|
J3391
|
HCPCS
|
Outpatient Services
|
6
|
6
|
—
|
—
|
$4,505,000.00
|
$4,797,825.00
|
$4,752,775.00
|
2026-09-21
|
|
J1411
|
HCPCS
|
Outpatient Services
|
6
|
6
|
—
|
—
|
$3,691,450.00
|
$3,931,394.25
|
$3,894,479.75
|
2026-09-21
|
|
J1413
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$3,316,897.12
|
$4,975,345.69
|
$3,515,910.95
|
2026-09-21
|
|
J3389
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$3,285,782.70
|
$4,928,674.05
|
$3,482,929.66
|
2026-09-21
|
|
J3394
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$3,235,303.98
|
$4,852,955.97
|
$3,429,422.22
|
2026-09-21
|
|
J3387
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$3,180,000.00
|
$4,770,000.00
|
$3,370,800.00
|
2026-09-21
|
|
J3393
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$2,930,260.35
|
$4,395,390.52
|
$3,106,075.97
|
2026-09-21
|
|
C9309
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$2,664,228.59
|
$3,996,342.89
|
$2,824,082.31
|
2026-09-21
|
|
J3405
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$2,664,228.59
|
$3,996,342.89
|
$2,824,082.31
|
2026-09-21
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
7
|
7
|
—
|
—
|
$2,680,037.38
|
$2,854,239.81
|
$2,814,039.25
|
2026-09-21
|
|
J3392
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$2,300,906.67
|
$3,451,360.00
|
$2,438,961.07
|
2026-09-21
|
|
Q2057
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$813,967.38
|
$1,220,951.06
|
$862,805.42
|
2026-09-21
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
7
|
7
|
—
|
—
|
$611,693.17
|
$651,453.23
|
$642,277.83
|
2026-09-21
|
|
5834
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$604,015.00
|
$638,100.96
|
$622,266.00
|
2026-09-21
|
|
Q2056
|
HCPCS
|
Outpatient Services
|
8
|
7
|
—
|
—
|
$310,000.00
|
$881,966.63
|
$620,316.53
|
2026-09-21
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
8
|
7
|
—
|
—
|
$328,240.00
|
$869,355.92
|
$611,446.99
|
2026-09-21
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
8
|
7
|
—
|
—
|
$245,394.70
|
$843,751.34
|
$593,438.44
|
2026-09-21
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
8
|
7
|
—
|
—
|
$335,600.00
|
$604,896.34
|
$585,017.11
|
2026-09-21
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
8
|
7
|
—
|
—
|
$487,600.00
|
$543,260.67
|
$525,407.04
|
2026-09-21
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
8
|
—
|
—
|
$327,774.69
|
$800,350.02
|
$478,206.04
|
2026-09-21
|
|
24
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$425,535.00
|
$449,549.11
|
$438,393.00
|
2026-09-21
|
|
5884
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$403,867.00
|
$426,658.36
|
$416,071.00
|
2026-09-21
|
|
114
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$380,131.00
|
$401,583.10
|
$391,618.00
|
2026-09-21
|
|
5833
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$365,228.00
|
$385,838.40
|
$376,264.00
|
2026-09-21
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
12
|
8
|
—
|
—
|
$212,811.37
|
$519,394.96
|
$340,420.33
|
2026-09-21
|
|
1614
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$304,264.00
|
$321,434.00
|
$313,457.00
|
2026-09-21
|
|
6094
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$297,219.00
|
$313,992.26
|
$306,200.00
|
2026-09-21
|
|
113
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$292,891.00
|
$309,419.73
|
$301,741.00
|
2026-09-21
|
|
94
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$292,879.00
|
$309,407.36
|
$301,729.00
|
2026-09-21
|
|
Q2058
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$278,250.00
|
$417,375.00
|
$294,945.00
|
2026-09-21
|
|
8414
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$281,267.00
|
$297,140.12
|
$289,766.00
|
2026-09-21
|
|
5832
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$280,428.00
|
$296,253.05
|
$288,901.00
|
2026-09-21
|
|
6314
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$277,661.00
|
$293,329.87
|
$286,051.00
|
2026-09-21
|
|
J3403
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$261,579.65
|
$392,369.48
|
$277,274.43
|
2026-09-21
|
|
5914
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$261,665.00
|
$276,431.64
|
$269,572.00
|
2026-09-21
|
|
6304
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$249,490.00
|
$263,569.65
|
$257,029.00
|
2026-09-21
|
|
112
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$248,525.00
|
$262,549.91
|
$256,035.00
|
2026-09-21
|
|
74
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$247,893.00
|
$261,882.07
|
$255,383.00
|
2026-09-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
12
|
8
|
—
|
—
|
$161,250.83
|
$393,387.86
|
$251,221.89
|
2026-09-21
|
|
5934
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$243,275.00
|
$257,003.74
|
$250,626.00
|
2026-09-21
|
|
5831
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$239,221.00
|
$252,721.28
|
$246,450.00
|
2026-09-21
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
12
|
8
|
—
|
—
|
$162,201.10
|
$395,710.17
|
$243,764.33
|
2026-09-21
|
|
5883
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$224,453.00
|
$237,119.37
|
$231,235.00
|
2026-09-21
|
|
14
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$223,164.00
|
$235,757.84
|
$229,907.00
|
2026-09-21
|
|
44
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$219,733.00
|
$232,133.10
|
$226,373.00
|
2026-09-21
|
|
1613
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$214,432.00
|
$226,532.96
|
$220,911.00
|
2026-09-21
|
|
5882
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$211,005.00
|
$222,912.71
|
$217,381.00
|
2026-09-21
|
|
J3402
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$203,659.76
|
$305,489.64
|
$215,879.35
|
2026-09-21
|
|
23
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$207,462.00
|
$219,169.92
|
$213,731.00
|
2026-09-21
|
|
5881
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$197,556.00
|
$208,704.93
|
$203,526.00
|
2026-09-21
|
|
5913
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$190,346.00
|
$201,087.80
|
$196,098.00
|
2026-09-21
|
|
5891
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$186,081.00
|
$196,581.61
|
$191,703.00
|
2026-09-21
|
|
5892
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$185,943.00
|
$196,436.57
|
$191,562.00
|
2026-09-21
|
|
5893
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$185,808.00
|
$196,293.79
|
$191,423.00
|
2026-09-21
|
|
6024
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$178,902.00
|
$188,998.20
|
$184,308.00
|
2026-09-21
|
|
1604
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$178,114.00
|
$188,165.10
|
$183,496.00
|
2026-09-21
|
|
5933
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$165,557.00
|
$174,899.48
|
$170,559.00
|
2026-09-21
|
|
93
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$164,554.00
|
$173,840.39
|
$169,526.00
|
2026-09-21
|
|
1612
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$162,852.00
|
$172,042.63
|
$167,773.00
|
2026-09-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
12
|
8
|
—
|
—
|
$105,328.79
|
$256,721.85
|
$167,430.54
|
2026-09-21
|
|
1611
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$157,780.00
|
$166,684.22
|
$162,548.00
|
2026-09-21
|
|
54
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$150,204.00
|
$158,680.33
|
$154,743.00
|
2026-09-21
|
|
22
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$148,663.00
|
$157,052.34
|
$153,155.00
|
2026-09-21
|
|
7
|
MS_DRG
|
Lung Transplant
|
12
|
8
|
—
|
—
|
$98,494.21
|
$240,019.01
|
$152,445.98
|
2026-09-21
|
|
5912
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$146,800.00
|
$155,084.82
|
$151,236.00
|
2026-09-21
|
|
8424
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$144,184.00
|
$152,320.16
|
$148,540.00
|
2026-09-21
|
|
73
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$141,408.00
|
$149,387.99
|
$145,681.00
|
2026-09-21
|
|
6303
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$139,863.00
|
$147,755.51
|
$144,089.00
|
2026-09-21
|
|
21
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$138,850.00
|
$146,685.17
|
$143,045.00
|
2026-09-21
|
|
43
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$137,823.00
|
$145,600.22
|
$141,987.00
|
2026-09-21
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
8
|
—
|
—
|
$91,423.76
|
$222,739.76
|
$140,604.38
|
2026-09-21
|
|
6023
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$134,500.00
|
$142,090.16
|
$138,564.00
|
2026-09-21
|
|
8514
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$134,018.00
|
$141,580.85
|
$138,067.00
|
2026-09-21
|
|
8513
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$134,018.00
|
$141,580.85
|
$138,067.00
|
2026-09-21
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
8
|
—
|
—
|
$86,220.45
|
$210,023.58
|
$137,653.04
|
2026-09-21
|
|
6034
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$132,020.00
|
$139,470.54
|
$136,010.00
|
2026-09-21
|
|
64
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$129,817.00
|
$137,143.24
|
$133,740.00
|
2026-09-21
|
|
5932
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$128,085.00
|
$135,312.88
|
$131,955.00
|
2026-09-21
|
|
6074
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$125,984.00
|
$133,093.51
|
$129,791.00
|
2026-09-21
|
|
J3404
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$121,900.00
|
$182,850.00
|
$129,214.00
|
2026-09-21
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
12
|
8
|
—
|
—
|
$78,475.02
|
$191,094.81
|
$125,246.80
|
2026-09-21
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
3
|
1
|
—
|
—
|
$119,492.84
|
$123,970.61
|
$123,970.61
|
2026-09-21
|
|
8634
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$118,549.00
|
$125,239.15
|
$122,131.00
|
2026-09-21
|
|
6114
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$118,116.00
|
$124,781.56
|
$121,685.00
|
2026-09-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
12
|
8
|
—
|
—
|
$75,794.13
|
$184,543.04
|
$120,952.66
|
2026-09-21
|
|
6134
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$116,938.00
|
$123,536.96
|
$120,471.00
|
2026-09-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$74,473.02
|
$181,314.42
|
$118,593.40
|
2026-09-21
|
|
111
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$114,677.00
|
$121,148.95
|
$118,143.00
|
2026-09-21
|
|
3034
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$113,208.00
|
$119,596.29
|
$116,628.00
|
2026-09-21
|
|
1624
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$111,600.00
|
$117,897.47
|
$114,972.00
|
2026-09-21
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
7
|
7
|
—
|
—
|
$108,243.35
|
$162,365.03
|
$114,737.95
|
2026-09-21
|
|
84
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$108,262.00
|
$114,371.67
|
$111,533.00
|
2026-09-21
|
|
63
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$106,112.00
|
$112,100.58
|
$109,319.00
|
2026-09-21
|
|
8413
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$105,530.00
|
$111,485.59
|
$108,719.00
|
2026-09-21
|
|
4404
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$105,340.00
|
$111,284.34
|
$108,523.00
|
2026-09-21
|
|
6124
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$105,134.00
|
$111,067.35
|
$108,311.00
|
2026-09-21
|
|
13
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$104,864.00
|
$110,781.78
|
$108,033.00
|
2026-09-21
|
|
6022
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$104,061.00
|
$109,932.93
|
$107,205.00
|
2026-09-21
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$100,003.05
|
$103,750.48
|
$103,750.48
|
2026-09-21
|
|
53
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$99,816.00
|
$105,449.22
|
$102,832.00
|
2026-09-21
|
|
1634
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$99,648.00
|
$105,271.58
|
$102,659.00
|
2026-09-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
12
|
8
|
—
|
—
|
$64,212.77
|
$156,239.77
|
$102,210.86
|
2026-09-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
8
|
—
|
—
|
$64,011.80
|
$155,748.62
|
$102,080.30
|
2026-09-21
|
|
6073
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$98,836.00
|
$104,413.74
|
$101,823.00
|
2026-09-21
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
7
|
7
|
—
|
—
|
$95,081.03
|
$142,621.55
|
$100,785.89
|
2026-09-21
|
|
6334
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$96,717.00
|
$102,175.26
|
$99,640.00
|
2026-09-21
|
|
72
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$96,674.00
|
$102,129.16
|
$99,595.00
|
2026-09-21
|
|
6093
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$96,518.00
|
$101,965.02
|
$99,435.00
|
2026-09-21
|
|
1784
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$95,949.00
|
$101,363.52
|
$98,848.00
|
2026-09-21
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$92,621.86
|
$96,092.69
|
$96,092.69
|
2026-09-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
12
|
8
|
—
|
—
|
$59,957.46
|
$145,840.34
|
$95,586.25
|
2026-09-21
|
|
8504
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$91,788.00
|
$96,967.50
|
$94,561.00
|
2026-09-21
|
|
426
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$83,864.90
|
$204,266.92
|
$93,747.48
|
2026-09-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$58,512.73
|
$142,309.61
|
$93,272.15
|
2026-09-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
12
|
8
|
—
|
—
|
$58,261.70
|
$141,696.14
|
$92,870.07
|
2026-09-21
|
|
212
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$82,749.30
|
$201,540.57
|
$92,500.26
|
2026-09-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
12
|
8
|
—
|
—
|
$58,069.83
|
$141,227.23
|
$91,262.74
|
2026-09-21
|
|
1674
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$88,552.00
|
$93,549.63
|
$91,228.00
|
2026-09-21
|
|
209
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
3
|
3
|
—
|
—
|
$86,121.84
|
$127,336.50
|
$90,811.64
|
2026-09-21
|
|
62
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$87,940.00
|
$92,903.16
|
$90,598.00
|
2026-09-21
|
|
6214
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$87,624.00
|
$92,569.24
|
$90,272.00
|
2026-09-21
|
|
42
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$86,773.00
|
$91,669.80
|
$89,395.00
|
2026-09-21
|
|
1654
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$86,746.00
|
$91,641.69
|
$89,368.00
|
2026-09-21
|
|
5931
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$86,056.00
|
$90,912.02
|
$88,656.00
|
2026-09-21
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
3
|
1
|
—
|
—
|
$83,667.90
|
$86,803.20
|
$86,803.20
|
2026-09-21
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
8
|
—
|
—
|
$54,389.37
|
$132,232.68
|
$86,667.55
|
2026-09-21
|
|
9114
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$82,432.00
|
$87,083.78
|
$84,923.00
|
2026-09-21
|
|
12
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$82,428.00
|
$87,079.28
|
$84,918.00
|
2026-09-21
|
|
6804
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$81,825.00
|
$86,442.93
|
$84,298.00
|
2026-09-21
|
|
1834
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$81,807.00
|
$86,423.82
|
$84,279.00
|
2026-09-21
|
|
9104
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$81,741.00
|
$86,354.11
|
$84,211.00
|
2026-09-21
|
|
71
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$81,439.00
|
$86,034.81
|
$83,900.00
|
2026-09-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
8
|
—
|
—
|
$52,442.58
|
$127,475.00
|
$83,549.30
|
2026-09-21
|
|
6033
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$80,911.00
|
$85,477.16
|
$83,356.00
|
2026-09-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
12
|
8
|
—
|
—
|
$52,699.67
|
$128,103.30
|
$83,249.54
|
2026-09-21
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
3
|
1
|
—
|
—
|
$79,635.17
|
$82,619.35
|
$82,619.35
|
2026-09-21
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
8
|
—
|
—
|
$51,329.28
|
$124,754.21
|
$81,766.04
|
2026-09-21
|
|
3044
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$79,185.00
|
$83,653.54
|
$81,578.00
|
2026-09-21
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
12
|
8
|
—
|
—
|
$54,678.32
|
$132,938.82
|
$80,817.07
|
2026-09-21
|
|
6084
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$77,916.00
|
$82,313.38
|
$80,271.00
|
2026-09-21
|
|
11
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$76,988.00
|
$81,332.99
|
$79,315.00
|
2026-09-21
|
|
6254
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$76,857.00
|
$81,194.70
|
$79,180.00
|
2026-09-21
|
|
1623
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$76,651.00
|
$80,976.58
|
$78,967.00
|
2026-09-21
|
|
6313
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$76,248.00
|
$80,550.47
|
$78,552.00
|
2026-09-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$50,147.69
|
$121,866.61
|
$78,481.14
|
2026-09-21
|
|
3124
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$75,948.00
|
$80,233.42
|
$78,242.00
|
2026-09-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
12
|
8
|
—
|
—
|
$49,081.41
|
$119,260.73
|
$78,165.52
|
2026-09-21
|
|
6904
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$75,774.00
|
$80,050.16
|
$78,064.00
|
2026-09-21
|
|
1664
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$75,249.00
|
$79,495.88
|
$77,523.00
|
2026-09-21
|
|
214
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$75,095.00
|
$79,332.86
|
$77,364.00
|
2026-09-21
|
|
J9183
|
HCPCS
|
Outpatient Services
|
7
|
7
|
—
|
—
|
$72,984.24
|
$109,476.36
|
$77,363.30
|
2026-09-21
|
|
429
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$68,609.14
|
$166,983.93
|
$76,691.76
|
2026-09-21
|
|
9124
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$73,988.00
|
$78,163.58
|
$76,224.00
|
2026-09-21
|
|
914
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$73,950.00
|
$78,123.11
|
$76,184.00
|
2026-09-21
|
|
1783
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$73,872.00
|
$78,041.04
|
$76,104.00
|
2026-09-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$50,147.69
|
$121,866.61
|
$75,813.68
|
2026-09-21
|
|
6144
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$73,172.00
|
$77,301.25
|
$75,383.00
|
2026-09-21
|
|
1794
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$73,047.00
|
$77,169.70
|
$75,255.00
|
2026-09-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
12
|
8
|
—
|
—
|
$49,966.43
|
$121,423.65
|
$75,235.64
|
2026-09-21
|
|
6083
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$72,301.00
|
$76,381.57
|
$74,486.00
|
2026-09-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
12
|
8
|
—
|
—
|
$46,758.47
|
$113,583.77
|
$74,444.74
|
2026-09-21
|
|
3033
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$72,222.00
|
$76,297.25
|
$74,404.00
|
2026-09-21
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$46,704.63
|
$113,452.17
|
$74,358.49
|
2026-09-21
|
|
6072
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$71,741.00
|
$75,789.06
|
$73,908.00
|
2026-09-21
|
|
1204
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$71,718.00
|
$75,765.45
|
$73,885.00
|
2026-09-21
|
|
850
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$65,954.04
|
$160,495.17
|
$73,723.37
|
2026-09-21
|
|
6021
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$71,403.00
|
$75,432.66
|
$73,561.00
|
2026-09-21
|
|
1603
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$70,906.00
|
$74,907.61
|
$73,049.00
|
2026-09-21
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
7
|
7
|
—
|
—
|
$68,801.71
|
$103,202.57
|
$72,929.81
|
2026-09-21
|
|
6814
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$70,653.00
|
$74,640.03
|
$72,788.00
|
2026-09-21
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
8
|
—
|
—
|
$45,504.85
|
$110,520.10
|
$72,436.76
|
2026-09-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
12
|
8
|
—
|
—
|
$46,259.43
|
$112,364.23
|
$72,403.54
|
2026-09-21
|
|
234
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$70,150.00
|
$74,108.23
|
$72,269.00
|
2026-09-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
12
|
8
|
—
|
—
|
$45,847.65
|
$111,357.83
|
$72,226.24
|
2026-09-21
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
12
|
8
|
—
|
—
|
$45,251.54
|
$109,901.06
|
$72,031.04
|
2026-09-21
|
|
4403
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$69,289.00
|
$73,198.68
|
$71,382.00
|
2026-09-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
8
|
—
|
—
|
$44,788.17
|
$108,768.63
|
$71,288.82
|
2026-09-21
|
|
6514
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$68,970.00
|
$72,862.51
|
$71,054.00
|
2026-09-21
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$68,288.90
|
$70,847.90
|
$70,847.90
|
2026-09-21
|
|
3614
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$68,760.00
|
$72,639.90
|
$70,837.00
|
2026-09-21
|
|
7404
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$68,510.00
|
$72,375.69
|
$70,580.00
|
2026-09-21
|
|
894
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$68,430.00
|
$72,291.37
|
$70,497.00
|
2026-09-21
|
|
92
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$68,110.00
|
$71,954.08
|
$70,169.00
|
2026-09-21
|
|
2604
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$68,038.00
|
$71,877.62
|
$70,094.00
|
2026-09-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
8
|
—
|
—
|
$43,739.32
|
$106,205.38
|
$69,608.82
|
2026-09-21
|
|
6123
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$67,538.00
|
$71,349.20
|
$69,579.00
|
2026-09-21
|
|
4414
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$67,275.00
|
$71,071.50
|
$69,308.00
|
2026-09-21
|
|
1694
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$67,140.00
|
$70,928.71
|
$69,169.00
|
2026-09-21
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$66,194.48
|
$68,674.99
|
$68,674.99
|
2026-09-21
|
|
1704
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$66,566.00
|
$70,322.72
|
$68,578.00
|
2026-09-21
|
|
6954
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$66,414.00
|
$70,161.94
|
$68,421.00
|
2026-09-21
|
|
52
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$66,381.00
|
$70,127.09
|
$68,387.00
|
2026-09-21
|
|
8412
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$66,184.00
|
$69,919.09
|
$68,184.00
|
2026-09-21
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
1
|
—
|
—
|
$65,713.16
|
$68,175.63
|
$68,175.63
|
2026-09-21
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
12
|
8
|
—
|
—
|
$42,786.01
|
$103,875.66
|
$68,081.88
|
2026-09-21
|
|
1633
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$66,018.00
|
$69,743.70
|
$68,013.00
|
2026-09-21
|
|
J9029
|
HCPCS
|
Outpatient Services
|
8
|
7
|
—
|
—
|
$64,331.61
|
$96,497.42
|
$67,869.85
|
2026-09-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$44,759.34
|
$108,698.20
|
$67,777.24
|
2026-09-21
|
|
83
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$65,573.00
|
$69,273.74
|
$67,555.00
|
2026-09-21
|
|
4234
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$65,339.00
|
$69,026.40
|
$67,313.00
|
2026-09-21
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
12
|
8
|
—
|
—
|
$42,167.20
|
$102,363.28
|
$67,090.64
|
2026-09-21
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$41,916.16
|
$101,749.81
|
$66,688.57
|
2026-09-21
|
|
91
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$64,705.00
|
$68,356.32
|
$66,660.00
|
2026-09-21
|
|
1304
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$64,622.00
|
$68,268.62
|
$66,575.00
|
2026-09-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
12
|
8
|
—
|
—
|
$41,769.02
|
$101,390.25
|
$66,452.90
|
2026-09-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
12
|
8
|
—
|
—
|
$43,505.75
|
$105,634.53
|
$66,353.09
|
2026-09-21
|
|
9504
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,971.00
|
$67,580.55
|
$65,904.00
|
2026-09-21
|
|
924
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,833.00
|
$67,435.51
|
$65,762.00
|
2026-09-21
|
|
2204
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,582.00
|
$67,170.18
|
$65,503.00
|
2026-09-21
|
|
61
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,541.00
|
$67,126.33
|
$65,461.00
|
2026-09-21
|
|
1653
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,513.00
|
$67,097.10
|
$65,432.00
|
2026-09-21
|
|
6092
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,227.00
|
$66,794.66
|
$65,137.00
|
2026-09-21
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
3
|
1
|
—
|
—
|
$62,686.01
|
$65,035.05
|
$65,035.05
|
2026-09-21
|
|
4044
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$63,010.00
|
$66,565.31
|
$64,913.00
|
2026-09-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$40,724.72
|
$98,838.12
|
$64,780.19
|
2026-09-21
|
|
8411
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$62,874.00
|
$66,422.52
|
$64,774.00
|
2026-09-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
12
|
8
|
—
|
—
|
$41,709.87
|
$101,245.68
|
$64,661.40
|
2026-09-21
|
|
204
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$62,635.00
|
$66,169.55
|
$64,528.00
|
2026-09-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
12
|
8
|
—
|
—
|
$41,644.65
|
$101,086.29
|
$64,475.78
|
2026-09-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
12
|
8
|
—
|
—
|
$40,428.96
|
$98,115.29
|
$64,306.43
|
2026-09-21
|
|
6234
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$62,057.00
|
$65,559.06
|
$63,932.00
|
2026-09-21
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
12
|
8
|
—
|
—
|
$1,497.09
|
$94,602.33
|
$63,383.56
|
2026-09-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
12
|
8
|
—
|
—
|
$39,758.54
|
$96,476.88
|
$63,232.60
|
2026-09-21
|
|
6133
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$61,314.00
|
$64,774.30
|
$63,167.00
|
2026-09-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
8
|
—
|
—
|
$40,296.24
|
$97,790.94
|
$63,133.52
|
2026-09-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,690.28
|
$96,310.08
|
$63,123.27
|
2026-09-21
|
|
274
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$61,142.00
|
$64,592.16
|
$62,989.00
|
2026-09-21
|
|
4402
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$61,013.00
|
$64,456.12
|
$62,857.00
|
2026-09-21
|
|
6032
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$60,997.00
|
$64,439.25
|
$62,840.00
|
2026-09-21
|
|
1782
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$60,502.00
|
$63,916.46
|
$62,330.00
|
2026-09-21
|
|
3214
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$59,963.00
|
$63,346.43
|
$61,774.00
|
2026-09-21
|
|
427
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$55,026.42
|
$133,789.53
|
$61,506.44
|
2026-09-21
|
|
4014
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$59,511.00
|
$62,869.73
|
$61,310.00
|
2026-09-21
|
|
224
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$59,491.00
|
$62,848.37
|
$61,289.00
|
2026-09-21
|
|
275
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$54,357.51
|
$132,154.83
|
$60,758.62
|
2026-09-21
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
3
|
1
|
—
|
—
|
$57,398.00
|
$60,631.00
|
$60,631.00
|
2026-09-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
12
|
8
|
—
|
—
|
$38,105.27
|
$92,436.47
|
$60,584.44
|
2026-09-21
|
|
6344
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$58,690.00
|
$62,001.77
|
$60,463.00
|
2026-09-21
|
|
1622
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$58,685.00
|
$61,997.27
|
$60,459.00
|
2026-09-21
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
8
|
7
|
—
|
—
|
$56,824.55
|
$85,236.82
|
$60,234.02
|
2026-09-21
|
|
6113
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$58,409.00
|
$61,704.96
|
$60,174.00
|
2026-09-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
12
|
8
|
—
|
—
|
$37,801.91
|
$91,695.11
|
$60,084.69
|
2026-09-21
|
|
1833
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$58,157.00
|
$61,438.50
|
$59,914.00
|
2026-09-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$37,735.15
|
$91,532.01
|
$59,857.62
|
2026-09-21
|
|
2614
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$58,095.00
|
$61,373.29
|
$59,850.00
|
2026-09-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
12
|
8
|
—
|
—
|
$37,451.53
|
$90,838.84
|
$59,537.32
|
2026-09-21
|
|
41
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$57,770.00
|
$61,030.38
|
$59,516.00
|
2026-09-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$38,505.68
|
$93,415.07
|
$59,327.28
|
2026-09-21
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
12
|
8
|
—
|
—
|
$54,344.76
|
$132,994.42
|
$59,137.43
|
2026-09-21
|
|
6302
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$57,284.00
|
$60,516.57
|
$59,015.00
|
2026-09-21
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
8
|
7
|
—
|
—
|
$55,932.43
|
$60,161.89
|
$59,008.71
|
2026-09-21
|
|
6224
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$57,242.00
|
$60,472.72
|
$58,972.00
|
2026-09-21
|
|
8423
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$56,982.00
|
$60,197.27
|
$58,703.00
|
2026-09-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
12
|
8
|
—
|
—
|
$36,901.69
|
$89,495.13
|
$58,656.63
|
2026-09-21
|
|
5144
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$56,908.00
|
$60,119.69
|
$58,628.00
|
2026-09-21
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
12
|
8
|
—
|
—
|
$36,716.65
|
$89,042.90
|
$58,360.24
|
2026-09-21
|
|
4401
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$56,647.00
|
$59,844.24
|
$58,359.00
|
2026-09-21
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
12
|
8
|
—
|
—
|
$41,479.33
|
$100,682.25
|
$58,322.29
|
2026-09-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
12
|
8
|
—
|
—
|
$37,606.99
|
$91,218.79
|
$58,130.61
|
2026-09-21
|
|
3043
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$56,254.00
|
$59,428.25
|
$57,954.00
|
2026-09-21
|
|
1214
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$56,213.00
|
$59,385.53
|
$57,912.00
|
2026-09-21
|
|
4844
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$56,146.00
|
$59,314.70
|
$57,843.00
|
2026-09-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
12
|
8
|
—
|
—
|
$36,386.75
|
$88,236.67
|
$57,831.82
|
2026-09-21
|
|
1814
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$55,881.00
|
$59,034.74
|
$57,570.00
|
2026-09-21
|
|
7924
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$55,754.00
|
$58,899.83
|
$57,438.00
|
2026-09-21
|
|
5114
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$55,666.00
|
$58,807.64
|
$57,348.00
|
2026-09-21
|
|
1793
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$55,651.00
|
$58,791.90
|
$57,333.00
|
2026-09-21
|
|
1764
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$55,647.00
|
$58,787.40
|
$57,329.00
|
2026-09-21
|
|
J7330
|
HCPCS
|
Autologous Cultured Chondrocytes, Implant
|
5
|
3
|
$164,045.25
|
$98,427.15
40% off
|
$42,651.77
|
$126,314.84
|
$57,294.42
|
2026-09-21
|
|
304
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$55,342.00
|
$58,464.72
|
$57,014.00
|
2026-09-21
|
|
317
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$50,991.02
|
$123,927.59
|
$56,994.93
|
2026-09-21
|
|
447
|
MS_DRG
|
Inpatient Services: Ms-DRG
|
9
|
8
|
—
|
—
|
$50,953.86
|
$123,836.77
|
$56,953.38
|
2026-09-21
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
12
|
8
|
—
|
—
|
$35,936.27
|
$87,135.75
|
$56,851.10
|
2026-09-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
12
|
8
|
—
|
—
|
$35,757.29
|
$86,698.35
|
$56,823.57
|
2026-09-21
|
|
1663
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,959.00
|
$58,059.98
|
$56,619.00
|
2026-09-21
|
|
8633
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,825.00
|
$57,919.44
|
$56,482.00
|
2026-09-21
|
|
9103
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,767.00
|
$57,857.60
|
$56,422.00
|
2026-09-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
8
|
—
|
—
|
$35,863.46
|
$86,957.82
|
$56,384.07
|
2026-09-21
|
|
6364
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,718.00
|
$57,805.88
|
$56,371.00
|
2026-09-21
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
12
|
8
|
—
|
—
|
$35,447.85
|
$85,942.16
|
$56,327.96
|
2026-09-21
|
|
7104
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,671.00
|
$57,756.42
|
$56,323.00
|
2026-09-21
|
|
1781
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,541.00
|
$57,619.25
|
$56,189.00
|
2026-09-21
|
|
264
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,502.00
|
$57,577.65
|
$56,149.00
|
2026-09-21
|
|
3032
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,441.00
|
$57,513.57
|
$56,086.00
|
2026-09-21
|
|
2304
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,436.00
|
$57,507.95
|
$56,081.00
|
2026-09-21
|
|
7114
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,421.00
|
$57,492.20
|
$56,066.00
|
2026-09-21
|
|
294
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,314.00
|
$57,378.65
|
$55,955.00
|
2026-09-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
8
|
—
|
—
|
$35,140.72
|
$85,191.53
|
$55,835.99
|
2026-09-21
|
|
2644
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$54,091.00
|
$57,143.67
|
$55,726.00
|
2026-09-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
12
|
8
|
—
|
—
|
$34,882.12
|
$84,559.52
|
$55,421.76
|
2026-09-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
12
|
8
|
—
|
—
|
$34,763.03
|
$84,268.54
|
$55,231.04
|
2026-09-21
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
12
|
8
|
—
|
—
|
$34,628.04
|
$83,938.63
|
$55,014.82
|
2026-09-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$34,778.19
|
$84,305.61
|
$54,488.34
|
2026-09-21
|
|
1602
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$52,852.00
|
$55,834.99
|
$54,449.00
|
2026-09-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
12
|
8
|
—
|
—
|
$34,270.85
|
$83,065.68
|
$54,442.67
|
2026-09-21
|
|
4424
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$52,783.00
|
$55,761.91
|
$54,378.00
|
2026-09-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
12
|
8
|
—
|
—
|
$35,052.00
|
$84,974.68
|
$54,130.07
|
2026-09-21
|
|
1754
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$52,140.00
|
$55,082.83
|
$53,716.00
|
2026-09-21
|
|
1673
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$51,950.00
|
$54,881.58
|
$53,520.00
|
2026-09-21
|
|
4474
|
APR_DRG
|
Inpatient Services: Apr-DRG
|
3
|
3
|
—
|
—
|
$51,818.00
|
$54,742.17
|
$53,384.00
|
2026-09-21
|