|
A9543
|
HCPCS
|
Hc R Y90 Ibritumomab P Tx Dos =< 40mci
|
114
|
35
|
$72,681.00
|
$25,438.35
65% off
|
$18,897.06
|
$184,978.95
|
$58,054.93
|
2026-02-28
|
|
HC62400352
|
CDM
|
Hc G090024 Evaheart2 Lt Vent Assist Sys
|
60
|
18
|
$99,825.00
|
$34,938.75
65% off
|
$100.00
|
$362,364.75
|
$62,390.62
|
2026-02-28
|
|
HC27211509
|
CDM
|
Hc Protek Duo Life Sparc Kit
|
44
|
15
|
$108,719.00
|
$38,051.65
65% off
|
$100.00
|
$108,719.00
|
$62,513.43
|
2026-02-28
|
|
HC81200002
|
CDM
|
Hc Heart Dnr Orgn Prcur
|
48
|
17
|
$116,600.00
|
$40,810.00
65% off
|
$100.00
|
$116,600.00
|
$72,875.00
|
2026-02-28
|
|
HC81200009
|
CDM
|
Hc Lung Dnr Single Orgn Prcrmt
|
48
|
17
|
$125,080.00
|
$43,778.00
65% off
|
$100.00
|
$125,080.00
|
$78,175.00
|
2026-02-28
|
|
HC81200005
|
CDM
|
Hc Kidney Dnr Orgn Prcr
|
48
|
17
|
$128,635.00
|
$45,022.25
65% off
|
$100.00
|
$128,635.00
|
$80,396.88
|
2026-02-28
|
|
HC81200003
|
CDM
|
Hc Heart Dnr Orgn Prcur-imprt
|
48
|
17
|
$143,895.00
|
$50,363.25
65% off
|
$100.00
|
$143,895.00
|
$89,934.38
|
2026-02-28
|
|
HC81200008
|
CDM
|
Hc Lung Dnr Dbl Orgn Prcr
|
48
|
17
|
$144,986.00
|
$50,745.10
65% off
|
$100.00
|
$144,986.00
|
$90,616.25
|
2026-02-28
|
|
J7355
|
HCPCS
|
Idose Tr G2-tr
|
74
|
22
|
$146,475.00
|
$51,266.25
65% off
|
$32,224.50
|
$146,475.00
|
$70,308.00
|
2026-02-28
|
|
HC81200001
|
CDM
|
Hc Dbl Lung Dnr Orgn Prcr-imp
|
48
|
17
|
$153,707.00
|
$53,797.45
65% off
|
$100.00
|
$153,707.00
|
$96,066.88
|
2026-02-28
|
|
HC81200006
|
CDM
|
Hc Liver Dnr Orgn Prcr-import
|
48
|
17
|
$154,798.00
|
$54,179.30
65% off
|
$100.00
|
$154,798.00
|
$96,748.75
|
2026-02-28
|
|
HC27900004
|
CDM
|
Hc Tandemheart
|
72
|
21
|
$155,648.00
|
$54,476.80
65% off
|
$100.00
|
$259,901.04
|
$93,388.80
|
2026-02-28
|
|
HC81200004
|
CDM
|
Hc Heart/lung Dnr Orgn Prcur
|
48
|
17
|
$159,000.00
|
$55,650.00
65% off
|
$100.00
|
$159,000.00
|
$99,375.00
|
2026-02-28
|
|
C1605
|
HCPCS
|
Hc Aveir Ra & Rv Leadless Device Pkg
|
204
|
23
|
$162,750.00
|
$56,962.50
65% off
|
$15,435.00
|
$252,000.00
|
$57,960.00
|
2026-02-28
|
|
HC81200013
|
CDM
|
Hc Sng Lung Donor Organ Procure-imp
|
48
|
17
|
$170,058.00
|
$59,520.30
65% off
|
$100.00
|
$170,058.00
|
$106,286.25
|
2026-02-28
|
|
C1767
|
HCPCS
|
Activa Stimulator Neuro Dbs 37603
|
5,068
|
23
|
$171,150.00
|
$59,902.50
65% off
|
$0.27
|
$411,022.50
|
$62,497.79
|
2026-02-28
|
|
HC27806579
|
CDM
|
Hc Pipeline Embol <21mm
|
102
|
23
|
$173,366.00
|
$60,678.10
65% off
|
$36,406.86
|
$173,366.00
|
$60,678.10
|
2026-02-28
|
|
HC27900001
|
CDM
|
Hc Pump Abiomed Impella 2.5-1
|
72
|
21
|
$177,021.00
|
$61,957.35
65% off
|
$100.00
|
$295,589.67
|
$103,335.30
|
2026-02-28
|
|
HC27806580
|
CDM
|
Hc Pipeline Embol >24mm
|
102
|
23
|
$183,873.00
|
$64,355.55
65% off
|
$38,613.33
|
$183,873.00
|
$64,355.55
|
2026-02-28
|
|
J1823
|
HCPCS
|
Inebilizumab-cdon 10 Mg/ml Soln 10 Ml Vial
|
216
|
39
|
$183,886.51
|
$64,360.28
65% off
|
$356.57
|
$329,497.66
|
$86,048.03
|
2026-02-28
|
|
HC81200014
|
CDM
|
Hc Heart/lung Donor Organ Prcrmt-imp
|
48
|
17
|
$190,800.00
|
$66,780.00
65% off
|
$100.00
|
$190,800.00
|
$119,250.00
|
2026-02-28
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Solr 1 Each Vial
|
74
|
22
|
$193,515.00
|
$67,730.25
65% off
|
$42,573.30
|
$193,515.00
|
$92,887.20
|
2026-02-28
|
|
HC62400480
|
CDM
|
Hc G240119 Cardiomems Hf System
|
60
|
18
|
$196,743.00
|
$68,860.05
65% off
|
$100.00
|
$714,177.09
|
$122,964.38
|
2026-02-28
|
|
HC27900011
|
CDM
|
Hc Pump Abiomed Impella Rt Side
|
72
|
21
|
$200,118.00
|
$70,041.30
65% off
|
$100.00
|
$334,157.04
|
$115,067.85
|
2026-02-28
|
|
HC27900017
|
CDM
|
Cath Impella 2.5 005042
|
648
|
21
|
$210,000.00
|
$73,500.00
65% off
|
$100.00
|
$718,848.90
|
$110,965.00
|
2026-02-28
|
|
HC81000024
|
CDM
|
Hc Liver Ocs
|
50
|
17
|
$213,060.00
|
$74,571.00
65% off
|
$100.00
|
$213,060.00
|
$127,836.00
|
2026-02-28
|
|
J9298
|
HCPCS
|
Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial
|
74
|
22
|
$213,819.43
|
$74,836.81
65% off
|
$47,040.28
|
$213,819.43
|
$102,633.33
|
2026-02-28
|
|
HC81000020
|
CDM
|
Hc Heart Ocs
|
50
|
17
|
$215,180.00
|
$75,313.00
65% off
|
$100.00
|
$215,180.00
|
$129,108.00
|
2026-02-28
|
|
HC81000022
|
CDM
|
Hc Lung Ocs
|
50
|
17
|
$222,600.00
|
$77,910.00
65% off
|
$100.00
|
$222,600.00
|
$133,560.00
|
2026-02-28
|
|
HC81000023
|
CDM
|
Hc Liver Ocs & Surgical Retrieval
|
50
|
17
|
$225,780.00
|
$79,023.00
65% off
|
$100.00
|
$225,780.00
|
$135,468.00
|
2026-02-28
|
|
HC27900007
|
CDM
|
Hc Pump Abiomed Impella 2.5-2
|
72
|
21
|
$226,802.00
|
$79,380.70
65% off
|
$100.00
|
$378,713.98
|
$125,434.55
|
2026-02-28
|
|
HC81000019
|
CDM
|
Hc Heart Ocs & Surgical Retrieval
|
50
|
17
|
$227,900.00
|
$79,765.00
65% off
|
$100.00
|
$227,900.00
|
$136,740.00
|
2026-02-28
|
|
HC81000021
|
CDM
|
Hc Lung Ocs & Surgical Retrieval
|
50
|
17
|
$234,260.00
|
$81,991.00
65% off
|
$100.00
|
$234,260.00
|
$140,556.00
|
2026-02-28
|
|
HC27803514
|
CDM
|
Hc Valve Transcath Pulm
|
102
|
23
|
$249,453.00
|
$87,308.55
65% off
|
$52,385.13
|
$249,453.00
|
$87,308.55
|
2026-02-28
|
|
C1824
|
HCPCS
|
Hc Ipg Ccm Optimizer
|
204
|
23
|
$251,443.50
|
$88,005.23
65% off
|
$48,276.27
|
$273,000.00
|
$84,630.00
|
2026-02-28
|
|
HC27900016
|
CDM
|
Hc Impella Rp Flex W/smart Asst Abiomed
|
72
|
21
|
$256,789.00
|
$89,876.15
65% off
|
$100.00
|
$428,786.28
|
$141,233.95
|
2026-02-28
|
|
C1825
|
HCPCS
|
Optimizer Smart Ipg 10-b411-3-xx
|
204
|
23
|
$267,750.00
|
$93,712.50
65% off
|
$50,715.00
|
$294,000.00
|
$91,140.00
|
2026-02-28
|
|
HC27900015
|
CDM
|
Hc Impella 5.5 Lvad
|
72
|
21
|
$284,925.00
|
$99,723.75
65% off
|
$100.00
|
$475,767.77
|
$156,708.75
|
2026-02-28
|
|
C9293
|
HCPCS
|
Glucarpidase 1000 Unit Solr 1 Each Vial
|
80
|
22
|
$296,910.22
|
$103,918.58
65% off
|
$1,238.94
|
$296,910.22
|
$141,032.36
|
2026-02-28
|
|
C2642
|
HCPCS
|
Dev Gammatile Therapy 10pk Gt-10
|
974
|
39
|
$304,500.00
|
$106,575.00
65% off
|
$77.78
|
$972,825.00
|
$128,310.00
|
2026-02-28
|
|
HC27900009
|
CDM
|
Hc Vad Heartware Btt
|
72
|
21
|
$403,982.00
|
$141,393.70
65% off
|
$100.00
|
$674,569.15
|
$222,190.10
|
2026-02-28
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Susp 1 Each Vial
|
74
|
22
|
$405,495.87
|
$141,923.56
65% off
|
$89,209.10
|
$405,495.87
|
$194,638.02
|
2026-02-28
|
|
HC62400479
|
CDM
|
Hc G240119 Heartmate 3 Left Ventricular Assist System
|
60
|
18
|
$415,428.00
|
$145,399.80
65% off
|
$100.00
|
$1,508,003.64
|
$259,642.50
|
2026-02-28
|
|
HC27900014
|
CDM
|
Hc Heartmate 3 Lvad Impl Kit
|
72
|
21
|
$415,428.00
|
$145,399.80
65% off
|
$100.00
|
$693,681.68
|
$228,485.40
|
2026-02-28
|
|
J3398
|
HCPCS
|
Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Susp 150 Units Vial
|
142
|
39
|
$456,971.02
|
$159,939.86
65% off
|
$2,281.15
|
$456,971.02
|
$123,382.18
|
2026-02-28
|
|
HC27900008
|
CDM
|
Hc Vad Impl Set Heartware Btt
|
72
|
21
|
$487,555.00
|
$170,644.25
65% off
|
$100.00
|
$814,119.34
|
$268,155.25
|
2026-02-28
|
|
HC27900010
|
CDM
|
Hc Vad Heartmate Ii Thor
|
72
|
21
|
$532,248.00
|
$186,286.80
65% off
|
$100.00
|
$888,747.72
|
$292,736.40
|
2026-02-28
|
|
HC27900006
|
CDM
|
Hc Tah 70cc Init Syncardia
|
72
|
21
|
$760,090.00
|
$266,031.50
65% off
|
$100.00
|
$1,269,198.29
|
$418,049.50
|
2026-02-28
|
|
J2326
|
HCPCS
|
Nusinersen 12 Mg/5 Ml Soln 5 Ml Vial
|
142
|
39
|
$1,023,387.00
|
$358,185.45
65% off
|
$899.25
|
$1,023,387.00
|
$266,080.62
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
60
|
18
|
—
|
—
|
$270,768.00
|
$1,001,841.60
|
$636,304.80
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
60
|
18
|
—
|
—
|
$263,403.00
|
$974,591.10
|
$618,997.05
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
60
|
18
|
—
|
—
|
$229,276.00
|
$848,321.20
|
$538,798.60
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
60
|
18
|
—
|
—
|
$220,557.00
|
$816,060.90
|
$518,308.95
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
94
|
35
|
—
|
—
|
$194,289.76
|
$888,174.00
|
$410,067.00
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
60
|
18
|
—
|
—
|
$171,392.00
|
$634,150.40
|
$402,771.20
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
60
|
18
|
—
|
—
|
$166,433.00
|
$615,802.10
|
$391,117.55
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
60
|
18
|
—
|
—
|
$155,922.00
|
$576,911.40
|
$366,416.70
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
112
|
37
|
—
|
—
|
$142,164.00
|
$663,392.00
|
$306,902.28
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
60
|
18
|
—
|
—
|
$127,527.00
|
$471,849.90
|
$299,688.45
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
60
|
18
|
—
|
—
|
$126,397.00
|
$467,668.90
|
$297,032.95
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
104
|
36
|
—
|
—
|
$122,591.84
|
$558,696.00
|
$274,971.00
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
60
|
18
|
—
|
—
|
$114,243.00
|
$422,699.10
|
$268,471.05
|
2026-02-28
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
60
|
18
|
—
|
—
|
$100,809.00
|
$372,993.30
|
$236,901.15
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
60
|
18
|
—
|
—
|
$100,593.00
|
$372,194.10
|
$236,393.55
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
96
|
35
|
—
|
—
|
$110,849.58
|
$504,736.00
|
$234,015.77
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
60
|
18
|
—
|
—
|
$92,945.00
|
$343,896.50
|
$218,420.75
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
60
|
18
|
—
|
—
|
$91,963.00
|
$340,263.10
|
$216,113.05
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
60
|
18
|
—
|
—
|
$91,543.00
|
$338,709.10
|
$215,126.05
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
60
|
18
|
—
|
—
|
$91,306.00
|
$337,832.20
|
$214,569.10
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
60
|
18
|
—
|
—
|
$90,914.00
|
$336,381.80
|
$213,647.90
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
60
|
18
|
—
|
—
|
$90,006.00
|
$333,022.20
|
$211,514.10
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
60
|
18
|
—
|
—
|
$87,634.00
|
$324,245.80
|
$205,939.90
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$86,849.00
|
$321,341.30
|
$204,095.15
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
60
|
18
|
—
|
—
|
$86,747.00
|
$320,963.90
|
$203,855.45
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
60
|
18
|
—
|
—
|
$86,289.00
|
$319,269.30
|
$202,779.15
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
60
|
18
|
—
|
—
|
$79,007.00
|
$292,325.90
|
$185,666.45
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
60
|
18
|
—
|
—
|
$78,691.00
|
$291,156.70
|
$184,923.85
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
60
|
18
|
—
|
—
|
$77,293.00
|
$285,984.10
|
$181,638.55
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
60
|
18
|
—
|
—
|
$77,250.00
|
$285,825.00
|
$181,537.50
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
60
|
18
|
—
|
—
|
$76,604.00
|
$283,434.80
|
$180,019.40
|
2026-02-28
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
60
|
18
|
—
|
—
|
$74,911.00
|
$277,170.70
|
$176,040.85
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
60
|
18
|
—
|
—
|
$74,524.00
|
$275,738.80
|
$175,131.40
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
60
|
18
|
—
|
—
|
$72,323.00
|
$267,595.10
|
$169,959.05
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
60
|
18
|
—
|
—
|
$72,318.00
|
$267,576.60
|
$169,947.30
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$72,101.00
|
$266,773.70
|
$169,437.35
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
60
|
18
|
—
|
—
|
$70,091.00
|
$259,336.70
|
$164,713.85
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$67,387.00
|
$249,331.90
|
$158,359.45
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
96
|
35
|
—
|
—
|
$73,429.31
|
$332,776.00
|
$156,421.57
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
60
|
18
|
—
|
—
|
$66,281.00
|
$245,239.70
|
$155,760.35
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
60
|
18
|
—
|
—
|
$65,743.00
|
$243,249.10
|
$154,496.05
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
104
|
36
|
—
|
—
|
$68,159.85
|
$308,560.00
|
$151,863.00
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
104
|
36
|
—
|
—
|
$67,990.73
|
$307,783.00
|
$151,480.00
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
60
|
18
|
—
|
—
|
$62,942.00
|
$232,885.40
|
$147,913.70
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
60
|
18
|
—
|
—
|
$62,449.00
|
$231,061.30
|
$146,755.15
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
60
|
18
|
—
|
—
|
$62,358.00
|
$230,724.60
|
$146,541.30
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
112
|
37
|
—
|
—
|
$57,489.21
|
$279,273.00
|
$145,702.00
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
60
|
18
|
—
|
—
|
$60,689.00
|
$224,549.30
|
$142,619.15
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
60
|
18
|
—
|
—
|
$60,106.00
|
$222,392.20
|
$141,249.10
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
60
|
18
|
—
|
—
|
$59,141.00
|
$218,821.70
|
$138,981.35
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
60
|
18
|
—
|
—
|
$58,994.00
|
$218,277.80
|
$138,635.90
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
60
|
18
|
—
|
—
|
$58,725.00
|
$217,282.50
|
$138,003.75
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
60
|
18
|
—
|
—
|
$58,705.00
|
$217,208.50
|
$137,956.75
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$57,190.00
|
$211,603.00
|
$134,396.50
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
60
|
18
|
—
|
—
|
$57,190.00
|
$211,603.00
|
$134,396.50
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
60
|
18
|
—
|
—
|
$57,028.00
|
$211,003.60
|
$134,015.80
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
60
|
18
|
—
|
—
|
$55,830.00
|
$206,571.00
|
$131,200.50
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
60
|
18
|
—
|
—
|
$54,323.00
|
$200,995.10
|
$127,659.05
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
104
|
36
|
—
|
—
|
$55,591.45
|
$250,933.61
|
$126,424.50
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
60
|
18
|
—
|
—
|
$53,189.00
|
$196,799.30
|
$124,994.15
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
60
|
18
|
—
|
—
|
$52,291.00
|
$193,476.70
|
$122,883.85
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$51,496.00
|
$190,535.20
|
$121,015.60
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
60
|
18
|
—
|
—
|
$51,437.00
|
$190,316.90
|
$120,876.95
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
60
|
18
|
—
|
—
|
$51,210.00
|
$189,477.00
|
$120,343.50
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
92
|
34
|
—
|
—
|
$56,844.49
|
$256,589.71
|
$120,005.04
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
60
|
18
|
—
|
—
|
$50,750.00
|
$187,775.00
|
$119,262.50
|
2026-02-28
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
60
|
18
|
—
|
—
|
$50,439.00
|
$186,624.30
|
$118,531.65
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
60
|
18
|
—
|
—
|
$50,382.00
|
$186,413.40
|
$118,397.70
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
114
|
37
|
—
|
—
|
$55,311.63
|
$249,670.53
|
$118,305.42
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
92
|
34
|
—
|
—
|
$54,699.71
|
$246,908.39
|
$115,477.15
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
60
|
18
|
—
|
—
|
$48,861.00
|
$180,785.70
|
$114,823.35
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
60
|
18
|
—
|
—
|
$47,833.00
|
$176,982.10
|
$112,407.55
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
60
|
18
|
—
|
—
|
$47,542.00
|
$175,905.40
|
$111,723.70
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$47,220.00
|
$174,714.00
|
$110,967.00
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
60
|
18
|
—
|
—
|
$46,758.00
|
$173,004.60
|
$109,881.30
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
60
|
18
|
—
|
—
|
$46,738.00
|
$172,930.60
|
$109,834.30
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
94
|
35
|
—
|
—
|
$50,475.22
|
$227,839.50
|
$107,960.87
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
60
|
18
|
—
|
—
|
$44,556.00
|
$164,857.20
|
$104,706.60
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
60
|
18
|
—
|
—
|
$44,313.00
|
$163,958.10
|
$104,135.55
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
60
|
18
|
—
|
—
|
$44,209.00
|
$163,573.30
|
$103,891.15
|
2026-02-28
|
|
453
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$103,861.00
|
$103,861.00
|
$103,861.00
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
60
|
18
|
—
|
—
|
$43,640.00
|
$161,468.00
|
$102,554.00
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
60
|
18
|
—
|
—
|
$43,554.00
|
$161,149.80
|
$102,351.90
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
60
|
18
|
—
|
—
|
$43,397.00
|
$160,568.90
|
$101,982.95
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
92
|
34
|
—
|
—
|
$48,224.34
|
$217,679.32
|
$101,806.95
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
60
|
18
|
—
|
—
|
$42,837.00
|
$158,496.90
|
$100,666.95
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
60
|
18
|
—
|
—
|
$42,303.00
|
$156,521.10
|
$99,412.05
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
60
|
18
|
—
|
—
|
$42,274.00
|
$156,413.80
|
$99,343.90
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
60
|
18
|
—
|
—
|
$42,108.00
|
$155,799.60
|
$98,953.80
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
60
|
18
|
—
|
—
|
$41,728.00
|
$154,393.60
|
$98,060.80
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
60
|
18
|
—
|
—
|
$41,006.00
|
$151,722.20
|
$96,364.10
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
60
|
18
|
—
|
—
|
$40,707.00
|
$150,615.90
|
$95,661.45
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
60
|
18
|
—
|
—
|
$40,658.00
|
$150,434.60
|
$95,546.30
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
60
|
18
|
—
|
—
|
$40,634.00
|
$150,345.80
|
$95,489.90
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$40,458.00
|
$149,694.60
|
$95,076.30
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
94
|
35
|
—
|
—
|
$44,442.14
|
$200,606.87
|
$95,056.80
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
94
|
35
|
—
|
—
|
$44,418.05
|
$200,498.13
|
$95,005.27
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
60
|
18
|
—
|
—
|
$40,219.00
|
$148,810.30
|
$94,514.65
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
60
|
18
|
—
|
—
|
$40,186.00
|
$148,688.20
|
$94,437.10
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$40,162.00
|
$148,599.40
|
$94,380.70
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
60
|
18
|
—
|
—
|
$39,505.00
|
$146,168.50
|
$92,836.75
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
60
|
18
|
—
|
—
|
$39,495.00
|
$146,131.50
|
$92,813.25
|
2026-02-28
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
60
|
18
|
—
|
—
|
$39,384.00
|
$145,720.80
|
$92,552.40
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
60
|
18
|
—
|
—
|
$39,333.00
|
$145,532.10
|
$92,432.55
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
104
|
36
|
—
|
—
|
$41,875.05
|
$189,019.32
|
$92,415.00
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
92
|
34
|
—
|
—
|
$43,758.98
|
$197,523.17
|
$92,380.07
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
60
|
18
|
—
|
—
|
$39,293.00
|
$145,384.10
|
$92,338.55
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
104
|
36
|
—
|
—
|
$41,640.84
|
$187,962.13
|
$91,885.00
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
60
|
18
|
—
|
—
|
$38,632.00
|
$142,938.40
|
$90,785.20
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
94
|
35
|
—
|
—
|
$42,326.57
|
$191,057.40
|
$90,531.82
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
60
|
18
|
—
|
—
|
$38,503.00
|
$142,461.10
|
$90,482.05
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
60
|
18
|
—
|
—
|
$38,383.00
|
$142,017.10
|
$90,200.05
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
60
|
18
|
—
|
—
|
$37,980.00
|
$140,526.00
|
$89,253.00
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$37,915.00
|
$140,285.50
|
$89,100.25
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
60
|
18
|
—
|
—
|
$37,825.00
|
$139,952.50
|
$88,888.75
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
60
|
18
|
—
|
—
|
$37,689.00
|
$139,449.30
|
$88,569.15
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
60
|
18
|
—
|
—
|
$37,540.00
|
$138,898.00
|
$88,219.00
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
94
|
35
|
—
|
—
|
$41,072.49
|
$185,396.64
|
$87,849.49
|
2026-02-28
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
60
|
18
|
—
|
—
|
$37,334.00
|
$138,135.80
|
$87,734.90
|
2026-02-28
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
60
|
18
|
—
|
—
|
$37,105.00
|
$137,288.50
|
$87,196.75
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
94
|
35
|
—
|
—
|
$40,668.13
|
$183,571.41
|
$86,984.61
|
2026-02-28
|
|
222
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$86,864.00
|
$86,864.00
|
$86,864.00
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
60
|
18
|
—
|
—
|
$36,766.00
|
$136,034.20
|
$86,400.10
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
60
|
18
|
—
|
—
|
$36,107.00
|
$133,595.90
|
$84,851.45
|
2026-02-28
|
|
3154
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
60
|
18
|
—
|
—
|
$36,105.00
|
$133,588.50
|
$84,846.75
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
60
|
18
|
—
|
—
|
$35,982.00
|
$133,133.40
|
$84,557.70
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
60
|
18
|
—
|
—
|
$35,836.00
|
$132,593.20
|
$84,214.60
|
2026-02-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
94
|
35
|
—
|
—
|
$39,267.49
|
$177,249.06
|
$83,988.79
|
2026-02-28
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
60
|
18
|
—
|
—
|
$35,700.00
|
$132,090.00
|
$83,895.00
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
60
|
18
|
—
|
—
|
$35,317.00
|
$130,672.90
|
$82,994.95
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
60
|
18
|
—
|
—
|
$35,270.00
|
$130,499.00
|
$82,884.50
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
60
|
18
|
—
|
—
|
$35,261.00
|
$130,465.70
|
$82,863.35
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$34,736.00
|
$128,523.20
|
$81,629.60
|
2026-02-28
|
|
224
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$80,427.00
|
$80,427.00
|
$80,427.00
|
2026-02-28
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
60
|
18
|
—
|
—
|
$34,046.00
|
$125,970.20
|
$80,008.10
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
60
|
18
|
—
|
—
|
$33,860.00
|
$125,282.00
|
$79,571.00
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
60
|
18
|
—
|
—
|
$33,802.00
|
$125,067.40
|
$79,434.70
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
92
|
34
|
—
|
—
|
$37,414.82
|
$168,886.32
|
$78,986.83
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
60
|
18
|
—
|
—
|
$33,464.00
|
$123,816.80
|
$78,640.40
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
92
|
34
|
—
|
—
|
$37,231.86
|
$168,060.46
|
$78,600.59
|
2026-02-28
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
60
|
18
|
—
|
—
|
$33,444.00
|
$123,742.80
|
$78,593.40
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
60
|
18
|
—
|
—
|
$33,322.00
|
$123,291.40
|
$78,306.70
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
60
|
18
|
—
|
—
|
$33,053.00
|
$122,296.10
|
$77,674.55
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
60
|
18
|
—
|
—
|
$32,958.00
|
$121,944.60
|
$77,451.30
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
104
|
36
|
—
|
—
|
$35,242.87
|
$159,082.40
|
$77,415.00
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
94
|
35
|
—
|
—
|
$36,665.55
|
$165,504.21
|
$77,043.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
60
|
18
|
—
|
—
|
$32,645.00
|
$120,786.50
|
$76,715.75
|
2026-02-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
60
|
18
|
—
|
—
|
$32,593.00
|
$120,594.10
|
$76,593.55
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
94
|
35
|
—
|
—
|
$36,008.54
|
$162,538.52
|
$76,420.00
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
60
|
18
|
—
|
—
|
$32,366.00
|
$119,754.20
|
$76,060.10
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
60
|
18
|
—
|
—
|
$32,275.00
|
$119,417.50
|
$75,846.25
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
60
|
18
|
—
|
—
|
$32,102.00
|
$118,777.40
|
$75,439.70
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
94
|
35
|
—
|
—
|
$35,184.96
|
$158,820.97
|
$75,256.71
|
2026-02-28
|
|
459
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$75,251.00
|
$75,251.00
|
$75,251.00
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
92
|
34
|
—
|
—
|
$35,375.10
|
$159,679.23
|
$74,680.75
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
60
|
18
|
—
|
—
|
$31,774.00
|
$117,563.80
|
$74,668.90
|
2026-02-28
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
60
|
18
|
—
|
—
|
$31,558.00
|
$116,764.60
|
$74,161.30
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
60
|
18
|
—
|
—
|
$31,497.00
|
$116,538.90
|
$74,017.95
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
60
|
18
|
—
|
—
|
$31,266.00
|
$115,684.20
|
$73,475.10
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
60
|
18
|
—
|
—
|
$31,254.00
|
$115,639.80
|
$73,446.90
|
2026-02-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
60
|
18
|
—
|
—
|
$31,158.00
|
$115,284.60
|
$73,221.30
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
94
|
35
|
—
|
—
|
$34,157.92
|
$154,185.04
|
$73,059.99
|
2026-02-28
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
60
|
18
|
—
|
—
|
$31,056.00
|
$114,907.20
|
$72,981.60
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
60
|
18
|
—
|
—
|
$31,049.00
|
$114,881.30
|
$72,965.15
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
60
|
18
|
—
|
—
|
$31,014.00
|
$114,751.80
|
$72,882.90
|
2026-02-28
|
|
226
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$72,618.00
|
$72,618.00
|
$72,618.00
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
94
|
35
|
—
|
—
|
$34,110.26
|
$153,969.89
|
$72,027.00
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
94
|
35
|
—
|
—
|
$33,425.57
|
$150,879.27
|
$71,493.57
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
60
|
18
|
—
|
—
|
$30,224.00
|
$111,828.80
|
$71,026.40
|
2026-02-28
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
60
|
18
|
—
|
—
|
$30,092.00
|
$111,340.40
|
$70,716.20
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
104
|
36
|
—
|
—
|
$31,947.54
|
$144,207.61
|
$69,962.00
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
104
|
36
|
—
|
—
|
$31,947.54
|
$144,207.61
|
$69,962.00
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
60
|
18
|
—
|
—
|
$29,744.00
|
$110,052.80
|
$69,898.40
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
60
|
18
|
—
|
—
|
$29,638.00
|
$109,660.60
|
$69,649.30
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
94
|
35
|
—
|
—
|
$32,464.13
|
$146,539.45
|
$69,437.16
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
60
|
18
|
—
|
—
|
$29,481.00
|
$109,079.70
|
$69,280.35
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
92
|
34
|
—
|
—
|
$32,759.84
|
$147,874.26
|
$69,159.65
|
2026-02-28
|
|
454
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$69,101.00
|
$69,101.00
|
$69,101.00
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
92
|
34
|
—
|
—
|
$32,718.84
|
$147,689.17
|
$69,073.09
|
2026-02-28
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
60
|
18
|
—
|
—
|
$29,366.00
|
$108,654.20
|
$69,010.10
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
60
|
18
|
—
|
—
|
$29,180.00
|
$107,966.00
|
$68,573.00
|
2026-02-28
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
60
|
18
|
—
|
—
|
$28,886.00
|
$106,878.20
|
$67,882.10
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
94
|
35
|
—
|
—
|
$32,574.32
|
$147,036.83
|
$67,863.15
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
94
|
35
|
—
|
—
|
$31,716.40
|
$143,164.29
|
$67,837.85
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
60
|
18
|
—
|
—
|
$28,721.00
|
$106,267.70
|
$67,494.35
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
60
|
18
|
—
|
—
|
$28,672.00
|
$106,086.40
|
$67,379.20
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
94
|
35
|
—
|
—
|
$31,503.71
|
$142,204.24
|
$67,375.00
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
94
|
35
|
—
|
—
|
$32,320.63
|
$145,891.72
|
$67,334.64
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
94
|
35
|
—
|
—
|
$32,170.98
|
$145,216.21
|
$67,022.87
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
60
|
18
|
—
|
—
|
$28,420.00
|
$105,154.00
|
$66,787.00
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
94
|
35
|
—
|
—
|
$31,170.08
|
$140,698.26
|
$66,669.33
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$28,312.00
|
$104,754.40
|
$66,533.20
|
2026-02-28
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome Neonate
|
84
|
33
|
—
|
—
|
$31,480.65
|
$142,100.14
|
$66,459.14
|
2026-02-28
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
60
|
18
|
—
|
—
|
$27,985.00
|
$103,544.50
|
$65,764.75
|
2026-02-28
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
60
|
18
|
—
|
—
|
$27,813.00
|
$102,908.10
|
$65,360.55
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
94
|
35
|
—
|
—
|
$30,427.99
|
$137,348.55
|
$65,082.08
|
2026-02-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
60
|
18
|
—
|
—
|
$27,688.00
|
$102,445.60
|
$65,066.80
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
94
|
35
|
—
|
—
|
$30,252.20
|
$136,555.06
|
$64,706.09
|
2026-02-28
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
60
|
18
|
—
|
—
|
$27,531.00
|
$101,864.70
|
$64,697.85
|
2026-02-28
|
|
7234
|
APR_DRG
|
Viral Illness
|
60
|
18
|
—
|
—
|
$27,494.00
|
$101,727.80
|
$64,610.90
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
94
|
35
|
—
|
—
|
$30,852.85
|
$139,266.31
|
$64,276.76
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
60
|
18
|
—
|
—
|
$27,198.00
|
$100,632.60
|
$63,915.30
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
104
|
36
|
—
|
—
|
$28,899.22
|
$130,447.85
|
$63,249.50
|
2026-02-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$26,898.00
|
$99,522.60
|
$63,210.30
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$26,845.00
|
$99,326.50
|
$63,085.75
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
94
|
35
|
—
|
—
|
$29,583.40
|
$133,536.17
|
$63,041.00
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
94
|
35
|
—
|
—
|
$29,340.99
|
$132,441.96
|
$62,757.11
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
94
|
35
|
—
|
—
|
$29,340.99
|
$132,441.96
|
$62,738.00
|
2026-02-28
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
60
|
18
|
—
|
—
|
$26,601.00
|
$98,423.70
|
$62,512.35
|
2026-02-28
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
60
|
18
|
—
|
—
|
$26,328.00
|
$97,413.60
|
$61,870.80
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
92
|
34
|
—
|
—
|
$29,222.09
|
$131,905.25
|
$61,691.07
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
94
|
35
|
—
|
—
|
$28,835.67
|
$130,161.01
|
$61,676.30
|
2026-02-28
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
60
|
18
|
—
|
—
|
$26,234.00
|
$97,065.80
|
$61,649.90
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
92
|
34
|
—
|
—
|
$29,049.90
|
$131,127.98
|
$61,327.55
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
94
|
35
|
—
|
—
|
$28,664.50
|
$129,388.35
|
$61,310.18
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
60
|
18
|
—
|
—
|
$26,079.00
|
$96,492.30
|
$61,285.65
|
2026-02-28
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
60
|
18
|
—
|
—
|
$25,709.00
|
$95,123.30
|
$60,416.15
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
60
|
18
|
—
|
—
|
$25,694.00
|
$95,067.80
|
$60,380.90
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
60
|
18
|
—
|
—
|
$25,659.00
|
$94,938.30
|
$60,298.65
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
94
|
35
|
—
|
—
|
$28,159.18
|
$127,107.37
|
$60,229.34
|
2026-02-28
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
60
|
18
|
—
|
—
|
$25,534.00
|
$94,475.80
|
$60,004.90
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
94
|
35
|
—
|
—
|
$28,693.71
|
$129,520.21
|
$59,778.56
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
94
|
35
|
—
|
—
|
$28,667.58
|
$129,402.23
|
$59,724.11
|
2026-02-28
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
60
|
18
|
—
|
—
|
$25,399.00
|
$93,976.30
|
$59,687.65
|
2026-02-28
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
60
|
18
|
—
|
—
|
$25,335.00
|
$93,739.50
|
$59,537.25
|
2026-02-28
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
78
|
24
|
—
|
—
|
$1,732.00
|
$192,523.95
|
$59,238.14
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
60
|
18
|
—
|
—
|
$25,202.00
|
$93,247.40
|
$59,224.70
|
2026-02-28
|
|
223
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$59,206.00
|
$59,206.00
|
$59,206.00
|
2026-02-28
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$25,121.00
|
$92,947.70
|
$59,034.35
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
94
|
35
|
—
|
—
|
$28,279.62
|
$127,651.03
|
$58,915.86
|
2026-02-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
60
|
18
|
—
|
—
|
$24,850.00
|
$91,945.00
|
$58,397.50
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
60
|
18
|
—
|
—
|
$24,826.00
|
$91,856.20
|
$58,341.10
|
2026-02-28
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
60
|
18
|
—
|
—
|
$24,733.00
|
$91,512.10
|
$58,122.55
|
2026-02-28
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
60
|
18
|
—
|
—
|
$24,730.00
|
$91,501.00
|
$58,115.50
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
94
|
35
|
—
|
—
|
$27,123.43
|
$122,432.12
|
$58,013.99
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
94
|
35
|
—
|
—
|
$27,320.22
|
$123,320.44
|
$58,002.00
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
92
|
34
|
—
|
—
|
$27,407.86
|
$123,716.03
|
$57,861.04
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
94
|
35
|
—
|
—
|
$27,043.48
|
$122,071.24
|
$57,842.99
|
2026-02-28
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
60
|
18
|
—
|
—
|
$24,468.00
|
$90,531.60
|
$57,499.80
|
2026-02-28
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
60
|
18
|
—
|
—
|
$24,451.00
|
$90,468.70
|
$57,459.85
|
2026-02-28
|
|
225
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$57,380.00
|
$57,380.00
|
$57,380.00
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
60
|
18
|
—
|
—
|
$24,416.00
|
$90,339.20
|
$57,377.60
|
2026-02-28
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
60
|
18
|
—
|
—
|
$24,326.00
|
$90,006.20
|
$57,166.10
|
2026-02-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
94
|
35
|
—
|
—
|
$26,675.51
|
$120,410.26
|
$57,055.94
|
2026-02-28
|
|
227
|
MS_DRG
|
No Active Code Description
|
28
|
13
|
—
|
—
|
$56,960.00
|
$56,960.00
|
$56,960.00
|
2026-02-28
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
60
|
18
|
—
|
—
|
$24,223.00
|
$89,625.10
|
$56,924.05
|
2026-02-28
|
|
7114
|
APR_DRG
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
60
|
18
|
—
|
—
|
$24,079.00
|
$89,092.30
|
$56,585.65
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
60
|
18
|
—
|
—
|
$24,016.00
|
$88,859.20
|
$56,437.60
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
92
|
34
|
—
|
—
|
$26,655.52
|
$120,320.04
|
$56,272.76
|
2026-02-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
60
|
18
|
—
|
—
|
$23,943.00
|
$88,589.10
|
$56,266.05
|
2026-02-28
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
60
|
18
|
—
|
—
|
$23,937.00
|
$88,566.90
|
$56,251.95
|
2026-02-28
|