|
845
|
OTHER
|
Inj, Atidarsagene Autotemcel
|
7
|
7
|
—
|
—
|
$4,505,000.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-07-15
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
18
|
9
|
—
|
—
|
$3,443,049.92
|
$4,975,110.00
|
$3,685,266.67
|
2026-07-15
|
|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
10
|
9
|
—
|
—
|
$3,605,000.00
|
$4,866,750.00
|
$3,605,000.00
|
2026-07-15
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
18
|
9
|
—
|
—
|
$3,316,462.59
|
$4,489,363.92
|
$3,325,454.76
|
2026-07-15
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
18
|
9
|
—
|
—
|
$3,080,362.12
|
$4,385,401.71
|
$3,248,445.71
|
2026-07-15
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
18
|
9
|
—
|
—
|
$2,782,262.56
|
$3,976,749.00
|
$2,945,740.00
|
2026-07-15
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
18
|
9
|
—
|
—
|
$2,388,614.23
|
$3,314,399.32
|
$2,455,110.60
|
2026-07-15
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
8
|
7
|
—
|
—
|
$2,332,000.00
|
$3,148,200.00
|
$2,332,000.00
|
2026-07-15
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
8
|
7
|
—
|
—
|
$757,719.82
|
$1,022,921.76
|
$757,719.82
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
9
|
5
|
—
|
—
|
$390,367.39
|
$642,707.02
|
$617,987.52
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
5
|
—
|
—
|
$379,749.75
|
$625,225.98
|
$601,178.83
|
2026-07-15
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
17
|
8
|
—
|
—
|
$529,192.86
|
$798,830.37
|
$591,726.20
|
2026-07-15
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
17
|
8
|
—
|
—
|
$527,123.43
|
$763,923.08
|
$565,868.94
|
2026-07-15
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
17
|
8
|
—
|
—
|
$516,726.08
|
$759,426.55
|
$562,538.19
|
2026-07-15
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
17
|
8
|
—
|
—
|
$526,587.59
|
$752,379.21
|
$557,317.93
|
2026-07-15
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
17
|
8
|
—
|
—
|
$489,455.96
|
$719,860.73
|
$533,230.17
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
9
|
5
|
—
|
—
|
$330,548.76
|
$544,220.68
|
$523,289.12
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
5
|
—
|
—
|
$317,978.54
|
$523,524.88
|
$503,389.31
|
2026-07-15
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
17
|
8
|
—
|
—
|
$431,710.41
|
$660,561.22
|
$489,304.61
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
5
|
—
|
—
|
$247,096.15
|
$406,823.00
|
$391,175.96
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
5
|
—
|
—
|
$239,947.31
|
$395,053.04
|
$379,858.69
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
5
|
—
|
—
|
$224,792.85
|
$370,102.49
|
$355,867.78
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
23
|
11
|
—
|
—
|
$229,897.98
|
$1,186,533.80
|
$314,230.87
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
5
|
—
|
—
|
$183,856.01
|
$302,703.43
|
$291,060.99
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
5
|
—
|
—
|
$182,226.72
|
$300,020.94
|
$288,481.67
|
2026-07-15
|
|
831
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
8
|
7
|
—
|
—
|
$273,592.09
|
$369,349.33
|
$273,592.09
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
9
|
5
|
—
|
—
|
$164,704.90
|
$271,172.74
|
$260,743.02
|
2026-07-15
|
|
897
|
OTHER
|
Revakinagene, Per Implant
|
8
|
7
|
—
|
—
|
$257,500.00
|
$347,625.00
|
$257,500.00
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
5
|
—
|
—
|
$156,398.08
|
$257,496.27
|
$247,592.56
|
2026-07-15
|
|
612
|
MS_DRG
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
2
|
1
|
—
|
—
|
$219,596.96
|
$264,456.79
|
$242,026.88
|
2026-07-15
|
|
633
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
2
|
1
|
—
|
—
|
$181,043.28
|
$288,594.30
|
$234,818.79
|
2026-07-15
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
9
|
5
|
—
|
—
|
$145,336.89
|
$239,284.95
|
$230,081.68
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
5
|
—
|
—
|
$145,025.94
|
$238,772.99
|
$229,589.41
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
5
|
—
|
—
|
$133,999.18
|
$220,618.36
|
$212,133.04
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
5
|
—
|
—
|
$132,583.70
|
$218,287.90
|
$209,892.21
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
5
|
—
|
—
|
$131,977.73
|
$217,290.21
|
$208,932.90
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
5
|
—
|
—
|
$131,636.45
|
$216,728.33
|
$208,392.63
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
5
|
—
|
—
|
$131,070.57
|
$215,796.65
|
$207,496.78
|
2026-07-15
|
|
886
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
8
|
7
|
—
|
—
|
$205,640.00
|
$277,614.00
|
$205,640.00
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
5
|
—
|
—
|
$129,761.48
|
$213,641.35
|
$205,424.38
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
11
|
—
|
—
|
$171,714.52
|
$770,012.70
|
$203,923.19
|
2026-07-15
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
9
|
5
|
—
|
—
|
$126,343.06
|
$208,013.20
|
$200,012.69
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$125,211.29
|
$206,149.84
|
$198,221.00
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
5
|
—
|
—
|
$125,063.78
|
$205,906.98
|
$197,987.48
|
2026-07-15
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
5
|
—
|
—
|
$124,402.81
|
$204,818.75
|
$196,941.10
|
2026-07-15
|
|
636
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
2
|
1
|
—
|
—
|
$169,573.19
|
$201,508.78
|
$185,540.98
|
2026-07-15
|
|
631
|
MS_DRG
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
2
|
1
|
—
|
—
|
$176,367.01
|
$191,760.16
|
$184,063.59
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
5
|
—
|
—
|
$113,905.45
|
$187,535.72
|
$180,322.81
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
5
|
—
|
—
|
$113,449.04
|
$186,784.29
|
$179,600.28
|
2026-07-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
5
|
—
|
—
|
$111,433.24
|
$183,465.44
|
$176,409.08
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
5
|
—
|
—
|
$111,371.05
|
$183,363.05
|
$176,310.63
|
2026-07-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
5
|
—
|
—
|
$110,440.25
|
$181,830.56
|
$174,837.08
|
2026-07-15
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
9
|
5
|
—
|
—
|
$107,998.88
|
$177,811.06
|
$170,972.17
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
5
|
—
|
—
|
$107,441.73
|
$176,893.77
|
$170,090.16
|
2026-07-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
5
|
—
|
—
|
$104,268.99
|
$171,670.10
|
$165,067.40
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
5
|
—
|
—
|
$104,260.76
|
$171,656.56
|
$165,054.39
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$103,948.78
|
$171,142.91
|
$164,560.49
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
5
|
—
|
—
|
$101,049.98
|
$166,370.28
|
$159,971.42
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
23
|
11
|
—
|
—
|
$144,614.66
|
$614,420.52
|
$155,362.46
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
28
|
15
|
—
|
—
|
$123,427.80
|
$583,204.82
|
$154,450.69
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$97,152.53
|
$159,953.46
|
$153,801.40
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
5
|
—
|
—
|
$95,558.19
|
$157,328.51
|
$151,277.41
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
5
|
—
|
—
|
$94,782.60
|
$156,051.57
|
$150,049.59
|
2026-07-15
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
17
|
8
|
—
|
—
|
$142,957.02
|
$202,429.32
|
$149,947.64
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
5
|
—
|
—
|
$90,743.30
|
$149,401.20
|
$143,655.00
|
2026-07-15
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
19
|
10
|
—
|
—
|
$135,725.45
|
$202,429.32
|
$142,957.02
|
2026-07-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
5
|
—
|
—
|
$90,032.48
|
$148,230.89
|
$142,529.70
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
5
|
—
|
—
|
$89,901.41
|
$148,015.10
|
$142,322.21
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
5
|
—
|
—
|
$88,873.47
|
$146,322.68
|
$140,694.88
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
5
|
—
|
—
|
$87,495.00
|
$144,053.14
|
$138,512.63
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
5
|
—
|
—
|
$86,654.65
|
$142,669.58
|
$137,182.29
|
2026-07-15
|
|
0100T
|
CPT
|
Prosth Retina Receive&gen
|
4
|
4
|
—
|
—
|
$1,165.00
|
$135,725.45
|
$135,725.45
|
2026-07-15
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
17
|
8
|
—
|
—
|
$128,895.72
|
$182,518.30
|
$135,198.74
|
2026-07-15
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
17
|
8
|
—
|
—
|
$128,895.72
|
$182,518.30
|
$135,198.74
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
5
|
—
|
—
|
$85,263.33
|
$140,378.89
|
$134,979.70
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
5
|
—
|
—
|
$85,052.60
|
$140,031.94
|
$134,646.10
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
5
|
—
|
—
|
$84,664.04
|
$139,392.21
|
$134,030.97
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
5
|
—
|
—
|
$84,635.26
|
$139,344.82
|
$133,985.40
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
5
|
—
|
—
|
$82,451.39
|
$135,749.26
|
$130,528.14
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$82,451.39
|
$135,749.26
|
$130,528.14
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
5
|
—
|
—
|
$82,217.53
|
$135,364.24
|
$130,157.92
|
2026-07-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
9
|
5
|
—
|
—
|
$80,490.59
|
$132,520.97
|
$127,424.01
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
5
|
—
|
—
|
$78,318.03
|
$128,944.03
|
$123,984.65
|
2026-07-15
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
5
|
—
|
—
|
$76,683.08
|
$126,252.23
|
$121,396.38
|
2026-07-15
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
17
|
8
|
—
|
—
|
$114,834.42
|
$162,607.29
|
$120,449.84
|
2026-07-15
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
17
|
8
|
—
|
—
|
$114,834.42
|
$162,607.29
|
$120,449.84
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
9
|
5
|
—
|
—
|
$75,388.39
|
$124,120.63
|
$119,346.75
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$74,242.23
|
$122,233.57
|
$117,532.28
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
5
|
—
|
—
|
$74,156.91
|
$122,093.10
|
$117,397.21
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
5
|
—
|
—
|
$73,828.99
|
$121,553.22
|
$116,878.10
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
9
|
5
|
—
|
—
|
$73,165.97
|
$120,461.61
|
$115,828.47
|
2026-07-15
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
9
|
5
|
—
|
—
|
$72,717.79
|
$119,723.71
|
$115,118.95
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
5
|
—
|
—
|
$72,636.06
|
$119,589.16
|
$114,989.58
|
2026-07-15
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
5
|
—
|
—
|
$70,442.43
|
$115,977.53
|
$111,516.86
|
2026-07-15
|
|
681
|
MS_DRG
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
2
|
1
|
—
|
—
|
$103,912.95
|
$115,500.82
|
$109,706.89
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
5
|
—
|
—
|
$68,961.68
|
$113,539.60
|
$109,172.69
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
5
|
—
|
—
|
$68,541.25
|
$112,847.39
|
$108,507.11
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$68,076.62
|
$112,082.42
|
$107,771.56
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
5
|
—
|
—
|
$67,410.51
|
$110,985.73
|
$106,717.05
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
5
|
—
|
—
|
$67,382.76
|
$110,940.03
|
$106,673.11
|
2026-07-15
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
17
|
8
|
—
|
—
|
$100,773.12
|
$142,696.27
|
$105,700.94
|
2026-07-15
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
17
|
8
|
—
|
—
|
$100,773.12
|
$142,696.27
|
$105,700.94
|
2026-07-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
9
|
5
|
—
|
—
|
$64,236.22
|
$105,759.53
|
$101,691.85
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
5
|
—
|
—
|
$63,886.21
|
$105,183.26
|
$101,137.75
|
2026-07-15
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
9
|
5
|
—
|
—
|
$63,736.64
|
$104,937.01
|
$100,900.97
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
28
|
15
|
—
|
—
|
$75,173.23
|
$380,594.92
|
$100,793.31
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
5
|
—
|
—
|
$62,915.31
|
$103,584.76
|
$99,600.73
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
9
|
5
|
—
|
—
|
$62,792.47
|
$103,382.52
|
$99,406.27
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
5
|
—
|
—
|
$62,565.30
|
$103,008.49
|
$99,046.63
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
5
|
—
|
—
|
$61,761.45
|
$101,685.02
|
$97,774.05
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
5
|
—
|
—
|
$61,758.88
|
$101,680.79
|
$97,769.99
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
5
|
—
|
—
|
$60,988.95
|
$100,413.16
|
$96,551.12
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
5
|
—
|
—
|
$60,946.80
|
$100,343.77
|
$96,484.40
|
2026-07-15
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
5
|
—
|
—
|
$60,707.80
|
$99,950.28
|
$96,106.04
|
2026-07-15
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
9
|
5
|
—
|
—
|
$60,159.91
|
$99,048.22
|
$95,238.67
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
23
|
11
|
—
|
—
|
$79,667.67
|
$355,832.65
|
$94,235.50
|
2026-07-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
5
|
—
|
—
|
$59,118.60
|
$97,333.80
|
$93,590.19
|
2026-07-15
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
17
|
8
|
—
|
—
|
$89,055.37
|
$126,103.76
|
$93,410.19
|
2026-07-15
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
17
|
8
|
—
|
—
|
$89,055.37
|
$126,103.76
|
$93,410.19
|
2026-07-15
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
5
|
—
|
—
|
$58,686.86
|
$96,622.98
|
$92,906.71
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
5
|
—
|
—
|
$58,617.48
|
$96,508.74
|
$92,796.87
|
2026-07-15
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
9
|
5
|
—
|
—
|
$58,582.01
|
$96,450.35
|
$92,740.72
|
2026-07-15
|
|
634
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
2
|
1
|
—
|
—
|
$81,512.79
|
$103,441.39
|
$92,477.09
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$58,329.14
|
$96,034.02
|
$92,340.40
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
5
|
—
|
—
|
$57,983.24
|
$95,464.52
|
$91,792.80
|
2026-07-15
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
9
|
5
|
—
|
—
|
$57,936.47
|
$95,387.51
|
$91,718.76
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$57,902.03
|
$95,330.81
|
$91,664.24
|
2026-07-15
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
9
|
5
|
—
|
—
|
$56,954.27
|
$93,770.40
|
$90,163.85
|
2026-07-15
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
5
|
—
|
—
|
$56,940.39
|
$93,747.55
|
$90,141.88
|
2026-07-15
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
9
|
5
|
—
|
—
|
$56,779.51
|
$93,482.69
|
$89,887.20
|
2026-07-15
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
9
|
5
|
—
|
—
|
$56,706.53
|
$93,362.53
|
$89,771.66
|
2026-07-15
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
5
|
—
|
—
|
$56,648.45
|
$93,266.90
|
$89,679.72
|
2026-07-15
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
5
|
—
|
—
|
$55,696.58
|
$91,699.72
|
$88,172.81
|
2026-07-15
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
9
|
5
|
—
|
—
|
$55,510.00
|
$91,392.55
|
$87,877.45
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
5
|
—
|
—
|
$55,336.80
|
$91,107.37
|
$87,603.24
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
23
|
11
|
—
|
—
|
$79,868.83
|
$339,336.62
|
$87,451.37
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
5
|
—
|
—
|
$54,755.49
|
$90,150.31
|
$86,682.99
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$54,662.46
|
$89,997.14
|
$86,535.71
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
5
|
—
|
—
|
$54,532.94
|
$89,783.90
|
$86,330.67
|
2026-07-15
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
9
|
5
|
—
|
—
|
$54,336.09
|
$89,459.80
|
$86,019.04
|
2026-07-15
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
9
|
5
|
—
|
—
|
$54,121.77
|
$89,106.93
|
$85,679.74
|
2026-07-15
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
9
|
5
|
—
|
—
|
$53,825.20
|
$88,618.66
|
$85,210.25
|
2026-07-15
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
5
|
—
|
—
|
$53,494.72
|
$88,074.55
|
$84,687.07
|
2026-07-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
9
|
5
|
—
|
—
|
$53,005.93
|
$87,269.80
|
$83,913.27
|
2026-07-15
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
17
|
8
|
—
|
—
|
$79,681.17
|
$112,829.75
|
$83,577.59
|
2026-07-15
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
17
|
8
|
—
|
—
|
$79,681.17
|
$112,829.75
|
$83,577.59
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
23
|
11
|
—
|
—
|
$67,176.31
|
$311,363.87
|
$82,458.79
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
9
|
5
|
—
|
—
|
$52,056.11
|
$85,706.00
|
$82,409.62
|
2026-07-15
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
9
|
5
|
—
|
—
|
$52,052.51
|
$85,700.08
|
$82,403.92
|
2026-07-15
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
12
|
10
|
—
|
—
|
$3,733.10
|
$311,006.67
|
$82,364.19
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
9
|
5
|
—
|
—
|
$51,875.71
|
$85,408.98
|
$82,124.02
|
2026-07-15
|
|
365
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$81,987.14
|
$81,987.14
|
$81,987.14
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
9
|
5
|
—
|
—
|
$51,664.98
|
$85,062.04
|
$81,790.42
|
2026-07-15
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
9
|
5
|
—
|
—
|
$51,468.64
|
$84,738.78
|
$81,479.60
|
2026-07-15
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
9
|
5
|
—
|
—
|
$50,916.64
|
$83,829.95
|
$80,605.72
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
9
|
5
|
—
|
—
|
$50,849.31
|
$83,719.10
|
$80,499.13
|
2026-07-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
5
|
—
|
—
|
$50,836.46
|
$83,697.94
|
$80,478.79
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
11
|
—
|
—
|
$12,033.18
|
$302,829.51
|
$80,198.63
|
2026-07-15
|
|
632
|
MS_DRG
|
Neonate, Birth Weight 750-999 Grams, Died
|
2
|
1
|
—
|
—
|
$65,461.43
|
$94,111.87
|
$79,786.65
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$50,079.38
|
$82,451.47
|
$79,280.26
|
2026-07-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
23
|
11
|
—
|
—
|
$7,267.42
|
$298,787.65
|
$79,128.22
|
2026-07-15
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
5
|
—
|
—
|
$49,083.81
|
$80,812.36
|
$77,704.19
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
9
|
5
|
—
|
—
|
$48,816.03
|
$80,371.49
|
$77,280.27
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
5
|
—
|
—
|
$48,732.26
|
$80,233.55
|
$77,147.65
|
2026-07-15
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
9
|
5
|
—
|
—
|
$48,244.50
|
$79,430.50
|
$76,375.48
|
2026-07-15
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
9
|
5
|
—
|
—
|
$48,216.74
|
$79,384.80
|
$76,331.54
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
5
|
—
|
—
|
$48,040.45
|
$79,094.55
|
$76,052.45
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
9
|
5
|
—
|
—
|
$47,652.40
|
$78,455.66
|
$75,438.14
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
5
|
—
|
—
|
$47,515.17
|
$78,229.72
|
$75,220.89
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
23
|
11
|
—
|
—
|
$64,918.96
|
$283,301.61
|
$75,027.03
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
5
|
—
|
—
|
$47,064.42
|
$77,487.60
|
$74,507.30
|
2026-07-15
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
9
|
5
|
—
|
—
|
$46,989.38
|
$77,364.05
|
$74,388.51
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
5
|
—
|
—
|
$46,661.98
|
$76,825.01
|
$73,870.20
|
2026-07-15
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
17
|
8
|
—
|
—
|
$70,306.97
|
$99,555.74
|
$73,744.99
|
2026-07-15
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
17
|
8
|
—
|
—
|
$70,306.97
|
$99,555.74
|
$73,744.99
|
2026-07-15
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
9
|
5
|
—
|
—
|
$46,531.43
|
$76,610.07
|
$73,663.53
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
9
|
5
|
—
|
—
|
$46,281.12
|
$76,197.97
|
$73,267.28
|
2026-07-15
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
9
|
5
|
—
|
—
|
$45,808.78
|
$75,420.30
|
$72,519.52
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
15
|
—
|
—
|
$64,586.11
|
$274,405.32
|
$72,454.70
|
2026-07-15
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
5
|
—
|
—
|
$45,497.32
|
$74,907.50
|
$72,026.44
|
2026-07-15
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
5
|
—
|
—
|
$45,409.94
|
$74,763.64
|
$71,888.12
|
2026-07-15
|
|
635
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
2
|
1
|
—
|
—
|
$57,572.32
|
$85,877.84
|
$71,725.08
|
2026-07-15
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
5
|
—
|
—
|
$45,076.89
|
$74,215.30
|
$71,360.86
|
2026-07-15
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
9
|
5
|
—
|
—
|
$45,058.38
|
$74,184.83
|
$71,331.57
|
2026-07-15
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
9
|
5
|
—
|
—
|
$44,920.64
|
$73,958.05
|
$71,113.51
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
15
|
—
|
—
|
$58,833.30
|
$268,802.00
|
$70,893.52
|
2026-07-15
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
9
|
5
|
—
|
—
|
$44,773.13
|
$73,715.18
|
$70,879.99
|
2026-07-15
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
5
|
—
|
—
|
$44,763.88
|
$73,699.95
|
$70,865.34
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
5
|
—
|
—
|
$44,713.51
|
$73,617.02
|
$70,785.60
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
5
|
—
|
—
|
$43,573.52
|
$71,740.13
|
$68,980.89
|
2026-07-15
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
5
|
—
|
—
|
$43,384.38
|
$71,428.72
|
$68,681.46
|
2026-07-15
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
9
|
5
|
—
|
—
|
$42,882.23
|
$70,601.97
|
$67,886.51
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
5
|
—
|
—
|
$42,729.06
|
$70,349.80
|
$67,644.04
|
2026-07-15
|
|
90288
|
CPT
|
Botulism Immune Globulin 100 Mg Inj
|
29
|
17
|
$135,000.00
|
$27,000.00
80% off
|
$25,650.00
|
$162,000.00
|
$67,500.00
|
2026-07-15
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
5
|
—
|
—
|
$42,503.43
|
$69,978.31
|
$67,286.84
|
2026-07-15
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
5
|
—
|
—
|
$42,336.90
|
$69,704.14
|
$67,023.21
|
2026-07-15
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
5
|
—
|
—
|
$42,069.64
|
$69,264.11
|
$66,600.11
|
2026-07-15
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
9
|
5
|
—
|
—
|
$41,644.58
|
$68,564.29
|
$65,927.21
|
2026-07-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
22
|
11
|
—
|
—
|
$50,844.46
|
$247,556.78
|
$65,560.70
|
2026-07-15
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
9
|
5
|
—
|
—
|
$41,406.61
|
$68,172.50
|
$65,550.48
|
2026-07-15
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
17
|
8
|
—
|
—
|
$56,824.55
|
$88,393.39
|
$65,476.58
|
2026-07-15
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
9
|
5
|
—
|
—
|
$41,336.20
|
$68,056.57
|
$65,439.01
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
5
|
—
|
—
|
$40,973.33
|
$67,459.14
|
$64,864.56
|
2026-07-15
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$40,817.09
|
$67,201.89
|
$64,617.21
|
2026-07-15
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
17
|
8
|
—
|
—
|
$60,932.77
|
$86,281.73
|
$63,912.39
|
2026-07-15
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
17
|
8
|
—
|
—
|
$60,932.77
|
$86,281.73
|
$63,912.39
|
2026-07-15
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
9
|
5
|
—
|
—
|
$40,346.29
|
$66,426.76
|
$63,871.89
|
2026-07-15
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
9
|
5
|
—
|
—
|
$40,098.04
|
$66,018.04
|
$63,478.89
|
2026-07-15
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
17
|
8
|
—
|
—
|
$63,342.28
|
$85,528.94
|
$63,354.77
|
2026-07-15
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
5
|
—
|
—
|
$39,917.64
|
$65,721.02
|
$63,193.29
|
2026-07-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
22
|
11
|
—
|
—
|
$56,155.93
|
$238,588.21
|
$63,013.10
|
2026-07-15
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
9
|
5
|
—
|
—
|
$39,692.00
|
$65,349.54
|
$62,836.09
|
2026-07-15
|
|
7234
|
APR_DRG
|
Viral Illness
|
9
|
5
|
—
|
—
|
$39,638.03
|
$65,260.68
|
$62,750.66
|
2026-07-15
|
|
366
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$62,398.63
|
$62,398.63
|
$62,398.63
|
2026-07-15
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
9
|
5
|
—
|
—
|
$39,211.95
|
$64,559.18
|
$62,076.13
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$38,778.67
|
$63,845.82
|
$61,390.21
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$38,702.09
|
$63,719.73
|
$61,268.97
|
2026-07-15
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
6
|
5
|
—
|
—
|
$61,258.38
|
$88,269.43
|
$61,258.38
|
2026-07-15
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
9
|
5
|
—
|
—
|
$38,350.53
|
$63,140.92
|
$60,712.43
|
2026-07-15
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
9
|
5
|
—
|
—
|
$37,956.83
|
$62,492.73
|
$60,089.16
|
2026-07-15
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
9
|
5
|
—
|
—
|
$37,821.14
|
$62,269.33
|
$59,874.35
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
15
|
—
|
—
|
$48,469.27
|
$230,900.22
|
$59,644.87
|
2026-07-15
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
9
|
5
|
—
|
—
|
$37,598.08
|
$61,902.07
|
$59,521.22
|
2026-07-15
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
9
|
5
|
—
|
—
|
$37,065.09
|
$61,024.55
|
$58,677.45
|
2026-07-15
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
9
|
5
|
—
|
—
|
$37,042.48
|
$60,987.32
|
$58,641.65
|
2026-07-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
9
|
5
|
—
|
—
|
$36,992.11
|
$60,904.39
|
$58,561.91
|
2026-07-15
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
5
|
—
|
—
|
$36,812.22
|
$60,608.21
|
$58,277.13
|
2026-07-15
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
9
|
5
|
—
|
—
|
$36,617.42
|
$60,287.50
|
$57,968.75
|
2026-07-15
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
5
|
—
|
—
|
$36,525.93
|
$60,136.87
|
$57,823.92
|
2026-07-15
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
9
|
5
|
—
|
—
|
$36,333.71
|
$59,820.39
|
$57,519.61
|
2026-07-15
|
|
613
|
MS_DRG
|
Neonate, Birth Weight <750 Grams, Died
|
2
|
1
|
—
|
—
|
$37,077.23
|
$77,886.61
|
$57,481.92
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
15
|
—
|
—
|
$50,241.68
|
$231,628.36
|
$57,407.82
|
2026-07-15
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$36,216.52
|
$59,627.45
|
$57,334.09
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
28
|
15
|
—
|
—
|
$49,140.63
|
$216,211.02
|
$57,259.37
|
2026-07-15
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
9
|
5
|
—
|
—
|
$35,826.93
|
$58,986.03
|
$56,717.33
|
2026-07-15
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
9
|
5
|
—
|
—
|
$35,791.47
|
$58,927.64
|
$56,661.19
|
2026-07-15
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
9
|
5
|
—
|
—
|
$35,657.32
|
$58,706.78
|
$56,448.82
|
2026-07-15
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
5
|
—
|
—
|
$35,653.72
|
$58,700.85
|
$56,443.13
|
2026-07-15
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
21
|
11
|
—
|
—
|
$33,317.93
|
$4,148,668.87
|
$56,377.19
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
15
|
—
|
—
|
$47,167.95
|
$210,976.65
|
$55,873.15
|
2026-07-15
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
9
|
5
|
—
|
—
|
$35,275.95
|
$58,078.89
|
$55,845.08
|
2026-07-15
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$35,251.80
|
$58,039.12
|
$55,806.84
|
2026-07-15
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
9
|
5
|
—
|
—
|
$35,200.91
|
$57,955.34
|
$55,726.29
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
15
|
—
|
—
|
$47,648.93
|
$210,067.16
|
$55,632.29
|
2026-07-15
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
5
|
—
|
—
|
$35,123.30
|
$57,827.56
|
$55,603.43
|
2026-07-15
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
9
|
5
|
—
|
—
|
$35,071.39
|
$57,742.09
|
$55,521.24
|
2026-07-15
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
9
|
5
|
—
|
—
|
$34,922.86
|
$57,497.54
|
$55,286.10
|
2026-07-15
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
18
|
9
|
—
|
—
|
$55,015.23
|
$4,676,294.13
|
$55,272.32
|
2026-07-15
|
|
647
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
2
|
1
|
—
|
—
|
$52,649.80
|
$57,692.74
|
$55,171.27
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
15
|
—
|
—
|
$45,501.91
|
$209,371.99
|
$55,025.24
|
2026-07-15
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
9
|
5
|
—
|
—
|
$34,714.18
|
$57,153.98
|
$54,955.75
|
2026-07-15
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
9
|
5
|
—
|
—
|
$34,623.72
|
$57,005.04
|
$54,812.54
|
2026-07-15
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
5
|
—
|
—
|
$34,518.36
|
$56,831.57
|
$54,645.74
|
2026-07-15
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
9
|
5
|
—
|
—
|
$34,509.62
|
$56,817.19
|
$54,631.91
|
2026-07-15
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
9
|
5
|
—
|
—
|
$34,401.69
|
$56,639.48
|
$54,461.04
|
2026-07-15
|
|
222
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc
|
5
|
4
|
—
|
—
|
$54,340.04
|
$54,340.04
|
$54,340.04
|
2026-07-15
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
18
|
9
|
—
|
—
|
$51,558.57
|
$4,382,478.34
|
$54,079.79
|
2026-07-15
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
18
|
9
|
—
|
—
|
$51,558.57
|
$4,382,478.34
|
$54,079.79
|
2026-07-15
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
9
|
5
|
—
|
—
|
$34,141.62
|
$56,211.30
|
$54,049.32
|
2026-07-15
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
9
|
5
|
—
|
—
|
$34,124.66
|
$56,183.37
|
$54,022.47
|
2026-07-15
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
9
|
5
|
—
|
—
|
$34,098.96
|
$56,141.06
|
$53,981.79
|
2026-07-15
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
9
|
5
|
—
|
—
|
$34,030.60
|
$56,028.52
|
$53,873.57
|
2026-07-15
|
|
4684
|
APR_DRG
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
9
|
5
|
—
|
—
|
$33,858.93
|
$55,745.88
|
$53,601.81
|
2026-07-15
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
9
|
5
|
—
|
—
|
$33,763.85
|
$55,589.33
|
$53,451.28
|
2026-07-15
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
9
|
5
|
—
|
—
|
$33,481.68
|
$55,124.76
|
$53,004.58
|
2026-07-15
|
|
8154
|
APR_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
9
|
5
|
—
|
—
|
$33,463.18
|
$55,094.30
|
$52,975.29
|
2026-07-15
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
5
|
—
|
—
|
$33,433.36
|
$55,045.22
|
$52,928.09
|
2026-07-15
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
9
|
5
|
—
|
—
|
$33,206.19
|
$54,671.19
|
$52,568.45
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
11
|
—
|
—
|
$11,582.58
|
$198,345.47
|
$52,528.02
|
2026-07-15
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
9
|
5
|
—
|
—
|
$33,153.25
|
$54,584.03
|
$52,484.65
|
2026-07-15
|
|
6924
|
APR_DRG
|
Radiotherapy
|
9
|
5
|
—
|
—
|
$33,130.12
|
$54,545.95
|
$52,448.03
|
2026-07-15
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
9
|
5
|
—
|
—
|
$33,086.95
|
$54,474.87
|
$52,379.68
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
23
|
11
|
—
|
—
|
$42,312.91
|
$206,500.70
|
$52,215.85
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
23
|
11
|
—
|
—
|
$29,176.69
|
$197,084.28
|
$52,194.02
|
2026-07-15
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
9
|
5
|
—
|
—
|
$32,961.02
|
$54,267.55
|
$52,180.34
|
2026-07-15
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
5
|
—
|
—
|
$32,926.07
|
$54,210.01
|
$52,125.01
|
2026-07-15
|
|
8104
|
APR_DRG
|
Hemorrhage Or Hematoma Due To Complication
|
9
|
5
|
—
|
—
|
$32,913.22
|
$54,188.85
|
$52,104.67
|
2026-07-15
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
5
|
—
|
—
|
$32,820.20
|
$54,035.69
|
$51,957.39
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
23
|
11
|
—
|
—
|
$48,324.98
|
$205,317.07
|
$51,916.77
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
23
|
11
|
—
|
—
|
$41,282.62
|
$195,922.00
|
$51,886.21
|
2026-07-15
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
5
|
—
|
—
|
$32,701.47
|
$53,840.21
|
$51,769.44
|
2026-07-15
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
9
|
5
|
—
|
—
|
$32,611.01
|
$53,691.28
|
$51,626.23
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
5
|
—
|
—
|
$32,584.80
|
$53,648.12
|
$51,584.73
|
2026-07-15
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
9
|
5
|
—
|
—
|
$32,523.12
|
$53,546.58
|
$51,487.09
|
2026-07-15
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
9
|
5
|
—
|
—
|
$32,329.87
|
$53,228.40
|
$51,181.16
|
2026-07-15
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
9
|
5
|
—
|
—
|
$32,203.43
|
$53,020.23
|
$50,980.99
|
2026-07-15
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
5
|
—
|
—
|
$32,069.80
|
$52,800.22
|
$50,769.44
|
2026-07-15
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
9
|
5
|
—
|
—
|
$32,001.44
|
$52,687.67
|
$50,661.22
|
2026-07-15
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
9
|
5
|
—
|
—
|
$31,886.31
|
$52,498.12
|
$50,478.96
|
2026-07-15
|
|
646
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…
|
2
|
1
|
—
|
—
|
$47,216.46
|
$53,720.42
|
$50,468.44
|
2026-07-15
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
9
|
5
|
—
|
—
|
$31,819.49
|
$52,388.11
|
$50,373.19
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
28
|
15
|
—
|
—
|
$41,183.84
|
$189,915.53
|
$50,295.51
|
2026-07-15
|
|
6613
|
APR_DRG
|
Coagulation And Platelet Disorders
|
9
|
5
|
—
|
—
|
$31,443.27
|
$51,768.69
|
$49,777.58
|
2026-07-15
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
9
|
5
|
—
|
—
|
$31,405.75
|
$51,706.91
|
$49,718.19
|
2026-07-15
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
9
|
5
|
—
|
—
|
$31,385.19
|
$51,673.07
|
$49,685.64
|
2026-07-15
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
5
|
—
|
—
|
$31,279.31
|
$51,498.75
|
$49,518.02
|
2026-07-15
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
5
|
—
|
—
|
$31,210.44
|
$51,385.35
|
$49,408.99
|
2026-07-15
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
9
|
5
|
—
|
—
|
$31,012.04
|
$51,058.72
|
$49,094.92
|
2026-07-15
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
9
|
5
|
—
|
—
|
$31,001.76
|
$51,041.79
|
$49,078.65
|
2026-07-15
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
5
|
—
|
—
|
$30,991.48
|
$51,024.87
|
$49,062.37
|
2026-07-15
|