|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$1,600.00
|
$98,975.39
|
$94,476.51
|
2026-07-17
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$1,600.00
|
$98,975.39
|
$94,476.51
|
2026-07-17
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$1,600.00
|
$98,975.39
|
$94,476.51
|
2026-07-17
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$1,600.00
|
$98,975.39
|
$94,476.51
|
2026-07-17
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$81,819.97
|
$78,100.88
|
2026-07-17
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$59,641.12
|
$56,930.16
|
2026-07-17
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$59,278.36
|
$56,583.89
|
2026-07-17
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$1,600.00
|
$54,754.73
|
$52,265.88
|
2026-07-17
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$1,600.00
|
$71,775.80
|
$68,513.27
|
2026-07-17
|
|
1314
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease
|
5
|
5
|
—
|
—
|
$1,600.00
|
$46,005.72
|
$43,914.55
|
2026-07-17
|
|
1324
|
APR_DRG
|
Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,441.44
|
$58,648.64
|
2026-07-17
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$140,089.83
|
$133,722.11
|
2026-07-17
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$108,111.89
|
$108,111.89
|
$108,111.89
|
2026-07-17
|
|
1601
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,905.03
|
$46,682.08
|
2026-07-17
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$55,480.23
|
$52,958.40
|
2026-07-17
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$80,381.06
|
$76,727.37
|
2026-07-17
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$195,864.77
|
$186,961.82
|
2026-07-17
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$349,284.16
|
$333,407.60
|
2026-07-17
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$349,284.16
|
$333,407.60
|
2026-07-17
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$349,284.16
|
$333,407.60
|
2026-07-17
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$451,272.21
|
$430,759.83
|
2026-07-17
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$58,219.67
|
$55,573.32
|
2026-07-17
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$74,896.80
|
$71,492.40
|
2026-07-17
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$103,267.93
|
$98,573.94
|
2026-07-17
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$47,634.07
|
$45,468.89
|
2026-07-17
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,964.07
|
$59,147.52
|
2026-07-17
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$104,444.87
|
$99,697.37
|
2026-07-17
|
|
1651
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,323.21
|
$43,263.07
|
2026-07-17
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,323.21
|
$43,263.07
|
2026-07-17
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$53,610.05
|
$51,173.23
|
2026-07-17
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$74,766.48
|
$71,368.01
|
2026-07-17
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$107,855.07
|
$107,855.07
|
$107,855.07
|
2026-07-17
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$44,435.02
|
$46,998.58
|
$45,075.91
|
2026-07-17
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$65,153.88
|
$68,912.76
|
$66,093.60
|
2026-07-17
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$52,579.57
|
$50,189.59
|
2026-07-17
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$82,433.96
|
$78,686.96
|
2026-07-17
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$44,924.19
|
$42,882.18
|
2026-07-17
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$67,829.88
|
$64,746.71
|
2026-07-17
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$1,600.00
|
$53,172.06
|
$50,755.15
|
2026-07-17
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,053.25
|
$45,869.01
|
2026-07-17
|
|
1763
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
5
|
5
|
—
|
—
|
$1,600.00
|
$47,233.69
|
$45,086.71
|
2026-07-17
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,156.61
|
$58,376.77
|
2026-07-17
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$71,688.47
|
$68,429.91
|
2026-07-17
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$71,688.47
|
$68,429.91
|
2026-07-17
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$71,688.47
|
$68,429.91
|
2026-07-17
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$1,600.00
|
$120,749.84
|
$115,261.21
|
2026-07-17
|
|
1791
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$1,600.00
|
$51,060.04
|
$48,739.13
|
2026-07-17
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$1,600.00
|
$53,400.46
|
$50,973.16
|
2026-07-17
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,037.03
|
$58,262.62
|
2026-07-17
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$1,600.00
|
$82,976.74
|
$79,205.07
|
2026-07-17
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$46,313.39
|
$44,208.23
|
2026-07-17
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$65,809.23
|
$62,817.90
|
2026-07-17
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$64,620.20
|
$61,682.92
|
2026-07-17
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$74,440.00
|
$71,056.37
|
2026-07-17
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$76,588.29
|
$73,107.01
|
2026-07-17
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$85,282.22
|
$81,405.75
|
2026-07-17
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$121,199.91
|
$115,690.83
|
2026-07-17
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$87,057.01
|
$83,099.88
|
2026-07-17
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$69,448.82
|
$66,292.05
|
2026-07-17
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$176,008.87
|
$168,008.46
|
2026-07-17
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$51,962.89
|
$49,600.94
|
2026-07-17
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$82,286.17
|
$78,545.89
|
2026-07-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$282,292.48
|
$282,292.48
|
$282,292.48
|
2026-07-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$189,736.86
|
$189,736.86
|
$189,736.86
|
2026-07-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$189,736.86
|
$189,736.86
|
$189,736.86
|
2026-07-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$221,565.03
|
$221,565.03
|
$221,565.03
|
2026-07-17
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$176,008.87
|
$168,008.46
|
2026-07-17
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$153,883.28
|
$153,883.28
|
$153,883.28
|
2026-07-17
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$76,736.08
|
$73,248.07
|
2026-07-17
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$145,440.01
|
$145,440.01
|
$145,440.01
|
2026-07-17
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$47,565.55
|
$45,403.48
|
2026-07-17
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$51,275.00
|
$48,944.32
|
2026-07-17
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$100,433.11
|
$95,867.97
|
2026-07-17
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$55,450.67
|
$52,930.18
|
2026-07-17
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,932.83
|
$47,663.15
|
2026-07-17
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$62,678.81
|
$59,829.78
|
2026-07-17
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$176,008.87
|
$168,008.46
|
2026-07-17
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$69,640.95
|
$66,475.45
|
2026-07-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
2
|
1
|
—
|
—
|
$243,253.20
|
$243,253.20
|
$243,253.20
|
2026-07-17
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,118.65
|
$46,885.99
|
2026-07-17
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
2
|
1
|
—
|
—
|
$174,942.39
|
$174,942.39
|
$174,942.39
|
2026-07-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
2
|
1
|
—
|
—
|
$220,609.89
|
$220,609.89
|
$220,609.89
|
2026-07-17
|
|
233
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,027.72
|
$45,844.64
|
2026-07-17
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
2
|
1
|
—
|
—
|
$157,631.67
|
$157,631.67
|
$157,631.67
|
2026-07-17
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$71,833.58
|
$68,568.41
|
2026-07-17
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
2
|
1
|
—
|
—
|
$169,344.32
|
$169,344.32
|
$169,344.32
|
2026-07-17
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
2
|
1
|
—
|
—
|
$120,872.01
|
$120,872.01
|
$120,872.01
|
2026-07-17
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$396,905.27
|
$378,864.12
|
2026-07-17
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$92,131.44
|
$48,983.69
|
2026-07-17
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,656.07
|
$47,398.97
|
2026-07-17
|
|
2484
|
APR_DRG
|
Major Gastrointestinal And Peritoneal Infections
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,606.36
|
$47,351.52
|
2026-07-17
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
2
|
1
|
—
|
—
|
$100,658.38
|
$100,658.38
|
$100,658.38
|
2026-07-17
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$68,642.71
|
$65,522.58
|
2026-07-17
|
|
2613
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,316.16
|
$47,074.51
|
2026-07-17
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$50,541.45
|
$48,244.11
|
2026-07-17
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$73,336.97
|
$70,003.47
|
2026-07-17
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$63,198.76
|
$60,326.09
|
2026-07-17
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
2
|
1
|
—
|
—
|
$176,841.11
|
$176,841.11
|
$176,841.11
|
2026-07-17
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$137,377.64
|
$137,377.64
|
$137,377.64
|
2026-07-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
2
|
1
|
—
|
—
|
$198,468.68
|
$198,468.68
|
$198,468.68
|
2026-07-17
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
2
|
1
|
—
|
—
|
$121,864.66
|
$121,864.66
|
$121,864.66
|
2026-07-17
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
2
|
1
|
—
|
—
|
$152,252.91
|
$152,252.91
|
$152,252.91
|
2026-07-17
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
2
|
1
|
—
|
—
|
$102,620.59
|
$102,620.59
|
$102,620.59
|
2026-07-17
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
2
|
1
|
—
|
—
|
$119,045.42
|
$119,045.42
|
$119,045.42
|
2026-07-17
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
3
|
2
|
—
|
—
|
$5,835.94
|
$94,985.30
|
$94,985.30
|
2026-07-17
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$67,944.07
|
$64,855.71
|
2026-07-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
2
|
1
|
—
|
—
|
$205,754.83
|
$205,754.83
|
$205,754.83
|
2026-07-17
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
2
|
1
|
—
|
—
|
$173,326.45
|
$173,326.45
|
$173,326.45
|
2026-07-17
|
|
277
|
MS_DRG
|
Cellulitis Age >17 W Cc
|
2
|
1
|
—
|
—
|
$133,271.44
|
$133,271.44
|
$133,271.44
|
2026-07-17
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$66,119.57
|
$63,114.14
|
2026-07-17
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,753.14
|
$43,673.45
|
2026-07-17
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$1,600.00
|
$60,427.08
|
$57,680.40
|
2026-07-17
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$1,600.00
|
$75,330.76
|
$71,906.64
|
2026-07-17
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$1,600.00
|
$109,401.12
|
$104,428.34
|
2026-07-17
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$1,600.00
|
$145,813.23
|
$139,185.35
|
2026-07-17
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$68,020.66
|
$64,928.81
|
2026-07-17
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$1,600.00
|
$62,717.78
|
$59,866.97
|
2026-07-17
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$1,600.00
|
$86,441.67
|
$82,512.51
|
2026-07-17
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,926.12
|
$47,656.75
|
2026-07-17
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,763.88
|
$43,683.71
|
2026-07-17
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$1,600.00
|
$78,805.10
|
$75,223.05
|
2026-07-17
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$65,356.46
|
$62,385.71
|
2026-07-17
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
5
|
5
|
—
|
—
|
$1,600.00
|
$53,240.58
|
$50,820.56
|
2026-07-17
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
5
|
5
|
—
|
—
|
$1,600.00
|
$58,221.01
|
$55,574.60
|
2026-07-17
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
2
|
1
|
—
|
—
|
$143,916.41
|
$143,916.41
|
$143,916.41
|
2026-07-17
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
2
|
1
|
—
|
—
|
$132,636.61
|
$132,636.61
|
$132,636.61
|
2026-07-17
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,883.45
|
$43,797.84
|
2026-07-17
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$83,740.11
|
$44,788.03
|
2026-07-17
|
|
3613
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,968.18
|
$46,742.36
|
2026-07-17
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,968.18
|
$46,742.36
|
2026-07-17
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,574.53
|
$46,366.59
|
2026-07-17
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
2
|
1
|
—
|
—
|
$157,856.74
|
$157,856.74
|
$157,856.74
|
2026-07-17
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$64,911.75
|
$61,961.21
|
2026-07-17
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$83,688.17
|
$44,762.06
|
2026-07-17
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$63,229.66
|
$60,355.59
|
2026-07-17
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$95,320.02
|
$50,577.98
|
2026-07-17
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
2
|
1
|
—
|
—
|
$102,802.39
|
$102,802.39
|
$102,802.39
|
2026-07-17
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$63,229.66
|
$60,355.59
|
2026-07-17
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$119,838.97
|
$119,838.97
|
$119,838.97
|
2026-07-17
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$120,966.14
|
$115,467.68
|
2026-07-17
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
5
|
5
|
—
|
—
|
$1,600.00
|
$59,467.80
|
$56,764.72
|
2026-07-17
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$159,595.07
|
$152,340.75
|
2026-07-17
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$51,492.66
|
$49,152.09
|
2026-07-17
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$51,492.66
|
$49,152.09
|
2026-07-17
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$57,354.44
|
$54,747.42
|
2026-07-17
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,526.08
|
$43,456.72
|
2026-07-17
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$62,580.74
|
$59,736.16
|
2026-07-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
1
|
—
|
—
|
$242,488.51
|
$242,488.51
|
$242,488.51
|
2026-07-17
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
1
|
—
|
—
|
$172,071.21
|
$172,071.21
|
$172,071.21
|
2026-07-17
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
1
|
—
|
—
|
$120,404.55
|
$120,404.55
|
$120,404.55
|
2026-07-17
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
4
|
3
|
—
|
—
|
$5,568.35
|
$87,526.02
|
$46,680.98
|
2026-07-17
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
2
|
1
|
—
|
—
|
$139,336.97
|
$139,336.97
|
$139,336.97
|
2026-07-17
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$85,012.66
|
$45,424.30
|
2026-07-17
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$84,037.33
|
$44,936.64
|
2026-07-17
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$88,128.66
|
$84,122.81
|
2026-07-17
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
4
|
3
|
—
|
—
|
$5,568.35
|
$79,985.95
|
$42,910.94
|
2026-07-17
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
2
|
1
|
—
|
—
|
$105,947.69
|
$105,947.69
|
$105,947.69
|
2026-07-17
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
5
|
5
|
—
|
—
|
$1,600.00
|
$51,206.49
|
$48,878.92
|
2026-07-17
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
3
|
2
|
—
|
—
|
$5,835.94
|
$104,623.20
|
$104,623.20
|
2026-07-17
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
3
|
2
|
—
|
—
|
$5,835.94
|
$91,323.47
|
$91,323.47
|
2026-07-17
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$80,539.98
|
$43,187.96
|
2026-07-17
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$66,099.42
|
$63,094.90
|
2026-07-17
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,156.27
|
$46,921.90
|
2026-07-17
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$87,159.55
|
$46,497.75
|
2026-07-17
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$91,961.19
|
$48,898.57
|
2026-07-17
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
2
|
1
|
—
|
—
|
$107,843.53
|
$107,843.53
|
$107,843.53
|
2026-07-17
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,156.27
|
$46,921.90
|
2026-07-17
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$82,822.49
|
$44,329.22
|
2026-07-17
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$81,610.38
|
$77,900.81
|
2026-07-17
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$112,710.20
|
$107,587.01
|
2026-07-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
2
|
1
|
—
|
—
|
$189,047.20
|
$189,047.20
|
$189,047.20
|
2026-07-17
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
2
|
1
|
—
|
—
|
$100,170.72
|
$100,170.72
|
$100,170.72
|
2026-07-17
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
3
|
2
|
—
|
—
|
$5,835.94
|
$93,450.16
|
$93,450.16
|
2026-07-17
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$1,600.00
|
$510,044.54
|
$486,860.69
|
2026-07-17
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$1,600.00
|
$510,044.54
|
$486,860.69
|
2026-07-17
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$1,600.00
|
$536,201.56
|
$511,828.76
|
2026-07-17
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$1,600.00
|
$536,201.56
|
$511,828.76
|
2026-07-17
|
|
5881
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$266,414.42
|
$254,304.68
|
2026-07-17
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$266,414.42
|
$254,304.68
|
2026-07-17
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$280,074.00
|
$267,343.37
|
2026-07-17
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$554,293.41
|
$529,098.26
|
2026-07-17
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$1,600.00
|
$115,303.20
|
$110,062.14
|
2026-07-17
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$1,600.00
|
$115,303.20
|
$110,062.14
|
2026-07-17
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$1,600.00
|
$121,209.32
|
$115,699.80
|
2026-07-17
|
|
5894
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$1,600.00
|
$121,209.32
|
$115,699.80
|
2026-07-17
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$100,254.42
|
$95,697.40
|
2026-07-17
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$100,254.42
|
$95,697.40
|
2026-07-17
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$132,844.22
|
$126,805.84
|
2026-07-17
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$239,699.85
|
$228,804.40
|
2026-07-17
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$102,291.20
|
$97,641.60
|
2026-07-17
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$102,291.20
|
$97,641.60
|
2026-07-17
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$161,609.01
|
$154,263.14
|
2026-07-17
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$258,190.72
|
$246,454.78
|
2026-07-17
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,321.87
|
$58,534.51
|
2026-07-17
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$104,614.15
|
$99,858.96
|
2026-07-17
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$142,931.37
|
$136,434.49
|
2026-07-17
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$176,762.59
|
$168,727.92
|
2026-07-17
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,023.60
|
$58,249.80
|
2026-07-17
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$102,946.83
|
$98,267.43
|
2026-07-17
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$102,946.83
|
$98,267.43
|
2026-07-17
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$63,894.70
|
$60,990.39
|
2026-07-17
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$85,921.74
|
$82,016.20
|
2026-07-17
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$122,891.42
|
$117,305.44
|
2026-07-17
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$174,817.17
|
$166,870.94
|
2026-07-17
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$56,178.86
|
$53,625.27
|
2026-07-17
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$86,643.21
|
$82,704.88
|
2026-07-17
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$86,643.21
|
$82,704.88
|
2026-07-17
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$137,545.20
|
$131,293.14
|
2026-07-17
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$137,545.20
|
$131,293.14
|
2026-07-17
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$144,594.66
|
$138,022.17
|
2026-07-17
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$355,562.43
|
$339,400.50
|
2026-07-17
|
|
6112
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$54,581.42
|
$52,100.44
|
2026-07-17
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$74,156.52
|
$70,785.77
|
2026-07-17
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$137,076.31
|
$130,845.57
|
2026-07-17
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$65,517.68
|
$62,539.61
|
2026-07-17
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$79,881.26
|
$76,250.30
|
2026-07-17
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$128,147.27
|
$122,322.40
|
2026-07-17
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$64,566.47
|
$61,631.63
|
2026-07-17
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$1,600.00
|
$64,566.47
|
$61,631.63
|
2026-07-17
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$83,318.81
|
$44,577.38
|
2026-07-17
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$70,660.68
|
$67,448.83
|
2026-07-17
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$134,602.89
|
$128,484.57
|
2026-07-17
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$85,364.18
|
$81,483.99
|
2026-07-17
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$87,148.01
|
$46,491.97
|
2026-07-17
|
|
6301
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$99,974.97
|
$95,430.66
|
2026-07-17
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$99,974.97
|
$95,430.66
|
2026-07-17
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$152,502.63
|
$145,570.69
|
2026-07-17
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$345,074.91
|
$329,389.68
|
2026-07-17
|
|
6311
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$59,361.67
|
$56,663.41
|
2026-07-17
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$59,361.67
|
$56,663.41
|
2026-07-17
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$115,692.82
|
$110,434.05
|
2026-07-17
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$304,608.04
|
$290,762.22
|
2026-07-17
|
|
6333
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$54,241.51
|
$51,775.98
|
2026-07-17
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$1,600.00
|
$148,693.74
|
$141,934.94
|
2026-07-17
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$86,386.60
|
$82,459.93
|
2026-07-17
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
2
|
1
|
—
|
—
|
$149,947.31
|
$149,947.31
|
$149,947.31
|
2026-07-17
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$80,776.60
|
$43,306.27
|
2026-07-17
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
3
|
2
|
—
|
—
|
$5,835.94
|
$91,871.73
|
$91,871.73
|
2026-07-17
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$81,582.16
|
$77,873.88
|
2026-07-17
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,909.07
|
$46,685.93
|
2026-07-17
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$88,342.64
|
$47,089.29
|
2026-07-17
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$84,259.52
|
$45,047.73
|
2026-07-17
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$1,600.00
|
$70,726.51
|
$67,511.67
|
2026-07-17
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$1,600.00
|
$105,909.30
|
$101,095.24
|
2026-07-17
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$1,600.00
|
$76,261.82
|
$72,795.38
|
2026-07-17
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$1,600.00
|
$120,278.27
|
$114,811.07
|
2026-07-17
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,996.40
|
$46,769.29
|
2026-07-17
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$1,600.00
|
$105,306.06
|
$100,519.42
|
2026-07-17
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$54,234.79
|
$51,769.57
|
2026-07-17
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$132,649.41
|
$126,619.89
|
2026-07-17
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$61,958.69
|
$59,142.38
|
2026-07-17
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
5
|
5
|
—
|
—
|
$1,600.00
|
$60,444.54
|
$57,697.06
|
2026-07-17
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$132,649.41
|
$126,619.89
|
2026-07-17
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$165,670.47
|
$158,140.00
|
2026-07-17
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$53,287.61
|
$50,865.44
|
2026-07-17
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$1,600.00
|
$339,300.45
|
$323,877.70
|
2026-07-17
|
|
7504
|
APR_DRG
|
Schizophrenia
|
5
|
5
|
—
|
—
|
$1,600.00
|
$64,754.56
|
$61,811.17
|
2026-07-17
|
|
7514
|
APR_DRG
|
Major Depressive Disorders And Other Or Unspecified Psychoses
|
5
|
5
|
—
|
—
|
$1,600.00
|
$46,700.32
|
$44,577.58
|
2026-07-17
|
|
7534
|
APR_DRG
|
Bipolar Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$46,095.73
|
$44,000.47
|
2026-07-17
|
|
7544
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
5
|
5
|
—
|
—
|
$1,600.00
|
$158,406.72
|
$151,206.42
|
2026-07-17
|
|
7583
|
APR_DRG
|
Behavioral Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$49,619.79
|
$47,364.35
|
2026-07-17
|
|
7584
|
APR_DRG
|
Behavioral Disorders
|
5
|
5
|
—
|
—
|
$1,600.00
|
$50,000.01
|
$47,727.28
|
2026-07-17
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$1,600.00
|
$97,210.00
|
$92,791.37
|
2026-07-17
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$1,600.00
|
$46,662.70
|
$44,541.67
|
2026-07-17
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
2
|
1
|
—
|
—
|
$130,685.94
|
$130,685.94
|
$130,685.94
|
2026-07-17
|
|
800
|
MS_DRG
|
Splenectomy With Cc
|
4
|
3
|
—
|
—
|
$5,568.35
|
$81,068.05
|
$43,452.00
|
2026-07-17
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$60,737.42
|
$57,976.63
|
2026-07-17
|
|
8154
|
APR_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,866.07
|
$46,644.89
|
2026-07-17
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$60,737.42
|
$57,976.63
|
2026-07-17
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$99,922.57
|
$95,380.63
|
2026-07-17
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$1,600.00
|
$132,979.91
|
$126,935.37
|
2026-07-17
|
|
8411
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$1,600.00
|
$315,842.57
|
$301,486.09
|
2026-07-17
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$1,600.00
|
$315,842.57
|
$301,486.09
|
2026-07-17
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$1,600.00
|
$315,842.57
|
$301,486.09
|
2026-07-17
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$1,600.00
|
$315,842.57
|
$301,486.09
|
2026-07-17
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$1,600.00
|
$69,409.86
|
$66,254.86
|
2026-07-17
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$1,600.00
|
$131,958.84
|
$125,960.71
|
2026-07-17
|
|
8503
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$59,165.51
|
$56,476.17
|
2026-07-17
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$1,600.00
|
$150,367.77
|
$143,532.87
|
2026-07-17
|
|
8624
|
APR_DRG
|
Other Aftercare And Convalescence
|
5
|
5
|
—
|
—
|
$1,600.00
|
$54,393.32
|
$51,920.89
|
2026-07-17
|
|
8632
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$1,600.00
|
$50,940.47
|
$48,625.00
|
2026-07-17
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$1,600.00
|
$91,293.14
|
$87,143.45
|
2026-07-17
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$1,600.00
|
$120,790.14
|
$115,299.68
|
2026-07-17
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,825.77
|
$46,606.41
|
2026-07-17
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$68,961.12
|
$65,826.53
|
2026-07-17
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$1,600.00
|
$72,143.93
|
$68,864.66
|
2026-07-17
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$52,148.29
|
$49,777.92
|
2026-07-17
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$85,913.67
|
$82,008.51
|
2026-07-17
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$73,839.45
|
$70,483.11
|
2026-07-17
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$1,600.00
|
$66,626.09
|
$63,597.63
|
2026-07-17
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$47,206.83
|
$45,061.07
|
2026-07-17
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$89,229.48
|
$85,173.60
|
2026-07-17
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$1,600.00
|
$72,143.93
|
$68,864.66
|
2026-07-17
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$45,180.79
|
$43,127.12
|
2026-07-17
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$1,600.00
|
$72,143.93
|
$68,864.66
|
2026-07-17
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$1,600.00
|
$175,726.73
|
$167,739.15
|
2026-07-17
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$94,473.25
|
$90,179.01
|
2026-07-17
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$62,213.95
|
$59,386.05
|
2026-07-17
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$1,600.00
|
$58,180.71
|
$55,536.13
|
2026-07-17
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
5
|
5
|
—
|
—
|
$1,600.00
|
$48,268.21
|
$46,074.20
|
2026-07-17
|