|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
12
|
4
|
—
|
—
|
$3,570,000.00
|
$4,831,533.00
|
$3,815,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
14
|
4
|
—
|
—
|
$3,570,000.00
|
$4,799,322.78
|
$3,768,185.17
|
2026-04-01
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
12
|
3
|
—
|
—
|
$4,335,000.00
|
$4,760,000.00
|
$4,555,681.25
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
20
|
6
|
—
|
—
|
$2,146,250.00
|
$4,727,924.09
|
$2,737,307.16
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
20
|
6
|
—
|
—
|
$2,244,000.00
|
$4,496,329.20
|
$2,424,235.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
16
|
5
|
—
|
—
|
$3,264,000.00
|
$4,329,589.99
|
$3,413,216.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
24
|
7
|
—
|
—
|
$770,620.00
|
$4,327,956.04
|
$814,240.00
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
16
|
5
|
—
|
—
|
$3,162,000.00
|
$4,247,262.62
|
$3,372,773.87
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
16
|
5
|
—
|
—
|
$2,856,000.00
|
$3,842,679.25
|
$3,052,337.58
|
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
|
|
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
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
10
|
2
|
—
|
—
|
$3,090,000.00
|
$3,360,000.00
|
$3,180,000.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
22
|
7
|
—
|
—
|
$497,971.46
|
$3,323,252.69
|
$625,220.14
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
24
|
7
|
—
|
—
|
$525,503.94
|
$3,178,033.17
|
$597,899.26
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
24
|
7
|
—
|
—
|
$477,192.03
|
$3,159,326.95
|
$594,379.97
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
24
|
7
|
—
|
—
|
$487,891.92
|
$3,130,008.98
|
$588,864.23
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
24
|
7
|
—
|
—
|
$492,912.56
|
$2,994,727.29
|
$563,413.01
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
24
|
7
|
—
|
—
|
$464,049.77
|
$2,748,032.54
|
$517,001.10
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
20
|
6
|
—
|
—
|
$267,750.00
|
$1,562,707.65
|
$294,000.00
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
18
|
5
|
—
|
—
|
$255,000.00
|
$1,446,171.50
|
$280,000.00
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
18
|
5
|
—
|
—
|
$205,640.00
|
$1,154,915.37
|
$217,280.00
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
34
|
10
|
—
|
—
|
$274,999.76
|
$1,018,423.16
|
$417,860.78
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
34
|
10
|
—
|
—
|
$194,564.78
|
$660,915.66
|
$271,363.32
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$292,657.53
|
$626,368.96
|
$433,655.70
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
16
|
5
|
—
|
—
|
$96,562.42
|
$607,916.30
|
$154,273.83
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$412,973.73
|
$599,281.35
|
$483,869.42
|
2026-04-01
|
|
C9098
|
HCPCS
|
Ciltacabtagene Car Pos T
|
8
|
2
|
—
|
—
|
$492,900.00
|
$525,503.94
|
$520,800.00
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$461,223.60
|
$516,590.54
|
$471,683.80
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$263,631.66
|
$505,454.76
|
$364,189.76
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
34
|
10
|
—
|
—
|
$135,437.14
|
$503,530.19
|
$206,870.77
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
38
|
10
|
—
|
—
|
$59,942.40
|
$500,575.12
|
$205,659.85
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$415,627.31
|
$491,138.39
|
$436,581.38
|
2026-04-01
|
|
34
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$464,678.37
|
$482,019.72
|
$473,349.04
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$359,435.95
|
$476,553.50
|
$400,873.99
|
2026-04-01
|
|
C9081
|
HCPCS
|
Idecabtagene Car Pos T
|
8
|
2
|
—
|
—
|
$444,670.00
|
$474,083.66
|
$469,840.00
|
2026-04-01
|
|
C9076
|
HCPCS
|
Lisocabtagene Car Pos T
|
8
|
2
|
—
|
—
|
$434,918.00
|
$463,686.59
|
$459,536.00
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$339,013.36
|
$447,732.79
|
$377,312.30
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$242,899.80
|
$418,882.79
|
$314,479.59
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$250,589.72
|
$418,477.59
|
$318,285.70
|
2026-04-01
|
|
C9073
|
HCPCS
|
Brexucabtagene Autoleucel Ca
|
6
|
1
|
—
|
—
|
$395,380.00
|
$417,760.00
|
$417,760.00
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$356,363.63
|
$395,959.50
|
$376,161.57
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$333,103.71
|
$386,556.83
|
$346,718.02
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$183,255.27
|
$356,505.86
|
$255,474.76
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$150,260.25
|
$354,692.21
|
$237,545.44
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$314,720.97
|
$352,073.03
|
$321,665.92
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$263,154.14
|
$347,530.36
|
$292,876.09
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
8
|
3
|
—
|
—
|
$157,948.57
|
$346,505.14
|
$237,848.88
|
2026-04-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$310,969.35
|
$345,521.43
|
$328,245.39
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$197,344.16
|
$342,896.90
|
$274,915.97
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$177,611.72
|
$342,896.90
|
$263,953.51
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$292,994.03
|
$327,653.42
|
$299,408.21
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
38
|
10
|
—
|
—
|
$73,715.00
|
$326,671.42
|
$134,398.55
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$216,873.62
|
$324,455.73
|
$258,488.67
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$203,467.94
|
$316,903.32
|
$248,137.11
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
34
|
10
|
—
|
—
|
$78,465.06
|
$305,417.52
|
$125,689.24
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$208,702.99
|
$294,067.90
|
$240,576.38
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$33,722.51
|
$287,096.45
|
$146,683.93
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
34
|
10
|
—
|
—
|
$88,036.90
|
$283,430.15
|
$116,679.38
|
2026-04-01
|
|
C9301
|
HCPCS
|
Obecabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$278,250.00
|
$278,250.00
|
$278,250.00
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$184,540.40
|
$272,660.47
|
$218,410.86
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
34
|
10
|
—
|
—
|
$98,883.96
|
$267,249.17
|
$110,048.83
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
36
|
10
|
—
|
—
|
$32,867.00
|
$266,942.58
|
$109,923.19
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$189,381.25
|
$264,090.17
|
$217,064.98
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
3
|
—
|
—
|
$206,442.00
|
$262,488.88
|
$225,193.13
|
2026-04-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$234,728.59
|
$260,809.48
|
$247,769.04
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
10
|
—
|
—
|
$77,171.43
|
$259,923.98
|
$107,047.15
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
34
|
10
|
—
|
—
|
$79,346.89
|
$256,454.77
|
$105,625.56
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$225,541.00
|
$255,573.57
|
$231,987.12
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$170,711.68
|
$253,442.59
|
$202,590.43
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
3
|
—
|
—
|
$174,786.59
|
$249,742.06
|
$203,038.67
|
2026-04-01
|
|
104
|
APR_DRG
|
Description Not Available
|
4
|
1
|
—
|
—
|
$223,542.04
|
$248,379.99
|
$235,961.02
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$201,085.46
|
$248,276.17
|
$231,386.16
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
3
|
—
|
—
|
$180,977.35
|
$248,276.17
|
$220,214.99
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$220,237.92
|
$244,708.75
|
$232,473.34
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$179,806.91
|
$244,708.75
|
$203,377.52
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
34
|
10
|
—
|
—
|
$75,544.08
|
$243,162.83
|
$100,178.86
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
8
|
3
|
—
|
—
|
$157,948.57
|
$243,056.20
|
$191,296.84
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$182,122.37
|
$242,167.68
|
$203,434.98
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$127,310.68
|
$239,287.32
|
$173,710.22
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
3
|
—
|
—
|
$171,302.97
|
$237,690.91
|
$195,808.85
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$125,637.77
|
$237,227.13
|
$171,915.45
|
2026-04-01
|
|
33
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$227,165.84
|
$235,643.45
|
$231,404.65
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
34
|
10
|
—
|
—
|
$94,930.87
|
$234,825.89
|
$96,762.59
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$176,416.23
|
$233,304.46
|
$196,486.99
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
10
|
—
|
—
|
$32,030.00
|
$230,717.56
|
$95,079.10
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
3
|
—
|
—
|
$156,299.70
|
$226,613.72
|
$183,042.52
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$109,543.27
|
$224,160.53
|
$157,687.92
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
3
|
—
|
—
|
$85,100.26
|
$224,092.19
|
$144,979.57
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$181,853.17
|
$221,968.53
|
$194,205.73
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
3
|
—
|
—
|
$180,287.53
|
$221,381.77
|
$206,868.34
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$169,543.53
|
$220,762.68
|
$187,278.60
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$180,673.80
|
$217,513.73
|
$191,589.39
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
36
|
10
|
—
|
—
|
$61,444.53
|
$212,482.41
|
$87,606.80
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$154,831.90
|
$211,687.10
|
$175,564.26
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
8
|
3
|
—
|
—
|
$171,508.08
|
$211,518.67
|
$184,137.72
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$189,327.72
|
$210,364.09
|
$199,845.90
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$152,719.94
|
$208,338.07
|
$172,961.80
|
2026-04-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$25,644.81
|
$206,934.50
|
$106,421.48
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$130,164.55
|
$206,338.90
|
$160,363.61
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
34
|
10
|
—
|
—
|
$67,863.33
|
$204,225.65
|
$84,223.40
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$175,167.96
|
$202,972.78
|
$182,190.30
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
3
|
—
|
—
|
$166,196.12
|
$201,366.62
|
$176,814.20
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$88,066.30
|
$200,482.98
|
$135,893.79
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
10
|
—
|
—
|
$20,981.00
|
$198,810.76
|
$82,004.51
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
40
|
10
|
—
|
—
|
$60,132.00
|
$198,185.79
|
$81,748.41
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
3
|
—
|
—
|
$156,214.04
|
$197,938.10
|
$182,194.06
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$110,847.62
|
$194,409.81
|
$144,976.61
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
3
|
—
|
—
|
$88,414.02
|
$194,036.34
|
$133,173.14
|
2026-04-01
|
|
6073
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$132,034.56
|
$187,882.62
|
$153,028.17
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$120,635.08
|
$187,418.83
|
$146,907.02
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
3
|
—
|
—
|
$57,782.52
|
$186,538.73
|
$122,015.26
|
2026-04-01
|
|
6124
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$115,702.89
|
$185,993.29
|
$143,707.40
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
3
|
—
|
—
|
$155,275.76
|
$185,890.77
|
$164,186.11
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
34
|
10
|
—
|
—
|
$76,581.97
|
$185,577.78
|
$76,581.97
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$166,831.60
|
$185,368.40
|
$172,707.13
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$136,149.52
|
$185,170.68
|
$153,942.07
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$122,168.58
|
$184,196.73
|
$146,252.44
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
10
|
—
|
—
|
$32,867.00
|
$181,085.03
|
$74,740.96
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
10
|
—
|
—
|
$36,647.00
|
$180,304.40
|
$74,421.08
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
34
|
10
|
—
|
—
|
$55,977.54
|
$179,707.72
|
$74,176.57
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
3
|
—
|
—
|
$138,652.47
|
$177,608.51
|
$151,837.27
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
8
|
3
|
—
|
—
|
$157,560.74
|
$175,870.73
|
$172,305.48
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$115,025.08
|
$175,252.96
|
$138,522.70
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
3
|
—
|
—
|
$110,398.95
|
$174,755.00
|
$135,899.23
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
3
|
—
|
—
|
$94,166.64
|
$174,442.55
|
$127,339.59
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$125,790.00
|
$174,291.21
|
$143,673.24
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
8
|
3
|
—
|
—
|
$53,994.47
|
$173,866.48
|
$106,244.68
|
2026-04-01
|
|
6022
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$143,264.17
|
$173,258.67
|
$152,271.74
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
3
|
—
|
—
|
$155,667.02
|
$172,963.32
|
$166,377.08
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$154,368.66
|
$171,520.69
|
$157,993.58
|
2026-04-01
|
|
8504
|
APR_DRG
|
Services
|
8
|
3
|
—
|
—
|
$105,314.37
|
$171,223.22
|
$141,039.58
|
2026-04-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
3
|
—
|
—
|
$54,611.39
|
$171,152.10
|
$105,343.18
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
3
|
—
|
—
|
$133,928.59
|
$170,351.46
|
$146,121.52
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
3
|
—
|
—
|
$123,559.52
|
$169,760.49
|
$150,470.71
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$109,192.34
|
$168,886.87
|
$132,632.76
|
2026-04-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$151,820.27
|
$168,689.15
|
$160,254.71
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$139,254.97
|
$168,689.15
|
$148,136.05
|
2026-04-01
|
|
32
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$160,140.65
|
$166,116.94
|
$163,128.79
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
3
|
—
|
—
|
$145,707.83
|
$164,224.59
|
$149,473.84
|
2026-04-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$147,589.07
|
$163,987.81
|
$155,788.44
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$146,422.50
|
$162,757.56
|
$149,184.34
|
2026-04-01
|
|
3214
|
APR_DRG
|
Decompression
|
8
|
3
|
—
|
—
|
$146,330.25
|
$162,589.13
|
$158,824.42
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$122,888.06
|
$161,820.22
|
$136,556.17
|
2026-04-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$144,772.66
|
$160,858.47
|
$152,815.57
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
3
|
—
|
—
|
$134,008.71
|
$160,245.78
|
$141,615.52
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
3
|
—
|
—
|
$116,883.86
|
$158,510.24
|
$131,952.55
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
3
|
—
|
—
|
$123,370.38
|
$157,331.25
|
$134,786.29
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
8
|
3
|
—
|
—
|
$125,224.36
|
$156,799.11
|
$135,508.42
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
3
|
—
|
—
|
$121,429.87
|
$155,861.77
|
$133,118.58
|
2026-04-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
1
|
—
|
—
|
$140,225.10
|
$155,805.63
|
$148,015.36
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
8
|
3
|
—
|
—
|
$110,983.83
|
$155,319.88
|
$127,456.78
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$92,822.22
|
$154,431.36
|
$117,637.26
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
3
|
—
|
—
|
$137,753.60
|
$153,059.52
|
$150,292.39
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
3
|
—
|
—
|
$127,629.56
|
$152,371.17
|
$134,763.33
|
2026-04-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
8
|
3
|
—
|
—
|
$112,925.94
|
$150,191.37
|
$126,156.24
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
3
|
—
|
—
|
$133,443.31
|
$148,270.31
|
$138,288.45
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
8
|
3
|
—
|
—
|
$129,757.54
|
$146,500.60
|
$133,225.27
|
2026-04-01
|
|
31
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$139,671.59
|
$144,884.00
|
$142,277.79
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
3
|
—
|
—
|
$111,590.88
|
$144,451.83
|
$131,622.40
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$130,005.18
|
$144,450.17
|
$137,227.67
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
8
|
3
|
—
|
—
|
$115,699.05
|
$143,127.06
|
$133,266.17
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
8
|
3
|
—
|
—
|
$88,066.30
|
$142,587.70
|
$109,840.90
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$91,580.36
|
$140,207.74
|
$110,592.52
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
8
|
3
|
—
|
—
|
$103,214.15
|
$138,419.71
|
$124,061.11
|
2026-04-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$124,146.08
|
$137,940.06
|
$131,043.07
|
2026-04-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$123,563.91
|
$137,293.20
|
$130,428.56
|
2026-04-01
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$123,563.91
|
$137,293.20
|
$130,428.56
|
2026-04-01
|
|
6072
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$113,824.88
|
$135,962.86
|
$120,219.66
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
8
|
3
|
—
|
—
|
$116,169.19
|
$133,735.63
|
$129,000.58
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$79,680.94
|
$132,596.75
|
$100,995.83
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$103,753.80
|
$132,328.24
|
$113,360.61
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
3
|
—
|
—
|
$110,971.01
|
$132,032.88
|
$116,970.98
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
3
|
—
|
—
|
$73,136.74
|
$131,696.02
|
$97,196.29
|
2026-04-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
4
|
1
|
—
|
—
|
$118,036.54
|
$131,151.68
|
$124,594.11
|
2026-04-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
8
|
3
|
—
|
—
|
$92,248.57
|
$130,912.47
|
$106,756.22
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
3
|
—
|
—
|
$88,681.62
|
$130,839.24
|
$104,873.24
|
2026-04-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$117,739.96
|
$130,822.15
|
$124,281.05
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$93,387.87
|
$130,102.06
|
$106,982.45
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
3
|
—
|
—
|
$114,017.17
|
$129,887.25
|
$117,585.36
|
2026-04-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
3
|
—
|
—
|
$70,912.61
|
$129,206.22
|
$94,922.31
|
2026-04-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
3
|
—
|
—
|
$30,783.71
|
$129,154.96
|
$74,086.01
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
8
|
3
|
—
|
—
|
$111,270.66
|
$128,708.26
|
$115,630.32
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$75,333.63
|
$128,632.59
|
$96,957.18
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
3
|
—
|
—
|
$115,464.14
|
$128,425.10
|
$117,677.88
|
2026-04-01
|
|
6123
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$93,123.48
|
$128,058.96
|
$105,925.92
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$115,228.92
|
$128,032.10
|
$120,351.11
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
8
|
3
|
—
|
—
|
$113,330.81
|
$127,696.85
|
$124,512.93
|
2026-04-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
1
|
—
|
—
|
$114,743.41
|
$127,492.65
|
$121,118.03
|
2026-04-01
|
|
6224
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$77,788.51
|
$126,833.58
|
$97,420.88
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$107,728.75
|
$126,727.79
|
$120,933.58
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
3
|
—
|
—
|
$105,898.74
|
$126,727.79
|
$119,916.91
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
8
|
3
|
—
|
—
|
$69,193.23
|
$126,694.44
|
$92,900.24
|
2026-04-01
|
|
6344
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$65,837.81
|
$126,535.78
|
$91,088.52
|
2026-04-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
8
|
3
|
—
|
—
|
$95,817.11
|
$124,917.41
|
$105,909.30
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$78,017.65
|
$124,912.53
|
$96,675.24
|
2026-04-01
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
8
|
3
|
—
|
—
|
$105,545.28
|
$124,763.63
|
$110,885.71
|
2026-04-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
1
|
—
|
—
|
$112,093.96
|
$124,548.82
|
$118,321.39
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$76,330.32
|
$124,487.79
|
$95,608.97
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
3
|
—
|
—
|
$100,460.87
|
$124,478.03
|
$108,120.11
|
2026-04-01
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
1
|
—
|
—
|
$111,803.97
|
$124,226.61
|
$118,015.29
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
3
|
—
|
—
|
$82,505.97
|
$124,124.09
|
$98,648.36
|
2026-04-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
4
|
1
|
—
|
—
|
$111,590.88
|
$123,989.83
|
$117,790.36
|
2026-04-01
|
|
1734
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$119,240.99
|
$123,690.95
|
$121,465.97
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$106,799.96
|
$123,635.89
|
$111,028.98
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
3
|
—
|
—
|
$37,005.83
|
$123,023.20
|
$74,553.88
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
3
|
—
|
—
|
$110,595.69
|
$122,884.07
|
$116,600.08
|
2026-04-01
|
|
6021
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$84,922.86
|
$122,758.46
|
$106,350.39
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
3
|
—
|
—
|
$66,762.39
|
$122,671.70
|
$89,829.23
|
2026-04-01
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
8
|
3
|
—
|
—
|
$56,620.80
|
$122,552.09
|
$84,515.38
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
3
|
—
|
—
|
$99,702.93
|
$122,500.83
|
$106,837.26
|
2026-04-01
|
|
8434
|
APR_DRG
|
Extensive Third Degree Burns Without Skin Graft
|
8
|
3
|
—
|
—
|
$54,314.95
|
$122,242.09
|
$83,179.91
|
2026-04-01
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
8
|
3
|
—
|
—
|
$90,990.67
|
$121,639.80
|
$109,182.18
|
2026-04-01
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
8
|
3
|
—
|
—
|
$108,722.84
|
$121,155.85
|
$110,910.28
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
8
|
3
|
—
|
—
|
$63,963.00
|
$121,089.94
|
$87,665.51
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
8
|
3
|
—
|
—
|
$108,904.08
|
$121,004.51
|
$118,013.66
|
2026-04-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
8
|
3
|
—
|
—
|
$103,209.75
|
$120,762.15
|
$115,547.52
|
2026-04-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
8
|
3
|
—
|
—
|
$97,241.64
|
$120,701.83
|
$104,751.14
|
2026-04-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
8
|
3
|
—
|
—
|
$39,061.70
|
$120,264.89
|
$74,378.94
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
8
|
3
|
—
|
—
|
$104,369.12
|
$119,989.06
|
$108,127.12
|
2026-04-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
8
|
3
|
—
|
—
|
$41,742.52
|
$119,881.66
|
$75,596.91
|
2026-04-01
|
|
7914
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$115,505.80
|
$119,816.36
|
$117,661.08
|
2026-04-01
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
8
|
3
|
—
|
—
|
$38,919.09
|
$119,544.80
|
$73,980.92
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
3
|
—
|
—
|
$88,008.62
|
$119,495.98
|
$99,419.71
|
2026-04-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
8
|
3
|
—
|
—
|
$107,011.48
|
$119,286.05
|
$109,181.26
|
2026-04-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
3
|
—
|
—
|
$101,834.12
|
$119,095.66
|
$106,410.29
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$68,398.44
|
$118,954.08
|
$89,004.85
|
2026-04-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
8
|
3
|
—
|
—
|
$78,232.37
|
$118,944.32
|
$94,100.92
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
8
|
3
|
—
|
—
|
$65,659.94
|
$118,500.06
|
$87,380.20
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
8
|
3
|
—
|
—
|
$104,369.71
|
$118,175.77
|
$114,945.27
|
2026-04-01
|
|
2214
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$113,627.79
|
$117,868.26
|
$115,748.02
|
2026-04-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$71,193.03
|
$117,479.73
|
$89,790.83
|
2026-04-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$105,606.55
|
$117,340.59
|
$111,473.57
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
3
|
—
|
—
|
$105,402.24
|
$117,113.58
|
$112,759.29
|
2026-04-01
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
8
|
3
|
—
|
—
|
$70,444.71
|
$116,444.75
|
$88,936.97
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
3
|
—
|
—
|
$99,039.54
|
$116,330.02
|
$103,716.32
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$68,895.19
|
$115,836.94
|
$87,859.78
|
2026-04-01
|
|
6934
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$111,160.09
|
$115,308.48
|
$113,234.29
|
2026-04-01
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
8
|
3
|
—
|
—
|
$60,357.60
|
$114,274.71
|
$82,728.67
|
2026-04-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
8
|
3
|
—
|
—
|
$96,006.16
|
$114,136.63
|
$108,351.95
|
2026-04-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
8
|
3
|
—
|
—
|
$100,160.47
|
$113,792.55
|
$110,494.04
|
2026-04-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
8
|
3
|
—
|
—
|
$83,065.21
|
$113,652.26
|
$94,226.09
|
2026-04-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
3
|
—
|
—
|
$89,457.24
|
$112,304.88
|
$103,830.73
|
2026-04-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
3
|
—
|
—
|
$68,997.74
|
$110,271.50
|
$85,408.52
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
3
|
—
|
—
|
$86,220.34
|
$110,183.62
|
$94,301.64
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$98,074.89
|
$110,029.84
|
$100,380.92
|
2026-04-01
|
|
6031
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
3
|
—
|
—
|
$49,592.53
|
$109,535.66
|
$80,348.88
|
2026-04-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
8
|
3
|
—
|
—
|
$90,264.79
|
$109,246.28
|
$95,977.54
|
2026-04-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
8
|
3
|
—
|
—
|
$85,414.97
|
$107,276.73
|
$99,161.39
|
2026-04-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$68,472.15
|
$106,944.43
|
$83,638.74
|
2026-04-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
8
|
3
|
—
|
—
|
$81,131.11
|
$106,780.89
|
$90,130.84
|
2026-04-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$59,048.44
|
$105,623.86
|
$78,156.79
|
2026-04-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
8
|
3
|
—
|
—
|
$93,481.94
|
$105,619.51
|
$102,844.24
|
2026-04-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
8
|
3
|
—
|
—
|
$90,531.52
|
$105,099.24
|
$100,954.35
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
3
|
—
|
—
|
$75,751.86
|
$104,998.97
|
$86,538.96
|
2026-04-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
8
|
3
|
—
|
—
|
$74,057.06
|
$104,824.98
|
$91,669.68
|
2026-04-01
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
8
|
3
|
—
|
—
|
$94,002.60
|
$104,447.31
|
$101,076.92
|
2026-04-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
8
|
3
|
—
|
—
|
$85,153.54
|
$104,181.71
|
$97,524.32
|
2026-04-01
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
8
|
3
|
—
|
—
|
$65,417.98
|
$102,763.03
|
$80,173.04
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
3
|
—
|
—
|
$92,126.46
|
$102,362.71
|
$96,919.45
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
3
|
—
|
—
|
$76,601.13
|
$101,137.33
|
$85,241.71
|
2026-04-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
8
|
3
|
—
|
—
|
$81,462.81
|
$100,802.92
|
$87,612.79
|
2026-04-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
8
|
3
|
—
|
—
|
$90,575.45
|
$100,639.37
|
$93,468.76
|
2026-04-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$59,144.58
|
$100,431.89
|
$75,870.26
|
2026-04-01
|
|
7944
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$90,344.78
|
$100,383.07
|
$95,363.93
|
2026-04-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
8
|
3
|
—
|
—
|
$90,252.51
|
$100,280.55
|
$95,411.20
|
2026-04-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
3
|
—
|
—
|
$57,518.15
|
$98,278.94
|
$74,057.86
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
3
|
—
|
—
|
$63,669.76
|
$98,220.35
|
$77,222.10
|
2026-04-01
|
|
6071
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
8
|
3
|
—
|
—
|
$77,416.10
|
$97,993.34
|
$90,242.88
|
2026-04-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
8
|
3
|
—
|
—
|
$88,081.99
|
$97,868.85
|
$95,107.60
|
2026-04-01
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
8
|
3
|
—
|
—
|
$73,697.58
|
$97,190.26
|
$81,959.57
|
2026-04-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
8
|
3
|
—
|
—
|
$84,733.93
|
$97,122.35
|
$93,888.51
|
2026-04-01
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
3
|
—
|
—
|
$77,625.06
|
$96,933.96
|
$83,881.26
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
3
|
—
|
—
|
$75,783.91
|
$96,636.16
|
$82,792.32
|
2026-04-01
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
8
|
3
|
—
|
—
|
$78,684.25
|
$96,592.22
|
$84,276.85
|
2026-04-01
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
8
|
3
|
—
|
—
|
$60,828.71
|
$96,465.29
|
$74,958.77
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
3
|
—
|
—
|
$76,264.93
|
$95,933.87
|
$88,610.65
|
2026-04-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
8
|
3
|
—
|
—
|
$60,319.14
|
$95,379.05
|
$74,205.68
|
2026-04-01
|
|
6122
|
APR_DRG
|
Respiratory Condition
|
8
|
3
|
—
|
—
|
$63,637.71
|
$94,724.86
|
$75,632.51
|
2026-04-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
1
|
—
|
—
|
$84,900.90
|
$94,334.31
|
$89,617.60
|
2026-04-01
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
8
|
3
|
—
|
—
|
$64,376.42
|
$94,046.27
|
$75,710.27
|
2026-04-01
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
8
|
3
|
—
|
—
|
$83,103.67
|
$93,853.43
|
$85,336.57
|
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
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
8
|
3
|
—
|
—
|
$83,352.09
|
$92,788.99
|
$91,032.10
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
3
|
—
|
—
|
$67,980.22
|
$92,610.97
|
$76,933.53
|
2026-04-01
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
3
|
—
|
—
|
$69,021.78
|
$90,589.84
|
$76,564.24
|
2026-04-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
3
|
—
|
—
|
$71,193.03
|
$90,455.58
|
$77,629.96
|
2026-04-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
8
|
3
|
—
|
—
|
$75,388.37
|
$88,831.29
|
$84,700.15
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
8
|
3
|
—
|
—
|
$73,369.09
|
$87,897.43
|
$77,607.42
|
2026-04-01
|
|
2284
|
APR_DRG
|
Inguinal, Femoral And Umbilical Hernia Procedures
|
8
|
3
|
—
|
—
|
$71,966.99
|
$87,521.52
|
$76,711.05
|
2026-04-01
|
|
904
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$84,130.81
|
$87,270.49
|
$85,700.65
|
2026-04-01
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$78,470.61
|
$87,189.54
|
$82,830.07
|
2026-04-01
|
|
6964
|
APR_DRG
|
Other Chemotherapy
|
4
|
1
|
—
|
—
|
$78,253.11
|
$86,947.89
|
$82,600.50
|
2026-04-01
|
|
564
|
APR_DRG
|
Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N…
|
8
|
3
|
—
|
—
|
$67,167.62
|
$86,294.78
|
$78,910.44
|
2026-04-01
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
8
|
3
|
—
|
—
|
$69,976.81
|
$85,671.25
|
$74,846.21
|
2026-04-01
|
|
2344
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$75,168.69
|
$83,520.74
|
$79,344.71
|
2026-04-01
|
|
2624
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$80,461.31
|
$83,464.05
|
$81,962.68
|
2026-04-01
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
8
|
3
|
—
|
—
|
$74,817.18
|
$83,130.19
|
$81,091.03
|
2026-04-01
|
|
1813
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$72,411.59
|
$80,457.31
|
$76,434.45
|
2026-04-01
|
|
1934
|
APR_DRG
|
Acute And Subacute Endocarditis
|
8
|
3
|
—
|
—
|
$65,904.41
|
$79,107.42
|
$74,744.26
|
2026-04-01
|
|
903
|
APR_DRG
|
Description Not Available
|
4
|
2
|
—
|
—
|
$74,405.84
|
$77,182.59
|
$75,794.21
|
2026-04-01
|