|
0011
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$133,754.69
|
$133,754.69
|
$133,754.69
|
2026-07-31
|
|
0012
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$134,671.43
|
$134,671.43
|
$134,671.43
|
2026-07-31
|
|
0013
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$163,200.27
|
$163,200.27
|
$163,200.27
|
2026-07-31
|
|
0014
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$270,170.44
|
$270,170.44
|
$270,170.44
|
2026-07-31
|
|
0021
|
OTHER
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$143,394.56
|
$143,394.56
|
$143,394.56
|
2026-07-31
|
|
0022
|
RC
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$175,105.99
|
$175,105.99
|
$175,105.99
|
2026-07-31
|
|
0023
|
RC
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$244,809.32
|
$244,809.32
|
$244,809.32
|
2026-07-31
|
|
0024
|
RC
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$348,469.13
|
$348,469.13
|
$348,469.13
|
2026-07-31
|
|
0041
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$112,776.68
|
$112,776.68
|
$112,776.68
|
2026-07-31
|
|
0042
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$121,911.38
|
$121,911.38
|
$121,911.38
|
2026-07-31
|
|
0043
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$173,728.65
|
$173,728.65
|
$173,728.65
|
2026-07-31
|
|
0044
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$215,732.22
|
$215,732.22
|
$215,732.22
|
2026-07-31
|
|
0053
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$113,876.17
|
$113,876.17
|
$113,876.17
|
2026-07-31
|
|
0054
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$164,507.78
|
$164,507.78
|
$164,507.78
|
2026-07-31
|
|
0062
|
OTHER
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$143,855.16
|
$143,855.16
|
$143,855.16
|
2026-07-31
|
|
0063
|
OTHER
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$170,437.60
|
$170,437.60
|
$170,437.60
|
2026-07-31
|
|
0064
|
OTHER
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$243,827.21
|
$243,827.21
|
$243,827.21
|
2026-07-31
|
|
0071
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$138,197.23
|
$138,197.23
|
$138,197.23
|
2026-07-31
|
|
0072
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$153,656.98
|
$153,656.98
|
$153,656.98
|
2026-07-31
|
|
0073
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$222,568.38
|
$222,568.38
|
$222,568.38
|
2026-07-31
|
|
0074
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$340,836.58
|
$340,836.58
|
$340,836.58
|
2026-07-31
|
|
0083
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
1
|
1
|
—
|
—
|
$108,894.28
|
$108,894.28
|
$108,894.28
|
2026-07-31
|
|
0084
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
1
|
1
|
—
|
—
|
$164,579.09
|
$164,579.09
|
$164,579.09
|
2026-07-31
|
|
0093
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$124,030.13
|
$124,030.13
|
$124,030.13
|
2026-07-31
|
|
0094
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$240,032.48
|
$240,032.48
|
$240,032.48
|
2026-07-31
|
|
0214
|
RC
|
Open Craniotomy Except Trauma
|
1
|
1
|
—
|
—
|
$146,348.33
|
$146,348.33
|
$146,348.33
|
2026-07-31
|
|
0303
|
RC
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
1
|
1
|
—
|
—
|
$120,482.04
|
$120,482.04
|
$120,482.04
|
2026-07-31
|
|
0304
|
RC
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
1
|
1
|
—
|
—
|
$161,418.80
|
$161,418.80
|
$161,418.80
|
2026-07-31
|
|
0894
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$102,254.24
|
$102,254.24
|
$102,254.24
|
2026-07-31
|
|
0914
|
RC
|
Other Major Head And Neck Procedures
|
1
|
1
|
—
|
—
|
$104,933.14
|
$104,933.14
|
$104,933.14
|
2026-07-31
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
21
|
6
|
—
|
—
|
$163,928.00
|
$163,928.00
|
$163,928.00
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
21
|
6
|
—
|
—
|
$184,633.00
|
$184,633.00
|
$184,633.00
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
21
|
6
|
—
|
—
|
$121,494.00
|
$121,494.00
|
$121,494.00
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
21
|
6
|
—
|
—
|
$220,296.00
|
$220,296.00
|
$220,296.00
|
2026-02-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
21
|
6
|
—
|
—
|
$134,197.00
|
$134,197.00
|
$134,197.00
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
21
|
6
|
—
|
—
|
$191,032.00
|
$191,032.00
|
$191,032.00
|
2026-02-28
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$107,629.87
|
$107,629.87
|
$107,629.87
|
2026-07-31
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
21
|
6
|
—
|
—
|
$381,048.00
|
$381,048.00
|
$381,048.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
21
|
6
|
—
|
—
|
$140,303.00
|
$140,303.00
|
$140,303.00
|
2026-02-28
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$100,588.66
|
$100,588.66
|
$100,588.66
|
2026-07-31
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
21
|
6
|
—
|
—
|
$261,365.00
|
$261,365.00
|
$261,365.00
|
2026-02-28
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$175,114.90
|
$175,114.90
|
$175,114.90
|
2026-07-31
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
21
|
6
|
—
|
—
|
$360,943.00
|
$360,943.00
|
$360,943.00
|
2026-02-28
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$174,262.05
|
$174,262.05
|
$174,262.05
|
2026-07-31
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
21
|
6
|
—
|
—
|
$379,939.00
|
$379,939.00
|
$379,939.00
|
2026-02-28
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$218,599.81
|
$218,599.81
|
$218,599.81
|
2026-07-31
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
21
|
6
|
—
|
—
|
$473,204.00
|
$473,204.00
|
$473,204.00
|
2026-02-28
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$306,385.33
|
$306,385.33
|
$306,385.33
|
2026-07-31
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
21
|
6
|
—
|
—
|
$617,675.00
|
$617,675.00
|
$617,675.00
|
2026-02-28
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$383,538.47
|
$383,538.47
|
$383,538.47
|
2026-07-31
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$111,870.00
|
$111,870.00
|
$111,870.00
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$121,657.00
|
$121,657.00
|
$121,657.00
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$143,219.00
|
$143,219.00
|
$143,219.00
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$201,410.00
|
$201,410.00
|
$201,410.00
|
2026-02-28
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$142,825.50
|
$142,825.50
|
$142,825.50
|
2026-07-31
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$107,839.00
|
$107,839.00
|
$107,839.00
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$183,770.00
|
$183,770.00
|
$183,770.00
|
2026-02-28
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$138,681.60
|
$138,681.60
|
$138,681.60
|
2026-07-31
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$128,431.00
|
$128,431.00
|
$128,431.00
|
2026-02-28
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$102,997.14
|
$102,997.14
|
$102,997.14
|
2026-07-31
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
21
|
6
|
—
|
—
|
$138,377.00
|
$138,377.00
|
$138,377.00
|
2026-02-28
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$120,351.29
|
$120,351.29
|
$120,351.29
|
2026-07-31
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
21
|
6
|
—
|
—
|
$107,185.00
|
$107,185.00
|
$107,185.00
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
21
|
6
|
—
|
—
|
$190,103.00
|
$190,103.00
|
$190,103.00
|
2026-02-28
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$116,489.69
|
$116,489.69
|
$116,489.69
|
2026-07-31
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
21
|
6
|
—
|
—
|
$102,754.00
|
$102,754.00
|
$102,754.00
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
21
|
6
|
—
|
—
|
$173,890.00
|
$173,890.00
|
$173,890.00
|
2026-02-28
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
21
|
6
|
—
|
—
|
$114,037.00
|
$114,037.00
|
$114,037.00
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
21
|
6
|
—
|
—
|
$131,362.00
|
$131,362.00
|
$131,362.00
|
2026-02-28
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
21
|
6
|
—
|
—
|
$128,001.00
|
$128,001.00
|
$128,001.00
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
21
|
6
|
—
|
—
|
$143,512.00
|
$143,512.00
|
$143,512.00
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
21
|
6
|
—
|
—
|
$154,037.00
|
$154,037.00
|
$154,037.00
|
2026-02-28
|
|
1783
|
OTHER
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$103,377.51
|
$103,377.51
|
$103,377.51
|
2026-07-31
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
21
|
6
|
—
|
—
|
$195,867.00
|
$195,867.00
|
$195,867.00
|
2026-02-28
|
|
1784
|
OTHER
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$147,388.39
|
$147,388.39
|
$147,388.39
|
2026-07-31
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
21
|
6
|
—
|
—
|
$156,654.00
|
$156,654.00
|
$156,654.00
|
2026-02-28
|
|
1794
|
OTHER
|
Defibrillator Implants
|
1
|
1
|
—
|
—
|
$117,584.73
|
$117,584.73
|
$117,584.73
|
2026-07-31
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
21
|
6
|
—
|
—
|
$125,822.00
|
$125,822.00
|
$125,822.00
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
21
|
6
|
—
|
—
|
$102,082.00
|
$102,082.00
|
$102,082.00
|
2026-02-28
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
21
|
6
|
—
|
—
|
$102,935.00
|
$102,935.00
|
$102,935.00
|
2026-02-28
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
21
|
6
|
—
|
—
|
$110,913.00
|
$110,913.00
|
$110,913.00
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
21
|
6
|
—
|
—
|
$123,577.00
|
$123,577.00
|
$123,577.00
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
21
|
6
|
—
|
—
|
$181,079.00
|
$181,079.00
|
$181,079.00
|
2026-02-28
|
|
1834
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$127,269.17
|
$127,269.17
|
$127,269.17
|
2026-07-31
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
21
|
6
|
—
|
—
|
$129,762.00
|
$129,762.00
|
$129,762.00
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
21
|
6
|
—
|
—
|
$234,501.00
|
$234,501.00
|
$234,501.00
|
2026-02-28
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
21
|
6
|
—
|
—
|
$102,211.00
|
$102,211.00
|
$102,211.00
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
21
|
6
|
—
|
—
|
$170,592.00
|
$170,592.00
|
$170,592.00
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
21
|
6
|
—
|
—
|
$273,544.00
|
$273,544.00
|
$273,544.00
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
21
|
6
|
—
|
—
|
$103,078.00
|
$103,078.00
|
$103,078.00
|
2026-02-28
|
|
2224
|
APR_DRG
|
Other Stomach Esophageal And Duodenal Procedures
|
21
|
6
|
—
|
—
|
$105,006.00
|
$105,006.00
|
$105,006.00
|
2026-02-28
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
21
|
6
|
—
|
—
|
$100,924.00
|
$100,924.00
|
$100,924.00
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
21
|
6
|
—
|
—
|
$115,329.00
|
$115,329.00
|
$115,329.00
|
2026-02-28
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
21
|
6
|
—
|
—
|
$117,794.00
|
$117,794.00
|
$117,794.00
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
21
|
6
|
—
|
—
|
$368,602.00
|
$368,602.00
|
$368,602.00
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
21
|
6
|
—
|
—
|
$135,425.00
|
$135,425.00
|
$135,425.00
|
2026-02-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
21
|
6
|
—
|
—
|
$105,256.00
|
$105,256.00
|
$105,256.00
|
2026-02-28
|
|
233
|
APR_DRG
|
Spinal Procedures
|
21
|
6
|
—
|
—
|
$101,217.00
|
$101,217.00
|
$101,217.00
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
21
|
6
|
—
|
—
|
$152,621.00
|
$152,621.00
|
$152,621.00
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
21
|
6
|
—
|
—
|
$596,076.00
|
$596,076.00
|
$596,076.00
|
2026-02-28
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
21
|
6
|
—
|
—
|
$100,917.00
|
$100,917.00
|
$100,917.00
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
21
|
6
|
—
|
—
|
$184,294.00
|
$184,294.00
|
$184,294.00
|
2026-02-28
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
1
|
1
|
—
|
—
|
$104,592.89
|
$104,592.89
|
$104,592.89
|
2026-07-31
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
21
|
6
|
—
|
—
|
$130,966.00
|
$130,966.00
|
$130,966.00
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
21
|
6
|
—
|
—
|
$103,454.00
|
$103,454.00
|
$103,454.00
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
21
|
6
|
—
|
—
|
$120,790.00
|
$120,790.00
|
$120,790.00
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
21
|
6
|
—
|
—
|
$128,042.00
|
$128,042.00
|
$128,042.00
|
2026-02-28
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
21
|
6
|
—
|
—
|
$109,820.00
|
$109,820.00
|
$109,820.00
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
21
|
6
|
—
|
—
|
$127,529.00
|
$127,529.00
|
$127,529.00
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
21
|
6
|
—
|
—
|
$179,644.00
|
$179,644.00
|
$179,644.00
|
2026-02-28
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$122,226.37
|
$122,226.37
|
$122,226.37
|
2026-07-31
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
21
|
6
|
—
|
—
|
$235,503.00
|
$235,503.00
|
$235,503.00
|
2026-02-28
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$164,287.88
|
$164,287.88
|
$164,287.88
|
2026-07-31
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
21
|
6
|
—
|
—
|
$125,888.00
|
$125,888.00
|
$125,888.00
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
21
|
6
|
—
|
—
|
$183,890.00
|
$183,890.00
|
$183,890.00
|
2026-02-28
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$118,061.67
|
$118,061.67
|
$118,061.67
|
2026-07-31
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
21
|
6
|
—
|
—
|
$106,996.00
|
$106,996.00
|
$106,996.00
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
21
|
6
|
—
|
—
|
$160,563.00
|
$160,563.00
|
$160,563.00
|
2026-02-28
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
21
|
6
|
—
|
—
|
$106,306.00
|
$106,306.00
|
$106,306.00
|
2026-02-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
21
|
6
|
—
|
—
|
$128,203.00
|
$128,203.00
|
$128,203.00
|
2026-02-28
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
21
|
6
|
—
|
—
|
$104,030.00
|
$104,030.00
|
$104,030.00
|
2026-02-28
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
21
|
6
|
—
|
—
|
$131,592.00
|
$131,592.00
|
$131,592.00
|
2026-02-28
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
21
|
6
|
—
|
—
|
$102,339.00
|
$102,339.00
|
$102,339.00
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
21
|
6
|
—
|
—
|
$135,975.00
|
$135,975.00
|
$135,975.00
|
2026-02-28
|
|
3644
|
APR_DRG
|
Other Skin Subcutaneous Tissue And Related Procedures
|
21
|
6
|
—
|
—
|
$109,487.00
|
$109,487.00
|
$109,487.00
|
2026-02-28
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
21
|
6
|
—
|
—
|
$125,479.00
|
$125,479.00
|
$125,479.00
|
2026-02-28
|
|
404
|
APR_DRG
|
Spinal Disorders And Injuries
|
21
|
6
|
—
|
—
|
$137,864.00
|
$137,864.00
|
$137,864.00
|
2026-02-28
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
21
|
6
|
—
|
—
|
$123,311.00
|
$123,311.00
|
$123,311.00
|
2026-02-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
21
|
6
|
—
|
—
|
$124,170.00
|
$124,170.00
|
$124,170.00
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
21
|
6
|
—
|
—
|
$121,607.00
|
$121,607.00
|
$121,607.00
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
21
|
6
|
—
|
—
|
$170,200.00
|
$170,200.00
|
$170,200.00
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
21
|
6
|
—
|
—
|
$245,388.00
|
$245,388.00
|
$245,388.00
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
21
|
6
|
—
|
—
|
$370,869.00
|
$370,869.00
|
$370,869.00
|
2026-02-28
|
|
4401
|
OTHER
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$147,195.23
|
$147,195.23
|
$147,195.23
|
2026-07-31
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
21
|
6
|
—
|
—
|
$113,020.00
|
$113,020.00
|
$113,020.00
|
2026-02-28
|
|
4402
|
OTHER
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$289,453.16
|
$289,453.16
|
$289,453.16
|
2026-07-31
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
21
|
6
|
—
|
—
|
$231,070.00
|
$231,070.00
|
$231,070.00
|
2026-02-28
|
|
4403
|
OTHER
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$346,445.47
|
$346,445.47
|
$346,445.47
|
2026-07-31
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
21
|
6
|
—
|
—
|
$269,419.00
|
$269,419.00
|
$269,419.00
|
2026-02-28
|
|
4404
|
OTHER
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$509,910.22
|
$509,910.22
|
$509,910.22
|
2026-07-31
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
21
|
6
|
—
|
—
|
$408,727.00
|
$408,727.00
|
$408,727.00
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
21
|
6
|
—
|
—
|
$150,893.00
|
$150,893.00
|
$150,893.00
|
2026-02-28
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$102,603.40
|
$102,603.40
|
$102,603.40
|
2026-07-31
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
21
|
6
|
—
|
—
|
$112,322.00
|
$112,322.00
|
$112,322.00
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
21
|
6
|
—
|
—
|
$107,504.00
|
$107,504.00
|
$107,504.00
|
2026-02-28
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
21
|
6
|
—
|
—
|
$114,176.00
|
$114,176.00
|
$114,176.00
|
2026-02-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
21
|
6
|
—
|
—
|
$128,077.00
|
$128,077.00
|
$128,077.00
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
21
|
6
|
—
|
—
|
$115,620.00
|
$115,620.00
|
$115,620.00
|
2026-02-28
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
21
|
6
|
—
|
—
|
$102,669.00
|
$102,669.00
|
$102,669.00
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
21
|
6
|
—
|
—
|
$135,432.00
|
$135,432.00
|
$135,432.00
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
21
|
6
|
—
|
—
|
$233,457.00
|
$233,457.00
|
$233,457.00
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
21
|
6
|
—
|
—
|
$344,525.00
|
$344,525.00
|
$344,525.00
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
21
|
6
|
—
|
—
|
$397,499.00
|
$397,499.00
|
$397,499.00
|
2026-02-28
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$181,826.26
|
$181,826.26
|
$181,826.26
|
2026-07-31
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
21
|
6
|
—
|
—
|
$459,973.00
|
$459,973.00
|
$459,973.00
|
2026-02-28
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$287,114.51
|
$287,114.51
|
$287,114.51
|
2026-07-31
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
21
|
6
|
—
|
—
|
$623,773.00
|
$623,773.00
|
$623,773.00
|
2026-02-28
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$302,277.10
|
$302,277.10
|
$302,277.10
|
2026-07-31
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
21
|
6
|
—
|
—
|
$787,573.00
|
$787,573.00
|
$787,573.00
|
2026-02-28
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$496,151.71
|
$496,151.71
|
$496,151.71
|
2026-07-31
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
21
|
6
|
—
|
—
|
$268,254.00
|
$268,254.00
|
$268,254.00
|
2026-02-28
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$121,211.56
|
$121,211.56
|
$121,211.56
|
2026-07-31
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
21
|
6
|
—
|
—
|
$407,532.00
|
$407,532.00
|
$407,532.00
|
2026-02-28
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$175,357.09
|
$175,357.09
|
$175,357.09
|
2026-07-31
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
21
|
6
|
—
|
—
|
$422,263.00
|
$422,263.00
|
$422,263.00
|
2026-02-28
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$255,798.30
|
$255,798.30
|
$255,798.30
|
2026-07-31
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
21
|
6
|
—
|
—
|
$589,506.00
|
$589,506.00
|
$589,506.00
|
2026-02-28
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$508,195.60
|
$508,195.60
|
$508,195.60
|
2026-07-31
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
1
|
1
|
—
|
—
|
$351,660.63
|
$351,660.63
|
$351,660.63
|
2026-07-31
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
21
|
6
|
—
|
—
|
$126,218.00
|
$126,218.00
|
$126,218.00
|
2026-02-28
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
1
|
1
|
—
|
—
|
$319,692.16
|
$319,692.16
|
$319,692.16
|
2026-07-31
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
21
|
6
|
—
|
—
|
$104,780.00
|
$104,780.00
|
$104,780.00
|
2026-02-28
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
1
|
1
|
—
|
—
|
$304,468.65
|
$304,468.65
|
$304,468.65
|
2026-07-31
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$289,463.56
|
$289,463.56
|
$289,463.56
|
2026-07-31
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$126,836.00
|
$126,836.00
|
$126,836.00
|
2026-02-28
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$329,655.93
|
$329,655.93
|
$329,655.93
|
2026-07-31
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$224,981.00
|
$224,981.00
|
$224,981.00
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$462,838.00
|
$462,838.00
|
$462,838.00
|
2026-02-28
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$385,829.57
|
$385,829.57
|
$385,829.57
|
2026-07-31
|
|
5931
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$205,815.99
|
$205,815.99
|
$205,815.99
|
2026-07-31
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$199,910.00
|
$199,910.00
|
$199,910.00
|
2026-02-28
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$228,683.94
|
$228,683.94
|
$228,683.94
|
2026-07-31
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$222,122.00
|
$222,122.00
|
$222,122.00
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$352,451.00
|
$352,451.00
|
$352,451.00
|
2026-02-28
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$230,065.73
|
$230,065.73
|
$230,065.73
|
2026-07-31
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
21
|
6
|
—
|
—
|
$460,047.00
|
$460,047.00
|
$460,047.00
|
2026-02-28
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$354,293.47
|
$354,293.47
|
$354,293.47
|
2026-07-31
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$191,460.00
|
$191,460.00
|
$191,460.00
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$212,732.00
|
$212,732.00
|
$212,732.00
|
2026-02-28
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$178,352.46
|
$178,352.46
|
$178,352.46
|
2026-07-31
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$336,142.00
|
$336,142.00
|
$336,142.00
|
2026-02-28
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$202,686.89
|
$202,686.89
|
$202,686.89
|
2026-07-31
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$382,207.00
|
$382,207.00
|
$382,207.00
|
2026-02-28
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$308,655.63
|
$308,655.63
|
$308,655.63
|
2026-07-31
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$113,004.00
|
$113,004.00
|
$113,004.00
|
2026-07-31
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$206,423.68
|
$206,423.68
|
$206,423.68
|
2026-07-31
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
21
|
6
|
—
|
—
|
$164,811.00
|
$164,811.00
|
$164,811.00
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
21
|
6
|
—
|
—
|
$338,679.00
|
$338,679.00
|
$338,679.00
|
2026-02-28
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$242,114.08
|
$242,114.08
|
$242,114.08
|
2026-07-31
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$133,384.00
|
$133,384.00
|
$133,384.00
|
2026-02-28
|
|
6072
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$127,835.26
|
$127,835.26
|
$127,835.26
|
2026-07-31
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$242,686.00
|
$242,686.00
|
$242,686.00
|
2026-02-28
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$159,320.85
|
$159,320.85
|
$159,320.85
|
2026-07-31
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$311,954.00
|
$311,954.00
|
$311,954.00
|
2026-02-28
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$236,927.15
|
$236,927.15
|
$236,927.15
|
2026-07-31
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
21
|
6
|
—
|
—
|
$109,022.00
|
$109,022.00
|
$109,022.00
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
21
|
6
|
—
|
—
|
$139,880.00
|
$139,880.00
|
$139,880.00
|
2026-02-28
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$119,849.09
|
$119,849.09
|
$119,849.09
|
2026-07-31
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$212,072.69
|
$212,072.69
|
$212,072.69
|
2026-07-31
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
21
|
6
|
—
|
—
|
$146,875.00
|
$146,875.00
|
$146,875.00
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
21
|
6
|
—
|
—
|
$201,408.00
|
$201,408.00
|
$201,408.00
|
2026-02-28
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$153,038.89
|
$153,038.89
|
$153,038.89
|
2026-07-31
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
21
|
6
|
—
|
—
|
$404,268.00
|
$404,268.00
|
$404,268.00
|
2026-02-28
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$329,860.97
|
$329,860.97
|
$329,860.97
|
2026-07-31
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
21
|
6
|
—
|
—
|
$161,459.00
|
$161,459.00
|
$161,459.00
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
21
|
6
|
—
|
—
|
$141,064.00
|
$141,064.00
|
$141,064.00
|
2026-02-28
|
|
6113
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$104,011.94
|
$104,011.94
|
$104,011.94
|
2026-07-31
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
21
|
6
|
—
|
—
|
$178,233.00
|
$178,233.00
|
$178,233.00
|
2026-02-28
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$175,523.50
|
$175,523.50
|
$175,523.50
|
2026-07-31
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$138,995.00
|
$138,995.00
|
$138,995.00
|
2026-02-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$160,350.00
|
$160,350.00
|
$160,350.00
|
2026-02-28
|
|
6123
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$115,665.07
|
$115,665.07
|
$115,665.07
|
2026-07-31
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
21
|
6
|
—
|
—
|
$228,007.00
|
$228,007.00
|
$228,007.00
|
2026-02-28
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$151,450.57
|
$151,450.57
|
$151,450.57
|
2026-07-31
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
21
|
6
|
—
|
—
|
$107,846.00
|
$107,846.00
|
$107,846.00
|
2026-02-28
|
|
6133
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
1
|
1
|
—
|
—
|
$103,102.63
|
$103,102.63
|
$103,102.63
|
2026-07-31
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
21
|
6
|
—
|
—
|
$165,385.00
|
$165,385.00
|
$165,385.00
|
2026-02-28
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
1
|
1
|
—
|
—
|
$135,626.80
|
$135,626.80
|
$135,626.80
|
2026-07-31
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
21
|
6
|
—
|
—
|
$104,193.00
|
$104,193.00
|
$104,193.00
|
2026-02-28
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
1
|
1
|
—
|
—
|
$143,590.68
|
$143,590.68
|
$143,590.68
|
2026-07-31
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
21
|
6
|
—
|
—
|
$132,905.00
|
$132,905.00
|
$132,905.00
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
21
|
6
|
—
|
—
|
$205,406.00
|
$205,406.00
|
$205,406.00
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
21
|
6
|
—
|
—
|
$153,952.00
|
$153,952.00
|
$153,952.00
|
2026-02-28
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$149,184.72
|
$149,184.72
|
$149,184.72
|
2026-07-31
|
|
6224
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$103,280.93
|
$103,280.93
|
$103,280.93
|
2026-07-31
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
21
|
6
|
—
|
—
|
$236,616.00
|
$236,616.00
|
$236,616.00
|
2026-02-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
21
|
6
|
—
|
—
|
$143,747.00
|
$143,747.00
|
$143,747.00
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
21
|
6
|
—
|
—
|
$226,566.00
|
$226,566.00
|
$226,566.00
|
2026-02-28
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$155,491.94
|
$155,491.94
|
$155,491.94
|
2026-07-31
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
21
|
6
|
—
|
—
|
$468,908.00
|
$468,908.00
|
$468,908.00
|
2026-02-28
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$270,234.33
|
$270,234.33
|
$270,234.33
|
2026-07-31
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
21
|
6
|
—
|
—
|
$144,899.00
|
$144,899.00
|
$144,899.00
|
2026-02-28
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$105,062.40
|
$105,062.40
|
$105,062.40
|
2026-07-31
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
21
|
6
|
—
|
—
|
$332,492.00
|
$332,492.00
|
$332,492.00
|
2026-02-28
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$241,562.85
|
$241,562.85
|
$241,562.85
|
2026-07-31
|
|
6333
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
21
|
6
|
—
|
—
|
$113,300.00
|
$113,300.00
|
$113,300.00
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
21
|
6
|
—
|
—
|
$206,421.00
|
$206,421.00
|
$206,421.00
|
2026-02-28
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$114,938.52
|
$114,938.52
|
$114,938.52
|
2026-07-31
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
21
|
6
|
—
|
—
|
$105,022.00
|
$105,022.00
|
$105,022.00
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
21
|
6
|
—
|
—
|
$336,509.00
|
$336,509.00
|
$336,509.00
|
2026-02-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
21
|
6
|
—
|
—
|
$111,244.00
|
$111,244.00
|
$111,244.00
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
21
|
6
|
—
|
—
|
$124,688.00
|
$124,688.00
|
$124,688.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
21
|
6
|
—
|
—
|
$159,637.00
|
$159,637.00
|
$159,637.00
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
21
|
6
|
—
|
—
|
$131,355.00
|
$131,355.00
|
$131,355.00
|
2026-02-28
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
21
|
6
|
—
|
—
|
$128,425.00
|
$128,425.00
|
$128,425.00
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
21
|
6
|
—
|
—
|
$141,267.00
|
$141,267.00
|
$141,267.00
|
2026-02-28
|
|
6904
|
OTHER
|
Acute Leukemia
|
1
|
1
|
—
|
—
|
$122,673.59
|
$122,673.59
|
$122,673.59
|
2026-07-31
|
|
6954
|
OTHER
|
Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$150,874.08
|
$150,874.08
|
$150,874.08
|
2026-07-31
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
21
|
6
|
—
|
—
|
$130,383.00
|
$130,383.00
|
$130,383.00
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
6
|
—
|
—
|
$160,398.00
|
$160,398.00
|
$160,398.00
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
21
|
6
|
—
|
—
|
$108,457.00
|
$108,457.00
|
$108,457.00
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
6
|
—
|
—
|
$180,140.00
|
$180,140.00
|
$180,140.00
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
6
|
—
|
—
|
$224,759.00
|
$224,759.00
|
$224,759.00
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
6
|
—
|
—
|
$390,776.00
|
$390,776.00
|
$390,776.00
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
21
|
6
|
—
|
—
|
$147,093.00
|
$147,093.00
|
$147,093.00
|
2026-02-28
|
|
7594
|
APR_DRG
|
Eating Disorders
|
21
|
6
|
—
|
—
|
$137,640.00
|
$137,640.00
|
$137,640.00
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
21
|
6
|
—
|
—
|
$153,224.00
|
$153,224.00
|
$153,224.00
|
2026-02-28
|
|
7924
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
1
|
1
|
—
|
—
|
$100,450.48
|
$100,450.48
|
$100,450.48
|
2026-07-31
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
21
|
6
|
—
|
—
|
$105,311.00
|
$105,311.00
|
$105,311.00
|
2026-02-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
21
|
6
|
—
|
—
|
$104,145.00
|
$104,145.00
|
$104,145.00
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
21
|
6
|
—
|
—
|
$117,294.00
|
$117,294.00
|
$117,294.00
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
21
|
6
|
—
|
—
|
$186,805.00
|
$186,805.00
|
$186,805.00
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
21
|
6
|
—
|
—
|
$159,854.00
|
$159,854.00
|
$159,854.00
|
2026-02-28
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$130,524.56
|
$130,524.56
|
$130,524.56
|
2026-07-31
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
21
|
6
|
—
|
—
|
$435,587.00
|
$435,587.00
|
$435,587.00
|
2026-02-28
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$269,489.95
|
$269,489.95
|
$269,489.95
|
2026-07-31
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
21
|
6
|
—
|
—
|
$220,133.00
|
$220,133.00
|
$220,133.00
|
2026-02-28
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
1
|
1
|
—
|
—
|
$139,072.37
|
$139,072.37
|
$139,072.37
|
2026-07-31
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
21
|
6
|
—
|
—
|
$153,408.00
|
$153,408.00
|
$153,408.00
|
2026-02-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
21
|
6
|
—
|
—
|
$110,885.00
|
$110,885.00
|
$110,885.00
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
21
|
6
|
—
|
—
|
$177,668.00
|
$177,668.00
|
$177,668.00
|
2026-02-28
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$132,949.38
|
$132,949.38
|
$132,949.38
|
2026-07-31
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
21
|
6
|
—
|
—
|
$132,964.00
|
$132,964.00
|
$132,964.00
|
2026-02-28
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
21
|
6
|
—
|
—
|
$110,487.00
|
$110,487.00
|
$110,487.00
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
21
|
6
|
—
|
—
|
$135,888.00
|
$135,888.00
|
$135,888.00
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
21
|
6
|
—
|
—
|
$104,545.00
|
$104,545.00
|
$104,545.00
|
2026-02-28
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
6
|
—
|
—
|
$125,209.00
|
$125,209.00
|
$125,209.00
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
6
|
—
|
—
|
$155,456.00
|
$155,456.00
|
$155,456.00
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
21
|
6
|
—
|
—
|
$226,803.00
|
$226,803.00
|
$226,803.00
|
2026-02-28
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
21
|
6
|
—
|
—
|
$115,268.00
|
$115,268.00
|
$115,268.00
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
21
|
6
|
—
|
—
|
$134,775.00
|
$134,775.00
|
$134,775.00
|
2026-02-28
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
21
|
6
|
—
|
—
|
$101,945.00
|
$101,945.00
|
$101,945.00
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
21
|
6
|
—
|
—
|
$159,722.00
|
$159,722.00
|
$159,722.00
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
21
|
6
|
—
|
—
|
$127,386.00
|
$127,386.00
|
$127,386.00
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
21
|
6
|
—
|
—
|
$109,289.00
|
$109,289.00
|
$109,289.00
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
21
|
6
|
—
|
—
|
$174,655.00
|
$174,655.00
|
$174,655.00
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
21
|
6
|
—
|
—
|
$332,333.00
|
$332,333.00
|
$332,333.00
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
21
|
6
|
—
|
—
|
$152,165.00
|
$152,165.00
|
$152,165.00
|
2026-02-28
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$115,991.95
|
$115,991.95
|
$115,991.95
|
2026-07-31
|
|
9514
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$118,629.24
|
$118,629.24
|
$118,629.24
|
2026-07-31
|