|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
4
|
4
|
—
|
—
|
$270,375.00
|
$324,450.00
|
$283,893.75
|
2025-10-14
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
4
|
4
|
—
|
—
|
$770,620.00
|
$924,744.00
|
$809,151.00
|
2025-10-14
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
8
|
5
|
—
|
—
|
$463,140.00
|
$664,054.60
|
$508,259.41
|
2025-10-14
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
8
|
5
|
—
|
—
|
$417,822.00
|
$649,512.54
|
$479,541.22
|
2025-10-14
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
8
|
5
|
—
|
—
|
$408,658.80
|
$649,962.79
|
$475,147.23
|
2025-10-14
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
8
|
5
|
—
|
—
|
$371,508.00
|
$587,664.00
|
$430,614.00
|
2025-10-14
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
8
|
5
|
—
|
—
|
$384,190.00
|
$693,989.50
|
$481,257.29
|
2025-10-14
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
8
|
5
|
—
|
—
|
$354,350.00
|
$639,691.78
|
$443,713.24
|
2025-10-14
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
4
|
1
|
—
|
—
|
$77,000.00
|
$77,000.00
|
$77,000.00
|
2025-10-14
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
4
|
4
|
—
|
—
|
$63,431.05
|
$76,117.26
|
$66,602.60
|
2025-10-14
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
4
|
4
|
—
|
—
|
$2,452,115.60
|
$2,942,538.72
|
$2,574,721.38
|
2025-10-14
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
4
|
4
|
—
|
—
|
$3,261,355.00
|
$3,913,626.00
|
$3,424,422.75
|
2025-10-14
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
4
|
4
|
—
|
—
|
$2,950,686.67
|
$3,540,824.00
|
$3,098,221.00
|
2025-10-14
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
4
|
4
|
—
|
—
|
$2,332,000.00
|
$2,798,400.00
|
$2,448,600.00
|
2025-10-14
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
3
|
3
|
—
|
—
|
$4,377,500.00
|
$4,727,700.00
|
$4,465,050.00
|
2025-10-14
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
4
|
4
|
—
|
—
|
$3,710,000.00
|
$4,452,000.00
|
$3,895,500.00
|
2025-10-14
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
4
|
4
|
—
|
—
|
$3,324,571.90
|
$3,989,486.28
|
$3,490,800.50
|
2025-10-14
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
4
|
4
|
—
|
—
|
$3,685,266.67
|
$4,422,320.00
|
$3,869,530.00
|
2025-10-14
|
|
C1882
|
HCPCS
|
Gallant System Cdhfa500q
|
63
|
7
|
$82,500.00
|
$57,750.00
30% off
|
$16,683.23
|
$231,918.75
|
$62,014.44
|
2025-10-14
|
|
C1825
|
HCPCS
|
Barostim Neo2 Sys 100069-202
|
18
|
7
|
$131,250.00
|
$91,875.00
30% off
|
$32,484.38
|
$137,812.50
|
$95,156.25
|
2025-10-14
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
4
|
3
|
—
|
—
|
$71,964.63
|
$78,818.40
|
$75,391.51
|
2025-10-14
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$116,351.85
|
$127,432.98
|
$121,892.42
|
2025-10-14
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$92,083.43
|
$100,853.28
|
$96,468.35
|
2025-10-14
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$132,040.43
|
$144,615.71
|
$138,328.07
|
2025-10-14
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$488,928.00
|
$535,492.57
|
$512,210.28
|
2025-10-14
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$240,209.28
|
$263,086.35
|
$251,647.82
|
2025-10-14
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
4
|
4
|
—
|
—
|
$174,194.20
|
$209,033.04
|
$182,903.91
|
2025-10-14
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
3
|
—
|
—
|
$85,286.62
|
$93,409.15
|
$89,347.88
|
2025-10-14
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
3
|
—
|
—
|
$82,261.59
|
$90,096.03
|
$86,178.81
|
2025-10-14
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$157,984.59
|
$173,030.74
|
$165,507.66
|
2025-10-14
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
3
|
—
|
—
|
$100,662.17
|
$110,249.04
|
$105,455.60
|
2025-10-14
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
3
|
—
|
—
|
$72,223.99
|
$79,102.46
|
$75,663.23
|
2025-10-14
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$110,598.04
|
$121,131.19
|
$115,864.61
|
2025-10-14
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$115,288.74
|
$126,268.62
|
$120,778.68
|
2025-10-14
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$136,080.50
|
$149,040.55
|
$142,560.52
|
2025-10-14
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$153,213.40
|
$167,805.15
|
$160,509.27
|
2025-10-14
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
3
|
—
|
—
|
$110,744.49
|
$121,291.58
|
$116,018.04
|
2025-10-14
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
3
|
—
|
—
|
$58,936.66
|
$64,549.67
|
$61,743.17
|
2025-10-14
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
3
|
—
|
—
|
$190,303.00
|
$208,427.09
|
$199,365.04
|
2025-10-14
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
4
|
3
|
—
|
—
|
$274,798.14
|
$300,969.39
|
$287,883.77
|
2025-10-14
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
4
|
4
|
—
|
—
|
$67,817.82
|
$81,381.38
|
$71,208.71
|
2025-10-14
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
3
|
—
|
—
|
$97,252.59
|
$106,514.74
|
$101,883.67
|
2025-10-14
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
3
|
—
|
—
|
$285,080.55
|
$312,231.08
|
$298,655.82
|
2025-10-14
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
3
|
—
|
—
|
$123,211.27
|
$134,945.68
|
$129,078.48
|
2025-10-14
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
3
|
—
|
—
|
$80,067.15
|
$87,692.59
|
$83,879.87
|
2025-10-14
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
3
|
—
|
—
|
$79,444.48
|
$87,010.62
|
$83,227.55
|
2025-10-14
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$246,753.44
|
$270,253.77
|
$258,503.61
|
2025-10-14
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$166,786.90
|
$182,671.37
|
$174,729.14
|
2025-10-14
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$86,821.49
|
$95,090.20
|
$90,955.85
|
2025-10-14
|
|
8154
|
APR_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
4
|
3
|
—
|
—
|
$72,782.93
|
$79,714.64
|
$76,248.79
|
2025-10-14
|
|
8104
|
APR_DRG
|
Hemorrhage Or Hematoma Due To Complication
|
4
|
3
|
—
|
—
|
$71,586.78
|
$78,404.57
|
$74,995.68
|
2025-10-14
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$72,718.10
|
$79,643.63
|
$76,180.87
|
2025-10-14
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
3
|
—
|
—
|
$67,451.69
|
$73,875.66
|
$70,663.68
|
2025-10-14
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
3
|
—
|
—
|
$123,876.43
|
$135,674.18
|
$129,775.30
|
2025-10-14
|
|
7923
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
3
|
—
|
—
|
$64,593.22
|
$70,744.95
|
$67,669.08
|
2025-10-14
|
|
7594
|
APR_DRG
|
Eating Disorders
|
4
|
3
|
—
|
—
|
$61,924.80
|
$67,822.40
|
$64,873.60
|
2025-10-14
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
4
|
3
|
—
|
—
|
$77,847.01
|
$85,261.01
|
$81,554.01
|
2025-10-14
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$825,961.70
|
$904,624.72
|
$865,293.21
|
2025-10-14
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
4
|
3
|
—
|
—
|
$74,017.09
|
$81,066.34
|
$77,541.71
|
2025-10-14
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$291,450.34
|
$319,207.51
|
$305,328.93
|
2025-10-14
|
|
7234
|
APR_DRG
|
Viral Illness
|
4
|
3
|
—
|
—
|
$86,213.35
|
$94,424.14
|
$90,318.74
|
2025-10-14
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$195,822.05
|
$214,471.77
|
$205,146.91
|
2025-10-14
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
4
|
3
|
—
|
—
|
$75,503.89
|
$82,694.74
|
$79,099.32
|
2025-10-14
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
3
|
—
|
—
|
$89,906.88
|
$98,469.44
|
$94,188.16
|
2025-10-14
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$128,583.89
|
$140,829.98
|
$134,706.93
|
2025-10-14
|
|
7
|
MS_DRG
|
Lung Transplant
|
3
|
3
|
—
|
—
|
$98,013.79
|
$115,310.34
|
$103,779.31
|
2025-10-14
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
3
|
—
|
—
|
$123,337.60
|
$135,084.04
|
$129,210.82
|
2025-10-14
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
4
|
3
|
—
|
—
|
$86,330.73
|
$94,552.70
|
$90,441.71
|
2025-10-14
|
|
6924
|
APR_DRG
|
Radiotherapy
|
4
|
3
|
—
|
—
|
$72,058.54
|
$78,921.26
|
$75,489.90
|
2025-10-14
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
4
|
3
|
—
|
—
|
$87,213.87
|
$95,519.95
|
$91,366.91
|
2025-10-14
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$159,137.14
|
$174,293.06
|
$166,715.10
|
2025-10-14
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$70,042.97
|
$76,713.73
|
$73,378.35
|
2025-10-14
|
|
6902
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$59,849.98
|
$65,549.98
|
$62,699.98
|
2025-10-14
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
3
|
—
|
—
|
$242,369.05
|
$265,451.82
|
$253,910.43
|
2025-10-14
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
3
|
—
|
—
|
$64,346.16
|
$70,474.37
|
$67,410.26
|
2025-10-14
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
3
|
—
|
—
|
$179,333.07
|
$196,412.41
|
$187,872.74
|
2025-10-14
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
3
|
—
|
—
|
$65,602.68
|
$71,850.55
|
$68,726.61
|
2025-10-14
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
4
|
3
|
—
|
—
|
$83,413.02
|
$91,357.12
|
$87,385.07
|
2025-10-14
|
|
6613
|
APR_DRG
|
Coagulation And Platelet Disorders
|
4
|
3
|
—
|
—
|
$68,389.60
|
$74,902.89
|
$71,646.24
|
2025-10-14
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
4
|
3
|
—
|
—
|
$97,382.26
|
$106,656.76
|
$102,019.51
|
2025-10-14
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
3
|
—
|
—
|
$120,735.13
|
$132,233.72
|
$126,484.43
|
2025-10-14
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
3
|
—
|
—
|
$61,780.59
|
$67,664.46
|
$64,722.53
|
2025-10-14
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$226,786.69
|
$248,385.42
|
$237,586.05
|
2025-10-14
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
4
|
3
|
—
|
—
|
$76,280.83
|
$83,545.67
|
$79,913.25
|
2025-10-14
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$149,992.74
|
$164,277.76
|
$157,135.25
|
2025-10-14
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
3
|
—
|
—
|
$282,233.27
|
$309,112.63
|
$295,672.95
|
2025-10-14
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
3
|
—
|
—
|
$104,488.73
|
$114,440.04
|
$109,464.38
|
2025-10-14
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$399,889.72
|
$437,974.45
|
$418,932.08
|
2025-10-14
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$188,475.23
|
$206,425.25
|
$197,450.24
|
2025-10-14
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$68,032.99
|
$74,512.32
|
$71,272.65
|
2025-10-14
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$146,558.56
|
$160,516.52
|
$153,537.54
|
2025-10-14
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
3
|
—
|
—
|
$103,644.72
|
$113,515.65
|
$108,580.18
|
2025-10-14
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
4
|
3
|
—
|
—
|
$97,362.14
|
$106,634.73
|
$101,998.43
|
2025-10-14
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$197,368.10
|
$216,165.06
|
$206,766.58
|
2025-10-14
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$59,010.44
|
$64,630.48
|
$61,820.46
|
2025-10-14
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$132,560.25
|
$145,185.04
|
$138,872.65
|
2025-10-14
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$119,094.06
|
$130,436.35
|
$124,765.21
|
2025-10-14
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
3
|
—
|
—
|
$138,953.50
|
$152,187.17
|
$145,570.34
|
2025-10-14
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$103,346.24
|
$113,188.74
|
$108,267.49
|
2025-10-14
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$60,401.10
|
$66,153.59
|
$63,277.35
|
2025-10-14
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$161,292.44
|
$176,653.63
|
$168,973.04
|
2025-10-14
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$63,171.26
|
$69,187.57
|
$66,179.42
|
2025-10-14
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$130,848.75
|
$143,310.54
|
$137,079.65
|
2025-10-14
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$396,345.98
|
$434,093.21
|
$415,219.59
|
2025-10-14
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$127,493.94
|
$139,636.22
|
$133,565.08
|
2025-10-14
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$178,824.43
|
$195,855.33
|
$187,339.88
|
2025-10-14
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$70,872.45
|
$77,622.21
|
$74,247.33
|
2025-10-14
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$146,618.92
|
$160,582.63
|
$153,600.78
|
2025-10-14
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$92,936.38
|
$101,787.47
|
$97,361.93
|
2025-10-14
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$66,863.66
|
$73,231.63
|
$70,047.65
|
2025-10-14
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$233,687.46
|
$255,943.41
|
$244,815.43
|
2025-10-14
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$89,117.65
|
$97,605.04
|
$93,361.35
|
2025-10-14
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$71,384.44
|
$78,182.96
|
$74,783.70
|
2025-10-14
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$207,840.57
|
$227,634.91
|
$217,737.74
|
2025-10-14
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$134,326.53
|
$147,119.53
|
$140,723.03
|
2025-10-14
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$101,490.53
|
$111,156.30
|
$106,323.42
|
2025-10-14
|
|
594
|
APR_DRG
|
Anoxic And Other Severe Brain Damage
|
4
|
3
|
—
|
—
|
$61,878.97
|
$67,772.20
|
$64,825.58
|
2025-10-14
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$226,090.24
|
$247,622.65
|
$236,856.45
|
2025-10-14
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$161,478.02
|
$176,856.88
|
$169,167.45
|
2025-10-14
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$126,866.80
|
$138,949.35
|
$132,908.08
|
2025-10-14
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$272,336.53
|
$298,273.34
|
$285,304.94
|
2025-10-14
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$179,333.07
|
$196,412.41
|
$187,872.74
|
2025-10-14
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$148,067.72
|
$162,169.41
|
$155,118.57
|
2025-10-14
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$106,758.07
|
$116,925.50
|
$111,841.79
|
2025-10-14
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
3
|
—
|
—
|
$206,153.66
|
$225,787.34
|
$215,970.50
|
2025-10-14
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
3
|
—
|
—
|
$219,785.30
|
$240,717.23
|
$230,251.27
|
2025-10-14
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
3
|
—
|
—
|
$226,768.80
|
$248,365.83
|
$237,567.32
|
2025-10-14
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$537,438.03
|
$588,622.60
|
$563,030.31
|
2025-10-14
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$288,371.64
|
$315,835.61
|
$302,103.62
|
2025-10-14
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$287,053.64
|
$314,392.08
|
$300,722.86
|
2025-10-14
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$270,578.07
|
$296,347.41
|
$283,462.74
|
2025-10-14
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$849,055.22
|
$929,917.62
|
$889,486.42
|
2025-10-14
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$718,948.76
|
$787,420.07
|
$753,184.42
|
2025-10-14
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$358,235.75
|
$392,353.44
|
$375,294.59
|
2025-10-14
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$315,433.70
|
$345,475.01
|
$330,454.35
|
2025-10-14
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$184,145.62
|
$201,683.30
|
$192,914.46
|
2025-10-14
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$132,651.92
|
$145,285.43
|
$138,968.67
|
2025-10-14
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$121,140.93
|
$132,678.16
|
$126,909.54
|
2025-10-14
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
4
|
3
|
—
|
—
|
$58,837.17
|
$64,440.71
|
$61,638.94
|
2025-10-14
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
4
|
3
|
—
|
—
|
$66,504.83
|
$72,838.62
|
$69,671.73
|
2025-10-14
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
4
|
3
|
—
|
—
|
$80,617.15
|
$88,294.98
|
$84,456.07
|
2025-10-14
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
4
|
3
|
—
|
—
|
$66,368.44
|
$72,689.25
|
$69,528.85
|
2025-10-14
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
3
|
—
|
—
|
$76,562.55
|
$83,854.22
|
$80,208.39
|
2025-10-14
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
3
|
—
|
—
|
$77,924.14
|
$85,345.49
|
$81,634.82
|
2025-10-14
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$98,957.38
|
$108,381.89
|
$103,669.64
|
2025-10-14
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
4
|
3
|
—
|
—
|
$90,577.62
|
$99,204.06
|
$94,890.84
|
2025-10-14
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$79,922.96
|
$94,027.01
|
$84,624.31
|
2025-10-14
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
4
|
3
|
—
|
—
|
$70,738.30
|
$77,475.28
|
$74,106.79
|
2025-10-14
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
4
|
3
|
—
|
—
|
$70,929.46
|
$77,684.65
|
$74,307.05
|
2025-10-14
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
4
|
3
|
—
|
—
|
$111,945.11
|
$122,606.55
|
$117,275.83
|
2025-10-14
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
4
|
3
|
—
|
—
|
$75,957.76
|
$83,191.83
|
$79,574.79
|
2025-10-14
|
|
4684
|
APR_DRG
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
4
|
3
|
—
|
—
|
$73,643.71
|
$80,657.40
|
$77,150.55
|
2025-10-14
|
|
4624
|
APR_DRG
|
Nephritis And Nephrosis
|
4
|
3
|
—
|
—
|
$61,978.46
|
$67,881.17
|
$64,929.82
|
2025-10-14
|
|
453
|
MS_DRG
|
Inpatient Services
|
4
|
1
|
—
|
—
|
$57,819.49
|
$63,058.06
|
$63,058.06
|
2025-10-14
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
4
|
3
|
—
|
—
|
$138,628.19
|
$151,830.88
|
$145,229.54
|
2025-10-14
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
4
|
3
|
—
|
—
|
$60,357.51
|
$66,105.84
|
$63,231.68
|
2025-10-14
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
4
|
3
|
—
|
—
|
$63,901.24
|
$69,987.07
|
$66,944.15
|
2025-10-14
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
4
|
3
|
—
|
—
|
$74,258.56
|
$81,330.81
|
$77,794.68
|
2025-10-14
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
4
|
3
|
—
|
—
|
$117,070.66
|
$128,220.25
|
$122,645.46
|
2025-10-14
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
3
|
—
|
—
|
$175,068.30
|
$191,741.47
|
$183,404.89
|
2025-10-14
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$184,990.74
|
$202,608.91
|
$193,799.83
|
2025-10-14
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$113,222.87
|
$124,006.00
|
$118,614.43
|
2025-10-14
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$72,823.18
|
$79,758.72
|
$76,290.95
|
2025-10-14
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$68,263.27
|
$74,764.54
|
$71,513.90
|
2025-10-14
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$286,311.36
|
$313,579.11
|
$299,945.23
|
2025-10-14
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
4
|
3
|
—
|
—
|
$158,162.33
|
$173,225.41
|
$165,693.87
|
2025-10-14
|
|
433
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
4
|
3
|
—
|
—
|
$65,822.90
|
$72,091.75
|
$68,957.32
|
2025-10-14
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$184,083.02
|
$201,614.73
|
$192,848.88
|
2025-10-14
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
4
|
4
|
—
|
—
|
$61,430.51
|
$73,716.61
|
$64,502.04
|
2025-10-14
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
4
|
4
|
—
|
—
|
$77,080.28
|
$92,496.34
|
$80,934.29
|
2025-10-14
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$120,358.40
|
$131,821.11
|
$126,089.75
|
2025-10-14
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$98,767.34
|
$108,173.75
|
$103,470.54
|
2025-10-14
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
4
|
3
|
—
|
—
|
$69,603.63
|
$76,232.55
|
$72,918.09
|
2025-10-14
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
4
|
3
|
—
|
—
|
$74,824.22
|
$81,950.33
|
$78,387.27
|
2025-10-14
|
|
404
|
APR_DRG
|
Spinal Disorders And Injuries
|
4
|
3
|
—
|
—
|
$65,601.56
|
$71,849.33
|
$68,725.45
|
2025-10-14
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
3
|
—
|
—
|
$69,353.22
|
$75,958.29
|
$72,655.76
|
2025-10-14
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
4
|
3
|
—
|
—
|
$77,555.24
|
$84,941.45
|
$81,248.35
|
2025-10-14
|
|
4012
|
APR_DRG
|
Adrenal Procedures
|
4
|
3
|
—
|
—
|
$66,088.96
|
$72,383.15
|
$69,236.05
|
2025-10-14
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
8
|
5
|
—
|
—
|
$58,244.91
|
$124,645.68
|
$83,696.71
|
2025-10-14
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
4
|
3
|
—
|
—
|
$59,687.88
|
$65,372.44
|
$62,530.16
|
2025-10-14
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
3
|
—
|
—
|
$101,206.59
|
$110,845.31
|
$106,025.95
|
2025-10-14
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
4
|
3
|
—
|
—
|
$75,058.97
|
$82,207.44
|
$78,633.21
|
2025-10-14
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
3
|
—
|
—
|
$69,207.89
|
$75,799.12
|
$72,503.51
|
2025-10-14
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
3
|
—
|
—
|
$62,484.86
|
$68,435.80
|
$65,460.33
|
2025-10-14
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
4
|
3
|
—
|
—
|
$67,429.32
|
$73,851.16
|
$70,640.24
|
2025-10-14
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
4
|
3
|
—
|
—
|
$59,599.58
|
$65,275.73
|
$62,437.65
|
2025-10-14
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
4
|
3
|
—
|
—
|
$113,215.04
|
$123,997.43
|
$118,606.23
|
2025-10-14
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
4
|
3
|
—
|
—
|
$73,436.91
|
$80,430.90
|
$76,933.90
|
2025-10-14
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
3
|
—
|
—
|
$80,458.41
|
$88,121.12
|
$84,289.76
|
2025-10-14
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
4
|
3
|
—
|
—
|
$76,725.76
|
$84,032.97
|
$80,379.36
|
2025-10-14
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
4
|
3
|
—
|
—
|
$67,016.82
|
$73,399.37
|
$70,208.10
|
2025-10-14
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
4
|
3
|
—
|
—
|
$60,992.47
|
$66,801.28
|
$63,896.88
|
2025-10-14
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
3
|
—
|
—
|
$123,846.24
|
$135,641.12
|
$129,743.68
|
2025-10-14
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
3
|
—
|
—
|
$77,547.41
|
$84,932.88
|
$81,240.15
|
2025-10-14
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
3
|
—
|
—
|
$75,307.14
|
$82,479.25
|
$78,893.20
|
2025-10-14
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$149,078.30
|
$163,276.23
|
$156,177.27
|
2025-10-14
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$126,114.45
|
$138,125.35
|
$132,119.90
|
2025-10-14
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$91,502.12
|
$100,216.61
|
$95,859.36
|
2025-10-14
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$67,406.97
|
$73,826.68
|
$70,616.82
|
2025-10-14
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
8
|
5
|
—
|
—
|
$95,688.78
|
$188,877.48
|
$130,878.14
|
2025-10-14
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
3
|
—
|
—
|
$74,165.77
|
$81,229.18
|
$77,697.48
|
2025-10-14
|
|
293
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
3
|
—
|
—
|
$65,360.10
|
$71,584.87
|
$68,472.49
|
2025-10-14
|
|
2824
|
APR_DRG
|
Disorders Of Pancreas Except Malignancy
|
4
|
3
|
—
|
—
|
$62,119.31
|
$68,035.44
|
$65,077.38
|
2025-10-14
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
3
|
—
|
—
|
$68,307.99
|
$74,813.51
|
$71,560.75
|
2025-10-14
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
4
|
3
|
—
|
—
|
$61,943.81
|
$67,843.22
|
$64,893.51
|
2025-10-14
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
4
|
3
|
—
|
—
|
$79,026.39
|
$86,552.71
|
$82,789.55
|
2025-10-14
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
3
|
—
|
—
|
$127,416.81
|
$139,551.74
|
$133,484.27
|
2025-10-14
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
4
|
3
|
—
|
—
|
$61,747.06
|
$67,627.73
|
$64,687.39
|
2025-10-14
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
3
|
—
|
—
|
$93,269.52
|
$102,152.33
|
$97,710.93
|
2025-10-14
|
|
2613
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
3
|
—
|
—
|
$61,650.91
|
$67,522.42
|
$64,586.67
|
2025-10-14
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
4
|
3
|
—
|
—
|
$106,175.64
|
$116,287.61
|
$111,231.62
|
2025-10-14
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
4
|
3
|
—
|
—
|
$234,899.27
|
$257,270.63
|
$246,084.95
|
2025-10-14
|
|
2454
|
APR_DRG
|
Inflammatory Bowel Disease
|
4
|
3
|
—
|
—
|
$63,809.57
|
$69,886.67
|
$66,848.12
|
2025-10-14
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
4
|
3
|
—
|
—
|
$67,291.82
|
$73,700.57
|
$70,496.20
|
2025-10-14
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$691,608.34
|
$757,475.80
|
$724,542.07
|
2025-10-14
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
3
|
—
|
—
|
$136,574.62
|
$149,581.73
|
$143,078.17
|
2025-10-14
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$76,673.22
|
$83,975.43
|
$80,324.32
|
2025-10-14
|
|
233
|
APR_DRG
|
Spinal Procedures
|
4
|
3
|
—
|
—
|
$66,489.17
|
$72,821.47
|
$69,655.32
|
2025-10-14
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
3
|
—
|
—
|
$71,690.75
|
$78,518.44
|
$75,104.60
|
2025-10-14
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
3
|
—
|
—
|
$118,181.86
|
$129,437.27
|
$123,809.57
|
2025-10-14
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$170,342.94
|
$186,566.08
|
$178,454.51
|
2025-10-14
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
4
|
3
|
—
|
—
|
$58,794.69
|
$64,394.18
|
$61,594.43
|
2025-10-14
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
4
|
3
|
—
|
—
|
$97,703.10
|
$107,008.16
|
$102,355.63
|
2025-10-14
|
|
2264
|
APR_DRG
|
Anal Procedures
|
4
|
3
|
—
|
—
|
$61,567.08
|
$67,430.61
|
$64,498.85
|
2025-10-14
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
3
|
—
|
—
|
$102,202.63
|
$111,936.22
|
$107,069.43
|
2025-10-14
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
3
|
—
|
—
|
$117,715.69
|
$128,926.71
|
$123,321.20
|
2025-10-14
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
4
|
3
|
—
|
—
|
$87,753.81
|
$96,111.32
|
$91,932.57
|
2025-10-14
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
4
|
3
|
—
|
—
|
$66,446.69
|
$72,774.94
|
$69,610.82
|
2025-10-14
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
3
|
—
|
—
|
$139,714.80
|
$153,020.97
|
$146,367.89
|
2025-10-14
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$136,841.80
|
$149,874.35
|
$143,358.08
|
2025-10-14
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
8
|
5
|
—
|
—
|
$51,412.16
|
$85,245.00
|
$63,553.86
|
2025-10-14
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
8
|
5
|
—
|
—
|
$77,955.58
|
$93,649.59
|
$89,708.16
|
2025-10-14
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
3
|
—
|
—
|
$118,610.02
|
$129,906.21
|
$124,258.12
|
2025-10-14
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
3
|
—
|
—
|
$67,883.19
|
$74,348.26
|
$71,115.73
|
2025-10-14
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
4
|
4
|
—
|
—
|
$80,148.21
|
$96,177.85
|
$84,155.62
|
2025-10-14
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$105,993.43
|
$116,088.04
|
$111,040.73
|
2025-10-14
|
|
2074
|
APR_DRG
|
Other Circulatory System Diagnoses
|
4
|
3
|
—
|
—
|
$61,033.83
|
$66,846.58
|
$63,940.21
|
2025-10-14
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
4
|
3
|
—
|
—
|
$123,496.34
|
$135,257.89
|
$129,377.12
|
2025-10-14
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
3
|
—
|
—
|
$99,634.83
|
$109,123.86
|
$104,379.35
|
2025-10-14
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
3
|
—
|
—
|
$62,640.25
|
$68,605.99
|
$65,623.12
|
2025-10-14
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
4
|
3
|
—
|
—
|
$316,110.03
|
$346,215.75
|
$331,162.89
|
2025-10-14
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
3
|
3
|
—
|
—
|
$82,691.84
|
$97,284.52
|
$87,556.06
|
2025-10-14
|
|
1934
|
APR_DRG
|
Acute And Subacute Endocarditis
|
4
|
3
|
—
|
—
|
$60,507.30
|
$66,269.90
|
$63,388.60
|
2025-10-14
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
4
|
4
|
—
|
—
|
$58,400.68
|
$70,080.82
|
$61,320.71
|
2025-10-14
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
3
|
—
|
—
|
$94,773.08
|
$103,799.09
|
$99,286.08
|
2025-10-14
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
3
|
—
|
—
|
$92,445.62
|
$101,249.97
|
$96,847.79
|
2025-10-14
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
3
|
—
|
—
|
$60,016.55
|
$65,732.41
|
$62,874.48
|
2025-10-14
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
4
|
3
|
—
|
—
|
$126,012.73
|
$138,013.94
|
$132,013.33
|
2025-10-14
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
3
|
—
|
—
|
$98,002.70
|
$107,336.29
|
$102,669.49
|
2025-10-14
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
4
|
3
|
—
|
—
|
$74,221.67
|
$81,290.40
|
$77,756.04
|
2025-10-14
|
|
1801
|
APR_DRG
|
Other Circulatory System Procedures
|
4
|
3
|
—
|
—
|
$67,242.63
|
$73,646.69
|
$70,444.66
|
2025-10-14
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$276,752.00
|
$332,102.40
|
$290,589.60
|
2025-10-14
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
3
|
—
|
—
|
$80,567.97
|
$88,241.11
|
$84,404.54
|
2025-10-14
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
3
|
—
|
—
|
$61,778.36
|
$67,662.01
|
$64,720.18
|
2025-10-14
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$163,970.93
|
$179,587.21
|
$171,779.07
|
2025-10-14
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$104,932.54
|
$114,926.11
|
$109,929.32
|
2025-10-14
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$90,060.03
|
$98,637.18
|
$94,348.60
|
2025-10-14
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$82,556.71
|
$90,419.26
|
$86,487.99
|
2025-10-14
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
4
|
3
|
—
|
—
|
$81,776.42
|
$89,564.65
|
$85,670.54
|
2025-10-14
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
4
|
3
|
—
|
—
|
$72,108.84
|
$78,976.35
|
$75,542.60
|
2025-10-14
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
3
|
—
|
—
|
$79,643.47
|
$87,228.56
|
$83,436.01
|
2025-10-14
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
3
|
—
|
—
|
$70,317.96
|
$77,014.91
|
$73,666.43
|
2025-10-14
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
3
|
—
|
—
|
$112,830.48
|
$123,576.24
|
$118,203.36
|
2025-10-14
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
3
|
—
|
—
|
$160,579.23
|
$175,872.49
|
$168,225.86
|
2025-10-14
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
3
|
—
|
—
|
$69,752.31
|
$76,395.39
|
$73,073.85
|
2025-10-14
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$84,177.66
|
$92,194.58
|
$88,186.12
|
2025-10-14
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$59,855.57
|
$65,556.10
|
$62,705.84
|
2025-10-14
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$108,923.43
|
$119,297.09
|
$114,110.26
|
2025-10-14
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$71,614.74
|
$78,435.19
|
$75,024.96
|
2025-10-14
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$59,064.10
|
$64,689.25
|
$61,876.68
|
2025-10-14
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$125,937.83
|
$137,931.91
|
$131,934.87
|
2025-10-14
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$84,344.22
|
$92,377.00
|
$88,360.61
|
2025-10-14
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$62,441.26
|
$68,388.05
|
$65,414.65
|
2025-10-14
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$211,308.28
|
$231,432.88
|
$221,370.58
|
2025-10-14
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$118,891.72
|
$130,214.74
|
$124,553.23
|
2025-10-14
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$88,777.80
|
$97,232.83
|
$93,005.32
|
2025-10-14
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$78,771.50
|
$86,273.55
|
$82,522.52
|
2025-10-14
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$521,889.19
|
$571,592.92
|
$546,741.06
|
2025-10-14
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$272,015.69
|
$297,921.94
|
$284,968.82
|
2025-10-14
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$195,536.99
|
$214,159.56
|
$204,848.27
|
2025-10-14
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$185,449.09
|
$203,110.91
|
$194,280.00
|
2025-10-14
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
3
|
—
|
—
|
$242,233.79
|
$265,303.68
|
$253,768.73
|
2025-10-14
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
3
|
—
|
—
|
$102,365.84
|
$112,114.97
|
$107,240.40
|
2025-10-14
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
3
|
—
|
—
|
$71,126.21
|
$77,900.14
|
$74,513.18
|
2025-10-14
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$247,746.15
|
$271,341.02
|
$259,543.59
|
2025-10-14
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$96,333.88
|
$115,600.66
|
$101,150.57
|
2025-10-14
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
3
|
—
|
—
|
$110,570.09
|
$121,100.58
|
$115,835.33
|
2025-10-14
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
3
|
—
|
—
|
$75,077.97
|
$82,228.25
|
$78,653.11
|
2025-10-14
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
3
|
—
|
—
|
$65,637.34
|
$71,888.51
|
$68,762.92
|
2025-10-14
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$127,644.86
|
$139,801.51
|
$133,723.18
|
2025-10-14
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
4
|
3
|
—
|
—
|
$104,872.17
|
$114,860.00
|
$109,866.08
|
2025-10-14
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
3
|
—
|
—
|
$112,372.14
|
$123,074.25
|
$117,723.20
|
2025-10-14
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$98,042.94
|
$107,380.36
|
$102,711.65
|
2025-10-14
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
3
|
—
|
—
|
$340,168.29
|
$372,565.27
|
$356,366.78
|
2025-10-14
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
3
|
—
|
—
|
$193,301.20
|
$211,710.84
|
$202,506.02
|
2025-10-14
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
3
|
—
|
—
|
$134,332.12
|
$147,125.65
|
$140,728.89
|
2025-10-14
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
3
|
—
|
—
|
$76,393.74
|
$83,669.33
|
$80,031.54
|
2025-10-14
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$94,361.70
|
$103,348.53
|
$98,855.11
|
2025-10-14
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$59,910.42
|
$70,482.85
|
$63,434.57
|
2025-10-14
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
3
|
3
|
—
|
—
|
$210,918.93
|
$248,139.91
|
$223,325.92
|
2025-10-14
|