$31,709.85
|
$25,367.88
|
$45,827.49
|
$54,645.91
|
$49,230.54
|
2024-12-30
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
23
|
$62,482.82
|
$49,986.26
|
$22,577.62
|
$85,795.39
|
$48,559.23
|
2024-12-30
|
|
2294
|
APR_DRG
|
—
|
16
|
9
|
$48,840.37
|
$39,072.30
|
$29,560.65
|
$84,128.50
|
$48,447.84
|
2024-12-30
|
|
0234
|
APR_DRG
|
—
|
15
|
8
|
$35,423.48
|
$28,338.78
20% off
|
$41,285.71
|
$99,790.90
|
$47,012.61
|
2024-12-30
|
|
28
|
MS_DRG
|
Spinal Procedures With McC
|
46
|
23
|
$38,930.88
|
$31,144.70
20% off
|
$8,382.70
|
$85,100.58
|
$46,741.64
|
2024-12-30
|
|
4474
|
APR_DRG
|
—
|
17
|
9
|
$96,332.78
|
$77,066.22
20% off
|
$38,979.32
|
$110,933.66
|
$46,479.97
|
2024-12-30
|
|
8504
|
APR_DRG
|
—
|
17
|
9
|
$42,161.52
|
$33,729.22
|
$38,959.40
|
$110,876.96
|
$46,456.21
|
2024-12-30
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With McC
|
46
|
23
|
$67,089.23
|
$53,671.38
20% off
|
$7,069.87
|
$85,391.50
|
$46,230.68
|
2024-12-30
|
|
9124
|
APR_DRG
|
—
|
17
|
9
|
$42,780.67
|
$34,224.54
|
$38,703.47
|
$110,148.61
|
$46,151.04
|
2024-12-30
|
|
4054
|
APR_DRG
|
—
|
9
|
7
|
$28,350.46
|
$22,680.37
|
$42,848.85
|
$51,094.10
|
$46,030.71
|
2024-12-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
23
|
$38,977.25
|
$31,181.80
20% off
|
$9,675.61
|
$80,054.79
|
$44,865.20
|
2024-12-30
|
|
3043
|
APR_DRG
|
—
|
16
|
9
|
$87,046.15
|
$69,636.92
|
$27,214.93
|
$77,452.65
|
$44,603.36
|
2024-12-30
|
|
3032
|
APR_DRG
|
—
|
16
|
9
|
$62,482.82
|
$49,986.26
|
$27,014.68
|
$76,882.76
|
$44,275.18
|
2024-12-30
|
|
2274
|
APR_DRG
|
—
|
16
|
9
|
$29,194.35
|
$23,355.48
20% off
|
$26,939.59
|
$76,669.05
|
$44,152.11
|
2024-12-30
|
|
0214
|
APR_DRG
|
—
|
17
|
9
|
$45,615.17
|
$36,492.14
|
$36,991.17
|
$105,275.47
|
$44,109.25
|
2024-12-30
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With McC
|
46
|
23
|
$102,379.32
|
$81,903.46
|
$15,662.53
|
$70,828.23
|
$43,245.38
|
2024-12-30
|
|
2204
|
APR_DRG
|
—
|
17
|
9
|
$39,326.65
|
$31,461.32
20% off
|
$36,206.03
|
$103,040.98
|
$43,173.02
|
2024-12-30
|
|
834
|
MS_DRG
|
Acute Leukemia With McC
|
46
|
23
|
$48,125.60
|
$38,500.48
|
$6,828.25
|
$79,069.08
|
$42,948.67
|
2024-12-30
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
23
|
$58,929.02
|
$47,143.22
|
$4,596.44
|
$79,982.77
|
$42,289.61
|
2024-12-30
|
|
3104
|
APR_DRG
|
—
|
17
|
9
|
$33,980.86
|
$27,184.69
|
$34,952.01
|
$99,471.90
|
$41,677.62
|
2024-12-30
|
|
4014
|
APR_DRG
|
—
|
14
|
7
|
$31,774.65
|
$25,419.72
20% off
|
$35,695.20
|
$86,278.18
|
$41,605.26
|
2024-12-30
|
|
0584
|
APR_DRG
|
—
|
1
|
1
|
$48,252.10
|
$38,601.68
20% off
|
$41,432.13
|
$41,432.13
|
$41,432.13
|
2024-12-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With McC
|
46
|
23
|
$91,853.87
|
$73,483.10
|
$9,426.84
|
$73,245.17
|
$41,336.00
|
2024-12-30
|
|
2604
|
APR_DRG
|
—
|
11
|
8
|
$30,527.18
|
$24,421.74
20% off
|
$37,936.72
|
$90,811.24
|
$40,753.81
|
2024-12-30
|
|
0204
|
APR_DRG
|
—
|
17
|
9
|
$81,282.23
|
$65,025.78
20% off
|
$34,174.46
|
$97,259.22
|
$40,750.53
|
2024-12-30
|
|
1674
|
APR_DRG
|
—
|
17
|
9
|
$44,584.30
|
$35,667.44
20% off
|
$33,874.09
|
$96,404.39
|
$40,392.36
|
2024-12-30
|
|
1814
|
APR_DRG
|
—
|
17
|
9
|
$74,357.01
|
$59,485.61
|
$33,799.00
|
$96,190.68
|
$40,302.82
|
2024-12-30
|
|
2214
|
APR_DRG
|
—
|
17
|
9
|
$47,147.07
|
$37,717.66
|
$33,757.11
|
$96,071.47
|
$40,252.87
|
2024-12-30
|
|
5134
|
APR_DRG
|
—
|
16
|
9
|
$40,458.81
|
$32,367.05
|
$24,527.92
|
$69,805.66
|
$40,199.62
|
2024-12-30
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With McC
|
46
|
23
|
$108,933.06
|
$87,146.45
|
$7,664.48
|
$71,413.54
|
$39,539.01
|
2024-12-30
|
|
3134
|
APR_DRG
|
—
|
17
|
9
|
$37,915.78
|
$30,332.62
20% off
|
$33,057.28
|
$94,079.76
|
$39,418.37
|
2024-12-30
|
|
7914
|
APR_DRG
|
—
|
16
|
9
|
$31,905.78
|
$25,524.62
20% off
|
$33,769.37
|
$95,104.17
|
$39,360.57
|
2024-12-30
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With McC
|
46
|
23
|
$75,840.30
|
$60,672.24
20% off
|
$8,335.20
|
$69,466.12
|
$38,900.66
|
2024-12-30
|
|
4424
|
APR_DRG
|
—
|
17
|
9
|
$34,949.76
|
$27,959.81
|
$32,569.95
|
$92,692.83
|
$38,837.26
|
2024-12-30
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With McC
|
46
|
23
|
$39,326.65
|
$31,461.32
20% off
|
$5,918.46
|
$71,725.64
|
$38,822.05
|
2024-12-30
|
|
7104
|
APR_DRG
|
—
|
17
|
9
|
$62,391.30
|
$49,913.04
20% off
|
$32,286.44
|
$91,885.98
|
$38,499.20
|
2024-12-30
|
|
3054
|
APR_DRG
|
—
|
17
|
9
|
$59,360.35
|
$47,488.28
20% off
|
$32,191.42
|
$91,615.57
|
$38,385.90
|
2024-12-30
|
|
9514
|
APR_DRG
|
—
|
17
|
9
|
$63,436.64
|
$50,749.31
20% off
|
$32,055.03
|
$91,227.40
|
$38,223.27
|
2024-12-30
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
46
|
23
|
$75,556.49
|
$60,445.19
20% off
|
$5,536.88
|
$70,600.11
|
$38,068.50
|
2024-12-30
|
|
0894
|
APR_DRG
|
—
|
9
|
7
|
$17,852.86
|
$14,282.29
|
$34,831.39
|
$41,533.87
|
$37,417.89
|
2024-12-30
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC
|
46
|
23
|
$60,762.52
|
$48,610.02
|
$6,953.40
|
$67,881.63
|
$37,417.51
|
2024-12-30
|
|
2284
|
APR_DRG
|
—
|
16
|
9
|
$25,651.87
|
$20,521.50
|
$22,761.52
|
$64,778.38
|
$37,304.56
|
2024-12-30
|
|
0244
|
APR_DRG
|
—
|
9
|
7
|
$17,871.63
|
$14,297.30
20% off
|
$34,703.68
|
$41,381.58
|
$37,280.70
|
2024-12-30
|
|
1204
|
APR_DRG
|
—
|
17
|
9
|
$50,251.47
|
$40,201.18
|
$31,113.57
|
$88,548.05
|
$37,100.65
|
2024-12-30
|
|
3031
|
APR_DRG
|
—
|
16
|
9
|
$62,482.82
|
$49,986.26
|
$22,577.62
|
$64,255.05
|
$37,003.14
|
2024-12-30
|
|
1304
|
APR_DRG
|
—
|
17
|
9
|
$139,103.85
|
$111,283.08
20% off
|
$31,021.62
|
$88,286.37
|
$36,991.00
|
2024-12-30
|
|
6903
|
APR_DRG
|
—
|
17
|
9
|
$48,125.60
|
$38,500.48
|
$30,971.05
|
$88,142.44
|
$36,930.70
|
2024-12-30
|
|
1214
|
APR_DRG
|
—
|
17
|
9
|
$60,905.09
|
$48,724.07
20% off
|
$30,941.42
|
$88,058.12
|
$36,895.37
|
2024-12-30
|
|
3014
|
APR_DRG
|
—
|
17
|
9
|
$38,182.71
|
$30,546.17
|
$30,924.06
|
$88,008.69
|
$36,874.66
|
2024-12-30
|
|
7114
|
APR_DRG
|
—
|
17
|
9
|
$47,693.61
|
$38,154.89
|
$30,833.13
|
$87,749.91
|
$36,766.24
|
2024-12-30
|
|
163
|
MS_DRG
|
Major Chest Procedures With McC
|
46
|
23
|
$78,828.53
|
$63,062.82
20% off
|
$6,174.39
|
$66,565.46
|
$36,369.93
|
2024-12-30
|
|
1714
|
APR_DRG
|
—
|
17
|
9
|
$40,525.57
|
$32,420.46
|
$30,464.82
|
$86,701.72
|
$36,327.06
|
2024-12-30
|
|
9524
|
APR_DRG
|
—
|
17
|
9
|
$38,718.00
|
$30,974.40
|
$30,300.33
|
$86,233.60
|
$36,130.92
|
2024-12-30
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
46
|
23
|
$84,129.39
|
$67,303.51
20% off
|
$4,705.25
|
$66,943.93
|
$35,824.59
|
2024-12-30
|
|
2644
|
APR_DRG
|
—
|
15
|
8
|
$28,654.32
|
$22,923.46
|
$31,439.48
|
$75,991.77
|
$35,800.57
|
2024-12-30
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With McC
|
46
|
23
|
$68,442.96
|
$54,754.37
|
$7,593.98
|
$63,786.25
|
$35,690.11
|
2024-12-30
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
46
|
23
|
$104,334.67
|
$83,467.74
|
$7,319.67
|
$63,992.43
|
$35,656.05
|
2024-12-30
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
46
|
23
|
$327,169.23
|
$261,735.38
20% off
|
$12,391.18
|
$62,989.77
|
$35,651.51
|
2024-12-30
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With McC
|
46
|
23
|
$58,717.41
|
$46,973.93
|
$9,675.61
|
$62,362.75
|
$35,296.62
|
2024-12-30
|
|
2624
|
APR_DRG
|
—
|
15
|
8
|
$28,645.58
|
$22,916.46
20% off
|
$30,923.54
|
$74,744.71
|
$35,213.06
|
2024-12-30
|
|
3084
|
APR_DRG
|
—
|
17
|
9
|
$41,679.10
|
$33,343.28
20% off
|
$29,468.70
|
$83,866.81
|
$35,139.26
|
2024-12-30
|
|
5184
|
APR_DRG
|
—
|
15
|
8
|
$26,136.09
|
$20,908.87
20% off
|
$30,536.85
|
$73,810.03
|
$34,772.73
|
2024-12-30
|
|
6914
|
APR_DRG
|
—
|
9
|
7
|
$19,274.01
|
$15,419.21
|
$32,349.78
|
$38,574.73
|
$34,752.00
|
2024-12-30
|
|
2234
|
APR_DRG
|
—
|
15
|
8
|
$26,925.14
|
$21,540.11
20% off
|
$28,496.60
|
$80,254.53
|
$33,980.09
|
2024-12-30
|
|
2244
|
APR_DRG
|
—
|
17
|
9
|
$31,264.52
|
$25,011.62
|
$28,446.02
|
$80,956.31
|
$33,919.79
|
2024-12-30
|
|
2224
|
APR_DRG
|
—
|
17
|
9
|
$36,622.18
|
$29,297.74
20% off
|
$28,269.28
|
$80,453.29
|
$33,709.03
|
2024-12-30
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC
|
46
|
23
|
$61,654.81
|
$49,323.85
|
$7,664.48
|
$58,727.75
|
$33,196.11
|
2024-12-30
|
|
5194
|
APR_DRG
|
—
|
9
|
7
|
$16,030.22
|
$12,824.18
|
$30,899.02
|
$36,844.81
|
$33,193.52
|
2024-12-30
|
|
3024
|
APR_DRG
|
—
|
17
|
9
|
$35,071.05
|
$28,056.84
20% off
|
$27,803.40
|
$79,127.43
|
$33,153.51
|
2024-12-30
|
|
2004
|
APR_DRG
|
—
|
16
|
9
|
$25,572.58
|
$20,458.06
20% off
|
$20,124.15
|
$57,272.49
|
$32,982.04
|
2024-12-30
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With McC
|
46
|
23
|
$52,792.19
|
$42,233.75
20% off
|
$3,288.72
|
$62,537.86
|
$32,913.29
|
2024-12-30
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With McC
|
46
|
23
|
$71,779.62
|
$57,423.70
|
$5,217.10
|
$60,423.80
|
$32,820.45
|
2024-12-30
|
|
0224
|
APR_DRG
|
—
|
17
|
9
|
$42,170.21
|
$33,736.17
|
$27,520.91
|
$78,323.48
|
$32,816.66
|
2024-12-30
|
|
0263
|
APR_DRG
|
—
|
1
|
1
|
$73,724.89
|
$58,979.91
20% off
|
$32,629.20
|
$32,629.20
|
$32,629.20
|
2024-12-30
|
|
0434
|
APR_DRG
|
—
|
9
|
7
|
$19,617.32
|
$15,693.86
|
$30,229.33
|
$36,046.25
|
$32,474.15
|
2024-12-30
|
|
6803
|
APR_DRG
|
—
|
16
|
9
|
$53,061.91
|
$42,449.53
|
$19,762.44
|
$56,243.16
|
$32,389.26
|
2024-12-30
|
|
3644
|
APR_DRG
|
—
|
17
|
9
|
$27,251.38
|
$21,801.10
20% off
|
$27,121.44
|
$77,186.60
|
$32,340.27
|
2024-12-30
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
46
|
23
|
$87,046.15
|
$69,636.92
|
$15,662.53
|
$48,886.94
|
$32,274.74
|
2024-12-30
|
|
1744
|
APR_DRG
|
—
|
16
|
9
|
$58,799.71
|
$47,039.77
|
$19,558.62
|
$55,663.09
|
$32,055.22
|
2024-12-30
|
|
3094
|
APR_DRG
|
—
|
10
|
7
|
$22,138.64
|
$17,710.91
20% off
|
$29,347.64
|
$61,202.55
|
$31,526.93
|
2024-12-30
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC
|
46
|
23
|
$28,755.63
|
$23,004.50
20% off
|
$5,955.24
|
$56,692.77
|
$31,324.01
|
2024-12-30
|
|
3154
|
APR_DRG
|
—
|
17
|
9
|
$42,911.89
|
$34,329.51
20% off
|
$26,222.84
|
$74,629.37
|
$31,268.87
|
2024-12-30
|
|
3042
|
APR_DRG
|
—
|
16
|
9
|
$87,046.15
|
$69,636.92
|
$19,078.44
|
$54,296.52
|
$31,268.23
|
2024-12-30
|
|
1693
|
APR_DRG
|
—
|
16
|
9
|
$96,568.58
|
$77,254.86
20% off
|
$18,979.34
|
$54,014.49
|
$31,105.82
|
2024-12-30
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With McC
|
46
|
23
|
$28,654.32
|
$22,923.46
|
$6,813.95
|
$55,229.73
|
$31,021.84
|
2024-12-30
|
|
3213
|
APR_DRG
|
—
|
16
|
9
|
$48,753.54
|
$39,002.83
20% off
|
$18,913.95
|
$53,828.40
|
$30,998.65
|
2024-12-30
|
|
4434
|
APR_DRG
|
—
|
17
|
9
|
$29,748.15
|
$23,798.52
20% off
|
$25,887.79
|
$73,675.68
|
$30,869.29
|
2024-12-30
|
|
2634
|
APR_DRG
|
—
|
16
|
9
|
$30,187.85
|
$24,150.28
20% off
|
$18,745.89
|
$53,350.06
|
$30,723.20
|
2024-12-30
|
|
9304
|
APR_DRG
|
—
|
16
|
9
|
$18,471.01
|
$14,776.81
|
$18,665.69
|
$53,121.85
|
$30,591.76
|
2024-12-30
|
|
3204
|
APR_DRG
|
—
|
17
|
9
|
$27,718.07
|
$22,174.46
|
$25,559.84
|
$72,742.34
|
$30,478.23
|
2024-12-30
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/McC
|
46
|
23
|
$81,708.36
|
$65,366.69
|
$15,662.53
|
$44,574.96
|
$30,118.74
|
2024-12-30
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without McC
|
46
|
23
|
$68,161.69
|
$54,529.35
20% off
|
$15,662.53
|
$44,574.96
|
$30,118.74
|
2024-12-30
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With McC
|
46
|
23
|
$129,140.48
|
$103,312.38
20% off
|
$15,662.53
|
$44,574.96
|
$30,118.74
|
2024-12-30
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With McC
|
46
|
23
|
$75,313.77
|
$60,251.02
|
$2,906.62
|
$57,304.25
|
$30,105.44
|
2024-12-30
|
|
1754
|
APR_DRG
|
—
|
17
|
9
|
$54,416.75
|
$43,533.40
20% off
|
$25,085.28
|
$71,391.76
|
$29,912.35
|
2024-12-30
|
|
3494
|
APR_DRG
|
—
|
16
|
9
|
$26,913.20
|
$21,530.56
20% off
|
$18,243.75
|
$51,921.01
|
$29,900.26
|
2024-12-30
|
|
4234
|
APR_DRG
|
—
|
7
|
5
|
$10,735.04
|
$8,588.03
20% off
|
$27,780.36
|
$31,633.94
|
$29,843.27
|
2024-12-30
|
|
1804
|
APR_DRG
|
—
|
17
|
9
|
$28,079.68
|
$22,463.74
20% off
|
$24,617.36
|
$70,060.08
|
$29,354.39
|
2024-12-30
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With McC
|
46
|
23
|
$75,058.36
|
$60,046.69
|
$4,072.84
|
$54,376.76
|
$29,224.80
|
2024-12-30
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With McC
|
9
|
7
|
$58,489.20
|
$46,791.36
|
$28,545.81
|
$29,100.70
|
$29,100.70
|
2024-12-30
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
46
|
23
|
$78,614.72
|
$62,891.78
|
$3,930.83
|
$54,025.12
|
$28,977.97
|
2024-12-30
|
|
3224
|
APR_DRG
|
—
|
16
|
9
|
$41,277.09
|
$33,021.67
20% off
|
$17,462.18
|
$49,696.70
|
$28,619.29
|
2024-12-30
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With McC
|
46
|
23
|
$52,916.13
|
$42,332.90
20% off
|
$4,705.25
|
$52,526.78
|
$28,616.01
|
2024-12-30
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost…
|
46
|
23
|
$62,153.63
|
$49,722.90
20% off
|
$4,402.84
|
$51,570.72
|
$27,986.78
|
2024-12-30
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With McC
|
46
|
23
|
$77,497.82
|
$61,998.26
|
$5,309.56
|
$50,486.15
|
$27,897.85
|
2024-12-30
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
46
|
23
|
$65,944.21
|
$52,755.37
|
$9,426.84
|
$49,233.53
|
$27,865.63
|
2024-12-30
|
|
6624
|
APR_DRG
|
—
|
16
|
9
|
$22,946.81
|
$18,357.45
|
$16,920.16
|
$48,154.18
|
$27,731.01
|
2024-12-30
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
46
|
23
|
$78,924.99
|
$63,139.99
20% off
|
$9,109.61
|
$48,808.46
|
$27,625.04
|
2024-12-30
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With McC
|
46
|
23
|
$100,721.36
|
$80,577.09
|
$7,536.77
|
$48,792.92
|
$27,616.25
|
2024-12-30
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC
|
46
|
23
|
$65,028.40
|
$52,022.72
20% off
|
$3,833.77
|
$51,360.30
|
$27,597.03
|
2024-12-30
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
46
|
23
|
$73,956.04
|
$59,164.83
20% off
|
$4,596.44
|
$50,573.71
|
$27,585.08
|
2024-12-30
|
|
3123
|
APR_DRG
|
—
|
17
|
9
|
$31,571.74
|
$25,257.39
20% off
|
$23,128.80
|
$65,823.70
|
$27,579.40
|
2024-12-30
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/McC
|
9
|
7
|
$54,610.92
|
$43,688.74
|
$27,030.29
|
$27,555.73
|
$27,555.73
|
2024-12-30
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC
|
46
|
23
|
$43,165.92
|
$34,532.74
|
$6,111.05
|
$48,891.78
|
$27,501.42
|
2024-12-30
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With McC
|
46
|
23
|
$52,514.65
|
$42,011.72
20% off
|
$2,689.51
|
$52,223.16
|
$27,456.33
|
2024-12-30
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
46
|
23
|
$89,409.43
|
$71,527.54
20% off
|
$8,382.70
|
$48,413.04
|
$27,401.24
|
2024-12-30
|
|
6604
|
APR_DRG
|
—
|
9
|
7
|
$10,730.20
|
$8,584.16
20% off
|
$25,429.07
|
$30,322.34
|
$27,317.37
|
2024-12-30
|
|
1823
|
APR_DRG
|
—
|
16
|
9
|
$56,279.79
|
$45,023.83
20% off
|
$16,469.13
|
$46,870.51
|
$26,991.74
|
2024-12-30
|
|
0503
|
APR_DRG
|
—
|
1
|
1
|
$55,302.30
|
$44,241.84
20% off
|
$26,957.83
|
$26,957.83
|
$26,957.83
|
2024-12-30
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With McC
|
46
|
23
|
$74,662.98
|
$59,730.38
20% off
|
$8,335.20
|
$47,577.02
|
$26,928.06
|
2024-12-30
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
68
|
18
|
$87,825.60
|
$70,260.48
20% off
|
$24,731.35
|
$29,096.76
|
$26,914.06
|
2024-12-30
|
|
252
|
MS_DRG
|
Other Vascular Procedures With McC
|
46
|
23
|
$48,536.90
|
$38,829.52
20% off
|
$7,664.48
|
$47,362.36
|
$26,806.57
|
2024-12-30
|
|
0493
|
APR_DRG
|
—
|
16
|
9
|
$88,623.35
|
$70,898.68
20% off
|
$16,349.08
|
$46,528.87
|
$26,795.01
|
2024-12-30
|
|
3464
|
APR_DRG
|
—
|
9
|
7
|
$13,021.32
|
$10,417.06
|
$24,900.31
|
$29,691.85
|
$26,749.35
|
2024-12-30
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With McC
|
46
|
23
|
$132,391.64
|
$105,913.31
20% off
|
$6,775.13
|
$47,198.55
|
$26,713.85
|
2024-12-30
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC…
|
46
|
23
|
$85,848.92
|
$68,679.14
|
$9,426.84
|
$47,023.44
|
$26,614.74
|
2024-12-30
|
|
6614
|
APR_DRG
|
—
|
15
|
8
|
$18,846.45
|
$15,077.16
20% off
|
$23,324.96
|
$56,378.32
|
$26,560.46
|
2024-12-30
|
|
0213
|
APR_DRG
|
—
|
17
|
9
|
$45,615.17
|
$36,492.14
|
$22,128.60
|
$62,977.16
|
$26,386.73
|
2024-12-30
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
46
|
23
|
$65,275.81
|
$52,220.65
|
$4,705.25
|
$47,685.76
|
$26,195.51
|
2024-12-30
|
|
0233
|
APR_DRG
|
—
|
17
|
9
|
$35,423.48
|
$28,338.78
20% off
|
$21,947.26
|
$62,461.06
|
$26,170.49
|
2024-12-30
|
|
1303
|
APR_DRG
|
—
|
17
|
9
|
$139,103.85
|
$111,283.08
20% off
|
$21,860.42
|
$62,213.92
|
$26,066.94
|
2024-12-30
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
46
|
23
|
$69,214.19
|
$55,371.35
20% off
|
$5,818.34
|
$46,122.45
|
$25,970.40
|
2024-12-30
|
|
4013
|
APR_DRG
|
—
|
16
|
9
|
$31,774.65
|
$25,419.72
20% off
|
$15,830.08
|
$45,051.81
|
$25,944.40
|
2024-12-30
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without McC
|
46
|
23
|
$80,219.11
|
$64,175.29
|
$7,536.77
|
$45,766.58
|
$25,903.37
|
2024-12-30
|
|
2613
|
APR_DRG
|
—
|
16
|
9
|
$52,617.13
|
$42,093.70
20% off
|
$15,775.93
|
$44,897.71
|
$25,855.65
|
2024-12-30
|
|
3041
|
APR_DRG
|
—
|
16
|
9
|
$87,046.15
|
$69,636.92
|
$15,662.53
|
$44,574.96
|
$25,669.78
|
2024-12-30
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC
|
46
|
23
|
$50,575.52
|
$40,460.42
|
$5,931.24
|
$45,406.47
|
$25,668.85
|
2024-12-30
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
46
|
23
|
$63,976.15
|
$51,180.92
20% off
|
$7,330.40
|
$45,198.87
|
$25,582.06
|
2024-12-30
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
55
|
18
|
$76,314.31
|
$61,051.45
|
$6,593.40
|
$28,177.60
|
$25,359.84
|
2024-12-30
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With McC
|
46
|
23
|
$76,204.66
|
$60,963.73
|
$3,497.65
|
$46,964.12
|
$25,230.88
|
2024-12-30
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/McC
|
46
|
23
|
$24,814.14
|
$19,851.31
20% off
|
$4,331.83
|
$45,984.06
|
$25,157.94
|
2024-12-30
|
|
1924
|
APR_DRG
|
—
|
17
|
9
|
$28,065.27
|
$22,452.22
|
$21,032.36
|
$59,857.31
|
$25,079.50
|
2024-12-30
|
|
1813
|
APR_DRG
|
—
|
17
|
9
|
$74,357.01
|
$59,485.61
|
$20,894.44
|
$59,464.78
|
$24,915.08
|
2024-12-30
|
|
0903
|
APR_DRG
|
—
|
17
|
9
|
$20,204.22
|
$16,163.38
|
$20,875.54
|
$59,410.99
|
$24,892.54
|
2024-12-30
|
|
2254
|
APR_DRG
|
—
|
17
|
9
|
$22,983.72
|
$18,386.98
|
$20,750.90
|
$59,056.26
|
$24,743.92
|
2024-12-30
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With McC
|
46
|
23
|
$91,023.97
|
$72,819.18
|
$5,224.25
|
$44,134.07
|
$24,679.16
|
2024-12-30
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC
|
46
|
23
|
$92,814.44
|
$74,251.55
20% off
|
$4,705.25
|
$44,646.70
|
$24,675.97
|
2024-12-30
|
|
3223
|
APR_DRG
|
—
|
16
|
9
|
$41,277.09
|
$33,021.67
20% off
|
$14,934.60
|
$42,503.30
|
$24,476.76
|
2024-12-30
|
|
4624
|
APR_DRG
|
—
|
17
|
9
|
$21,266.56
|
$17,013.25
|
$20,525.62
|
$58,415.14
|
$24,475.29
|
2024-12-30
|
|
9503
|
APR_DRG
|
—
|
17
|
9
|
$47,382.18
|
$37,905.74
20% off
|
$20,404.55
|
$58,070.59
|
$24,330.93
|
2024-12-30
|
|
3624
|
APR_DRG
|
—
|
16
|
9
|
$66,940.67
|
$53,552.54
|
$14,832.94
|
$42,213.99
|
$24,310.15
|
2024-12-30
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With McC
|
46
|
23
|
$94,782.07
|
$75,825.66
|
$6,710.76
|
$42,936.53
|
$24,301.60
|
2024-12-30
|
|
6964
|
APR_DRG
|
—
|
9
|
6
|
$16,106.61
|
$12,885.29
|
$22,447.87
|
$46,813.59
|
$24,114.80
|
2024-12-30
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
23
|
$43,884.20
|
$35,107.36
|
$6,111.05
|
$42,385.77
|
$23,989.87
|
2024-12-30
|
|
9123
|
APR_DRG
|
—
|
17
|
9
|
$42,780.67
|
$34,224.54
|
$20,103.68
|
$57,214.30
|
$23,972.15
|
2024-12-30
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With McC
|
46
|
23
|
$53,863.88
|
$43,091.10
20% off
|
$9,426.84
|
$42,284.09
|
$23,932.32
|
2024-12-30
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
46
|
23
|
$44,252.67
|
$35,402.14
|
$8,335.20
|
$41,736.16
|
$23,622.20
|
2024-12-30
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With McC
|
46
|
23
|
$55,706.17
|
$44,564.94
|
$6,822.63
|
$41,644.37
|
$23,570.25
|
2024-12-30
|
|
3434
|
APR_DRG
|
—
|
17
|
9
|
$63,572.51
|
$50,858.01
|
$19,676.11
|
$55,997.47
|
$23,462.32
|
2024-12-30
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
49
|
18
|
$73,349.32
|
$58,679.46
|
$21,637.08
|
$25,267.50
|
$23,452.29
|
2024-12-30
|
|
3144
|
APR_DRG
|
—
|
17
|
9
|
$39,006.33
|
$31,205.06
20% off
|
$19,641.38
|
$55,898.61
|
$23,420.89
|
2024-12-30
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With McC
|
46
|
23
|
$167,432.35
|
$133,945.88
20% off
|
$5,688.08
|
$41,186.81
|
$23,311.28
|
2024-12-30
|
|
6813
|
APR_DRG
|
—
|
17
|
9
|
$31,709.85
|
$25,367.88
|
$19,510.09
|
$55,524.98
|
$23,264.35
|
2024-12-30
|
|
3623
|
APR_DRG
|
—
|
16
|
9
|
$66,940.67
|
$53,552.54
|
$14,192.36
|
$40,390.93
|
$23,260.29
|
2024-12-30
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With McC
|
46
|
23
|
$56,089.01
|
$44,871.21
|
$4,195.95
|
$42,319.40
|
$23,257.67
|
2024-12-30
|
|
8904
|
APR_DRG
|
—
|
17
|
9
|
$167,432.35
|
$133,945.88
20% off
|
$19,342.54
|
$55,048.14
|
$23,064.56
|
2024-12-30
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A…
|
46
|
23
|
$73,171.95
|
$58,537.56
20% off
|
$9,016.13
|
$40,596.51
|
$22,977.17
|
2024-12-30
|
|
0984
|
APR_DRG
|
—
|
8
|
6
|
$10,747.92
|
$8,598.34
|
$21,258.19
|
$25,348.82
|
$22,836.73
|
2024-12-30
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC
|
46
|
23
|
$54,331.36
|
$43,465.09
|
$9,057.51
|
$40,195.45
|
$22,750.18
|
2024-12-30
|
|
2794
|
APR_DRG
|
—
|
17
|
9
|
$21,085.35
|
$16,868.28
20% off
|
$18,926.25
|
$53,863.25
|
$22,568.16
|
2024-12-30
|
|
7234
|
APR_DRG
|
—
|
16
|
9
|
$19,952.59
|
$15,962.07
20% off
|
$13,729.55
|
$39,073.76
|
$22,501.78
|
2024-12-30
|
|
L8614
|
HCPCS
|
Hc Cochlear Divice, W All Internal & External Components
|
50
|
18
|
$10,800.00
|
$8,640.00
20% off
|
$22,461.03
|
$22,461.03
|
$22,461.03
|
2024-12-30
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
46
|
23
|
$39,980.07
|
$31,984.06
|
$6,953.40
|
$39,671.52
|
$22,453.64
|
2024-12-30
|
|
1673
|
APR_DRG
|
—
|
17
|
9
|
$44,584.30
|
$35,667.44
20% off
|
$18,804.64
|
$53,517.29
|
$22,423.15
|
2024-12-30
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With McC
|
46
|
23
|
$65,364.84
|
$52,291.87
20% off
|
$3,414.38
|
$41,253.19
|
$22,333.78
|
2024-12-30
|
|
4044
|
APR_DRG
|
—
|
16
|
9
|
$65,364.84
|
$52,291.87
20% off
|
$13,622.28
|
$38,768.48
|
$22,325.97
|
2024-12-30
|
|
2233
|
APR_DRG
|
—
|
16
|
9
|
$26,925.14
|
$21,540.11
20% off
|
$13,589.58
|
$38,675.44
|
$22,272.38
|
2024-12-30
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without McC
|
46
|
23
|
$82,995.68
|
$66,396.54
20% off
|
$5,536.88
|
$39,253.51
|
$22,217.05
|
2024-12-30
|
|
0893
|
APR_DRG
|
—
|
15
|
8
|
$17,852.86
|
$14,282.29
|
$19,462.58
|
$47,042.64
|
$22,162.31
|
2024-12-30
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With McC
|
11
|
8
|
$68,967.77
|
$55,174.22
|
$6,584.78
|
$22,147.47
|
$22,147.47
|
2024-12-30
|
|
7244
|
APR_DRG
|
—
|
17
|
9
|
$20,045.66
|
$16,036.53
|
$18,495.11
|
$52,636.28
|
$22,054.02
|
2024-12-30
|
|
0243
|
APR_DRG
|
—
|
16
|
9
|
$17,871.63
|
$14,297.30
20% off
|
$18,851.12
|
$53,090.13
|
$21,972.31
|
2024-12-30
|
|
0262
|
APR_DRG
|
—
|
1
|
1
|
$73,724.89
|
$58,979.91
20% off
|
$21,961.49
|
$21,961.49
|
$21,961.49
|
2024-12-30
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With McC
|
46
|
23
|
$46,258.38
|
$37,006.70
20% off
|
$5,818.34
|
$38,798.78
|
$21,959.68
|
2024-12-30
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With McC
|
46
|
23
|
$38,376.63
|
$30,701.30
20% off
|
$6,011.95
|
$38,699.93
|
$21,903.73
|
2024-12-30
|
|
8134
|
APR_DRG
|
—
|
16
|
9
|
$14,551.83
|
$11,641.46
20% off
|
$13,351.00
|
$37,996.54
|
$21,881.42
|
2024-12-30
|
|
2544
|
APR_DRG
|
—
|
16
|
9
|
$14,346.50
|
$11,477.20
|
$13,322.93
|
$37,916.58
|
$21,835.36
|
2024-12-30
|
|
3173
|
APR_DRG
|
—
|
16
|
9
|
$57,961.41
|
$46,369.13
|
$13,321.40
|
$37,912.20
|
$21,832.84
|
2024-12-30
|
|
2293
|
APR_DRG
|
—
|
16
|
9
|
$48,840.37
|
$39,072.30
|
$13,310.67
|
$37,881.67
|
$21,815.26
|
2024-12-30
|
|
0974
|
APR_DRG
|
—
|
6
|
4
|
$7,545.37
|
$6,036.30
|
$20,301.33
|
$21,808.94
|
$21,808.94
|
2024-12-30
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
46
|
23
|
$73,392.54
|
$58,714.03
20% off
|
$8,851.13
|
$38,183.06
|
$21,611.19
|
2024-12-30
|
|
0203
|
APR_DRG
|
—
|
17
|
9
|
$81,282.23
|
$65,025.78
20% off
|
$18,095.61
|
$51,499.41
|
$21,577.68
|
2024-12-30
|
|
7754
|
APR_DRG
|
—
|
9
|
7
|
$11,229.11
|
$8,983.29
|
$20,020.88
|
$23,873.48
|
$21,507.63
|
2024-12-30
|
|
503
|
MS_DRG
|
Foot Procedures With McC
|
46
|
23
|
$25,804.73
|
$20,643.78
20% off
|
$5,406.61
|
$37,873.79
|
$21,436.14
|
2024-12-30
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/McC
|
46
|
23
|
$42,847.39
|
$34,277.91
20% off
|
$9,426.84
|
$37,700.09
|
$21,337.83
|
2024-12-30
|
|
1743
|
APR_DRG
|
—
|
16
|
9
|
$58,799.71
|
$47,039.77
|
$12,803.42
|
$36,438.04
|
$20,983.90
|
2024-12-30
|
|
3444
|
APR_DRG
|
—
|
17
|
9
|
$21,203.76
|
$16,963.01
|
$17,535.74
|
$49,906.08
|
$20,910.08
|
2024-12-30
|
|
1302
|
APR_DRG
|
—
|
17
|
9
|
$139,103.85
|
$111,283.08
20% off
|
$17,522.46
|
$49,868.25
|
$20,894.24
|
2024-12-30
|
|
1301
|
APR_DRG
|
—
|
17
|
9
|
$139,103.85
|
$111,283.08
20% off
|
$17,522.46
|
$49,868.25
|
$20,894.24
|
2024-12-30
|
|
0492
|
APR_DRG
|
—
|
16
|
9
|
$88,623.35
|
$70,898.68
20% off
|
$12,715.04
|
$36,186.54
|
$20,839.07
|
2024-12-30
|
|
0454
|
APR_DRG
|
—
|
17
|
9
|
$20,640.09
|
$16,512.07
20% off
|
$17,471.37
|
$49,722.87
|
$20,833.33
|
2024-12-30
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With McC
|
46
|
23
|
$84,090.83
|
$67,272.66
20% off
|
$5,823.45
|
$36,752.51
|
$20,801.51
|
2024-12-30
|
|
2804
|
APR_DRG
|
—
|
17
|
9
|
$22,178.12
|
$17,742.50
|
$17,431.02
|
$49,607.98
|
$20,785.24
|
2024-12-30
|
|
0484
|
APR_DRG
|
—
|
14
|
7
|
$15,648.09
|
$12,518.47
20% off
|
$17,798.81
|
$43,021.17
|
$20,745.76
|
2024-12-30
|
|
2064
|
APR_DRG
|
—
|
17
|
9
|
$36,210.34
|
$28,968.27
20% off
|
$17,391.17
|
$49,494.62
|
$20,737.66
|
2024-12-30
|
|
2203
|
APR_DRG
|
—
|
17
|
9
|
$39,326.65
|
$31,461.32
20% off
|
$17,382.49
|
$49,469.91
|
$20,727.34
|
2024-12-30
|
|
1144
|
APR_DRG
|
—
|
16
|
9
|
$11,963.34
|
$9,570.67
20% off
|
$12,605.22
|
$35,873.97
|
$20,659.08
|
2024-12-30
|
|
0554
|
APR_DRG
|
—
|
17
|
9
|
$19,121.05
|
$15,296.84
|
$17,282.40
|
$49,184.96
|
$20,607.95
|
2024-12-30
|
|
3053
|
APR_DRG
|
—
|
17
|
9
|
$59,360.35
|
$47,488.28
20% off
|
$17,275.73
|
$49,166.06
|
$20,600.03
|
2024-12-30
|
|
1994
|
APR_DRG
|
—
|
16
|
9
|
$14,618.88
|
$11,695.10
20% off
|
$12,547.49
|
$35,709.71
|
$20,564.47
|
2024-12-30
|
|
1203
|
APR_DRG
|
—
|
17
|
9
|
$50,251.47
|
$40,201.18
|
$17,185.82
|
$48,910.19
|
$20,492.83
|
2024-12-30
|
|
53
|
MS_DRG
|
Spinal Disorders And Injuries Without Cc/McC
|
9
|
7
|
$14,055.09
|
$11,244.07
20% off
|
$20,074.18
|
$20,464.40
|
$20,464.40
|
2024-12-30
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
46
|
23
|
$53,930.00
|
$43,144.00
20% off
|
$7,330.40
|
$36,026.63
|
$20,390.67
|
2024-12-30
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
46
|
23
|
$64,652.63
|
$51,722.10
20% off
|
$6,959.53
|
$36,016.75
|
$20,385.08
|
2024-12-30
|
|
3613
|
APR_DRG
|
—
|
17
|
9
|
$34,132.60
|
$27,306.08
|
$17,060.67
|
$48,554.01
|
$20,343.59
|
2024-12-30
|
|
2824
|
APR_DRG
|
—
|
15
|
8
|
$14,650.72
|
$11,720.58
|
$17,658.37
|
$42,681.66
|
$20,107.79
|
2024-12-30
|
|
949
|
MS_DRG
|
Aftercare With Cc/McC
|
11
|
8
|
$49,358.91
|
$39,487.13
|
$6,261.96
|
$20,060.46
|
$20,060.46
|
2024-12-30
|
|
4464
|
APR_DRG
|
—
|
17
|
9
|
$23,752.15
|
$19,001.72
20% off
|
$16,800.62
|
$47,814.03
|
$20,033.55
|
2024-12-30
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
46
|
23
|
$37,389.92
|
$29,911.94
|
$5,918.46
|
$35,268.28
|
$19,961.45
|
2024-12-30
|
|
2264
|
APR_DRG
|
—
|
9
|
7
|
$12,192.21
|
$9,753.77
|
$18,537.47
|
$22,104.57
|
$19,914.02
|
2024-12-30
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
46
|
23
|
$47,683.33
|
$38,146.66
20% off
|
$6,959.53
|
$35,107.29
|
$19,870.34
|
2024-12-30
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
46
|
23
|
$41,402.34
|
$33,121.87
20% off
|
$8,072.63
|
$35,081.87
|
$19,855.95
|
2024-12-30
|
|
8114
|
APR_DRG
|
—
|
16
|
9
|
$12,584.88
|
$10,067.90
20% off
|
$12,061.69
|
$34,327.10
|
$19,768.30
|
2024-12-30
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/McC
|
46
|
23
|
$21,830.78
|
$17,464.62
20% off
|
$4,108.09
|
$35,408.09
|
$19,758.09
|
2024-12-30
|
|
6634
|
APR_DRG
|
—
|
16
|
9
|
$22,554.00
|
$18,043.20
|
$12,032.09
|
$34,242.83
|
$19,719.69
|
2024-12-30
|
|
8503
|
APR_DRG
|
—
|
17
|
9
|
$42,161.52
|
$33,729.22
|
$16,537.07
|
$47,063.87
|
$19,719.24
|
2024-12-30
|
|
2034
|
APR_DRG
|
—
|
16
|
9
|
$13,944.26
|
$11,155.41
|
$12,031.02
|
$34,239.87
|
$19,718.04
|
2024-12-30
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/McC
|
46
|
23
|
$41,978.35
|
$33,582.68
|
$8,335.20
|
$34,748.59
|
$19,667.32
|
2024-12-30
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With McC
|
46
|
23
|
$38,139.58
|
$30,511.66
20% off
|
$2,538.31
|
$36,560.45
|
$19,549.38
|
2024-12-30
|
|
J2350
|
HCPCS
|
Ocrelizumab 30 Mg/ml Intravenous Solution
|
51
|
18
|
$64,071.74
|
$51,257.39
20% off
|
$59.50
|
$21,357.00
|
$19,546.50
|
2024-12-30
|
|
4214
|
APR_DRG
|
—
|
17
|
9
|
$17,367.13
|
$13,893.70
20% off
|
$16,353.17
|
$46,540.50
|
$19,499.95
|
2024-12-30
|
|
7204
|
APR_DRG
|
—
|
17
|
9
|
$22,069.67
|
$17,655.74
|
$16,348.06
|
$46,525.96
|
$19,493.86
|
2024-12-30
|
|
4614
|
APR_DRG
|
—
|
16
|
9
|
$52,437.01
|
$41,949.61
|
$11,892.61
|
$33,845.89
|
$19,491.16
|
2024-12-30
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/McC
|
46
|
23
|
$45,615.17
|
$36,492.14
|
$9,675.61
|
$34,357.41
|
$19,445.91
|
2024-12-30
|
|
2273
|
APR_DRG
|
—
|
16
|
9
|
$29,194.35
|
$23,355.48
20% off
|
$11,843.06
|
$33,704.90
|
$19,409.95
|
2024-12-30
|
|
2484
|
APR_DRG
|
—
|
16
|
9
|
$15,546.51
|
$12,437.21
|
$16,532.95
|
$46,561.62
|
$19,270.36
|
2024-12-30
|
|
3474
|
APR_DRG
|
—
|
17
|
9
|
$15,928.09
|
$12,742.47
20% off
|
$16,118.19
|
$45,871.78
|
$19,219.75
|
2024-12-30
|
|
2424
|
APR_DRG
|
—
|
17
|
9
|
$19,139.67
|
$15,311.74
|
$16,117.68
|
$45,870.33
|
$19,219.14
|
2024-12-30
|
|
4694
|
APR_DRG
|
—
|
15
|
8
|
$14,057.30
|
$11,245.84
|
$16,863.96
|
$40,761.61
|
$19,203.30
|
2024-12-30
|
|
1364
|
APR_DRG
|
—
|
16
|
9
|
$25,683.79
|
$20,547.03
20% off
|
$11,716.40
|
$33,344.36
|
$19,202.34
|
2024-12-30
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
46
|
23
|
$35,787.12
|
$28,629.70
|
$6,111.05
|
$33,916.81
|
$19,196.53
|
2024-12-30
|
|
1692
|
APR_DRG
|
—
|
16
|
9
|
$96,568.58
|
$77,254.86
20% off
|
$11,689.81
|
$33,268.76
|
$19,158.78
|
2024-12-30
|
|
2603
|
APR_DRG
|
—
|
17
|
9
|
$30,527.18
|
$24,421.74
20% off
|
$16,066.59
|
$45,724.92
|
$19,158.23
|
2024-12-30
|
|
2414
|
APR_DRG
|
—
|
17
|
9
|
$19,603.34
|
$15,682.67
20% off
|
$15,987.42
|
$45,499.58
|
$19,063.85
|
2024-12-30
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
46
|
23
|
$37,961.87
|
$30,369.50
|
$5,950.14
|
$33,669.67
|
$19,056.66
|
2024-12-30
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
46
|
23
|
$45,329.31
|
$36,263.45
|
$7,593.98
|
$33,498.80
|
$18,959.94
|
2024-12-30
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
46
|
23
|
$70,920.20
|
$56,736.16
|
$4,238.35
|
$33,662.61
|
$18,950.48
|
2024-12-30
|
|
2213
|
APR_DRG
|
—
|
17
|
9
|
$47,147.07
|
$37,717.66
|
$15,842.85
|
$45,088.15
|
$18,891.43
|
2024-12-30
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC
|
46
|
23
|
$48,105.47
|
$38,484.38
|
$7,536.77
|
$33,198.00
|
$18,789.70
|
2024-12-30
|
|
3514
|
APR_DRG
|
—
|
17
|
9
|
$18,013.87
|
$14,411.10
|
$15,736.09
|
$44,784.28
|
$18,764.13
|
2024-12-30
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With McC
|
46
|
23
|
$38,375.29
|
$30,700.23
20% off
|
$3,561.50
|
$33,892.80
|
$18,727.15
|
2024-12-30
|
|
4043
|
APR_DRG
|
—
|
16
|
9
|
$65,364.84
|
$52,291.87
20% off
|
$11,388.93
|
$32,412.47
|
$18,665.67
|
2024-12-30
|
|
A9604
|
HCPCS
|
Hc Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose Up To 150 Millicu…
|
2
|
1
|
—
|
—
|
$17,585.51
|
$19,539.46
|
$18,562.49
|
2024-12-30
|
|
6944
|
APR_DRG
|
—
|
10
|
7
|
$12,711.11
|
$10,168.89
|
$17,273.17
|
$36,022.05
|
$18,555.84
|
2024-12-30
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/McC
|
46
|
23
|
$30,317.28
|
$24,253.82
20% off
|
$8,382.70
|
$32,748.92
|
$18,535.52
|
2024-12-30
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With McC
|
46
|
23
|
$28,733.45
|
$22,986.76
20% off
|
$4,518.79
|
$32,731.97
|
$18,525.93
|
2024-12-30
|
|
3093
|
APR_DRG
|
—
|
17
|
9
|
$22,138.64
|
$17,710.91
20% off
|
$15,436.74
|
$43,932.38
|
$18,407.18
|
2024-12-30
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
49
|
18
|
$34,736.00
|
$27,788.80
20% off
|
$16,831.80
|
$19,899.00
|
$18,365.40
|
2024-12-30
|
|
6802
|
APR_DRG
|
—
|
16
|
9
|
$53,061.91
|
$42,449.53
|
$11,144.76
|
$31,717.55
|
$18,265.47
|
2024-12-30
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
46
|
23
|
$58,146.23
|
$46,516.98
20% off
|
$8,887.40
|
$32,164.27
|
$18,204.62
|
2024-12-30
|
|
1713
|
APR_DRG
|
—
|
17
|
9
|
$40,525.57
|
$32,420.46
|
$15,263.06
|
$43,438.09
|
$18,200.08
|
2024-12-30
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
46
|
23
|
$48,322.58
|
$38,658.06
20% off
|
$2,689.51
|
$33,641.43
|
$18,165.47
|
2024-12-30
|
|
7103
|
APR_DRG
|
—
|
17
|
9
|
$62,391.30
|
$49,913.04
20% off
|
$15,200.23
|
$43,259.27
|
$18,125.15
|
2024-12-30
|
|
2404
|
APR_DRG
|
—
|
17
|
9
|
$25,571.22
|
$20,456.98
|
$15,191.54
|
$43,234.56
|
$18,114.77
|
2024-12-30
|
|
2844
|
APR_DRG
|
—
|
17
|
9
|
$17,525.68
|
$14,020.54
20% off
|
$15,141.99
|
$43,093.54
|
$18,055.71
|
2024-12-30
|
|
2454
|
APR_DRG
|
—
|
16
|
9
|
$14,192.01
|
$11,353.61
|
$11,010.41
|
$31,335.21
|
$18,045.29
|
2024-12-30
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
46
|
23
|
$35,581.53
|
$28,465.22
20% off
|
$4,107.58
|
$31,955.26
|
$18,031.42
|
2024-12-30
|