|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
12
|
3
|
—
|
—
|
$4,335,000.00
|
$4,760,000.00
|
$4,555,681.25
|
2026-04-01
|
|
C9172
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$3,756,410.00
|
$3,756,410.00
|
$3,756,410.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
12
|
3
|
—
|
—
|
$3,570,000.00
|
$3,920,000.00
|
$3,739,092.58
|
2026-04-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
10
|
3
|
—
|
—
|
$3,570,000.00
|
$3,920,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
10
|
2
|
—
|
—
|
$3,335,820.00
|
$3,524,640.00
|
$3,410,875.95
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
14
|
4
|
—
|
—
|
$3,264,000.00
|
$3,584,000.00
|
$3,392,000.00
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
14
|
4
|
—
|
—
|
$3,162,000.00
|
$3,472,000.00
|
$3,321,535.74
|
2026-04-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
10
|
2
|
—
|
—
|
$3,090,000.00
|
$3,360,000.00
|
$3,180,000.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
14
|
4
|
—
|
—
|
$2,856,000.00
|
$3,136,000.00
|
$3,012,019.15
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
16
|
5
|
—
|
—
|
$2,146,250.00
|
$4,727,924.09
|
$2,586,159.51
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
16
|
5
|
—
|
—
|
$2,244,000.00
|
$4,496,329.20
|
$2,358,235.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
20
|
6
|
—
|
—
|
$770,620.00
|
$3,355,202.42
|
$801,099.47
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
18
|
6
|
—
|
—
|
$497,971.46
|
$2,576,316.71
|
$625,220.14
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
20
|
6
|
—
|
—
|
$525,503.94
|
$2,463,736.80
|
$588,250.13
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
20
|
6
|
—
|
—
|
$477,192.03
|
$2,449,235.00
|
$584,787.63
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
20
|
6
|
—
|
—
|
$487,891.92
|
$2,426,506.55
|
$579,360.91
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
20
|
6
|
—
|
—
|
$492,912.56
|
$2,321,630.84
|
$554,320.43
|
2026-04-01
|
|
C9098
|
HCPCS
|
Ciltacabtagene Car Pos T
|
8
|
2
|
—
|
—
|
$492,900.00
|
$525,503.94
|
$520,800.00
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
20
|
6
|
—
|
—
|
$464,049.77
|
$2,130,383.33
|
$508,657.53
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$410,937.73
|
$588,501.83
|
$477,961.89
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$462,387.46
|
$479,641.81
|
$471,014.64
|
2026-04-01
|
|
C9081
|
HCPCS
|
Idecabtagene Car Pos T
|
8
|
2
|
—
|
—
|
$444,670.00
|
$474,083.66
|
$469,840.00
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$456,568.53
|
$507,298.41
|
$467,512.75
|
2026-04-01
|
|
C9076
|
HCPCS
|
Lisocabtagene Car Pos T
|
8
|
2
|
—
|
—
|
$434,918.00
|
$463,686.59
|
$459,536.00
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$413,578.22
|
$482,304.08
|
$431,542.42
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$291,214.70
|
$615,102.20
|
$427,836.77
|
2026-04-01
|
|
C9073
|
HCPCS
|
Brexucabtagene Autoleucel Ca
|
6
|
1
|
—
|
—
|
$395,380.00
|
$417,760.00
|
$417,760.00
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$357,663.89
|
$467,981.54
|
$396,096.87
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$337,341.99
|
$439,679.24
|
$372,820.72
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$349,953.46
|
$388,837.21
|
$369,395.34
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$262,331.92
|
$496,362.94
|
$359,423.82
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
26
|
9
|
—
|
—
|
$284,217.03
|
$1,018,423.16
|
$354,945.51
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$331,461.47
|
$379,603.67
|
$342,736.74
|
2026-04-01
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
56
|
24
|
—
|
—
|
$1,912.68
|
$1,778,957.94
|
$340,359.89
|
2026-05-23
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
4
|
2
|
—
|
—
|
$304,482.11
|
$358,968.38
|
$331,725.24
|
2026-05-23
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$305,375.72
|
$339,306.39
|
$322,341.05
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$311,166.10
|
$345,740.15
|
$319,012.45
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$249,354.29
|
$410,950.26
|
$314,257.17
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$241,702.28
|
$411,348.17
|
$310,467.46
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$289,583.78
|
$321,759.78
|
$296,989.24
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$261,856.76
|
$341,279.19
|
$289,389.70
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
16
|
5
|
—
|
—
|
$267,750.00
|
$1,211,472.67
|
$289,255.31
|
2026-04-01
|
|
C9301
|
HCPCS
|
Obecabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$278,250.00
|
$278,250.00
|
$278,250.00
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
16
|
4
|
—
|
—
|
$255,000.00
|
$1,121,129.25
|
$272,500.00
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$193,794.39
|
$341,205.31
|
$272,129.06
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$174,416.89
|
$341,205.31
|
$261,363.79
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$215,804.41
|
$318,619.61
|
$255,307.47
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$182,351.80
|
$350,093.24
|
$252,120.15
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$202,464.83
|
$311,203.05
|
$245,051.34
|
2026-04-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$230,506.36
|
$256,118.20
|
$243,312.28
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$207,674.06
|
$288,778.38
|
$237,662.05
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
8
|
3
|
—
|
—
|
$157,169.87
|
$340,272.41
|
$234,639.96
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$149,519.45
|
$348,312.21
|
$234,289.93
|
2026-04-01
|
|
104
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$219,521.03
|
$243,912.27
|
$231,716.65
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
26
|
9
|
—
|
—
|
$201,086.08
|
$660,915.66
|
$230,552.40
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$226,045.89
|
$234,480.96
|
$230,263.42
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$224,429.06
|
$250,976.46
|
$229,341.30
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$197,468.39
|
$247,051.36
|
$228,786.71
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$216,276.34
|
$240,307.07
|
$228,291.71
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
3
|
—
|
—
|
$205,424.22
|
$257,767.39
|
$222,540.21
|
2026-04-01
|
|
7
|
OTHER
|
Lung Transplant
|
46
|
22
|
—
|
—
|
$2,323.53
|
$1,345,290.96
|
$222,440.58
|
2026-05-23
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$177,721.98
|
$247,051.36
|
$217,816.49
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$183,630.59
|
$267,756.01
|
$215,731.65
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$188,447.58
|
$259,339.87
|
$214,442.75
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
16
|
4
|
—
|
—
|
$205,640.00
|
$895,336.00
|
$213,773.45
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
3
|
—
|
—
|
$177,044.57
|
$220,289.64
|
$204,540.64
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$181,224.49
|
$237,811.71
|
$201,008.77
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$178,920.44
|
$240,307.07
|
$200,936.66
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
3
|
—
|
—
|
$173,924.87
|
$245,249.84
|
$200,569.92
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$169,870.06
|
$248,883.81
|
$200,102.15
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$185,922.15
|
$206,580.18
|
$196,251.16
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$175,546.48
|
$229,107.92
|
$194,147.12
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
3
|
—
|
—
|
$170,458.43
|
$233,415.47
|
$193,446.56
|
2026-04-01
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
50
|
24
|
—
|
—
|
$2,323.53
|
$526,580.24
|
$193,266.45
|
2026-05-23
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$180,956.62
|
$217,975.89
|
$191,943.71
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$179,783.06
|
$213,601.22
|
$189,366.45
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
8
|
3
|
—
|
—
|
$157,169.87
|
$238,684.25
|
$188,925.29
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$168,707.67
|
$216,791.73
|
$185,057.83
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$170,662.52
|
$207,714.00
|
$181,986.76
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
3
|
—
|
—
|
$155,529.12
|
$222,537.53
|
$180,808.29
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
3
|
—
|
—
|
$153,404.11
|
$196,961.63
|
$180,162.64
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$174,304.36
|
$199,321.83
|
$180,099.15
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
26
|
9
|
—
|
—
|
$139,976.64
|
$503,530.19
|
$175,790.85
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
26
|
9
|
—
|
—
|
$139,313.48
|
$500,575.12
|
$174,762.64
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
3
|
—
|
—
|
$165,376.76
|
$197,744.55
|
$174,759.00
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$154,068.56
|
$207,879.40
|
$173,454.60
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$163,830.68
|
$182,034.10
|
$171,855.40
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$126,683.03
|
$234,983.16
|
$171,447.56
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$151,967.01
|
$204,590.61
|
$170,884.65
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$154,726.58
|
$175,003.12
|
$170,313.05
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$125,018.37
|
$232,960.03
|
$169,673.76
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
3
|
—
|
—
|
$152,866.92
|
$169,852.15
|
$165,556.55
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$159,351.14
|
$165,297.45
|
$162,324.30
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
3
|
—
|
—
|
$154,510.24
|
$182,547.08
|
$162,284.13
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$129,522.83
|
$202,627.40
|
$158,360.36
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
8
|
3
|
—
|
—
|
$143,698.10
|
$160,935.85
|
$157,405.51
|
2026-04-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$149,089.37
|
$165,654.87
|
$157,372.12
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$151,591.92
|
$168,435.48
|
$157,214.40
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$109,003.21
|
$220,128.47
|
$155,593.17
|
2026-04-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$144,934.27
|
$161,038.10
|
$152,986.18
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$135,478.29
|
$181,839.94
|
$152,094.85
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$131,383.61
|
$184,503.09
|
$151,169.53
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$142,557.87
|
$170,142.20
|
$150,502.74
|
2026-04-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$142,168.53
|
$157,965.04
|
$150,066.79
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
3
|
—
|
—
|
$137,968.90
|
$174,413.79
|
$150,044.85
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
3
|
—
|
—
|
$121,336.96
|
$168,923.02
|
$148,832.58
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
3
|
—
|
—
|
$135,275.73
|
$152,290.40
|
$148,559.18
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$143,846.96
|
$159,829.97
|
$148,419.10
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
3
|
—
|
—
|
$144,989.48
|
$161,270.61
|
$147,771.71
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$138,568.43
|
$165,654.87
|
$146,414.29
|
2026-04-01
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
70
|
27
|
—
|
—
|
$2,323.53
|
$401,251.83
|
$146,387.74
|
2026-05-23
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
70
|
27
|
—
|
—
|
$2,323.53
|
$314,478.74
|
$145,822.40
|
2026-05-23
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
1
|
—
|
—
|
$137,702.77
|
$153,003.09
|
$145,352.93
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$120,040.34
|
$184,047.65
|
$145,081.30
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$121,566.27
|
$180,883.51
|
$144,448.88
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
3
|
—
|
—
|
$133,268.31
|
$167,287.28
|
$144,399.93
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$33,556.25
|
$281,932.33
|
$144,273.75
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$110,301.13
|
$190,912.88
|
$143,119.34
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
3
|
—
|
—
|
$84,680.71
|
$220,061.35
|
$142,947.92
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$125,169.84
|
$171,156.16
|
$141,940.59
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$115,132.47
|
$182,647.76
|
$141,905.84
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$138,983.00
|
$144,169.26
|
$141,576.13
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
3
|
—
|
—
|
$133,348.04
|
$157,363.38
|
$139,975.52
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
8
|
3
|
—
|
—
|
$103,420.00
|
$170,378.54
|
$139,580.29
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
3
|
—
|
—
|
$131,042.97
|
$145,603.31
|
$137,606.46
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$114,457.99
|
$172,100.61
|
$136,809.81
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$122,282.21
|
$158,909.49
|
$134,931.89
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$127,666.68
|
$141,851.88
|
$134,759.28
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
3
|
—
|
—
|
$109,854.67
|
$171,611.61
|
$134,202.20
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$87,632.13
|
$196,876.81
|
$134,045.65
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
8
|
3
|
—
|
—
|
$124,606.99
|
$153,978.70
|
$133,918.80
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
3
|
—
|
—
|
$127,000.33
|
$149,630.40
|
$133,203.40
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
3
|
—
|
—
|
$122,762.15
|
$154,501.27
|
$133,197.12
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
8
|
3
|
—
|
—
|
$113,617.89
|
$142,420.98
|
$131,769.86
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
8
|
3
|
—
|
—
|
$129,117.83
|
$143,865.43
|
$131,707.42
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
3
|
—
|
—
|
$120,831.21
|
$153,058.22
|
$131,546.26
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
3
|
—
|
—
|
$87,978.13
|
$190,546.13
|
$131,376.30
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$108,654.01
|
$165,849.03
|
$130,986.32
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
3
|
—
|
—
|
$116,307.61
|
$155,659.05
|
$130,370.43
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$109,583.61
|
$143,739.22
|
$130,164.01
|
2026-04-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$121,912.98
|
$135,458.88
|
$128,685.93
|
2026-04-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$121,341.28
|
$134,823.65
|
$128,082.46
|
2026-04-01
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$121,341.28
|
$134,823.65
|
$128,082.46
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
8
|
3
|
—
|
—
|
$114,079.57
|
$133,075.88
|
$127,521.89
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
8
|
3
|
—
|
—
|
$110,436.66
|
$152,526.07
|
$125,915.57
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
3
|
—
|
—
|
$93,702.39
|
$171,304.78
|
$125,686.62
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
8
|
3
|
—
|
—
|
$112,369.20
|
$147,489.81
|
$124,651.58
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
8
|
3
|
—
|
—
|
$111,292.25
|
$127,066.90
|
$123,076.96
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
8
|
3
|
—
|
—
|
$101,357.56
|
$137,736.85
|
$122,700.76
|
2026-04-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
4
|
1
|
—
|
—
|
$115,913.33
|
$128,792.60
|
$122,352.96
|
2026-04-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$115,622.09
|
$128,469.00
|
$122,045.54
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$56,743.15
|
$185,618.50
|
$120,994.56
|
2026-04-01
|
|
1734
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$118,653.12
|
$123,080.76
|
$120,866.94
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$113,156.21
|
$125,729.14
|
$119,757.58
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$105,790.95
|
$126,102.61
|
$119,555.89
|
2026-04-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
1
|
—
|
—
|
$112,679.44
|
$125,199.38
|
$118,939.41
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$113,263.71
|
$133,517.24
|
$118,827.88
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$103,993.86
|
$126,102.61
|
$118,557.51
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$114,936.34
|
$119,225.28
|
$117,080.81
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
8
|
3
|
—
|
—
|
$106,945.15
|
$119,582.55
|
$117,054.35
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
3
|
—
|
—
|
$113,503.55
|
$126,115.07
|
$117,038.58
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
3
|
—
|
—
|
$113,455.05
|
$127,550.92
|
$116,242.27
|
2026-04-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
1
|
—
|
—
|
$110,077.65
|
$122,308.51
|
$116,193.08
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$92,364.60
|
$151,653.54
|
$116,149.71
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
3
|
—
|
—
|
$108,606.32
|
$120,673.70
|
$116,025.05
|
2026-04-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
1
|
—
|
—
|
$109,792.87
|
$121,992.09
|
$115,892.48
|
2026-04-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$109,583.61
|
$121,759.58
|
$115,671.60
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
3
|
—
|
—
|
$110,423.91
|
$129,657.95
|
$115,618.30
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$113,067.59
|
$117,286.79
|
$115,177.19
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
8
|
3
|
—
|
—
|
$110,722.08
|
$126,393.13
|
$114,303.79
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
28
|
9
|
—
|
—
|
$86,943.96
|
$326,671.42
|
$114,253.64
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
8
|
3
|
—
|
—
|
$101,353.24
|
$120,166.41
|
$114,229.17
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
8
|
3
|
—
|
—
|
$102,492.33
|
$117,592.78
|
$113,621.48
|
2026-04-01
|
|
6934
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$110,612.06
|
$114,739.63
|
$112,675.85
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
3
|
—
|
—
|
$103,506.30
|
$115,007.01
|
$112,203.19
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$103,242.28
|
$129,948.00
|
$112,024.02
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
14
|
4
|
—
|
—
|
$105,317.93
|
$471,280.72
|
$110,678.83
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
8
|
3
|
—
|
—
|
$107,078.90
|
$118,976.57
|
$110,205.36
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$106,273.43
|
$121,412.00
|
$109,754.95
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
8
|
3
|
—
|
—
|
$105,024.93
|
$122,519.45
|
$109,605.76
|
2026-04-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$103,706.93
|
$115,229.94
|
$109,468.43
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$91,128.86
|
$137,685.76
|
$109,223.29
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
8
|
3
|
—
|
—
|
$98,358.81
|
$113,231.19
|
$109,222.73
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
8
|
3
|
—
|
—
|
$105,426.36
|
$117,140.41
|
$108,470.66
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$87,632.13
|
$140,022.91
|
$108,461.40
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
8
|
3
|
—
|
—
|
$89,353.95
|
$121,039.72
|
$107,983.85
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
8
|
3
|
—
|
—
|
$94,279.23
|
$113,573.56
|
$107,121.33
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
8
|
3
|
—
|
—
|
$103,854.57
|
$117,830.77
|
$106,888.83
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
26
|
9
|
—
|
—
|
$81,095.01
|
$305,417.52
|
$106,858.44
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
3
|
—
|
—
|
$99,965.58
|
$122,238.99
|
$106,855.48
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$92,927.46
|
$127,761.86
|
$105,690.39
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
3
|
—
|
—
|
$99,211.38
|
$120,297.36
|
$105,590.57
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
8
|
3
|
—
|
—
|
$91,793.77
|
$128,557.69
|
$105,460.52
|
2026-04-01
|
|
6021
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$83,395.29
|
$122,152.86
|
$105,210.03
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$101,332.07
|
$116,953.44
|
$105,185.71
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
8
|
3
|
—
|
—
|
$53,728.27
|
$170,739.07
|
$104,699.17
|
2026-04-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$25,518.38
|
$203,212.29
|
$104,680.83
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
8
|
3
|
—
|
—
|
$95,344.72
|
$122,670.47
|
$104,652.99
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$92,664.37
|
$125,755.51
|
$104,651.08
|
2026-04-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
3
|
—
|
—
|
$54,342.15
|
$168,073.52
|
$103,818.06
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
3
|
—
|
—
|
$88,244.41
|
$128,485.78
|
$103,587.26
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
8
|
3
|
—
|
—
|
$96,762.23
|
$118,530.71
|
$103,525.31
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
3
|
—
|
—
|
$87,848.11
|
$111,750.86
|
$102,669.91
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
3
|
—
|
—
|
$98,551.26
|
$114,237.55
|
$102,521.28
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
8
|
3
|
—
|
—
|
$91,800.41
|
$105,098.47
|
$101,659.09
|
2026-04-01
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
8
|
3
|
—
|
—
|
$92,311.70
|
$102,568.57
|
$100,578.43
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
8
|
3
|
—
|
—
|
$88,903.06
|
$104,580.77
|
$99,799.92
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$79,288.11
|
$130,211.67
|
$99,718.65
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$97,245.61
|
$108,050.69
|
$99,412.22
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
26
|
9
|
—
|
—
|
$90,987.67
|
$283,430.15
|
$99,208.04
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
3
|
—
|
—
|
$87,574.72
|
$117,346.56
|
$98,227.26
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
8
|
3
|
—
|
—
|
$83,878.55
|
$106,747.51
|
$98,052.92
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$82,099.21
|
$121,891.42
|
$97,432.54
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
3
|
—
|
—
|
$90,469.31
|
$100,521.47
|
$96,441.46
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
8
|
3
|
—
|
—
|
$83,621.82
|
$103,667.76
|
$96,425.81
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$77,405.00
|
$124,552.17
|
$96,195.19
|
2026-04-01
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
70
|
27
|
—
|
—
|
$2,323.53
|
$590,409.41
|
$96,076.70
|
2026-05-23
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
3
|
—
|
—
|
$72,776.17
|
$129,327.15
|
$95,943.15
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$74,962.23
|
$126,318.82
|
$95,723.21
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$77,633.02
|
$122,665.67
|
$95,464.52
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
8
|
3
|
—
|
—
|
$88,629.07
|
$98,476.76
|
$94,940.66
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
8
|
3
|
—
|
—
|
$89,819.78
|
$107,281.23
|
$94,862.28
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
8
|
3
|
—
|
—
|
$86,497.59
|
$96,371.96
|
$94,506.79
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$75,954.01
|
$122,248.58
|
$94,406.00
|
2026-04-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
3
|
—
|
—
|
$70,563.00
|
$126,882.13
|
$93,695.01
|
2026-04-01
|
|
7944
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$88,719.68
|
$98,577.44
|
$93,648.56
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
26
|
9
|
—
|
—
|
$93,577.94
|
$267,249.17
|
$93,577.94
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
26
|
9
|
—
|
—
|
$86,179.53
|
$266,942.58
|
$93,471.26
|
2026-04-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
1
|
—
|
—
|
$93,216.70
|
$93,216.70
|
$93,216.70
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
3
|
—
|
—
|
$85,795.26
|
$108,201.70
|
$93,189.15
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
8
|
3
|
—
|
—
|
$82,655.69
|
$111,607.95
|
$93,093.60
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
8
|
3
|
—
|
—
|
$88,946.21
|
$98,829.13
|
$93,007.80
|
2026-04-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
8
|
3
|
—
|
—
|
$77,846.68
|
$116,804.82
|
$92,937.96
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
8
|
3
|
—
|
—
|
$83,209.76
|
$96,643.22
|
$92,810.97
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
8
|
3
|
—
|
—
|
$68,852.10
|
$124,415.54
|
$91,697.67
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
9
|
—
|
—
|
$79,758.02
|
$259,923.98
|
$91,029.18
|
2026-04-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
8
|
3
|
—
|
—
|
$72,724.94
|
$104,307.86
|
$90,680.52
|
2026-04-01
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
8
|
3
|
—
|
—
|
$81,852.78
|
$92,331.24
|
$89,978.65
|
2026-04-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$65,513.22
|
$124,259.73
|
$89,895.82
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
26
|
9
|
—
|
—
|
$82,006.39
|
$256,454.77
|
$89,822.08
|
2026-04-01
|
|
6071
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$76,023.56
|
$97,509.92
|
$89,236.39
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
8
|
3
|
—
|
—
|
$80,731.13
|
$104,860.18
|
$89,058.91
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
3
|
—
|
—
|
$66,433.25
|
$120,465.15
|
$88,665.45
|
2026-04-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$70,842.04
|
$115,366.57
|
$88,657.74
|
2026-04-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
1
|
—
|
—
|
$83,373.72
|
$92,637.48
|
$88,005.60
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$68,061.23
|
$116,814.41
|
$87,866.97
|
2026-04-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
8
|
3
|
—
|
—
|
$70,097.41
|
$114,350.21
|
$87,814.16
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
3
|
—
|
—
|
$74,893.10
|
$95,460.61
|
$87,620.57
|
2026-04-01
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
8
|
2
|
—
|
—
|
$49,530.16
|
$106,732.19
|
$87,446.49
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$68,555.53
|
$113,753.34
|
$86,745.86
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
8
|
3
|
—
|
—
|
$81,061.19
|
$98,989.73
|
$86,588.40
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
8
|
3
|
—
|
—
|
$63,647.66
|
$118,911.85
|
$86,521.68
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$65,336.23
|
$116,368.55
|
$86,252.99
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
3
|
—
|
—
|
$75,378.39
|
$103,110.31
|
$85,495.24
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$83,716.03
|
$86,839.96
|
$85,277.99
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
26
|
9
|
—
|
—
|
$78,076.12
|
$243,162.83
|
$85,197.21
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
8
|
3
|
—
|
—
|
$82,693.96
|
$92,165.25
|
$84,364.24
|
2026-04-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$68,657.58
|
$108,288.00
|
$84,339.39
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
3
|
—
|
—
|
$76,223.48
|
$99,318.13
|
$84,227.07
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
8
|
3
|
—
|
—
|
$74,032.31
|
$88,393.07
|
$83,735.70
|
2026-04-01
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
8
|
3
|
—
|
—
|
$56,341.66
|
$120,347.70
|
$83,378.51
|
2026-04-01
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
8
|
3
|
—
|
—
|
$78,296.33
|
$94,854.77
|
$83,293.65
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
3
|
—
|
—
|
$77,242.36
|
$95,190.36
|
$82,898.02
|
2026-04-01
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
46
|
22
|
—
|
—
|
$1,912.68
|
$178,708.39
|
$82,874.33
|
2026-05-23
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$68,134.58
|
$105,020.78
|
$82,597.88
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
26
|
9
|
—
|
—
|
$82,296.41
|
$234,825.89
|
$82,296.41
|
2026-04-01
|
|
8434
|
APR_DRG
|
Extensive Third Degree Burns Without Skin Graft
|
8
|
3
|
—
|
—
|
$54,047.17
|
$120,043.27
|
$82,051.46
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$75,410.28
|
$94,897.92
|
$81,816.20
|
2026-04-01
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
8
|
3
|
—
|
—
|
$60,060.03
|
$112,219.21
|
$81,649.25
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$80,064.63
|
$83,052.30
|
$81,558.46
|
2026-04-01
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$77,059.10
|
$85,621.23
|
$81,340.17
|
2026-04-01
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
4
|
1
|
—
|
—
|
$76,845.52
|
$85,383.92
|
$81,114.72
|
2026-04-01
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
8
|
3
|
—
|
—
|
$73,334.24
|
$95,442.06
|
$80,984.30
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
9
|
—
|
—
|
$74,774.76
|
$230,717.56
|
$80,866.93
|
2026-04-01
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
8
|
3
|
—
|
—
|
$73,471.39
|
$82,169.07
|
$80,424.03
|
2026-04-01
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$48,700.47
|
$108,995.29
|
$79,593.00
|
2026-04-01
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
8
|
3
|
—
|
—
|
$65,095.46
|
$100,914.59
|
$79,173.83
|
2026-04-01
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
50
|
24
|
—
|
—
|
$2,323.53
|
$468,295.66
|
$78,928.88
|
2026-05-23
|
|
564
|
APR_DRG
|
Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N…
|
8
|
3
|
—
|
—
|
$65,959.43
|
$85,869.06
|
$78,034.16
|
2026-04-01
|
|
2344
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$73,816.57
|
$82,018.42
|
$77,917.49
|
2026-04-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$58,757.33
|
$103,723.96
|
$77,150.73
|
2026-04-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$70,842.04
|
$88,828.52
|
$76,715.62
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
8
|
3
|
—
|
—
|
$73,007.37
|
$86,316.38
|
$76,708.22
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$63,355.86
|
$96,453.62
|
$76,264.14
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
3
|
—
|
—
|
$67,645.07
|
$90,945.14
|
$76,009.96
|
2026-04-01
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
66
|
27
|
—
|
—
|
$2,323.53
|
$162,198.89
|
$75,957.03
|
2026-05-23
|
|
2284
|
APR_DRG
|
Inguinal, Femoral And Umbilical Hernia Procedures
|
8
|
3
|
—
|
—
|
$71,612.18
|
$85,947.23
|
$75,818.48
|
2026-04-01
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$68,681.49
|
$88,960.36
|
$75,654.36
|
2026-04-01
|
|
903
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$74,039.01
|
$76,801.84
|
$75,420.42
|
2026-04-01
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$71,109.07
|
$79,010.09
|
$75,059.58
|
2026-04-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$58,853.00
|
$98,625.38
|
$74,905.99
|
2026-04-01
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
8
|
3
|
—
|
—
|
$64,059.04
|
$92,354.62
|
$74,784.30
|
2026-04-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$63,323.97
|
$93,021.01
|
$74,702.93
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
26
|
9
|
—
|
—
|
$63,503.99
|
$212,482.41
|
$74,522.10
|
2026-04-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
8
|
3
|
—
|
—
|
$41,536.73
|
$117,725.29
|
$74,519.73
|
2026-04-01
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
8
|
3
|
—
|
—
|
$60,528.81
|
$94,730.13
|
$74,022.30
|
2026-04-01
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
8
|
3
|
—
|
—
|
$69,631.82
|
$84,130.25
|
$73,973.70
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
10
|
3
|
—
|
—
|
$31,905.54
|
$78,144.64
|
$73,958.32
|
2026-04-01
|
|
1934
|
APR_DRG
|
Acute And Subacute Endocarditis
|
8
|
3
|
—
|
—
|
$64,718.94
|
$78,717.17
|
$73,897.69
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
3
|
—
|
—
|
$36,823.38
|
$120,810.33
|
$73,463.39
|
2026-04-01
|