|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
34
|
13
|
—
|
—
|
$2,147,685.61
|
$4,983,457.50
|
$3,756,375.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
40
|
13
|
—
|
—
|
$1,932,376.78
|
$4,835,591.87
|
$3,500,068.52
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
40
|
13
|
—
|
—
|
$1,888,162.89
|
$4,724,950.76
|
$3,405,364.56
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
42
|
13
|
—
|
—
|
$1,709,514.58
|
$4,764,192.05
|
$3,108,301.81
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
43
|
13
|
—
|
—
|
$1,505,167.37
|
$4,745,235.45
|
$2,742,312.49
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
27
|
22
|
—
|
—
|
$466,040.65
|
$814,276.35
|
$490,569.11
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
49
|
13
|
—
|
—
|
$357,330.39
|
$2,291,877.10
|
$666,201.92
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
49
|
13
|
—
|
—
|
$342,386.28
|
$2,196,027.23
|
$638,340.32
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
49
|
13
|
—
|
—
|
$327,123.35
|
$2,098,132.54
|
$609,884.33
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
49
|
13
|
—
|
—
|
$325,680.63
|
$2,088,879.08
|
$607,194.54
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
49
|
13
|
—
|
—
|
$309,429.82
|
$1,984,648.17
|
$576,896.74
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
28
|
22
|
—
|
—
|
$300,944.45
|
$608,197.08
|
$318,549.62
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
49
|
13
|
—
|
—
|
$284,669.27
|
$1,825,836.81
|
$530,733.51
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
28
|
8
|
—
|
—
|
$254,198.42
|
$1,122,625.36
|
$685,829.78
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
27
|
22
|
—
|
—
|
$230,680.43
|
$512,246.42
|
$242,821.51
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$191,344.21
|
$191,344.21
|
$191,344.21
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
28
|
8
|
—
|
—
|
$187,120.32
|
$826,386.03
|
$504,852.43
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
28
|
8
|
—
|
—
|
$183,831.15
|
$811,859.92
|
$495,978.20
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
28
|
8
|
—
|
—
|
$183,831.15
|
$811,859.92
|
$495,978.20
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
28
|
8
|
—
|
—
|
$168,143.63
|
$742,578.58
|
$453,653.12
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$165,328.96
|
$165,328.96
|
$165,328.96
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$163,259.04
|
$721,006.58
|
$440,474.45
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$153,077.10
|
$153,077.10
|
$153,077.10
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
1
|
1
|
—
|
—
|
$143,211.25
|
$143,211.25
|
$143,211.25
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$141,143.23
|
$623,335.79
|
$380,805.80
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
28
|
8
|
—
|
—
|
$140,633.28
|
$621,083.68
|
$379,429.95
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
28
|
8
|
—
|
—
|
$140,633.28
|
$621,083.68
|
$379,429.95
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
27
|
22
|
—
|
—
|
$140,122.11
|
$282,175.16
|
$147,496.96
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$138,214.63
|
$138,214.63
|
$138,214.63
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
28
|
8
|
—
|
—
|
$136,509.24
|
$602,870.54
|
$368,303.25
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
1
|
1
|
—
|
—
|
$132,069.27
|
$132,069.27
|
$132,069.27
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
29
|
23
|
—
|
—
|
$131,885.07
|
$305,089.66
|
$157,723.56
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
28
|
8
|
—
|
—
|
$131,655.25
|
$581,433.67
|
$355,207.12
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
27
|
22
|
—
|
—
|
$130,071.58
|
$282,887.73
|
$136,917.45
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
28
|
8
|
—
|
—
|
$127,526.84
|
$563,201.23
|
$344,068.64
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$127,020.53
|
$560,965.21
|
$342,702.61
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
27
|
22
|
—
|
—
|
$122,675.16
|
$237,948.38
|
$129,131.75
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
21
|
17
|
—
|
—
|
$122,535.02
|
$139,302.97
|
$128,984.23
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
28
|
8
|
—
|
—
|
$116,299.20
|
$513,616.21
|
$313,776.35
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$112,687.39
|
$112,687.39
|
$112,687.39
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
27
|
22
|
—
|
—
|
$111,665.18
|
$229,935.22
|
$117,542.29
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$110,160.86
|
$486,507.24
|
$297,215.05
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
28
|
8
|
—
|
—
|
$109,776.21
|
$484,808.50
|
$296,177.27
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$109,210.92
|
$109,210.92
|
$109,210.92
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$108,411.98
|
$108,411.98
|
$108,411.98
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
28
|
22
|
—
|
—
|
$107,498.77
|
$235,214.71
|
$123,937.89
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
28
|
8
|
—
|
—
|
$106,673.53
|
$471,106.02
|
$287,806.20
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
28
|
8
|
—
|
—
|
$106,305.63
|
$469,481.29
|
$286,813.62
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
28
|
8
|
—
|
—
|
$104,317.56
|
$460,701.27
|
$281,449.78
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
28
|
8
|
—
|
—
|
$104,317.56
|
$460,701.27
|
$281,449.78
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
29
|
22
|
—
|
—
|
$102,405.62
|
$228,760.56
|
$113,530.86
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
22
|
—
|
—
|
$101,763.67
|
$208,381.09
|
$111,554.08
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$101,478.59
|
$448,163.46
|
$273,790.22
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
28
|
8
|
—
|
—
|
$100,456.51
|
$443,649.58
|
$271,032.62
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$99,448.72
|
$99,448.72
|
$99,448.72
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$99,207.13
|
$438,131.91
|
$267,661.79
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
28
|
8
|
—
|
—
|
$93,581.65
|
$413,287.92
|
$252,484.20
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
27
|
22
|
—
|
—
|
$91,391.62
|
$182,966.13
|
$96,201.70
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$89,937.70
|
$397,194.99
|
$242,652.77
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
28
|
8
|
—
|
—
|
$89,091.91
|
$393,459.70
|
$240,370.83
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
28
|
8
|
—
|
—
|
$88,431.89
|
$390,544.83
|
$238,590.08
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
28
|
8
|
—
|
—
|
$88,431.89
|
$390,544.83
|
$238,590.08
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
28
|
8
|
—
|
—
|
$88,149.23
|
$389,296.52
|
$237,827.47
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$86,131.28
|
$380,384.60
|
$232,383.03
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$86,070.82
|
$380,117.56
|
$232,219.90
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
27
|
22
|
—
|
—
|
$82,659.52
|
$161,163.67
|
$87,010.02
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$81,813.46
|
$361,315.66
|
$220,733.52
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$81,315.90
|
$359,118.24
|
$219,391.08
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$81,170.20
|
$358,474.78
|
$218,997.98
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$80,294.54
|
$354,607.59
|
$216,635.45
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
28
|
8
|
—
|
—
|
$79,366.43
|
$350,508.75
|
$214,131.40
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$78,985.03
|
$78,985.03
|
$78,985.03
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$78,698.40
|
$347,558.48
|
$212,329.03
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
27
|
22
|
—
|
—
|
$77,870.88
|
$172,152.35
|
$81,969.35
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
27
|
22
|
—
|
—
|
$77,838.54
|
$144,208.85
|
$81,935.30
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
27
|
22
|
—
|
—
|
$77,427.81
|
$171,161.23
|
$81,502.96
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
28
|
8
|
—
|
—
|
$76,590.12
|
$338,247.62
|
$206,640.88
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
29
|
22
|
—
|
—
|
$76,010.72
|
$152,586.93
|
$81,455.29
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
28
|
8
|
—
|
—
|
$75,648.17
|
$334,087.65
|
$204,099.48
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
28
|
8
|
—
|
—
|
$73,364.32
|
$324,001.41
|
$197,937.65
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
27
|
22
|
—
|
—
|
$72,544.30
|
$144,763.79
|
$76,362.42
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
28
|
8
|
—
|
—
|
$72,441.31
|
$319,925.09
|
$195,447.35
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
28
|
8
|
—
|
—
|
$71,681.49
|
$316,569.45
|
$193,397.33
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
22
|
—
|
—
|
$71,398.35
|
$128,458.92
|
$75,156.16
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
27
|
22
|
—
|
—
|
$71,140.69
|
$132,965.38
|
$74,884.94
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
23
|
—
|
—
|
$70,565.97
|
$338,441.92
|
$87,297.12
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
28
|
8
|
—
|
—
|
$69,939.64
|
$308,876.89
|
$188,697.83
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$69,090.94
|
$305,128.73
|
$186,408.02
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$68,367.54
|
$301,933.95
|
$184,456.28
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
28
|
8
|
—
|
—
|
$67,260.22
|
$297,043.66
|
$181,468.72
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
28
|
8
|
—
|
—
|
$66,892.33
|
$295,418.92
|
$180,476.14
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$66,651.19
|
$294,353.99
|
$179,825.56
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
29
|
22
|
—
|
—
|
$66,475.59
|
$226,329.19
|
$125,607.14
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
28
|
8
|
—
|
—
|
$65,581.76
|
$289,631.00
|
$176,940.21
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$65,408.37
|
$288,865.28
|
$176,472.41
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
28
|
8
|
—
|
—
|
$65,355.19
|
$288,630.42
|
$176,328.93
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
28
|
8
|
—
|
—
|
$65,173.80
|
$287,829.31
|
$175,839.53
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
29
|
23
|
—
|
—
|
$65,109.15
|
$198,899.60
|
$98,807.15
|
2026-04-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
28
|
8
|
—
|
—
|
$64,759.28
|
$285,998.67
|
$174,721.15
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
28
|
8
|
—
|
—
|
$63,766.33
|
$281,613.49
|
$172,042.18
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
22
|
—
|
—
|
$63,730.07
|
$139,434.64
|
$75,156.16
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
28
|
8
|
—
|
—
|
$62,925.64
|
$277,900.72
|
$169,773.99
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
45
|
13
|
—
|
—
|
$62,585.17
|
$403,920.88
|
$117,444.03
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
28
|
8
|
—
|
—
|
$61,730.18
|
$272,621.13
|
$166,548.61
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
28
|
8
|
—
|
—
|
$61,107.31
|
$269,870.34
|
$164,868.11
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
28
|
8
|
—
|
—
|
$60,949.95
|
$269,175.40
|
$164,443.56
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
28
|
8
|
—
|
—
|
$59,836.80
|
$264,259.37
|
$161,440.27
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
28
|
8
|
—
|
—
|
$59,112.68
|
$261,061.37
|
$159,486.57
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
28
|
8
|
—
|
—
|
$58,878.10
|
$260,025.40
|
$158,853.67
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$56,535.97
|
$249,681.78
|
$152,534.60
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
28
|
8
|
—
|
—
|
$55,649.39
|
$245,766.33
|
$150,142.58
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
28
|
8
|
—
|
—
|
$55,588.92
|
$245,499.29
|
$149,979.45
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
28
|
8
|
—
|
—
|
$55,560.51
|
$245,373.82
|
$149,902.79
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$55,195.53
|
$243,761.95
|
$148,918.08
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
28
|
8
|
—
|
—
|
$54,662.27
|
$241,406.89
|
$147,479.33
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$54,480.14
|
$240,602.56
|
$146,987.95
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
28
|
8
|
—
|
—
|
$54,102.05
|
$238,932.78
|
$145,967.86
|
2026-04-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
28
|
8
|
—
|
—
|
$53,812.84
|
$237,655.52
|
$145,187.55
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
28
|
8
|
—
|
—
|
$53,569.52
|
$236,580.94
|
$144,531.08
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
28
|
8
|
—
|
—
|
$53,283.95
|
$235,319.76
|
$143,760.60
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
28
|
8
|
—
|
—
|
$53,057.38
|
$234,319.18
|
$143,149.33
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
28
|
8
|
—
|
—
|
$52,753.60
|
$232,977.56
|
$142,329.71
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
28
|
8
|
—
|
—
|
$52,368.95
|
$231,278.83
|
$141,291.93
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
28
|
8
|
—
|
—
|
$52,368.95
|
$231,278.83
|
$141,291.93
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
28
|
8
|
—
|
—
|
$52,327.43
|
$231,095.44
|
$141,179.90
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$52,324.51
|
$231,082.57
|
$141,172.04
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$52,323.78
|
$231,079.36
|
$141,170.08
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
28
|
8
|
—
|
—
|
$51,633.89
|
$228,032.57
|
$139,308.74
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
28
|
8
|
—
|
—
|
$51,591.64
|
$227,845.97
|
$139,194.74
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$51,553.03
|
$227,675.45
|
$139,090.58
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
28
|
8
|
—
|
—
|
$51,462.70
|
$227,276.51
|
$138,846.85
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$51,337.40
|
$226,723.13
|
$138,508.79
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
28
|
8
|
—
|
—
|
$50,907.58
|
$224,824.92
|
$137,349.14
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
28
|
8
|
—
|
—
|
$50,905.39
|
$224,815.27
|
$137,343.24
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$50,255.57
|
$221,945.44
|
$135,590.02
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
28
|
8
|
—
|
—
|
$49,845.43
|
$220,134.10
|
$134,483.45
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$49,709.93
|
$219,535.68
|
$134,117.86
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
28
|
8
|
—
|
—
|
$49,673.50
|
$219,374.82
|
$134,019.58
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
28
|
8
|
—
|
—
|
$49,491.38
|
$218,570.49
|
$133,528.21
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
28
|
8
|
—
|
—
|
$49,480.45
|
$218,522.23
|
$133,498.72
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
28
|
8
|
—
|
—
|
$49,270.64
|
$217,595.65
|
$132,932.67
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
28
|
8
|
—
|
—
|
$48,736.65
|
$215,237.37
|
$131,491.95
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
28
|
8
|
—
|
—
|
$48,308.29
|
$213,345.60
|
$130,336.24
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$48,267.50
|
$213,165.43
|
$130,226.17
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
28
|
8
|
—
|
—
|
$48,201.20
|
$212,872.65
|
$130,047.31
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$48,158.95
|
$212,686.05
|
$129,933.31
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$48,141.47
|
$212,608.84
|
$129,886.14
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
28
|
8
|
—
|
—
|
$47,911.26
|
$211,592.17
|
$129,265.04
|
2026-04-01
|
|
6021
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$47,299.32
|
$208,889.64
|
$127,614.02
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$47,281.84
|
$208,812.42
|
$127,566.85
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
28
|
8
|
—
|
—
|
$47,143.42
|
$208,201.13
|
$127,193.40
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
28
|
8
|
—
|
—
|
$46,691.75
|
$206,206.41
|
$125,974.79
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
28
|
8
|
—
|
—
|
$46,448.43
|
$205,131.83
|
$125,318.32
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
28
|
8
|
—
|
—
|
$46,208.76
|
$204,073.34
|
$124,671.67
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
28
|
8
|
—
|
—
|
$46,147.56
|
$203,803.09
|
$124,506.56
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
28
|
8
|
—
|
—
|
$46,134.45
|
$203,745.17
|
$124,471.18
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
28
|
8
|
—
|
—
|
$46,044.11
|
$203,346.23
|
$124,227.46
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
28
|
8
|
—
|
—
|
$46,026.63
|
$203,269.01
|
$124,180.29
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
31
|
22
|
—
|
—
|
$45,932.72
|
$174,050.38
|
$89,834.48
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
28
|
8
|
—
|
—
|
$45,908.61
|
$202,747.81
|
$123,861.88
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
28
|
8
|
—
|
—
|
$45,719.93
|
$201,914.53
|
$123,352.82
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
28
|
8
|
—
|
—
|
$45,714.10
|
$201,888.79
|
$123,337.09
|
2026-04-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
28
|
8
|
—
|
—
|
$45,691.52
|
$201,789.06
|
$123,276.16
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
28
|
8
|
—
|
—
|
$45,646.35
|
$201,589.58
|
$123,154.30
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$45,394.29
|
$200,476.40
|
$122,474.24
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
28
|
8
|
—
|
—
|
$45,359.32
|
$200,321.97
|
$122,379.89
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
28
|
8
|
—
|
—
|
$45,064.28
|
$199,018.96
|
$121,583.86
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
28
|
8
|
—
|
—
|
$44,899.64
|
$198,291.85
|
$121,139.67
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
28
|
8
|
—
|
—
|
$44,899.64
|
$198,291.85
|
$121,139.67
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
28
|
8
|
—
|
—
|
$44,836.26
|
$198,011.95
|
$120,968.66
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
28
|
8
|
—
|
—
|
$44,734.27
|
$197,561.52
|
$120,693.49
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
28
|
8
|
—
|
—
|
$44,639.57
|
$197,143.27
|
$120,437.98
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
28
|
8
|
—
|
—
|
$44,371.48
|
$195,959.31
|
$119,714.68
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
28
|
8
|
—
|
—
|
$44,240.35
|
$195,380.19
|
$119,360.88
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
28
|
8
|
—
|
—
|
$44,168.23
|
$195,061.68
|
$119,166.30
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
28
|
8
|
—
|
—
|
$44,125.97
|
$194,875.08
|
$119,052.30
|
2026-04-01
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
28
|
8
|
—
|
—
|
$44,101.20
|
$194,765.69
|
$118,985.47
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$44,100.48
|
$194,762.47
|
$118,983.51
|
2026-04-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
28
|
8
|
—
|
—
|
$44,065.51
|
$194,608.04
|
$118,889.17
|
2026-04-01
|
|
6071
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
28
|
8
|
—
|
—
|
$44,010.14
|
$194,363.53
|
$118,739.79
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
28
|
8
|
—
|
—
|
$43,971.53
|
$194,193.01
|
$118,635.61
|
2026-04-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
28
|
8
|
—
|
—
|
$43,549.00
|
$192,326.98
|
$117,495.62
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
28
|
8
|
—
|
—
|
$43,473.24
|
$191,992.38
|
$117,291.21
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
28
|
8
|
—
|
—
|
$43,446.28
|
$191,873.34
|
$117,218.49
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
28
|
8
|
—
|
—
|
$43,211.71
|
$190,837.37
|
$116,585.60
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
28
|
8
|
—
|
—
|
$43,167.27
|
$190,641.11
|
$116,465.70
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
28
|
8
|
—
|
—
|
$43,110.44
|
$190,390.16
|
$116,312.39
|
2026-04-01
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
28
|
8
|
—
|
—
|
$43,001.90
|
$189,910.78
|
$116,019.53
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
28
|
8
|
—
|
—
|
$42,570.63
|
$188,006.14
|
$114,855.96
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
28
|
8
|
—
|
—
|
$42,156.84
|
$186,178.72
|
$113,739.55
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
28
|
8
|
—
|
—
|
$42,025.71
|
$185,599.60
|
$113,385.76
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
28
|
8
|
—
|
—
|
$41,853.05
|
$184,837.10
|
$112,919.94
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$41,791.86
|
$184,566.85
|
$112,754.83
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
28
|
8
|
—
|
—
|
$41,546.36
|
$183,482.62
|
$112,092.46
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
28
|
8
|
—
|
—
|
$41,496.09
|
$183,260.63
|
$111,956.85
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$41,422.51
|
$182,935.68
|
$111,758.33
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
28
|
8
|
—
|
—
|
$41,323.43
|
$182,498.13
|
$111,491.02
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
24
|
—
|
—
|
$41,070.24
|
$252,411.94
|
$73,560.66
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
28
|
8
|
—
|
—
|
$40,639.37
|
$179,477.08
|
$109,645.41
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
28
|
8
|
—
|
—
|
$40,567.25
|
$179,158.57
|
$109,450.83
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
28
|
8
|
—
|
—
|
$40,315.19
|
$178,045.38
|
$108,770.77
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
31
|
22
|
—
|
—
|
$39,852.27
|
$133,574.30
|
$76,418.03
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
28
|
8
|
—
|
—
|
$39,650.80
|
$175,111.20
|
$106,978.23
|
2026-04-01
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
28
|
8
|
—
|
—
|
$39,618.02
|
$174,966.43
|
$106,889.79
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
28
|
8
|
—
|
—
|
$39,247.94
|
$173,332.04
|
$105,891.32
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
28
|
8
|
—
|
—
|
$39,097.14
|
$172,666.06
|
$105,484.46
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
28
|
8
|
—
|
—
|
$39,003.16
|
$172,251.02
|
$105,230.90
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
28
|
8
|
—
|
—
|
$38,949.25
|
$172,012.94
|
$105,085.46
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
28
|
8
|
—
|
—
|
$38,811.57
|
$171,404.87
|
$104,713.98
|
2026-04-01
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
28
|
8
|
—
|
—
|
$38,678.25
|
$170,816.11
|
$104,354.29
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
28
|
8
|
—
|
—
|
$38,603.22
|
$170,484.73
|
$104,151.85
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
28
|
8
|
—
|
—
|
$38,525.99
|
$170,143.69
|
$103,943.50
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
28
|
8
|
—
|
—
|
$38,418.90
|
$169,670.75
|
$103,654.57
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
23
|
—
|
—
|
$38,365.27
|
$147,434.84
|
$76,924.14
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
28
|
8
|
—
|
—
|
$37,722.46
|
$166,595.01
|
$101,775.55
|
2026-04-01
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$37,694.05
|
$166,469.54
|
$101,698.90
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
28
|
8
|
—
|
—
|
$37,656.17
|
$166,302.24
|
$101,596.70
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
34
|
22
|
—
|
—
|
$37,656.07
|
$205,564.57
|
$95,900.99
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
23
|
—
|
—
|
$37,401.78
|
$167,065.04
|
$87,672.73
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
28
|
8
|
—
|
—
|
$37,396.82
|
$165,156.88
|
$100,896.98
|
2026-04-01
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
28
|
8
|
—
|
—
|
$37,005.61
|
$163,429.19
|
$99,841.51
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
28
|
8
|
—
|
—
|
$36,918.92
|
$163,046.33
|
$99,607.60
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
22
|
—
|
—
|
$36,837.79
|
$180,085.62
|
$102,780.00
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
28
|
8
|
—
|
—
|
$36,828.59
|
$162,647.38
|
$99,363.89
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
28
|
8
|
—
|
—
|
$36,828.59
|
$162,647.38
|
$99,363.89
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
28
|
8
|
—
|
—
|
$36,772.49
|
$162,399.65
|
$99,212.54
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
28
|
8
|
—
|
—
|
$36,687.99
|
$162,026.45
|
$98,984.54
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
28
|
8
|
—
|
—
|
$36,687.99
|
$162,026.45
|
$98,984.54
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
28
|
8
|
—
|
—
|
$36,451.23
|
$160,980.82
|
$98,345.76
|
2026-04-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
28
|
8
|
—
|
—
|
$36,264.73
|
$160,157.19
|
$97,842.59
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
28
|
8
|
—
|
—
|
$35,774.45
|
$157,991.95
|
$96,519.81
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
28
|
22
|
—
|
—
|
$35,700.78
|
$143,964.85
|
$78,589.99
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
28
|
8
|
—
|
—
|
$35,521.66
|
$156,875.55
|
$95,837.78
|
2026-04-01
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
28
|
8
|
—
|
—
|
$35,510.73
|
$156,827.29
|
$95,808.30
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$35,415.30
|
$156,405.82
|
$95,550.82
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
28
|
8
|
—
|
—
|
$35,107.14
|
$155,044.90
|
$94,719.41
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
28
|
8
|
—
|
—
|
$35,059.06
|
$154,832.56
|
$94,589.69
|
2026-04-01
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
28
|
8
|
—
|
—
|
$34,979.66
|
$154,481.88
|
$94,375.45
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
28
|
8
|
—
|
—
|
$34,823.03
|
$153,790.16
|
$93,952.86
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
28
|
8
|
—
|
—
|
$33,841.74
|
$149,456.45
|
$91,305.34
|
2026-04-01
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
28
|
8
|
—
|
—
|
$33,264.04
|
$146,905.14
|
$89,746.70
|
2026-04-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
28
|
8
|
—
|
—
|
$33,147.48
|
$146,390.37
|
$89,432.21
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$33,114.70
|
$146,245.59
|
$89,343.77
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
28
|
8
|
—
|
—
|
$32,984.29
|
$145,669.69
|
$88,991.95
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$32,652.10
|
$144,202.60
|
$88,095.68
|
2026-04-01
|
|
1934
|
APR_DRG
|
Acute And Subacute Endocarditis
|
28
|
8
|
—
|
—
|
$32,521.70
|
$143,626.71
|
$87,743.85
|
2026-04-01
|
|
2284
|
APR_DRG
|
Inguinal, Femoral And Umbilical Hernia Procedures
|
28
|
8
|
—
|
—
|
$32,460.50
|
$143,356.45
|
$87,578.75
|
2026-04-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
28
|
8
|
—
|
—
|
$32,198.24
|
$142,198.23
|
$86,871.17
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
28
|
8
|
—
|
—
|
$32,053.27
|
$141,557.98
|
$86,480.04
|
2026-04-01
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
28
|
8
|
—
|
—
|
$32,013.20
|
$141,381.03
|
$86,371.93
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
28
|
8
|
—
|
—
|
$31,788.10
|
$140,386.89
|
$85,764.59
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
28
|
8
|
—
|
—
|
$31,557.89
|
$139,370.22
|
$85,143.49
|
2026-04-01
|
|
5464
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$31,381.59
|
$138,591.63
|
$84,667.85
|
2026-04-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
28
|
8
|
—
|
—
|
$31,299.27
|
$138,228.08
|
$84,445.74
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
28
|
8
|
—
|
—
|
$31,175.43
|
$137,681.14
|
$84,111.60
|
2026-04-01
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
28
|
8
|
—
|
—
|
$31,165.23
|
$137,636.09
|
$84,084.09
|
2026-04-01
|
|
6081
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
28
|
8
|
—
|
—
|
$30,920.45
|
$136,555.08
|
$83,423.68
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
28
|
8
|
—
|
—
|
$30,316.53
|
$133,887.94
|
$81,794.29
|
2026-04-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
28
|
8
|
—
|
—
|
$30,243.68
|
$133,566.21
|
$81,597.74
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
28
|
8
|
—
|
—
|
$30,179.57
|
$133,283.09
|
$81,424.77
|
2026-04-01
|
|
1924
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions
|
28
|
8
|
—
|
—
|
$29,994.53
|
$132,465.89
|
$80,925.53
|
2026-04-01
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
28
|
8
|
—
|
—
|
$29,797.84
|
$131,597.22
|
$80,394.85
|
2026-04-01
|
|
903
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$29,770.88
|
$131,478.18
|
$80,322.12
|
2026-04-01
|
|
2254
|
APR_DRG
|
Description Not Available
|
28
|
8
|
—
|
—
|
$29,593.13
|
$130,693.16
|
$79,842.54
|
2026-04-01
|
|
6112
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
28
|
8
|
—
|
—
|
$29,394.25
|
$129,814.84
|
$79,305.96
|
2026-04-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
28
|
8
|
—
|
—
|
$29,384.05
|
$129,769.80
|
$79,278.44
|
2026-04-01
|
|
6132
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
28
|
8
|
—
|
—
|
$29,341.07
|
$129,579.97
|
$79,162.48
|
2026-04-01
|
|
4624
|
APR_DRG
|
Nephritis And Nephrosis
|
28
|
8
|
—
|
—
|
$29,271.86
|
$129,274.33
|
$78,975.76
|
2026-04-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$29,255.10
|
$129,200.33
|
$78,930.55
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
28
|
8
|
—
|
—
|
$29,244.18
|
$129,152.07
|
$78,901.07
|
2026-04-01
|
|
9503
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
28
|
8
|
—
|
—
|
$29,099.20
|
$128,511.83
|
$78,509.93
|
2026-04-01
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
28
|
8
|
—
|
—
|
$28,981.92
|
$127,993.85
|
$78,193.49
|
2026-04-01
|
|
974
|
APR_DRG
|
Tonsil And Adenoid Procedures
|
28
|
8
|
—
|
—
|
$28,952.05
|
$127,861.94
|
$78,112.90
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$28,753.90
|
$126,986.83
|
$77,578.29
|
2026-04-01
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
28
|
8
|
—
|
—
|
$28,699.26
|
$126,745.53
|
$77,430.88
|
2026-04-01
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$28,670.12
|
$126,616.84
|
$77,352.25
|
2026-04-01
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
28
|
8
|
—
|
—
|
$28,655.55
|
$126,552.50
|
$77,312.94
|
2026-04-01
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
28
|
8
|
—
|
—
|
$28,552.10
|
$126,095.64
|
$77,033.84
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$28,244.67
|
$124,737.94
|
$76,204.40
|
2026-04-01
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
28
|
8
|
—
|
—
|
$28,183.48
|
$124,467.69
|
$76,039.30
|
2026-04-01
|
|
3434
|
APR_DRG
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
28
|
8
|
—
|
—
|
$28,060.36
|
$123,923.96
|
$75,707.13
|
2026-04-01
|
|
3144
|
APR_DRG
|
Foot And Toe Procedures
|
28
|
8
|
—
|
—
|
$28,010.83
|
$123,705.19
|
$75,573.48
|
2026-04-01
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
28
|
8
|
—
|
—
|
$27,932.88
|
$123,360.93
|
$75,363.17
|
2026-04-01
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
28
|
8
|
—
|
—
|
$27,892.81
|
$123,183.98
|
$75,255.07
|
2026-04-01
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
28
|
8
|
—
|
—
|
$27,823.60
|
$122,878.34
|
$75,068.34
|
2026-04-01
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
28
|
8
|
—
|
—
|
$27,755.85
|
$122,579.13
|
$74,885.55
|
2026-04-01
|
|
564
|
APR_DRG
|
Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N…
|
28
|
8
|
—
|
—
|
$27,712.14
|
$122,386.09
|
$74,767.62
|
2026-04-01
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
28
|
8
|
—
|
—
|
$27,584.65
|
$121,823.06
|
$74,423.66
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
28
|
8
|
—
|
—
|
$27,478.29
|
$121,353.34
|
$74,136.70
|
2026-04-01
|
|
9101
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$27,387.23
|
$120,951.18
|
$73,891.01
|
2026-04-01
|
|
9102
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
8
|
—
|
—
|
$27,387.23
|
$120,951.18
|
$73,891.01
|
2026-04-01
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
28
|
8
|
—
|
—
|
$27,208.02
|
$120,159.72
|
$73,407.49
|
2026-04-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
28
|
8
|
—
|
—
|
$27,066.69
|
$119,535.56
|
$73,026.19
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
28
|
8
|
—
|
—
|
$26,998.21
|
$119,233.14
|
$72,841.43
|
2026-04-01
|
|
2794
|
APR_DRG
|
Hepatic Coma And Other Major Acute Liver Disorders
|
28
|
8
|
—
|
—
|
$26,990.93
|
$119,200.97
|
$72,821.77
|
2026-04-01
|
|
3213
|
APR_DRG
|
Decompression
|
28
|
8
|
—
|
—
|
$26,973.44
|
$119,123.75
|
$72,774.60
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
43
|
25
|
—
|
—
|
$23,234.18
|
$161,514.58
|
$78,974.68
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
32
|
23
|
—
|
—
|
$11,791.23
|
$462,742.31
|
$241,399.64
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
24
|
—
|
—
|
$10,808.05
|
$153,282.23
|
$82,456.17
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
63
|
17
|
—
|
—
|
$212.43
|
$292,999.46
|
$76,948.08
|
2026-04-01
|