|
0BYC0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYC0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYC0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYD0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYD0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYD0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYF0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYF0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYF0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYG0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYG0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYG0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYH0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYH0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYH0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYJ0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYJ0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYJ0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYK0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYK0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYK0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYL0Z0
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYL0Z1
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
0BYL0Z2
|
OTHER
|
Lung Trans (Single)
|
1
|
1
|
—
|
—
|
$579,111.87
|
$579,111.87
|
$579,111.87
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
50
|
41
|
—
|
—
|
$3,308.00
|
$686,005.21
|
$338,445.00
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
49
|
42
|
—
|
—
|
$3,308.00
|
$254,735.84
|
$85,373.53
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$164,410.95
|
$75,172.02
|
2026-07-15
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$50,000.00
|
$86,042.39
|
$66,858.20
|
2026-07-15
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$50,000.00
|
$128,163.80
|
$99,588.14
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$50,000.00
|
$277,752.25
|
$215,824.05
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$213,464.00
|
$327,335.97
|
$254,352.47
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$50,021.00
|
$436,128.62
|
$330,113.57
|
2026-07-15
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$68,173.17
|
$97,335.86
|
$73,627.04
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
9
|
9
|
—
|
—
|
$59,315.73
|
$80,152.47
|
$64,061.00
|
2026-07-15
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$86,729.53
|
$125,951.42
|
$92,000.00
|
2026-07-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
9
|
—
|
—
|
$53,446.56
|
$75,415.54
|
$57,722.29
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$120,000.00
|
$249,408.85
|
$193,800.15
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
57
|
45
|
—
|
—
|
$3,308.00
|
$421,653.00
|
$169,114.00
|
2026-07-15
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
51
|
42
|
—
|
—
|
$3,308.00
|
$184,620.42
|
$56,787.15
|
2026-07-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
58
|
46
|
—
|
—
|
$47,707.96
|
$289,270.03
|
$108,959.51
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$58,644.14
|
$86,539.29
|
$63,335.67
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$147,311.87
|
$199,060.37
|
$159,096.83
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$117,988.01
|
$187,390.06
|
$137,019.52
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$134,689.81
|
$187,390.06
|
$145,465.01
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$177,349.54
|
$254,673.29
|
$191,537.51
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$251,646.25
|
$340,045.89
|
$271,777.97
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$63,395.45
|
$91,785.10
|
$68,467.10
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$92,300.31
|
$125,474.86
|
$99,684.34
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$322,003.03
|
$69,110.52
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$54,601.39
|
$78,931.69
|
$58,969.50
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$82,415.67
|
$111,367.09
|
$89,008.94
|
2026-07-15
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$52,529.40
|
$73,300.68
|
$56,731.75
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$71,745.02
|
$98,639.60
|
$77,484.63
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$62,236.23
|
$87,936.85
|
$67,215.13
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
9
|
—
|
—
|
$73,238.72
|
$98,966.40
|
$79,097.83
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
9
|
9
|
—
|
—
|
$55,529.11
|
$78,402.04
|
$59,971.45
|
2026-07-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
58
|
46
|
—
|
—
|
$5,102.50
|
$289,270.03
|
$91,335.78
|
2026-07-15
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
9
|
9
|
—
|
—
|
$55,054.69
|
$74,394.59
|
$59,459.06
|
2026-07-15
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$61,097.25
|
$84,244.17
|
$65,985.04
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$79,356.10
|
$107,232.74
|
$85,704.59
|
2026-07-15
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
9
|
9
|
—
|
—
|
$60,415.10
|
$86,789.91
|
$65,248.31
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
51
|
42
|
—
|
—
|
$3,308.00
|
$2,860,061.00
|
$614,924.09
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
9
|
—
|
—
|
$67,660.01
|
$93,966.64
|
$73,072.82
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
49
|
42
|
—
|
—
|
$3,308.00
|
$215,068.74
|
$63,065.32
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
51
|
42
|
—
|
—
|
$3,308.00
|
$608,356.00
|
$178,656.28
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$271,028.61
|
$122,590.98
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
52
|
43
|
—
|
—
|
$3,308.00
|
$362,687.16
|
$91,612.95
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$50,000.00
|
$158,893.02
|
$120,579.69
|
2026-07-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$258,611.36
|
$82,855.79
|
2026-07-15
|
|
212
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
49
|
42
|
—
|
—
|
$3,308.00
|
$327,793.98
|
$104,207.63
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
9
|
—
|
—
|
$62,108.61
|
$84,838.01
|
$67,077.29
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
52
|
43
|
—
|
—
|
$3,308.00
|
$397,472.00
|
$140,533.55
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
42
|
—
|
—
|
$77,786.00
|
$294,897.32
|
$127,977.00
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
42
|
—
|
—
|
$43,747.57
|
$198,208.93
|
$88,308.42
|
2026-07-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
42
|
—
|
—
|
$14,168.49
|
$198,208.93
|
$71,910.75
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
42
|
—
|
—
|
$59,226.00
|
$231,458.28
|
$101,435.77
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$122,954.11
|
$179,775.05
|
$132,790.46
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
42
|
—
|
—
|
$26,412.30
|
$160,754.43
|
$70,752.10
|
2026-07-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
9
|
9
|
—
|
—
|
$52,586.61
|
$75,167.39
|
$56,793.54
|
2026-07-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
42
|
—
|
—
|
$35,062.03
|
$151,934.16
|
$66,924.34
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$174,055.00
|
$64,950.03
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$140,000.00
|
$237,409.88
|
$180,164.36
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
43
|
—
|
—
|
$3,308.00
|
$200,839.49
|
$85,208.10
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
51
|
42
|
—
|
—
|
$43,212.00
|
$254,114.87
|
$108,768.07
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
51
|
42
|
—
|
—
|
$43,212.00
|
$182,753.86
|
$71,094.00
|
2026-07-15
|
|
2321
|
APR_DRG
|
Gastric Fundoplication
|
5
|
5
|
—
|
—
|
$16,794.26
|
$98,054.11
|
$57,424.18
|
2026-07-15
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
5
|
5
|
—
|
—
|
$53,461.88
|
$249,234.15
|
$151,348.02
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
51
|
42
|
—
|
—
|
$58,163.17
|
$230,460.50
|
$101,002.77
|
2026-07-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
51
|
42
|
—
|
—
|
$40,178.95
|
$164,670.20
|
$72,451.44
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
9
|
9
|
—
|
—
|
$58,018.32
|
$78,399.30
|
$62,659.79
|
2026-07-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
51
|
42
|
—
|
—
|
$28,695.48
|
$176,905.84
|
$77,761.40
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$148,362.04
|
$67,202.86
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$220,000.00
|
$475,579.21
|
$369,543.10
|
2026-07-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
52
|
43
|
—
|
—
|
$3,308.00
|
$137,531.13
|
$56,958.90
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$137,057.86
|
$59,993.92
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
9
|
9
|
—
|
—
|
$56,272.00
|
$79,156.38
|
$60,773.77
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
51
|
42
|
—
|
—
|
$49,283.28
|
$215,305.00
|
$94,305.73
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
51
|
42
|
—
|
—
|
$38,440.74
|
$164,197.00
|
$73,517.10
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
51
|
42
|
—
|
—
|
$55,225.45
|
$351,490.20
|
$91,136.00
|
2026-07-15
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
51
|
42
|
—
|
—
|
$34,178.57
|
$146,312.79
|
$56,236.43
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
51
|
42
|
—
|
—
|
$17,545.08
|
$159,051.27
|
$66,233.00
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
48
|
41
|
—
|
—
|
$33,145.80
|
$214,942.13
|
$89,359.59
|
2026-07-15
|
|
276
|
MS_DRG
|
Non-maligant Breast Disorders
|
48
|
41
|
—
|
—
|
$11,905.16
|
$181,065.77
|
$63,175.10
|
2026-07-15
|
|
277
|
MS_DRG
|
Cellulitis Age >17 W Cc
|
48
|
41
|
—
|
—
|
$37,312.57
|
$232,912.00
|
$68,256.07
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
52
|
43
|
—
|
—
|
$3,308.00
|
$639,822.40
|
$281,281.75
|
2026-07-15
|
|
30230AZ
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230G2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230G3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230G4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230X2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230X3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230X4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230Y2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230Y3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30230Y4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233G2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233G3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233G4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233X2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233X3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233X4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233Y2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233Y3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30233Y4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240G2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240G3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240G4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240X2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240X3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240X4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240Y2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240Y3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30240Y4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243G2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243G3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243G4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243X2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243X3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243X4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243Y2
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243Y3
|
OTHER
|
Bmt Allogeneic Unrelated
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30243Y4
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30250G1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30250X1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30250Y1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30253G1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30253X1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30253Y1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30260G1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30260X1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30260Y1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30263G1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30263X1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
30263Y1
|
OTHER
|
Bmt Allogeneic
|
6
|
6
|
—
|
—
|
$210,867.00
|
$413,418.76
|
$258,860.50
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
9
|
—
|
—
|
$59,732.06
|
$86,657.81
|
$64,510.63
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
9
|
—
|
—
|
$93,630.29
|
$126,521.24
|
$101,120.72
|
2026-07-15
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
9
|
—
|
—
|
$65,491.21
|
$88,497.31
|
$70,730.51
|
2026-07-15
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$135,062.30
|
$59,766.79
|
2026-07-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
9
|
9
|
—
|
—
|
$62,813.64
|
$84,879.15
|
$67,838.74
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
51
|
42
|
—
|
—
|
$40,237.26
|
$266,757.65
|
$76,961.60
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
51
|
42
|
—
|
—
|
$36,459.74
|
$138,559.06
|
$65,428.83
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$231,237.69
|
$63,006.00
|
2026-07-15
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
9
|
9
|
—
|
—
|
$56,868.78
|
$76,845.95
|
$61,418.29
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
52
|
43
|
—
|
—
|
$3,308.00
|
$616,987.33
|
$195,281.40
|
2026-07-15
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$146,255.02
|
$56,718.80
|
2026-07-15
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
9
|
9
|
—
|
—
|
$52,113.06
|
$70,419.61
|
$56,282.11
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
51
|
42
|
—
|
—
|
$42,499.51
|
$164,905.32
|
$81,750.41
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$70,000.00
|
$107,978.11
|
$75,355.38
|
2026-07-15
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
51
|
42
|
—
|
—
|
$33,622.01
|
$125,189.98
|
$56,654.22
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$91,000.00
|
$168,969.83
|
$119,687.84
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$110,000.00
|
$245,574.23
|
$190,820.50
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$57,306.24
|
$83,533.04
|
$61,890.74
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$87,122.98
|
$122,863.69
|
$91,479.13
|
2026-07-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
9
|
9
|
—
|
—
|
$55,640.90
|
$75,186.74
|
$60,092.18
|
2026-07-15
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
50
|
43
|
—
|
—
|
$3,308.00
|
$286,212.00
|
$99,950.24
|
2026-07-15
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
50
|
43
|
—
|
—
|
$3,308.00
|
$202,064.00
|
$60,477.71
|
2026-07-15
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
50
|
43
|
—
|
—
|
$3,308.00
|
$155,080.00
|
$57,677.47
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
42
|
—
|
—
|
$67,319.85
|
$253,316.04
|
$112,850.00
|
2026-07-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
42
|
—
|
—
|
$19,928.12
|
$179,754.49
|
$71,385.00
|
2026-07-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
42
|
—
|
—
|
$28,938.22
|
$132,674.00
|
$62,631.19
|
2026-07-15
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
50
|
43
|
—
|
—
|
$3,308.00
|
$176,973.88
|
$69,935.43
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$261,786.99
|
$81,058.00
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
52
|
43
|
—
|
—
|
$3,308.00
|
$171,808.41
|
$75,892.87
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$156,914.02
|
$64,444.40
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
51
|
42
|
—
|
—
|
$31,871.00
|
$272,535.86
|
$71,676.88
|
2026-07-15
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
4
|
4
|
—
|
—
|
$406,155.20
|
$406,155.20
|
$406,155.20
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
49
|
42
|
—
|
—
|
$3,308.00
|
$553,558.00
|
$136,327.52
|
2026-07-15
|
|
5101
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
4
|
—
|
—
|
$64,646.12
|
$64,646.12
|
$64,646.12
|
2026-07-15
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
4
|
—
|
—
|
$137,644.70
|
$137,644.70
|
$137,644.70
|
2026-07-15
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
5
|
5
|
—
|
—
|
$63,941.16
|
$81,000.00
|
$72,470.58
|
2026-07-15
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$54,901.54
|
$82,603.39
|
$59,293.66
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$77,000.00
|
$123,882.24
|
$86,682.49
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$88,000.00
|
$170,700.74
|
$130,440.08
|
2026-07-15
|
|
563
|
APR_DRG
|
Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N…
|
5
|
5
|
—
|
—
|
$20,830.17
|
$106,138.11
|
$63,484.14
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
51
|
42
|
—
|
—
|
$16,111.04
|
$197,488.48
|
$61,051.92
|
2026-07-15
|
|
574
|
APR_DRG
|
Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co…
|
5
|
5
|
—
|
—
|
$33,260.12
|
$131,673.31
|
$82,466.71
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$147,744.08
|
$64,887.04
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$197,852.01
|
$298,990.49
|
$217,637.24
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$231,932.44
|
$339,572.45
|
$255,125.71
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$302,067.57
|
$442,257.35
|
$332,274.36
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$499,560.46
|
$761,706.22
|
$549,516.56
|
2026-07-15
|
|
5881
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
9
|
9
|
—
|
—
|
$163,392.22
|
$239,222.67
|
$179,731.46
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$174,515.30
|
$266,243.96
|
$191,966.85
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$185,637.49
|
$310,709.31
|
$204,201.26
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$334,024.96
|
$489,046.19
|
$367,427.49
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$153,901.03
|
$217,467.38
|
$169,291.16
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$153,787.49
|
$217,467.38
|
$169,166.26
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$153,675.70
|
$217,467.39
|
$169,043.29
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$121,413.77
|
$197,894.04
|
$133,555.16
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$157,428.87
|
$230,723.29
|
$173,171.78
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$216,414.53
|
$316,852.67
|
$238,056.00
|
2026-07-15
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$71,173.77
|
$120,441.40
|
$78,291.16
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$105,934.59
|
$158,259.67
|
$116,528.06
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$136,926.40
|
$196,759.44
|
$150,619.05
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$201,204.69
|
$271,884.95
|
$221,325.18
|
2026-07-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
49
|
42
|
—
|
—
|
$3,308.00
|
$553,558.00
|
$80,377.76
|
2026-07-15
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$59,055.19
|
$86,462.75
|
$64,960.71
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$86,064.98
|
$126,007.80
|
$94,671.49
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$111,240.43
|
$162,867.20
|
$122,364.49
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$147,964.09
|
$216,634.34
|
$162,760.51
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$66,918.89
|
$97,976.00
|
$73,610.79
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$109,189.56
|
$159,864.52
|
$120,108.54
|
2026-07-15
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$59,334.21
|
$86,871.26
|
$65,267.64
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$81,744.08
|
$119,681.57
|
$89,918.50
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$104,197.08
|
$156,628.76
|
$114,616.80
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$59,798.08
|
$87,550.41
|
$65,777.90
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$64,442.01
|
$94,349.59
|
$70,886.21
|
2026-07-15
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$52,292.62
|
$76,561.66
|
$57,521.89
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$79,827.01
|
$116,874.78
|
$87,809.72
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$245,820.21
|
$359,905.56
|
$270,402.26
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$97,689.76
|
$143,027.66
|
$107,458.75
|
2026-07-15
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$55,858.31
|
$81,782.19
|
$61,444.15
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$86,953.10
|
$127,308.10
|
$95,648.41
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$96,715.39
|
$141,601.06
|
$106,386.94
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
9
|
—
|
—
|
$60,518.08
|
$88,604.57
|
$66,569.90
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$72,732.60
|
$105,282.99
|
$78,551.21
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$72,471.19
|
$106,105.11
|
$79,718.31
|
2026-07-15
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$51,325.28
|
$75,145.39
|
$56,457.82
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
9
|
9
|
—
|
—
|
$63,566.21
|
$93,067.34
|
$69,922.84
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$85,000.00
|
$122,121.69
|
$92,150.10
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$115,675.75
|
$169,360.95
|
$127,243.34
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$206,345.05
|
$302,109.94
|
$226,979.59
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$63,061.86
|
$92,328.91
|
$69,368.05
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$229,643.92
|
$336,221.83
|
$252,608.34
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$79,991.60
|
$117,115.77
|
$87,990.78
|
2026-07-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$85,000.00
|
$158,464.61
|
$112,735.94
|
2026-07-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
48
|
41
|
—
|
—
|
$3,308.00
|
$236,647.50
|
$68,878.36
|
2026-07-15
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
48
|
41
|
—
|
—
|
$3,308.00
|
$219,147.25
|
$56,609.31
|
2026-07-15
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
9
|
9
|
—
|
—
|
$57,043.05
|
$77,081.44
|
$61,606.50
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
51
|
42
|
—
|
—
|
$41,894.25
|
$302,839.44
|
$82,567.03
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$126,655.01
|
$56,703.80
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
9
|
—
|
—
|
$67,674.98
|
$91,448.21
|
$73,088.99
|
2026-07-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
9
|
—
|
—
|
$58,434.65
|
$78,961.89
|
$63,109.43
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
9
|
9
|
—
|
—
|
$62,670.17
|
$84,685.28
|
$67,683.79
|
2026-07-15
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
9
|
9
|
—
|
—
|
$54,928.81
|
$74,921.70
|
$59,323.13
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
49
|
42
|
—
|
—
|
$3,308.00
|
$1,405,850.68
|
$274,350.98
|
2026-07-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$67,355.47
|
$101,453.26
|
$72,743.91
|
2026-07-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$79,955.51
|
$114,928.91
|
$86,351.96
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$116,953.80
|
$163,204.24
|
$126,310.11
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$200,000.00
|
$277,045.75
|
$215,275.06
|
2026-07-15
|
|
7542
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
4
|
4
|
—
|
—
|
$58,323.45
|
$58,323.45
|
$58,323.45
|
2026-07-15
|
|
7543
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
4
|
4
|
—
|
—
|
$118,394.95
|
$118,394.95
|
$118,394.95
|
2026-07-15
|
|
7544
|
APR_DRG
|
Depression Except Major Depressive Disorder
|
4
|
4
|
—
|
—
|
$597,400.00
|
$597,400.00
|
$597,400.00
|
2026-07-15
|
|
7721
|
APR_DRG
|
Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy
|
5
|
5
|
—
|
—
|
$56,679.35
|
$56,679.35
|
$56,679.35
|
2026-07-15
|
|
7724
|
APR_DRG
|
Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy
|
5
|
5
|
—
|
—
|
$58,960.47
|
$58,960.47
|
$58,960.47
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
51
|
42
|
—
|
—
|
$9,472.72
|
$136,521.29
|
$65,915.42
|
2026-07-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
49
|
42
|
—
|
—
|
$3,308.00
|
$477,817.00
|
$90,546.75
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$176,791.29
|
$78,079.62
|
2026-07-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$138,206.37
|
$61,146.57
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
52
|
43
|
—
|
—
|
$3,308.00
|
$141,009.80
|
$64,706.49
|
2026-07-15
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$54,233.46
|
$80,330.49
|
$58,572.14
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,209.44
|
$165,490.13
|
$69,297.62
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
52
|
43
|
—
|
—
|
$3,308.00
|
$327,818.67
|
$75,302.24
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$89,540.00
|
$120,994.10
|
$96,703.21
|
2026-07-15
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
9
|
—
|
—
|
$50,000.00
|
$73,967.60
|
$57,475.63
|
2026-07-15
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
9
|
—
|
—
|
$87,280.53
|
$117,940.90
|
$94,087.63
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
9
|
—
|
—
|
$190,000.00
|
$314,345.34
|
$244,258.26
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
9
|
—
|
—
|
$119,249.36
|
$161,973.35
|
$125,211.83
|
2026-07-15
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
9
|
9
|
—
|
—
|
$75,914.52
|
$102,582.18
|
$81,987.69
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$148,871.48
|
$62,412.91
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
9
|
—
|
—
|
$98,048.00
|
$132,490.84
|
$105,891.85
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
52
|
43
|
—
|
—
|
$3,308.00
|
$208,352.55
|
$91,930.37
|
2026-07-15
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
9
|
9
|
—
|
—
|
$56,595.91
|
$76,477.23
|
$61,123.60
|
2026-07-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$126,504.28
|
$56,977.62
|
2026-07-15
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$50,000.00
|
$78,755.14
|
$56,190.98
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
9
|
—
|
—
|
$67,605.44
|
$93,690.09
|
$73,013.89
|
2026-07-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
9
|
9
|
—
|
—
|
$68,176.69
|
$92,126.17
|
$73,630.83
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
9
|
9
|
—
|
—
|
$61,193.20
|
$82,856.48
|
$66,088.65
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
9
|
9
|
—
|
—
|
$61,161.51
|
$86,283.73
|
$66,054.43
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$56,331.86
|
$107,548.47
|
$59,643.74
|
2026-07-15
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
9
|
9
|
—
|
—
|
$52,794.34
|
$71,340.21
|
$57,017.89
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
52
|
43
|
—
|
—
|
$3,308.00
|
$643,599.51
|
$271,469.82
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
52
|
43
|
—
|
—
|
$3,209.44
|
$216,217.24
|
$81,812.17
|
2026-07-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$136,097.25
|
$214,283.35
|
$146,985.04
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$139,000.00
|
$327,322.88
|
$254,342.30
|
2026-07-15
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
9
|
—
|
—
|
$52,907.88
|
$73,590.80
|
$57,140.52
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
52
|
43
|
—
|
—
|
$3,308.00
|
$202,905.44
|
$89,539.87
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$229,697.85
|
$101,297.78
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$481,575.67
|
$103,045.96
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
52
|
43
|
—
|
—
|
$3,308.00
|
$141,431.82
|
$62,100.51
|
2026-07-15
|