|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
54
|
18
|
$238,702.00
|
$143,221.20
40% off
|
$4,953.60
|
$202,896.70
|
$73,188.58
|
2026-03-06
|
|
A9543
|
HCPCS
|
Hc Y90 Ibritumomab Tiux/sdto40mci
|
48
|
17
|
$205,976.00
|
$123,585.60
40% off
|
$28,218.71
|
$459,809.29
|
$105,655.93
|
2026-03-06
|
|
37231
|
HCPCS
|
Hc Tib/per Revasc Stent & Ather
|
49
|
17
|
$110,164.00
|
$66,098.40
40% off
|
$1,016.56
|
$93,639.40
|
$43,281.01
|
2026-03-06
|
|
0408T
|
CPT
|
Hc Ins/rplc Ccm System
|
46
|
15
|
$86,071.00
|
$51,642.60
40% off
|
$11,791.73
|
$95,849.16
|
$43,315.32
|
2026-03-06
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
21
|
11
|
—
|
—
|
$25,170.78
|
$458,817.05
|
$235,078.82
|
2026-03-06
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
22
|
11
|
—
|
—
|
$14,042.69
|
$498,792.20
|
$195,720.90
|
2026-03-06
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
22
|
11
|
—
|
—
|
$11,083.62
|
$278,849.96
|
$129,787.75
|
2026-03-06
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
22
|
11
|
—
|
—
|
$14,042.69
|
$331,907.68
|
$129,776.65
|
2026-03-06
|
|
209
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 209: Major Joint & Limb Reattachment
|
18
|
11
|
—
|
—
|
$23,398.08
|
$265,991.80
|
$123,301.81
|
2026-03-06
|
|
212
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 212: Hip & Femur Procedures Except
|
19
|
11
|
—
|
—
|
$9,172.23
|
$255,541.35
|
$121,810.80
|
2026-03-06
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
11
|
—
|
—
|
$6,017.89
|
$258,998.20
|
$117,949.47
|
2026-03-06
|
|
216
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 216: Biopsies Of Musculoskeletal System
|
22
|
11
|
—
|
—
|
$12,917.95
|
$235,470.59
|
$115,725.93
|
2026-03-06
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
11
|
—
|
—
|
$11,203.81
|
$204,224.85
|
$103,322.90
|
2026-03-06
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
22
|
11
|
—
|
—
|
$12,336.36
|
$224,869.23
|
$100,266.81
|
2026-03-06
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
17
|
11
|
—
|
—
|
$60,503.45
|
$203,498.25
|
$100,172.45
|
2026-03-06
|
|
231
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 231: Local Excision & Removal Of Int
|
22
|
11
|
—
|
—
|
$11,129.55
|
$202,871.28
|
$97,655.54
|
2026-03-06
|
|
429
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 429: Organic Disturbances & Mental
|
18
|
11
|
—
|
—
|
$9,359.03
|
$211,725.60
|
$96,210.16
|
2026-03-06
|
|
219
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 219: Lower Extrem & Humer Proc Except
|
22
|
11
|
—
|
—
|
$9,220.70
|
$196,468.41
|
$92,540.25
|
2026-03-06
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
21
|
11
|
—
|
—
|
$9,826.47
|
$179,118.53
|
$90,536.38
|
2026-03-06
|
|
233
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 233: Other Musculoskelet Sys & Conn
|
22
|
11
|
—
|
—
|
$10,269.89
|
$187,201.28
|
$90,331.01
|
2026-03-06
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
11
|
—
|
—
|
$9,004.87
|
$164,142.23
|
$82,347.81
|
2026-03-06
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
22
|
11
|
—
|
—
|
$7,429.47
|
$177,785.69
|
$81,365.07
|
2026-03-06
|
|
268
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 268: Skin, Subcutaneous Tissue & Breast
|
22
|
11
|
—
|
—
|
$8,437.16
|
$167,282.03
|
$80,193.03
|
2026-03-06
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
21
|
11
|
—
|
—
|
$8,209.79
|
$168,558.45
|
$80,015.79
|
2026-03-06
|
|
275
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 275: Malignant Breast Disorders Without Cc
|
19
|
11
|
—
|
—
|
$5,181.85
|
$167,564.40
|
$79,827.54
|
2026-03-06
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
11
|
—
|
—
|
$8,932.07
|
$162,815.25
|
$79,729.26
|
2026-03-06
|
|
217
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 217: Wnd Debrid & Skn Grft Except Hand
|
22
|
11
|
—
|
—
|
$8,418.64
|
$154,519.55
|
$78,023.88
|
2026-03-06
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
11
|
—
|
—
|
$6,026.98
|
$169,637.10
|
$77,966.37
|
2026-03-06
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
11
|
—
|
—
|
$9,610.46
|
$175,181.09
|
$76,584.28
|
2026-03-06
|
|
218
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 218: Lower Extrem & Humer Proc Except
|
22
|
11
|
—
|
—
|
$7,874.83
|
$154,519.55
|
$73,749.86
|
2026-03-06
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
11
|
—
|
—
|
$8,004.92
|
$145,914.95
|
$72,612.01
|
2026-03-06
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
18
|
11
|
—
|
—
|
$4,721.42
|
$157,017.60
|
$72,430.23
|
2026-03-06
|
|
317
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 317: Admit For Renal Dialysis
|
18
|
11
|
—
|
—
|
$5,199.01
|
$157,132.75
|
$71,360.31
|
2026-03-06
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
21
|
11
|
—
|
—
|
$7,784.40
|
$153,957.90
|
$71,339.75
|
2026-03-06
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
11
|
—
|
—
|
$7,051.24
|
$137,822.80
|
$71,026.73
|
2026-03-06
|
|
232
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 232: Arthroscopy
|
22
|
11
|
—
|
—
|
$7,767.56
|
$142,471.10
|
$70,854.09
|
2026-03-06
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
22
|
11
|
—
|
—
|
$7,793.68
|
$142,064.52
|
$70,247.73
|
2026-03-06
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
22
|
11
|
—
|
—
|
$9,002.61
|
$164,101.14
|
$70,038.23
|
2026-03-06
|
|
235
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 235: Fractures Of Femur
|
22
|
11
|
—
|
—
|
$7,942.86
|
$144,783.75
|
$69,887.84
|
2026-03-06
|
|
276
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 276: Non-maligant Breast Disorders
|
19
|
11
|
—
|
—
|
$6,196.61
|
$141,155.10
|
$68,244.38
|
2026-03-06
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
21
|
11
|
—
|
—
|
$7,368.30
|
$134,310.50
|
$67,882.52
|
2026-03-06
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
21
|
11
|
—
|
—
|
$7,332.89
|
$133,665.13
|
$67,203.98
|
2026-03-06
|
|
23
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 23: Nontraumatic Stupor & Coma
|
22
|
11
|
—
|
—
|
$7,599.95
|
$138,533.15
|
$66,832.43
|
2026-03-06
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
11
|
—
|
—
|
$6,950.47
|
$133,938.25
|
$66,071.38
|
2026-03-06
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
22
|
11
|
—
|
—
|
$7,348.67
|
$133,952.77
|
$65,579.61
|
2026-03-06
|
|
461
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 461: O.r. Proc W Diagnoses Of Other
|
22
|
11
|
—
|
—
|
$8,506.68
|
$155,061.22
|
$65,517.00
|
2026-03-06
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
21
|
11
|
—
|
—
|
$7,136.90
|
$130,092.67
|
$65,506.35
|
2026-03-06
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
22
|
11
|
—
|
—
|
$6,535.02
|
$140,012.19
|
$64,508.06
|
2026-03-06
|
|
220
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 220: *lower Extrem & Humer Proc Except
|
22
|
11
|
—
|
—
|
$7,207.05
|
$131,371.31
|
$63,502.24
|
2026-03-06
|
|
234
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 234: Other Musculoskelet Sys & Conn
|
22
|
11
|
—
|
—
|
$6,877.14
|
$128,373.45
|
$62,811.08
|
2026-03-06
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
22
|
11
|
—
|
—
|
$6,843.06
|
$133,491.49
|
$62,762.07
|
2026-03-06
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
22
|
11
|
—
|
—
|
$6,849.16
|
$128,171.35
|
$62,628.69
|
2026-03-06
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
18
|
11
|
—
|
—
|
$17,401.39
|
$134,112.15
|
$62,599.91
|
2026-03-06
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
21
|
11
|
—
|
—
|
$6,498.82
|
$118,461.63
|
$62,243.65
|
2026-03-06
|
|
430
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 430: Psychoses
|
18
|
11
|
—
|
—
|
$9,067.22
|
$135,526.85
|
$62,132.03
|
2026-03-06
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
22
|
11
|
—
|
—
|
$5,370.66
|
$126,778.84
|
$61,381.40
|
2026-03-06
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
22
|
11
|
—
|
—
|
$8,706.51
|
$158,703.78
|
$61,262.58
|
2026-03-06
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
22
|
11
|
—
|
—
|
$4,226.66
|
$123,726.05
|
$61,125.17
|
2026-03-06
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
22
|
11
|
—
|
—
|
$6,674.20
|
$123,993.05
|
$60,932.50
|
2026-03-06
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
11
|
—
|
—
|
$7,594.05
|
$132,117.00
|
$60,885.17
|
2026-03-06
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
11
|
—
|
—
|
$7,490.69
|
$136,541.47
|
$60,618.43
|
2026-03-06
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
21
|
11
|
—
|
—
|
$6,818.26
|
$124,284.40
|
$59,558.61
|
2026-03-06
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
21
|
11
|
—
|
—
|
$6,905.51
|
$125,874.85
|
$59,392.60
|
2026-03-06
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
11
|
—
|
—
|
$5,906.82
|
$130,805.70
|
$59,310.90
|
2026-03-06
|
|
471
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 471: Bilateral Or Multiple Major Joint
|
22
|
11
|
—
|
—
|
$6,679.16
|
$121,748.87
|
$58,980.52
|
2026-03-06
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
11
|
—
|
—
|
$6,073.70
|
$110,712.44
|
$58,837.50
|
2026-03-06
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
20
|
11
|
—
|
—
|
$6,157.90
|
$112,247.29
|
$58,727.49
|
2026-03-06
|
|
221
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 221: Knee Procedures W Cc
|
22
|
11
|
—
|
—
|
$6,274.20
|
$118,444.70
|
$58,156.69
|
2026-03-06
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
18
|
11
|
—
|
—
|
$4,208.48
|
$125,245.60
|
$57,413.04
|
2026-03-06
|
|
239
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 239: Pathological Fractures &
|
22
|
11
|
—
|
—
|
$6,166.13
|
$115,659.95
|
$57,321.85
|
2026-03-06
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
21
|
11
|
—
|
—
|
$5,851.33
|
$106,894.45
|
$56,817.18
|
2026-03-06
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
22
|
11
|
—
|
—
|
$4,332.68
|
$111,749.37
|
$56,399.27
|
2026-03-06
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
21
|
11
|
—
|
—
|
$5,736.89
|
$107,742.80
|
$56,133.72
|
2026-03-06
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
22
|
11
|
—
|
—
|
$6,422.84
|
$117,076.64
|
$55,835.20
|
2026-03-06
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
11
|
—
|
—
|
$6,382.27
|
$116,337.01
|
$54,431.26
|
2026-03-06
|
|
25
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 25: Seizure & Headache Age >17 Without Cc
|
22
|
11
|
—
|
—
|
$5,568.57
|
$109,748.02
|
$54,176.33
|
2026-03-06
|
|
245
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 245: Bone Diseases & Specific
|
22
|
11
|
—
|
—
|
$4,859.75
|
$117,857.36
|
$54,072.67
|
2026-03-06
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
21
|
11
|
—
|
—
|
$5,832.63
|
$106,318.16
|
$52,916.94
|
2026-03-06
|
|
277
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 277: Cellulitis Age >17 W Cc
|
19
|
11
|
—
|
—
|
$8,889.51
|
$108,534.75
|
$52,766.03
|
2026-03-06
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,464.53
|
$105,291.75
|
$52,034.33
|
2026-03-06
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
21
|
11
|
—
|
—
|
$5,648.48
|
$145,535.47
|
$51,836.13
|
2026-03-06
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,583.71
|
$104,878.15
|
$51,781.19
|
2026-03-06
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
21
|
11
|
—
|
—
|
$5,530.17
|
$100,804.78
|
$51,294.07
|
2026-03-06
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
21
|
11
|
—
|
—
|
$5,432.57
|
$100,883.15
|
$50,788.08
|
2026-03-06
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,599.12
|
$103,230.80
|
$50,777.05
|
2026-03-06
|
|
269
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 269: Other Skin, Subcut Tiss & Breast
|
22
|
11
|
—
|
—
|
$5,670.46
|
$103,362.06
|
$50,046.03
|
2026-03-06
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,213.78
|
$97,595.50
|
$49,886.57
|
2026-03-06
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,511.34
|
$100,461.55
|
$49,790.88
|
2026-03-06
|
|
236
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 236: Fractures Of Hip & Pelvis
|
22
|
11
|
—
|
—
|
$5,408.04
|
$98,578.64
|
$48,621.81
|
2026-03-06
|
|
323
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 323: Urinary Stones W Cc, &/or Esw
|
19
|
11
|
—
|
—
|
$7,291.14
|
$101,693.90
|
$48,358.23
|
2026-03-06
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
21
|
11
|
—
|
—
|
$5,655.74
|
$103,093.77
|
$48,235.41
|
2026-03-06
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
21
|
11
|
—
|
—
|
$5,054.79
|
$93,626.35
|
$48,095.75
|
2026-03-06
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
21
|
11
|
—
|
—
|
$5,126.00
|
$93,437.49
|
$47,738.25
|
2026-03-06
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
22
|
11
|
—
|
—
|
$4,925.37
|
$129,592.62
|
$47,371.61
|
2026-03-06
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,321.32
|
$96,997.86
|
$47,371.09
|
2026-03-06
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
21
|
11
|
—
|
—
|
$4,633.11
|
$98,737.60
|
$47,355.83
|
2026-03-06
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
22
|
11
|
—
|
—
|
$5,184.08
|
$99,076.00
|
$46,895.89
|
2026-03-06
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
22
|
11
|
—
|
—
|
$5,384.04
|
$98,141.15
|
$46,731.22
|
2026-03-06
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
20
|
11
|
—
|
—
|
$4,702.33
|
$87,086.30
|
$46,458.45
|
2026-03-06
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
21
|
11
|
—
|
—
|
$5,044.45
|
$91,950.98
|
$46,433.75
|
2026-03-06
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
21
|
11
|
—
|
—
|
$4,991.80
|
$90,991.39
|
$46,299.70
|
2026-03-06
|
|
34
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 34: Other Disorders Of Nervous System
|
22
|
11
|
—
|
—
|
$5,303.28
|
$96,669.14
|
$46,139.31
|
2026-03-06
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
22
|
11
|
—
|
—
|
$5,023.49
|
$91,569.08
|
$45,872.48
|
2026-03-06
|
|
24
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 24: Seizure & Headache Age >17 W Cc
|
22
|
11
|
—
|
—
|
$5,236.19
|
$95,446.09
|
$45,830.92
|
2026-03-06
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
18
|
11
|
—
|
—
|
$3,649.10
|
$99,658.80
|
$45,718.43
|
2026-03-06
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
22
|
11
|
—
|
—
|
$4,884.79
|
$89,040.80
|
$45,123.83
|
2026-03-06
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
21
|
11
|
—
|
—
|
$4,833.08
|
$88,098.13
|
$44,859.58
|
2026-03-06
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
22
|
11
|
—
|
—
|
$4,860.92
|
$88,605.72
|
$44,767.76
|
2026-03-06
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
21
|
11
|
—
|
—
|
$4,943.00
|
$90,101.90
|
$44,485.09
|
2026-03-06
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
21
|
11
|
—
|
—
|
$4,801.65
|
$87,525.28
|
$44,331.77
|
2026-03-06
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
21
|
11
|
—
|
—
|
$5,174.53
|
$94,322.14
|
$44,270.11
|
2026-03-06
|
|
408
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 408: Myeloprolif Disord Or Poorly Diff
|
22
|
11
|
—
|
—
|
$4,865.83
|
$88,695.15
|
$43,895.15
|
2026-03-06
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
11
|
—
|
—
|
$9,301.48
|
$94,481.75
|
$43,808.27
|
2026-03-06
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
22
|
11
|
—
|
—
|
$5,779.46
|
$105,348.91
|
$43,732.77
|
2026-03-06
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
22
|
11
|
—
|
—
|
$3,932.98
|
$184,354.41
|
$43,359.67
|
2026-03-06
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
22
|
11
|
—
|
—
|
$4,622.37
|
$86,282.60
|
$43,281.17
|
2026-03-06
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
21
|
11
|
—
|
—
|
$4,238.36
|
$90,825.15
|
$43,249.53
|
2026-03-06
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
21
|
11
|
—
|
—
|
$4,709.89
|
$86,317.85
|
$43,208.48
|
2026-03-06
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
22
|
11
|
—
|
—
|
$5,155.83
|
$93,981.33
|
$43,024.09
|
2026-03-06
|
|
94
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 94: Pneumothorax W Cc
|
22
|
11
|
—
|
—
|
$4,738.53
|
$86,374.75
|
$42,502.87
|
2026-03-06
|
|
414
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 414: Other Myeloprolif Dis Or Poorly
|
22
|
11
|
—
|
—
|
$4,687.08
|
$85,436.92
|
$42,456.02
|
2026-03-06
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
11
|
—
|
—
|
$4,400.26
|
$80,567.40
|
$42,056.75
|
2026-03-06
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
21
|
11
|
—
|
—
|
$4,021.82
|
$89,692.45
|
$41,907.74
|
2026-03-06
|
|
18
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 18: Cranial & Peripheral Nerve
|
20
|
10
|
—
|
—
|
$9,214.64
|
$1,014,795.80
|
$465,249.54
|
2026-03-06
|
|
14
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 14: Specific Cerebrovascular Disorders
|
20
|
10
|
—
|
—
|
$12,072.13
|
$282,420.65
|
$133,174.26
|
2026-03-06
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
20
|
10
|
—
|
—
|
$5,982.55
|
$172,449.77
|
$80,179.22
|
2026-03-06
|
|
16
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 16: Nonspecific Cerebrovascular
|
20
|
10
|
—
|
—
|
$8,068.04
|
$147,065.48
|
$69,980.36
|
2026-03-06
|
|
652
|
MS_DRG
|
Kidney Transplant
|
19
|
10
|
—
|
—
|
$4,090.90
|
$176,276.01
|
$58,826.94
|
2026-03-06
|
|
17
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 17: Nonspecific Cerebrovascular
|
20
|
10
|
—
|
—
|
$5,794.84
|
$113,700.05
|
$56,731.60
|
2026-03-06
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
19
|
9
|
—
|
—
|
$31,871.59
|
$680,316.85
|
$326,064.61
|
2026-03-06
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
19
|
9
|
—
|
—
|
$17,865.60
|
$325,657.09
|
$148,482.33
|
2026-03-06
|
|
7
|
MS_DRG
|
Lung Transplant
|
19
|
9
|
—
|
—
|
$16,187.12
|
$304,329.70
|
$141,964.51
|
2026-03-06
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
19
|
9
|
—
|
—
|
$15,125.91
|
$275,717.57
|
$127,228.44
|
2026-03-06
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
19
|
9
|
—
|
—
|
$7,413.91
|
$412,228.80
|
$113,221.72
|
2026-03-06
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$5,498.74
|
$291,925.12
|
$80,112.79
|
2026-03-06
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
19
|
9
|
—
|
—
|
$6,377.23
|
$116,245.16
|
$55,803.61
|
2026-03-06
|
|
5834
|
APR_DRG
|
Apr-DRG 42.00: Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$430,518.26
|
$553,477.73
|
$476,998.71
|
2026-03-06
|
|
5884
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$263,684.29
|
$338,994.64
|
$292,152.69
|
2026-03-06
|
|
114
|
APR_DRG
|
Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$246,500.99
|
$316,903.65
|
$273,114.21
|
2026-03-06
|
|
5833
|
APR_DRG
|
Apr-DRG 42.00: Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$245,194.01
|
$315,223.39
|
$271,666.13
|
2026-03-06
|
|
24
|
APR_DRG
|
Apr-DRG 42.00: Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$230,222.29
|
$316,693.73
|
$269,644.40
|
2026-03-06
|
|
5832
|
APR_DRG
|
Apr-DRG 42.00: Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$188,264.08
|
$242,033.81
|
$208,589.81
|
2026-03-06
|
|
1614
|
APR_DRG
|
Apr-DRG 42.00: Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$183,828.87
|
$236,331.87
|
$203,675.76
|
2026-03-06
|
|
6094
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$183,715.82
|
$236,186.54
|
$203,550.51
|
2026-03-06
|
|
113
|
APR_DRG
|
Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$183,449.26
|
$235,843.85
|
$203,255.17
|
2026-03-06
|
|
94
|
APR_DRG
|
Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$180,211.48
|
$231,681.32
|
$199,667.82
|
2026-03-06
|
|
6314
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
7
|
—
|
—
|
$176,701.55
|
$227,168.93
|
$195,778.95
|
2026-03-06
|
|
5883
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$175,613.68
|
$225,770.36
|
$194,573.63
|
2026-03-06
|
|
5914
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$172,911.10
|
$222,295.90
|
$191,579.27
|
2026-03-06
|
|
5831
|
APR_DRG
|
Apr-DRG 42.00: Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$168,990.17
|
$217,255.12
|
$187,235.02
|
2026-03-06
|
|
8414
|
APR_DRG
|
Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$163,520.12
|
$210,222.79
|
$181,174.40
|
2026-03-06
|
|
6304
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
7
|
7
|
—
|
—
|
$160,250.24
|
$206,018.99
|
$177,551.49
|
2026-03-06
|
|
5934
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$152,022.49
|
$195,441.33
|
$168,435.44
|
2026-03-06
|
|
5882
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$150,481.75
|
$193,460.55
|
$166,728.36
|
2026-03-06
|
|
112
|
APR_DRG
|
Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$145,839.99
|
$187,493.06
|
$161,585.45
|
2026-03-06
|
|
1613
|
APR_DRG
|
Apr-DRG 42.00: Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$143,941.98
|
$185,052.96
|
$159,482.52
|
2026-03-06
|
|
74
|
APR_DRG
|
Apr-DRG 42.00: Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$135,545.91
|
$186,456.92
|
$158,756.11
|
2026-03-06
|
|
44
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$138,494.26
|
$178,049.33
|
$153,446.65
|
2026-03-06
|
|
14
|
APR_DRG
|
Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$128,146.63
|
$176,278.47
|
$150,089.81
|
2026-03-06
|
|
23
|
APR_DRG
|
Apr-DRG 42.00: Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$125,406.30
|
$172,508.87
|
$146,880.24
|
2026-03-06
|
|
5913
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$130,405.37
|
$167,650.20
|
$144,484.45
|
2026-03-06
|
|
5881
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$128,984.66
|
$165,823.71
|
$142,910.35
|
2026-03-06
|
|
5892
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
7
|
7
|
—
|
—
|
$122,913.11
|
$158,018.08
|
$136,183.29
|
2026-03-06
|
|
5891
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
7
|
7
|
—
|
—
|
$122,913.11
|
$158,018.08
|
$136,183.29
|
2026-03-06
|
|
5893
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
7
|
7
|
—
|
—
|
$122,913.11
|
$158,018.08
|
$136,183.29
|
2026-03-06
|
|
93
|
APR_DRG
|
Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$121,113.48
|
$155,704.47
|
$134,189.37
|
2026-03-06
|
|
6024
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$114,523.47
|
$147,232.29
|
$126,887.88
|
2026-03-06
|
|
5912
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$111,850.20
|
$143,795.52
|
$123,925.99
|
2026-03-06
|
|
5933
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$111,208.92
|
$142,971.09
|
$123,215.48
|
2026-03-06
|
|
1612
|
APR_DRG
|
Apr-DRG 42.00: Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$105,913.33
|
$136,163.03
|
$117,348.15
|
2026-03-06
|
|
1611
|
APR_DRG
|
Apr-DRG 42.00: Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$105,913.33
|
$136,163.03
|
$117,348.15
|
2026-03-06
|
|
1604
|
APR_DRG
|
Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$105,527.44
|
$135,666.93
|
$116,920.60
|
2026-03-06
|
|
22
|
APR_DRG
|
Apr-DRG 42.00: Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$94,962.02
|
$130,629.74
|
$111,222.84
|
2026-03-06
|
|
54
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$96,480.48
|
$124,036.08
|
$106,896.90
|
2026-03-06
|
|
43
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$95,502.17
|
$122,778.35
|
$105,812.96
|
2026-03-06
|
|
8424
|
APR_DRG
|
Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns
|
7
|
7
|
—
|
—
|
$91,547.74
|
$117,694.51
|
$101,431.60
|
2026-03-06
|
|
73
|
APR_DRG
|
Apr-DRG 42.00: Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$86,208.88
|
$118,588.91
|
$100,970.86
|
2026-03-06
|
|
64
|
APR_DRG
|
Apr-DRG 42.00: Pancreas Transplant
|
7
|
7
|
—
|
—
|
$89,564.60
|
$115,144.96
|
$99,234.34
|
2026-03-06
|
|
5932
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$89,448.76
|
$114,996.04
|
$99,106.00
|
2026-03-06
|
|
21
|
APR_DRG
|
Apr-DRG 42.00: Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$83,931.58
|
$115,456.26
|
$98,303.60
|
2026-03-06
|
|
6074
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$88,526.97
|
$113,810.98
|
$98,084.69
|
2026-03-06
|
|
6303
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
7
|
7
|
—
|
—
|
$88,333.68
|
$113,562.49
|
$97,870.53
|
2026-03-06
|
|
8514
|
APR_DRG
|
Apr-DRG 42.00: Gender Related Procedures
|
7
|
7
|
—
|
—
|
$84,476.24
|
$108,603.34
|
$93,596.63
|
2026-03-06
|
|
8513
|
APR_DRG
|
Apr-DRG 42.00: Gender Related Procedures
|
7
|
7
|
—
|
—
|
$84,476.24
|
$108,603.34
|
$93,596.63
|
2026-03-06
|
|
6034
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
7
|
7
|
—
|
—
|
$83,763.79
|
$107,687.40
|
$92,807.26
|
2026-03-06
|
|
6023
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$79,515.59
|
$102,225.88
|
$88,100.41
|
2026-03-06
|
|
6114
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$73,628.96
|
$94,657.98
|
$81,578.23
|
2026-03-06
|
|
6134
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…
|
7
|
7
|
—
|
—
|
$72,952.09
|
$93,787.80
|
$80,828.29
|
2026-03-06
|
|
8634
|
APR_DRG
|
Apr-DRG 42.00: Neonatal Aftercare
|
7
|
7
|
—
|
—
|
$72,012.16
|
$92,579.41
|
$79,786.88
|
2026-03-06
|
|
111
|
APR_DRG
|
Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
7
|
—
|
—
|
$71,826.54
|
$92,340.78
|
$79,581.22
|
2026-03-06
|
|
1624
|
APR_DRG
|
Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$70,918.71
|
$91,173.66
|
$78,575.37
|
2026-03-06
|
|
3034
|
APR_DRG
|
Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$70,576.09
|
$90,733.19
|
$78,195.76
|
2026-03-06
|
|
13
|
APR_DRG
|
Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$66,530.94
|
$91,519.94
|
$77,923.36
|
2026-03-06
|
|
53
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$70,018.55
|
$90,016.41
|
$77,578.03
|
2026-03-06
|
|
63
|
APR_DRG
|
Apr-DRG 42.00: Pancreas Transplant
|
7
|
7
|
—
|
—
|
$69,023.49
|
$88,737.15
|
$76,475.54
|
2026-03-06
|
|
4404
|
APR_DRG
|
Apr-DRG 42.00: Kidney Transplant
|
7
|
7
|
—
|
—
|
$64,899.91
|
$89,276.30
|
$76,013.05
|
2026-03-06
|
|
5931
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$68,073.78
|
$87,516.20
|
$75,423.30
|
2026-03-06
|
|
72
|
APR_DRG
|
Apr-DRG 42.00: Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$60,708.55
|
$83,510.67
|
$71,103.98
|
2026-03-06
|
|
84
|
APR_DRG
|
Apr-DRG 42.00: Autologous Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$60,286.61
|
$82,930.25
|
$70,609.79
|
2026-03-06
|
|
6093
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$63,729.28
|
$81,930.88
|
$70,609.75
|
2026-03-06
|
|
6022
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$63,537.39
|
$81,684.18
|
$70,397.14
|
2026-03-06
|
|
1634
|
APR_DRG
|
Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
7
|
7
|
—
|
—
|
$62,056.66
|
$79,780.54
|
$68,756.54
|
2026-03-06
|
|
42
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$61,029.50
|
$78,460.02
|
$67,618.49
|
2026-03-06
|
|
2994
|
APR_DRG
|
Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…
|
7
|
7
|
—
|
—
|
$60,804.81
|
$78,171.15
|
$67,369.54
|
2026-03-06
|
|
92
|
APR_DRG
|
Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$60,786.67
|
$78,147.83
|
$67,349.44
|
2026-03-06
|
|
6073
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$60,695.95
|
$78,031.20
|
$67,248.93
|
2026-03-06
|
|
62
|
APR_DRG
|
Apr-DRG 42.00: Pancreas Transplant
|
7
|
7
|
—
|
—
|
$59,506.21
|
$76,501.66
|
$65,930.73
|
2026-03-06
|
|
1784
|
APR_DRG
|
Apr-DRG 42.00: External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$59,010.77
|
$75,864.72
|
$65,381.80
|
2026-03-06
|
|
6124
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$58,000.36
|
$74,565.72
|
$64,262.30
|
2026-03-06
|
|
6334
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$57,848.23
|
$74,370.16
|
$64,093.76
|
2026-03-06
|
|
6214
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$56,879.69
|
$73,124.99
|
$63,020.65
|
2026-03-06
|
|
71
|
APR_DRG
|
Apr-DRG 42.00: Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$53,590.34
|
$73,718.86
|
$62,766.88
|
2026-03-06
|
|
1654
|
APR_DRG
|
Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$55,751.35
|
$71,674.38
|
$61,770.49
|
2026-03-06
|
|
1674
|
APR_DRG
|
Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures
|
7
|
7
|
—
|
—
|
$54,625.80
|
$70,227.37
|
$60,523.42
|
2026-03-06
|
|
12
|
APR_DRG
|
Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$51,415.43
|
$70,727.05
|
$60,219.55
|
2026-03-06
|
|
8413
|
APR_DRG
|
Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$53,178.56
|
$68,366.79
|
$58,919.93
|
2026-03-06
|
|
1834
|
APR_DRG
|
Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures
|
7
|
7
|
—
|
—
|
$53,110.18
|
$68,278.87
|
$58,844.16
|
2026-03-06
|
|
9104
|
APR_DRG
|
Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$52,953.87
|
$68,077.92
|
$58,670.98
|
2026-03-06
|
|
6313
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
7
|
—
|
—
|
$51,935.09
|
$66,768.16
|
$57,542.20
|
2026-03-06
|
|
1623
|
APR_DRG
|
Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$51,877.17
|
$66,693.71
|
$57,478.03
|
2026-03-06
|
|
6804
|
APR_DRG
|
Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…
|
7
|
7
|
—
|
—
|
$51,471.75
|
$66,172.49
|
$57,028.84
|
2026-03-06
|
|
6084
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
7
|
7
|
—
|
—
|
$50,492.74
|
$64,913.87
|
$55,944.13
|
2026-03-06
|
|
6254
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…
|
7
|
7
|
—
|
—
|
$50,419.47
|
$64,819.67
|
$55,862.95
|
2026-03-06
|
|
9114
|
APR_DRG
|
Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…
|
7
|
7
|
—
|
—
|
$50,367.13
|
$64,752.39
|
$55,804.97
|
2026-03-06
|
|
3044
|
APR_DRG
|
Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
7
|
7
|
—
|
—
|
$49,773.30
|
$63,988.96
|
$55,147.03
|
2026-03-06
|
|
1664
|
APR_DRG
|
Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$49,702.13
|
$63,897.46
|
$55,068.17
|
2026-03-06
|
|
1794
|
APR_DRG
|
Apr-DRG 42.00: Defibrillator Implants
|
7
|
7
|
—
|
—
|
$49,053.87
|
$63,064.05
|
$54,349.92
|
2026-03-06
|
|
3033
|
APR_DRG
|
Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$48,979.21
|
$62,968.07
|
$54,267.20
|
2026-03-06
|
|
1603
|
APR_DRG
|
Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$48,912.22
|
$62,881.94
|
$54,192.98
|
2026-03-06
|
|
914
|
APR_DRG
|
Apr-DRG 42.00: Other Major Head And Neck Procedures
|
7
|
7
|
—
|
—
|
$48,767.78
|
$62,696.25
|
$54,032.94
|
2026-03-06
|
|
6144
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…
|
7
|
7
|
—
|
—
|
$48,676.36
|
$62,578.73
|
$53,931.66
|
2026-03-06
|
|
8504
|
APR_DRG
|
Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…
|
7
|
7
|
—
|
—
|
$48,018.34
|
$61,732.76
|
$53,202.59
|
2026-03-06
|
|
214
|
APR_DRG
|
Apr-DRG 42.00: Open Craniotomy Except Trauma
|
7
|
7
|
—
|
—
|
$47,950.65
|
$61,645.75
|
$53,127.60
|
2026-03-06
|
|
11
|
APR_DRG
|
Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$45,169.80
|
$62,135.56
|
$52,904.44
|
2026-03-06
|
|
1783
|
APR_DRG
|
Apr-DRG 42.00: External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$47,615.01
|
$61,214.24
|
$52,755.72
|
2026-03-06
|
|
2993
|
APR_DRG
|
Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…
|
7
|
7
|
—
|
—
|
$47,546.63
|
$61,126.33
|
$52,679.95
|
2026-03-06
|
|
6033
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
7
|
7
|
—
|
—
|
$47,431.49
|
$60,978.31
|
$52,552.38
|
2026-03-06
|
|
6021
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$47,331.01
|
$60,849.12
|
$52,441.05
|
2026-03-06
|
|
9124
|
APR_DRG
|
Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…
|
7
|
7
|
—
|
—
|
$46,830.69
|
$60,205.91
|
$51,886.71
|
2026-03-06
|
|
52
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$46,687.64
|
$60,022.00
|
$51,728.22
|
2026-03-06
|
|
4403
|
APR_DRG
|
Apr-DRG 42.00: Kidney Transplant
|
7
|
7
|
—
|
—
|
$44,124.40
|
$60,697.52
|
$51,680.04
|
2026-03-06
|
|
3004
|
APR_DRG
|
Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…
|
7
|
7
|
—
|
—
|
$46,386.89
|
$59,635.35
|
$51,395.00
|
2026-03-06
|
|
6904
|
APR_DRG
|
Apr-DRG 42.00: Acute Leukemia
|
7
|
7
|
—
|
—
|
$46,009.38
|
$59,150.02
|
$50,976.73
|
2026-03-06
|
|
6072
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$45,333.21
|
$58,280.74
|
$50,227.56
|
2026-03-06
|
|
83
|
APR_DRG
|
Apr-DRG 42.00: Autologous Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$42,432.73
|
$58,370.45
|
$49,698.69
|
2026-03-06
|
|
2604
|
APR_DRG
|
Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures
|
7
|
7
|
—
|
—
|
$44,739.38
|
$57,517.31
|
$49,569.62
|
2026-03-06
|
|
1633
|
APR_DRG
|
Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…
|
7
|
7
|
—
|
—
|
$44,612.38
|
$57,354.04
|
$49,428.91
|
2026-03-06
|
|
91
|
APR_DRG
|
Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$44,512.60
|
$57,225.75
|
$49,318.35
|
2026-03-06
|
|
1694
|
APR_DRG
|
Apr-DRG 42.00: Major Abdominal Vascular Procedures
|
7
|
7
|
—
|
—
|
$44,313.03
|
$56,969.18
|
$49,097.24
|
2026-03-06
|
|
234
|
APR_DRG
|
Apr-DRG 42.00: Spinal Procedures
|
7
|
7
|
—
|
—
|
$43,721.29
|
$56,208.45
|
$48,441.62
|
2026-03-06
|
|
7404
|
APR_DRG
|
Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure
|
7
|
7
|
—
|
—
|
$43,601.97
|
$56,055.04
|
$48,309.41
|
2026-03-06
|
|
6083
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …
|
7
|
7
|
—
|
—
|
$43,585.92
|
$56,034.41
|
$48,291.63
|
2026-03-06
|
|
1204
|
APR_DRG
|
Apr-DRG 42.00: Major Respiratory And Chest Procedures
|
7
|
7
|
—
|
—
|
$43,132.35
|
$55,451.30
|
$47,789.09
|
2026-03-06
|
|
6814
|
APR_DRG
|
Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…
|
7
|
7
|
—
|
—
|
$43,062.57
|
$55,361.59
|
$47,711.78
|
2026-03-06
|
|
3124
|
APR_DRG
|
Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
7
|
7
|
—
|
—
|
$42,981.63
|
$55,257.53
|
$47,622.10
|
2026-03-06
|
|
1304
|
APR_DRG
|
Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
7
|
7
|
—
|
—
|
$42,625.05
|
$54,799.11
|
$47,227.02
|
2026-03-06
|
|
2204
|
APR_DRG
|
Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures
|
7
|
7
|
—
|
—
|
$42,484.79
|
$54,618.79
|
$47,071.62
|
2026-03-06
|
|
6954
|
APR_DRG
|
Apr-DRG 42.00: Chemotherapy For Acute Leukemia
|
7
|
7
|
—
|
—
|
$42,345.93
|
$54,440.27
|
$46,917.77
|
2026-03-06
|
|
41
|
APR_DRG
|
Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$42,223.82
|
$54,283.28
|
$46,782.47
|
2026-03-06
|
|
204
|
APR_DRG
|
Apr-DRG 42.00: Open Craniotomy For Trauma
|
7
|
7
|
—
|
—
|
$41,890.97
|
$53,855.36
|
$46,413.68
|
2026-03-06
|
|
894
|
APR_DRG
|
Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures
|
7
|
7
|
—
|
—
|
$41,865.85
|
$53,823.07
|
$46,385.85
|
2026-03-06
|
|
3614
|
APR_DRG
|
Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
7
|
7
|
—
|
—
|
$41,819.09
|
$53,762.96
|
$46,334.05
|
2026-03-06
|
|
4284
|
APR_DRG
|
Apr-DRG 42.00: Genetic Disorders
|
7
|
7
|
—
|
—
|
$41,768.15
|
$53,697.48
|
$46,277.61
|
2026-03-06
|
|
2614
|
APR_DRG
|
Apr-DRG 42.00: Major Biliary Tract Procedures
|
7
|
7
|
—
|
—
|
$41,599.99
|
$53,481.28
|
$46,091.29
|
2026-03-06
|
|
9504
|
APR_DRG
|
Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
7
|
—
|
—
|
$41,593.70
|
$53,473.20
|
$46,084.32
|
2026-03-06
|
|
6092
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$41,583.94
|
$53,460.64
|
$46,073.50
|
2026-03-06
|
|
1653
|
APR_DRG
|
Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$41,429.72
|
$53,262.38
|
$45,902.64
|
2026-03-06
|
|
61
|
APR_DRG
|
Apr-DRG 42.00: Pancreas Transplant
|
7
|
7
|
—
|
—
|
$41,332.03
|
$53,136.79
|
$45,794.40
|
2026-03-06
|
|
6234
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…
|
7
|
7
|
—
|
—
|
$40,632.14
|
$52,237.00
|
$45,018.94
|
2026-03-06
|
|
274
|
APR_DRG
|
Apr-DRG 42.00: Other Open Craniotomy
|
7
|
7
|
—
|
—
|
$40,356.51
|
$51,882.65
|
$44,713.56
|
2026-03-06
|
|
6302
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…
|
7
|
7
|
—
|
—
|
$40,257.42
|
$51,755.26
|
$44,603.77
|
2026-03-06
|
|
6123
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…
|
7
|
7
|
—
|
—
|
$40,164.61
|
$51,635.95
|
$44,500.94
|
2026-03-06
|
|
924
|
APR_DRG
|
Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…
|
7
|
7
|
—
|
—
|
$39,908.52
|
$51,306.71
|
$44,217.20
|
2026-03-06
|
|
4402
|
APR_DRG
|
Apr-DRG 42.00: Kidney Transplant
|
7
|
7
|
—
|
—
|
$37,602.91
|
$51,726.56
|
$44,041.85
|
2026-03-06
|
|
4014
|
APR_DRG
|
Apr-DRG 42.00: Adrenal Procedures
|
7
|
7
|
—
|
—
|
$39,582.65
|
$50,887.77
|
$43,856.15
|
2026-03-06
|
|
5204
|
APR_DRG
|
Apr-DRG 42.00: Other GYN Procedures For Malignancy
|
7
|
7
|
—
|
—
|
$39,436.81
|
$50,700.28
|
$43,694.56
|
2026-03-06
|
|
6133
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…
|
7
|
7
|
—
|
—
|
$39,421.46
|
$50,680.54
|
$43,677.55
|
2026-03-06
|
|
6113
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$39,266.55
|
$50,481.39
|
$43,505.92
|
2026-03-06
|
|
1622
|
APR_DRG
|
Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$39,219.09
|
$50,420.38
|
$43,453.34
|
2026-03-06
|
|
4414
|
APR_DRG
|
Apr-DRG 42.00: Major Bladder Procedures
|
7
|
7
|
—
|
—
|
$39,038.37
|
$50,188.04
|
$43,253.10
|
2026-03-06
|
|
1782
|
APR_DRG
|
Apr-DRG 42.00: External Heart Assist Devices
|
7
|
7
|
—
|
—
|
$38,769.01
|
$49,841.76
|
$42,954.67
|
2026-03-06
|
|
6032
|
APR_DRG
|
Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …
|
7
|
7
|
—
|
—
|
$38,700.63
|
$49,753.84
|
$42,878.90
|
2026-03-06
|
|
1833
|
APR_DRG
|
Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures
|
7
|
7
|
—
|
—
|
$38,593.17
|
$49,615.69
|
$42,759.84
|
2026-03-06
|
|
453
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 453: Complications Of Treatment Without Cc
|
4
|
2
|
—
|
—
|
$4,397.30
|
$221,279.85
|
$109,242.12
|
2026-03-06
|
|
222
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 222: Knee Procedures Without Cc
|
4
|
2
|
—
|
—
|
$9,947.69
|
$185,066.99
|
$92,931.95
|
2026-03-06
|
|
224
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 224: Shoulder, Elbow Or Forearm Proc,
|
4
|
2
|
—
|
—
|
$6,999.33
|
$171,352.42
|
$85,492.34
|
2026-03-06
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
4
|
2
|
—
|
—
|
$8,795.49
|
$160,325.65
|
$82,781.91
|
2026-03-06
|
|
226
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 226: Soft Tissue Procedures W Cc
|
4
|
2
|
—
|
—
|
$8,487.72
|
$154,715.58
|
$78,989.57
|
2026-03-06
|
|
454
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 454: Other Injury, Poisoning & Toxic
|
4
|
2
|
—
|
—
|
$8,076.66
|
$147,222.60
|
$74,187.43
|
2026-03-06
|
|
223
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 223: Major Shoulder/elbow Proc, Or
|
4
|
2
|
—
|
—
|
$6,920.10
|
$126,140.73
|
$63,707.19
|
2026-03-06
|
|
225
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 225: Foot Procedures
|
4
|
2
|
—
|
—
|
$6,706.61
|
$122,249.21
|
$62,018.40
|
2026-03-06
|
|
227
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 227: Soft Tissue Procedures Without Cc
|
4
|
2
|
—
|
—
|
$6,657.55
|
$121,354.89
|
$61,074.71
|
2026-03-06
|
|
455
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 455: Other Injury, Poisoning & Toxic
|
4
|
2
|
—
|
—
|
$4,421.53
|
$115,730.32
|
$57,664.53
|
2026-03-06
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
4
|
2
|
—
|
—
|
$4,993.79
|
$91,027.65
|
$47,016.67
|
2026-03-06
|
|
104
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 104: Cardiac Valve Procedures W Cardiac
|
1
|
1
|
—
|
—
|
$76,814.93
|
$76,814.93
|
$76,814.93
|
2026-03-06
|
|
108
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 108: Other Cardiothoracic Procedures
|
1
|
1
|
—
|
—
|
$61,674.28
|
$61,674.28
|
$61,674.28
|
2026-03-06
|
|
484
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 484: Craniotomy For Multiple
|
1
|
1
|
—
|
—
|
$60,387.91
|
$60,387.91
|
$60,387.91
|
2026-03-06
|
|
105
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 105: Cardiac Valve Procedures Without
|
1
|
1
|
—
|
—
|
$58,216.01
|
$58,216.01
|
$58,216.01
|
2026-03-06
|
|
106
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 106: Coronary Bypass W Cardiac Cath
|
1
|
1
|
—
|
—
|
$57,233.56
|
$57,233.56
|
$57,233.56
|
2026-03-06
|
|
107
|
MS_DRG
|
DRG Grouper 12 (10/1/1994): DRG 107: Coronary Bypass Without Cardiac Cath
|
1
|
1
|
—
|
—
|
$42,381.69
|
$42,381.69
|
$42,381.69
|
2026-03-06
|