|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
8
|
8
|
—
|
—
|
$4,279,750.00
|
$4,730,250.00
|
$4,640,150.00
|
2026-03-04
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
8
|
8
|
—
|
—
|
$3,501,003.33
|
$3,869,530.00
|
$3,795,824.67
|
2026-03-04
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
8
|
—
|
—
|
$3,150,639.46
|
$3,482,285.72
|
$3,415,956.47
|
2026-03-04
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
8
|
8
|
—
|
—
|
$3,086,023.43
|
$3,410,868.00
|
$3,345,899.09
|
2026-03-04
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
8
|
8
|
—
|
—
|
$2,798,453.00
|
$3,093,027.00
|
$3,034,112.20
|
2026-03-04
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
8
|
8
|
—
|
—
|
$2,332,355.07
|
$2,577,866.14
|
$2,528,763.92
|
2026-03-04
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
8
|
8
|
—
|
—
|
$2,215,400.00
|
$2,448,600.00
|
$2,401,960.00
|
2026-03-04
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$799,636.36
|
$894,385.00
|
$847,010.68
|
2026-03-04
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
8
|
8
|
—
|
—
|
$732,089.00
|
$809,151.00
|
$793,738.60
|
2026-03-04
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$633,327.35
|
$778,894.00
|
$706,110.68
|
2026-03-04
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$627,135.87
|
$715,453.00
|
$671,294.44
|
2026-03-04
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$598,535.88
|
$718,544.00
|
$658,539.94
|
2026-03-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
8
|
8
|
—
|
—
|
$562,139.89
|
$621,312.51
|
$609,477.99
|
2026-03-04
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
8
|
8
|
—
|
—
|
$537,575.50
|
$594,162.39
|
$582,845.01
|
2026-03-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
8
|
8
|
—
|
—
|
$534,411.28
|
$590,665.09
|
$579,414.33
|
2026-03-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
8
|
8
|
—
|
—
|
$529,452.04
|
$585,183.83
|
$574,037.47
|
2026-03-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
8
|
8
|
—
|
—
|
$506,568.66
|
$559,891.68
|
$549,227.08
|
2026-03-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
8
|
8
|
—
|
—
|
$464,839.38
|
$513,769.84
|
$503,983.75
|
2026-03-04
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$469,927.55
|
$537,188.00
|
$503,557.78
|
2026-03-04
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$480,451.95
|
$526,365.00
|
$503,408.47
|
2026-03-04
|
|
18
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
2
|
—
|
—
|
$420,742.11
|
$564,413.88
|
$487,371.45
|
2026-03-04
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$467,018.33
|
$488,775.00
|
$477,896.67
|
2026-03-04
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$451,965.00
|
$467,093.37
|
$459,529.18
|
2026-03-04
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$410,460.68
|
$481,884.00
|
$446,172.34
|
2026-03-04
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
2
|
—
|
—
|
$393,407.00
|
$442,259.04
|
$417,833.02
|
2026-03-04
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$406,214.00
|
$428,730.50
|
$417,472.25
|
2026-03-04
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$395,411.00
|
$413,773.84
|
$404,592.42
|
2026-03-04
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$395,817.00
|
$403,587.15
|
$399,702.08
|
2026-03-04
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$373,911.00
|
$385,758.78
|
$379,834.89
|
2026-03-04
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$370,430.00
|
$388,061.00
|
$379,245.50
|
2026-03-04
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
2
|
2
|
—
|
—
|
$71,761.53
|
$670,566.00
|
$371,163.77
|
2026-03-04
|
|
5894
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
2
|
2
|
—
|
—
|
$1,523.04
|
$737,624.00
|
$369,573.52
|
2026-03-04
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
2
|
—
|
—
|
$361,119.00
|
$376,549.93
|
$368,834.46
|
2026-03-04
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$315,587.00
|
$414,987.85
|
$365,287.42
|
2026-03-04
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$355,641.00
|
$366,471.40
|
$361,056.20
|
2026-03-04
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
2
|
2
|
—
|
—
|
$106,385.24
|
$609,605.00
|
$357,995.12
|
2026-03-04
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$357,849.68
|
$357,971.00
|
$357,910.34
|
2026-03-04
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$328,969.00
|
$343,866.44
|
$336,417.72
|
2026-03-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$308,374.23
|
$340,834.67
|
$334,342.58
|
2026-03-04
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$191,959.00
|
$476,090.33
|
$334,024.67
|
2026-03-04
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$316,732.10
|
$336,921.00
|
$326,826.55
|
2026-03-04
|
|
1
|
APR_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
6
|
2
|
—
|
—
|
$273,044.70
|
$374,585.00
|
$322,318.14
|
2026-03-04
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
8
|
8
|
—
|
—
|
$264,337.50
|
$292,162.50
|
$286,597.50
|
2026-03-04
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$231,504.00
|
$341,290.52
|
$286,397.26
|
2026-03-04
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$228,426.86
|
$325,153.00
|
$276,789.93
|
2026-03-04
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$272,363.16
|
$277,005.00
|
$274,684.08
|
2026-03-04
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
2
|
—
|
—
|
$265,368.23
|
$275,935.00
|
$270,651.61
|
2026-03-04
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
2
|
—
|
—
|
$199,474.00
|
$337,584.46
|
$268,529.23
|
2026-03-04
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
2
|
—
|
—
|
$223,504.58
|
$308,884.00
|
$266,194.29
|
2026-03-04
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
8
|
8
|
—
|
—
|
$244,625.00
|
$270,375.00
|
$265,225.00
|
2026-03-04
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
2
|
2
|
—
|
—
|
$128,151.42
|
$395,761.00
|
$261,956.21
|
2026-03-04
|
|
927
|
APR_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
6
|
2
|
—
|
—
|
$208,023.90
|
$315,490.00
|
$258,559.58
|
2026-03-04
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
2
|
—
|
—
|
$241,357.00
|
$249,146.78
|
$245,251.89
|
2026-03-04
|
|
3
|
APR_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
6
|
2
|
—
|
—
|
$206,803.07
|
$285,000.00
|
$244,679.95
|
2026-03-04
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
2
|
—
|
—
|
$239,110.19
|
$243,256.00
|
$241,183.10
|
2026-03-04
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$197,204.00
|
$273,546.27
|
$235,375.14
|
2026-03-04
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$225,524.26
|
$240,703.00
|
$233,113.63
|
2026-03-04
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$231,499.42
|
$231,662.00
|
$231,580.71
|
2026-03-04
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$208,483.00
|
$230,276.57
|
$219,379.79
|
2026-03-04
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
8
|
8
|
—
|
—
|
$200,645.79
|
$221,766.39
|
$217,542.27
|
2026-03-04
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
2
|
2
|
—
|
—
|
$212,358.00
|
$222,138.26
|
$217,248.13
|
2026-03-04
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
8
|
8
|
—
|
—
|
$195,358.00
|
$215,922.00
|
$211,809.20
|
2026-03-04
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$198,866.69
|
$223,322.00
|
$211,094.35
|
2026-03-04
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$202,972.27
|
$218,821.00
|
$210,896.64
|
2026-03-04
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$174,574.00
|
$234,609.50
|
$204,591.75
|
2026-03-04
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$203,147.00
|
$204,495.31
|
$203,821.15
|
2026-03-04
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$159,210.00
|
$246,403.11
|
$202,806.55
|
2026-03-04
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$172,764.00
|
$230,035.98
|
$201,399.99
|
2026-03-04
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$179,599.00
|
$215,990.93
|
$197,794.96
|
2026-03-04
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$179,564.00
|
$204,493.10
|
$192,028.55
|
2026-03-04
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$180,963.28
|
$201,933.00
|
$191,448.14
|
2026-03-04
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
2
|
—
|
—
|
$184,195.00
|
$193,015.14
|
$188,605.07
|
2026-03-04
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
2
|
2
|
—
|
—
|
$180,389.39
|
$195,892.00
|
$188,140.70
|
2026-03-04
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
2
|
—
|
—
|
$183,852.64
|
$189,407.00
|
$186,629.82
|
2026-03-04
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$148,872.00
|
$209,583.13
|
$179,227.57
|
2026-03-04
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$163,341.00
|
$186,585.28
|
$174,963.14
|
2026-03-04
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
2
|
—
|
—
|
$165,079.00
|
$182,395.82
|
$173,737.41
|
2026-03-04
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$157,837.40
|
$185,405.00
|
$171,621.20
|
2026-03-04
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
2
|
—
|
—
|
$156,371.00
|
$186,706.68
|
$171,538.84
|
2026-03-04
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
2
|
2
|
—
|
—
|
$150,595.00
|
$187,117.24
|
$168,856.12
|
2026-03-04
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
2
|
—
|
—
|
$143,005.00
|
$193,957.66
|
$168,481.33
|
2026-03-04
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
2
|
2
|
—
|
—
|
$163,493.00
|
$173,204.62
|
$168,348.81
|
2026-03-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
8
|
8
|
—
|
—
|
$153,220.48
|
$169,348.96
|
$166,123.26
|
2026-03-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
8
|
8
|
—
|
—
|
$152,330.04
|
$168,364.78
|
$165,157.83
|
2026-03-04
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
2
|
2
|
—
|
—
|
$143,430.35
|
$186,755.00
|
$165,092.67
|
2026-03-04
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
2
|
2
|
—
|
—
|
$155,758.12
|
$173,354.00
|
$164,556.06
|
2026-03-04
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$154,495.55
|
$173,095.00
|
$163,795.27
|
2026-03-04
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$158,850.00
|
$167,335.41
|
$163,092.71
|
2026-03-04
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
2
|
—
|
—
|
$146,918.00
|
$176,553.10
|
$161,735.55
|
2026-03-04
|
|
4
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
6
|
2
|
—
|
—
|
$134,958.07
|
$187,903.00
|
$160,502.15
|
2026-03-04
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
—
|
—
|
$152,001.00
|
$167,918.14
|
$159,959.57
|
2026-03-04
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
2
|
2
|
—
|
—
|
$153,204.28
|
$159,553.00
|
$156,378.64
|
2026-03-04
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$152,207.00
|
$156,396.03
|
$154,301.52
|
2026-03-04
|
|
14
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
4
|
—
|
—
|
$117,093.76
|
$386,884.51
|
$153,751.52
|
2026-03-04
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
2
|
—
|
—
|
$142,423.00
|
$162,302.77
|
$152,362.89
|
2026-03-04
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
2
|
—
|
—
|
$138,356.00
|
$162,082.04
|
$150,219.02
|
2026-03-04
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
2
|
2
|
—
|
—
|
$136,532.00
|
$163,022.35
|
$149,777.17
|
2026-03-04
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
2
|
2
|
—
|
—
|
$139,583.00
|
$159,053.62
|
$149,318.31
|
2026-03-04
|
|
7
|
APR_DRG
|
Lung Transplant
|
6
|
2
|
—
|
—
|
$126,177.42
|
$173,790.00
|
$149,245.07
|
2026-03-04
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$128,778.30
|
$168,022.00
|
$148,400.15
|
2026-03-04
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$132,701.00
|
$156,309.95
|
$144,505.48
|
2026-03-04
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$134,344.00
|
$149,125.19
|
$141,734.60
|
2026-03-04
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$136,223.00
|
$143,225.08
|
$139,724.04
|
2026-03-04
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$132,653.00
|
$145,710.49
|
$139,181.74
|
2026-03-04
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$115,424.00
|
$162,806.03
|
$139,115.02
|
2026-03-04
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$134,099.00
|
$140,496.85
|
$137,297.92
|
2026-03-04
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
2
|
2
|
—
|
—
|
$124,933.00
|
$149,345.92
|
$137,139.46
|
2026-03-04
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$131,348.00
|
$142,022.10
|
$136,685.05
|
2026-03-04
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
2
|
2
|
—
|
—
|
$134,738.00
|
$138,057.79
|
$136,397.90
|
2026-03-04
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
2
|
2
|
—
|
—
|
$104,656.92
|
$166,996.00
|
$135,826.46
|
2026-03-04
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$125,899.00
|
$145,412.51
|
$135,655.76
|
2026-03-04
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$132,439.00
|
$136,839.36
|
$134,639.18
|
2026-03-04
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
2
|
2
|
—
|
—
|
$133,607.87
|
$133,990.00
|
$133,798.93
|
2026-03-04
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
2
|
—
|
—
|
$133,367.27
|
$134,108.00
|
$133,737.64
|
2026-03-04
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
8
|
8
|
—
|
—
|
$123,060.66
|
$136,014.42
|
$133,423.67
|
2026-03-04
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
2
|
2
|
—
|
—
|
$97,642.12
|
$169,125.00
|
$133,383.56
|
2026-03-04
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
2
|
2
|
—
|
—
|
$127,297.00
|
$134,941.08
|
$131,119.04
|
2026-03-04
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
2
|
2
|
—
|
—
|
$127,749.69
|
$132,130.00
|
$129,939.85
|
2026-03-04
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
2
|
2
|
—
|
—
|
$126,893.00
|
$132,972.17
|
$129,932.59
|
2026-03-04
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
2
|
—
|
—
|
$127,521.00
|
$129,482.43
|
$128,501.71
|
2026-03-04
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$110,945.00
|
$145,948.88
|
$128,446.94
|
2026-03-04
|
|
2
|
APR_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
6
|
2
|
—
|
—
|
$110,408.90
|
$148,110.48
|
$128,210.46
|
2026-03-04
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
2
|
2
|
—
|
—
|
$103,645.98
|
$152,535.00
|
$128,090.49
|
2026-03-04
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
2
|
—
|
—
|
$109,044.00
|
$147,118.75
|
$128,081.38
|
2026-03-04
|
|
209
|
APR_DRG
|
Complex Aortic Arch Procedures
|
4
|
1
|
—
|
—
|
$110,282.24
|
$147,940.56
|
$127,746.70
|
2026-03-04
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$124,802.00
|
$130,398.45
|
$127,600.23
|
2026-03-04
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$124,826.00
|
$129,961.41
|
$127,393.71
|
2026-03-04
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$126,950.00
|
$127,127.24
|
$127,038.62
|
2026-03-04
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
2
|
—
|
—
|
$116,579.00
|
$136,252.21
|
$126,415.60
|
2026-03-04
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
2
|
2
|
—
|
—
|
$121,517.00
|
$130,038.66
|
$125,777.83
|
2026-03-04
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
2
|
2
|
—
|
—
|
$117,749.00
|
$133,373.90
|
$125,561.45
|
2026-03-04
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
2
|
2
|
—
|
—
|
$123,469.00
|
$127,400.94
|
$125,434.97
|
2026-03-04
|
|
426
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
2
|
—
|
—
|
$107,382.64
|
$144,050.83
|
$124,387.91
|
2026-03-04
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
2
|
2
|
—
|
—
|
$92,976.00
|
$155,570.50
|
$124,273.25
|
2026-03-04
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
2
|
2
|
—
|
—
|
$123,354.96
|
$124,325.00
|
$123,839.98
|
2026-03-04
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$111,561.00
|
$135,426.68
|
$123,493.84
|
2026-03-04
|
|
212
|
APR_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
8
|
4
|
—
|
—
|
$50,455.00
|
$144,867.00
|
$122,727.71
|
2026-03-04
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$100,886.85
|
$143,827.00
|
$122,356.93
|
2026-03-04
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
2
|
2
|
—
|
—
|
$105,338.00
|
$137,499.34
|
$121,418.67
|
2026-03-04
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
2
|
—
|
—
|
$116,224.00
|
$125,469.55
|
$120,846.77
|
2026-03-04
|
|
5
|
APR_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
6
|
2
|
—
|
—
|
$100,458.09
|
$141,616.00
|
$120,226.54
|
2026-03-04
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
2
|
2
|
—
|
—
|
$108,634.48
|
$130,303.00
|
$119,468.74
|
2026-03-04
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$44,024.00
|
$194,392.50
|
$119,208.25
|
2026-03-04
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
2
|
2
|
—
|
—
|
$107,242.00
|
$130,166.69
|
$118,704.35
|
2026-03-04
|
|
215
|
APR_DRG
|
Other Heart Assist System Implant
|
6
|
2
|
—
|
—
|
$97,013.84
|
$140,892.00
|
$117,888.50
|
2026-03-04
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
2
|
2
|
—
|
—
|
$110,963.18
|
$124,721.00
|
$117,842.09
|
2026-03-04
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
2
|
2
|
—
|
—
|
$112,704.00
|
$122,639.80
|
$117,671.90
|
2026-03-04
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
2
|
2
|
—
|
—
|
$107,543.00
|
$126,597.48
|
$117,070.24
|
2026-03-04
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
2
|
2
|
—
|
—
|
$107,991.00
|
$126,072.15
|
$117,031.57
|
2026-03-04
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
2
|
2
|
—
|
—
|
$116,509.00
|
$117,390.84
|
$116,949.92
|
2026-03-04
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
2
|
2
|
—
|
—
|
$108,042.00
|
$125,200.26
|
$116,621.13
|
2026-03-04
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
2
|
—
|
—
|
$89,580.00
|
$142,452.52
|
$116,016.26
|
2026-03-04
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$90,447.00
|
$141,123.73
|
$115,785.37
|
2026-03-04
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
8
|
8
|
—
|
—
|
$106,267.04
|
$117,453.04
|
$115,215.84
|
2026-03-04
|
|
7594
|
APR_DRG
|
Eating Disorders
|
2
|
2
|
—
|
—
|
$90,645.00
|
$139,748.58
|
$115,196.79
|
2026-03-04
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
2
|
2
|
—
|
—
|
$110,117.78
|
$119,331.00
|
$114,724.39
|
2026-03-04
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
2
|
2
|
—
|
—
|
$99,721.40
|
$128,972.00
|
$114,346.70
|
2026-03-04
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
2
|
2
|
—
|
—
|
$105,623.72
|
$122,329.00
|
$113,976.36
|
2026-03-04
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$112,284.00
|
$114,750.91
|
$113,517.46
|
2026-03-04
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
2
|
2
|
—
|
—
|
$111,022.00
|
$115,783.92
|
$113,402.96
|
2026-03-04
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
2
|
2
|
—
|
—
|
$95,732.00
|
$130,391.83
|
$113,061.92
|
2026-03-04
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$89,812.83
|
$135,669.00
|
$112,740.92
|
2026-03-04
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
2
|
2
|
—
|
—
|
$99,065.83
|
$125,285.00
|
$112,175.42
|
2026-03-04
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$100,360.00
|
$123,520.51
|
$111,940.26
|
2026-03-04
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
2
|
2
|
—
|
—
|
$106,630.25
|
$116,434.00
|
$111,532.12
|
2026-03-04
|
|
216
|
APR_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
2
|
—
|
—
|
$95,316.56
|
$128,341.00
|
$111,471.60
|
2026-03-04
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$106,116.00
|
$115,925.19
|
$111,020.60
|
2026-03-04
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$110,565.00
|
$110,691.68
|
$110,628.34
|
2026-03-04
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
2
|
2
|
—
|
—
|
$100,864.78
|
$120,010.00
|
$110,437.39
|
2026-03-04
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
2
|
2
|
—
|
—
|
$106,868.64
|
$113,573.00
|
$110,220.82
|
2026-03-04
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
—
|
—
|
$109,058.00
|
$109,497.53
|
$109,277.76
|
2026-03-04
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
2
|
2
|
—
|
—
|
$108,048.00
|
$109,150.98
|
$108,599.49
|
2026-03-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
8
|
8
|
—
|
—
|
$99,927.28
|
$110,445.94
|
$108,342.21
|
2026-03-04
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
2
|
2
|
—
|
—
|
$83,200.00
|
$132,380.61
|
$107,790.30
|
2026-03-04
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
2
|
—
|
—
|
$96,008.72
|
$118,971.00
|
$107,489.86
|
2026-03-04
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
2
|
2
|
—
|
—
|
$101,387.00
|
$112,583.34
|
$106,985.17
|
2026-03-04
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$102,579.00
|
$109,490.91
|
$106,034.96
|
2026-03-04
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
2
|
2
|
—
|
—
|
$94,166.00
|
$117,095.06
|
$105,630.53
|
2026-03-04
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
2
|
2
|
—
|
—
|
$104,241.95
|
$106,702.00
|
$105,471.98
|
2026-03-04
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
2
|
2
|
—
|
—
|
$96,704.00
|
$114,042.36
|
$105,373.18
|
2026-03-04
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
2
|
2
|
—
|
—
|
$75,408.00
|
$135,000.68
|
$105,204.34
|
2026-03-04
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
2
|
2
|
—
|
—
|
$97,389.00
|
$112,947.54
|
$105,168.27
|
2026-03-04
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
2
|
2
|
—
|
—
|
$86,523.95
|
$122,533.00
|
$104,528.48
|
2026-03-04
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
2
|
—
|
—
|
$95,645.00
|
$112,612.03
|
$104,128.51
|
2026-03-04
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
2
|
2
|
—
|
—
|
$101,035.00
|
$106,923.82
|
$103,979.41
|
2026-03-04
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
2
|
2
|
—
|
—
|
$101,738.00
|
$105,789.27
|
$103,763.64
|
2026-03-04
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
2
|
2
|
—
|
—
|
$98,825.00
|
$107,934.76
|
$103,379.88
|
2026-03-04
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
2
|
2
|
—
|
—
|
$96,013.14
|
$110,246.00
|
$103,129.57
|
2026-03-04
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
2
|
2
|
—
|
—
|
$98,546.00
|
$106,614.80
|
$102,580.40
|
2026-03-04
|
|
850
|
APR_DRG
|
Acute Leukemia With Other Procedures
|
6
|
2
|
—
|
—
|
$84,371.93
|
$122,501.00
|
$102,512.58
|
2026-03-04
|
|
404
|
APR_DRG
|
Spinal Disorders And Injuries
|
2
|
2
|
—
|
—
|
$64,601.00
|
$139,975.93
|
$102,288.46
|
2026-03-04
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
2
|
2
|
—
|
—
|
$100,065.74
|
$103,306.00
|
$101,685.87
|
2026-03-04
|
|
429
|
APR_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
6
|
2
|
—
|
—
|
$87,783.06
|
$117,758.54
|
$101,684.51
|
2026-03-04
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
2
|
—
|
—
|
$92,905.26
|
$110,236.00
|
$101,570.63
|
2026-03-04
|
|
7
|
MS_DRG
|
Lung Transplant
|
8
|
8
|
—
|
—
|
$93,522.81
|
$103,367.31
|
$101,398.41
|
2026-03-04
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$97,132.24
|
$105,324.00
|
$101,228.12
|
2026-03-04
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
2
|
2
|
—
|
—
|
$82,848.00
|
$119,598.14
|
$101,223.07
|
2026-03-04
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
2
|
2
|
—
|
—
|
$94,852.10
|
$106,054.00
|
$100,453.05
|
2026-03-04
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$87,150.00
|
$113,583.24
|
$100,366.62
|
2026-03-04
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
2
|
—
|
—
|
$97,990.88
|
$102,322.00
|
$100,156.44
|
2026-03-04
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
2
|
2
|
—
|
—
|
$98,084.00
|
$101,153.94
|
$99,618.97
|
2026-03-04
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
2
|
2
|
—
|
—
|
$93,686.64
|
$104,494.00
|
$99,090.32
|
2026-03-04
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
2
|
—
|
—
|
$93,609.00
|
$104,511.24
|
$99,060.12
|
2026-03-04
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
—
|
—
|
$96,120.00
|
$101,712.38
|
$98,916.19
|
2026-03-04
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$93,046.52
|
$104,306.00
|
$98,676.26
|
2026-03-04
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$78,824.00
|
$117,033.25
|
$97,928.62
|
2026-03-04
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
2
|
2
|
—
|
—
|
$96,745.96
|
$97,433.00
|
$97,089.48
|
2026-03-04
|
|
8503
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
2
|
2
|
—
|
—
|
$93,013.00
|
$101,010.46
|
$97,011.73
|
2026-03-04
|
|
456
|
APR_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
2
|
—
|
—
|
$81,876.68
|
$112,624.00
|
$96,780.79
|
2026-03-04
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
2
|
2
|
—
|
—
|
$94,605.00
|
$98,127.73
|
$96,366.36
|
2026-03-04
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
2
|
2
|
—
|
—
|
$92,376.00
|
$100,301.92
|
$96,338.96
|
2026-03-04
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
2
|
2
|
—
|
—
|
$78,976.00
|
$112,179.40
|
$95,577.70
|
2026-03-04
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
2
|
2
|
—
|
—
|
$89,507.00
|
$101,392.33
|
$95,449.67
|
2026-03-04
|
|
231
|
APR_DRG
|
Coronary Bypass With Ptca With Mcc
|
8
|
4
|
—
|
—
|
$30,036.94
|
$112,688.00
|
$95,141.88
|
2026-03-04
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
2
|
2
|
—
|
—
|
$93,702.09
|
$96,542.00
|
$95,122.04
|
2026-03-04
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
2
|
2
|
—
|
—
|
$78,293.00
|
$111,164.04
|
$94,728.52
|
2026-03-04
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
2
|
2
|
—
|
—
|
$91,158.00
|
$97,935.69
|
$94,546.85
|
2026-03-04
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
2
|
2
|
—
|
—
|
$86,273.00
|
$102,469.49
|
$94,371.24
|
2026-03-04
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$86,897.30
|
$96,044.38
|
$94,214.97
|
2026-03-04
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$89,823.87
|
$97,730.00
|
$93,776.93
|
2026-03-04
|
|
233
|
APR_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
8
|
4
|
—
|
—
|
$74,489.32
|
$103,942.00
|
$93,544.50
|
2026-03-04
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$92,276.18
|
$94,790.00
|
$93,533.09
|
2026-03-04
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
2
|
2
|
—
|
—
|
$92,600.00
|
$93,821.29
|
$93,210.64
|
2026-03-04
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures
|
2
|
2
|
—
|
—
|
$89,492.77
|
$95,696.00
|
$92,594.39
|
2026-03-04
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
2
|
—
|
—
|
$75,135.00
|
$108,826.51
|
$91,980.76
|
2026-03-04
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
2
|
2
|
—
|
—
|
$91,282.89
|
$92,576.00
|
$91,929.45
|
2026-03-04
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
2
|
2
|
—
|
—
|
$91,576.46
|
$92,206.00
|
$91,891.23
|
2026-03-04
|
|
20
|
APR_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
6
|
2
|
—
|
—
|
$76,667.92
|
$107,197.00
|
$91,374.31
|
2026-03-04
|
|
6112
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$77,187.07
|
$105,142.00
|
$91,164.54
|
2026-03-04
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
2
|
2
|
—
|
—
|
$85,641.00
|
$94,966.88
|
$90,303.94
|
2026-03-04
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
2
|
2
|
—
|
—
|
$85,186.33
|
$94,251.00
|
$89,718.67
|
2026-03-04
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
8
|
8
|
—
|
—
|
$82,021.45
|
$90,655.29
|
$88,928.52
|
2026-03-04
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
8
|
8
|
—
|
—
|
$81,929.07
|
$90,553.19
|
$88,828.36
|
2026-03-04
|
|
219
|
APR_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
2
|
—
|
—
|
$74,811.83
|
$102,894.00
|
$88,424.99
|
2026-03-04
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
2
|
—
|
—
|
$71,915.00
|
$104,328.03
|
$88,121.51
|
2026-03-04
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
2
|
2
|
—
|
—
|
$87,133.17
|
$88,861.00
|
$87,997.08
|
2026-03-04
|
|
10
|
APR_DRG
|
Pancreas Transplant
|
6
|
2
|
—
|
—
|
$69,914.85
|
$106,028.00
|
$86,896.91
|
2026-03-04
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
2
|
2
|
—
|
—
|
$80,129.40
|
$93,459.00
|
$86,794.20
|
2026-03-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
8
|
8
|
—
|
—
|
$79,814.15
|
$88,215.63
|
$86,535.34
|
2026-03-04
|
|
957
|
APR_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
6
|
2
|
—
|
—
|
$74,242.82
|
$99,594.68
|
$86,521.27
|
2026-03-04
|
|
19
|
APR_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
6
|
2
|
—
|
—
|
$69,514.41
|
$105,417.00
|
$86,397.86
|
2026-03-04
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
2
|
2
|
—
|
—
|
$70,793.00
|
$101,231.19
|
$86,012.10
|
2026-03-04
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
2
|
2
|
—
|
—
|
$81,939.39
|
$89,623.00
|
$85,781.20
|
2026-03-04
|
|
6333
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$55,904.00
|
$115,035.65
|
$85,469.82
|
2026-03-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
8
|
8
|
—
|
—
|
$78,768.77
|
$87,060.21
|
$85,401.92
|
2026-03-04
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
2
|
2
|
—
|
—
|
$81,073.00
|
$89,406.69
|
$85,239.85
|
2026-03-04
|
|
1203
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
2
|
2
|
—
|
—
|
$81,652.00
|
$88,565.71
|
$85,108.86
|
2026-03-04
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
2
|
2
|
—
|
—
|
$72,613.55
|
$97,122.00
|
$84,867.77
|
2026-03-04
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$70,515.00
|
$98,816.41
|
$84,665.71
|
2026-03-04
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
2
|
2
|
—
|
—
|
$79,604.00
|
$88,283.17
|
$83,943.58
|
2026-03-04
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
2
|
—
|
—
|
$82,339.00
|
$85,367.33
|
$83,853.17
|
2026-03-04
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
8
|
8
|
—
|
—
|
$76,896.03
|
$84,990.35
|
$83,371.49
|
2026-03-04
|
|
6924
|
APR_DRG
|
Radiotherapy
|
2
|
2
|
—
|
—
|
$79,236.00
|
$87,364.93
|
$83,300.46
|
2026-03-04
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
2
|
2
|
—
|
—
|
$81,121.00
|
$84,012.05
|
$82,566.52
|
2026-03-04
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
2
|
2
|
—
|
—
|
$80,836.00
|
$84,007.63
|
$82,421.82
|
2026-03-04
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$80,626.05
|
$83,990.00
|
$82,308.02
|
2026-03-04
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
2
|
—
|
—
|
$56,997.00
|
$107,568.35
|
$82,282.68
|
2026-03-04
|
|
427
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
2
|
—
|
—
|
$70,332.84
|
$94,406.00
|
$82,125.79
|
2026-03-04
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$81,351.00
|
$82,138.05
|
$81,744.52
|
2026-03-04
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
2
|
2
|
—
|
—
|
$80,385.45
|
$82,723.00
|
$81,554.23
|
2026-03-04
|
|
275
|
APR_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
6
|
2
|
—
|
—
|
$69,473.48
|
$93,977.00
|
$81,435.78
|
2026-03-04
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$79,669.00
|
$82,561.85
|
$81,115.43
|
2026-03-04
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$74,763.48
|
$82,633.32
|
$81,059.35
|
2026-03-04
|
|
3042
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
2
|
—
|
—
|
$77,950.80
|
$84,008.00
|
$80,979.40
|
2026-03-04
|
|
928
|
APR_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
6
|
2
|
—
|
—
|
$69,885.62
|
$93,749.63
|
$80,952.82
|
2026-03-04
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
2
|
2
|
—
|
—
|
$57,734.00
|
$103,906.44
|
$80,820.22
|
2026-03-04
|
|
6223
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$67,941.00
|
$93,245.18
|
$80,593.09
|
2026-03-04
|
|
4694
|
APR_DRG
|
Acute Kidney Injury
|
2
|
2
|
—
|
—
|
$78,632.86
|
$81,675.00
|
$80,153.93
|
2026-03-04
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
2
|
2
|
—
|
—
|
$70,536.48
|
$89,728.00
|
$80,132.24
|
2026-03-04
|
|
1301
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
2
|
—
|
—
|
$75,709.00
|
$84,201.87
|
$79,955.43
|
2026-03-04
|
|
1823
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
2
|
2
|
—
|
—
|
$72,834.28
|
$86,826.00
|
$79,830.14
|
2026-03-04
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
2
|
2
|
—
|
—
|
$78,504.83
|
$80,842.00
|
$79,673.42
|
2026-03-04
|
|
870
|
APR_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
6
|
2
|
—
|
—
|
$67,343.60
|
$92,514.00
|
$79,551.41
|
2026-03-04
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
—
|
—
|
$76,405.69
|
$81,224.00
|
$78,814.85
|
2026-03-04
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
2
|
2
|
—
|
—
|
$74,686.00
|
$82,786.99
|
$78,736.49
|
2026-03-04
|
|
3060
|
EAPG
|
Ventricular Assist Device Procedures
|
2
|
2
|
—
|
—
|
$71,440.11
|
$85,993.49
|
$78,716.80
|
2026-03-04
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
2
|
2
|
—
|
—
|
$64,700.38
|
$92,679.00
|
$78,689.69
|
2026-03-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
8
|
8
|
—
|
—
|
$72,251.29
|
$79,856.69
|
$78,335.61
|
2026-03-04
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$3,498.57
|
$152,747.00
|
$78,122.79
|
2026-03-04
|
|
5484
|
APR_DRG
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
2
|
2
|
—
|
—
|
$76,226.90
|
$79,761.00
|
$77,993.95
|
2026-03-04
|
|
1703
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
2
|
2
|
—
|
—
|
$73,272.00
|
$82,345.53
|
$77,808.76
|
2026-03-04
|
|
955
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
2
|
—
|
—
|
$65,582.99
|
$90,804.00
|
$77,777.26
|
2026-03-04
|
|
268
|
APR_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
6
|
2
|
—
|
—
|
$67,013.31
|
$89,896.49
|
$77,696.12
|
2026-03-04
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
2
|
2
|
—
|
—
|
$74,103.00
|
$81,140.35
|
$77,621.68
|
2026-03-04
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
—
|
—
|
$73,634.00
|
$81,120.48
|
$77,377.24
|
2026-03-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
8
|
8
|
—
|
—
|
$71,013.30
|
$78,488.38
|
$76,993.37
|
2026-03-04
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$72,889.46
|
$81,069.00
|
$76,979.23
|
2026-03-04
|
|
447
|
APR_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
6
|
2
|
—
|
—
|
$65,100.70
|
$89,159.00
|
$76,783.55
|
2026-03-04
|
|
3264
|
APR_DRG
|
Elective Knee Joint Replacement
|
2
|
2
|
—
|
—
|
$75,872.00
|
$77,646.19
|
$76,759.10
|
2026-03-04
|
|
9503
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$68,112.00
|
$84,678.65
|
$76,395.32
|
2026-03-04
|
|
9102
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$67,702.00
|
$84,773.56
|
$76,237.78
|
2026-03-04
|
|
9113
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$75,266.72
|
$76,638.00
|
$75,952.36
|
2026-03-04
|
|
6142
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
2
|
2
|
—
|
—
|
$72,138.98
|
$79,422.00
|
$75,780.49
|
2026-03-04
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
2
|
2
|
—
|
—
|
$72,040.00
|
$79,445.14
|
$75,742.57
|
2026-03-04
|
|
1692
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
2
|
—
|
—
|
$71,163.00
|
$79,840.25
|
$75,501.62
|
2026-03-04
|
|
1763
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
2
|
2
|
—
|
—
|
$70,454.00
|
$80,526.72
|
$75,490.36
|
2026-03-04
|
|
317
|
APR_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
6
|
2
|
—
|
—
|
$65,148.44
|
$87,394.83
|
$75,465.45
|
2026-03-04
|
|
2414
|
APR_DRG
|
Peptic Ulcer And Gastritis
|
2
|
2
|
—
|
—
|
$70,814.00
|
$80,032.28
|
$75,423.14
|
2026-03-04
|
|
3253
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
2
|
2
|
—
|
—
|
$69,244.00
|
$81,290.44
|
$75,267.22
|
2026-03-04
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
2
|
2
|
—
|
—
|
$74,628.00
|
$75,878.14
|
$75,253.07
|
2026-03-04
|