|
0024
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$356,990.00
|
$621,606.07
|
$559,445.42
|
2026-02-28
|
|
1614
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$315,994.00
|
$620,013.09
|
$558,011.73
|
2026-02-28
|
|
0034
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$242,956.44
|
$586,004.07
|
$527,403.62
|
2026-02-28
|
|
003-4
|
OTHER
|
Bone Marrow Transplant
|
12
|
3
|
—
|
—
|
$242,956.44
|
$916,771.22
|
$525,008.18
|
2026-02-28
|
|
583-4
|
OTHER
|
Neonate W Ecmo
|
9
|
3
|
—
|
—
|
$277,791.06
|
$610,053.00
|
$522,709.00
|
2026-02-28
|
|
5834
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$416,947.18
|
$537,867.00
|
$477,407.09
|
2026-02-28
|
|
8414
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$282,792.00
|
$523,116.37
|
$470,804.69
|
2026-02-28
|
|
588-4
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
9
|
3
|
—
|
—
|
$287,612.08
|
$814,762.33
|
$470,382.00
|
2026-02-28
|
|
0014
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$257,524.51
|
$519,845.48
|
$467,860.90
|
2026-02-28
|
|
002-4
|
OTHER
|
Heart &/or Lung Transplant
|
15
|
4
|
—
|
—
|
$346,148.00
|
$909,955.25
|
$444,924.00
|
2026-02-28
|
|
161-4
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
15
|
4
|
—
|
—
|
$307,088.00
|
$819,997.61
|
$421,904.00
|
2026-02-28
|
|
0044
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$175,860.18
|
$443,101.17
|
$398,791.02
|
2026-02-28
|
|
5884
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$287,612.08
|
$484,023.00
|
$385,817.54
|
2026-02-28
|
|
591-4
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
9
|
3
|
—
|
—
|
$193,095.60
|
$520,123.01
|
$377,091.00
|
2026-02-28
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$291,670.00
|
$374,901.00
|
$374,901.00
|
2024-12-31
|
|
0064
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$192,859.00
|
$388,468.29
|
$349,621.43
|
2026-02-28
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
25
|
12
|
—
|
—
|
$68.90
|
$530,871.78
|
$347,363.39
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
14
|
11
|
—
|
—
|
$68.90
|
$530,871.78
|
$343,000.76
|
2026-02-28
|
|
0023
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$231,401.00
|
$380,927.97
|
$342,835.15
|
2026-02-28
|
|
841-4
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
15
|
4
|
—
|
—
|
$262,265.00
|
$709,136.80
|
$341,177.26
|
2026-02-28
|
|
588-3
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
9
|
3
|
—
|
—
|
$200,743.61
|
$668,844.75
|
$322,660.00
|
2026-02-28
|
|
001-4
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
15
|
4
|
—
|
—
|
$238,932.00
|
$657,185.51
|
$316,182.65
|
2026-02-28
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
1
|
—
|
—
|
$243,001.00
|
$312,343.00
|
$312,343.00
|
2024-12-31
|
|
633
|
OTHER
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$311,127.21
|
$311,127.21
|
$311,127.21
|
2026-02-28
|
|
633
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$311,127.21
|
$311,127.21
|
$311,127.21
|
2026-02-28
|
|
004-4
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
15
|
4
|
—
|
—
|
$175,860.18
|
$620,917.93
|
$298,733.72
|
2026-02-28
|
|
5914
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$193,095.60
|
$388,027.00
|
$290,561.30
|
2026-02-28
|
|
612
|
MS_DRG
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$285,105.09
|
$285,105.09
|
$285,105.09
|
2026-02-28
|
|
612
|
OTHER
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$285,105.09
|
$285,105.09
|
$285,105.09
|
2026-02-28
|
|
593-4
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
9
|
3
|
—
|
—
|
$165,591.83
|
$494,392.38
|
$284,502.00
|
2026-02-28
|
|
002-3
|
OTHER
|
Heart &/or Lung Transplant
|
15
|
4
|
—
|
—
|
$210,158.00
|
$578,052.51
|
$278,110.47
|
2026-02-28
|
|
3034
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$107,177.51
|
$308,945.04
|
$278,050.52
|
2026-02-28
|
|
0033
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$149,332.91
|
$308,731.28
|
$277,858.13
|
2026-02-28
|
|
003-3
|
OTHER
|
Bone Marrow Transplant
|
12
|
3
|
—
|
—
|
$149,332.91
|
$448,179.03
|
$276,596.11
|
2026-02-28
|
|
0054
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$113,678.78
|
$307,044.59
|
$276,340.11
|
2026-02-28
|
|
1604
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$150,996.00
|
$304,072.39
|
$273,665.13
|
2026-02-28
|
|
583-3
|
OTHER
|
Neonate W Ecmo
|
9
|
3
|
—
|
—
|
$230,560.94
|
$516,570.00
|
$273,264.00
|
2026-02-28
|
|
630-4
|
OTHER
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
9
|
3
|
—
|
—
|
$132,941.35
|
$407,292.65
|
$270,473.00
|
2026-02-28
|
|
1624
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$112,121.61
|
$300,192.42
|
$270,173.16
|
2026-02-28
|
|
4404
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$137,859.00
|
$299,638.97
|
$269,675.06
|
2026-02-28
|
|
5833
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$262,129.19
|
$273,264.00
|
$267,696.59
|
2026-02-28
|
|
5883
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$200,743.61
|
$332,017.00
|
$266,380.30
|
2026-02-28
|
|
0022
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$163,988.00
|
$295,305.12
|
$265,774.59
|
2026-02-28
|
|
0043
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$135,150.21
|
$293,401.74
|
$264,061.55
|
2026-02-28
|
|
609-4
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
9
|
3
|
—
|
—
|
$137,844.71
|
$519,180.92
|
$260,272.00
|
2026-02-28
|
|
8424
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$171,306.68
|
$288,728.21
|
$259,855.37
|
2026-02-28
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
15
|
4
|
—
|
—
|
$142,627.31
|
$388,468.29
|
$255,774.00
|
2026-02-28
|
|
1634
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$98,940.48
|
$279,360.65
|
$251,424.57
|
2026-02-28
|
|
9104
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$81,326.99
|
$276,198.11
|
$248,578.28
|
2026-02-28
|
|
583-2
|
OTHER
|
Neonate W Ecmo
|
9
|
3
|
—
|
—
|
$209,448.00
|
$472,205.67
|
$246,561.64
|
2026-02-28
|
|
8634
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$132,070.33
|
$272,121.95
|
$244,909.73
|
2026-02-28
|
|
161-3
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
15
|
4
|
—
|
—
|
$81,123.34
|
$345,591.60
|
$244,755.00
|
2026-02-28
|
|
589-1
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
9
|
3
|
—
|
—
|
$149,925.07
|
$311,619.20
|
$243,496.00
|
2026-02-28
|
|
3124
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$118,252.13
|
$267,656.32
|
$240,890.67
|
2026-02-28
|
|
0013
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$119,777.97
|
$266,318.10
|
$239,686.27
|
2026-02-28
|
|
0021
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$137,571.00
|
$265,176.07
|
$238,658.45
|
2026-02-28
|
|
631-4
|
OTHER
|
Neonate Birthwt >2499g W Other Major Procedure
|
9
|
3
|
—
|
—
|
$137,271.35
|
$337,966.31
|
$238,367.00
|
2026-02-28
|
|
3044
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$82,265.89
|
$258,405.89
|
$232,565.29
|
2026-02-28
|
|
5832
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$215,522.00
|
$246,561.64
|
$231,041.82
|
2026-02-28
|
|
5891
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$208,214.06
|
$252,622.00
|
$230,418.03
|
2026-02-28
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
31
|
12
|
—
|
—
|
$68.90
|
$389,321.69
|
$229,856.40
|
2026-02-28
|
|
5934
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$165,591.83
|
$292,752.00
|
$229,171.91
|
2026-02-28
|
|
591-3
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
9
|
3
|
—
|
—
|
$160,353.21
|
$361,547.19
|
$229,089.00
|
2026-02-28
|
|
602-4
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
9
|
3
|
—
|
—
|
$154,290.58
|
$401,425.09
|
$228,668.00
|
2026-02-28
|
|
583-1
|
OTHER
|
Neonate W Ecmo
|
9
|
3
|
—
|
—
|
$188,546.00
|
$472,205.67
|
$227,185.84
|
2026-02-28
|
|
1613
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$81,123.34
|
$251,764.56
|
$226,588.08
|
2026-02-28
|
|
0063
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$126,455.00
|
$250,569.82
|
$225,512.82
|
2026-02-28
|
|
589-2
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
9
|
3
|
—
|
—
|
$149,925.07
|
$311,619.20
|
$223,196.00
|
2026-02-28
|
|
0062
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$109,566.00
|
$243,105.64
|
$218,795.06
|
2026-02-28
|
|
603-4
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
9
|
3
|
—
|
—
|
$187,608.43
|
$427,873.36
|
$217,866.00
|
2026-02-28
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$168,942.00
|
$217,151.00
|
$217,151.00
|
2024-12-31
|
|
002-2
|
OTHER
|
Heart &/or Lung Transplant
|
15
|
4
|
—
|
—
|
$159,366.00
|
$364,082.63
|
$217,004.00
|
2026-02-28
|
|
005-4
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
15
|
4
|
—
|
—
|
$113,678.78
|
$444,973.37
|
$214,083.93
|
2026-02-28
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
15
|
4
|
—
|
—
|
$146,740.00
|
$308,366.12
|
$212,153.00
|
2026-02-28
|
|
5892
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$189,287.79
|
$229,669.00
|
$209,478.40
|
2026-02-28
|
|
1654
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$70,281.62
|
$232,417.42
|
$209,175.67
|
2026-02-28
|
|
5831
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$194,013.00
|
$221,905.90
|
$207,959.45
|
2026-02-28
|
|
9114
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$73,271.68
|
$230,950.36
|
$207,855.31
|
2026-02-28
|
|
1674
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$110,143.00
|
$230,885.94
|
$207,797.33
|
2026-02-28
|
|
631
|
OTHER
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$206,732.43
|
$206,732.43
|
$206,732.43
|
2026-02-28
|
|
631
|
MS_DRG
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$206,732.43
|
$206,732.43
|
$206,732.43
|
2026-02-28
|
|
6034
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$187,608.43
|
$224,184.00
|
$205,896.21
|
2026-02-28
|
|
6304
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$132,941.35
|
$278,317.00
|
$205,629.17
|
2026-02-28
|
|
593-3
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
9
|
3
|
—
|
—
|
$146,389.84
|
$411,753.38
|
$203,837.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$78,023.62
|
$226,089.42
|
$203,480.46
|
2026-02-28
|
|
9124
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$56,126.08
|
$225,090.87
|
$202,581.77
|
2026-02-28
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
15
|
4
|
—
|
—
|
$104,044.00
|
$421,054.22
|
$202,576.04
|
2026-02-28
|
|
3033
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$71,458.64
|
$223,717.51
|
$201,345.74
|
2026-02-28
|
|
4014
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$95,852.00
|
$223,289.98
|
$200,960.97
|
2026-02-28
|
|
2604
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$84,017.32
|
$222,437.85
|
$200,194.05
|
2026-02-28
|
|
6094
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$137,844.71
|
$260,272.00
|
$199,058.35
|
2026-02-28
|
|
5913
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$160,353.21
|
$235,732.00
|
$198,042.60
|
2026-02-28
|
|
0214
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$80,336.92
|
$219,105.47
|
$197,194.91
|
2026-02-28
|
|
004-3
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
15
|
4
|
—
|
—
|
$135,150.21
|
$354,743.86
|
$196,916.00
|
2026-02-28
|
|
6024
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$154,290.58
|
$235,299.00
|
$194,794.79
|
2026-02-28
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
15
|
4
|
—
|
—
|
$80,777.32
|
$272,121.95
|
$193,143.00
|
2026-02-28
|
|
0042
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$105,020.86
|
$214,314.81
|
$192,883.31
|
2026-02-28
|
|
0012
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$104,094.50
|
$213,711.58
|
$192,340.41
|
2026-02-28
|
|
6904
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$81,407.41
|
$213,424.61
|
$192,082.14
|
2026-02-28
|
|
6314
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$137,271.35
|
$244,105.00
|
$190,688.17
|
2026-02-28
|
|
0904
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$111,731.00
|
$211,538.80
|
$190,384.91
|
2026-02-28
|
|
3214
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$51,925.58
|
$211,152.27
|
$190,037.03
|
2026-02-28
|
|
0224
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$43,343.90
|
$210,882.87
|
$189,794.57
|
2026-02-28
|
|
1694
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$76,266.97
|
$209,948.75
|
$188,953.86
|
2026-02-28
|
|
0234
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$63,252.94
|
$206,452.38
|
$185,807.13
|
2026-02-28
|
|
842-4
|
OTHER
|
Full Thickness Burns W Skin Graft
|
15
|
4
|
—
|
—
|
$144,322.00
|
$344,839.19
|
$185,505.00
|
2026-02-28
|
|
1664
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$69,686.32
|
$205,620.75
|
$185,058.66
|
2026-02-28
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$143,770.00
|
$184,796.00
|
$184,796.00
|
2024-12-31
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures W Cardiac Catheterization
|
15
|
4
|
—
|
—
|
$112,121.61
|
$359,312.08
|
$184,659.00
|
2026-02-28
|
|
0053
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$78,671.13
|
$204,885.76
|
$184,397.17
|
2026-02-28
|
|
607-4
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
9
|
3
|
—
|
—
|
$126,614.49
|
$336,799.75
|
$184,337.00
|
2026-02-28
|
|
6814
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$61,208.04
|
$204,800.83
|
$184,320.74
|
2026-02-28
|
|
636
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$182,813.14
|
$182,813.14
|
$182,813.14
|
2026-02-28
|
|
636
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$182,813.14
|
$182,813.14
|
$182,813.14
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
17
|
11
|
—
|
—
|
$68.90
|
$351,402.89
|
$182,458.17
|
2026-02-28
|
|
0204
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$69,307.21
|
$201,913.55
|
$181,722.18
|
2026-02-28
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
15
|
4
|
—
|
—
|
$78,023.62
|
$376,465.83
|
$181,123.84
|
2026-02-28
|
|
303-4
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
15
|
4
|
—
|
—
|
$107,177.51
|
$373,633.22
|
$179,761.02
|
2026-02-28
|
|
5933
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$146,389.84
|
$209,748.00
|
$178,068.92
|
2026-02-28
|
|
0894
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$71,329.13
|
$197,237.09
|
$177,513.37
|
2026-02-28
|
|
090-4
|
OTHER
|
Major Larynx & Trachea Procedures
|
12
|
3
|
—
|
—
|
$79,857.12
|
$211,538.80
|
$177,319.23
|
2026-02-28
|
|
0011
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$98,621.94
|
$195,240.01
|
$175,715.99
|
2026-02-28
|
|
4034
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$86,054.92
|
$194,449.37
|
$175,004.42
|
2026-02-28
|
|
2204
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$99,172.00
|
$194,376.17
|
$174,938.54
|
2026-02-28
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
36
|
13
|
—
|
—
|
$68.90
|
$327,969.47
|
$174,691.00
|
2026-02-28
|
|
0041
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$97,149.37
|
$192,879.82
|
$173,591.82
|
2026-02-28
|
|
440-4
|
OTHER
|
Kidney Transplant
|
15
|
4
|
—
|
—
|
$130,841.00
|
$358,780.96
|
$172,615.36
|
2026-02-28
|
|
611-4
|
OTHER
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
9
|
3
|
—
|
—
|
$123,552.43
|
$256,803.68
|
$170,168.00
|
2026-02-28
|
|
1623
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$63,563.12
|
$188,569.39
|
$169,712.44
|
2026-02-28
|
|
0032
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$89,290.40
|
$187,772.90
|
$168,995.60
|
2026-02-28
|
|
003-2
|
OTHER
|
Bone Marrow Transplant
|
12
|
3
|
—
|
—
|
$89,290.40
|
$315,943.99
|
$168,228.03
|
2026-02-28
|
|
002-1
|
OTHER
|
Heart &/or Lung Transplant
|
15
|
4
|
—
|
—
|
$130,769.00
|
$338,370.96
|
$168,085.00
|
2026-02-28
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$130,597.00
|
$167,864.00
|
$167,864.00
|
2024-12-31
|
|
0061
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$90,366.00
|
$185,591.33
|
$167,032.19
|
2026-02-28
|
|
589-3
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
9
|
3
|
—
|
—
|
$51,251.65
|
$214,543.00
|
$166,913.00
|
2026-02-28
|
|
5104
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$79,752.07
|
$184,765.56
|
$166,288.99
|
2026-02-28
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
15
|
4
|
—
|
—
|
$103,978.67
|
$250,569.82
|
$165,291.00
|
2026-02-28
|
|
0914
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$81,849.00
|
$183,506.40
|
$165,155.75
|
2026-02-28
|
|
4414
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$75,458.62
|
$182,358.51
|
$164,122.65
|
2026-02-28
|
|
2644
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$54,860.29
|
$181,778.71
|
$163,600.83
|
2026-02-28
|
|
593-2
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
9
|
3
|
—
|
—
|
$112,921.61
|
$356,454.17
|
$162,213.00
|
2026-02-28
|
|
588-2
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
9
|
3
|
—
|
—
|
$138,951.76
|
$652,168.37
|
$161,389.00
|
2026-02-28
|
|
001-3
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
15
|
4
|
—
|
—
|
$119,777.97
|
$334,495.09
|
$160,931.03
|
2026-02-28
|
|
001-1
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
15
|
4
|
—
|
—
|
$98,621.94
|
$334,495.09
|
$160,931.03
|
2026-02-28
|
|
001-2
|
OTHER
|
Liver Transplant &/or Intestinal Transplant
|
15
|
4
|
—
|
—
|
$103,541.00
|
$334,495.09
|
$160,931.03
|
2026-02-28
|
|
0244
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$51,360.57
|
$178,745.02
|
$160,870.50
|
2026-02-28
|
|
5893
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$144,601.86
|
$175,536.00
|
$160,068.93
|
2026-02-28
|
|
8504
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$66,202.27
|
$177,755.26
|
$159,979.72
|
2026-02-28
|
|
7114
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$55,960.02
|
$177,497.57
|
$159,747.80
|
2026-02-28
|
|
6514
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$81,705.00
|
$176,897.27
|
$159,207.53
|
2026-02-28
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
36
|
13
|
—
|
—
|
$68.90
|
$296,348.67
|
$158,881.00
|
2026-02-28
|
|
8413
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$98,739.00
|
$176,376.04
|
$158,738.42
|
2026-02-28
|
|
6074
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$126,614.49
|
$189,683.00
|
$158,148.74
|
2026-02-28
|
|
2214
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$53,120.35
|
$175,359.93
|
$157,823.92
|
2026-02-28
|
|
304-4
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
15
|
4
|
—
|
—
|
$82,265.89
|
$327,890.92
|
$157,753.66
|
2026-02-28
|
|
1204
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$70,881.09
|
$174,703.99
|
$157,233.58
|
2026-02-28
|
|
221-4
|
OTHER
|
Major Small & Large Bowel Procedures
|
12
|
3
|
—
|
—
|
$53,120.35
|
$224,178.04
|
$157,107.10
|
2026-02-28
|
|
8444
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$80,550.00
|
$174,141.76
|
$156,727.58
|
2026-02-28
|
|
850-4
|
OTHER
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
15
|
4
|
—
|
—
|
$66,202.27
|
$325,655.81
|
$156,678.31
|
2026-02-28
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
3
|
1
|
—
|
—
|
$121,838.00
|
$156,606.00
|
$156,606.00
|
2024-12-31
|
|
6934
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$60,599.16
|
$173,201.79
|
$155,881.60
|
2026-02-28
|
|
4403
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$90,511.00
|
$172,706.91
|
$155,436.21
|
2026-02-28
|
|
693-4
|
OTHER
|
Chemotherapy
|
12
|
3
|
—
|
—
|
$60,599.16
|
$219,309.48
|
$155,173.60
|
2026-02-28
|
|
401-4
|
OTHER
|
Pituitary & Adrenal Procedures
|
15
|
4
|
—
|
—
|
$60,853.00
|
$322,235.18
|
$155,032.59
|
2026-02-28
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
15
|
4
|
—
|
—
|
$98,940.48
|
$301,303.55
|
$154,555.00
|
2026-02-28
|
|
613-4
|
OTHER
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
9
|
3
|
—
|
—
|
$89,383.14
|
$185,782.83
|
$154,456.00
|
2026-02-28
|
|
0264
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$45,875.48
|
$171,588.31
|
$154,429.46
|
2026-02-28
|
|
608-4
|
OTHER
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
9
|
3
|
—
|
—
|
$119,255.60
|
$247,872.73
|
$154,171.00
|
2026-02-28
|
|
6114
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$132,892.26
|
$175,103.00
|
$153,997.63
|
2026-02-28
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
1
|
—
|
—
|
$119,386.00
|
$153,454.00
|
$153,454.00
|
2024-12-31
|
|
7104
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$52,989.80
|
$170,036.32
|
$153,032.68
|
2026-02-28
|
|
161-2
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
15
|
4
|
—
|
—
|
$46,196.10
|
$226,147.00
|
$152,187.21
|
2026-02-28
|
|
1734
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$57,189.26
|
$168,255.93
|
$151,430.32
|
2026-02-28
|
|
602-3
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
9
|
3
|
—
|
—
|
$123,738.26
|
$348,054.33
|
$151,429.00
|
2026-02-28
|
|
173-4
|
OTHER
|
Other Vascular Procedures
|
12
|
3
|
—
|
—
|
$57,189.26
|
$235,252.42
|
$150,742.54
|
2026-02-28
|
|
167-4
|
OTHER
|
Other Cardiothoracic Procedures
|
15
|
4
|
—
|
—
|
$104,790.88
|
$230,885.94
|
$150,340.00
|
2026-02-28
|
|
5882
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$138,951.76
|
$161,389.00
|
$150,170.38
|
2026-02-28
|
|
3614
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$87,490.93
|
$166,132.92
|
$149,519.62
|
2026-02-28
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
15
|
4
|
—
|
—
|
$83,592.69
|
$243,105.64
|
$149,503.00
|
2026-02-28
|
|
4054
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$75,566.19
|
$165,857.67
|
$149,271.89
|
2026-02-28
|
|
7914
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$64,929.17
|
$165,640.97
|
$149,076.86
|
2026-02-28
|
|
791-4
|
OTHER
|
O.r. Procedure For Other Complications Of Treatment
|
12
|
3
|
—
|
—
|
$64,929.17
|
$227,883.20
|
$148,399.77
|
2026-02-28
|
|
591-2
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
9
|
3
|
—
|
—
|
$32,009.47
|
$255,189.00
|
$148,339.70
|
2026-02-28
|
|
361-4
|
OTHER
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
15
|
4
|
—
|
—
|
$86,417.00
|
$322,873.78
|
$148,161.40
|
2026-02-28
|
|
321-4
|
OTHER
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
15
|
4
|
—
|
—
|
$51,925.58
|
$307,607.38
|
$147,994.92
|
2026-02-28
|
|
6084
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$141,637.91
|
$154,171.00
|
$147,904.46
|
2026-02-28
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
15
|
4
|
—
|
—
|
$83,592.69
|
$185,591.33
|
$147,573.00
|
2026-02-28
|
|
690-4
|
OTHER
|
Acute Leukemia
|
15
|
4
|
—
|
—
|
$81,407.41
|
$306,345.98
|
$147,388.04
|
2026-02-28
|
|
005-3
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
15
|
4
|
—
|
—
|
$78,671.13
|
$305,998.23
|
$147,220.73
|
2026-02-28
|
|
4424
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$57,439.91
|
$163,113.87
|
$146,802.47
|
2026-02-28
|
|
1214
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$74,357.84
|
$162,118.25
|
$145,906.42
|
2026-02-28
|
|
841-3
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
15
|
4
|
—
|
—
|
$95,956.00
|
$241,028.30
|
$145,696.00
|
2026-02-28
|
|
588-1
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
9
|
3
|
—
|
—
|
$130,875.56
|
$652,168.37
|
$145,221.00
|
2026-02-28
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
15
|
4
|
—
|
—
|
$81,326.99
|
$276,198.11
|
$145,077.00
|
2026-02-28
|
|
6504
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$76,956.26
|
$161,175.35
|
$145,057.80
|
2026-02-28
|
|
004-2
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
15
|
4
|
—
|
—
|
$105,020.86
|
$274,738.31
|
$144,226.00
|
2026-02-28
|
|
0924
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$72,303.54
|
$160,141.67
|
$144,127.49
|
2026-02-28
|
|
2614
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$58,022.68
|
$158,982.07
|
$143,083.85
|
2026-02-28
|
|
0052
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$73,359.41
|
$158,018.67
|
$142,216.79
|
2026-02-28
|
|
844-4
|
OTHER
|
Partial Thickness Burns W Or Without Skin Graft
|
15
|
4
|
—
|
—
|
$40,235.00
|
$195,763.37
|
$142,168.45
|
2026-02-28
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
3
|
1
|
—
|
—
|
$110,200.00
|
$141,647.00
|
$141,647.00
|
2024-12-31
|
|
603-3
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
9
|
3
|
—
|
—
|
$100,477.81
|
$305,470.28
|
$141,612.00
|
2026-02-28
|
|
4474
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$50,285.90
|
$157,274.88
|
$141,547.38
|
2026-02-28
|
|
303-3
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
15
|
4
|
—
|
—
|
$71,458.64
|
$223,717.51
|
$141,222.00
|
2026-02-28
|
|
3032
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$51,395.03
|
$156,885.42
|
$141,196.87
|
2026-02-28
|
|
1633
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$48,951.18
|
$155,043.54
|
$139,539.17
|
2026-02-28
|
|
6134
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$119,330.97
|
$158,935.00
|
$139,132.98
|
2026-02-28
|
|
165-4
|
OTHER
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
15
|
4
|
—
|
—
|
$70,281.62
|
$268,611.51
|
$139,062.00
|
2026-02-28
|
|
166-4
|
OTHER
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
15
|
4
|
—
|
—
|
$69,686.32
|
$288,879.25
|
$138,984.51
|
2026-02-28
|
|
1304
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$55,956.89
|
$153,719.95
|
$138,347.95
|
2026-02-28
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
15
|
4
|
—
|
—
|
$61,208.04
|
$287,469.26
|
$138,306.14
|
2026-02-28
|
|
2234
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$55,045.14
|
$153,617.46
|
$138,255.71
|
2026-02-28
|
|
1612
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$46,196.10
|
$153,582.32
|
$138,224.08
|
2026-02-28
|
|
5881
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$130,875.56
|
$145,221.00
|
$138,048.28
|
2026-02-28
|
|
6023
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$123,738.26
|
$151,429.00
|
$137,583.63
|
2026-02-28
|
|
651-4
|
OTHER
|
Other Procedures Of Blood & Blood-forming Organs
|
15
|
4
|
—
|
—
|
$79,402.00
|
$224,946.26
|
$136,166.00
|
2026-02-28
|
|
2294
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$47,512.02
|
$151,271.91
|
$136,144.71
|
2026-02-28
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$105,320.00
|
$135,374.00
|
$135,374.00
|
2024-12-31
|
|
4834
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$60,052.00
|
$150,124.03
|
$135,111.62
|
2026-02-28
|
|
1764
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$59,055.57
|
$149,462.24
|
$134,516.00
|
2026-02-28
|
|
3174
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$57,297.87
|
$148,384.63
|
$133,546.16
|
2026-02-28
|
|
630-3
|
OTHER
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
9
|
3
|
—
|
—
|
$92,871.58
|
$195,396.65
|
$133,132.00
|
2026-02-28
|
|
5114
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$54,491.62
|
$146,943.92
|
$132,249.52
|
2026-02-28
|
|
004-1
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
15
|
4
|
—
|
—
|
$92,078.00
|
$274,738.31
|
$132,181.07
|
2026-02-28
|
|
2224
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$67,918.19
|
$146,741.87
|
$132,067.67
|
2026-02-28
|
|
021-4
|
OTHER
|
Craniotomy Except For Trauma
|
15
|
4
|
—
|
—
|
$80,336.92
|
$273,549.62
|
$131,609.17
|
2026-02-28
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
15
|
4
|
—
|
—
|
$75,566.19
|
$272,218.67
|
$130,968.83
|
2026-02-28
|
|
5144
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$47,782.00
|
$145,277.73
|
$130,749.95
|
2026-02-28
|
|
3043
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$42,317.27
|
$145,081.53
|
$130,573.37
|
2026-02-28
|
|
609-3
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
9
|
3
|
—
|
—
|
$104,476.74
|
$238,002.84
|
$130,467.00
|
2026-02-28
|
|
4402
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$72,033.00
|
$144,920.48
|
$130,428.42
|
2026-02-28
|
|
1653
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$45,764.78
|
$144,328.97
|
$129,896.06
|
2026-02-28
|
|
5184
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$55,721.00
|
$144,302.61
|
$129,872.34
|
2026-02-28
|
|
3624
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$57,598.00
|
$143,371.42
|
$129,034.27
|
2026-02-28
|
|
260-4
|
OTHER
|
Major Pancreas, Liver & Shunt Procedures
|
15
|
4
|
—
|
—
|
$84,017.32
|
$264,387.88
|
$128,919.00
|
2026-02-28
|
|
5124
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$54,010.16
|
$143,219.15
|
$128,897.22
|
2026-02-28
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
15
|
4
|
—
|
—
|
$75,458.62
|
$267,833.81
|
$128,859.20
|
2026-02-28
|
|
2624
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$30,152.32
|
$142,378.73
|
$128,140.85
|
2026-02-28
|
|
0051
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$69,538.02
|
$142,214.75
|
$127,993.26
|
2026-02-28
|
|
262-4
|
OTHER
|
Cholecystectomy Except Laparoscopic
|
12
|
3
|
—
|
—
|
$30,152.32
|
$158,743.38
|
$127,558.84
|
2026-02-28
|
|
3134
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$46,874.95
|
$141,321.62
|
$127,189.45
|
2026-02-28
|
|
023-4
|
OTHER
|
Spinal Procedures
|
15
|
4
|
—
|
—
|
$63,252.94
|
$264,229.81
|
$127,125.26
|
2026-02-28
|
|
003-1
|
OTHER
|
Bone Marrow Transplant
|
12
|
3
|
—
|
—
|
$72,442.44
|
$275,560.27
|
$127,063.06
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
17
|
11
|
—
|
—
|
$68.90
|
$261,325.31
|
$126,933.65
|
2026-02-28
|
|
3054
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$43,986.19
|
$140,759.40
|
$126,683.45
|
2026-02-28
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract & Related Procedures
|
15
|
4
|
—
|
—
|
$50,285.90
|
$263,265.59
|
$126,661.36
|
2026-02-28
|
|
612-4
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
9
|
3
|
—
|
—
|
$109,825.40
|
$228,272.05
|
$124,996.00
|
2026-02-28
|
|
5932
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$112,921.61
|
$136,993.00
|
$124,957.30
|
2026-02-28
|
|
1622
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$45,112.04
|
$138,829.66
|
$124,946.68
|
2026-02-28
|
|
1704
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$45,325.09
|
$138,662.75
|
$124,796.46
|
2026-02-28
|
|
4814
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$62,795.00
|
$138,651.04
|
$124,785.92
|
2026-02-28
|
|
3154
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$40,437.39
|
$138,551.47
|
$124,696.32
|
2026-02-28
|
|
911-4
|
OTHER
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
15
|
4
|
—
|
—
|
$73,271.68
|
$230,950.36
|
$124,582.00
|
2026-02-28
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
3
|
1
|
—
|
—
|
$96,882.00
|
$124,528.00
|
$124,528.00
|
2024-12-31
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$124,518.91
|
$124,518.91
|
$124,518.91
|
2026-02-28
|
|
681
|
MS_DRG
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$124,518.91
|
$124,518.91
|
$124,518.91
|
2026-02-28
|
|
4804
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$61,062.00
|
$138,200.08
|
$124,380.06
|
2026-02-28
|
|
3094
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$56,576.21
|
$138,068.31
|
$124,261.47
|
2026-02-28
|
|
6124
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$119,469.88
|
$128,620.00
|
$124,044.94
|
2026-02-28
|
|
4434
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$40,234.78
|
$137,084.41
|
$123,375.96
|
2026-02-28
|
|
091-4
|
OTHER
|
Other Major Head & Neck Procedures
|
15
|
4
|
—
|
—
|
$69,421.53
|
$183,506.40
|
$123,315.00
|
2026-02-28
|
|
403-4
|
OTHER
|
Procedures For Obesity
|
15
|
4
|
—
|
—
|
$74,457.00
|
$256,000.69
|
$123,166.10
|
2026-02-28
|
|
1774
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$47,268.68
|
$136,428.47
|
$122,785.62
|
2026-02-28
|
|
481-4
|
OTHER
|
Penis Procedures
|
12
|
3
|
—
|
—
|
$58,377.54
|
$138,651.04
|
$122,495.04
|
2026-02-28
|
|
264-4
|
OTHER
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
15
|
4
|
—
|
—
|
$54,860.29
|
$254,356.76
|
$122,375.18
|
2026-02-28
|
|
602-2
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
9
|
3
|
—
|
—
|
$82,105.06
|
$282,648.13
|
$122,169.00
|
2026-02-28
|
|
0031
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$72,442.44
|
$135,055.11
|
$121,549.59
|
2026-02-28
|
|
0504
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$38,882.30
|
$134,850.13
|
$121,365.11
|
2026-02-28
|
|
9103
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$61,276.97
|
$134,744.71
|
$121,270.23
|
2026-02-28
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal & Duodenal Procedures
|
15
|
4
|
—
|
—
|
$86,076.00
|
$251,802.35
|
$121,146.21
|
2026-02-28
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures W Cardiac Catheterization
|
15
|
4
|
—
|
—
|
$63,563.12
|
$188,569.39
|
$121,080.00
|
2026-02-28
|
|
6033
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$100,477.81
|
$141,612.00
|
$121,044.90
|
2026-02-28
|
|
169-4
|
OTHER
|
Major Thoracic & Abdominal Vascular Procedures
|
15
|
4
|
—
|
—
|
$76,266.97
|
$243,399.35
|
$120,854.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$63,868.08
|
$134,079.99
|
$120,671.98
|
2026-02-28
|
|
1804
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$43,702.12
|
$133,974.58
|
$120,577.11
|
2026-02-28
|
|
3104
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$34,473.97
|
$133,646.61
|
$120,281.94
|
2026-02-28
|
|
2244
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$41,398.22
|
$133,207.37
|
$119,886.62
|
2026-02-28
|
|
4044
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$62,795.00
|
$133,148.80
|
$119,833.91
|
2026-02-28
|
|
3204
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$48,769.46
|
$132,891.11
|
$119,601.99
|
2026-02-28
|
|
912-4
|
OTHER
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
15
|
4
|
—
|
—
|
$56,126.08
|
$248,173.06
|
$119,400.10
|
2026-02-28
|
|
6093
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$104,476.74
|
$134,250.00
|
$119,363.37
|
2026-02-28
|
|
621-4
|
OTHER
|
Neonate Bwt 2000-2499g W Major Anomaly
|
9
|
3
|
—
|
—
|
$83,214.19
|
$215,427.28
|
$119,237.00
|
2026-02-28
|
|
5194
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$49,514.00
|
$132,337.67
|
$119,103.89
|
2026-02-28
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
15
|
4
|
—
|
—
|
$43,343.90
|
$247,057.09
|
$118,863.19
|
2026-02-28
|
|
2274
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$41,083.86
|
$131,954.06
|
$118,758.65
|
2026-02-28
|
|
089-4
|
OTHER
|
Major Cranial/facial Bone Procedures
|
15
|
4
|
—
|
—
|
$71,329.13
|
$239,570.89
|
$118,734.00
|
2026-02-28
|
|
232-4
|
OTHER
|
Gastric Fundoplication
|
3
|
1
|
—
|
—
|
$92,166.00
|
$118,466.00
|
$118,466.00
|
2024-12-31
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
17
|
11
|
—
|
—
|
$68.90
|
$262,863.47
|
$118,415.94
|
2026-02-28
|
|
5912
|
APR_DRG
|
—
|
2
|
1
|
—
|
—
|
$88,490.00
|
$148,339.70
|
$118,414.85
|
2026-02-28
|
|
63600973
|
OTHER
|
Sipuleucel-t Intravenous Susp 250 Ml
|
36
|
16
|
$174,720.00
|
$61,152.00
65% off
|
$25,302.86
|
$210,948.56
|
$118,125.71
|
2024-12-31
|
|
3031
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$45,120.39
|
$131,087.29
|
$117,978.55
|
2026-02-28
|
|
4401
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$65,826.00
|
$130,803.25
|
$117,722.92
|
2026-02-28
|
|
614-4
|
OTHER
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
9
|
3
|
—
|
—
|
$83,922.75
|
$174,433.41
|
$117,683.98
|
2026-02-28
|
|
8412
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$88,778.00
|
$130,633.41
|
$117,570.06
|
2026-02-28
|
|
5464
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$78,182.36
|
$130,235.16
|
$117,211.64
|
2026-02-28
|
|
0494
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$44,700.55
|
$129,989.19
|
$116,990.26
|
2026-02-28
|
|
026-4
|
OTHER
|
Other Nervous System & Related Procedures
|
15
|
4
|
—
|
—
|
$45,875.48
|
$242,871.39
|
$116,849.38
|
2026-02-28
|
|
1754
|
APR_DRG
|
—
|
5
|
2
|
—
|
—
|
$49,638.38
|
$129,585.09
|
$116,626.57
|
2026-02-28
|
|
607-3
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
9
|
3
|
—
|
—
|
$91,034.51
|
$260,493.07
|
$116,350.00
|
2026-02-28
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$90,295.00
|
$116,061.00
|
$116,061.00
|
2024-12-31
|