|
J3590
|
HCPCS
|
Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension
|
27
|
14
|
—
|
—
|
$517,658.20
|
$4,243,100.00
|
$2,121,550.00
|
2026-04-13
|
|
C9399
|
HCPCS
|
Omidubicel-onlv Intravenous Suspension
|
27
|
14
|
—
|
—
|
$471,667.68
|
$3,866,128.50
|
$1,933,064.25
|
2026-04-13
|
|
RX-213069
|
CDM
|
Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension
|
24
|
12
|
—
|
—
|
$669,639.70
|
$3,732,418.00
|
$1,756,432.00
|
2026-04-13
|
|
RX-4082207
|
CDM
|
Inv - Obecabtagene Autoleucel Intravenous Suspension 300 X 10exp6 Cell (irb# Ea2…
|
27
|
14
|
$3,963,750.00
|
—
|
$241,788.75
|
$1,981,875.00
|
$990,937.50
|
2026-04-13
|
|
RX-4082206
|
CDM
|
Inv - Obecabtagene Autoleucel Intravenous Syringe 10 X 10exp6 Cell (irb# Ea25-10…
|
27
|
14
|
$3,963,750.00
|
—
|
$241,788.75
|
$1,981,875.00
|
$990,937.50
|
2026-04-13
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
6
|
4
|
—
|
—
|
$561,442.58
|
$825,755.88
|
$702,396.32
|
2026-04-13
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension
|
35
|
19
|
—
|
—
|
$566,531.30
|
$2,345,935.30
|
$606,188.49
|
2026-04-13
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
38
|
19
|
—
|
—
|
$310,000.00
|
$2,850,963.80
|
$602,550.07
|
2026-04-13
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp
|
35
|
19
|
—
|
—
|
$516,442.29
|
$2,727,952.95
|
$595,933.31
|
2026-04-13
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension
|
35
|
19
|
—
|
—
|
$527,622.46
|
$2,712,356.01
|
$590,757.01
|
2026-04-13
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Intravenous Suspension
|
35
|
19
|
—
|
—
|
$502,840.73
|
$2,397,040.80
|
$564,123.77
|
2026-04-13
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension
|
35
|
19
|
—
|
—
|
$489,304.61
|
$2,199,120.00
|
$518,662.88
|
2026-04-13
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
27
|
19
|
—
|
—
|
$250,050.00
|
$1,751,509.93
|
$495,955.23
|
2026-04-13
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
4
|
—
|
—
|
$395,542.44
|
$581,754.05
|
$494,845.89
|
2026-04-13
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$375,401.67
|
$552,131.51
|
$469,648.66
|
2026-04-13
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
4
|
—
|
—
|
$353,338.83
|
$519,682.03
|
$442,046.80
|
2026-04-13
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
6
|
4
|
—
|
—
|
$339,485.63
|
$499,307.08
|
$424,715.66
|
2026-04-13
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
4
|
—
|
—
|
$282,818.46
|
$415,962.41
|
$353,821.84
|
2026-04-13
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$276,270.73
|
$406,332.17
|
$345,630.26
|
2026-04-13
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
4
|
—
|
—
|
$272,247.53
|
$400,414.94
|
$340,597.01
|
2026-04-13
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
4
|
—
|
—
|
$272,236.65
|
$400,398.94
|
$340,583.39
|
2026-04-13
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
4
|
—
|
—
|
$261,443.14
|
$384,524.11
|
$327,080.10
|
2026-04-13
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
6
|
4
|
—
|
—
|
$260,662.63
|
$383,376.16
|
$326,103.65
|
2026-04-13
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
31
|
19
|
—
|
—
|
$301,133.23
|
$1,137,922.25
|
$325,223.89
|
2026-04-13
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
4
|
—
|
—
|
$258,090.63
|
$379,593.32
|
$322,885.93
|
2026-04-13
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$243,222.47
|
$357,725.61
|
$304,285.02
|
2026-04-13
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
4
|
—
|
—
|
$231,905.66
|
$341,081.12
|
$290,127.05
|
2026-04-13
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
4
|
—
|
—
|
$231,008.42
|
$339,761.49
|
$289,004.56
|
2026-04-13
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$230,420.82
|
$338,897.25
|
$288,269.44
|
2026-04-13
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$226,128.54
|
$332,584.28
|
$282,899.56
|
2026-04-13
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
6
|
4
|
—
|
—
|
$222,360.56
|
$327,042.42
|
$278,185.59
|
2026-04-13
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$208,632.99
|
$306,852.24
|
$261,011.63
|
2026-04-13
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
4
|
—
|
—
|
$207,435.03
|
$305,090.31
|
$259,512.91
|
2026-04-13
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
4
|
—
|
—
|
$204,245.74
|
$300,399.59
|
$255,522.94
|
2026-04-13
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
32
|
19
|
—
|
—
|
$228,308.17
|
$862,730.91
|
$254,049.92
|
2026-04-13
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
29
|
19
|
—
|
—
|
$229,650.29
|
$867,802.52
|
$252,615.32
|
2026-04-13
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
4
|
—
|
—
|
$199,318.38
|
$293,152.55
|
$249,358.53
|
2026-04-13
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$196,133.05
|
$288,467.65
|
$245,373.50
|
2026-04-13
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
4
|
—
|
—
|
$192,839.90
|
$283,624.16
|
$241,253.58
|
2026-04-13
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$183,055.10
|
$296,003.47
|
$239,529.28
|
2026-04-13
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$183,632.13
|
$270,081.60
|
$229,734.14
|
2026-04-13
|
|
9
|
MS_DRG
|
Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$227,645.28
|
$227,645.28
|
$227,645.28
|
2026-04-13
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$176,930.08
|
$260,224.39
|
$221,349.50
|
2026-04-13
|
|
222
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath W AMI/HF/shock W Mcc
|
2
|
2
|
—
|
—
|
$158,410.00
|
$281,683.04
|
$220,046.52
|
2026-04-13
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
4
|
—
|
—
|
$172,965.24
|
$254,393.00
|
$216,389.26
|
2026-04-13
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
4
|
—
|
—
|
$172,837.63
|
$254,205.31
|
$216,229.61
|
2026-04-13
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
4
|
—
|
—
|
$172,711.99
|
$254,020.54
|
$216,072.44
|
2026-04-13
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$166,292.87
|
$244,579.44
|
$208,041.75
|
2026-04-13
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
4
|
—
|
—
|
$165,559.85
|
$243,501.33
|
$207,124.70
|
2026-04-13
|
|
224
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath Without AMI/HF/shock W Mcc
|
2
|
2
|
—
|
—
|
$149,805.13
|
$256,911.05
|
$203,358.09
|
2026-04-13
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$153,887.90
|
$226,334.52
|
$192,522.44
|
2026-04-13
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
4
|
—
|
—
|
$152,956.04
|
$224,963.97
|
$191,356.63
|
2026-04-13
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
4
|
—
|
—
|
$151,374.26
|
$222,637.52
|
$189,377.73
|
2026-04-13
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
4
|
—
|
—
|
$146,659.58
|
$215,703.29
|
$183,479.40
|
2026-04-13
|
|
223
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath W AMI/HF/shock Without Mcc
|
2
|
2
|
—
|
—
|
$115,527.13
|
$241,572.50
|
$178,549.82
|
2026-04-13
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
2
|
2
|
—
|
—
|
$121,394.54
|
$231,043.71
|
$176,219.12
|
2026-04-13
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
4
|
—
|
—
|
$139,617.24
|
$205,345.58
|
$174,669.03
|
2026-04-13
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
4
|
—
|
—
|
$138,184.83
|
$203,238.83
|
$172,877.01
|
2026-04-13
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$136,453.67
|
$200,692.69
|
$170,711.24
|
2026-04-13
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath W Mcc
|
2
|
2
|
—
|
—
|
$130,796.33
|
$207,567.20
|
$169,181.77
|
2026-04-13
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$167,979.76
|
$167,979.76
|
$167,979.76
|
2026-04-13
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
6
|
4
|
—
|
—
|
$134,021.15
|
$197,115.00
|
$167,668.02
|
2026-04-13
|
|
225
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath Without AMI/HF/shock Without Mcc
|
2
|
2
|
—
|
—
|
$111,925.00
|
$221,023.97
|
$166,474.48
|
2026-04-13
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
32
|
19
|
—
|
—
|
$149,322.82
|
$564,261.07
|
$166,158.96
|
2026-04-13
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$131,441.23
|
$193,320.52
|
$164,440.39
|
2026-04-13
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
4
|
—
|
—
|
$130,004.87
|
$191,207.95
|
$162,643.42
|
2026-04-13
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
4
|
—
|
—
|
$129,063.12
|
$189,822.85
|
$161,465.24
|
2026-04-13
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
4
|
—
|
—
|
$128,108.51
|
$188,418.84
|
$160,270.97
|
2026-04-13
|
|
237
|
MS_DRG
|
Major Cardiovasc Procedures W Mcc Or Thoracic Aortic Anuerysm Repair
|
1
|
1
|
—
|
—
|
$157,823.11
|
$157,823.11
|
$157,823.11
|
2026-04-13
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$125,020.13
|
$183,876.52
|
$156,407.23
|
2026-04-13
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
6
|
4
|
—
|
—
|
$124,572.01
|
$183,217.43
|
$155,846.60
|
2026-04-13
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
6
|
4
|
—
|
—
|
$124,572.01
|
$183,217.43
|
$155,846.60
|
2026-04-13
|
|
7
|
MS_DRG
|
Lung Transplant
|
31
|
19
|
—
|
—
|
$139,669.52
|
$647,012.00
|
$153,636.47
|
2026-04-13
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
4
|
—
|
—
|
$122,715.22
|
$180,486.51
|
$153,523.66
|
2026-04-13
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical W Mcc
|
2
|
2
|
—
|
—
|
$134,153.41
|
$170,900.72
|
$152,527.07
|
2026-04-13
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
6
|
4
|
—
|
—
|
$120,667.51
|
$177,474.79
|
$150,961.86
|
2026-04-13
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$119,057.04
|
$175,106.15
|
$148,947.07
|
2026-04-13
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
2
|
2
|
—
|
—
|
$95,259.18
|
$200,194.58
|
$147,726.88
|
2026-04-13
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$117,104.29
|
$172,234.11
|
$146,504.07
|
2026-04-13
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
30
|
19
|
—
|
—
|
$129,683.07
|
$490,046.38
|
$142,651.38
|
2026-04-13
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc
|
2
|
2
|
—
|
—
|
$103,842.13
|
$176,981.38
|
$140,411.76
|
2026-04-13
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
6
|
4
|
—
|
—
|
$110,193.52
|
$162,069.91
|
$137,858.31
|
2026-04-13
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
6
|
4
|
—
|
—
|
$109,790.90
|
$161,477.75
|
$137,354.61
|
2026-04-13
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
6
|
4
|
—
|
—
|
$108,695.82
|
$159,867.13
|
$135,984.60
|
2026-04-13
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
31
|
19
|
—
|
—
|
$122,333.82
|
$571,324.99
|
$134,567.20
|
2026-04-13
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
4
|
—
|
—
|
$106,594.69
|
$156,776.84
|
$133,355.97
|
2026-04-13
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
27
|
19
|
—
|
—
|
$122,194.59
|
$461,748.92
|
$131,970.16
|
2026-04-13
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
4
|
—
|
—
|
$105,228.56
|
$154,767.57
|
$131,646.87
|
2026-04-13
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$103,733.84
|
$152,569.16
|
$129,776.88
|
2026-04-13
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
30
|
19
|
—
|
—
|
$117,431.13
|
$443,748.75
|
$129,174.24
|
2026-04-13
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
19
|
—
|
—
|
$119,006.80
|
$449,702.90
|
$128,527.34
|
2026-04-13
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$100,631.60
|
$148,006.48
|
$125,895.81
|
2026-04-13
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
6
|
4
|
—
|
—
|
$98,633.36
|
$145,067.50
|
$123,395.89
|
2026-04-13
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
4
|
—
|
—
|
$98,092.25
|
$144,271.65
|
$122,718.93
|
2026-04-13
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
31
|
19
|
—
|
—
|
$111,394.07
|
$601,279.00
|
$122,533.48
|
2026-04-13
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
6
|
4
|
—
|
—
|
$97,915.17
|
$144,011.22
|
$122,497.40
|
2026-04-13
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$97,724.25
|
$143,730.42
|
$122,258.55
|
2026-04-13
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
4
|
—
|
—
|
$97,472.99
|
$143,360.86
|
$121,944.20
|
2026-04-13
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$96,726.12
|
$142,262.38
|
$121,009.82
|
2026-04-13
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
32
|
19
|
—
|
—
|
$107,607.50
|
$421,348.45
|
$119,740.24
|
2026-04-13
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
19
|
—
|
—
|
$105,741.53
|
$399,576.09
|
$117,663.88
|
2026-04-13
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
4
|
—
|
—
|
$92,781.06
|
$136,460.09
|
$116,074.33
|
2026-04-13
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$92,624.76
|
$136,230.21
|
$115,878.80
|
2026-04-13
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$91,869.98
|
$135,120.09
|
$114,934.52
|
2026-04-13
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
6
|
4
|
—
|
—
|
$90,379.20
|
$132,927.50
|
$113,069.48
|
2026-04-13
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
6
|
4
|
—
|
—
|
$89,900.41
|
$132,223.31
|
$112,470.49
|
2026-04-13
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$89,859.86
|
$132,163.66
|
$112,419.75
|
2026-04-13
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$89,715.43
|
$131,951.24
|
$112,239.06
|
2026-04-13
|
|
238
|
MS_DRG
|
Major Cardiovasc Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$111,961.93
|
$111,961.93
|
$111,961.93
|
2026-04-13
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
6
|
4
|
—
|
—
|
$89,186.19
|
$131,172.85
|
$111,576.95
|
2026-04-13
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
6
|
4
|
—
|
—
|
$85,318.29
|
$125,484.04
|
$106,737.99
|
2026-04-13
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
27
|
19
|
—
|
—
|
$97,459.32
|
$368,279.28
|
$105,256.07
|
2026-04-13
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
6
|
4
|
—
|
—
|
$82,311.03
|
$121,061.03
|
$102,975.74
|
2026-04-13
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
6
|
4
|
—
|
—
|
$81,742.22
|
$120,224.44
|
$102,264.12
|
2026-04-13
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
6
|
4
|
—
|
—
|
$81,448.42
|
$119,792.32
|
$101,896.56
|
2026-04-13
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
32
|
19
|
—
|
—
|
$91,249.79
|
$344,814.71
|
$101,538.21
|
2026-04-13
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
19
|
—
|
—
|
$90,965.93
|
$343,742.06
|
$101,222.33
|
2026-04-13
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
27
|
19
|
—
|
—
|
$93,709.19
|
$354,108.29
|
$101,205.93
|
2026-04-13
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
4
|
—
|
—
|
$80,657.03
|
$118,628.37
|
$100,906.49
|
2026-04-13
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$80,632.30
|
$118,592.00
|
$100,875.55
|
2026-04-13
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$78,312.44
|
$122,420.52
|
$100,366.48
|
2026-04-13
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
4
|
—
|
—
|
$79,990.29
|
$117,647.74
|
$100,072.36
|
2026-04-13
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
6
|
4
|
—
|
—
|
$76,621.95
|
$112,693.68
|
$95,858.38
|
2026-04-13
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
4
|
—
|
—
|
$76,618.00
|
$112,687.86
|
$95,853.43
|
2026-04-13
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
1
|
1
|
—
|
—
|
$95,552.60
|
$95,552.60
|
$95,552.60
|
2026-04-13
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
4
|
—
|
—
|
$76,058.09
|
$111,864.36
|
$95,152.96
|
2026-04-13
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
6
|
4
|
—
|
—
|
$76,041.27
|
$111,839.63
|
$95,131.92
|
2026-04-13
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
4
|
—
|
—
|
$75,979.94
|
$111,749.42
|
$95,055.19
|
2026-04-13
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
32
|
19
|
—
|
—
|
$85,239.50
|
$322,103.02
|
$94,850.26
|
2026-04-13
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$75,699.00
|
$111,336.22
|
$94,703.72
|
2026-04-13
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
4
|
—
|
—
|
$75,208.34
|
$110,614.57
|
$94,089.87
|
2026-04-13
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
19
|
—
|
—
|
$83,198.93
|
$314,392.12
|
$92,579.61
|
2026-04-13
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
32
|
19
|
—
|
—
|
$82,844.39
|
$313,052.38
|
$92,185.10
|
2026-04-13
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
6
|
4
|
—
|
—
|
$73,603.81
|
$108,254.66
|
$92,082.51
|
2026-04-13
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
32
|
19
|
—
|
—
|
$82,573.38
|
$312,028.29
|
$91,883.53
|
2026-04-13
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
4
|
—
|
—
|
$72,424.64
|
$106,520.38
|
$90,607.31
|
2026-04-13
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
4
|
—
|
—
|
$71,562.03
|
$105,251.67
|
$89,528.14
|
2026-04-13
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
6
|
4
|
—
|
—
|
$71,440.36
|
$105,072.71
|
$89,375.91
|
2026-04-13
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$71,248.45
|
$104,790.45
|
$89,135.82
|
2026-04-13
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
4
|
—
|
—
|
$70,873.53
|
$104,239.03
|
$88,666.78
|
2026-04-13
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
6
|
4
|
—
|
—
|
$70,594.56
|
$103,828.74
|
$88,317.78
|
2026-04-13
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
6
|
4
|
—
|
—
|
$70,433.32
|
$103,591.59
|
$88,116.05
|
2026-04-13
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$69,945.63
|
$102,874.30
|
$87,505.92
|
2026-04-13
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
6
|
4
|
—
|
—
|
$69,802.19
|
$102,663.34
|
$87,326.47
|
2026-04-13
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
6
|
4
|
—
|
—
|
$68,773.39
|
$101,150.20
|
$86,039.38
|
2026-04-13
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
6
|
4
|
—
|
—
|
$68,737.77
|
$101,097.82
|
$85,994.83
|
2026-04-13
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
6
|
4
|
—
|
—
|
$68,665.56
|
$100,991.61
|
$85,904.49
|
2026-04-13
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
6
|
4
|
—
|
—
|
$68,629.95
|
$100,939.23
|
$85,859.93
|
2026-04-13
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
29
|
19
|
—
|
—
|
$77,783.15
|
$293,926.97
|
$85,561.46
|
2026-04-13
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
30
|
19
|
—
|
—
|
$77,375.04
|
$292,384.80
|
$85,112.54
|
2026-04-13
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
6
|
4
|
—
|
—
|
$68,014.65
|
$100,034.26
|
$85,090.16
|
2026-04-13
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
30
|
19
|
—
|
—
|
$77,330.05
|
$292,214.79
|
$85,063.05
|
2026-04-13
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
6
|
4
|
—
|
—
|
$67,898.91
|
$99,864.03
|
$84,945.36
|
2026-04-13
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
19
|
—
|
—
|
$78,274.81
|
$295,784.85
|
$84,536.79
|
2026-04-13
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
4
|
—
|
—
|
$67,205.45
|
$98,844.12
|
$84,077.81
|
2026-04-13
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
31
|
19
|
—
|
—
|
$54,582.82
|
$294,048.42
|
$84,040.51
|
2026-04-13
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
4
|
—
|
—
|
$67,131.26
|
$98,735.00
|
$83,984.99
|
2026-04-13
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
32
|
19
|
—
|
—
|
$74,988.48
|
$283,366.47
|
$83,443.43
|
2026-04-13
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$66,684.13
|
$98,077.37
|
$83,425.60
|
2026-04-13
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
6
|
4
|
—
|
—
|
$66,663.36
|
$98,046.82
|
$83,399.62
|
2026-04-13
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$66,370.54
|
$97,616.16
|
$83,033.29
|
2026-04-13
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
4
|
—
|
—
|
$65,908.57
|
$96,936.70
|
$82,455.34
|
2026-04-13
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
4
|
—
|
—
|
$65,673.13
|
$96,590.42
|
$82,160.79
|
2026-04-13
|
|
246
|
MS_DRG
|
Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents
|
2
|
2
|
—
|
—
|
$62,246.30
|
$101,973.80
|
$82,110.05
|
2026-04-13
|
|
234
|
APR_DRG
|
Spinal Procedures
|
6
|
4
|
—
|
—
|
$65,205.23
|
$95,902.24
|
$81,575.42
|
2026-04-13
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
32
|
19
|
—
|
—
|
$73,052.90
|
$276,052.30
|
$81,289.61
|
2026-04-13
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
31
|
19
|
—
|
—
|
$68,003.00
|
$281,994.31
|
$80,595.39
|
2026-04-13
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
6
|
4
|
—
|
—
|
$64,404.94
|
$94,725.19
|
$80,574.21
|
2026-04-13
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
6
|
4
|
—
|
—
|
$64,109.16
|
$94,290.17
|
$80,204.17
|
2026-04-13
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
6
|
4
|
—
|
—
|
$63,913.29
|
$94,002.09
|
$79,959.13
|
2026-04-13
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
6
|
4
|
—
|
—
|
$63,680.82
|
$93,660.18
|
$79,668.30
|
2026-04-13
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
6
|
4
|
—
|
—
|
$63,606.63
|
$93,551.06
|
$79,575.48
|
2026-04-13
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
19
|
—
|
—
|
$71,384.04
|
$269,746.01
|
$79,432.59
|
2026-04-13
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
19
|
—
|
—
|
$71,384.04
|
$269,746.01
|
$79,432.59
|
2026-04-13
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
4
|
—
|
—
|
$63,309.86
|
$93,114.58
|
$79,204.20
|
2026-04-13
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
6
|
4
|
—
|
—
|
$63,242.59
|
$93,015.64
|
$79,120.05
|
2026-04-13
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$62,777.65
|
$92,331.82
|
$78,538.38
|
2026-04-13
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
32
|
19
|
—
|
—
|
$71,128.02
|
$268,778.56
|
$78,489.41
|
2026-04-13
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
27
|
19
|
—
|
—
|
$72,575.15
|
$274,246.98
|
$78,381.16
|
2026-04-13
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
27
|
19
|
—
|
—
|
$72,522.67
|
$274,048.67
|
$78,324.48
|
2026-04-13
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
6
|
4
|
—
|
—
|
$62,533.31
|
$91,972.45
|
$78,232.70
|
2026-04-13
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
6
|
4
|
—
|
—
|
$62,407.68
|
$91,787.67
|
$78,075.52
|
2026-04-13
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
32
|
19
|
—
|
—
|
$69,877.98
|
$264,054.91
|
$77,756.73
|
2026-04-13
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
6
|
4
|
—
|
—
|
$61,874.48
|
$91,003.46
|
$77,408.47
|
2026-04-13
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
6
|
4
|
—
|
—
|
$61,733.02
|
$90,795.41
|
$77,231.49
|
2026-04-13
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
4
|
—
|
—
|
$61,702.36
|
$90,750.30
|
$77,193.13
|
2026-04-13
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
4
|
—
|
—
|
$61,519.35
|
$90,481.14
|
$76,964.17
|
2026-04-13
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$61,365.03
|
$90,254.17
|
$76,771.11
|
2026-04-13
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
6
|
4
|
—
|
—
|
$61,168.17
|
$89,964.64
|
$76,524.83
|
2026-04-13
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$60,951.53
|
$89,646.00
|
$76,253.80
|
2026-04-13
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
6
|
4
|
—
|
—
|
$60,733.90
|
$89,325.92
|
$75,981.53
|
2026-04-13
|
|
338
|
MS_DRG
|
Appendectomy W Complicated Principal Diag W Mcc
|
2
|
2
|
—
|
—
|
$55,731.39
|
$95,682.50
|
$75,706.95
|
2026-04-13
|
|
248
|
MS_DRG
|
Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents
|
2
|
2
|
—
|
—
|
$63,001.40
|
$88,401.16
|
$75,701.28
|
2026-04-13
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
6
|
4
|
—
|
—
|
$60,144.32
|
$88,458.78
|
$75,243.93
|
2026-04-13
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
6
|
4
|
—
|
—
|
$60,067.16
|
$88,345.29
|
$75,147.40
|
2026-04-13
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
4
|
—
|
—
|
$59,461.75
|
$87,454.87
|
$74,390.00
|
2026-04-13
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
6
|
4
|
—
|
—
|
$59,334.14
|
$87,267.18
|
$74,230.35
|
2026-04-13
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
32
|
19
|
—
|
—
|
$66,520.96
|
$251,369.40
|
$74,021.20
|
2026-04-13
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
6
|
4
|
—
|
—
|
$59,100.68
|
$86,923.82
|
$73,938.28
|
2026-04-13
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
6
|
4
|
—
|
—
|
$59,062.10
|
$86,867.07
|
$73,890.01
|
2026-04-13
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$59,036.38
|
$86,829.24
|
$73,857.84
|
2026-04-13
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$58,770.27
|
$86,437.87
|
$73,524.92
|
2026-04-13
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
32
|
19
|
—
|
—
|
$65,892.20
|
$248,993.45
|
$73,321.54
|
2026-04-13
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
6
|
4
|
—
|
—
|
$58,568.47
|
$86,141.06
|
$73,272.46
|
2026-04-13
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
31
|
19
|
—
|
—
|
$66,597.01
|
$251,656.78
|
$73,256.71
|
2026-04-13
|
|
985
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Cc
|
1
|
1
|
—
|
—
|
$73,252.20
|
$73,252.20
|
$73,252.20
|
2026-04-13
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
4
|
—
|
—
|
$58,442.84
|
$85,956.28
|
$73,115.28
|
2026-04-13
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
6
|
4
|
—
|
—
|
$58,220.26
|
$85,628.92
|
$72,836.83
|
2026-04-13
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
32
|
19
|
—
|
—
|
$65,310.55
|
$246,795.51
|
$72,674.31
|
2026-04-13
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
6
|
4
|
—
|
—
|
$57,683.11
|
$84,838.89
|
$72,164.82
|
2026-04-13
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
19
|
—
|
—
|
$64,826.37
|
$244,965.89
|
$72,135.54
|
2026-04-13
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
30
|
19
|
—
|
—
|
$65,292.32
|
$246,726.62
|
$71,821.55
|
2026-04-13
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
6
|
4
|
—
|
—
|
$56,992.62
|
$83,823.34
|
$71,300.98
|
2026-04-13
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
6
|
4
|
—
|
—
|
$56,832.37
|
$83,587.64
|
$71,100.50
|
2026-04-13
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
29
|
19
|
—
|
—
|
$64,616.44
|
$244,172.60
|
$71,078.08
|
2026-04-13
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
32
|
19
|
—
|
—
|
$63,814.11
|
$241,140.76
|
$71,009.15
|
2026-04-13
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
32
|
19
|
—
|
—
|
$63,773.42
|
$240,987.00
|
$70,963.87
|
2026-04-13
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
6
|
4
|
—
|
—
|
$56,712.67
|
$83,411.60
|
$70,950.75
|
2026-04-13
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
4
|
—
|
—
|
$56,697.83
|
$83,389.77
|
$70,932.18
|
2026-04-13
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
30
|
19
|
—
|
—
|
$64,468.62
|
$468,603.00
|
$70,915.48
|
2026-04-13
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
6
|
4
|
—
|
—
|
$56,237.84
|
$82,713.23
|
$70,356.71
|
2026-04-13
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
6
|
4
|
—
|
—
|
$55,804.56
|
$82,075.96
|
$69,814.65
|
2026-04-13
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
6
|
4
|
—
|
—
|
$55,736.30
|
$81,975.57
|
$69,729.25
|
2026-04-13
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
32
|
19
|
—
|
—
|
$62,332.71
|
$235,542.84
|
$69,360.73
|
2026-04-13
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
6
|
4
|
—
|
—
|
$55,316.86
|
$81,358.68
|
$69,204.52
|
2026-04-13
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
6
|
4
|
—
|
—
|
$55,298.07
|
$81,331.03
|
$69,181.00
|
2026-04-13
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
32
|
19
|
—
|
—
|
$62,002.80
|
$234,296.18
|
$68,993.61
|
2026-04-13
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
6
|
4
|
—
|
—
|
$54,553.18
|
$80,235.47
|
$68,249.10
|
2026-04-13
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$54,549.22
|
$80,229.65
|
$68,244.15
|
2026-04-13
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
6
|
4
|
—
|
—
|
$54,292.02
|
$79,851.36
|
$67,922.38
|
2026-04-13
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
27
|
19
|
—
|
—
|
$62,726.91
|
$237,032.45
|
$67,745.06
|
2026-04-13
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
6
|
4
|
—
|
—
|
$54,057.57
|
$79,506.54
|
$67,629.07
|
2026-04-13
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
6
|
4
|
—
|
—
|
$54,000.20
|
$79,422.16
|
$67,557.29
|
2026-04-13
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
4
|
—
|
—
|
$53,698.48
|
$78,978.40
|
$67,179.83
|
2026-04-13
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
31
|
19
|
—
|
—
|
$60,986.26
|
$230,454.88
|
$67,084.89
|
2026-04-13
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
32
|
19
|
—
|
—
|
$60,112.19
|
$227,151.94
|
$66,889.84
|
2026-04-13
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
30
|
19
|
—
|
—
|
$60,574.92
|
$228,900.51
|
$66,632.41
|
2026-04-13
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
4
|
—
|
—
|
$53,246.40
|
$78,313.49
|
$66,614.25
|
2026-04-13
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
4
|
—
|
—
|
$53,207.82
|
$78,256.75
|
$66,565.98
|
2026-04-13
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
32
|
19
|
—
|
—
|
$59,757.63
|
$225,812.13
|
$66,495.30
|
2026-04-13
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension
|
38
|
19
|
$218,016.96
|
—
|
$58,646.56
|
$117,183.22
|
$66,356.21
|
2026-04-13
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
32
|
19
|
—
|
—
|
$59,549.83
|
$225,026.90
|
$66,264.07
|
2026-04-13
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
6
|
4
|
—
|
—
|
$52,965.46
|
$77,900.29
|
$66,262.78
|
2026-04-13
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
6
|
4
|
—
|
—
|
$52,897.20
|
$77,799.90
|
$66,177.38
|
2026-04-13
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
32
|
19
|
—
|
—
|
$59,466.28
|
$224,711.18
|
$66,171.11
|
2026-04-13
|
|
38240
|
CPT
|
Hc Hpc Allo Transplant, Per Donor
|
40
|
19
|
$60,820.00
|
—
|
$1,254.91
|
$210,653.41
|
$66,114.31
|
2026-04-13
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
32
|
19
|
—
|
—
|
$59,374.18
|
$224,363.15
|
$66,068.62
|
2026-04-13
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
19
|
—
|
—
|
$61,172.65
|
$231,159.21
|
$66,066.46
|
2026-04-13
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
6
|
4
|
—
|
—
|
$52,654.84
|
$77,443.44
|
$65,874.17
|
2026-04-13
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
27
|
19
|
—
|
—
|
$50,053.00
|
$234,595.61
|
$65,806.96
|
2026-04-13
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
6
|
4
|
—
|
—
|
$52,288.83
|
$76,905.11
|
$65,416.27
|
2026-04-13
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
6
|
4
|
—
|
—
|
$52,251.23
|
$76,849.83
|
$65,369.24
|
2026-04-13
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
6
|
4
|
—
|
—
|
$52,188.91
|
$76,758.16
|
$65,291.27
|
2026-04-13
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
30
|
19
|
—
|
—
|
$59,140.64
|
$468,603.00
|
$65,054.70
|
2026-04-13
|
|
1814
|
APR_DRG
|
Lower Vascular Procedures
|
6
|
4
|
—
|
—
|
$51,942.59
|
$76,395.88
|
$64,983.11
|
2026-04-13
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
6
|
4
|
—
|
—
|
$51,823.89
|
$76,221.29
|
$64,834.60
|
2026-04-13
|
|
5114
|
APR_DRG
|
Gynecologic Procedures For Malignancy
|
6
|
4
|
—
|
—
|
$51,742.77
|
$76,101.99
|
$64,733.12
|
2026-04-13
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
6
|
4
|
—
|
—
|
$51,728.92
|
$76,081.62
|
$64,715.79
|
2026-04-13
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
6
|
4
|
—
|
—
|
$51,724.96
|
$76,075.80
|
$64,710.84
|
2026-04-13
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
19
|
—
|
—
|
$58,074.83
|
$219,453.17
|
$64,622.76
|
2026-04-13
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
6
|
4
|
—
|
—
|
$51,441.05
|
$75,658.23
|
$64,355.66
|
2026-04-13
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
32
|
19
|
—
|
—
|
$57,657.08
|
$235,295.25
|
$64,157.92
|
2026-04-13
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$51,084.93
|
$75,134.45
|
$63,910.13
|
2026-04-13
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
6
|
4
|
—
|
—
|
$50,961.28
|
$74,952.59
|
$63,755.43
|
2026-04-13
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
4
|
—
|
—
|
$50,906.87
|
$74,872.56
|
$63,687.36
|
2026-04-13
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
6
|
4
|
—
|
—
|
$50,861.36
|
$74,805.64
|
$63,630.43
|
2026-04-13
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
6
|
4
|
—
|
—
|
$50,817.84
|
$74,741.62
|
$63,575.98
|
2026-04-13
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
6
|
4
|
—
|
—
|
$50,697.15
|
$74,564.12
|
$63,424.99
|
2026-04-13
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
6
|
4
|
—
|
—
|
$50,660.55
|
$74,510.28
|
$63,379.20
|
2026-04-13
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
4
|
—
|
—
|
$50,604.16
|
$74,427.35
|
$63,308.66
|
2026-04-13
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
6
|
4
|
—
|
—
|
$50,599.22
|
$74,420.08
|
$63,302.47
|
2026-04-13
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
6
|
4
|
—
|
—
|
$50,585.37
|
$74,399.71
|
$63,285.15
|
2026-04-13
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
31
|
19
|
—
|
—
|
$57,469.64
|
$217,166.28
|
$63,216.60
|
2026-04-13
|
|
129
|
MS_DRG
|
Major Head & Neck Procedures W Cc/mcc Or Major Device
|
1
|
1
|
—
|
—
|
$63,165.76
|
$63,165.76
|
$63,165.76
|
2026-04-13
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
6
|
4
|
—
|
—
|
$50,485.46
|
$74,252.76
|
$63,160.15
|
2026-04-13
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
32
|
19
|
—
|
—
|
$56,710.18
|
$214,296.43
|
$63,104.25
|
2026-04-13
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
32
|
19
|
—
|
—
|
$56,613.79
|
$213,932.19
|
$62,996.99
|
2026-04-13
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
6
|
4
|
—
|
—
|
$50,278.71
|
$73,948.68
|
$62,901.50
|
2026-04-13
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
27
|
19
|
—
|
—
|
$58,040.56
|
$219,323.67
|
$62,683.80
|
2026-04-13
|
|
2992
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
6
|
4
|
—
|
—
|
$49,723.75
|
$73,132.46
|
$62,207.21
|
2026-04-13
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
4
|
—
|
—
|
$49,127.24
|
$72,255.13
|
$61,460.95
|
2026-04-13
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
6
|
4
|
—
|
—
|
$49,062.94
|
$72,160.56
|
$61,380.50
|
2026-04-13
|
|
4484
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Percutaneous Procedures
|
6
|
4
|
—
|
—
|
$49,054.04
|
$72,147.47
|
$61,369.36
|
2026-04-13
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
19
|
—
|
—
|
$54,940.64
|
$207,609.69
|
$61,135.19
|
2026-04-13
|
|
484
|
MS_DRG
|
Major Joint & Limb Reattachment Proc Of Upper Extremity Without Cc/mcc
|
1
|
1
|
—
|
—
|
$61,003.12
|
$61,003.12
|
$61,003.12
|
2026-04-13
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
6
|
4
|
—
|
—
|
$48,465.44
|
$71,281.78
|
$60,633.00
|
2026-04-13
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
32
|
19
|
—
|
—
|
$54,375.06
|
$205,472.48
|
$60,505.85
|
2026-04-13
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
6
|
4
|
—
|
—
|
$48,288.37
|
$71,021.34
|
$60,411.47
|
2026-04-13
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures
|
6
|
4
|
—
|
—
|
$48,165.71
|
$70,840.93
|
$60,258.01
|
2026-04-13
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
32
|
19
|
—
|
—
|
$53,946.59
|
$236,625.83
|
$60,029.07
|
2026-04-13
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
32
|
19
|
—
|
—
|
$53,852.33
|
$203,497.18
|
$59,924.18
|
2026-04-13
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
4
|
—
|
—
|
$47,867.95
|
$70,402.99
|
$59,885.50
|
2026-04-13
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
6
|
4
|
—
|
—
|
$47,837.28
|
$70,357.89
|
$59,847.14
|
2026-04-13
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
32
|
19
|
—
|
—
|
$53,671.30
|
$202,813.11
|
$59,722.74
|
2026-04-13
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
6
|
4
|
—
|
—
|
$47,728.47
|
$70,197.85
|
$59,711.00
|
2026-04-13
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
6
|
4
|
—
|
—
|
$47,557.33
|
$69,946.14
|
$59,496.90
|
2026-04-13
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
32
|
19
|
—
|
—
|
$53,451.71
|
$201,983.32
|
$59,478.39
|
2026-04-13
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
6
|
4
|
—
|
—
|
$47,525.67
|
$69,899.59
|
$59,457.30
|
2026-04-13
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
6
|
4
|
—
|
—
|
$47,109.21
|
$69,287.06
|
$58,936.27
|
2026-04-13
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
4
|
—
|
—
|
$47,024.13
|
$69,161.93
|
$58,829.84
|
2026-04-13
|