|
845
|
OTHER
|
Inj, Atidarsagene Autotemcel
|
19
|
18
|
—
|
—
|
$7,136.87
|
$4,774,903.56
|
$4,595,844.68
|
2026-07-17
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
18
|
17
|
—
|
—
|
$3,615,274.02
|
$3,906,058.37
|
$3,760,485.36
|
2026-07-17
|
|
908
|
OTHER
|
Topi Adm Prad Zami Per Treat
|
19
|
18
|
—
|
—
|
$15,176.61
|
$3,535,675.65
|
$3,403,087.81
|
2026-07-17
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
19
|
18
|
—
|
—
|
$8,015.15
|
$3,515,158.49
|
$3,383,340.05
|
2026-07-17
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
19
|
18
|
—
|
—
|
$14,817.00
|
$3,443,066.59
|
$3,313,951.59
|
2026-07-17
|
|
906
|
OTHER
|
Inj Elivaldogene Autotemecel
|
19
|
18
|
—
|
—
|
$14,306.02
|
$3,275,128.08
|
$3,152,310.78
|
2026-07-17
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
19
|
18
|
—
|
—
|
$10,854.38
|
$3,122,225.18
|
$3,005,141.73
|
2026-07-17
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
19
|
17
|
—
|
—
|
$2,408,481.77
|
$4,457,474.27
|
$2,505,823.37
|
2026-07-17
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
20
|
18
|
—
|
—
|
$20,261.09
|
$4,233,955.88
|
$2,379,597.63
|
2026-07-17
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
20
|
17
|
—
|
—
|
$755,983.96
|
$2,117,602.12
|
$786,537.93
|
2026-07-17
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
20
|
17
|
—
|
—
|
$580,487.80
|
$1,626,016.25
|
$603,948.89
|
2026-07-17
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
20
|
17
|
—
|
—
|
$555,121.64
|
$1,554,962.58
|
$577,557.53
|
2026-07-17
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
20
|
17
|
—
|
—
|
$551,854.14
|
$1,545,809.92
|
$574,157.97
|
2026-07-17
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
20
|
17
|
—
|
—
|
$546,733.04
|
$1,531,465.10
|
$568,829.89
|
2026-07-17
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
20
|
17
|
—
|
—
|
$523,102.77
|
$1,465,273.85
|
$544,244.57
|
2026-07-17
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$472,587.27
|
$843,905.84
|
$525,331.39
|
2026-07-17
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
20
|
17
|
—
|
—
|
$480,011.46
|
$1,344,569.91
|
$499,411.68
|
2026-07-17
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
28
|
17
|
—
|
—
|
$262,925.70
|
$798,881.80
|
$324,790.57
|
2026-07-17
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$289,450.76
|
$516,876.36
|
$321,755.53
|
2026-07-17
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
—
|
—
|
$270,588.36
|
$483,193.50
|
$300,787.96
|
2026-07-17
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$270,409.12
|
$482,873.42
|
$300,588.70
|
2026-07-17
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$269,153.66
|
$480,631.54
|
$299,193.14
|
2026-07-17
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$295,334.16
|
$295,334.16
|
$295,334.16
|
2026-07-17
|
|
831
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
21
|
18
|
—
|
—
|
$4,213.12
|
$764,608.74
|
$283,997.53
|
2026-07-17
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$279,100.23
|
$279,100.23
|
$279,100.23
|
2026-07-17
|
|
897
|
OTHER
|
Revakinagene, Per Implant
|
20
|
17
|
—
|
—
|
$252,609.42
|
$707,589.40
|
$262,818.92
|
2026-07-17
|
|
633
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$261,484.73
|
$261,484.73
|
$261,484.73
|
2026-07-17
|
|
612
|
OTHER
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$239,614.62
|
$239,614.62
|
$239,614.62
|
2026-07-17
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$206,660.71
|
$369,036.98
|
$229,725.52
|
2026-07-17
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$201,792.09
|
$360,343.02
|
$224,313.53
|
2026-07-17
|
|
6094
|
APR_DRG
|
Neonate Birth Weight1500-2499 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$201,668.01
|
$360,121.44
|
$224,175.59
|
2026-07-17
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
—
|
—
|
$201,375.40
|
$359,598.92
|
$223,850.33
|
2026-07-17
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
—
|
—
|
$197,821.22
|
$353,252.18
|
$219,899.48
|
2026-07-17
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
8
|
—
|
—
|
$193,968.32
|
$346,372.00
|
$215,616.57
|
2026-07-17
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$192,774.14
|
$344,239.54
|
$214,289.11
|
2026-07-17
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$189,807.49
|
$338,941.94
|
$210,991.36
|
2026-07-17
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
28
|
17
|
—
|
—
|
$170,740.79
|
$518,442.15
|
$210,915.10
|
2026-07-17
|
|
886
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
21
|
18
|
—
|
—
|
$9,433.61
|
$565,082.28
|
$209,887.70
|
2026-07-17
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$185,503.40
|
$331,256.08
|
$206,206.91
|
2026-07-17
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
8
|
—
|
—
|
$179,498.84
|
$320,533.64
|
$199,532.19
|
2026-07-17
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$198,664.43
|
$198,664.43
|
$198,664.43
|
2026-07-17
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
—
|
—
|
$175,909.43
|
$314,123.98
|
$195,542.18
|
2026-07-17
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$166,877.69
|
$297,995.88
|
$185,502.43
|
2026-07-17
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$165,186.39
|
$294,975.70
|
$183,622.38
|
2026-07-17
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
—
|
—
|
$160,091.05
|
$285,876.88
|
$177,958.36
|
2026-07-17
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$159,206.34
|
$284,297.04
|
$176,974.91
|
2026-07-17
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$158,007.57
|
$282,156.38
|
$175,642.35
|
2026-07-17
|
|
631
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$173,746.86
|
$173,746.86
|
$173,746.86
|
2026-07-17
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$152,027.52
|
$271,477.72
|
$168,994.88
|
2026-07-17
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$150,515.47
|
$268,777.62
|
$167,314.07
|
2026-07-17
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$147,296.80
|
$263,030.00
|
$163,736.17
|
2026-07-17
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
28
|
17
|
—
|
—
|
$130,158.25
|
$394,984.25
|
$160,783.72
|
2026-07-17
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
28
|
17
|
—
|
—
|
$129,396.27
|
$392,666.20
|
$159,842.45
|
2026-07-17
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$143,148.22
|
$255,621.82
|
$159,124.58
|
2026-07-17
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$141,588.66
|
$252,836.90
|
$157,390.97
|
2026-07-17
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
21
|
18
|
—
|
—
|
$132,160.90
|
$419,059.17
|
$155,650.55
|
2026-07-17
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
21
|
18
|
—
|
—
|
$132,160.90
|
$419,059.17
|
$155,650.55
|
2026-07-17
|
|
636
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$153,644.05
|
$153,644.05
|
$153,644.05
|
2026-07-17
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$134,923.82
|
$240,935.40
|
$149,982.29
|
2026-07-17
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$134,923.82
|
$240,935.40
|
$149,982.29
|
2026-07-17
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$134,923.82
|
$240,935.40
|
$149,982.29
|
2026-07-17
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
—
|
—
|
$132,948.35
|
$237,407.76
|
$147,786.33
|
2026-07-17
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
21
|
18
|
—
|
—
|
$119,161.51
|
$377,840.37
|
$140,340.71
|
2026-07-17
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
21
|
18
|
—
|
—
|
$119,161.51
|
$377,840.37
|
$140,340.71
|
2026-07-17
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$125,714.38
|
$224,489.96
|
$139,745.00
|
2026-07-17
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$122,779.89
|
$219,249.80
|
$136,483.01
|
2026-07-17
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$122,075.95
|
$217,992.76
|
$135,700.49
|
2026-07-17
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$116,262.88
|
$207,612.28
|
$129,238.65
|
2026-07-17
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$116,262.88
|
$207,612.28
|
$129,238.65
|
2026-07-17
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
8
|
—
|
—
|
$115,839.28
|
$206,855.86
|
$128,767.77
|
2026-07-17
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
1
|
1
|
—
|
—
|
$127,470.92
|
$127,470.92
|
$127,470.92
|
2026-07-17
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
21
|
18
|
—
|
—
|
$106,162.12
|
$336,621.57
|
$125,030.87
|
2026-07-17
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
21
|
18
|
—
|
—
|
$106,162.12
|
$336,621.57
|
$125,030.87
|
2026-07-17
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$111,538.27
|
$199,175.48
|
$123,986.74
|
2026-07-17
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
—
|
—
|
$105,908.28
|
$189,121.92
|
$117,728.40
|
2026-07-17
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$104,834.36
|
$187,204.22
|
$116,534.63
|
2026-07-17
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$101,257.21
|
$180,816.44
|
$112,558.23
|
2026-07-17
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
8
|
—
|
—
|
$100,493.52
|
$179,452.72
|
$111,709.32
|
2026-07-17
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
21
|
18
|
—
|
—
|
$93,162.73
|
$295,402.77
|
$109,721.03
|
2026-07-17
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
21
|
18
|
—
|
—
|
$93,162.73
|
$295,402.77
|
$109,721.03
|
2026-07-17
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$98,582.39
|
$176,039.98
|
$109,584.89
|
2026-07-17
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$98,316.59
|
$175,565.34
|
$109,289.43
|
2026-07-17
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$98,189.44
|
$175,338.28
|
$109,148.08
|
2026-07-17
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
4
|
2
|
—
|
—
|
$102,718.69
|
$187,064.32
|
$108,110.75
|
2026-07-17
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$97,177.57
|
$173,531.38
|
$108,023.28
|
2026-07-17
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
—
|
—
|
$96,965.39
|
$173,152.48
|
$107,787.42
|
2026-07-17
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$104,729.44
|
$104,729.44
|
$104,729.44
|
2026-07-17
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$104,651.06
|
$104,651.06
|
$104,651.06
|
2026-07-17
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
28
|
17
|
—
|
—
|
$84,554.42
|
$256,250.90
|
$104,449.58
|
2026-07-17
|
|
651
|
OTHER
|
Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$103,988.70
|
$103,988.70
|
$103,988.70
|
2026-07-17
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
10
|
8
|
—
|
—
|
$92,731.02
|
$165,591.10
|
$103,080.46
|
2026-07-17
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
10
|
8
|
—
|
—
|
$92,731.02
|
$165,591.10
|
$103,080.46
|
2026-07-17
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$91,948.95
|
$164,194.56
|
$102,211.11
|
2026-07-17
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
1
|
1
|
—
|
—
|
$100,072.95
|
$100,072.95
|
$100,072.95
|
2026-07-17
|
|
7
|
MS_DRG
|
Lung Transplant
|
28
|
17
|
—
|
—
|
$79,074.00
|
$239,578.70
|
$97,679.65
|
2026-07-17
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$87,285.63
|
$155,867.20
|
$97,027.33
|
2026-07-17
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
21
|
18
|
—
|
—
|
$82,329.90
|
$261,053.77
|
$96,962.83
|
2026-07-17
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
21
|
18
|
—
|
—
|
$82,329.90
|
$261,053.77
|
$96,962.83
|
2026-07-17
|
|
359
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$96,924.83
|
$96,924.83
|
$96,924.83
|
2026-07-17
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
1
|
1
|
—
|
—
|
$93,989.55
|
$93,989.55
|
$93,989.55
|
2026-07-17
|
|
634
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
1
|
1
|
—
|
—
|
$93,724.46
|
$93,724.46
|
$93,724.46
|
2026-07-17
|
|
212
|
OTHER
|
Testes Procedures Age 0-17
|
1
|
1
|
—
|
—
|
$92,916.10
|
$92,916.10
|
$92,916.10
|
2026-07-17
|
|
7
|
OTHER
|
Lung Transplant
|
1
|
1
|
—
|
—
|
$91,257.13
|
$91,257.13
|
$91,257.13
|
2026-07-17
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
28
|
17
|
—
|
—
|
$73,404.46
|
$222,331.15
|
$90,676.10
|
2026-07-17
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$85,961.15
|
$90,470.79
|
$90,470.79
|
2026-07-17
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$90,250.53
|
$90,250.53
|
$90,250.53
|
2026-07-17
|
|
6114
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$80,823.77
|
$144,328.16
|
$89,844.28
|
2026-07-17
|
|
6134
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
8
|
—
|
—
|
$80,080.76
|
$143,001.36
|
$89,018.35
|
2026-07-17
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$88,192.00
|
$88,192.00
|
$88,192.00
|
2026-07-17
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
10
|
8
|
—
|
—
|
$79,048.98
|
$141,158.90
|
$87,871.42
|
2026-07-17
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
—
|
—
|
$78,845.23
|
$140,795.06
|
$87,644.93
|
2026-07-17
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$78,144.35
|
$139,543.48
|
$86,865.82
|
2026-07-17
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
21
|
18
|
—
|
—
|
$73,663.64
|
$233,574.57
|
$86,756.27
|
2026-07-17
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
21
|
18
|
—
|
—
|
$73,663.64
|
$233,574.57
|
$86,756.27
|
2026-07-17
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$77,848.68
|
$139,015.50
|
$86,537.15
|
2026-07-17
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
—
|
—
|
$77,472.58
|
$138,343.90
|
$86,119.08
|
2026-07-17
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
28
|
17
|
—
|
—
|
$69,232.13
|
$239,669.60
|
$85,522.04
|
2026-07-17
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
—
|
—
|
$76,860.56
|
$137,251.00
|
$85,438.75
|
2026-07-17
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
24
|
17
|
—
|
—
|
$69,153.07
|
$209,397.80
|
$85,424.38
|
2026-07-17
|
|
632
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Died
|
1
|
1
|
—
|
—
|
$85,271.32
|
$85,271.32
|
$85,271.32
|
2026-07-17
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$76,228.62
|
$136,122.54
|
$84,736.28
|
2026-07-17
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$75,768.27
|
$135,300.48
|
$84,224.55
|
2026-07-17
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$79,614.72
|
$83,790.17
|
$83,790.17
|
2026-07-17
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
17
|
—
|
—
|
$67,343.29
|
$203,892.20
|
$83,188.77
|
2026-07-17
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
4
|
2
|
—
|
—
|
$78,418.82
|
$107,120.44
|
$83,180.50
|
2026-07-17
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$74,725.76
|
$133,438.86
|
$83,065.69
|
2026-07-17
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$82,336.04
|
$82,336.04
|
$82,336.04
|
2026-07-17
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
25
|
17
|
—
|
—
|
$66,448.74
|
$201,170.85
|
$82,083.74
|
2026-07-17
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
1
|
1
|
—
|
—
|
$81,500.80
|
$81,500.80
|
$81,500.80
|
2026-07-17
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$71,305.63
|
$127,331.48
|
$79,263.85
|
2026-07-17
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$70,810.04
|
$126,446.50
|
$78,712.95
|
2026-07-17
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
28
|
17
|
—
|
—
|
$63,021.35
|
$190,744.25
|
$77,849.91
|
2026-07-17
|
|
6093
|
APR_DRG
|
Neonate Birth Weight1500-2499 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$69,956.72
|
$124,922.72
|
$77,764.39
|
2026-07-17
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$69,746.08
|
$124,546.58
|
$77,530.24
|
2026-07-17
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$76,915.77
|
$76,915.77
|
$76,915.77
|
2026-07-17
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
21
|
18
|
—
|
—
|
$64,997.38
|
$206,095.37
|
$76,549.71
|
2026-07-17
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
21
|
18
|
—
|
—
|
$64,997.38
|
$206,095.37
|
$76,549.71
|
2026-07-17
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$68,120.66
|
$121,644.04
|
$75,723.42
|
2026-07-17
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
3
|
1
|
—
|
—
|
$71,916.01
|
$75,686.06
|
$75,686.06
|
2026-07-17
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
17
|
—
|
—
|
$60,871.64
|
$259,782.81
|
$75,194.37
|
2026-07-17
|
|
A9543
|
HCPCS
|
Hb Rad-supply Y90 Zevalin/dose
|
9
|
7
|
$99,999.00
|
$24,999.75
75% off
|
$35,749.64
|
$97,999.02
|
$74,999.25
|
2026-07-17
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$66,993.12
|
$119,630.58
|
$74,470.04
|
2026-07-17
|
|
365
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$74,285.55
|
$74,285.55
|
$74,285.55
|
2026-07-17
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
10
|
8
|
—
|
—
|
$66,746.48
|
$119,190.14
|
$74,195.86
|
2026-07-17
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
—
|
—
|
$66,726.56
|
$119,154.58
|
$74,173.73
|
2026-07-17
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$66,626.99
|
$118,976.76
|
$74,063.04
|
2026-07-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
17
|
—
|
—
|
$59,812.28
|
$180,981.80
|
$73,885.76
|
2026-07-17
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$73,703.87
|
$73,703.87
|
$73,703.87
|
2026-07-17
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$65,320.98
|
$116,644.60
|
$72,611.26
|
2026-07-17
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
4
|
2
|
—
|
—
|
$68,448.62
|
$132,066.38
|
$72,036.08
|
2026-07-17
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$64,777.13
|
$115,673.44
|
$72,006.71
|
2026-07-17
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$71,138.96
|
$71,138.96
|
$71,138.96
|
2026-07-17
|
|
6124
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Respiratory Distress Syndrome Or Other …
|
10
|
8
|
—
|
—
|
$63,667.98
|
$113,692.82
|
$70,773.78
|
2026-07-17
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$63,501.00
|
$113,394.64
|
$70,588.17
|
2026-07-17
|
|
834
|
OTHER
|
Acute Leukemia Age >17 With Mcc
|
1
|
1
|
—
|
—
|
$69,974.84
|
$69,974.84
|
$69,974.84
|
2026-07-17
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$62,944.90
|
$112,401.60
|
$69,969.99
|
2026-07-17
|
|
6214
|
APR_DRG
|
Neonate Birth Weight2000-2499 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$62,437.80
|
$111,496.08
|
$69,406.31
|
2026-07-17
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
24
|
17
|
—
|
—
|
$55,110.27
|
$166,677.60
|
$68,077.39
|
2026-07-17
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$61,199.21
|
$109,284.30
|
$68,029.48
|
2026-07-17
|
|
10
|
OTHER
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$68,003.13
|
$68,003.13
|
$68,003.13
|
2026-07-17
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
1
|
1
|
—
|
—
|
$67,613.56
|
$67,613.56
|
$67,613.56
|
2026-07-17
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$60,390.33
|
$107,839.88
|
$67,130.32
|
2026-07-17
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
8
|
—
|
—
|
$59,963.68
|
$107,078.00
|
$66,656.05
|
2026-07-17
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
21
|
18
|
—
|
—
|
$56,331.12
|
$178,616.17
|
$66,343.15
|
2026-07-17
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
21
|
18
|
—
|
—
|
$56,331.12
|
$178,616.17
|
$66,343.15
|
2026-07-17
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
22
|
18
|
—
|
—
|
$51,254.28
|
$179,261.58
|
$65,590.95
|
2026-07-17
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
24
|
17
|
—
|
—
|
$52,981.23
|
$160,200.75
|
$65,447.40
|
2026-07-17
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
8
|
—
|
—
|
$58,375.02
|
$104,241.10
|
$64,890.08
|
2026-07-17
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
—
|
—
|
$58,299.95
|
$104,107.06
|
$64,806.64
|
2026-07-17
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
21
|
18
|
—
|
—
|
$14,611.84
|
$174,059.54
|
$64,650.68
|
2026-07-17
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$58,128.37
|
$103,800.66
|
$64,615.91
|
2026-07-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
17
|
—
|
—
|
$51,584.98
|
$155,953.15
|
$63,722.62
|
2026-07-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
17
|
—
|
—
|
$51,423.82
|
$155,462.90
|
$63,523.54
|
2026-07-17
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
8
|
—
|
—
|
$57,010.04
|
$101,803.64
|
$63,372.76
|
2026-07-17
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$56,946.46
|
$101,690.10
|
$63,302.09
|
2026-07-17
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
8
|
—
|
—
|
$56,501.42
|
$100,895.40
|
$62,807.39
|
2026-07-17
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$58,692.97
|
$61,766.71
|
$61,766.71
|
2026-07-17
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$55,426.74
|
$98,976.32
|
$61,612.76
|
2026-07-17
|
|
6254
|
APR_DRG
|
Neonate Birth Weight2000-2499 Grams With Other Significant Condition
|
10
|
8
|
—
|
—
|
$55,346.31
|
$98,832.70
|
$61,523.36
|
2026-07-17
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$55,288.87
|
$98,730.12
|
$61,459.50
|
2026-07-17
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
8
|
—
|
—
|
$54,637.00
|
$97,566.08
|
$60,734.88
|
2026-07-17
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$54,558.87
|
$97,426.56
|
$60,648.04
|
2026-07-17
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
1
|
1
|
—
|
—
|
$60,299.95
|
$60,299.95
|
$60,299.95
|
2026-07-17
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$56,892.16
|
$59,871.08
|
$59,871.08
|
2026-07-17
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
10
|
8
|
—
|
—
|
$53,847.28
|
$96,155.86
|
$59,857.03
|
2026-07-17
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
—
|
—
|
$53,765.32
|
$96,009.50
|
$59,765.92
|
2026-07-17
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
8
|
—
|
—
|
$53,691.78
|
$95,878.18
|
$59,684.16
|
2026-07-17
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
10
|
8
|
—
|
—
|
$53,533.22
|
$95,595.04
|
$59,507.92
|
2026-07-17
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
28
|
17
|
—
|
—
|
$48,172.79
|
$159,679.91
|
$59,507.56
|
2026-07-17
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
1
|
—
|
—
|
$56,478.31
|
$59,435.44
|
$59,435.44
|
2026-07-17
|
|
6144
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Or Without Other Significant Condition
|
10
|
8
|
—
|
—
|
$53,432.88
|
$95,415.86
|
$59,396.38
|
2026-07-17
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$53,054.48
|
$94,740.14
|
$58,975.74
|
2026-07-17
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
8
|
—
|
—
|
$52,710.56
|
$94,126.00
|
$58,593.43
|
2026-07-17
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
10
|
8
|
—
|
—
|
$52,636.26
|
$93,993.32
|
$58,510.84
|
2026-07-17
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$58,451.19
|
$58,451.19
|
$58,451.19
|
2026-07-17
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$52,267.81
|
$93,335.38
|
$58,101.27
|
2026-07-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
17
|
—
|
—
|
$47,014.32
|
$142,048.55
|
$58,076.51
|
2026-07-17
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
10
|
8
|
—
|
—
|
$52,192.75
|
$93,201.34
|
$58,017.83
|
2026-07-17
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
20
|
17
|
—
|
—
|
$55,745.30
|
$156,149.31
|
$57,998.31
|
2026-07-17
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$52,066.36
|
$92,975.64
|
$57,877.33
|
2026-07-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
17
|
—
|
—
|
$46,813.03
|
$141,436.20
|
$57,827.86
|
2026-07-17
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$51,956.06
|
$92,778.68
|
$57,754.73
|
2026-07-17
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
17
|
—
|
—
|
$46,659.17
|
$140,968.15
|
$57,637.80
|
2026-07-17
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$51,826.61
|
$92,547.52
|
$57,610.83
|
2026-07-17
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$51,406.85
|
$91,797.94
|
$57,144.22
|
2026-07-17
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
—
|
—
|
$51,249.82
|
$91,517.54
|
$56,969.67
|
2026-07-17
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
4
|
2
|
—
|
—
|
$53,875.54
|
$101,358.15
|
$56,695.61
|
2026-07-17
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
10
|
8
|
—
|
—
|
$50,919.68
|
$90,928.00
|
$56,602.68
|
2026-07-17
|
|
366
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$56,537.11
|
$56,537.11
|
$56,537.11
|
2026-07-17
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
20
|
17
|
—
|
—
|
$54,222.56
|
$151,883.93
|
$56,414.03
|
2026-07-17
|
|
33249
|
CPT
|
Hb Ins/replace Single/dual Implant Defib W/lead(s)
|
8
|
6
|
$101,644.00
|
$25,411.00
75% off
|
$4,023.36
|
$99,611.12
|
$56,285.37
|
2026-07-17
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
10
|
8
|
—
|
—
|
$50,505.28
|
$90,188.00
|
$56,142.03
|
2026-07-17
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
21
|
18
|
—
|
—
|
$47,664.86
|
$151,136.97
|
$56,136.59
|
2026-07-17
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
21
|
18
|
—
|
—
|
$47,664.86
|
$151,136.97
|
$56,136.59
|
2026-07-17
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$49,839.64
|
$88,999.36
|
$55,402.10
|
2026-07-17
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$49,763.04
|
$88,862.58
|
$55,316.96
|
2026-07-17
|
|
317
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
1
|
1
|
—
|
—
|
$54,991.87
|
$54,991.87
|
$54,991.87
|
2026-07-17
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
17
|
—
|
—
|
$44,218.77
|
$133,544.10
|
$54,623.18
|
2026-07-17
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$54,601.52
|
$54,601.52
|
$54,601.52
|
2026-07-17
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
10
|
8
|
—
|
—
|
$49,111.18
|
$87,698.54
|
$54,592.34
|
2026-07-17
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$54,502.40
|
$54,502.40
|
$54,502.40
|
2026-07-17
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$48,971.78
|
$87,449.60
|
$54,437.38
|
2026-07-17
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
—
|
—
|
$48,862.24
|
$87,254.00
|
$54,315.62
|
2026-07-17
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
28
|
17
|
—
|
—
|
$43,957.89
|
$132,750.45
|
$54,300.92
|
2026-07-17
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
28
|
17
|
—
|
—
|
$43,939.64
|
$132,694.95
|
$54,278.37
|
2026-07-17
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
10
|
8
|
—
|
—
|
$48,643.17
|
$86,862.80
|
$54,072.10
|
2026-07-17
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
28
|
17
|
—
|
—
|
$43,707.94
|
$131,990.10
|
$53,992.17
|
2026-07-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
25
|
17
|
—
|
—
|
$43,682.40
|
$131,912.40
|
$53,960.61
|
2026-07-17
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$53,941.47
|
$53,941.47
|
$53,941.47
|
2026-07-17
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
4
|
2
|
—
|
—
|
$44,662.48
|
$64,998.88
|
$53,636.00
|
2026-07-17
|
|
234
|
APR_DRG
|
Spinal Procedures
|
10
|
8
|
—
|
—
|
$47,993.61
|
$85,702.88
|
$53,350.04
|
2026-07-17
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
10
|
8
|
—
|
—
|
$47,862.63
|
$85,468.98
|
$53,204.44
|
2026-07-17
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$47,845.01
|
$85,437.52
|
$53,184.85
|
2026-07-17
|
|
360
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$52,763.52
|
$52,763.52
|
$52,763.52
|
2026-07-17
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
10
|
8
|
—
|
—
|
$47,347.13
|
$84,548.44
|
$52,631.40
|
2026-07-17
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
8
|
—
|
—
|
$47,270.52
|
$84,411.64
|
$52,546.25
|
2026-07-17
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$52,524.55
|
$52,524.55
|
$52,524.55
|
2026-07-17
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
8
|
—
|
—
|
$47,181.67
|
$84,252.98
|
$52,447.48
|
2026-07-17
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
1
|
1
|
—
|
—
|
$52,340.90
|
$52,340.90
|
$52,340.90
|
2026-07-17
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
28
|
17
|
—
|
—
|
$42,353.04
|
$127,868.30
|
$52,318.47
|
2026-07-17
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$52,273.28
|
$52,273.28
|
$52,273.28
|
2026-07-17
|
|
635
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
1
|
1
|
—
|
—
|
$52,164.17
|
$52,164.17
|
$52,164.17
|
2026-07-17
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
1
|
1
|
—
|
—
|
$52,102.70
|
$52,102.70
|
$52,102.70
|
2026-07-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
28
|
17
|
—
|
—
|
$42,146.89
|
$127,241.15
|
$52,063.81
|
2026-07-17
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
8
|
—
|
—
|
$46,790.25
|
$83,554.02
|
$52,012.38
|
2026-07-17
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
10
|
8
|
—
|
—
|
$46,636.28
|
$83,279.08
|
$51,841.23
|
2026-07-17
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
1
|
1
|
—
|
—
|
$51,674.70
|
$51,674.70
|
$51,674.70
|
2026-07-17
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
10
|
8
|
—
|
—
|
$46,483.85
|
$83,006.88
|
$51,671.79
|
2026-07-17
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$46,349.81
|
$82,767.52
|
$51,522.78
|
2026-07-17
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
1
|
1
|
—
|
—
|
$51,481.06
|
$51,481.06
|
$51,481.06
|
2026-07-17
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$51,248.24
|
$51,248.24
|
$51,248.24
|
2026-07-17
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
10
|
8
|
—
|
—
|
$45,984.43
|
$82,115.06
|
$51,116.62
|
2026-07-17
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
10
|
8
|
—
|
—
|
$45,956.86
|
$82,065.82
|
$51,085.97
|
2026-07-17
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
8
|
—
|
—
|
$45,905.54
|
$81,974.18
|
$51,028.93
|
2026-07-17
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
10
|
8
|
—
|
—
|
$45,849.62
|
$81,874.32
|
$50,966.76
|
2026-07-17
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
17
|
—
|
—
|
$41,254.16
|
$124,525.35
|
$50,961.03
|
2026-07-17
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
1
|
1
|
—
|
—
|
$50,950.10
|
$50,950.10
|
$50,950.10
|
2026-07-17
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
10
|
8
|
—
|
—
|
$45,665.02
|
$81,544.68
|
$50,761.57
|
2026-07-17
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
8
|
—
|
—
|
$45,658.12
|
$81,532.36
|
$50,753.90
|
2026-07-17
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$50,742.63
|
$50,742.63
|
$50,742.63
|
2026-07-17
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$45,647.40
|
$81,513.22
|
$50,741.98
|
2026-07-17
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
1
|
1
|
—
|
—
|
$50,635.83
|
$50,635.83
|
$50,635.83
|
2026-07-17
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
24
|
17
|
—
|
—
|
$40,982.95
|
$123,700.25
|
$50,625.99
|
2026-07-17
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
24
|
17
|
—
|
—
|
$40,953.14
|
$123,609.60
|
$50,589.18
|
2026-07-17
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$45,478.12
|
$81,210.92
|
$50,553.80
|
2026-07-17
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$45,370.88
|
$81,019.42
|
$50,434.59
|
2026-07-17
|
|
275
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
1
|
1
|
—
|
—
|
$50,038.01
|
$50,038.01
|
$50,038.01
|
2026-07-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
17
|
—
|
—
|
$40,306.71
|
$121,643.05
|
$49,790.64
|
2026-07-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
17
|
—
|
—
|
$40,306.71
|
$121,643.05
|
$49,790.64
|
2026-07-17
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$49,650.74
|
$49,650.74
|
$49,650.74
|
2026-07-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
28
|
17
|
—
|
—
|
$40,161.37
|
$121,200.90
|
$49,611.10
|
2026-07-17
|
|
6234
|
APR_DRG
|
Neonate Birth Weight2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
8
|
—
|
—
|
$44,602.59
|
$79,647.48
|
$49,580.56
|
2026-07-17
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
1
|
1
|
—
|
—
|
$49,457.87
|
$49,457.87
|
$49,457.87
|
2026-07-17
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
10
|
8
|
—
|
—
|
$44,300.03
|
$79,107.20
|
$49,244.23
|
2026-07-17
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
—
|
—
|
$44,191.26
|
$78,912.96
|
$49,123.32
|
2026-07-17
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$44,166.75
|
$78,869.20
|
$49,096.07
|
2026-07-17
|
|
6123
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Respiratory Distress Syndrome Or Other …
|
10
|
8
|
—
|
—
|
$44,089.38
|
$78,731.04
|
$49,010.07
|
2026-07-17
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$48,788.60
|
$48,788.60
|
$48,788.60
|
2026-07-17
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
28
|
17
|
—
|
—
|
$39,451.69
|
$119,041.95
|
$48,734.44
|
2026-07-17
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
10
|
8
|
—
|
—
|
$43,808.26
|
$78,229.04
|
$48,697.58
|
2026-07-17
|
|
646
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…
|
1
|
1
|
—
|
—
|
$48,674.11
|
$48,674.11
|
$48,674.11
|
2026-07-17
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
1
|
1
|
—
|
—
|
$48,635.69
|
$48,635.69
|
$48,635.69
|
2026-07-17
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
10
|
8
|
—
|
—
|
$43,450.56
|
$77,590.28
|
$48,299.95
|
2026-07-17
|
|
5204
|
APR_DRG
|
Other GYN Procedures For Malignancy
|
10
|
8
|
—
|
—
|
$43,290.46
|
$77,304.40
|
$48,121.99
|
2026-07-17
|
|
6133
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
8
|
—
|
—
|
$43,273.61
|
$77,274.30
|
$48,103.25
|
2026-07-17
|
|
6113
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$43,103.56
|
$76,970.64
|
$47,914.23
|
2026-07-17
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$43,051.47
|
$76,877.62
|
$47,856.32
|
2026-07-17
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
10
|
8
|
—
|
—
|
$42,853.08
|
$76,523.36
|
$47,635.79
|
2026-07-17
|
|
PTCA-EP Studies (Angioplasty)
|
LOCAL
|
Ptca-ep Studies (Angioplasty)
|
1
|
1
|
—
|
—
|
$47,373.65
|
$47,373.65
|
$47,373.65
|
2026-07-17
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$42,557.41
|
$75,995.38
|
$47,307.12
|
2026-07-17
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$42,482.35
|
$75,861.34
|
$47,223.68
|
2026-07-17
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
—
|
—
|
$42,364.38
|
$75,650.68
|
$47,092.55
|
2026-07-17
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$46,950.59
|
$46,950.59
|
$46,950.59
|
2026-07-17
|
|
450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
1
|
1
|
—
|
—
|
$46,838.41
|
$46,838.41
|
$46,838.41
|
2026-07-17
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$46,468.04
|
$46,468.04
|
$46,468.04
|
2026-07-17
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
17
|
—
|
—
|
$37,589.00
|
$140,720.45
|
$46,433.47
|
2026-07-17
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
1
|
1
|
—
|
—
|
$46,408.11
|
$46,408.11
|
$46,408.11
|
2026-07-17
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
28
|
17
|
—
|
—
|
$37,545.83
|
$113,244.05
|
$46,380.14
|
2026-07-17
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
10
|
8
|
—
|
—
|
$41,468.18
|
$74,050.32
|
$46,096.32
|
2026-07-17
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$46,017.76
|
$46,017.76
|
$46,017.76
|
2026-07-17
|