|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
13
|
3
|
—
|
—
|
$3,632,571.56
|
$3,869,530.00
|
$3,814,200.14
|
2026-09-21
|
|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
10
|
3
|
—
|
—
|
$3,605,000.00
|
$3,785,250.00
|
$3,785,250.00
|
2026-05-22
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
13
|
3
|
—
|
—
|
$2,388,614.23
|
$2,577,866.13
|
$2,508,044.94
|
2026-09-21
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
3
|
2
|
—
|
—
|
$757,719.82
|
$795,605.81
|
$757,719.82
|
2026-09-21
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
13
|
3
|
—
|
—
|
$529,192.85
|
$621,312.51
|
$555,652.50
|
2026-09-21
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
13
|
3
|
—
|
—
|
$527,123.43
|
$594,162.39
|
$553,479.60
|
2026-09-21
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
13
|
3
|
—
|
—
|
$526,587.59
|
$585,183.83
|
$552,916.97
|
2026-09-21
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
13
|
3
|
—
|
—
|
$516,726.08
|
$590,665.09
|
$542,562.38
|
2026-09-21
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
13
|
3
|
—
|
—
|
$489,455.96
|
$559,891.68
|
$513,928.76
|
2026-09-21
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
13
|
3
|
—
|
—
|
$455,473.78
|
$513,769.84
|
$478,247.47
|
2026-09-21
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$421,195.48
|
$429,619.39
|
$421,195.48
|
2026-09-21
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$417,667.69
|
$426,021.04
|
$417,667.69
|
2026-05-22
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$409,739.35
|
$417,934.14
|
$409,739.35
|
2026-09-21
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
3
|
—
|
—
|
$353,851.50
|
$495,057.50
|
$375,566.63
|
2026-09-21
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$356,652.85
|
$363,785.91
|
$356,652.85
|
2026-09-21
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$353,665.65
|
$360,738.96
|
$353,665.65
|
2026-05-22
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$343,089.95
|
$349,951.75
|
$343,089.95
|
2026-09-21
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$312,064.77
|
$433,722.58
|
$320,922.90
|
2026-05-22
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$266,609.83
|
$271,942.03
|
$266,609.83
|
2026-09-21
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$264,376.79
|
$269,664.33
|
$264,376.79
|
2026-05-22
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$258,896.43
|
$264,074.36
|
$258,896.43
|
2026-09-21
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$256,728.00
|
$261,862.56
|
$256,728.00
|
2026-05-22
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
4
|
3
|
—
|
—
|
$229,635.39
|
$321,272.40
|
$243,727.64
|
2026-09-21
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$242,545.19
|
$247,396.10
|
$242,545.19
|
2026-09-21
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
12
|
4
|
—
|
—
|
$233,086.22
|
$323,954.41
|
$239,702.50
|
2026-05-22
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$198,375.49
|
$202,343.00
|
$198,375.49
|
2026-09-21
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$196,713.96
|
$200,648.24
|
$196,713.96
|
2026-05-22
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$196,617.53
|
$200,549.88
|
$196,617.53
|
2026-09-21
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$194,970.72
|
$198,870.14
|
$194,970.72
|
2026-05-22
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
4
|
3
|
—
|
—
|
$174,951.75
|
$244,767.02
|
$185,688.17
|
2026-09-21
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
16
|
5
|
—
|
—
|
$128,147.32
|
$246,477.83
|
$177,941.97
|
2026-05-22
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$177,711.97
|
$181,266.21
|
$177,711.97
|
2026-09-21
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$176,223.52
|
$179,747.99
|
$176,223.52
|
2026-05-22
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
6
|
4
|
—
|
—
|
$128,147.32
|
$243,330.55
|
$173,925.01
|
2026-09-21
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$168,749.15
|
$172,124.14
|
$168,749.15
|
2026-09-21
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
13
|
3
|
—
|
—
|
$149,947.64
|
$158,367.35
|
$157,445.02
|
2026-09-21
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
13
|
3
|
—
|
—
|
$149,947.64
|
$158,367.35
|
$157,445.02
|
2026-09-21
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
5
|
5
|
—
|
—
|
$156,814.44
|
$159,950.72
|
$156,814.44
|
2026-09-21
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$156,478.93
|
$159,608.51
|
$156,478.93
|
2026-09-21
|
|
2004
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
10
|
5
|
—
|
—
|
$155,501.01
|
$158,611.03
|
$155,501.01
|
2026-05-22
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$155,168.31
|
$158,271.68
|
$155,168.31
|
2026-05-22
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$144,581.37
|
$147,472.99
|
$144,581.37
|
2026-09-21
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$143,054.10
|
$145,915.19
|
$143,054.10
|
2026-09-21
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$142,400.28
|
$145,248.28
|
$142,400.28
|
2026-09-21
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$142,032.05
|
$144,872.69
|
$142,032.05
|
2026-09-21
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
13
|
3
|
—
|
—
|
$135,198.74
|
$142,790.28
|
$141,958.68
|
2026-09-21
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
13
|
3
|
—
|
—
|
$135,198.74
|
$142,790.28
|
$141,958.68
|
2026-09-21
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$141,855.93
|
$144,693.05
|
$141,855.93
|
2026-05-22
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$141,421.48
|
$144,249.90
|
$141,421.48
|
2026-09-21
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$141,207.58
|
$144,031.73
|
$141,207.58
|
2026-05-22
|
|
44
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$140,842.43
|
$143,659.28
|
$140,842.43
|
2026-05-22
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$140,236.98
|
$143,041.71
|
$140,236.98
|
2026-05-22
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$140,009.01
|
$142,809.19
|
$140,009.01
|
2026-09-21
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
5
|
—
|
—
|
$138,836.34
|
$141,613.06
|
$138,836.34
|
2026-05-22
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$136,320.62
|
$139,047.03
|
$136,320.62
|
2026-09-21
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
5
|
—
|
—
|
$135,178.84
|
$137,882.42
|
$135,178.84
|
2026-05-22
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$135,099.48
|
$137,801.46
|
$135,099.48
|
2026-09-21
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$134,940.32
|
$137,639.12
|
$134,940.32
|
2026-09-21
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$134,227.15
|
$136,911.69
|
$134,227.15
|
2026-09-21
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$133,967.93
|
$136,647.28
|
$133,967.93
|
2026-05-22
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$122,900.79
|
$125,358.80
|
$122,900.79
|
2026-09-21
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$122,408.34
|
$124,856.50
|
$122,408.34
|
2026-09-21
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
22
|
5
|
—
|
—
|
$108,414.39
|
$150,679.52
|
$121,871.41
|
2026-05-22
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
23
|
5
|
—
|
—
|
$7,760.97
|
$127,213.22
|
$120,449.84
|
2026-09-21
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
23
|
5
|
—
|
—
|
$13,695.12
|
$127,213.22
|
$120,449.84
|
2026-09-21
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$120,233.35
|
$122,638.01
|
$120,233.35
|
2026-09-21
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$120,166.25
|
$122,569.57
|
$120,166.25
|
2026-09-21
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$119,226.31
|
$121,610.84
|
$119,226.31
|
2026-05-22
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$119,161.94
|
$121,545.17
|
$119,161.94
|
2026-09-21
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
5
|
—
|
—
|
$119,159.77
|
$121,542.97
|
$119,159.77
|
2026-05-22
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
16
|
5
|
—
|
—
|
$78,047.63
|
$162,504.51
|
$117,318.35
|
2026-05-22
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
5
|
5
|
—
|
—
|
$116,527.77
|
$118,858.32
|
$116,527.77
|
2026-09-21
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$115,926.62
|
$118,245.16
|
$115,926.62
|
2026-09-21
|
|
2464
|
OTHER
|
Gastrointestinal Vascular Insufficiency
|
10
|
5
|
—
|
—
|
$115,551.77
|
$117,862.81
|
$115,551.77
|
2026-05-22
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$114,955.66
|
$117,254.77
|
$114,955.66
|
2026-05-22
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
6
|
4
|
—
|
—
|
$78,047.63
|
$158,795.62
|
$113,502.10
|
2026-09-21
|
|
7
|
MS_DRG
|
Lung Transplant
|
4
|
3
|
—
|
—
|
$106,117.43
|
$148,464.06
|
$112,629.63
|
2026-09-21
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$112,503.32
|
$114,753.38
|
$112,503.32
|
2026-09-21
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$112,494.44
|
$114,744.33
|
$112,494.44
|
2026-09-21
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$112,157.82
|
$114,400.98
|
$112,157.82
|
2026-09-21
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
5
|
—
|
—
|
$111,552.23
|
$113,783.27
|
$111,552.23
|
2026-05-22
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$111,218.43
|
$113,442.80
|
$111,218.43
|
2026-05-22
|
|
7
|
OTHER
|
Lung Transplant
|
12
|
4
|
—
|
—
|
$108,141.32
|
$150,300.00
|
$111,210.98
|
2026-05-22
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$109,030.10
|
$111,210.70
|
$109,030.10
|
2026-09-21
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
5
|
—
|
—
|
$108,116.90
|
$110,279.24
|
$108,116.90
|
2026-05-22
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
23
|
5
|
—
|
—
|
$5,851.11
|
$111,636.15
|
$105,700.94
|
2026-09-21
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
23
|
5
|
—
|
—
|
$5,440.32
|
$111,636.15
|
$105,700.94
|
2026-09-21
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$104,824.86
|
$106,921.36
|
$104,824.86
|
2026-09-21
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$98,477.91
|
$137,775.96
|
$104,521.29
|
2026-09-21
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$103,946.88
|
$106,025.82
|
$103,946.88
|
2026-05-22
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$103,104.61
|
$105,166.70
|
$103,104.61
|
2026-09-21
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$102,267.78
|
$104,313.13
|
$102,267.78
|
2026-09-21
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$102,241.04
|
$104,285.86
|
$102,241.04
|
2026-05-22
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
5
|
—
|
—
|
$101,411.22
|
$103,439.44
|
$101,411.22
|
2026-05-22
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
4
|
3
|
—
|
—
|
$92,855.82
|
$129,910.35
|
$98,554.19
|
2026-09-21
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
4
|
3
|
—
|
—
|
$92,749.30
|
$129,761.31
|
$98,441.13
|
2026-09-21
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
13
|
3
|
—
|
—
|
$93,410.19
|
$98,655.26
|
$98,080.70
|
2026-09-21
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
13
|
3
|
—
|
—
|
$93,410.19
|
$98,655.26
|
$98,080.70
|
2026-09-21
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$97,909.48
|
$99,867.67
|
$97,909.48
|
2026-09-21
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$97,142.52
|
$99,085.37
|
$97,142.52
|
2026-09-21
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$97,089.42
|
$99,031.21
|
$97,089.42
|
2026-05-22
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$97,001.11
|
$98,941.13
|
$97,001.11
|
2026-09-21
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$96,188.66
|
$98,112.43
|
$96,188.66
|
2026-05-22
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$95,891.98
|
$97,809.82
|
$95,891.98
|
2026-09-21
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
4
|
3
|
—
|
—
|
$90,310.68
|
$126,349.56
|
$95,852.86
|
2026-09-21
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
4
|
3
|
—
|
—
|
$89,105.31
|
$124,663.17
|
$94,573.51
|
2026-09-21
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$94,404.65
|
$96,292.74
|
$94,404.65
|
2026-09-21
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
4
|
—
|
—
|
$91,185.49
|
$126,733.97
|
$93,773.84
|
2026-05-22
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
10
|
5
|
—
|
—
|
$93,613.95
|
$95,486.23
|
$93,613.95
|
2026-05-22
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$93,497.94
|
$95,367.90
|
$93,497.94
|
2026-09-21
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$92,714.83
|
$94,569.13
|
$92,714.83
|
2026-05-22
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$91,996.75
|
$93,836.68
|
$91,996.75
|
2026-09-21
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$91,769.38
|
$93,604.76
|
$91,769.38
|
2026-09-21
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$91,350.13
|
$93,177.13
|
$91,350.13
|
2026-09-21
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$91,319.07
|
$93,145.45
|
$91,319.07
|
2026-09-21
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$91,226.21
|
$93,050.73
|
$91,226.21
|
2026-05-22
|
|
4404
|
OTHER
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$91,000.74
|
$92,820.76
|
$91,000.74
|
2026-05-22
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$88,121.34
|
$122,475.27
|
$90,622.71
|
2026-05-22
|
|
43
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$90,554.21
|
$92,365.30
|
$90,554.21
|
2026-05-22
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
16
|
5
|
—
|
—
|
$87,122.92
|
$121,847.33
|
$90,158.09
|
2026-05-22
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
5
|
—
|
—
|
$21,222.93
|
$125,287.18
|
$90,144.52
|
2026-05-22
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$84,487.02
|
$118,201.93
|
$89,671.81
|
2026-09-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
6
|
4
|
—
|
—
|
$81,590.34
|
$114,149.33
|
$89,363.66
|
2026-09-21
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
4
|
—
|
—
|
$86,681.53
|
$120,474.15
|
$89,142.04
|
2026-05-22
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$88,962.74
|
$90,741.99
|
$88,962.74
|
2026-09-21
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$88,962.74
|
$90,741.99
|
$88,962.74
|
2026-09-21
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$88,710.41
|
$90,484.62
|
$88,710.41
|
2026-09-21
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$88,217.62
|
$89,981.97
|
$88,217.62
|
2026-05-22
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$88,217.62
|
$89,981.97
|
$88,217.62
|
2026-05-22
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$87,967.40
|
$89,726.75
|
$87,967.40
|
2026-05-22
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
13
|
3
|
—
|
—
|
$83,577.59
|
$88,270.55
|
$87,756.47
|
2026-09-21
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
13
|
3
|
—
|
—
|
$83,577.59
|
$88,270.55
|
$87,756.47
|
2026-09-21
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$86,847.09
|
$88,584.03
|
$86,847.09
|
2026-09-21
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
10
|
5
|
—
|
—
|
$86,119.69
|
$87,842.08
|
$86,119.69
|
2026-05-22
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$84,502.96
|
$86,193.02
|
$84,502.96
|
2026-09-21
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$82,738.90
|
$84,393.68
|
$82,738.90
|
2026-09-21
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$81,341.96
|
$82,968.80
|
$81,341.96
|
2026-09-21
|
|
1784
|
OTHER
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$80,660.66
|
$82,273.88
|
$80,660.66
|
2026-05-22
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
4
|
—
|
—
|
$67,896.67
|
$112,152.26
|
$80,162.90
|
2026-09-21
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
5
|
—
|
—
|
$67,896.67
|
$110,994.15
|
$80,131.01
|
2026-05-22
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$80,105.29
|
$81,707.39
|
$80,105.29
|
2026-09-21
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$80,013.23
|
$81,613.49
|
$80,013.23
|
2026-09-21
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$79,659.42
|
$81,252.61
|
$79,659.42
|
2026-09-21
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$79,434.35
|
$81,023.04
|
$79,434.35
|
2026-05-22
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$79,343.06
|
$80,929.92
|
$79,343.06
|
2026-05-22
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
5
|
—
|
—
|
$78,992.22
|
$80,572.06
|
$78,992.22
|
2026-05-22
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$78,944.03
|
$80,522.91
|
$78,944.03
|
2026-09-21
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
5
|
5
|
—
|
—
|
$78,460.46
|
$80,029.67
|
$78,460.46
|
2026-09-21
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$78,372.28
|
$79,939.73
|
$78,372.28
|
2026-09-21
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
4
|
3
|
—
|
—
|
$73,827.09
|
$103,288.12
|
$78,357.71
|
2026-09-21
|
|
6904
|
OTHER
|
Acute Leukemia
|
10
|
5
|
—
|
—
|
$78,282.82
|
$79,848.48
|
$78,282.82
|
2026-05-22
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
13
|
3
|
—
|
—
|
$73,744.99
|
$77,885.84
|
$77,432.24
|
2026-09-21
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
22
|
4
|
—
|
—
|
$370.18
|
$105,943.05
|
$76,226.36
|
2026-05-22
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$76,005.41
|
$77,525.52
|
$76,005.41
|
2026-09-21
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
4
|
3
|
—
|
—
|
$70,958.28
|
$99,274.49
|
$75,312.84
|
2026-09-21
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$74,407.72
|
$75,895.88
|
$74,407.72
|
2026-09-21
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$73,954.09
|
$75,433.17
|
$73,954.09
|
2026-09-21
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$73,784.51
|
$75,260.20
|
$73,784.51
|
2026-05-22
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$73,452.77
|
$74,921.82
|
$73,452.77
|
2026-09-21
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$73,334.67
|
$74,801.37
|
$73,334.67
|
2026-05-22
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
6
|
4
|
—
|
—
|
$64,479.07
|
$90,209.72
|
$72,776.87
|
2026-09-21
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$72,734.05
|
$74,188.74
|
$72,734.05
|
2026-09-21
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$72,704.11
|
$74,158.19
|
$72,704.11
|
2026-09-21
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$72,124.86
|
$73,567.36
|
$72,124.86
|
2026-05-22
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
16
|
5
|
—
|
—
|
$66,703.75
|
$92,708.08
|
$71,599.86
|
2026-05-22
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
12
|
4
|
—
|
—
|
$69,016.55
|
$95,922.51
|
$70,975.62
|
2026-05-22
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
16
|
5
|
—
|
—
|
$61,397.99
|
$97,401.50
|
$70,317.95
|
2026-05-22
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$69,309.08
|
$70,695.27
|
$69,309.08
|
2026-09-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
6
|
4
|
—
|
—
|
$55,517.95
|
$96,642.30
|
$69,076.87
|
2026-09-21
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$68,931.43
|
$70,310.06
|
$68,931.43
|
2026-09-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
4
|
—
|
—
|
$61,397.99
|
$96,338.50
|
$68,859.72
|
2026-09-21
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
5
|
5
|
—
|
—
|
$68,770.05
|
$70,145.45
|
$68,770.05
|
2026-09-21
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
10
|
5
|
—
|
—
|
$68,728.57
|
$70,103.15
|
$68,728.57
|
2026-05-22
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
5
|
—
|
—
|
$68,354.08
|
$69,721.16
|
$68,354.08
|
2026-05-22
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$67,883.86
|
$69,241.54
|
$67,883.86
|
2026-09-21
|
|
10
|
OTHER
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$65,974.75
|
$91,694.87
|
$67,847.48
|
2026-05-22
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$67,751.32
|
$69,106.35
|
$67,751.32
|
2026-09-21
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$67,506.20
|
$68,856.33
|
$67,506.20
|
2026-09-21
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
4
|
—
|
—
|
$65,596.59
|
$91,169.29
|
$67,458.58
|
2026-05-22
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
2
|
1
|
—
|
—
|
$63,600.73
|
$70,674.79
|
$67,137.76
|
2026-09-21
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
13
|
3
|
—
|
—
|
$63,912.39
|
$67,501.13
|
$67,108.01
|
2026-09-21
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
13
|
3
|
—
|
—
|
$63,912.39
|
$67,501.13
|
$67,108.01
|
2026-09-21
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$66,638.87
|
$67,971.65
|
$66,638.87
|
2026-09-21
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$66,636.10
|
$67,968.82
|
$66,636.10
|
2026-09-21
|
|
112
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
5
|
—
|
—
|
$66,080.73
|
$67,402.34
|
$66,080.73
|
2026-05-22
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$66,077.98
|
$67,399.54
|
$66,077.98
|
2026-05-22
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$65,805.36
|
$67,121.47
|
$65,805.36
|
2026-09-21
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$65,759.89
|
$67,075.09
|
$65,759.89
|
2026-09-21
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$65,502.02
|
$66,812.06
|
$65,502.02
|
2026-09-21
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$64,910.86
|
$66,209.07
|
$64,910.86
|
2026-09-21
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
5
|
—
|
—
|
$53,006.92
|
$88,986.46
|
$64,242.81
|
2026-05-22
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$63,787.32
|
$65,063.06
|
$63,787.32
|
2026-09-21
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$63,321.48
|
$64,587.91
|
$63,321.48
|
2026-09-21
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$63,246.62
|
$64,511.55
|
$63,246.62
|
2026-09-21
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
5
|
5
|
—
|
—
|
$63,208.35
|
$64,472.52
|
$63,208.35
|
2026-09-21
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$62,935.51
|
$64,194.22
|
$62,935.51
|
2026-09-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
4
|
—
|
—
|
$53,006.92
|
$88,025.79
|
$62,918.06
|
2026-09-21
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
4
|
3
|
—
|
—
|
$59,151.15
|
$82,755.68
|
$62,781.13
|
2026-09-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
6
|
4
|
—
|
—
|
$52,525.53
|
$87,646.32
|
$62,646.83
|
2026-09-21
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$62,562.29
|
$63,813.54
|
$62,562.29
|
2026-09-21
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
5
|
5
|
—
|
—
|
$62,511.82
|
$63,762.06
|
$62,511.82
|
2026-09-21
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$62,474.67
|
$63,724.16
|
$62,474.67
|
2026-09-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
6
|
4
|
—
|
—
|
$50,935.35
|
$87,356.28
|
$62,439.51
|
2026-09-21
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$62,408.38
|
$63,656.55
|
$62,408.38
|
2026-05-22
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$58,799.62
|
$82,263.87
|
$62,408.03
|
2026-09-21
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
4
|
3
|
—
|
—
|
$58,775.04
|
$82,229.47
|
$62,381.94
|
2026-09-21
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
4
|
3
|
—
|
—
|
$58,462.83
|
$81,792.69
|
$62,050.58
|
2026-09-21
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$62,038.29
|
$63,279.05
|
$62,038.29
|
2026-05-22
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
4
|
3
|
—
|
—
|
$58,428.42
|
$81,744.54
|
$62,014.05
|
2026-09-21
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
16
|
5
|
—
|
—
|
$50,935.35
|
$85,843.32
|
$61,973.65
|
2026-05-22
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$61,951.40
|
$63,190.43
|
$61,951.40
|
2026-05-22
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
26
|
6
|
—
|
—
|
$11,042.32
|
$97,455.55
|
$61,693.00
|
2026-05-22
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$61,452.06
|
$62,681.10
|
$61,452.06
|
2026-09-21
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$61,437.08
|
$62,665.83
|
$61,437.08
|
2026-09-21
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
5
|
5
|
—
|
—
|
$61,263.51
|
$62,488.78
|
$61,263.51
|
2026-09-21
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$61,184.76
|
$62,408.45
|
$61,184.76
|
2026-09-21
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$61,122.09
|
$62,344.54
|
$61,122.09
|
2026-09-21
|
|
7924
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
5
|
—
|
—
|
$60,937.36
|
$62,156.10
|
$60,937.36
|
2026-05-22
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
5
|
—
|
—
|
$60,922.51
|
$62,140.96
|
$60,922.51
|
2026-05-22
|
|
2054
|
OTHER
|
Cardiomyopathy
|
10
|
5
|
—
|
—
|
$60,750.38
|
$61,965.39
|
$60,750.38
|
2026-05-22
|
|
6954
|
OTHER
|
Chemotherapy For Acute Leukemia
|
10
|
5
|
—
|
—
|
$60,672.30
|
$61,885.74
|
$60,672.30
|
2026-05-22
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$60,610.16
|
$61,822.36
|
$60,610.16
|
2026-05-22
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
4
|
—
|
—
|
$58,773.21
|
$81,685.83
|
$60,441.52
|
2026-05-22
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
12
|
4
|
—
|
—
|
$58,477.80
|
$81,275.26
|
$60,137.73
|
2026-05-22
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$60,095.05
|
$61,296.95
|
$60,095.05
|
2026-09-21
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
5
|
—
|
—
|
$59,893.74
|
$61,091.62
|
$59,893.74
|
2026-09-21
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$59,706.85
|
$60,900.99
|
$59,706.85
|
2026-09-21
|
|
222
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc
|
2
|
1
|
—
|
—
|
$56,417.84
|
$62,692.98
|
$59,555.41
|
2026-09-21
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
10
|
5
|
—
|
—
|
$59,392.09
|
$60,579.93
|
$59,392.09
|
2026-05-22
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$59,079.64
|
$60,261.24
|
$59,079.64
|
2026-09-21
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$58,979.27
|
$60,158.85
|
$58,979.27
|
2026-09-21
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$58,839.52
|
$60,016.31
|
$58,839.52
|
2026-09-21
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
5
|
5
|
—
|
—
|
$58,627.12
|
$59,799.66
|
$58,627.12
|
2026-09-21
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
5
|
—
|
—
|
$58,584.81
|
$59,756.51
|
$58,584.81
|
2026-05-22
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$58,485.28
|
$59,654.98
|
$58,485.28
|
2026-05-22
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
5
|
—
|
—
|
$58,395.87
|
$59,563.79
|
$58,395.87
|
2026-09-21
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
26
|
6
|
—
|
—
|
$32,707.39
|
$89,893.86
|
$58,367.75
|
2026-05-22
|
|
214
|
OTHER
|
Open Craniotomy Except Trauma
|
10
|
5
|
—
|
—
|
$58,346.70
|
$59,513.63
|
$58,346.70
|
2026-05-22
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
4
|
3
|
—
|
—
|
$54,790.98
|
$76,655.57
|
$58,153.39
|
2026-09-21
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
10
|
5
|
—
|
—
|
$58,136.08
|
$59,298.80
|
$58,136.08
|
2026-05-22
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
4
|
3
|
—
|
—
|
$54,750.83
|
$76,599.39
|
$58,110.78
|
2026-09-21
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$58,075.89
|
$59,237.41
|
$58,075.89
|
2026-09-21
|
|
224
|
OTHER
|
Ventricular Shunt Procedures
|
14
|
6
|
—
|
—
|
$50,005.71
|
$59,064.90
|
$57,906.77
|
2026-05-22
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
13
|
3
|
—
|
—
|
$55,015.22
|
$58,035.94
|
$57,765.99
|
2026-09-21
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$57,719.31
|
$58,873.69
|
$57,719.31
|
2026-09-21
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
10
|
5
|
—
|
—
|
$57,589.46
|
$58,741.25
|
$57,589.46
|
2026-05-22
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
19
|
5
|
—
|
—
|
$82.08
|
$80,004.43
|
$57,563.44
|
2026-09-21
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$57,191.92
|
$58,335.76
|
$57,191.92
|
2026-09-21
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
12
|
4
|
—
|
—
|
$55,479.85
|
$77,108.56
|
$57,054.68
|
2026-05-22
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
13
|
3
|
—
|
—
|
$54,079.79
|
$57,116.42
|
$56,783.78
|
2026-09-21
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
13
|
3
|
—
|
—
|
$54,079.79
|
$57,116.42
|
$56,783.78
|
2026-09-21
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
16
|
5
|
—
|
—
|
$41,110.26
|
$78,530.05
|
$56,693.91
|
2026-05-22
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
6
|
4
|
—
|
—
|
$42,758.59
|
$79,238.46
|
$56,637.15
|
2026-09-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
6
|
4
|
—
|
—
|
$45,857.16
|
$78,849.82
|
$56,359.37
|
2026-09-21
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$56,167.09
|
$57,290.43
|
$56,167.09
|
2026-09-21
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
5
|
5
|
—
|
—
|
$56,163.21
|
$57,286.47
|
$56,163.21
|
2026-09-21
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$55,972.44
|
$57,091.89
|
$55,972.44
|
2026-09-21
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$55,745.07
|
$56,859.97
|
$55,745.07
|
2026-09-21
|
|
4403
|
OTHER
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$55,696.65
|
$56,810.58
|
$55,696.65
|
2026-05-22
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
10
|
5
|
—
|
—
|
$55,692.80
|
$56,806.66
|
$55,692.80
|
2026-05-22
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
5
|
5
|
—
|
—
|
$55,533.22
|
$56,643.89
|
$55,533.22
|
2026-09-21
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
16
|
5
|
—
|
—
|
$45,857.16
|
$76,681.89
|
$55,359.65
|
2026-05-22
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
10
|
5
|
—
|
—
|
$55,278.16
|
$56,383.73
|
$55,278.16
|
2026-05-22
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
4
|
—
|
—
|
$41,110.26
|
$77,166.87
|
$55,156.45
|
2026-09-21
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
10
|
5
|
—
|
—
|
$55,068.10
|
$56,169.46
|
$55,068.10
|
2026-05-22
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$54,937.63
|
$56,036.38
|
$54,937.63
|
2026-09-21
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$54,864.98
|
$55,962.28
|
$54,864.98
|
2026-09-21
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$54,851.11
|
$55,948.14
|
$54,851.11
|
2026-09-21
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$54,405.45
|
$55,493.56
|
$54,405.45
|
2026-05-22
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
5
|
—
|
—
|
$54,391.70
|
$55,479.53
|
$54,391.70
|
2026-05-22
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
13
|
3
|
—
|
—
|
$51,494.48
|
$61,059.90
|
$54,069.21
|
2026-09-21
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$54,034.24
|
$55,114.93
|
$54,034.24
|
2026-09-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
4
|
—
|
—
|
$36,518.87
|
$75,380.74
|
$53,879.78
|
2026-09-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
4
|
—
|
—
|
$44,971.47
|
$75,380.74
|
$53,879.78
|
2026-09-21
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
16
|
5
|
—
|
—
|
$38,778.39
|
$74,377.15
|
$53,695.77
|
2026-05-22
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
6
|
4
|
—
|
—
|
$35,936.74
|
$75,106.75
|
$53,683.94
|
2026-09-21
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
5
|
—
|
—
|
$44,971.47
|
$74,270.20
|
$53,618.56
|
2026-05-22
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$53,581.67
|
$54,653.30
|
$53,581.67
|
2026-05-22
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$52,960.06
|
$54,019.26
|
$52,960.06
|
2026-09-21
|
|
224
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc
|
2
|
1
|
—
|
—
|
$50,005.71
|
$55,567.65
|
$52,786.68
|
2026-09-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
6
|
4
|
—
|
—
|
$38,778.39
|
$73,768.87
|
$52,727.67
|
2026-09-21
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
12
|
4
|
—
|
—
|
$51,257.24
|
$71,239.77
|
$52,712.21
|
2026-05-22
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$52,671.13
|
$53,724.56
|
$52,671.13
|
2026-09-21
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
12
|
4
|
—
|
—
|
$51,191.04
|
$71,147.76
|
$52,644.12
|
2026-05-22
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$52,580.74
|
$53,632.35
|
$52,580.74
|
2026-09-21
|
|
5911
|
OTHER
|
Methadone 10 Mg Tablet
|
10
|
5
|
—
|
—
|
$52,516.48
|
$53,566.81
|
$52,516.48
|
2026-05-22
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
16
|
5
|
—
|
—
|
$39,232.05
|
$72,733.71
|
$52,509.31
|
2026-05-22
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
26
|
6
|
—
|
—
|
$37,977.21
|
$85,471.09
|
$52,486.92
|
2026-05-22
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
6
|
4
|
—
|
—
|
$43,378.82
|
$62,160.31
|
$52,320.72
|
2026-09-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
4
|
3
|
—
|
—
|
$49,219.70
|
$68,861.04
|
$52,240.21
|
2026-09-21
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
10
|
5
|
—
|
—
|
$52,229.98
|
$53,274.58
|
$52,229.98
|
2026-05-22
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
26
|
6
|
—
|
—
|
$45,737.14
|
$63,567.67
|
$52,140.34
|
2026-05-22
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$52,054.46
|
$53,095.55
|
$52,054.46
|
2026-09-21
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$52,024.51
|
$53,065.00
|
$52,024.51
|
2026-09-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
6
|
4
|
—
|
—
|
$48,147.79
|
$70,257.38
|
$51,860.42
|
2026-09-21
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$51,834.30
|
$52,870.99
|
$51,834.30
|
2026-09-21
|
|
1783
|
OTHER
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$51,618.47
|
$52,650.84
|
$51,618.47
|
2026-05-22
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
4
|
3
|
—
|
—
|
$48,589.56
|
$67,979.44
|
$51,571.40
|
2026-09-21
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
5
|
5
|
—
|
—
|
$51,415.61
|
$52,443.92
|
$51,415.61
|
2026-09-21
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
5
|
—
|
—
|
$51,400.15
|
$52,428.16
|
$51,400.15
|
2026-05-22
|