|
5834
|
APR_DRG
|
Neonate With Ecmo
|
19
|
11
|
—
|
—
|
$667,568.00
|
$700,946.40
|
$680,919.36
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
11
|
—
|
—
|
$649,410.00
|
$681,880.50
|
$662,398.20
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
19
|
11
|
—
|
—
|
$565,272.00
|
$593,535.60
|
$576,577.44
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
19
|
11
|
—
|
—
|
$543,775.00
|
$570,963.75
|
$554,650.50
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
19
|
11
|
—
|
—
|
$422,559.00
|
$443,686.95
|
$431,010.18
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
19
|
11
|
—
|
—
|
$410,334.00
|
$430,850.70
|
$418,540.68
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
19
|
11
|
—
|
—
|
$384,418.00
|
$403,638.90
|
$392,106.36
|
2026-02-28
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$332,055.91
|
$348,658.71
|
$332,055.91
|
2026-07-31
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$329,212.57
|
$345,673.20
|
$329,212.57
|
2026-07-31
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
19
|
11
|
—
|
—
|
$314,412.00
|
$330,132.60
|
$320,700.24
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
19
|
11
|
—
|
—
|
$311,626.00
|
$327,207.30
|
$317,858.52
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
18
|
—
|
—
|
$200,029.00
|
$774,123.09
|
$299,327.60
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
26
|
19
|
—
|
—
|
$149,405.00
|
$579,444.54
|
$289,722.27
|
2026-02-28
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$288,810.76
|
$303,251.30
|
$288,810.76
|
2026-07-31
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
19
|
11
|
—
|
—
|
$281,662.00
|
$295,745.10
|
$287,295.24
|
2026-02-28
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$285,122.78
|
$299,378.92
|
$285,122.78
|
2026-07-31
|
|
J1932
|
HCPCS
|
Lanreotide Syrg 120 Mg/0.5 Ml120 Mg
|
18
|
8
|
$442,452.87
|
$66,367.93
85% off
|
$61,943.41
|
$398,207.59
|
$283,169.84
|
2026-02-28
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$255,832.37
|
$268,623.99
|
$255,832.37
|
2026-07-31
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
19
|
11
|
—
|
—
|
$248,541.00
|
$260,968.05
|
$253,511.82
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
19
|
11
|
—
|
—
|
$248,009.00
|
$260,409.45
|
$252,969.18
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
52
|
19
|
—
|
—
|
$125,826.00
|
$488,769.96
|
$244,384.98
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
11
|
—
|
—
|
$229,152.00
|
$240,609.60
|
$233,735.04
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
19
|
11
|
—
|
—
|
$226,732.00
|
$238,068.60
|
$231,266.64
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
19
|
11
|
—
|
—
|
$225,695.00
|
$236,979.75
|
$230,208.90
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
19
|
11
|
—
|
—
|
$225,112.00
|
$236,367.60
|
$229,614.24
|
2026-02-28
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$228,707.73
|
$240,143.12
|
$228,707.73
|
2026-07-31
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
38
|
11
|
—
|
—
|
$224,144.00
|
$235,351.20
|
$228,626.88
|
2026-02-28
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$228,061.09
|
$239,464.14
|
$228,061.09
|
2026-07-31
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
19
|
11
|
—
|
—
|
$221,905.00
|
$233,000.25
|
$226,343.10
|
2026-02-28
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$224,176.13
|
$235,384.94
|
$224,176.13
|
2026-07-31
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$221,412.20
|
$232,482.81
|
$221,412.20
|
2026-07-31
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
38
|
11
|
—
|
—
|
$216,059.00
|
$226,861.95
|
$220,380.18
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$214,124.00
|
$224,830.20
|
$218,406.48
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
19
|
11
|
—
|
—
|
$213,872.00
|
$224,565.60
|
$218,149.44
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
19
|
11
|
—
|
—
|
$212,741.00
|
$223,378.05
|
$216,995.82
|
2026-02-28
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
6
|
6
|
—
|
—
|
$200,700.71
|
$331,220.22
|
$211,263.91
|
2026-07-31
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$202,692.78
|
$212,827.42
|
$202,692.78
|
2026-07-31
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$200,415.64
|
$210,436.42
|
$200,415.64
|
2026-07-31
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$199,227.56
|
$209,188.94
|
$199,227.56
|
2026-07-31
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
19
|
11
|
—
|
—
|
$194,790.00
|
$204,529.50
|
$198,685.80
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
19
|
11
|
—
|
—
|
$194,009.00
|
$203,709.45
|
$197,889.18
|
2026-02-28
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$195,644.77
|
$205,427.01
|
$195,644.77
|
2026-07-31
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
19
|
11
|
—
|
—
|
$190,562.00
|
$200,090.10
|
$194,373.24
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
19
|
11
|
—
|
—
|
$190,456.00
|
$199,978.80
|
$194,265.12
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
19
|
11
|
—
|
—
|
$188,864.00
|
$198,307.20
|
$192,641.28
|
2026-02-28
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
19
|
11
|
—
|
—
|
$184,689.00
|
$193,923.45
|
$188,382.78
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
19
|
11
|
—
|
—
|
$183,736.00
|
$192,922.80
|
$187,410.72
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
19
|
11
|
—
|
—
|
$178,310.00
|
$187,225.50
|
$181,876.20
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
19
|
11
|
—
|
—
|
$178,296.00
|
$187,210.80
|
$181,861.92
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$177,763.00
|
$186,651.15
|
$181,318.26
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
19
|
11
|
—
|
—
|
$172,806.00
|
$181,446.30
|
$176,262.12
|
2026-02-28
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$173,564.29
|
$182,242.50
|
$173,564.29
|
2026-07-31
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$171,436.69
|
$180,008.52
|
$171,436.69
|
2026-07-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
22
|
18
|
—
|
—
|
$113,673.00
|
$442,036.50
|
$170,920.79
|
2026-02-28
|
|
44
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$169,755.64
|
$178,243.42
|
$169,755.64
|
2026-07-31
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
19
|
11
|
—
|
—
|
$166,141.00
|
$174,448.05
|
$169,463.82
|
2026-02-28
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$167,114.44
|
$175,470.16
|
$167,114.44
|
2026-07-31
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
19
|
11
|
—
|
—
|
$163,414.00
|
$171,584.70
|
$166,682.28
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
19
|
11
|
—
|
—
|
$162,088.00
|
$170,192.40
|
$165,329.76
|
2026-02-28
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
6
|
6
|
—
|
—
|
$156,082.29
|
$257,008.22
|
$164,297.15
|
2026-07-31
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$163,033.53
|
$171,185.21
|
$163,033.53
|
2026-07-31
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$158,448.30
|
$166,370.72
|
$158,448.30
|
2026-07-31
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
19
|
11
|
—
|
—
|
$155,180.00
|
$162,939.00
|
$158,283.60
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
11
|
—
|
—
|
$153,965.00
|
$161,663.25
|
$157,044.30
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
19
|
11
|
—
|
—
|
$153,740.00
|
$161,427.00
|
$156,814.80
|
2026-02-28
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$156,600.18
|
$164,430.19
|
$156,600.18
|
2026-07-31
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$154,292.09
|
$162,006.69
|
$154,292.09
|
2026-07-31
|
|
J2506
|
HCPCS
|
Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg
|
18
|
8
|
$240,269.61
|
$36,040.45
85% off
|
$33,637.75
|
$216,242.65
|
$153,772.55
|
2026-02-28
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$153,446.41
|
$161,118.73
|
$153,446.41
|
2026-07-31
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
38
|
11
|
—
|
—
|
$149,625.00
|
$157,106.25
|
$152,617.50
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
19
|
11
|
—
|
—
|
$148,188.00
|
$155,597.40
|
$151,151.76
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
19
|
11
|
—
|
—
|
$145,809.00
|
$153,099.45
|
$148,725.18
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
19
|
11
|
—
|
—
|
$145,449.00
|
$152,721.45
|
$148,357.98
|
2026-02-28
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$147,898.96
|
$155,293.91
|
$147,898.96
|
2026-07-31
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
19
|
11
|
—
|
—
|
$144,784.00
|
$152,023.20
|
$147,679.68
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
19
|
11
|
—
|
—
|
$144,735.00
|
$151,971.75
|
$147,629.70
|
2026-02-28
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$145,696.07
|
$152,980.87
|
$145,696.07
|
2026-07-31
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$141,000.00
|
$148,050.00
|
$143,820.00
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
19
|
11
|
—
|
—
|
$141,000.00
|
$148,050.00
|
$143,820.00
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
19
|
11
|
—
|
—
|
$140,600.00
|
$147,630.00
|
$143,412.00
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
19
|
11
|
—
|
—
|
$137,647.00
|
$144,529.35
|
$140,399.94
|
2026-02-28
|
|
4404
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$137,093.87
|
$143,948.56
|
$137,093.87
|
2026-07-31
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
19
|
11
|
—
|
—
|
$133,932.00
|
$140,628.60
|
$136,610.64
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
26
|
19
|
—
|
—
|
$69,492.00
|
$272,134.08
|
$136,067.04
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
26
|
19
|
—
|
—
|
$69,317.00
|
$271,460.97
|
$135,730.49
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
19
|
11
|
—
|
—
|
$131,136.00
|
$137,692.80
|
$133,758.72
|
2026-02-28
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$133,421.35
|
$140,092.42
|
$133,421.35
|
2026-07-31
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
19
|
11
|
—
|
—
|
$128,922.00
|
$135,368.10
|
$131,500.44
|
2026-02-28
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
5
|
5
|
—
|
—
|
$130,777.06
|
$137,315.91
|
$130,777.06
|
2026-07-31
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$126,962.00
|
$133,310.10
|
$129,501.24
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
19
|
11
|
—
|
—
|
$126,816.00
|
$133,156.80
|
$129,352.32
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
19
|
11
|
—
|
—
|
$126,255.00
|
$132,567.75
|
$128,780.10
|
2026-02-28
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$128,706.17
|
$135,141.48
|
$128,706.17
|
2026-07-31
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$128,365.84
|
$134,784.13
|
$128,365.84
|
2026-07-31
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
19
|
11
|
—
|
—
|
$125,121.00
|
$131,377.05
|
$127,623.42
|
2026-02-28
|
|
3404
|
OTHER
|
Fracture Of Femur
|
5
|
5
|
—
|
—
|
$127,564.51
|
$133,942.74
|
$127,564.51
|
2026-07-31
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$127,346.90
|
$133,714.24
|
$127,346.90
|
2026-07-31
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
19
|
11
|
—
|
—
|
$124,355.00
|
$130,572.75
|
$126,842.10
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
19
|
11
|
—
|
—
|
$124,215.00
|
$130,425.75
|
$126,699.30
|
2026-02-28
|
|
43
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$124,497.37
|
$130,722.24
|
$124,497.37
|
2026-07-31
|
|
924
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$123,901.27
|
$130,096.33
|
$123,901.27
|
2026-07-31
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
19
|
11
|
—
|
—
|
$120,464.00
|
$126,487.20
|
$122,873.28
|
2026-02-28
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$122,576.03
|
$128,704.83
|
$122,576.03
|
2026-07-31
|
|
9114
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$120,869.20
|
$126,912.66
|
$120,869.20
|
2026-07-31
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$120,457.71
|
$126,480.60
|
$120,457.71
|
2026-07-31
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
19
|
11
|
—
|
—
|
$117,931.00
|
$123,827.55
|
$120,289.62
|
2026-02-28
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi…
|
6
|
6
|
—
|
—
|
$113,756.16
|
$186,607.18
|
$119,743.33
|
2026-07-31
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
19
|
11
|
—
|
—
|
$117,212.00
|
$123,072.60
|
$119,556.24
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$116,418.00
|
$122,238.90
|
$118,746.36
|
2026-02-28
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$117,897.98
|
$123,792.88
|
$117,897.98
|
2026-07-31
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
19
|
11
|
—
|
—
|
$115,279.00
|
$121,042.95
|
$117,584.58
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
19
|
11
|
—
|
—
|
$115,231.00
|
$120,992.55
|
$117,535.62
|
2026-02-28
|
|
3623
|
OTHER
|
Mastectomy Procedures
|
5
|
5
|
—
|
—
|
$116,492.30
|
$122,316.92
|
$116,492.30
|
2026-07-31
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
5
|
5
|
—
|
—
|
$115,959.11
|
$121,757.07
|
$115,959.11
|
2026-07-31
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$115,529.05
|
$121,305.50
|
$115,529.05
|
2026-07-31
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$115,357.85
|
$121,125.74
|
$115,357.85
|
2026-07-31
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$114,991.73
|
$120,741.32
|
$114,991.73
|
2026-07-31
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$114,918.51
|
$120,664.44
|
$114,918.51
|
2026-07-31
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
26
|
19
|
—
|
—
|
$58,448.00
|
$229,665.63
|
$114,832.82
|
2026-02-28
|
|
214
|
OTHER
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$114,134.71
|
$119,841.45
|
$114,134.71
|
2026-07-31
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
11
|
11
|
—
|
—
|
$69,734.14
|
$203,866.57
|
$113,386.29
|
2026-07-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
22
|
18
|
—
|
—
|
$74,946.00
|
$293,106.21
|
$113,334.40
|
2026-02-28
|
|
6344
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
5
|
5
|
—
|
—
|
$113,117.83
|
$118,773.72
|
$113,117.83
|
2026-07-31
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
19
|
11
|
—
|
—
|
$109,850.00
|
$115,342.50
|
$112,047.00
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
19
|
11
|
—
|
—
|
$109,252.00
|
$114,714.60
|
$111,437.04
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
19
|
11
|
—
|
—
|
$108,996.00
|
$114,445.80
|
$111,175.92
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
26
|
19
|
—
|
—
|
$56,484.00
|
$222,112.65
|
$111,056.33
|
2026-02-28
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$109,851.66
|
$115,344.24
|
$109,851.66
|
2026-07-31
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
19
|
11
|
—
|
—
|
$107,592.00
|
$112,971.60
|
$109,743.84
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
19
|
11
|
—
|
—
|
$107,381.00
|
$112,750.05
|
$109,528.62
|
2026-02-28
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$109,451.50
|
$114,924.08
|
$109,451.50
|
2026-07-31
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
38
|
11
|
—
|
—
|
$106,993.00
|
$112,342.65
|
$109,132.86
|
2026-02-28
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$108,368.62
|
$113,787.05
|
$108,368.62
|
2026-07-31
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi…
|
10
|
10
|
—
|
—
|
$102,874.55
|
$172,490.98
|
$108,289.00
|
2026-07-31
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
19
|
11
|
—
|
—
|
$105,614.00
|
$110,894.70
|
$107,726.28
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
19
|
11
|
—
|
—
|
$104,297.00
|
$109,511.85
|
$106,382.94
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
19
|
11
|
—
|
—
|
$104,225.00
|
$109,436.25
|
$106,309.50
|
2026-02-28
|
|
Q5127
|
HCPCS
|
Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg
|
18
|
8
|
$165,817.64
|
$24,872.65
85% off
|
$23,214.47
|
$149,235.88
|
$106,123.29
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
38
|
11
|
—
|
—
|
$103,816.00
|
$109,006.80
|
$105,892.32
|
2026-02-28
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$105,495.38
|
$110,770.15
|
$105,495.38
|
2026-07-31
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$104,943.62
|
$110,190.80
|
$104,943.62
|
2026-07-31
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
19
|
11
|
—
|
—
|
$102,880.00
|
$108,024.00
|
$104,937.60
|
2026-02-28
|
|
1694
|
OTHER
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$104,280.49
|
$109,494.51
|
$104,280.49
|
2026-07-31
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
11
|
—
|
—
|
$101,099.00
|
$106,153.95
|
$103,120.98
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
19
|
11
|
—
|
—
|
$100,360.00
|
$105,378.00
|
$102,367.20
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
19
|
11
|
—
|
—
|
$100,242.00
|
$105,254.10
|
$102,246.84
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
19
|
11
|
—
|
—
|
$100,181.00
|
$105,190.05
|
$102,184.62
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$99,749.00
|
$104,736.45
|
$101,743.98
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
19
|
11
|
—
|
—
|
$99,157.00
|
$104,114.85
|
$101,140.14
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
19
|
11
|
—
|
—
|
$99,077.00
|
$104,030.85
|
$101,058.54
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
19
|
11
|
—
|
—
|
$99,018.00
|
$103,968.90
|
$100,998.36
|
2026-02-28
|
|
404
|
OTHER
|
Spinal Disorders And Injuries
|
5
|
5
|
—
|
—
|
$100,829.70
|
$105,871.18
|
$100,829.70
|
2026-07-31
|
|
6302
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$100,599.72
|
$105,629.71
|
$100,599.72
|
2026-07-31
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$100,287.23
|
$105,301.59
|
$100,287.23
|
2026-07-31
|
|
4034
|
OTHER
|
Procedures For Obesity
|
5
|
5
|
—
|
—
|
$99,436.39
|
$104,408.21
|
$99,436.39
|
2026-07-31
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
38
|
11
|
—
|
—
|
$97,398.00
|
$102,267.90
|
$99,345.96
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
19
|
11
|
—
|
—
|
$97,374.00
|
$102,242.70
|
$99,321.48
|
2026-02-28
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
19
|
11
|
—
|
—
|
$97,099.00
|
$101,953.95
|
$99,040.98
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
19
|
11
|
—
|
—
|
$96,974.00
|
$101,822.70
|
$98,913.48
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
38
|
11
|
—
|
—
|
$96,875.00
|
$101,718.75
|
$98,812.50
|
2026-02-28
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$98,143.12
|
$103,050.28
|
$98,143.12
|
2026-07-31
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
5
|
5
|
—
|
—
|
$97,335.60
|
$102,202.38
|
$97,335.60
|
2026-07-31
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
19
|
11
|
—
|
—
|
$95,247.00
|
$100,009.35
|
$97,151.94
|
2026-02-28
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$96,999.40
|
$101,849.37
|
$96,999.40
|
2026-07-31
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
19
|
11
|
—
|
—
|
$94,928.00
|
$99,674.40
|
$96,826.56
|
2026-02-28
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$96,683.81
|
$101,518.00
|
$96,683.81
|
2026-07-31
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$96,578.62
|
$101,407.55
|
$96,578.62
|
2026-07-31
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
19
|
11
|
—
|
—
|
$94,632.00
|
$99,363.60
|
$96,524.64
|
2026-02-28
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$96,519.83
|
$101,345.82
|
$96,519.83
|
2026-07-31
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$96,104.21
|
$100,909.42
|
$96,104.21
|
2026-07-31
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$96,026.86
|
$100,828.20
|
$96,026.86
|
2026-07-31
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
19
|
11
|
—
|
—
|
$93,637.00
|
$98,318.85
|
$95,509.74
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
19
|
11
|
—
|
—
|
$93,478.00
|
$98,151.90
|
$95,347.56
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
19
|
11
|
—
|
—
|
$93,257.00
|
$97,919.85
|
$95,122.14
|
2026-02-28
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$94,868.70
|
$99,612.14
|
$94,868.70
|
2026-07-31
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
19
|
11
|
—
|
—
|
$92,920.00
|
$97,566.00
|
$94,778.40
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
19
|
11
|
—
|
—
|
$92,554.00
|
$97,181.70
|
$94,405.08
|
2026-02-28
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$94,377.79
|
$99,096.68
|
$94,377.79
|
2026-07-31
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$94,265.38
|
$98,978.65
|
$94,265.38
|
2026-07-31
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
19
|
11
|
—
|
—
|
$92,047.00
|
$96,649.35
|
$93,887.94
|
2026-02-28
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$93,414.54
|
$98,085.27
|
$93,414.54
|
2026-07-31
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
38
|
11
|
—
|
—
|
$91,481.00
|
$96,055.05
|
$93,310.62
|
2026-02-28
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$92,838.04
|
$97,479.94
|
$92,838.04
|
2026-07-31
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
38
|
11
|
—
|
—
|
$90,645.00
|
$95,177.25
|
$92,457.90
|
2026-02-28
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$91,703.59
|
$96,288.77
|
$91,703.59
|
2026-07-31
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$91,393.16
|
$95,962.82
|
$91,393.16
|
2026-07-31
|
|
3214
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
5
|
5
|
—
|
—
|
$91,376.66
|
$95,945.49
|
$91,376.66
|
2026-07-31
|
|
5104
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
5
|
5
|
—
|
—
|
$91,206.49
|
$95,766.81
|
$91,206.49
|
2026-07-31
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
6
|
6
|
—
|
—
|
$86,550.01
|
$141,355.76
|
$91,105.27
|
2026-07-31
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$90,829.03
|
$95,370.48
|
$90,829.03
|
2026-07-31
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
19
|
11
|
—
|
—
|
$89,021.00
|
$93,472.05
|
$90,801.42
|
2026-02-28
|
|
3154
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
19
|
11
|
—
|
—
|
$89,015.00
|
$93,465.75
|
$90,795.30
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
19
|
11
|
—
|
—
|
$88,713.00
|
$93,148.65
|
$90,487.26
|
2026-02-28
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$90,438.16
|
$94,960.07
|
$90,438.16
|
2026-07-31
|
|
625034252
|
OTHER
|
Impella Cp Pump Set
|
4
|
4
|
$131,239.00
|
$45,933.65
65% off
|
$88,455.09
|
$101,054.03
|
$90,226.82
|
2026-07-31
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
19
|
11
|
—
|
—
|
$88,352.00
|
$92,769.60
|
$90,119.04
|
2026-02-28
|
|
4403
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$90,021.51
|
$94,522.59
|
$90,021.51
|
2026-07-31
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
19
|
11
|
—
|
—
|
$88,017.00
|
$92,417.85
|
$89,777.34
|
2026-02-28
|
|
2324
|
OTHER
|
Gastric Fundoplication
|
5
|
5
|
—
|
—
|
$89,685.30
|
$94,169.56
|
$89,685.30
|
2026-07-31
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$89,685.30
|
$94,169.56
|
$89,685.30
|
2026-07-31
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
5
|
5
|
—
|
—
|
$89,685.30
|
$94,169.56
|
$89,685.30
|
2026-07-31
|
|
3024
|
OTHER
|
No Active Code Description
|
5
|
5
|
—
|
—
|
$88,830.34
|
$93,271.86
|
$88,830.34
|
2026-07-31
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
19
|
11
|
—
|
—
|
$87,073.00
|
$91,426.65
|
$88,814.46
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
38
|
11
|
—
|
—
|
$86,957.00
|
$91,304.85
|
$88,696.14
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
19
|
11
|
—
|
—
|
$86,935.00
|
$91,281.75
|
$88,673.70
|
2026-02-28
|
|
5114
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
5
|
5
|
—
|
—
|
$88,393.06
|
$92,812.71
|
$88,393.06
|
2026-07-31
|
|
8412
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$88,328.09
|
$92,744.49
|
$88,328.09
|
2026-07-31
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$88,287.87
|
$92,702.26
|
$88,287.87
|
2026-07-31
|
|
6904
|
OTHER
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$87,877.41
|
$92,271.28
|
$87,877.41
|
2026-07-31
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
18
|
—
|
—
|
$57,781.00
|
$227,099.70
|
$87,811.89
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
19
|
11
|
—
|
—
|
$85,641.00
|
$89,923.05
|
$87,353.82
|
2026-02-28
|
|
6364
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$86,980.16
|
$91,329.17
|
$86,980.16
|
2026-07-31
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$86,794.52
|
$91,134.25
|
$86,794.52
|
2026-07-31
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
5
|
5
|
—
|
—
|
$86,720.27
|
$91,056.28
|
$86,720.27
|
2026-07-31
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
19
|
11
|
—
|
—
|
$83,938.00
|
$88,134.90
|
$85,616.76
|
2026-02-28
|
|
7104
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
5
|
5
|
—
|
—
|
$85,499.19
|
$89,774.15
|
$85,499.19
|
2026-07-31
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
22
|
18
|
—
|
—
|
$56,195.00
|
$220,998.96
|
$85,452.93
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
19
|
11
|
—
|
—
|
$83,480.00
|
$87,654.00
|
$85,149.60
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
19
|
11
|
—
|
—
|
$83,337.00
|
$87,503.85
|
$85,003.74
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
18
|
—
|
—
|
$55,562.00
|
$218,563.56
|
$84,511.24
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
19
|
11
|
—
|
—
|
$82,503.00
|
$86,628.15
|
$84,153.06
|
2026-02-28
|
|
4234
|
OTHER
|
Inborn Errors Of Metabolism
|
5
|
5
|
—
|
—
|
$84,131.67
|
$88,338.25
|
$84,131.67
|
2026-07-31
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
19
|
11
|
—
|
—
|
$82,455.00
|
$86,577.75
|
$84,104.10
|
2026-02-28
|
|
2294
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$83,998.63
|
$88,198.56
|
$83,998.63
|
2026-07-31
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
19
|
11
|
—
|
—
|
$82,154.00
|
$86,261.70
|
$83,797.08
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
26
|
19
|
—
|
—
|
$42,289.00
|
$167,522.28
|
$83,761.14
|
2026-02-28
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$83,673.76
|
$87,857.45
|
$83,673.76
|
2026-07-31
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
26
|
19
|
—
|
—
|
$42,046.00
|
$166,590.12
|
$83,295.06
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
19
|
11
|
—
|
—
|
$81,490.00
|
$85,564.50
|
$83,119.80
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
19
|
11
|
—
|
—
|
$81,256.00
|
$85,318.80
|
$82,881.12
|
2026-02-28
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$82,533.13
|
$86,659.79
|
$82,533.13
|
2026-07-31
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
19
|
11
|
—
|
—
|
$80,485.00
|
$84,509.25
|
$82,094.70
|
2026-02-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
19
|
11
|
—
|
—
|
$80,357.00
|
$84,374.85
|
$81,964.14
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
19
|
11
|
—
|
—
|
$79,797.00
|
$83,786.85
|
$81,392.94
|
2026-02-28
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
5
|
—
|
—
|
$81,319.27
|
$85,385.23
|
$81,319.27
|
2026-07-31
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
19
|
11
|
—
|
—
|
$79,573.00
|
$83,551.65
|
$81,164.46
|
2026-02-28
|
|
1714
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$80,808.77
|
$84,849.21
|
$80,808.77
|
2026-07-31
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
19
|
11
|
—
|
—
|
$79,145.00
|
$83,102.25
|
$80,727.90
|
2026-02-28
|
|
C1824
|
HCPCS
|
Optimizer Smart Mini Imp Ipg
|
40
|
10
|
$273,000.00
|
$40,950.00
85% off
|
$40,950.00
|
$245,700.00
|
$80,535.00
|
2026-02-28
|
|
8444
|
OTHER
|
Partial Thickness Burns Without Skin Graft
|
5
|
5
|
—
|
—
|
$80,115.72
|
$84,121.51
|
$80,115.72
|
2026-07-31
|
|
1214
|
OTHER
|
Other Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$80,054.87
|
$84,057.61
|
$80,054.87
|
2026-07-31
|
|
8434
|
OTHER
|
Extensive Third Degree Burns Without Skin Graft
|
5
|
5
|
—
|
—
|
$79,987.84
|
$83,987.23
|
$79,987.84
|
2026-07-31
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
19
|
11
|
—
|
—
|
$78,338.00
|
$82,254.90
|
$79,904.76
|
2026-02-28
|
|
8411
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$79,494.87
|
$83,469.61
|
$79,494.87
|
2026-07-31
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
19
|
11
|
—
|
—
|
$77,805.00
|
$81,695.25
|
$79,361.10
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
19
|
11
|
—
|
—
|
$77,656.00
|
$81,538.80
|
$79,209.12
|
2026-02-28
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$78,975.09
|
$82,923.84
|
$78,975.09
|
2026-07-31
|
|
9103
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$78,876.08
|
$82,819.88
|
$78,876.08
|
2026-07-31
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
19
|
11
|
—
|
—
|
$77,086.00
|
$80,940.30
|
$78,627.72
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
19
|
11
|
—
|
—
|
$77,054.00
|
$80,906.70
|
$78,595.08
|
2026-02-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
19
|
11
|
—
|
—
|
$76,819.00
|
$80,659.95
|
$78,355.38
|
2026-02-28
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
19
|
11
|
—
|
—
|
$76,567.00
|
$80,395.35
|
$78,098.34
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
19
|
11
|
—
|
—
|
$76,551.00
|
$80,378.55
|
$78,082.02
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
18
|
—
|
—
|
$51,189.00
|
$201,750.36
|
$78,010.14
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
38
|
11
|
—
|
—
|
$76,465.00
|
$80,288.25
|
$77,994.30
|
2026-02-28
|
|
51
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$77,601.37
|
$81,481.44
|
$77,601.37
|
2026-07-31
|
|
4014
|
OTHER
|
Adrenal Procedures
|
5
|
5
|
—
|
—
|
$76,516.43
|
$80,342.25
|
$76,516.43
|
2026-07-31
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
19
|
11
|
—
|
—
|
$74,515.00
|
$78,240.75
|
$76,005.30
|
2026-02-28
|
|
3134
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
5
|
5
|
—
|
—
|
$75,856.39
|
$79,649.21
|
$75,856.39
|
2026-07-31
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
19
|
11
|
—
|
—
|
$74,192.00
|
$77,901.60
|
$75,675.84
|
2026-02-28
|
|
9514
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$75,244.82
|
$79,007.06
|
$75,244.82
|
2026-07-31
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
19
|
11
|
—
|
—
|
$73,333.00
|
$76,999.65
|
$74,799.66
|
2026-02-28
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$74,791.04
|
$78,530.59
|
$74,791.04
|
2026-07-31
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
44
|
18
|
—
|
—
|
$48,860.00
|
$192,792.03
|
$74,546.26
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
19
|
11
|
—
|
—
|
$73,071.00
|
$76,724.55
|
$74,532.42
|
2026-02-28
|
|
C1605
|
HCPCS
|
Pacer Sys Aveir Dual Chamber
|
40
|
10
|
$252,000.00
|
$37,800.00
85% off
|
$37,800.00
|
$226,800.00
|
$74,340.00
|
2026-02-28
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$74,215.56
|
$77,926.34
|
$74,215.56
|
2026-07-31
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$74,162.96
|
$77,871.11
|
$74,162.96
|
2026-07-31
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
19
|
11
|
—
|
—
|
$72,685.00
|
$76,319.25
|
$74,138.70
|
2026-02-28
|
|
7234
|
OTHER
|
Viral Illness
|
5
|
5
|
—
|
—
|
$74,047.46
|
$77,749.83
|
$74,047.46
|
2026-07-31
|
|
3032
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$74,044.36
|
$77,746.58
|
$74,044.36
|
2026-07-31
|
|
7114
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
5
|
5
|
—
|
—
|
$74,041.27
|
$77,743.33
|
$74,041.27
|
2026-07-31
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$73,925.76
|
$77,622.05
|
$73,925.76
|
2026-07-31
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
38
|
11
|
—
|
—
|
$72,400.00
|
$76,020.00
|
$73,848.00
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
19
|
11
|
—
|
—
|
$71,943.00
|
$75,540.15
|
$73,381.86
|
2026-02-28
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$72,863.51
|
$76,506.69
|
$72,863.51
|
2026-07-31
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$72,847.01
|
$76,489.36
|
$72,847.01
|
2026-07-31
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
19
|
11
|
—
|
—
|
$71,216.00
|
$74,776.80
|
$72,640.32
|
2026-02-28
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$72,624.24
|
$76,255.45
|
$72,624.24
|
2026-07-31
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
19
|
11
|
—
|
—
|
$70,809.00
|
$74,349.45
|
$72,225.18
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
19
|
11
|
—
|
—
|
$70,689.00
|
$74,223.45
|
$72,102.78
|
2026-02-28
|
|
4402
|
OTHER
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$71,691.93
|
$75,276.53
|
$71,691.93
|
2026-07-31
|
|
2244
|
OTHER
|
Peritoneal Adhesiolysis
|
5
|
5
|
—
|
—
|
$71,498.04
|
$75,072.94
|
$71,498.04
|
2026-07-31
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
19
|
11
|
—
|
—
|
$70,069.00
|
$73,572.45
|
$71,470.38
|
2026-02-28
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
10
|
10
|
—
|
—
|
$61,087.22
|
$126,116.06
|
$71,453.71
|
2026-07-31
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$71,360.88
|
$74,928.92
|
$71,360.88
|
2026-07-31
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
19
|
11
|
—
|
—
|
$69,801.00
|
$73,291.05
|
$71,197.02
|
2026-02-28
|
|
3014
|
OTHER
|
No Active Code Description
|
5
|
5
|
—
|
—
|
$71,110.27
|
$74,665.78
|
$71,110.27
|
2026-07-31
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
52
|
19
|
—
|
—
|
$35,425.00
|
$141,126.60
|
$70,563.30
|
2026-02-28
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$70,525.51
|
$74,051.79
|
$70,525.51
|
2026-07-31
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
19
|
11
|
—
|
—
|
$68,996.00
|
$72,445.80
|
$70,375.92
|
2026-02-28
|
|
6224
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$70,208.90
|
$73,719.34
|
$70,208.90
|
2026-07-31
|
|
3814
|
OTHER
|
Major Skin Disorders
|
5
|
5
|
—
|
—
|
$70,100.61
|
$73,605.64
|
$70,100.61
|
2026-07-31
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
19
|
11
|
—
|
—
|
$68,572.00
|
$72,000.60
|
$69,943.44
|
2026-02-28
|
|
3124
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$69,874.75
|
$73,368.49
|
$69,874.75
|
2026-07-31
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
19
|
11
|
—
|
—
|
$68,263.00
|
$71,676.15
|
$69,628.26
|
2026-02-28
|
|
C1882
|
HCPCS
|
Crtd Cobalt Hf MRI Is1 Df1
|
1,247
|
19
|
$236,418.00
|
$38,370.63
84% off
|
$1,281.55
|
$379,164.24
|
$69,375.29
|
2026-07-31
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
19
|
11
|
—
|
—
|
$67,877.00
|
$71,270.85
|
$69,234.54
|
2026-02-28
|
|
7234
|
APR_DRG
|
Viral Illness
|
19
|
11
|
—
|
—
|
$67,785.00
|
$71,174.25
|
$69,140.70
|
2026-02-28
|
|
5464
|
OTHER
|
No Active Code Description
|
5
|
5
|
—
|
—
|
$68,918.21
|
$72,364.12
|
$68,918.21
|
2026-07-31
|