|
845
|
OTHER
|
Inj, Atidarsagene Autotemcel
|
21
|
19
|
—
|
—
|
$8,173.04
|
$4,934,002.14
|
$4,659,890.91
|
2026-07-17
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
20
|
18
|
—
|
—
|
$3,735,734.04
|
$4,036,207.24
|
$3,849,345.80
|
2026-07-17
|
|
908
|
OTHER
|
Topi Adm Prad Zami Per Treat
|
21
|
19
|
—
|
—
|
$17,296.79
|
$3,653,483.46
|
$3,450,512.16
|
2026-07-17
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
21
|
19
|
—
|
—
|
$9,169.74
|
$3,632,282.69
|
$3,430,489.20
|
2026-07-17
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
21
|
19
|
—
|
—
|
$16,888.68
|
$3,557,788.70
|
$3,360,133.78
|
2026-07-17
|
|
906
|
OTHER
|
Inj Elivaldogene Autotemecel
|
21
|
19
|
—
|
—
|
$16,308.81
|
$3,384,254.52
|
$3,196,240.38
|
2026-07-17
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
21
|
19
|
—
|
—
|
$12,391.78
|
$3,226,256.92
|
$3,047,020.43
|
2026-07-17
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
21
|
18
|
—
|
—
|
$2,488,731.77
|
$4,605,996.17
|
$2,589,316.77
|
2026-07-17
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
22
|
19
|
—
|
—
|
$23,066.81
|
$4,375,030.22
|
$2,435,827.63
|
2026-07-17
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
22
|
18
|
—
|
—
|
$781,173.15
|
$2,188,160.07
|
$812,745.17
|
2026-07-17
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
22
|
18
|
—
|
—
|
$599,829.51
|
$1,680,194.71
|
$624,072.32
|
2026-07-17
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
22
|
18
|
—
|
—
|
$573,618.16
|
$1,606,773.56
|
$596,801.61
|
2026-07-17
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
22
|
18
|
—
|
—
|
$570,241.78
|
$1,597,315.92
|
$593,288.77
|
2026-07-17
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
22
|
18
|
—
|
—
|
$564,950.05
|
$1,582,493.14
|
$587,783.16
|
2026-07-17
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
22
|
18
|
—
|
—
|
$540,532.42
|
$1,514,096.42
|
$562,378.67
|
2026-07-17
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
9
|
7
|
—
|
—
|
$472,587.27
|
$843,905.84
|
$524,359.40
|
2026-07-17
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
22
|
18
|
—
|
—
|
$496,005.32
|
$1,389,370.64
|
$516,051.95
|
2026-07-17
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$335,228.19
|
$335,228.19
|
$335,228.19
|
2026-07-17
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
31
|
18
|
—
|
—
|
$11,019.98
|
$812,552.73
|
$334,018.57
|
2026-07-17
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$289,450.76
|
$516,876.36
|
$321,160.21
|
2026-07-17
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$316,805.43
|
$316,805.43
|
$316,805.43
|
2026-07-17
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
7
|
—
|
—
|
$270,588.36
|
$483,193.50
|
$300,231.42
|
2026-07-17
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
7
|
—
|
—
|
$270,409.12
|
$482,873.42
|
$300,032.55
|
2026-07-17
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
9
|
7
|
—
|
—
|
$269,153.66
|
$480,631.54
|
$298,639.56
|
2026-07-17
|
|
633
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$296,814.82
|
$296,814.82
|
$296,814.82
|
2026-07-17
|
|
831
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
23
|
19
|
—
|
—
|
$4,855.08
|
$790,085.32
|
$293,460.26
|
2026-07-17
|
|
612
|
OTHER
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$271,995.94
|
$271,995.94
|
$271,995.94
|
2026-07-17
|
|
897
|
OTHER
|
Revakinagene, Per Implant
|
22
|
18
|
—
|
—
|
$261,026.30
|
$731,166.10
|
$271,575.98
|
2026-07-17
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
9
|
7
|
—
|
—
|
$206,660.71
|
$369,036.98
|
$229,300.47
|
2026-07-17
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$225,524.41
|
$225,524.41
|
$225,524.41
|
2026-07-17
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
7
|
—
|
—
|
$201,792.09
|
$360,343.02
|
$223,898.51
|
2026-07-17
|
|
6094
|
APR_DRG
|
Neonate Birth Weight1500-2499 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$201,668.01
|
$360,121.44
|
$223,760.82
|
2026-07-17
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
7
|
—
|
—
|
$201,375.40
|
$359,598.92
|
$223,436.16
|
2026-07-17
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
7
|
—
|
—
|
$197,821.22
|
$353,252.18
|
$219,492.62
|
2026-07-17
|
|
886
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
23
|
19
|
—
|
—
|
$10,779.45
|
$583,910.66
|
$216,881.10
|
2026-07-17
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
31
|
18
|
—
|
—
|
$38,115.89
|
$571,303.41
|
$216,879.50
|
2026-07-17
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
7
|
—
|
—
|
$193,968.32
|
$346,372.00
|
$215,217.63
|
2026-07-17
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$192,774.14
|
$344,239.54
|
$213,892.63
|
2026-07-17
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$189,807.49
|
$338,941.94
|
$210,600.97
|
2026-07-17
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
7
|
—
|
—
|
$185,503.40
|
$331,256.08
|
$205,825.38
|
2026-07-17
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
7
|
—
|
—
|
$179,498.84
|
$320,533.64
|
$199,163.02
|
2026-07-17
|
|
631
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$197,247.18
|
$197,247.18
|
$197,247.18
|
2026-07-17
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
7
|
—
|
—
|
$175,909.43
|
$314,123.98
|
$195,180.38
|
2026-07-17
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$166,877.69
|
$297,995.88
|
$185,159.21
|
2026-07-17
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$165,186.39
|
$294,975.70
|
$183,282.63
|
2026-07-17
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
7
|
—
|
—
|
$160,091.05
|
$285,876.88
|
$177,629.10
|
2026-07-17
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$159,206.34
|
$284,297.04
|
$176,647.47
|
2026-07-17
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
7
|
—
|
—
|
$158,007.57
|
$282,156.38
|
$175,317.37
|
2026-07-17
|
|
636
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$174,433.90
|
$174,433.90
|
$174,433.90
|
2026-07-17
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
7
|
—
|
—
|
$152,027.52
|
$271,477.72
|
$168,682.20
|
2026-07-17
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
7
|
—
|
—
|
$150,515.47
|
$268,777.62
|
$167,004.50
|
2026-07-17
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
30
|
18
|
—
|
—
|
$133,823.50
|
$394,984.25
|
$165,311.38
|
2026-07-17
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
31
|
18
|
—
|
—
|
$36,706.69
|
$392,666.20
|
$164,343.14
|
2026-07-17
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
7
|
—
|
—
|
$147,296.80
|
$263,030.00
|
$163,433.22
|
2026-07-17
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
23
|
19
|
—
|
—
|
$132,160.90
|
$433,022.13
|
$160,836.79
|
2026-07-17
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
23
|
19
|
—
|
—
|
$132,160.90
|
$433,022.13
|
$160,836.79
|
2026-07-17
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$143,148.22
|
$255,621.82
|
$158,830.16
|
2026-07-17
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$141,588.66
|
$252,836.90
|
$157,099.77
|
2026-07-17
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
7
|
—
|
—
|
$134,923.82
|
$240,935.40
|
$149,704.79
|
2026-07-17
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
7
|
—
|
—
|
$134,923.82
|
$240,935.40
|
$149,704.79
|
2026-07-17
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
7
|
—
|
—
|
$134,923.82
|
$240,935.40
|
$149,704.79
|
2026-07-17
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
7
|
—
|
—
|
$132,948.35
|
$237,407.76
|
$147,512.89
|
2026-07-17
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
23
|
19
|
—
|
—
|
$119,161.51
|
$390,429.93
|
$145,016.83
|
2026-07-17
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
23
|
19
|
—
|
—
|
$119,161.51
|
$390,429.93
|
$145,016.83
|
2026-07-17
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
1
|
1
|
—
|
—
|
$144,731.81
|
$144,731.81
|
$144,731.81
|
2026-07-17
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$125,714.38
|
$224,489.96
|
$139,486.44
|
2026-07-17
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$122,779.89
|
$219,249.80
|
$136,230.47
|
2026-07-17
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$122,075.95
|
$217,992.76
|
$135,449.41
|
2026-07-17
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
23
|
19
|
—
|
—
|
$106,162.12
|
$347,837.73
|
$129,196.87
|
2026-07-17
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
23
|
19
|
—
|
—
|
$106,162.12
|
$347,837.73
|
$129,196.87
|
2026-07-17
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
7
|
—
|
—
|
$116,262.88
|
$207,612.28
|
$128,999.52
|
2026-07-17
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
7
|
—
|
—
|
$116,262.88
|
$207,612.28
|
$128,999.52
|
2026-07-17
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
7
|
—
|
—
|
$115,839.28
|
$206,855.86
|
$128,529.53
|
2026-07-17
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
7
|
—
|
—
|
$111,538.27
|
$199,175.48
|
$123,757.34
|
2026-07-17
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$118,924.09
|
$118,924.09
|
$118,924.09
|
2026-07-17
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$118,835.14
|
$118,835.14
|
$118,835.14
|
2026-07-17
|
|
651
|
OTHER
|
Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$118,083.48
|
$118,083.48
|
$118,083.48
|
2026-07-17
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
7
|
—
|
—
|
$105,908.28
|
$189,121.92
|
$117,510.57
|
2026-07-17
|
|
453
|
MS_DRG
|
Complications Of Treatment Without Cc
|
5
|
3
|
—
|
—
|
$5,258.83
|
$248,802.76
|
$116,790.16
|
2026-07-17
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
7
|
—
|
—
|
$104,834.36
|
$187,204.22
|
$116,319.01
|
2026-07-17
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
1
|
1
|
—
|
—
|
$113,639.76
|
$113,639.76
|
$113,639.76
|
2026-07-17
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
23
|
19
|
—
|
—
|
$93,162.73
|
$305,245.53
|
$113,376.91
|
2026-07-17
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
23
|
19
|
—
|
—
|
$93,162.73
|
$305,245.53
|
$113,376.91
|
2026-07-17
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$101,257.21
|
$180,816.44
|
$112,349.98
|
2026-07-17
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
7
|
—
|
—
|
$100,493.52
|
$179,452.72
|
$111,502.63
|
2026-07-17
|
|
359
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$110,067.18
|
$110,067.18
|
$110,067.18
|
2026-07-17
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
7
|
—
|
—
|
$98,582.39
|
$176,039.98
|
$109,382.13
|
2026-07-17
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
7
|
—
|
—
|
$98,316.59
|
$175,565.34
|
$109,087.21
|
2026-07-17
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$98,189.44
|
$175,338.28
|
$108,946.13
|
2026-07-17
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$97,177.57
|
$173,531.38
|
$107,823.41
|
2026-07-17
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
7
|
—
|
—
|
$96,965.39
|
$173,152.48
|
$107,587.99
|
2026-07-17
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
31
|
18
|
—
|
—
|
$28,125.94
|
$256,250.90
|
$107,362.75
|
2026-07-17
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
1
|
1
|
—
|
—
|
$106,736.13
|
$106,736.13
|
$106,736.13
|
2026-07-17
|
|
634
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
1
|
1
|
—
|
—
|
$106,435.29
|
$106,435.29
|
$106,435.29
|
2026-07-17
|
|
212
|
OTHER
|
Testes Procedures Age 0-17
|
1
|
1
|
—
|
—
|
$105,517.95
|
$105,517.95
|
$105,517.95
|
2026-07-17
|
|
7
|
OTHER
|
Lung Transplant
|
1
|
1
|
—
|
—
|
$103,635.30
|
$103,635.30
|
$103,635.30
|
2026-07-17
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
9
|
7
|
—
|
—
|
$92,731.02
|
$165,591.10
|
$102,889.74
|
2026-07-17
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
9
|
7
|
—
|
—
|
$92,731.02
|
$165,591.10
|
$102,889.74
|
2026-07-17
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$102,492.98
|
$102,492.98
|
$102,492.98
|
2026-07-17
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
7
|
—
|
—
|
$91,948.95
|
$164,194.56
|
$102,022.00
|
2026-07-17
|
|
7
|
MS_DRG
|
Lung Transplant
|
31
|
18
|
—
|
—
|
$30,194.45
|
$239,578.70
|
$100,398.81
|
2026-07-17
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
23
|
19
|
—
|
—
|
$82,329.90
|
$269,752.03
|
$100,193.61
|
2026-07-17
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
23
|
19
|
—
|
—
|
$82,329.90
|
$269,752.03
|
$100,193.61
|
2026-07-17
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$100,156.89
|
$100,156.89
|
$100,156.89
|
2026-07-17
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$87,285.63
|
$155,867.20
|
$96,847.80
|
2026-07-17
|
|
632
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Died
|
1
|
1
|
—
|
—
|
$96,842.41
|
$96,842.41
|
$96,842.41
|
2026-07-17
|
|
222
|
MS_DRG
|
Knee Procedures Without Cc
|
4
|
2
|
—
|
—
|
$11,896.65
|
$97,734.49
|
$94,829.08
|
2026-07-17
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$93,511.37
|
$93,511.37
|
$93,511.37
|
2026-07-17
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
31
|
18
|
—
|
—
|
$14,437.31
|
$252,337.65
|
$93,194.54
|
2026-07-17
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
1
|
1
|
—
|
—
|
$92,563.51
|
$92,563.51
|
$92,563.51
|
2026-07-17
|
|
104
|
MS_DRG
|
Cardiac Valve Procedures W Cardiac
|
1
|
1
|
—
|
—
|
$91,864.55
|
$91,864.55
|
$91,864.55
|
2026-07-17
|
|
6114
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Major Anomaly
|
9
|
7
|
—
|
—
|
$80,823.77
|
$144,328.16
|
$89,678.05
|
2026-07-17
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
23
|
19
|
—
|
—
|
$73,663.64
|
$241,357.23
|
$89,646.97
|
2026-07-17
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
23
|
19
|
—
|
—
|
$73,663.64
|
$241,357.23
|
$89,646.97
|
2026-07-17
|
|
6134
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
7
|
—
|
—
|
$80,080.76
|
$143,001.36
|
$88,853.65
|
2026-07-17
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
31
|
18
|
—
|
—
|
$37,394.99
|
$318,769.83
|
$87,892.76
|
2026-07-17
|
|
224
|
MS_DRG
|
Shoulder, Elbow Or Forearm Proc,
|
4
|
2
|
—
|
—
|
$8,370.64
|
$90,517.70
|
$87,827.60
|
2026-07-17
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
7
|
—
|
—
|
$79,048.98
|
$141,158.90
|
$87,708.83
|
2026-07-17
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
7
|
—
|
—
|
$78,845.23
|
$140,795.06
|
$87,482.76
|
2026-07-17
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$87,360.28
|
$87,360.28
|
$87,360.28
|
2026-07-17
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
27
|
18
|
—
|
—
|
$27,982.24
|
$209,397.80
|
$86,956.19
|
2026-07-17
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
7
|
—
|
—
|
$78,144.35
|
$139,543.48
|
$86,705.10
|
2026-07-17
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$77,848.68
|
$139,015.50
|
$86,377.04
|
2026-07-17
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
7
|
—
|
—
|
$77,472.58
|
$138,343.90
|
$85,959.74
|
2026-07-17
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
7
|
—
|
—
|
$76,860.56
|
$137,251.00
|
$85,280.67
|
2026-07-17
|
|
0915T
|
OTHER
|
Hb Insj Perm Ccm-d Sys Pg&eltrd
|
7
|
5
|
$96,185.00
|
$24,046.25
75% off
|
$50,978.05
|
$94,261.30
|
$84,854.41
|
2026-07-17
|
|
459
|
MS_DRG
|
Non-extensive Burns W Wound
|
5
|
3
|
—
|
—
|
$21,183.81
|
$142,474.32
|
$84,715.27
|
2026-07-17
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
18
|
—
|
—
|
$7,196.92
|
$203,892.20
|
$84,678.41
|
2026-07-17
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
7
|
—
|
—
|
$76,228.62
|
$136,122.54
|
$84,579.50
|
2026-07-17
|
|
365
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$84,375.42
|
$84,375.42
|
$84,375.42
|
2026-07-17
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
7
|
—
|
—
|
$75,768.27
|
$135,300.48
|
$84,068.71
|
2026-07-17
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
28
|
18
|
—
|
—
|
$10,969.26
|
$234,443.20
|
$83,954.23
|
2026-07-17
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$83,715.32
|
$83,715.32
|
$83,715.32
|
2026-07-17
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
7
|
—
|
—
|
$74,725.76
|
$133,438.86
|
$82,911.99
|
2026-07-17
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$80,804.58
|
$80,804.58
|
$80,804.58
|
2026-07-17
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
31
|
18
|
—
|
—
|
$18,838.78
|
$233,476.79
|
$80,000.76
|
2026-07-17
|
|
834
|
OTHER
|
Acute Leukemia Age >17 With Mcc
|
1
|
1
|
—
|
—
|
$79,483.50
|
$79,483.50
|
$79,483.50
|
2026-07-17
|
|
226
|
MS_DRG
|
Soft Tissue Procedures W Cc
|
4
|
2
|
—
|
—
|
$16,158.05
|
$81,763.18
|
$79,334.27
|
2026-07-17
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$71,305.63
|
$127,331.48
|
$79,117.19
|
2026-07-17
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
23
|
19
|
—
|
—
|
$64,997.38
|
$212,962.43
|
$79,100.33
|
2026-07-17
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
23
|
19
|
—
|
—
|
$64,997.38
|
$212,962.43
|
$79,100.33
|
2026-07-17
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$70,810.04
|
$126,446.50
|
$78,567.31
|
2026-07-17
|
|
454
|
MS_DRG
|
Other Injury, Poisoning & Toxic
|
5
|
3
|
—
|
—
|
$10,703.60
|
$175,653.39
|
$77,820.28
|
2026-07-17
|
|
6093
|
APR_DRG
|
Neonate Birth Weight1500-2499 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$69,956.72
|
$124,922.72
|
$77,620.52
|
2026-07-17
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$69,746.08
|
$124,546.58
|
$77,386.79
|
2026-07-17
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
32
|
18
|
—
|
—
|
$13,255.13
|
$345,521.18
|
$77,269.11
|
2026-07-17
|
|
10
|
OTHER
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$77,245.95
|
$77,245.95
|
$77,245.95
|
2026-07-17
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
1
|
1
|
—
|
—
|
$76,803.84
|
$76,803.84
|
$76,803.84
|
2026-07-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
18
|
—
|
—
|
$25,413.82
|
$206,004.94
|
$75,923.00
|
2026-07-17
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$68,120.66
|
$121,644.04
|
$75,583.31
|
2026-07-17
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
7
|
—
|
—
|
$66,993.12
|
$119,630.58
|
$74,332.25
|
2026-07-17
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
9
|
7
|
—
|
—
|
$66,746.48
|
$119,190.14
|
$74,058.59
|
2026-07-17
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
7
|
—
|
—
|
$66,726.56
|
$119,154.58
|
$74,036.49
|
2026-07-17
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$66,626.99
|
$118,976.76
|
$73,926.00
|
2026-07-17
|
|
108
|
MS_DRG
|
Other Cardiothoracic Procedures
|
1
|
1
|
—
|
—
|
$73,757.54
|
$73,757.54
|
$73,757.54
|
2026-07-17
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
7
|
—
|
—
|
$65,320.98
|
$116,644.60
|
$72,476.92
|
2026-07-17
|
|
484
|
MS_DRG
|
Craniotomy For Multiple
|
1
|
1
|
—
|
—
|
$72,219.14
|
$72,219.14
|
$72,219.14
|
2026-07-17
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
9
|
7
|
—
|
—
|
$64,777.13
|
$115,673.44
|
$71,873.49
|
2026-07-17
|
|
6124
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Respiratory Distress Syndrome Or Other …
|
9
|
7
|
—
|
—
|
$63,667.98
|
$113,692.82
|
$70,642.84
|
2026-07-17
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
7
|
—
|
—
|
$63,501.00
|
$113,394.64
|
$70,457.56
|
2026-07-17
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$62,944.90
|
$112,401.60
|
$69,840.53
|
2026-07-17
|
|
105
|
MS_DRG
|
Cardiac Valve Procedures Without
|
1
|
1
|
—
|
—
|
$69,621.72
|
$69,621.72
|
$69,621.72
|
2026-07-17
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
27
|
18
|
—
|
—
|
$11,192.66
|
$166,677.60
|
$69,281.99
|
2026-07-17
|
|
6214
|
APR_DRG
|
Neonate Birth Weight2000-2499 Grams With Major Anomaly
|
9
|
7
|
—
|
—
|
$62,437.80
|
$111,496.08
|
$69,277.90
|
2026-07-17
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
23
|
19
|
—
|
—
|
$56,331.12
|
$184,567.63
|
$68,553.69
|
2026-07-17
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
23
|
19
|
—
|
—
|
$56,331.12
|
$184,567.63
|
$68,553.69
|
2026-07-17
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
1
|
1
|
—
|
—
|
$68,504.14
|
$68,504.14
|
$68,504.14
|
2026-07-17
|
|
106
|
MS_DRG
|
Coronary Bypass W Cardiac Cath
|
1
|
1
|
—
|
—
|
$68,446.79
|
$68,446.79
|
$68,446.79
|
2026-07-17
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$61,199.21
|
$109,284.30
|
$67,903.61
|
2026-07-17
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
24
|
19
|
—
|
—
|
$51,254.28
|
$182,474.99
|
$67,776.43
|
2026-07-17
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
7
|
—
|
—
|
$60,390.33
|
$107,839.88
|
$67,006.12
|
2026-07-17
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
26
|
18
|
—
|
—
|
$54,434.65
|
$160,200.75
|
$66,922.60
|
2026-07-17
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
23
|
19
|
—
|
—
|
$16,655.86
|
$179,859.15
|
$66,804.83
|
2026-07-17
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
7
|
—
|
—
|
$59,963.68
|
$107,078.00
|
$66,532.72
|
2026-07-17
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$66,406.11
|
$66,406.11
|
$66,406.11
|
2026-07-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
31
|
18
|
—
|
—
|
$52,998.38
|
$169,902.58
|
$65,468.58
|
2026-07-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
18
|
—
|
—
|
$26,228.90
|
$204,740.30
|
$65,263.81
|
2026-07-17
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
7
|
—
|
—
|
$58,375.02
|
$104,241.10
|
$64,770.03
|
2026-07-17
|
|
223
|
MS_DRG
|
Major Shoulder/elbow Proc, Or
|
4
|
2
|
—
|
—
|
$9,855.92
|
$66,726.73
|
$64,746.43
|
2026-07-17
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
7
|
—
|
—
|
$58,299.95
|
$104,107.06
|
$64,686.74
|
2026-07-17
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
7
|
—
|
—
|
$58,128.37
|
$103,800.66
|
$64,496.36
|
2026-07-17
|
|
366
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$64,233.96
|
$64,233.96
|
$64,233.96
|
2026-07-17
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
7
|
—
|
—
|
$57,010.04
|
$101,803.64
|
$63,255.51
|
2026-07-17
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$56,946.46
|
$101,690.10
|
$63,184.97
|
2026-07-17
|
|
225
|
MS_DRG
|
Foot Procedures
|
4
|
2
|
—
|
—
|
$10,875.08
|
$64,678.96
|
$62,759.75
|
2026-07-17
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
7
|
—
|
—
|
$56,501.42
|
$100,895.40
|
$62,691.17
|
2026-07-17
|
|
317
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
1
|
1
|
—
|
—
|
$62,480.36
|
$62,480.36
|
$62,480.36
|
2026-07-17
|
|
227
|
MS_DRG
|
Soft Tissue Procedures Without Cc
|
4
|
2
|
—
|
—
|
$8,451.55
|
$64,208.36
|
$62,303.18
|
2026-07-17
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$62,037.39
|
$62,037.39
|
$62,037.39
|
2026-07-17
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$61,924.90
|
$61,924.90
|
$61,924.90
|
2026-07-17
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
7
|
—
|
—
|
$55,426.74
|
$98,976.32
|
$61,498.76
|
2026-07-17
|
|
6254
|
APR_DRG
|
Neonate Birth Weight2000-2499 Grams With Other Significant Condition
|
9
|
7
|
—
|
—
|
$55,346.31
|
$98,832.70
|
$61,409.52
|
2026-07-17
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
9
|
7
|
—
|
—
|
$55,288.87
|
$98,730.12
|
$61,345.78
|
2026-07-17
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$61,288.34
|
$61,288.34
|
$61,288.34
|
2026-07-17
|
|
455
|
MS_DRG
|
Other Injury, Poisoning & Toxic
|
5
|
3
|
—
|
—
|
$5,287.80
|
$134,810.24
|
$61,248.64
|
2026-07-17
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
32
|
18
|
—
|
—
|
$25,150.57
|
$212,380.43
|
$61,132.73
|
2026-07-17
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
7
|
—
|
—
|
$54,637.00
|
$97,566.08
|
$60,622.52
|
2026-07-17
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$54,558.87
|
$97,426.56
|
$60,535.83
|
2026-07-17
|
|
360
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$59,951.56
|
$59,951.56
|
$59,951.56
|
2026-07-17
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
22
|
18
|
—
|
—
|
$57,602.73
|
$161,352.18
|
$59,930.81
|
2026-07-17
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
9
|
7
|
—
|
—
|
$53,847.28
|
$96,155.86
|
$59,746.27
|
2026-07-17
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$59,680.37
|
$59,680.37
|
$59,680.37
|
2026-07-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
18
|
—
|
—
|
$48,296.73
|
$164,534.93
|
$59,660.66
|
2026-07-17
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
7
|
—
|
—
|
$53,765.32
|
$96,009.50
|
$59,655.33
|
2026-07-17
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
7
|
—
|
—
|
$53,691.78
|
$95,878.18
|
$59,573.74
|
2026-07-17
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
1
|
1
|
—
|
—
|
$59,471.96
|
$59,471.96
|
$59,471.96
|
2026-07-17
|
|
0923T
|
OTHER
|
Hb Rmvl&rplcmt Perm Ccm-d Pg
|
7
|
5
|
$67,339.00
|
$16,834.75
75% off
|
$35,689.67
|
$65,992.22
|
$59,406.47
|
2026-07-17
|
|
0916T
|
OTHER
|
Hb Insj Perm Ccm-d Sys Pg Only
|
7
|
5
|
$67,339.00
|
$16,834.75
75% off
|
$35,689.67
|
$65,992.22
|
$59,406.47
|
2026-07-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
32
|
18
|
—
|
—
|
$23,004.78
|
$160,162.00
|
$59,404.88
|
2026-07-17
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
9
|
7
|
—
|
—
|
$53,533.22
|
$95,595.04
|
$59,397.81
|
2026-07-17
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$59,395.22
|
$59,395.22
|
$59,395.22
|
2026-07-17
|
|
6144
|
APR_DRG
|
Neonate Birth Weight1500-1999 Grams With Or Without Other Significant Condition
|
9
|
7
|
—
|
—
|
$53,432.88
|
$95,415.86
|
$59,286.47
|
2026-07-17
|
|
635
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
1
|
1
|
—
|
—
|
$59,271.40
|
$59,271.40
|
$59,271.40
|
2026-07-17
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
31
|
18
|
—
|
—
|
$47,931.41
|
$142,580.98
|
$59,209.38
|
2026-07-17
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
1
|
1
|
—
|
—
|
$59,201.64
|
$59,201.64
|
$59,201.64
|
2026-07-17
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
7
|
—
|
—
|
$53,054.48
|
$94,740.14
|
$58,866.62
|
2026-07-17
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
1
|
1
|
—
|
—
|
$58,715.93
|
$58,715.93
|
$58,715.93
|
2026-07-17
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
1
|
1
|
—
|
—
|
$58,496.19
|
$58,496.19
|
$58,496.19
|
2026-07-17
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
9
|
7
|
—
|
—
|
$52,710.56
|
$94,126.00
|
$58,485.02
|
2026-07-17
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
7
|
—
|
—
|
$52,636.26
|
$93,993.32
|
$58,402.58
|
2026-07-17
|
|
A9543
|
HCPCS
|
Hb Rad-supply Y90 Zevalin/dose
|
8
|
6
|
$67,800.00
|
$16,950.00
75% off
|
$35,934.00
|
$66,444.00
|
$58,321.56
|
2026-07-17
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
22
|
18
|
—
|
—
|
$56,029.24
|
$156,944.65
|
$58,293.73
|
2026-07-17
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$58,231.98
|
$58,231.98
|
$58,231.98
|
2026-07-17
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
23
|
19
|
—
|
—
|
$47,664.86
|
$156,172.83
|
$58,007.05
|
2026-07-17
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
23
|
19
|
—
|
—
|
$47,664.86
|
$156,172.83
|
$58,007.05
|
2026-07-17
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
9
|
7
|
—
|
—
|
$52,267.81
|
$93,335.38
|
$57,993.78
|
2026-07-17
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
9
|
7
|
—
|
—
|
$52,192.75
|
$93,201.34
|
$57,910.49
|
2026-07-17
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
1
|
1
|
—
|
—
|
$57,893.64
|
$57,893.64
|
$57,893.64
|
2026-07-17
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
7
|
—
|
—
|
$52,066.36
|
$92,975.64
|
$57,770.25
|
2026-07-17
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$57,658.20
|
$57,658.20
|
$57,658.20
|
2026-07-17
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$51,956.06
|
$92,778.68
|
$57,647.87
|
2026-07-17
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
1
|
1
|
—
|
—
|
$57,536.99
|
$57,536.99
|
$57,536.99
|
2026-07-17
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
9
|
7
|
—
|
—
|
$51,826.61
|
$92,547.52
|
$57,504.23
|
2026-07-17
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
9
|
7
|
—
|
—
|
$51,406.85
|
$91,797.94
|
$57,038.49
|
2026-07-17
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
7
|
—
|
—
|
$51,249.82
|
$91,517.54
|
$56,864.26
|
2026-07-17
|
|
275
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
1
|
1
|
—
|
—
|
$56,858.57
|
$56,858.57
|
$56,858.57
|
2026-07-17
|
|
C9774
|
HCPCS
|
Hb Revasc Lithotr-ather Tib/per
|
7
|
5
|
$64,256.00
|
$16,064.00
75% off
|
$34,055.68
|
$62,970.88
|
$56,686.64
|
2026-07-17
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
9
|
7
|
—
|
—
|
$50,919.68
|
$90,928.00
|
$56,497.95
|
2026-07-17
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$56,419.09
|
$56,419.09
|
$56,419.09
|
2026-07-17
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
1
|
1
|
—
|
—
|
$56,200.22
|
$56,200.22
|
$56,200.22
|
2026-07-17
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
9
|
7
|
—
|
—
|
$50,505.28
|
$90,188.00
|
$56,038.16
|
2026-07-17
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
30
|
18
|
—
|
—
|
$45,133.94
|
$132,694.95
|
$55,753.69
|
2026-07-17
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
18
|
—
|
—
|
$7,207.79
|
$133,544.10
|
$55,574.00
|
2026-07-17
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
31
|
18
|
—
|
—
|
$7,154.65
|
$145,011.21
|
$55,459.27
|
2026-07-17
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$55,440.71
|
$55,440.71
|
$55,440.71
|
2026-07-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
27
|
18
|
—
|
—
|
$44,869.32
|
$153,146.54
|
$55,426.81
|
2026-07-17
|
|
646
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…
|
1
|
1
|
—
|
—
|
$55,310.78
|
$55,310.78
|
$55,310.78
|
2026-07-17
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$49,839.64
|
$88,999.36
|
$55,299.59
|
2026-07-17
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
1
|
1
|
—
|
—
|
$55,267.17
|
$55,267.17
|
$55,267.17
|
2026-07-17
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
31
|
18
|
—
|
—
|
$15,236.69
|
$132,750.45
|
$55,245.65
|
2026-07-17
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
7
|
—
|
—
|
$49,763.04
|
$88,862.58
|
$55,214.60
|
2026-07-17
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
9
|
7
|
—
|
—
|
$49,111.18
|
$87,698.54
|
$54,491.34
|
2026-07-17
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$48,971.78
|
$87,449.60
|
$54,336.66
|
2026-07-17
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
7
|
—
|
—
|
$48,862.24
|
$87,254.00
|
$54,215.12
|
2026-07-17
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
9
|
7
|
—
|
—
|
$48,643.17
|
$86,862.80
|
$53,972.05
|
2026-07-17
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
30
|
18
|
—
|
—
|
$43,501.87
|
$127,949.37
|
$53,737.60
|
2026-07-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
30
|
18
|
—
|
—
|
$43,289.80
|
$136,710.47
|
$53,475.64
|
2026-07-17
|
|
93590
|
CPT
|
Hb Perq Transcath Cls Paravalvr Leak 1 Mitral Valve
|
7
|
5
|
$60,584.00
|
$15,146.00
75% off
|
$32,109.52
|
$59,372.32
|
$53,447.20
|
2026-07-17
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$53,354.87
|
$53,354.87
|
$53,354.87
|
2026-07-17
|
|
234
|
APR_DRG
|
Spinal Procedures
|
9
|
7
|
—
|
—
|
$47,993.61
|
$85,702.88
|
$53,251.33
|
2026-07-17
|
|
450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
1
|
1
|
—
|
—
|
$53,227.56
|
$53,227.56
|
$53,227.56
|
2026-07-17
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
9
|
7
|
—
|
—
|
$47,862.63
|
$85,468.98
|
$53,106.00
|
2026-07-17
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
7
|
—
|
—
|
$47,845.01
|
$85,437.52
|
$53,086.45
|
2026-07-17
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$52,807.26
|
$52,807.26
|
$52,807.26
|
2026-07-17
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
1
|
1
|
—
|
—
|
$52,739.24
|
$52,739.24
|
$52,739.24
|
2026-07-17
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
9
|
7
|
—
|
—
|
$47,347.13
|
$84,548.44
|
$52,534.02
|
2026-07-17
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
7
|
—
|
—
|
$47,270.52
|
$84,411.64
|
$52,449.03
|
2026-07-17
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
9
|
7
|
—
|
—
|
$47,181.67
|
$84,252.98
|
$52,350.44
|
2026-07-17
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
31
|
18
|
—
|
—
|
$42,371.50
|
$138,505.00
|
$52,341.26
|
2026-07-17
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$52,296.27
|
$52,296.27
|
$52,296.27
|
2026-07-17
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
7
|
—
|
—
|
$46,790.25
|
$83,554.02
|
$51,916.14
|
2026-07-17
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
9
|
7
|
—
|
—
|
$46,636.28
|
$83,279.08
|
$51,745.31
|
2026-07-17
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
1
|
1
|
—
|
—
|
$51,733.83
|
$51,733.83
|
$51,733.83
|
2026-07-17
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
26
|
18
|
—
|
—
|
$42,061.84
|
$123,609.60
|
$51,711.32
|
2026-07-17
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
1
|
1
|
—
|
—
|
$51,594.31
|
$51,594.31
|
$51,594.31
|
2026-07-17
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
9
|
7
|
—
|
—
|
$46,483.85
|
$83,006.88
|
$51,576.18
|
2026-07-17
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
27
|
18
|
—
|
—
|
$6,217.60
|
$123,700.25
|
$51,501.41
|
2026-07-17
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
7
|
—
|
—
|
$46,349.81
|
$82,767.52
|
$51,427.45
|
2026-07-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
18
|
—
|
—
|
$16,939.32
|
$121,643.05
|
$51,137.33
|
2026-07-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
18
|
—
|
—
|
$36,327.53
|
$136,207.67
|
$51,137.33
|
2026-07-17
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
9
|
7
|
—
|
—
|
$45,984.43
|
$82,115.06
|
$51,022.05
|
2026-07-17
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
—
|
—
|
$51,001.34
|
$51,001.34
|
$51,001.34
|
2026-07-17
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
9
|
7
|
—
|
—
|
$45,956.86
|
$82,065.82
|
$50,991.45
|
2026-07-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
30
|
18
|
—
|
—
|
$41,247.38
|
$121,200.90
|
$50,952.65
|
2026-07-17
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
9
|
7
|
—
|
—
|
$45,905.54
|
$81,974.18
|
$50,934.51
|
2026-07-17
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
1
|
1
|
—
|
—
|
$50,932.46
|
$50,932.46
|
$50,932.46
|
2026-07-17
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
9
|
7
|
—
|
—
|
$45,849.62
|
$81,874.32
|
$50,872.46
|
2026-07-17
|
|
107
|
MS_DRG
|
Coronary Bypass Without Cardiac Cath
|
1
|
1
|
—
|
—
|
$50,685.14
|
$50,685.14
|
$50,685.14
|
2026-07-17
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
9
|
7
|
—
|
—
|
$45,665.02
|
$81,544.68
|
$50,667.64
|
2026-07-17
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
7
|
—
|
—
|
$45,658.12
|
$81,532.36
|
$50,659.99
|
2026-07-17
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
7
|
—
|
—
|
$45,647.40
|
$81,513.22
|
$50,648.09
|
2026-07-17
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
7
|
—
|
—
|
$45,478.12
|
$81,210.92
|
$50,460.26
|
2026-07-17
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
1
|
1
|
—
|
—
|
$50,374.37
|
$50,374.37
|
$50,374.37
|
2026-07-17
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
9
|
7
|
—
|
—
|
$45,370.88
|
$81,019.42
|
$50,341.28
|
2026-07-17
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
31
|
18
|
—
|
—
|
$12,151.44
|
$119,041.95
|
$50,050.85
|
2026-07-17
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$50,007.27
|
$50,007.27
|
$50,007.27
|
2026-07-17
|
|
246
|
MS_DRG
|
Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents
|
4
|
2
|
—
|
—
|
$6,676.47
|
$51,150.00
|
$49,871.50
|
2026-07-17
|
|
6234
|
APR_DRG
|
Neonate Birth Weight2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
7
|
—
|
—
|
$44,602.59
|
$79,647.48
|
$49,488.83
|
2026-07-17
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
1
|
1
|
—
|
—
|
$49,403.84
|
$49,403.84
|
$49,403.84
|
2026-07-17
|
|
110
|
MS_DRG
|
Major Cardiovascular Procedures W
|
1
|
1
|
—
|
—
|
$49,262.66
|
$49,262.66
|
$49,262.66
|
2026-07-17
|