|
Q2041
|
HCPCS
|
Hc Yescarta (including Apheresis)
|
47
|
27
|
$2,047,887.28
|
$1,228,732.37
40% off
|
$389,098.58
|
$1,535,915.46
|
$1,013,173.83
|
2026-02-18
|
|
Q2042
|
HCPCS
|
Hc Kymriah-adult (incl Apheresis)
|
47
|
27
|
$2,011,495.00
|
$1,206,897.00
40% off
|
$382,184.05
|
$1,508,621.25
|
$1,005,747.50
|
2026-02-18
|
|
Q2053
|
HCPCS
|
Hc Tecartus (including Apheresis)
|
47
|
27
|
$1,821,278.49
|
$1,092,767.09
40% off
|
$346,042.91
|
$1,365,958.87
|
$910,639.24
|
2026-02-18
|
|
38240
|
HCPCS
|
Hc Hpc Allogenic Transplantation
|
47
|
26
|
$43,575.00
|
$26,145.00
40% off
|
$6,546.00
|
$103,450.80
|
$49,976.23
|
2026-02-18
|
|
Q2056
|
HCPCS
|
Hc Carvykti (including Apheresis)
|
46
|
26
|
$1,996,995.00
|
$1,198,197.00
40% off
|
$379,429.05
|
$1,497,746.25
|
$991,508.02
|
2026-02-18
|
|
Q2055
|
HCPCS
|
Hc Abecma (including Apheresis)
|
46
|
27
|
$1,977,686.00
|
$1,186,611.60
40% off
|
$375,760.34
|
$1,483,264.50
|
$981,921.10
|
2026-02-18
|
|
Q2054
|
HCPCS
|
Hc Breyanzi Car T
|
46
|
27
|
$1,971,420.00
|
$1,182,852.00
40% off
|
$374,569.80
|
$1,478,565.00
|
$978,810.03
|
2026-02-18
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
46
|
26
|
$187,807.50
|
$112,684.50
40% off
|
$35,683.43
|
$140,855.62
|
$98,598.93
|
2026-02-18
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
46
|
26
|
$161,632.27
|
$96,979.36
40% off
|
$205.63
|
$121,224.20
|
$80,250.42
|
2026-02-18
|
|
33276
|
HCPCS
|
Hc Insertion Phrenic Nerve Stimulator System
|
45
|
26
|
$86,663.76
|
$51,998.26
40% off
|
$11,704.00
|
$89,411.95
|
$47,665.07
|
2026-02-18
|
|
33270
|
HCPCS
|
Hc Ins/rep Subq Defibrilllator
|
45
|
26
|
$93,099.87
|
$55,859.92
40% off
|
$11,704.00
|
$69,824.90
|
$45,898.24
|
2026-02-18
|
|
0266T
|
HCPCS
|
Hc Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst
|
45
|
26
|
$86,663.76
|
$51,998.26
40% off
|
$6,546.00
|
$98,421.34
|
$45,353.89
|
2026-02-18
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
45
|
26
|
$87,788.83
|
$52,673.30
40% off
|
$16,163.00
|
$125,472.56
|
$43,279.89
|
2026-02-18
|
|
7
|
MS_DRG
|
Lung Transplant
|
44
|
22
|
—
|
—
|
$97,621.45
|
$286,823.00
|
$166,786.00
|
2026-02-18
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
41
|
23
|
—
|
—
|
$105,000.00
|
$599,984.79
|
$286,823.00
|
2026-02-18
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
41
|
22
|
—
|
—
|
$97,500.00
|
$275,341.00
|
$167,979.68
|
2026-02-18
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
41
|
23
|
—
|
—
|
$84,003.19
|
$286,823.00
|
$159,361.40
|
2026-02-18
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
41
|
22
|
—
|
—
|
$30,000.00
|
$239,019.00
|
$67,318.07
|
2026-02-18
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
41
|
22
|
—
|
—
|
$28,094.14
|
$239,019.00
|
$51,029.19
|
2026-02-18
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
39
|
21
|
—
|
—
|
$34,953.00
|
$108,514.98
|
$48,554.86
|
2026-02-18
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
39
|
21
|
—
|
—
|
$35,308.00
|
$103,460.49
|
$46,426.87
|
2026-02-18
|
|
27801844
|
CDM
|
Hc Syncardia Total Artificial Heart System
|
38
|
22
|
$738,000.00
|
$442,800.00
40% off
|
$140,220.00
|
$590,400.00
|
$491,508.00
|
2026-02-18
|
|
27801843
|
CDM
|
Hc Kit Artificial Heart Carmat
|
38
|
22
|
$639,108.00
|
$383,464.80
40% off
|
$121,430.52
|
$511,286.40
|
$425,645.93
|
2026-02-18
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$306,762.00
|
$184,057.20
40% off
|
$58,284.78
|
$245,409.60
|
$204,303.49
|
2026-02-18
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
38
|
22
|
$233,525.34
|
$140,115.20
40% off
|
$44,369.81
|
$186,820.27
|
$155,527.88
|
2026-02-18
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
38
|
22
|
$233,525.34
|
$140,115.20
40% off
|
$44,369.81
|
$186,820.27
|
$155,527.88
|
2026-02-18
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
38
|
22
|
$215,250.00
|
$129,150.00
40% off
|
$40,897.50
|
$172,200.00
|
$143,356.50
|
2026-02-18
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$207,132.00
|
$124,279.20
40% off
|
$39,355.08
|
$165,705.60
|
$137,949.91
|
2026-02-18
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
38
|
22
|
$207,132.00
|
$124,279.20
40% off
|
$39,355.08
|
$165,705.60
|
$137,949.91
|
2026-02-18
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
38
|
22
|
—
|
—
|
$79,548.99
|
$239,019.00
|
$136,431.16
|
2026-02-18
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$199,260.00
|
$119,556.00
40% off
|
$37,859.40
|
$159,408.00
|
$132,707.16
|
2026-02-18
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
38
|
22
|
$199,260.00
|
$119,556.00
40% off
|
$37,859.40
|
$159,408.00
|
$132,707.16
|
2026-02-18
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
38
|
22
|
$198,613.80
|
$119,168.28
40% off
|
$37,736.62
|
$158,891.04
|
$132,276.79
|
2026-02-18
|
|
27801865
|
CDM
|
Hc Evaheart Blood Pump Set Bp310
|
38
|
22
|
$184,500.00
|
$110,700.00
40% off
|
$35,055.00
|
$147,600.00
|
$122,877.00
|
2026-02-18
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
38
|
22
|
$179,580.00
|
$107,748.00
40% off
|
$34,120.20
|
$143,664.00
|
$119,600.28
|
2026-02-18
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
38
|
22
|
—
|
—
|
$36,222.60
|
$262,345.42
|
$111,926.30
|
2026-02-18
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
20
|
—
|
—
|
$6,182.00
|
$205,568.43
|
$83,930.84
|
2026-02-18
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
38
|
20
|
—
|
—
|
$6,182.00
|
$180,494.07
|
$74,167.86
|
2026-02-18
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
38
|
20
|
—
|
—
|
$6,182.00
|
$166,489.32
|
$73,550.50
|
2026-02-18
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
20
|
—
|
—
|
$6,182.00
|
$164,808.75
|
$73,550.50
|
2026-02-18
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
38
|
22
|
$100,860.00
|
$60,516.00
40% off
|
$19,163.40
|
$80,688.00
|
$67,172.76
|
2026-02-18
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
38
|
22
|
$100,860.00
|
$60,516.00
40% off
|
$19,163.40
|
$80,688.00
|
$67,172.76
|
2026-02-18
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
20
|
—
|
—
|
$6,182.00
|
$137,553.27
|
$62,315.78
|
2026-02-18
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$91,020.00
|
$54,612.00
40% off
|
$17,293.80
|
$72,816.00
|
$60,619.32
|
2026-02-18
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$88,560.00
|
$53,136.00
40% off
|
$16,826.40
|
$70,848.00
|
$58,980.96
|
2026-02-18
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
38
|
20
|
—
|
—
|
$6,182.00
|
$130,115.31
|
$58,902.00
|
2026-02-18
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
20
|
—
|
—
|
$6,182.00
|
$126,720.09
|
$57,441.51
|
2026-02-18
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$86,100.00
|
$51,660.00
40% off
|
$16,359.00
|
$68,880.00
|
$57,342.60
|
2026-02-18
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
38
|
20
|
—
|
—
|
$6,182.00
|
$125,333.46
|
$57,301.18
|
2026-02-18
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
38
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
38
|
20
|
—
|
—
|
$6,182.00
|
$113,320.26
|
$51,677.44
|
2026-02-18
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
20
|
—
|
—
|
$6,182.00
|
$112,819.71
|
$51,494.57
|
2026-02-18
|
|
C2624
|
HCPCS
|
Hc Cardiomems Monitoring Device (implant)
|
38
|
22
|
$76,477.50
|
$45,886.50
40% off
|
$14,530.73
|
$61,182.00
|
$50,934.01
|
2026-02-18
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$75,075.00
|
$45,045.00
40% off
|
$14,264.25
|
$60,060.00
|
$49,999.95
|
2026-02-18
|
|
27801347-181497
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$73,800.00
|
$44,280.00
40% off
|
$14,022.00
|
$59,040.00
|
$49,150.80
|
2026-02-18
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
38
|
20
|
—
|
—
|
$6,182.00
|
$106,144.29
|
$49,038.30
|
2026-02-18
|
|
27801347-876560
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$73,078.50
|
$43,847.10
40% off
|
$13,884.92
|
$58,462.80
|
$48,670.28
|
2026-02-18
|
|
27801347-1322565
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$71,209.05
|
$42,725.43
40% off
|
$13,529.72
|
$56,967.24
|
$47,425.23
|
2026-02-18
|
|
27801347-1033551
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$69,893.46
|
$41,936.08
40% off
|
$13,279.76
|
$55,914.77
|
$46,549.04
|
2026-02-18
|
|
27801347-820405
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$69,408.43
|
$41,645.06
40% off
|
$13,187.60
|
$55,526.74
|
$46,226.01
|
2026-02-18
|
|
27801347-777976
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$69,300.00
|
$41,580.00
40% off
|
$13,167.00
|
$55,440.00
|
$46,153.80
|
2026-02-18
|
|
27801347-331887
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$69,105.07
|
$41,463.04
40% off
|
$13,129.96
|
$55,284.06
|
$46,023.98
|
2026-02-18
|
|
27801347-1340795
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$68,999.70
|
$41,399.82
40% off
|
$13,109.94
|
$55,199.76
|
$45,953.80
|
2026-02-18
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
20
|
—
|
—
|
$6,182.00
|
$97,822.38
|
$45,334.74
|
2026-02-18
|
|
27801928
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu…
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27801347-264193
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27801929
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27802083
|
CDM
|
Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l…
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27801923
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267…
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27801927
|
CDM
|
Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27801924
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267…
|
38
|
22
|
$66,280.50
|
$39,768.30
40% off
|
$12,593.30
|
$53,024.40
|
$44,142.81
|
2026-02-18
|
|
27801347-1855907
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$64,920.90
|
$38,952.54
40% off
|
$12,334.97
|
$51,936.72
|
$43,237.32
|
2026-02-18
|
|
27801347-459333
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
38
|
22
|
$64,820.00
|
$38,892.00
40% off
|
$12,315.80
|
$51,856.00
|
$43,170.12
|
2026-02-18
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
37
|
22
|
—
|
—
|
$40,643.98
|
$161,339.00
|
$100,991.49
|
2026-02-18
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
37
|
22
|
—
|
—
|
$47,083.61
|
$275,341.00
|
$79,546.51
|
2026-02-18
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
37
|
22
|
—
|
—
|
$47,083.61
|
$275,341.00
|
$79,546.51
|
2026-02-18
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
20
|
—
|
—
|
$35,308.00
|
$180,393.96
|
$74,427.41
|
2026-02-18
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
37
|
20
|
—
|
—
|
$9,144.00
|
$158,987.46
|
$65,595.46
|
2026-02-18
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
37
|
20
|
—
|
—
|
$6,182.00
|
$127,604.04
|
$59,052.04
|
2026-02-18
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
37
|
20
|
—
|
—
|
$9,144.00
|
$145,442.79
|
$58,757.52
|
2026-02-18
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
37
|
22
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$67,980.00
|
$56,593.35
|
2026-02-18
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
37
|
20
|
—
|
—
|
$9,144.00
|
$130,711.71
|
$53,929.38
|
2026-02-18
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
37
|
20
|
—
|
—
|
$25,893.00
|
$129,493.35
|
$53,426.71
|
2026-02-18
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
20
|
—
|
—
|
$35,308.00
|
$122,249.22
|
$50,437.90
|
2026-02-18
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
37
|
20
|
—
|
—
|
$35,154.00
|
$121,518.63
|
$50,136.48
|
2026-02-18
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
37
|
20
|
—
|
—
|
$6,182.00
|
$114,932.67
|
$49,582.98
|
2026-02-18
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
37
|
20
|
—
|
—
|
$9,144.00
|
$115,041.30
|
$47,464.04
|
2026-02-18
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
37
|
20
|
—
|
—
|
$6,182.00
|
$100,210.11
|
$46,928.00
|
2026-02-18
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
19
|
—
|
—
|
$6,182.00
|
$300,969.00
|
$126,877.11
|
2026-02-18
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
36
|
22
|
—
|
—
|
$61,094.94
|
$168,851.49
|
$114,973.21
|
2026-02-18
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
36
|
19
|
—
|
—
|
$6,182.00
|
$225,669.24
|
$95,492.50
|
2026-02-18
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$171,701.43
|
$72,998.96
|
2026-02-18
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
36
|
20
|
—
|
—
|
$6,368.00
|
$150,527.10
|
$66,949.28
|
2026-02-18
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$142,019.88
|
$60,627.81
|
2026-02-18
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
36
|
20
|
—
|
—
|
$6,368.00
|
$131,940.72
|
$59,067.29
|
2026-02-18
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$134,707.59
|
$57,580.09
|
2026-02-18
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$131,169.66
|
$56,105.51
|
2026-02-18
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$124,014.99
|
$53,123.46
|
2026-02-18
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$118,738.98
|
$50,523.41
|
2026-02-18
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$117,731.49
|
$50,504.54
|
2026-02-18
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$115,631.31
|
$49,629.18
|
2026-02-18
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$114,919.89
|
$49,332.67
|
2026-02-18
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$109,332.90
|
$46,868.01
|
2026-02-18
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$108,182.70
|
$46,524.62
|
2026-02-18
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$106,527.69
|
$45,834.83
|
2026-02-18
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
36
|
20
|
—
|
—
|
$6,368.00
|
$99,085.47
|
$45,286.26
|
2026-02-18
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$107,285.97
|
$45,243.26
|
2026-02-18
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$101,277.24
|
$43,646.47
|
2026-02-18
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
19
|
—
|
—
|
$6,182.00
|
$101,258.07
|
$43,638.49
|
2026-02-18
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
35
|
19
|
—
|
—
|
$6,368.00
|
$456,493.08
|
$195,056.61
|
2026-02-18
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
35
|
21
|
—
|
—
|
$59,556.80
|
$146,147.01
|
$102,851.90
|
2026-02-18
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
35
|
19
|
—
|
—
|
$6,368.00
|
$232,040.07
|
$100,559.97
|
2026-02-18
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
35
|
19
|
—
|
—
|
$6,368.00
|
$106,570.29
|
$43,969.05
|
2026-02-18
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
34
|
19
|
—
|
—
|
$51,963.73
|
$148,173.45
|
$66,112.93
|
2026-02-18
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
34
|
19
|
—
|
—
|
$48,308.76
|
$137,751.36
|
$62,186.75
|
2026-02-18
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
34
|
19
|
—
|
—
|
$41,287.88
|
$117,731.49
|
$53,137.54
|
2026-02-18
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
34
|
19
|
—
|
—
|
$37,402.83
|
$106,653.36
|
$46,755.28
|
2026-02-18
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
31
|
20
|
$115,440.00
|
$69,264.00
40% off
|
$21,933.60
|
$86,580.00
|
$72,311.62
|
2026-02-18
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
30
|
19
|
—
|
—
|
$6,368.00
|
$505,295.64
|
$200,494.76
|
2026-02-18
|
|
27201912-261835
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
30
|
20
|
$183,639.00
|
$110,183.40
40% off
|
$34,891.41
|
$137,729.25
|
$114,205.09
|
2026-02-18
|
|
31100124
|
CDM
|
Hc Auto Islet Cell Transplant
|
30
|
20
|
$107,245.00
|
$64,347.00
40% off
|
$24.00
|
$80,433.75
|
$62,202.10
|
2026-02-18
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
30
|
19
|
—
|
—
|
$6,368.00
|
$142,260.57
|
$57,388.20
|
2026-02-18
|
|
0424T
|
HCPCS
|
Hc Insj/rplc Nstim System Sleep Apnea Complete
|
30
|
20
|
$86,663.76
|
$51,998.26
40% off
|
$6,546.00
|
$98,421.34
|
$53,896.19
|
2026-02-18
|
|
81200003
|
CDM
|
Hc Std Acq Chg Cadaver Kidney/pancreas
|
27
|
19
|
$316,385.45
|
$189,831.27
40% off
|
$60,113.24
|
$237,289.09
|
$189,831.27
|
2026-02-18
|
|
81200017
|
CDM
|
Hc Std Acq Chg Cadaver Liver/kidney
|
27
|
19
|
$249,395.20
|
$149,637.12
40% off
|
$47,385.09
|
$187,046.40
|
$149,637.12
|
2026-02-18
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
27
|
19
|
$220,688.76
|
$132,413.26
40% off
|
$41,930.86
|
$165,516.57
|
$132,413.26
|
2026-02-18
|
|
81200013
|
CDM
|
Hc Heart Lung Acq Cad
|
27
|
19
|
$220,404.88
|
$132,242.93
40% off
|
$41,876.93
|
$165,303.66
|
$132,242.93
|
2026-02-18
|
|
81200014
|
CDM
|
Hc Heart Lung Acq Cad Mcare
|
27
|
19
|
$220,404.88
|
$132,242.93
40% off
|
$41,876.93
|
$165,303.66
|
$132,242.93
|
2026-02-18
|
|
81200008
|
CDM
|
Hc Liver Acq Cad Mcare
|
27
|
19
|
$203,870.00
|
$122,322.00
40% off
|
$38,735.30
|
$152,902.50
|
$122,322.00
|
2026-02-18
|
|
81200007
|
CDM
|
Hc Liver Acq Cad
|
27
|
19
|
$203,870.00
|
$122,322.00
40% off
|
$38,735.30
|
$152,902.50
|
$122,322.00
|
2026-02-18
|
|
81200012
|
CDM
|
Hc Lung Acq Double Cad Mcare
|
27
|
19
|
$197,396.84
|
$118,438.10
40% off
|
$37,505.40
|
$148,047.63
|
$118,438.10
|
2026-02-18
|
|
81200011
|
CDM
|
Hc Lung Acq Double Cad
|
27
|
19
|
$197,396.84
|
$118,438.10
40% off
|
$37,505.40
|
$148,047.63
|
$118,438.10
|
2026-02-18
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
27
|
19
|
$185,810.00
|
$111,486.00
40% off
|
$35,303.90
|
$139,357.50
|
$111,486.00
|
2026-02-18
|
|
81200010
|
CDM
|
Hc Lung Acq Single Cad Mcare
|
27
|
19
|
$173,400.71
|
$104,040.43
40% off
|
$32,946.13
|
$130,050.53
|
$104,040.43
|
2026-02-18
|
|
81200009
|
CDM
|
Hc Lung Acq Single Cad
|
27
|
19
|
$173,400.71
|
$104,040.43
40% off
|
$32,946.13
|
$130,050.53
|
$104,040.43
|
2026-02-18
|
|
81500021
|
CDM
|
Hc Unrelated Donor Acquisition US
|
27
|
19
|
$134,837.44
|
$80,902.46
40% off
|
$25,619.11
|
$101,128.08
|
$80,902.46
|
2026-02-18
|
|
81100003
|
CDM
|
Hc Liver Acq Living
|
27
|
19
|
$131,979.00
|
$79,187.40
40% off
|
$25,076.01
|
$98,984.25
|
$79,187.40
|
2026-02-18
|
|
81100002
|
CDM
|
Hc Liver Acq Living Mcare
|
27
|
19
|
$131,979.00
|
$79,187.40
40% off
|
$25,076.01
|
$98,984.25
|
$79,187.40
|
2026-02-18
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
27
|
19
|
$123,509.00
|
$74,105.40
40% off
|
$23,466.71
|
$92,631.75
|
$74,105.40
|
2026-02-18
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
27
|
19
|
$102,432.00
|
$61,459.20
40% off
|
$19,462.08
|
$76,824.00
|
$61,459.20
|
2026-02-18
|
|
81500007
|
CDM
|
Hc Marrow Acquisition Usa
|
27
|
19
|
$97,700.00
|
$58,620.00
40% off
|
$18,563.00
|
$73,275.00
|
$58,620.00
|
2026-02-18
|
|
81200015
|
CDM
|
Hc Uterus Acq Living Donor
|
27
|
19
|
$91,900.00
|
$55,140.00
40% off
|
$17,461.00
|
$68,925.00
|
$55,140.00
|
2026-02-18
|
|
81200016
|
CDM
|
Hc Uterus Acq Cadaveric Donor
|
27
|
19
|
$91,900.00
|
$55,140.00
40% off
|
$17,461.00
|
$68,925.00
|
$55,140.00
|
2026-02-18
|
|
81500022
|
CDM
|
Hc Related Donor Acquisition
|
27
|
19
|
$88,910.80
|
$53,346.48
40% off
|
$16,893.05
|
$66,683.10
|
$53,346.48
|
2026-02-18
|
|
81500015
|
CDM
|
Hc Pbsc Acquistion US
|
27
|
19
|
$87,750.00
|
$52,650.00
40% off
|
$16,672.50
|
$65,812.50
|
$52,650.00
|
2026-02-18
|
|
81500059
|
CDM
|
Hc Pbsc Second Acquisition US
|
27
|
19
|
$87,750.00
|
$52,650.00
40% off
|
$16,672.50
|
$65,812.50
|
$52,650.00
|
2026-02-18
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
27
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$63,731.25
|
$50,985.00
|
2026-02-18
|
|
62400011
|
CDM
|
Hc Clinical Trial Ide#g170152 Sapien 3 Transcatheter Heart Valve
|
27
|
19
|
$84,975.00
|
$50,985.00
40% off
|
$16,145.25
|
$63,731.25
|
$50,985.00
|
2026-02-18
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
27
|
19
|
$76,137.60
|
$45,682.56
40% off
|
$14,466.14
|
$57,103.20
|
$45,682.56
|
2026-02-18
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
26
|
17
|
—
|
—
|
$281,743.52
|
$803,282.64
|
$317,959.69
|
2026-02-18
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
24
|
18
|
—
|
—
|
$44,406.53
|
$110,403.96
|
$51,293.88
|
2026-02-18
|
|
0812
|
RC
|
—
|
19
|
4
|
—
|
—
|
$82,562.00
|
$285,320.50
|
$126,905.50
|
2026-02-18
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
12
|
7
|
—
|
—
|
$35,308.00
|
$159,864.00
|
$107,626.37
|
2026-02-18
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
12
|
7
|
—
|
—
|
$35,308.00
|
$103,364.40
|
$80,552.74
|
2026-02-18
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
12
|
7
|
—
|
—
|
$35,308.00
|
$114,823.00
|
$74,285.70
|
2026-02-18
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
12
|
7
|
—
|
—
|
$35,308.00
|
$92,614.00
|
$55,937.34
|
2026-02-18
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
12
|
7
|
—
|
—
|
$35,174.37
|
$62,455.00
|
$44,426.90
|
2026-02-18
|
|
5834
|
APR_DRG
|
Inpatient Aprdrg 5834: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$368,561.83
|
$368,637.78
|
$368,599.81
|
2026-02-18
|
|
74
|
APR_DRG
|
Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$358,537.28
|
$358,611.17
|
$358,574.22
|
2026-02-18
|
|
5833
|
APR_DRG
|
Inpatient Aprdrg 5833: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$312,084.61
|
$312,148.92
|
$312,116.77
|
2026-02-18
|
|
24
|
APR_DRG
|
Inpatient Aprdrg 0024: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$300,216.56
|
$300,278.42
|
$300,247.49
|
2026-02-18
|
|
5884
|
APR_DRG
|
Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$233,293.59
|
$233,341.66
|
$233,317.62
|
2026-02-18
|
|
1614
|
APR_DRG
|
Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$226,544.08
|
$226,590.76
|
$226,567.42
|
2026-02-18
|
|
94
|
APR_DRG
|
Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$212,236.13
|
$212,279.87
|
$212,258.00
|
2026-02-18
|
|
6304
|
APR_DRG
|
Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$173,585.98
|
$173,621.75
|
$173,603.86
|
2026-02-18
|
|
6094
|
APR_DRG
|
Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure
|
2
|
2
|
—
|
—
|
$172,047.70
|
$172,083.16
|
$172,065.43
|
2026-02-18
|
|
5832
|
APR_DRG
|
Inpatient Aprdrg 5832: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$155,504.63
|
$155,536.68
|
$155,520.65
|
2026-02-18
|
|
114
|
APR_DRG
|
Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
2
|
2
|
—
|
—
|
$147,661.83
|
$147,692.26
|
$147,677.04
|
2026-02-18
|
|
2004
|
APR_DRG
|
Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders
|
2
|
2
|
—
|
—
|
$137,218.51
|
$137,246.78
|
$137,232.65
|
2026-02-18
|
|
5831
|
APR_DRG
|
Inpatient Aprdrg 5831: Neonate W Ecmo
|
2
|
2
|
—
|
—
|
$136,924.92
|
$136,953.14
|
$136,939.03
|
2026-02-18
|
|
73
|
APR_DRG
|
Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$126,514.11
|
$126,540.18
|
$126,527.14
|
2026-02-18
|
|
5883
|
APR_DRG
|
Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$125,177.70
|
$125,203.50
|
$125,190.60
|
2026-02-18
|
|
5882
|
APR_DRG
|
Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$124,605.58
|
$124,631.25
|
$124,618.42
|
2026-02-18
|
|
44
|
APR_DRG
|
Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
2
|
—
|
—
|
$124,283.36
|
$124,308.97
|
$124,296.17
|
2026-02-18
|
|
8414
|
APR_DRG
|
Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft
|
2
|
2
|
—
|
—
|
$123,749.09
|
$123,774.59
|
$123,761.84
|
2026-02-18
|
|
6314
|
APR_DRG
|
Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure
|
2
|
2
|
—
|
—
|
$122,513.13
|
$122,538.37
|
$122,525.75
|
2026-02-18
|
|
8504
|
APR_DRG
|
Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea…
|
2
|
2
|
—
|
—
|
$119,285.65
|
$119,310.23
|
$119,297.94
|
2026-02-18
|
|
5914
|
APR_DRG
|
Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$118,217.10
|
$118,241.46
|
$118,229.28
|
2026-02-18
|
|
1613
|
APR_DRG
|
Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$118,077.83
|
$118,102.16
|
$118,089.99
|
2026-02-18
|
|
5881
|
APR_DRG
|
Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure
|
2
|
2
|
—
|
—
|
$117,453.79
|
$117,477.99
|
$117,465.89
|
2026-02-18
|
|
14
|
APR_DRG
|
Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$107,542.79
|
$107,564.96
|
$107,553.88
|
2026-02-18
|
|
84
|
APR_DRG
|
Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$107,111.88
|
$107,133.95
|
$107,122.92
|
2026-02-18
|
|
6814
|
APR_DRG
|
Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N…
|
2
|
2
|
—
|
—
|
$105,208.68
|
$105,230.36
|
$105,219.52
|
2026-02-18
|
|
1604
|
APR_DRG
|
Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
2
|
—
|
—
|
$105,149.97
|
$105,171.64
|
$105,160.80
|
2026-02-18
|
|
93
|
APR_DRG
|
Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$104,271.16
|
$104,292.65
|
$104,281.90
|
2026-02-18
|
|
2464
|
APR_DRG
|
Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency
|
2
|
2
|
—
|
—
|
$101,966.16
|
$101,987.18
|
$101,976.67
|
2026-02-18
|
|
6034
|
APR_DRG
|
Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con…
|
2
|
2
|
—
|
—
|
$101,440.14
|
$101,461.04
|
$101,450.59
|
2026-02-18
|
|
64
|
APR_DRG
|
Inpatient Aprdrg 0064: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$98,444.62
|
$98,464.90
|
$98,454.76
|
2026-02-18
|
|
5891
|
APR_DRG
|
Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
2
|
—
|
—
|
$98,436.85
|
$98,457.14
|
$98,446.99
|
2026-02-18
|
|
5934
|
APR_DRG
|
Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure
|
2
|
2
|
—
|
—
|
$98,142.30
|
$98,162.52
|
$98,152.41
|
2026-02-18
|
|
5892
|
APR_DRG
|
Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
2
|
—
|
—
|
$95,405.42
|
$95,425.08
|
$95,415.25
|
2026-02-18
|
|
1624
|
APR_DRG
|
Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$91,725.68
|
$91,744.58
|
$91,735.13
|
2026-02-18
|
|
6024
|
APR_DRG
|
Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$90,220.40
|
$90,238.99
|
$90,229.70
|
2026-02-18
|
|
5893
|
APR_DRG
|
Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks
|
2
|
2
|
—
|
—
|
$89,488.14
|
$89,506.58
|
$89,497.36
|
2026-02-18
|
|
6214
|
APR_DRG
|
Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly
|
2
|
2
|
—
|
—
|
$85,674.46
|
$85,692.12
|
$85,683.29
|
2026-02-18
|
|
72
|
APR_DRG
|
Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$85,003.34
|
$85,020.86
|
$85,012.10
|
2026-02-18
|
|
1612
|
APR_DRG
|
Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$84,879.60
|
$84,897.09
|
$84,888.35
|
2026-02-18
|
|
113
|
APR_DRG
|
Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
2
|
2
|
—
|
—
|
$83,909.08
|
$83,926.37
|
$83,917.73
|
2026-02-18
|
|
8634
|
APR_DRG
|
Inpatient Aprdrg 8634: Neonatal Aftercare
|
2
|
2
|
—
|
—
|
$82,607.61
|
$82,624.63
|
$82,616.12
|
2026-02-18
|
|
6303
|
APR_DRG
|
Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$81,814.20
|
$81,831.06
|
$81,822.63
|
2026-02-18
|
|
1611
|
APR_DRG
|
Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant
|
2
|
2
|
—
|
—
|
$80,500.60
|
$80,517.19
|
$80,508.90
|
2026-02-18
|
|
4404
|
APR_DRG
|
Inpatient Aprdrg 4404: Kidney Transplant
|
2
|
2
|
—
|
—
|
$80,301.64
|
$80,318.19
|
$80,309.92
|
2026-02-18
|
|
54
|
APR_DRG
|
Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$79,934.78
|
$79,951.26
|
$79,943.02
|
2026-02-18
|
|
43
|
APR_DRG
|
Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
2
|
—
|
—
|
$79,907.61
|
$79,924.08
|
$79,915.85
|
2026-02-18
|
|
5913
|
APR_DRG
|
Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$77,845.73
|
$77,861.77
|
$77,853.75
|
2026-02-18
|
|
6804
|
APR_DRG
|
Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N…
|
2
|
2
|
—
|
—
|
$77,845.73
|
$77,861.77
|
$77,853.75
|
2026-02-18
|
|
6084
|
APR_DRG
|
Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi…
|
2
|
2
|
—
|
—
|
$77,624.94
|
$77,640.93
|
$77,632.93
|
2026-02-18
|
|
4414
|
APR_DRG
|
Inpatient Aprdrg 4414: Major Bladder Procedures
|
2
|
2
|
—
|
—
|
$75,994.46
|
$76,010.12
|
$76,002.29
|
2026-02-18
|
|
23
|
APR_DRG
|
Inpatient Aprdrg 0023: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$73,943.25
|
$73,958.49
|
$73,950.87
|
2026-02-18
|
|
83
|
APR_DRG
|
Inpatient Aprdrg 0083: Autologous Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$72,399.63
|
$72,414.55
|
$72,407.09
|
2026-02-18
|
|
1784
|
APR_DRG
|
Inpatient Aprdrg 1784: External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$71,177.26
|
$71,191.93
|
$71,184.60
|
2026-02-18
|
|
5933
|
APR_DRG
|
Inpatient Aprdrg 5933: Neonate Birthwt 750-999g Without Major Procedure
|
2
|
2
|
—
|
—
|
$70,095.13
|
$70,109.57
|
$70,102.35
|
2026-02-18
|
|
6114
|
APR_DRG
|
Inpatient Aprdrg 6114: Neonate Birthwt 1500-1999g W Major Anomaly
|
2
|
2
|
—
|
—
|
$70,014.57
|
$70,029.00
|
$70,021.79
|
2026-02-18
|
|
1674
|
APR_DRG
|
Inpatient Aprdrg 1674: Other Cardiothoracic & Thoracic Vascular Procedures
|
2
|
2
|
—
|
—
|
$69,704.97
|
$69,719.34
|
$69,712.15
|
2026-02-18
|
|
6904
|
APR_DRG
|
Inpatient Aprdrg 6904: Acute Leukemia
|
2
|
2
|
—
|
—
|
$69,078.99
|
$69,093.22
|
$69,086.11
|
2026-02-18
|
|
434
|
APR_DRG
|
Inpatient Aprdrg 0434: Multiple Sclerosis & Other Demyelinating Diseases
|
2
|
2
|
—
|
—
|
$68,655.84
|
$68,669.99
|
$68,662.92
|
2026-02-18
|
|
92
|
APR_DRG
|
Inpatient Aprdrg 0092: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$68,578.68
|
$68,592.81
|
$68,585.74
|
2026-02-18
|
|
91
|
APR_DRG
|
Inpatient Aprdrg 0091: Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$66,507.58
|
$66,521.29
|
$66,514.43
|
2026-02-18
|
|
6334
|
APR_DRG
|
Inpatient Aprdrg 6334: Neonate Birthwt >2499g W Major Anomaly
|
2
|
2
|
—
|
—
|
$65,109.54
|
$65,122.96
|
$65,116.25
|
2026-02-18
|
|
3034
|
APR_DRG
|
Inpatient Aprdrg 3034: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
2
|
—
|
—
|
$64,712.60
|
$64,725.93
|
$64,719.26
|
2026-02-18
|
|
5912
|
APR_DRG
|
Inpatient Aprdrg 5912: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$64,273.92
|
$64,287.17
|
$64,280.54
|
2026-02-18
|
|
6074
|
APR_DRG
|
Inpatient Aprdrg 6074: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$63,645.02
|
$63,658.14
|
$63,651.58
|
2026-02-18
|
|
63
|
APR_DRG
|
Inpatient Aprdrg 0063: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$63,618.82
|
$63,631.93
|
$63,625.38
|
2026-02-18
|
|
2204
|
APR_DRG
|
Inpatient Aprdrg 2204: Major Stomach, Esophageal & Duodenal Procedures
|
2
|
2
|
—
|
—
|
$60,648.04
|
$60,660.54
|
$60,654.29
|
2026-02-18
|
|
6134
|
APR_DRG
|
Inpatient Aprdrg 6134: Neonate Birthwt 1500-1999g W Congenital/perinatal Infecti…
|
2
|
2
|
—
|
—
|
$60,317.58
|
$60,330.01
|
$60,323.79
|
2026-02-18
|
|
4474
|
APR_DRG
|
Inpatient Aprdrg 4474: Other Kidney, Urinary Tract & Related Procedures
|
2
|
2
|
—
|
—
|
$60,176.37
|
$60,188.77
|
$60,182.57
|
2026-02-18
|
|
22
|
APR_DRG
|
Inpatient Aprdrg 0022: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$59,400.92
|
$59,413.16
|
$59,407.04
|
2026-02-18
|
|
234
|
APR_DRG
|
Inpatient Aprdrg 0234: Spinal Procedures
|
2
|
2
|
—
|
—
|
$59,284.94
|
$59,297.16
|
$59,291.05
|
2026-02-18
|
|
9104
|
APR_DRG
|
Inpatient Aprdrg 9104: Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$59,070.46
|
$59,082.63
|
$59,076.54
|
2026-02-18
|
|
112
|
APR_DRG
|
Inpatient Aprdrg 0112: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
2
|
2
|
—
|
—
|
$58,311.51
|
$58,323.52
|
$58,317.51
|
2026-02-18
|
|
6023
|
APR_DRG
|
Inpatient Aprdrg 6023: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$58,309.08
|
$58,321.10
|
$58,315.09
|
2026-02-18
|
|
53
|
APR_DRG
|
Inpatient Aprdrg 0053: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$57,582.16
|
$57,594.03
|
$57,588.10
|
2026-02-18
|
|
62
|
APR_DRG
|
Inpatient Aprdrg 0062: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$57,542.37
|
$57,554.23
|
$57,548.30
|
2026-02-18
|
|
9504
|
APR_DRG
|
Inpatient Aprdrg 9504: Extensive Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$57,316.72
|
$57,328.53
|
$57,322.62
|
2026-02-18
|
|
61
|
APR_DRG
|
Inpatient Aprdrg 0061: Pancreas Transplant
|
2
|
2
|
—
|
—
|
$56,799.43
|
$56,811.14
|
$56,805.29
|
2026-02-18
|
|
71
|
APR_DRG
|
Inpatient Aprdrg 0071: Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$55,816.29
|
$55,827.79
|
$55,822.04
|
2026-02-18
|
|
13
|
APR_DRG
|
Inpatient Aprdrg 0013: Liver Transplant &/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$55,408.67
|
$55,420.09
|
$55,414.38
|
2026-02-18
|
|
6093
|
APR_DRG
|
Inpatient Aprdrg 6093: Neonate Bwt 1500-2499g W Major Procedure
|
2
|
2
|
—
|
—
|
$55,343.16
|
$55,354.57
|
$55,348.87
|
2026-02-18
|
|
264
|
APR_DRG
|
Inpatient Aprdrg 0264: Other Nervous System & Related Procedures
|
2
|
2
|
—
|
—
|
$55,309.68
|
$55,321.08
|
$55,315.38
|
2026-02-18
|
|
5932
|
APR_DRG
|
Inpatient Aprdrg 5932: Neonate Birthwt 750-999g Without Major Procedure
|
2
|
2
|
—
|
—
|
$55,070.93
|
$55,082.28
|
$55,076.60
|
2026-02-18
|
|
3033
|
APR_DRG
|
Inpatient Aprdrg 3033: Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
2
|
2
|
—
|
—
|
$54,744.35
|
$54,755.63
|
$54,749.99
|
2026-02-18
|
|
1824
|
APR_DRG
|
Inpatient Aprdrg 1824: Other Peripheral Vascular Procedures
|
2
|
2
|
—
|
—
|
$54,700.19
|
$54,711.46
|
$54,705.82
|
2026-02-18
|
|
1634
|
APR_DRG
|
Inpatient Aprdrg 1634: Cardiac Valve Procedures Without Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$54,667.68
|
$54,678.94
|
$54,673.31
|
2026-02-18
|
|
7924
|
APR_DRG
|
Inpatient Aprdrg 7924: Extensive Or Procedures For Other Complications Of Treatm…
|
2
|
2
|
—
|
—
|
$53,772.85
|
$53,783.93
|
$53,778.39
|
2026-02-18
|
|
3044
|
APR_DRG
|
Inpatient Aprdrg 3044: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
2
|
2
|
—
|
—
|
$53,759.75
|
$53,770.83
|
$53,765.29
|
2026-02-18
|
|
2054
|
APR_DRG
|
Inpatient Aprdrg 2054: Cardiomyopathy
|
2
|
2
|
—
|
—
|
$53,607.86
|
$53,618.91
|
$53,613.39
|
2026-02-18
|
|
6954
|
APR_DRG
|
Inpatient Aprdrg 6954: Chemotherapy For Acute Leukemia
|
2
|
2
|
—
|
—
|
$53,538.96
|
$53,549.99
|
$53,544.47
|
2026-02-18
|
|
8413
|
APR_DRG
|
Inpatient Aprdrg 8413: Extensive 3rd Degree Burns W Skin Graft
|
2
|
2
|
—
|
—
|
$53,484.12
|
$53,495.14
|
$53,489.63
|
2026-02-18
|
|
52
|
APR_DRG
|
Inpatient Aprdrg 0052: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$52,585.42
|
$52,596.25
|
$52,590.83
|
2026-02-18
|
|
6514
|
APR_DRG
|
Inpatient Aprdrg 6514: Other Procedures Of Blood & Blood-forming Organs
|
2
|
2
|
—
|
—
|
$52,409.27
|
$52,420.07
|
$52,414.67
|
2026-02-18
|
|
42
|
APR_DRG
|
Inpatient Aprdrg 0042: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
2
|
2
|
—
|
—
|
$52,245.73
|
$52,256.50
|
$52,251.12
|
2026-02-18
|
|
6144
|
APR_DRG
|
Inpatient Aprdrg 6144: Neonate Bwt 1500-1999g W Or Without Other Significant Conditi…
|
2
|
2
|
—
|
—
|
$51,696.90
|
$51,707.56
|
$51,702.23
|
2026-02-18
|
|
1623
|
APR_DRG
|
Inpatient Aprdrg 1623: Cardiac Valve Procedures W Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$51,609.07
|
$51,619.70
|
$51,614.38
|
2026-02-18
|
|
214
|
APR_DRG
|
Inpatient Aprdrg 0214: Craniotomy Except For Trauma
|
2
|
2
|
—
|
—
|
$51,486.78
|
$51,497.39
|
$51,492.08
|
2026-02-18
|
|
2304
|
APR_DRG
|
Inpatient Aprdrg 2304: Major Small Bowel Procedures
|
2
|
2
|
—
|
—
|
$51,300.93
|
$51,311.50
|
$51,306.21
|
2026-02-18
|
|
224
|
APR_DRG
|
Inpatient Aprdrg 0224: Ventricular Shunt Procedures
|
2
|
2
|
—
|
—
|
$51,098.57
|
$51,109.10
|
$51,103.83
|
2026-02-18
|
|
4424
|
APR_DRG
|
Inpatient Aprdrg 4424: Kidney & Urinary Tract Procedures For Malignancy
|
2
|
2
|
—
|
—
|
$50,818.58
|
$50,829.05
|
$50,823.82
|
2026-02-18
|
|
9524
|
APR_DRG
|
Inpatient Aprdrg 9524: Nonextensive Procedure Unrelated To Principal Diagnosis
|
2
|
2
|
—
|
—
|
$50,506.55
|
$50,516.96
|
$50,511.76
|
2026-02-18
|
|
9114
|
APR_DRG
|
Inpatient Aprdrg 9114: Extensive Abdominal/thoracic Procedures For Mult Signific…
|
2
|
2
|
—
|
—
|
$50,045.07
|
$50,055.38
|
$50,050.22
|
2026-02-18
|
|
4403
|
APR_DRG
|
Inpatient Aprdrg 4403: Kidney Transplant
|
2
|
2
|
—
|
—
|
$49,148.31
|
$49,158.43
|
$49,153.37
|
2026-02-18
|
|
3154
|
APR_DRG
|
Inpatient Aprdrg 3154: Shoulder, Upper Arm & Forearm Procedures Except Joint Rep…
|
2
|
2
|
—
|
—
|
$49,144.91
|
$49,155.04
|
$49,149.98
|
2026-02-18
|
|
1694
|
APR_DRG
|
Inpatient Aprdrg 1694: Major Abdominal Vascular Procedures
|
2
|
2
|
—
|
—
|
$48,977.98
|
$48,988.07
|
$48,983.03
|
2026-02-18
|
|
1204
|
APR_DRG
|
Inpatient Aprdrg 1204: Major Respiratory & Chest Procedures
|
2
|
2
|
—
|
—
|
$48,779.02
|
$48,789.07
|
$48,784.04
|
2026-02-18
|
|
4834
|
APR_DRG
|
Inpatient Aprdrg 4834: Penis, Testes & Scrotal Procedures
|
2
|
2
|
—
|
—
|
$48,593.65
|
$48,603.67
|
$48,598.66
|
2026-02-18
|
|
894
|
APR_DRG
|
Inpatient Aprdrg 0894: Major Cranial/facial Bone Procedures
|
2
|
2
|
—
|
—
|
$48,072.48
|
$48,082.39
|
$48,077.43
|
2026-02-18
|
|
9124
|
APR_DRG
|
Inpatient Aprdrg 9124: Musculoskeletal & Other Procedures For Multiple Significa…
|
2
|
2
|
—
|
—
|
$48,008.91
|
$48,018.80
|
$48,013.86
|
2026-02-18
|
|
1304
|
APR_DRG
|
Inpatient Aprdrg 1304: Respiratory System Diagnosis W Ventilator Support 96+ Hou…
|
2
|
2
|
—
|
—
|
$47,996.78
|
$48,006.67
|
$48,001.72
|
2026-02-18
|
|
1654
|
APR_DRG
|
Inpatient Aprdrg 1654: Coronary Bypass W Ami Or Complex Pdx
|
2
|
2
|
—
|
—
|
$47,281.99
|
$47,291.73
|
$47,286.86
|
2026-02-18
|
|
5911
|
APR_DRG
|
Inpatient Aprdrg 5911: Neonate Birthwt 500-749g Without Major Procedure
|
2
|
2
|
—
|
—
|
$46,342.04
|
$46,351.59
|
$46,346.82
|
2026-02-18
|
|
2604
|
APR_DRG
|
Inpatient Aprdrg 2604: Major Pancreas, Liver & Shunt Procedures
|
2
|
2
|
—
|
—
|
$46,089.21
|
$46,098.71
|
$46,093.96
|
2026-02-18
|
|
21
|
APR_DRG
|
Inpatient Aprdrg 0021: Heart &/or Lung Transplant
|
2
|
2
|
—
|
—
|
$46,010.12
|
$46,019.60
|
$46,014.86
|
2026-02-18
|
|
1783
|
APR_DRG
|
Inpatient Aprdrg 1783: External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$45,549.60
|
$45,558.99
|
$45,554.29
|
2026-02-18
|
|
1214
|
APR_DRG
|
Inpatient Aprdrg 1214: Other Respiratory & Chest Procedures
|
2
|
2
|
—
|
—
|
$45,523.40
|
$45,532.78
|
$45,528.09
|
2026-02-18
|
|
6313
|
APR_DRG
|
Inpatient Aprdrg 6313: Neonate Birthwt >2499g W Other Major Procedure
|
2
|
2
|
—
|
—
|
$45,356.95
|
$45,366.30
|
$45,361.62
|
2026-02-18
|
|
6254
|
APR_DRG
|
Inpatient Aprdrg 6254: Neonate Bwt 2000-2499g W Other Significant Condition
|
2
|
2
|
—
|
—
|
$44,990.58
|
$44,999.85
|
$44,995.21
|
2026-02-18
|
|
6124
|
APR_DRG
|
Inpatient Aprdrg 6124: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
2
|
2
|
—
|
—
|
$44,861.02
|
$44,870.26
|
$44,865.64
|
2026-02-18
|
|
1603
|
APR_DRG
|
Inpatient Aprdrg 1603: Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
2
|
—
|
—
|
$44,435.44
|
$44,444.60
|
$44,440.02
|
2026-02-18
|
|
2244
|
APR_DRG
|
Inpatient Aprdrg 2244: Peritoneal Adhesiolysis
|
2
|
2
|
—
|
—
|
$44,364.59
|
$44,373.74
|
$44,369.16
|
2026-02-18
|
|
6022
|
APR_DRG
|
Inpatient Aprdrg 6022: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
2
|
2
|
—
|
—
|
$44,055.48
|
$44,064.56
|
$44,060.02
|
2026-02-18
|
|
3614
|
APR_DRG
|
Inpatient Aprdrg 3614: Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
2
|
2
|
—
|
—
|
$43,932.22
|
$43,941.28
|
$43,936.75
|
2026-02-18
|
|
914
|
APR_DRG
|
Inpatient Aprdrg 0914: Other Major Head & Neck Procedures
|
2
|
2
|
—
|
—
|
$43,695.90
|
$43,704.91
|
$43,700.40
|
2026-02-18
|
|
204
|
APR_DRG
|
Inpatient Aprdrg 0204: Craniotomy For Trauma
|
2
|
2
|
—
|
—
|
$43,249.95
|
$43,258.86
|
$43,254.40
|
2026-02-18
|
|
238
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
237
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
227
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
230
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
222
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
223
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
224
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
225
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|
|
226
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-18
|