|
5834
|
APR_DRG
|
Neonate W Ecmo
|
9
|
9
|
—
|
—
|
$277,893.00
|
$992,224.00
|
$936,060.00
|
2024-12-19
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$270,334.00
|
$965,236.00
|
$910,600.00
|
2024-12-19
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
9
|
9
|
—
|
—
|
$235,309.00
|
$840,179.00
|
$792,621.00
|
2024-12-19
|
|
24
|
APR_DRG
|
Heart &or Lung Transplant
|
9
|
9
|
—
|
—
|
$226,361.00
|
$808,228.00
|
$762,479.00
|
2024-12-19
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
9
|
9
|
—
|
—
|
$175,902.00
|
$628,061.00
|
$592,511.00
|
2024-12-19
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$170,813.00
|
$609,891.00
|
$575,369.00
|
2024-12-19
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$160,024.00
|
$571,372.00
|
$539,030.00
|
2024-12-19
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$130,883.00
|
$467,320.00
|
$440,868.00
|
2024-12-19
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
9
|
9
|
—
|
—
|
$129,723.00
|
$463,178.00
|
$436,961.00
|
2024-12-19
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
9
|
9
|
—
|
—
|
$117,249.00
|
$418,642.00
|
$394,945.00
|
2024-12-19
|
|
114
|
APR_DRG
|
UnGrouped
|
9
|
9
|
—
|
—
|
$111,336.00
|
$397,528.00
|
$375,026.00
|
2024-12-19
|
|
2004
|
APR_DRG
|
Cardiac Structural & Valvular Disorders
|
9
|
9
|
—
|
—
|
$103,462.00
|
$369,413.00
|
$348,503.00
|
2024-12-19
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
9
|
9
|
—
|
—
|
$103,240.00
|
$368,622.00
|
$347,757.00
|
2024-12-19
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
75
|
30
|
—
|
$314,672.00
|
$242,665.00
|
$550,603.00
|
$324,112.16
|
2026-03-17
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$95,390.70
|
$340,595.00
|
$321,316.00
|
2024-12-19
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
9
|
9
|
—
|
—
|
$94,383.10
|
$336,997.00
|
$317,922.00
|
2024-12-19
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
9
|
9
|
—
|
—
|
$93,951.70
|
$335,457.00
|
$316,469.00
|
2024-12-19
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
9
|
9
|
—
|
—
|
$93,708.70
|
$334,589.00
|
$315,650.00
|
2024-12-19
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
9
|
9
|
—
|
—
|
$93,305.90
|
$333,151.00
|
$314,294.00
|
2024-12-19
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
9
|
9
|
—
|
—
|
$92,374.00
|
$329,824.00
|
$311,155.00
|
2024-12-19
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
9
|
9
|
—
|
—
|
$89,940.50
|
$321,135.00
|
$302,957.00
|
2024-12-19
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$89,134.80
|
$318,258.00
|
$300,244.00
|
2024-12-19
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$89,029.80
|
$317,883.00
|
$299,890.00
|
2024-12-19
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
9
|
9
|
—
|
—
|
$88,559.30
|
$316,203.00
|
$298,305.00
|
2024-12-19
|
|
14
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$81,086.50
|
$289,521.00
|
$273,133.00
|
2024-12-19
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$80,761.60
|
$288,361.00
|
$272,039.00
|
2024-12-19
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatichematopoieticother Neoplasms
|
9
|
9
|
—
|
—
|
$79,326.60
|
$283,238.00
|
$267,205.00
|
2024-12-19
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$79,282.30
|
$283,080.00
|
$267,056.00
|
2024-12-19
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$78,619.70
|
$280,714.00
|
$264,824.00
|
2024-12-19
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
9
|
9
|
—
|
—
|
$76,881.70
|
$274,508.00
|
$258,970.00
|
2024-12-19
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition
|
9
|
9
|
—
|
—
|
$76,485.10
|
$273,092.00
|
$257,634.00
|
2024-12-19
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$74,226.50
|
$265,028.00
|
$250,026.00
|
2024-12-19
|
|
5891
|
APR_DRG
|
Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…
|
9
|
9
|
—
|
—
|
$74,220.70
|
$265,007.00
|
$250,006.00
|
2024-12-19
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$73,998.60
|
$264,214.00
|
$249,258.00
|
2024-12-19
|
|
5892
|
APR_DRG
|
Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…
|
9
|
9
|
—
|
—
|
$71,935.00
|
$256,846.00
|
$242,307.00
|
2024-12-19
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$69,160.50
|
$246,939.00
|
$232,962.00
|
2024-12-19
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom
|
9
|
9
|
—
|
—
|
$68,025.50
|
$242,887.00
|
$229,139.00
|
2024-12-19
|
|
5893
|
APR_DRG
|
Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini…
|
9
|
9
|
—
|
—
|
$67,473.40
|
$240,916.00
|
$227,279.00
|
2024-12-19
|
|
612
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$226,139.00
|
$226,139.00
|
$226,139.00
|
2024-12-19
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
9
|
9
|
—
|
—
|
$64,597.90
|
$230,649.00
|
$217,593.00
|
2024-12-19
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$64,091.90
|
$228,842.00
|
$215,888.00
|
2024-12-19
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
67
|
30
|
—
|
$205,557.00
|
$195,279.93
|
$339,390.00
|
$215,835.71
|
2026-03-17
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$63,998.60
|
$228,509.00
|
$215,574.00
|
2024-12-19
|
|
113
|
APR_DRG
|
UnGrouped
|
9
|
9
|
—
|
—
|
$63,266.80
|
$225,896.00
|
$213,109.00
|
2024-12-19
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
9
|
—
|
—
|
$62,285.50
|
$222,392.00
|
$209,804.00
|
2024-12-19
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$61,687.30
|
$220,256.00
|
$207,789.00
|
2024-12-19
|
|
636
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$207,512.00
|
$207,512.00
|
$207,512.00
|
2024-12-19
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$60,696.90
|
$216,720.00
|
$204,453.00
|
2024-12-19
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$60,546.80
|
$216,184.00
|
$203,947.00
|
2024-12-19
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure
|
9
|
9
|
—
|
—
|
$60,270.20
|
$215,196.00
|
$203,016.00
|
2024-12-19
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
9
|
9
|
—
|
—
|
$60,249.70
|
$215,123.00
|
$202,947.00
|
2024-12-19
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatichematopoieticother Neoplasms
|
9
|
9
|
—
|
—
|
$58,695.10
|
$209,572.00
|
$197,710.00
|
2024-12-19
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$58,695.10
|
$209,572.00
|
$197,710.00
|
2024-12-19
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Wo Other Significant Condition
|
9
|
9
|
—
|
—
|
$58,528.60
|
$208,978.00
|
$197,149.00
|
2024-12-19
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
9
|
9
|
—
|
—
|
$57,299.30
|
$204,589.00
|
$193,008.00
|
2024-12-19
|
|
23
|
APR_DRG
|
Heart &or Lung Transplant
|
9
|
9
|
—
|
—
|
$55,752.70
|
$199,066.00
|
$187,798.00
|
2024-12-19
|
|
633
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$186,437.00
|
$186,437.00
|
$186,437.00
|
2024-12-19
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$54,588.80
|
$194,911.00
|
$183,878.00
|
2024-12-19
|
|
631
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$181,621.00
|
$181,621.00
|
$181,621.00
|
2024-12-19
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$53,667.10
|
$191,620.00
|
$180,773.00
|
2024-12-19
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$52,851.20
|
$188,707.00
|
$178,025.00
|
2024-12-19
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
9
|
9
|
—
|
—
|
$52,790.50
|
$188,490.00
|
$177,821.00
|
2024-12-19
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
9
|
9
|
—
|
—
|
$52,557.00
|
$187,656.00
|
$177,034.00
|
2024-12-19
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
9
|
9
|
—
|
—
|
$52,085.00
|
$185,971.00
|
$175,444.00
|
2024-12-19
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
9
|
9
|
—
|
—
|
$51,766.00
|
$184,832.00
|
$174,370.00
|
2024-12-19
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$51,707.80
|
$184,624.00
|
$174,174.00
|
2024-12-19
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
67
|
30
|
—
|
$157,522.00
|
$149,646.30
|
$286,489.00
|
$173,630.00
|
2026-03-17
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$50,146.20
|
$179,048.00
|
$168,914.00
|
2024-12-19
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
75
|
30
|
—
|
$156,620.00
|
$148,789.48
|
$280,120.20
|
$166,018.26
|
2026-03-17
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
9
|
9
|
—
|
—
|
$49,092.10
|
$175,285.00
|
$165,363.00
|
2024-12-19
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
9
|
9
|
—
|
—
|
$48,792.80
|
$174,216.00
|
$164,355.00
|
2024-12-19
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$48,462.10
|
$173,035.00
|
$163,241.00
|
2024-12-19
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom
|
9
|
9
|
—
|
—
|
$47,987.90
|
$171,342.00
|
$161,643.00
|
2024-12-19
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$47,968.10
|
$171,271.00
|
$161,577.00
|
2024-12-19
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
9
|
9
|
—
|
—
|
$45,728.20
|
$163,274.00
|
$154,032.00
|
2024-12-19
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenitalperinatal Infection
|
9
|
9
|
—
|
—
|
$45,479.00
|
$162,384.00
|
$153,192.00
|
2024-12-19
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
9
|
9
|
—
|
—
|
$45,372.50
|
$162,004.00
|
$152,834.00
|
2024-12-19
|
|
22
|
APR_DRG
|
Heart &or Lung Transplant
|
9
|
9
|
—
|
—
|
$44,787.80
|
$159,916.00
|
$150,864.00
|
2024-12-19
|
|
234
|
APR_DRG
|
Spinal Procedures
|
9
|
9
|
—
|
—
|
$44,700.40
|
$159,604.00
|
$150,570.00
|
2024-12-19
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
9
|
—
|
—
|
$44,538.70
|
$159,027.00
|
$150,025.00
|
2024-12-19
|
|
112
|
APR_DRG
|
UnGrouped
|
9
|
9
|
—
|
—
|
$43,966.40
|
$156,983.00
|
$148,098.00
|
2024-12-19
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom
|
9
|
9
|
—
|
—
|
$43,964.60
|
$156,977.00
|
$148,091.00
|
2024-12-19
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure
|
9
|
9
|
—
|
—
|
$43,416.50
|
$155,020.00
|
$146,245.00
|
2024-12-19
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$43,386.50
|
$154,913.00
|
$146,144.00
|
2024-12-19
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
9
|
—
|
—
|
$43,216.40
|
$154,305.00
|
$145,571.00
|
2024-12-19
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$42,826.30
|
$152,913.00
|
$144,257.00
|
2024-12-19
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$42,085.10
|
$150,266.00
|
$141,760.00
|
2024-12-19
|
|
13
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$41,777.70
|
$149,168.00
|
$140,725.00
|
2024-12-19
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
9
|
9
|
—
|
—
|
$41,728.30
|
$148,992.00
|
$140,559.00
|
2024-12-19
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
9
|
9
|
—
|
—
|
$41,703.10
|
$148,902.00
|
$140,474.00
|
2024-12-19
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$41,523.10
|
$148,259.00
|
$139,867.00
|
2024-12-19
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
9
|
9
|
—
|
—
|
$41,276.80
|
$147,380.00
|
$139,038.00
|
2024-12-19
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
9
|
9
|
—
|
—
|
$41,243.50
|
$147,261.00
|
$138,926.00
|
2024-12-19
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Wo Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$41,219.00
|
$147,174.00
|
$138,843.00
|
2024-12-19
|
|
7924
|
APR_DRG
|
Extensive Or Procedures For Other Complications Of Treatment
|
9
|
9
|
—
|
—
|
$40,544.30
|
$144,765.00
|
$136,570.00
|
2024-12-19
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
9
|
9
|
—
|
—
|
$40,534.50
|
$144,729.00
|
$136,537.00
|
2024-12-19
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
9
|
9
|
—
|
—
|
$40,419.90
|
$144,320.00
|
$136,151.00
|
2024-12-19
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
9
|
9
|
—
|
—
|
$40,368.00
|
$144,135.00
|
$135,976.00
|
2024-12-19
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
9
|
9
|
—
|
—
|
$40,326.60
|
$143,987.00
|
$135,837.00
|
2024-12-19
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure
|
9
|
9
|
—
|
—
|
$39,649.00
|
$141,568.00
|
$133,555.00
|
2024-12-19
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
9
|
9
|
—
|
—
|
$39,516.20
|
$141,094.00
|
$133,107.00
|
2024-12-19
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
9
|
9
|
—
|
—
|
$39,392.90
|
$140,653.00
|
$132,692.00
|
2024-12-19
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Wo Other Significant Condition
|
9
|
9
|
—
|
—
|
$38,979.10
|
$139,176.00
|
$131,298.00
|
2024-12-19
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$38,912.80
|
$138,939.00
|
$131,075.00
|
2024-12-19
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
9
|
—
|
—
|
$38,820.70
|
$138,610.00
|
$130,764.00
|
2024-12-19
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
9
|
9
|
—
|
—
|
$38,680.50
|
$138,110.00
|
$130,292.00
|
2024-12-19
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
9
|
9
|
—
|
—
|
$38,527.90
|
$137,565.00
|
$129,778.00
|
2024-12-19
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
9
|
9
|
—
|
—
|
$38,316.80
|
$136,811.00
|
$129,067.00
|
2024-12-19
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
9
|
—
|
—
|
$38,081.60
|
$135,971.00
|
$128,275.00
|
2024-12-19
|
|
9114
|
APR_DRG
|
Extensive Abdominalthoracic Procedures For Mult Significant Trauma
|
9
|
9
|
—
|
—
|
$37,733.60
|
$134,729.00
|
$127,103.00
|
2024-12-19
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$37,057.50
|
$132,315.00
|
$124,825.00
|
2024-12-19
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
9
|
9
|
—
|
—
|
$37,054.90
|
$132,305.00
|
$124,816.00
|
2024-12-19
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
9
|
9
|
—
|
—
|
$36,929.00
|
$131,856.00
|
$124,393.00
|
2024-12-19
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
9
|
9
|
—
|
—
|
$36,779.00
|
$131,320.00
|
$123,887.00
|
2024-12-19
|
|
4834
|
APR_DRG
|
Penis, Testes & Scrotal Procedures
|
9
|
9
|
—
|
—
|
$36,639.30
|
$130,821.00
|
$123,416.00
|
2024-12-19
|
|
894
|
APR_DRG
|
Major Cranialfacial Bone Procedures
|
9
|
9
|
—
|
—
|
$36,246.30
|
$129,418.00
|
$122,093.00
|
2024-12-19
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
9
|
9
|
—
|
—
|
$36,198.40
|
$129,247.00
|
$121,931.00
|
2024-12-19
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
9
|
9
|
—
|
—
|
$36,189.20
|
$129,215.00
|
$121,901.00
|
2024-12-19
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$35,650.30
|
$127,290.00
|
$120,085.00
|
2024-12-19
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Wo Major Procedure
|
9
|
9
|
—
|
—
|
$34,941.60
|
$124,760.00
|
$117,698.00
|
2024-12-19
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
9
|
9
|
—
|
—
|
$34,750.90
|
$124,079.00
|
$117,056.00
|
2024-12-19
|
|
359
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$116,931.00
|
$116,931.00
|
$116,931.00
|
2024-12-19
|
|
21
|
APR_DRG
|
Heart &or Lung Transplant
|
9
|
9
|
—
|
—
|
$34,691.30
|
$123,866.00
|
$116,855.00
|
2024-12-19
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$34,344.10
|
$122,626.00
|
$115,685.00
|
2024-12-19
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
9
|
9
|
—
|
—
|
$34,324.30
|
$122,556.00
|
$115,619.00
|
2024-12-19
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
9
|
9
|
—
|
—
|
$34,198.80
|
$122,108.00
|
$115,196.00
|
2024-12-19
|
|
6254
|
APR_DRG
|
Neonate Bwt 2000-2499g W Other Significant Condition
|
9
|
9
|
—
|
—
|
$33,922.60
|
$121,121.00
|
$114,265.00
|
2024-12-19
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond
|
9
|
9
|
—
|
—
|
$33,824.90
|
$120,773.00
|
$113,936.00
|
2024-12-19
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$33,504.00
|
$119,627.00
|
$112,856.00
|
2024-12-19
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
9
|
9
|
—
|
—
|
$33,450.60
|
$119,436.00
|
$112,676.00
|
2024-12-19
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom
|
9
|
9
|
—
|
—
|
$33,217.50
|
$118,604.00
|
$111,891.00
|
2024-12-19
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
12
|
3
|
—
|
—
|
$65,000.00
|
$135,606.00
|
$111,605.68
|
2026-03-17
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
9
|
9
|
—
|
—
|
$33,124.60
|
$118,272.00
|
$111,578.00
|
2024-12-19
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
9
|
9
|
—
|
—
|
$32,946.40
|
$117,636.00
|
$110,977.00
|
2024-12-19
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
9
|
9
|
—
|
—
|
$32,610.10
|
$116,435.00
|
$109,845.00
|
2024-12-19
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
75
|
30
|
—
|
$103,543.00
|
$98,366.42
|
$174,965.00
|
$109,756.64
|
2026-03-17
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Wo Extensive Procedure
|
9
|
9
|
—
|
—
|
$32,388.40
|
$115,644.00
|
$109,098.00
|
2024-12-19
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
9
|
9
|
—
|
—
|
$32,326.20
|
$115,422.00
|
$108,888.00
|
2024-12-19
|
|
12
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$32,089.10
|
$114,575.00
|
$108,090.00
|
2024-12-19
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
9
|
9
|
—
|
—
|
$32,076.00
|
$114,528.00
|
$108,045.00
|
2024-12-19
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
9
|
9
|
—
|
—
|
$31,977.90
|
$114,178.00
|
$107,715.00
|
2024-12-19
|
|
6604
|
APR_DRG
|
Major Hematologicimmunologic Diag Exc Sickle Cell Crisis & Coagul
|
9
|
9
|
—
|
—
|
$31,872.90
|
$113,803.00
|
$107,361.00
|
2024-12-19
|
|
6234
|
APR_DRG
|
Neonate Bwt 2000-2499g W Congenitalperinatal Infection
|
9
|
9
|
—
|
—
|
$31,866.30
|
$113,779.00
|
$107,339.00
|
2024-12-19
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
9
|
9
|
—
|
—
|
$31,830.40
|
$113,651.00
|
$107,218.00
|
2024-12-19
|
|
681
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$107,009.00
|
$107,009.00
|
$107,009.00
|
2024-12-19
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
9
|
—
|
—
|
$31,018.90
|
$110,754.00
|
$104,485.00
|
2024-12-19
|
|
11
|
APR_DRG
|
Liver Transplant &or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$30,884.30
|
$110,273.00
|
$104,031.00
|
2024-12-19
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
9
|
9
|
—
|
—
|
$30,526.80
|
$108,997.00
|
$102,827.00
|
2024-12-19
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom
|
9
|
9
|
—
|
—
|
$30,417.80
|
$108,607.00
|
$102,460.00
|
2024-12-19
|
|
222
|
MS_DRG
|
UnGrouped
|
6
|
2
|
—
|
—
|
$48,778.00
|
$124,211.00
|
$102,227.90
|
2024-12-19
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
9
|
—
|
—
|
$30,257.10
|
$108,034.00
|
$101,919.00
|
2024-12-19
|
|
7
|
MS_DRG
|
Lung Transplant
|
67
|
30
|
—
|
$97,056.00
|
$91,952.80
|
$160,143.60
|
$101,632.00
|
2026-03-17
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
9
|
—
|
—
|
$30,138.60
|
$107,611.00
|
$101,519.00
|
2024-12-19
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
9
|
9
|
—
|
—
|
$29,948.30
|
$106,931.00
|
$100,879.00
|
2024-12-19
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
9
|
9
|
—
|
—
|
$29,645.80
|
$105,851.00
|
$99,859.40
|
2024-12-19
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$29,476.30
|
$105,246.00
|
$99,288.70
|
2024-12-19
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
9
|
9
|
—
|
—
|
$29,426.20
|
$105,067.00
|
$99,119.90
|
2024-12-19
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition
|
9
|
9
|
—
|
—
|
$29,167.90
|
$104,145.00
|
$98,249.80
|
2024-12-19
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$29,056.70
|
$103,748.00
|
$97,875.10
|
2024-12-19
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
67
|
30
|
—
|
$90,345.00
|
$85,828.69
|
$160,100.00
|
$97,030.40
|
2026-03-17
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
9
|
9
|
—
|
—
|
$28,721.50
|
$102,551.00
|
$96,746.20
|
2024-12-19
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma & Non-acute Leukemia
|
9
|
9
|
—
|
—
|
$28,544.80
|
$101,920.00
|
$96,150.90
|
2024-12-19
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$28,416.40
|
$101,461.00
|
$95,718.30
|
2024-12-19
|
|
6944
|
APR_DRG
|
Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior
|
9
|
9
|
—
|
—
|
$28,255.80
|
$100,888.00
|
$95,177.30
|
2024-12-19
|
|
7234
|
APR_DRG
|
Viral Illness
|
9
|
9
|
—
|
—
|
$28,217.30
|
$100,751.00
|
$95,047.90
|
2024-12-19
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranialfacial Bone Procedures
|
9
|
9
|
—
|
—
|
$27,914.00
|
$99,667.80
|
$94,026.20
|
2024-12-19
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Wo Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$27,605.60
|
$98,566.40
|
$92,987.20
|
2024-12-19
|
|
1664
|
APR_DRG
|
Coronary Bypass Wo Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$27,551.10
|
$98,371.80
|
$92,803.60
|
2024-12-19
|
|
6614
|
APR_DRG
|
Coagulation & Platelet Disorders
|
9
|
9
|
—
|
—
|
$27,300.80
|
$97,478.20
|
$91,960.60
|
2024-12-19
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
9
|
9
|
—
|
—
|
$27,020.50
|
$96,477.50
|
$91,016.50
|
2024-12-19
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranialfacial Bone Procedures
|
9
|
9
|
—
|
—
|
$26,923.90
|
$96,132.60
|
$90,691.20
|
2024-12-19
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
9
|
9
|
—
|
—
|
$26,765.10
|
$95,565.60
|
$90,156.30
|
2024-12-19
|
|
224
|
MS_DRG
|
UnGrouped
|
6
|
2
|
—
|
—
|
$48,778.00
|
$108,592.00
|
$89,373.40
|
2024-12-19
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
5
|
2
|
—
|
—
|
$65,000.00
|
$99,294.05
|
$89,364.65
|
2026-03-17
|
|
5134
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma
|
9
|
9
|
—
|
—
|
$26,385.70
|
$94,210.90
|
$88,878.20
|
2024-12-19
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
9
|
9
|
—
|
—
|
$26,369.60
|
$94,153.40
|
$88,824.00
|
2024-12-19
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
9
|
9
|
—
|
—
|
$26,333.80
|
$94,025.40
|
$88,703.20
|
2024-12-19
|
|
635
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$88,436.20
|
$88,436.20
|
$88,436.20
|
2024-12-19
|
|
8412
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
9
|
9
|
—
|
—
|
$26,205.70
|
$93,568.10
|
$88,271.80
|
2024-12-19
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Wo Ami, Heart Failure Or Shock
|
9
|
9
|
—
|
—
|
$26,067.00
|
$93,073.10
|
$87,804.80
|
2024-12-19
|
|
8411
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
9
|
9
|
—
|
—
|
$26,001.90
|
$92,840.50
|
$87,585.40
|
2024-12-19
|
|
L8614
|
HCPCS
|
Hc (sup Shell L8614) Cochlear Device
|
9
|
9
|
—
|
—
|
$18,350.20
|
$92,751.60
|
$87,501.50
|
2024-12-19
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
9
|
9
|
—
|
—
|
$25,865.10
|
$92,351.90
|
$87,124.40
|
2024-12-19
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
67
|
30
|
—
|
$85,407.00
|
$77,913.50
|
$140,922.24
|
$86,935.10
|
2026-03-17
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$25,781.70
|
$92,054.10
|
$86,843.50
|
2024-12-19
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
9
|
9
|
—
|
—
|
$25,504.30
|
$91,063.80
|
$85,909.30
|
2024-12-19
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
9
|
9
|
—
|
—
|
$25,479.10
|
$90,973.60
|
$85,824.20
|
2024-12-19
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
9
|
9
|
—
|
—
|
$25,383.60
|
$90,632.70
|
$85,502.50
|
2024-12-19
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
9
|
9
|
—
|
—
|
$25,381.00
|
$90,623.60
|
$85,493.90
|
2024-12-19
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
9
|
9
|
—
|
—
|
$25,112.10
|
$89,663.40
|
$84,588.10
|
2024-12-19
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valveâ Procedures
|
67
|
30
|
—
|
$82,112.00
|
$7,483.92
|
$135,486.25
|
$84,576.29
|
2026-03-17
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$25,094.90
|
$89,601.90
|
$84,530.10
|
2024-12-19
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
9
|
9
|
—
|
—
|
$25,058.70
|
$89,472.60
|
$84,408.10
|
2024-12-19
|
|
111
|
APR_DRG
|
UnGrouped
|
9
|
9
|
—
|
—
|
$25,003.40
|
$89,275.30
|
$84,222.00
|
2024-12-19
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond
|
9
|
9
|
—
|
—
|
$24,966.50
|
$89,143.40
|
$84,097.50
|
2024-12-19
|
|
634
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$83,941.10
|
$83,941.10
|
$83,941.10
|
2024-12-19
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
9
|
9
|
—
|
—
|
$24,860.70
|
$88,765.90
|
$83,741.40
|
2024-12-19
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
9
|
9
|
—
|
—
|
$24,712.20
|
$88,235.40
|
$83,241.00
|
2024-12-19
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
9
|
9
|
—
|
—
|
$24,647.80
|
$88,005.50
|
$83,024.10
|
2024-12-19
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
9
|
9
|
—
|
—
|
$24,572.80
|
$87,737.70
|
$82,771.40
|
2024-12-19
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
9
|
9
|
—
|
—
|
$24,566.50
|
$87,715.50
|
$82,750.50
|
2024-12-19
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
9
|
9
|
—
|
—
|
$24,489.70
|
$87,441.10
|
$82,491.60
|
2024-12-19
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
67
|
30
|
—
|
$78,056.00
|
$74,153.26
|
$130,917.00
|
$81,958.86
|
2026-03-17
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
9
|
9
|
—
|
—
|
$24,304.60
|
$86,780.10
|
$81,868.00
|
2024-12-19
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
9
|
9
|
—
|
—
|
$24,292.50
|
$86,737.00
|
$81,827.40
|
2024-12-19
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
9
|
9
|
—
|
—
|
$24,274.20
|
$86,671.70
|
$81,765.70
|
2024-12-19
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
9
|
9
|
—
|
—
|
$24,225.50
|
$86,497.90
|
$81,601.80
|
2024-12-19
|
|
4684
|
APR_DRG
|
Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms
|
9
|
9
|
—
|
—
|
$24,103.30
|
$86,061.60
|
$81,190.20
|
2024-12-19
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
9
|
9
|
—
|
—
|
$24,035.70
|
$85,819.90
|
$80,962.20
|
2024-12-19
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
78
|
30
|
—
|
$75,511.00
|
$48,778.00
|
$164,579.03
|
$80,680.30
|
2026-03-17
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$23,834.80
|
$85,102.70
|
$80,285.60
|
2024-12-19
|
|
226
|
MS_DRG
|
UnGrouped
|
6
|
2
|
—
|
—
|
$48,778.00
|
$97,524.10
|
$80,263.95
|
2024-12-19
|
|
8154
|
APR_DRG
|
Other Injury, Poisoning & Toxic Effect Diagnoses
|
9
|
9
|
—
|
—
|
$23,821.60
|
$85,055.70
|
$80,241.20
|
2024-12-19
|
|
613
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$80,206.90
|
$80,206.90
|
$80,206.90
|
2024-12-19
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
9
|
—
|
—
|
$23,800.40
|
$84,979.90
|
$80,169.70
|
2024-12-19
|
|
913
|
APR_DRG
|
Other Major Head & Neck Procedures
|
9
|
9
|
—
|
—
|
$23,638.70
|
$84,402.50
|
$79,625.00
|
2024-12-19
|
|
1754
|
APR_DRG
|
Percutaneous Coronary Intervention Wo Ami
|
9
|
9
|
—
|
—
|
$23,601.00
|
$84,267.90
|
$79,498.10
|
2024-12-19
|
|
6924
|
APR_DRG
|
Radiotherapy
|
9
|
9
|
—
|
—
|
$23,584.50
|
$84,209.10
|
$79,442.60
|
2024-12-19
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth & Throat Procedures
|
9
|
9
|
—
|
—
|
$23,553.80
|
$84,099.40
|
$79,339.00
|
2024-12-19
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
9
|
9
|
—
|
—
|
$23,464.10
|
$83,779.30
|
$79,037.10
|
2024-12-19
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$23,439.30
|
$83,690.50
|
$78,953.30
|
2024-12-19
|
|
8104
|
APR_DRG
|
Hemorrhage Or Hematoma Due To Complication
|
9
|
9
|
—
|
—
|
$23,430.10
|
$83,657.80
|
$78,922.50
|
2024-12-19
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition
|
9
|
9
|
—
|
—
|
$23,363.90
|
$83,421.40
|
$78,699.40
|
2024-12-19
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$23,279.40
|
$83,119.60
|
$78,414.70
|
2024-12-19
|
|
4844
|
APR_DRG
|
Other Male Reproductive System & Related Procedures
|
9
|
9
|
—
|
—
|
$23,215.00
|
$82,889.70
|
$78,197.80
|
2024-12-19
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Wo Other Significant Condition
|
9
|
9
|
—
|
—
|
$23,196.30
|
$82,823.00
|
$78,134.90
|
2024-12-19
|
|
426
|
MS_DRG
|
UnGrouped
|
32
|
25
|
—
|
$101,515.00
|
$12,391.70
|
$128,846.00
|
$78,088.70
|
2024-12-19
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
9
|
9
|
—
|
—
|
$23,152.40
|
$82,666.30
|
$77,987.00
|
2024-12-19
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
78
|
30
|
—
|
$74,257.00
|
$48,778.00
|
$153,844.00
|
$77,970.57
|
2026-03-17
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
9
|
9
|
—
|
—
|
$23,014.80
|
$82,175.10
|
$77,523.60
|
2024-12-19
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
9
|
9
|
—
|
—
|
$22,924.80
|
$81,853.70
|
$77,220.40
|
2024-12-19
|
|
1673
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
9
|
9
|
—
|
—
|
$22,829.70
|
$81,514.00
|
$76,900.00
|
2024-12-19
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
9
|
9
|
—
|
—
|
$22,781.00
|
$81,340.30
|
$76,736.10
|
2024-12-19
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
9
|
9
|
—
|
—
|
$22,699.10
|
$81,047.60
|
$76,460.00
|
2024-12-19
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
9
|
9
|
—
|
—
|
$22,651.50
|
$80,877.80
|
$76,299.80
|
2024-12-19
|
|
223
|
MS_DRG
|
UnGrouped
|
6
|
2
|
—
|
—
|
$48,778.00
|
$91,628.50
|
$75,411.75
|
2024-12-19
|
|
6613
|
APR_DRG
|
Coagulation & Platelet Disorders
|
9
|
9
|
—
|
—
|
$22,383.70
|
$79,921.50
|
$75,397.70
|
2024-12-19
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
9
|
9
|
—
|
—
|
$22,357.00
|
$79,826.20
|
$75,307.70
|
2024-12-19
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$22,342.30
|
$79,773.90
|
$75,258.40
|
2024-12-19
|
|
6302
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$22,267.00
|
$79,504.80
|
$75,004.50
|
2024-12-19
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
9
|
—
|
—
|
$22,217.90
|
$79,329.70
|
$74,839.40
|
2024-12-19
|
|
7934
|
APR_DRG
|
Moderately Extensive Or Procedures For Other Complications Of Treatment
|
9
|
9
|
—
|
—
|
$22,076.70
|
$78,825.50
|
$74,363.60
|
2024-12-19
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
9
|
9
|
—
|
—
|
$22,069.40
|
$78,799.30
|
$74,339.00
|
2024-12-19
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
9
|
9
|
—
|
—
|
$22,062.10
|
$78,773.20
|
$74,314.30
|
2024-12-19
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
9
|
9
|
—
|
—
|
$22,024.40
|
$78,638.60
|
$74,187.40
|
2024-12-19
|
|
1801
|
APR_DRG
|
Other Circulatory System Procedures
|
9
|
9
|
—
|
—
|
$22,008.30
|
$78,581.20
|
$74,133.20
|
2024-12-19
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
7
|
3
|
—
|
—
|
$41,595.00
|
$99,294.10
|
$74,076.70
|
2024-12-19
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
12
|
3
|
—
|
—
|
$49,759.10
|
$89,947.00
|
$74,027.89
|
2026-03-17
|
|
3084
|
APR_DRG
|
Hip & Femur Fracture Repair
|
9
|
9
|
—
|
—
|
$21,934.40
|
$78,317.30
|
$73,884.20
|
2024-12-19
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom
|
9
|
9
|
—
|
—
|
$21,884.30
|
$78,138.30
|
$73,715.40
|
2024-12-19
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
9
|
9
|
—
|
—
|
$21,766.80
|
$77,718.90
|
$73,319.70
|
2024-12-19
|
|
233
|
APR_DRG
|
Spinal Procedures
|
9
|
9
|
—
|
—
|
$21,761.70
|
$77,700.60
|
$73,302.50
|
2024-12-19
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
9
|
9
|
—
|
—
|
$21,747.80
|
$77,651.00
|
$73,255.70
|
2024-12-19
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
9
|
9
|
—
|
—
|
$21,722.20
|
$77,559.60
|
$73,169.40
|
2024-12-19
|
|
4012
|
APR_DRG
|
Adrenal Procedures
|
9
|
9
|
—
|
—
|
$21,630.70
|
$77,233.00
|
$72,861.30
|
2024-12-19
|
|
433
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
9
|
9
|
—
|
—
|
$21,543.60
|
$76,922.10
|
$72,568.00
|
2024-12-19
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
9
|
9
|
—
|
—
|
$21,482.90
|
$76,705.20
|
$72,363.40
|
2024-12-19
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatichematopoieticother Neoplasms
|
9
|
9
|
—
|
—
|
$21,471.50
|
$76,664.70
|
$72,325.10
|
2024-12-19
|
|
404
|
APR_DRG
|
Spinal Disorders & Injuries
|
9
|
9
|
—
|
—
|
$21,471.20
|
$76,663.40
|
$72,323.90
|
2024-12-19
|
|
293
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
9
|
9
|
—
|
—
|
$21,392.10
|
$76,381.20
|
$72,057.70
|
2024-12-19
|
|
7923
|
APR_DRG
|
Extensive Or Procedures For Other Complications Of Treatment
|
9
|
9
|
—
|
—
|
$21,141.10
|
$75,485.00
|
$71,212.30
|
2024-12-19
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatichematopoieticother Neoplasms
|
9
|
9
|
—
|
—
|
$21,060.30
|
$75,196.30
|
$70,939.90
|
2024-12-19
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
9
|
9
|
—
|
—
|
$20,914.70
|
$74,676.30
|
$70,449.40
|
2024-12-19
|
|
2454
|
APR_DRG
|
Inflammatory Bowel Disease
|
9
|
9
|
—
|
—
|
$20,884.70
|
$74,569.20
|
$70,348.30
|
2024-12-19
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
9
|
9
|
—
|
—
|
$20,675.70
|
$73,823.30
|
$69,644.60
|
2024-12-19
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
9
|
9
|
—
|
—
|
$20,501.90
|
$73,202.70
|
$69,059.20
|
2024-12-19
|
|
850
|
MS_DRG
|
UnGrouped
|
31
|
24
|
—
|
$89,669.00
|
$65,527.50
|
$113,811.00
|
$68,976.30
|
2024-12-19
|
|
3224
|
APR_DRG
|
Shoulder & Elbow Joint Replacement
|
9
|
9
|
—
|
—
|
$20,451.10
|
$73,021.10
|
$68,887.90
|
2024-12-19
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Wo Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$20,436.80
|
$72,970.20
|
$68,839.80
|
2024-12-19
|
|
2824
|
APR_DRG
|
Disorders Of Pancreas Except Malignancy
|
9
|
9
|
—
|
—
|
$20,331.40
|
$72,594.00
|
$68,484.90
|
2024-12-19
|
|
4624
|
APR_DRG
|
Nephritis & Nephrosis
|
9
|
9
|
—
|
—
|
$20,285.30
|
$72,429.30
|
$68,329.60
|
2024-12-19
|
|
225
|
MS_DRG
|
UnGrouped
|
6
|
2
|
—
|
—
|
$48,778.00
|
$82,995.30
|
$68,306.55
|
2024-12-19
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
9
|
9
|
—
|
—
|
$20,274.00
|
$72,388.80
|
$68,291.40
|
2024-12-19
|
|
7594
|
APR_DRG
|
Eating Disorders
|
9
|
9
|
—
|
—
|
$20,267.80
|
$72,366.60
|
$68,270.40
|
2024-12-19
|
|
594
|
APR_DRG
|
Anoxic & Other Severe Brain Damage
|
9
|
9
|
—
|
—
|
$20,252.80
|
$72,313.10
|
$68,219.90
|
2024-12-19
|
|
6504
|
APR_DRG
|
Splenectomy
|
9
|
9
|
—
|
—
|
$20,220.60
|
$72,198.10
|
$68,111.40
|
2024-12-19
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
9
|
9
|
—
|
—
|
$20,219.80
|
$72,195.50
|
$68,109.00
|
2024-12-19
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
9
|
9
|
—
|
—
|
$20,209.60
|
$72,158.90
|
$68,074.40
|
2024-12-19
|
|
2613
|
APR_DRG
|
Major Biliary Tract Procedures
|
9
|
9
|
—
|
—
|
$20,178.10
|
$72,046.60
|
$67,968.40
|
2024-12-19
|
|
2264
|
APR_DRG
|
Anal And Perineal Procedures
|
9
|
9
|
—
|
—
|
$20,150.70
|
$71,948.60
|
$67,876.00
|
2024-12-19
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
78
|
30
|
—
|
$64,519.00
|
$48,778.00
|
$125,230.45
|
$67,609.18
|
2026-03-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
75
|
30
|
—
|
$64,328.00
|
$49,913.20
|
$126,822.00
|
$67,545.11
|
2026-03-17
|
|
632
|
OTHER
|
UnGrouped
|
1
|
1
|
—
|
—
|
$67,411.50
|
$67,411.50
|
$67,411.50
|
2024-12-19
|
|
2074
|
APR_DRG
|
Other Circulatory System Diagnoses
|
9
|
9
|
—
|
—
|
$19,976.20
|
$71,325.40
|
$67,288.10
|
2024-12-19
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
9
|
9
|
—
|
—
|
$19,962.60
|
$71,277.10
|
$67,242.50
|
2024-12-19
|
|
1934
|
APR_DRG
|
Acute & Subacute Endocarditis
|
9
|
9
|
—
|
—
|
$19,803.80
|
$70,710.10
|
$66,707.60
|
2024-12-19
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond
|
9
|
9
|
—
|
—
|
$19,769.10
|
$70,586.00
|
$66,590.60
|
2024-12-19
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
9
|
9
|
—
|
—
|
$19,754.80
|
$70,535.10
|
$66,542.50
|
2024-12-19
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
9
|
—
|
—
|
$19,643.20
|
$70,136.60
|
$66,166.60
|
2024-12-19
|
|
1663
|
APR_DRG
|
Coronary Bypass Wo Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$19,590.50
|
$69,948.50
|
$65,989.10
|
2024-12-19
|
|
6902
|
APR_DRG
|
Acute Leukemia
|
9
|
9
|
—
|
—
|
$19,588.70
|
$69,941.90
|
$65,983.00
|
2024-12-19
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
9
|
9
|
—
|
—
|
$19,535.60
|
$69,752.50
|
$65,804.30
|
2024-12-19
|
|
3164
|
APR_DRG
|
Hand & Wrist Procedures
|
9
|
9
|
—
|
—
|
$19,506.70
|
$69,649.30
|
$65,706.90
|
2024-12-19
|
|
1652
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
9
|
9
|
—
|
—
|
$19,331.50
|
$69,023.50
|
$65,116.50
|
2024-12-19
|
|
6213
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
9
|
9
|
—
|
—
|
$19,313.90
|
$68,960.90
|
$65,057.40
|
2024-12-19
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Ccmcc
|
12
|
3
|
—
|
—
|
$36,219.20
|
$70,667.30
|
$65,000.00
|
2026-03-17
|
|
893
|
APR_DRG
|
Major Cranialfacial Bone Procedures
|
9
|
9
|
—
|
—
|
$19,289.80
|
$68,874.60
|
$64,976.10
|
2024-12-19
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
9
|
9
|
—
|
—
|
$19,257.20
|
$68,758.40
|
$64,866.40
|
2024-12-19
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
9
|
9
|
—
|
—
|
$19,243.30
|
$68,708.70
|
$64,819.60
|
2024-12-19
|
|
1314
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease
|
9
|
9
|
—
|
—
|
$19,138.30
|
$68,333.80
|
$64,465.80
|
2024-12-19
|