|
C1605
|
HCPCS
|
Pacer Sys Aveir Dual Chamber
|
66
|
19
|
$252,000.00
|
$44,100.00
82% off
|
$50,400.00
|
$279,720.00
|
$96,037.20
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
24
|
6
|
—
|
—
|
$628,583.00
|
$660,012.15
|
$644,297.57
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
24
|
6
|
—
|
—
|
$532,261.00
|
$558,874.05
|
$545,567.53
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
24
|
6
|
—
|
—
|
$397,883.00
|
$417,777.15
|
$407,830.08
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
24
|
6
|
—
|
—
|
$296,051.00
|
$310,853.55
|
$303,452.28
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
24
|
6
|
—
|
—
|
$293,428.00
|
$308,099.40
|
$300,763.70
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
24
|
6
|
—
|
—
|
$265,214.00
|
$278,474.70
|
$271,844.35
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
24
|
6
|
—
|
—
|
$233,526.00
|
$245,202.30
|
$239,364.15
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
24
|
6
|
—
|
—
|
$213,491.00
|
$224,165.55
|
$218,828.27
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
24
|
6
|
—
|
—
|
$212,515.00
|
$223,140.75
|
$217,827.88
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
24
|
6
|
—
|
—
|
$211,054.00
|
$221,606.70
|
$216,330.35
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
24
|
6
|
—
|
—
|
$208,947.00
|
$219,394.35
|
$214,170.67
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
24
|
6
|
—
|
—
|
$203,442.00
|
$213,614.10
|
$208,528.05
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$201,620.00
|
$211,701.00
|
$206,660.50
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
24
|
6
|
—
|
—
|
$200,318.00
|
$210,333.90
|
$205,325.95
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
24
|
6
|
—
|
—
|
$179,434.00
|
$188,405.70
|
$183,919.85
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
24
|
6
|
—
|
—
|
$173,006.00
|
$181,656.30
|
$177,331.15
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
24
|
6
|
—
|
—
|
$167,884.00
|
$176,278.20
|
$172,081.10
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$167,382.00
|
$175,751.10
|
$171,566.55
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
24
|
6
|
—
|
—
|
$162,714.00
|
$170,849.70
|
$166,781.85
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
24
|
6
|
—
|
—
|
$153,871.00
|
$161,564.55
|
$157,717.77
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
24
|
6
|
—
|
—
|
$152,622.00
|
$160,253.10
|
$156,437.55
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
24
|
6
|
—
|
—
|
$146,118.00
|
$153,423.90
|
$149,770.95
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
24
|
6
|
—
|
—
|
$140,888.00
|
$147,932.40
|
$144,410.20
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
24
|
6
|
—
|
—
|
$139,534.00
|
$146,510.70
|
$143,022.35
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
24
|
6
|
—
|
—
|
$136,955.00
|
$143,802.75
|
$140,378.88
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$132,766.00
|
$139,404.30
|
$136,085.15
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
24
|
6
|
—
|
—
|
$132,766.00
|
$139,404.30
|
$136,085.15
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
24
|
6
|
—
|
—
|
$132,390.00
|
$139,009.50
|
$135,699.75
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
24
|
6
|
—
|
—
|
$129,609.00
|
$136,089.45
|
$132,849.23
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$119,547.00
|
$125,524.35
|
$122,535.68
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
24
|
6
|
—
|
—
|
$119,410.00
|
$125,380.50
|
$122,395.25
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
24
|
6
|
—
|
—
|
$117,814.00
|
$123,704.70
|
$120,759.35
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
24
|
6
|
—
|
—
|
$111,045.00
|
$116,597.25
|
$113,821.12
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$109,619.00
|
$115,099.95
|
$112,359.48
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
24
|
6
|
—
|
—
|
$108,547.00
|
$113,974.35
|
$111,260.68
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
24
|
6
|
—
|
—
|
$102,872.00
|
$108,015.60
|
$105,443.80
|
2026-02-28
|
|
4474
|
APR_DRG
|
Other Kidney Urinary Tract And Related Procedures
|
24
|
6
|
—
|
—
|
$102,631.00
|
$107,762.55
|
$105,196.77
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
6
|
—
|
—
|
$100,745.00
|
$105,782.25
|
$103,263.62
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
24
|
6
|
—
|
—
|
$99,446.00
|
$104,418.30
|
$101,932.15
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
24
|
6
|
—
|
—
|
$97,754.00
|
$102,641.70
|
$100,197.85
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
24
|
6
|
—
|
—
|
$94,388.00
|
$99,107.40
|
$96,747.70
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$93,924.00
|
$98,620.20
|
$96,272.10
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
24
|
6
|
—
|
—
|
$91,710.00
|
$96,295.50
|
$94,002.75
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
24
|
6
|
—
|
—
|
$91,311.00
|
$95,876.55
|
$93,593.77
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
24
|
6
|
—
|
—
|
$91,217.00
|
$95,777.85
|
$93,497.43
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
24
|
6
|
—
|
—
|
$89,384.00
|
$93,853.20
|
$91,618.60
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
24
|
6
|
—
|
—
|
$88,169.00
|
$92,577.45
|
$90,373.23
|
2026-02-28
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
24
|
6
|
—
|
—
|
$86,671.00
|
$91,004.55
|
$88,837.77
|
2026-02-28
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
24
|
6
|
—
|
—
|
$86,139.00
|
$90,445.95
|
$88,292.48
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
24
|
6
|
—
|
—
|
$85,352.00
|
$89,619.60
|
$87,485.80
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
24
|
6
|
—
|
—
|
$83,823.00
|
$88,014.15
|
$85,918.57
|
2026-02-28
|
|
4834
|
APR_DRG
|
Penis Testes And Scrotal Procedures
|
24
|
6
|
—
|
—
|
$82,877.00
|
$87,020.85
|
$84,948.93
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
24
|
6
|
—
|
—
|
$81,879.00
|
$85,972.95
|
$83,925.98
|
2026-02-28
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
24
|
6
|
—
|
—
|
$79,036.00
|
$82,987.80
|
$81,011.90
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
24
|
6
|
—
|
—
|
$77,356.00
|
$81,223.80
|
$79,289.90
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
24
|
6
|
—
|
—
|
$76,732.00
|
$80,568.60
|
$78,650.30
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
24
|
6
|
—
|
—
|
$76,511.00
|
$80,336.55
|
$78,423.77
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
22
|
5
|
—
|
—
|
$144,899.00
|
$284,341.00
|
$214,620.00
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
14
|
5
|
—
|
—
|
$51,730.00
|
$119,799.00
|
$85,764.50
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$611,487.00
|
$642,061.35
|
$626,774.18
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
6
|
—
|
—
|
$512,020.00
|
$537,621.00
|
$524,820.50
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$386,372.00
|
$405,690.60
|
$396,031.30
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$361,969.00
|
$380,067.45
|
$371,018.22
|
2026-02-28
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
12
|
6
|
—
|
—
|
$234,027.00
|
$245,728.35
|
$239,877.67
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$215,770.00
|
$226,558.50
|
$221,164.25
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
6
|
—
|
—
|
$211,966.00
|
$222,564.30
|
$217,265.15
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
12
|
9
|
—
|
—
|
$130,904.00
|
$286,937.00
|
$208,920.50
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$201,382.00
|
$211,451.10
|
$206,416.55
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
6
|
—
|
—
|
$183,415.00
|
$192,585.75
|
$188,000.38
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
12
|
6
|
—
|
—
|
$182,680.00
|
$191,814.00
|
$187,247.00
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
6
|
—
|
—
|
$179,334.00
|
$188,300.70
|
$183,817.35
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$177,835.00
|
$186,726.75
|
$182,280.88
|
2026-02-28
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
12
|
6
|
—
|
—
|
$173,904.00
|
$182,599.20
|
$178,251.60
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$167,898.00
|
$176,292.90
|
$172,095.45
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$156,438.00
|
$164,259.90
|
$160,348.95
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$144,973.00
|
$152,221.65
|
$148,597.33
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$144,762.00
|
$152,000.10
|
$148,381.05
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
6
|
—
|
—
|
$137,294.00
|
$144,158.70
|
$140,726.35
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
12
|
9
|
—
|
—
|
$86,306.00
|
$194,698.00
|
$140,502.00
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
6
|
—
|
—
|
$136,329.00
|
$143,145.45
|
$139,737.23
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
6
|
—
|
—
|
$136,283.00
|
$143,097.15
|
$139,690.08
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
6
|
—
|
—
|
$126,110.00
|
$132,415.50
|
$129,262.75
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
12
|
6
|
—
|
—
|
$123,478.00
|
$129,651.90
|
$126,564.95
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
12
|
6
|
—
|
—
|
$121,393.00
|
$127,462.65
|
$124,427.82
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
12
|
6
|
—
|
—
|
$118,882.00
|
$124,826.10
|
$121,854.05
|
2026-02-28
|
|
434
|
APR_DRG
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
12
|
6
|
—
|
—
|
$117,093.00
|
$122,947.65
|
$120,020.32
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$116,961.00
|
$122,809.05
|
$119,885.02
|
2026-02-28
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
6
|
—
|
—
|
$113,429.00
|
$119,100.45
|
$116,264.73
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
6
|
—
|
—
|
$110,368.00
|
$115,886.40
|
$113,127.20
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$108,502.00
|
$113,927.10
|
$111,214.55
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
12
|
6
|
—
|
—
|
$103,435.00
|
$108,606.75
|
$106,020.88
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
6
|
—
|
—
|
$101,308.00
|
$106,373.40
|
$103,840.70
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
12
|
6
|
—
|
—
|
$101,111.00
|
$106,166.55
|
$103,638.77
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
6
|
—
|
—
|
$98,207.00
|
$103,117.35
|
$100,662.18
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$98,139.00
|
$103,045.95
|
$100,592.48
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
12
|
6
|
—
|
—
|
$96,872.00
|
$101,715.60
|
$99,293.80
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
6
|
—
|
—
|
$95,195.00
|
$99,954.75
|
$97,574.88
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
6
|
—
|
—
|
$94,500.00
|
$99,225.00
|
$96,862.50
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
12
|
6
|
—
|
—
|
$94,331.00
|
$99,047.55
|
$96,689.27
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
6
|
—
|
—
|
$93,367.00
|
$98,035.35
|
$95,701.18
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
12
|
6
|
—
|
—
|
$93,291.00
|
$97,955.55
|
$95,623.27
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$93,236.00
|
$97,897.80
|
$95,566.90
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
4
|
—
|
—
|
$63,984.00
|
$125,558.00
|
$94,771.00
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
6
|
—
|
—
|
$91,687.00
|
$96,271.35
|
$93,979.18
|
2026-02-28
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
12
|
6
|
—
|
—
|
$91,428.00
|
$95,999.40
|
$93,713.70
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
6
|
—
|
—
|
$89,685.00
|
$94,169.25
|
$91,927.12
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
6
|
—
|
—
|
$89,105.00
|
$93,560.25
|
$91,332.62
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$88,019.00
|
$92,419.95
|
$90,219.48
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
12
|
6
|
—
|
—
|
$87,811.00
|
$92,201.55
|
$90,006.27
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
12
|
6
|
—
|
—
|
$87,494.00
|
$91,868.70
|
$89,681.35
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
12
|
6
|
—
|
—
|
$87,149.00
|
$91,506.45
|
$89,327.73
|
2026-02-28
|
|
3154
|
APR_DRG
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
12
|
6
|
—
|
—
|
$83,817.00
|
$88,007.85
|
$85,912.43
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
12
|
6
|
—
|
—
|
$83,532.00
|
$87,708.60
|
$85,620.30
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
12
|
6
|
—
|
—
|
$83,193.00
|
$87,352.65
|
$85,272.82
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
12
|
6
|
—
|
—
|
$81,988.00
|
$86,087.40
|
$84,037.70
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
12
|
6
|
—
|
—
|
$81,859.00
|
$85,951.95
|
$83,905.48
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
12
|
4
|
—
|
—
|
$56,266.00
|
$110,414.00
|
$83,340.00
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
6
|
—
|
—
|
$80,640.00
|
$84,672.00
|
$82,656.00
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
12
|
6
|
—
|
—
|
$78,605.00
|
$82,535.25
|
$80,570.12
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
6
|
—
|
—
|
$78,470.00
|
$82,393.50
|
$80,431.75
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
12
|
6
|
—
|
—
|
$77,685.00
|
$81,569.25
|
$79,627.12
|
2026-02-28
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
12
|
6
|
—
|
—
|
$77,640.00
|
$81,522.00
|
$79,581.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
6
|
—
|
—
|
$75,785.00
|
$79,574.25
|
$77,679.62
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
11
|
5
|
—
|
—
|
$172,052.00
|
$399,077.00
|
$285,564.50
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
11
|
5
|
—
|
—
|
$67,308.00
|
$191,032.00
|
$129,170.00
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
11
|
5
|
—
|
—
|
$79,824.00
|
$173,084.00
|
$126,454.00
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
5
|
—
|
—
|
$80,026.00
|
$158,703.00
|
$119,364.50
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
11
|
5
|
—
|
—
|
$65,047.00
|
$161,737.00
|
$113,392.00
|
2026-02-28
|
|
453
|
MS_DRG
|
No Active Code Description
|
10
|
4
|
—
|
—
|
$129,804.00
|
$129,804.00
|
$129,804.00
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
8
|
—
|
—
|
$58,949.00
|
$138,128.00
|
$98,538.50
|
2026-02-28
|
|
459
|
MS_DRG
|
No Active Code Description
|
10
|
4
|
—
|
—
|
$94,048.00
|
$94,048.00
|
$94,048.00
|
2026-02-28
|
|
454
|
MS_DRG
|
No Active Code Description
|
10
|
4
|
—
|
—
|
$86,361.00
|
$86,361.00
|
$86,361.00
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
10
|
8
|
—
|
—
|
$51,759.00
|
$119,005.00
|
$85,382.00
|
2026-02-28
|
|
226
|
MS_DRG
|
No Active Code Description
|
9
|
8
|
—
|
—
|
$90,757.00
|
$90,757.00
|
$90,757.00
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
9
|
7
|
—
|
—
|
$47,743.00
|
$109,813.00
|
$78,778.00
|
2026-02-28
|
|
0074
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$393,231.63
|
$412,893.21
|
$401,096.26
|
2026-08-01
|
|
0084
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
7
|
—
|
—
|
$393,231.63
|
$412,893.21
|
$401,096.26
|
2026-08-01
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$367,129.07
|
$385,485.52
|
$374,471.65
|
2026-08-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
5
|
—
|
—
|
$230,350.00
|
$512,494.00
|
$371,422.00
|
2026-02-28
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$363,985.41
|
$382,184.68
|
$371,265.12
|
2026-08-01
|
|
0024
|
RC
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$340,454.11
|
$357,476.82
|
$347,263.19
|
2026-08-01
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$319,316.19
|
$335,282.00
|
$325,702.51
|
2026-08-01
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
—
|
—
|
$315,238.66
|
$331,000.59
|
$321,543.43
|
2026-08-01
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$282,854.48
|
$296,997.20
|
$288,511.57
|
2026-08-01
|
|
0023
|
RC
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$254,416.69
|
$267,137.52
|
$259,505.02
|
2026-08-01
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
—
|
—
|
$252,864.82
|
$265,508.06
|
$257,922.12
|
2026-08-01
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
7
|
7
|
—
|
—
|
$252,149.88
|
$264,757.37
|
$257,192.88
|
2026-08-01
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$247,854.57
|
$260,247.30
|
$252,811.66
|
2026-08-01
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$244,798.70
|
$257,038.64
|
$249,694.67
|
2026-08-01
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$224,102.06
|
$235,307.16
|
$228,584.10
|
2026-08-01
|
|
0073
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$223,667.63
|
$234,851.01
|
$228,140.98
|
2026-08-01
|
|
0083
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
7
|
—
|
—
|
$223,667.63
|
$234,851.01
|
$228,140.98
|
2026-08-01
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$221,584.39
|
$232,663.61
|
$226,016.08
|
2026-08-01
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
7
|
7
|
—
|
—
|
$220,270.83
|
$231,284.37
|
$224,676.25
|
2026-08-01
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
7
|
—
|
—
|
$216,309.61
|
$227,125.09
|
$220,635.80
|
2026-08-01
|
|
0014
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$214,666.51
|
$225,399.84
|
$218,959.84
|
2026-08-01
|
|
0064
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$212,001.75
|
$222,601.84
|
$216,241.78
|
2026-08-01
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$191,896.90
|
$201,491.74
|
$195,734.84
|
2026-08-01
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$189,544.57
|
$199,021.80
|
$193,335.46
|
2026-08-01
|
|
0044
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$187,685.96
|
$197,070.26
|
$191,439.68
|
2026-08-01
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$184,765.79
|
$194,004.08
|
$188,461.11
|
2026-08-01
|
|
0022
|
RC
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$180,264.09
|
$189,277.29
|
$183,869.37
|
2026-08-01
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
7
|
7
|
—
|
—
|
$180,253.82
|
$189,266.51
|
$183,858.90
|
2026-08-01
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$175,184.28
|
$183,943.49
|
$178,687.97
|
2026-08-01
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$173,140.96
|
$181,798.01
|
$176,603.78
|
2026-08-01
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
7
|
7
|
—
|
—
|
$170,589.08
|
$179,118.53
|
$174,000.86
|
2026-08-01
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$169,654.08
|
$178,136.78
|
$173,047.16
|
2026-08-01
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$163,520.69
|
$171,696.72
|
$166,791.10
|
2026-08-01
|
|
0094
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$161,402.10
|
$169,472.20
|
$164,630.14
|
2026-08-01
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$161,085.12
|
$169,139.38
|
$164,306.82
|
2026-08-01
|
|
4404
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$151,574.31
|
$159,153.03
|
$154,605.80
|
2026-08-01
|
|
0021
|
OTHER
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$151,315.47
|
$158,881.24
|
$154,341.78
|
2026-08-01
|
|
0082
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
7
|
—
|
—
|
$149,971.12
|
$157,469.68
|
$152,970.54
|
2026-08-01
|
|
0072
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$149,971.12
|
$157,469.68
|
$152,970.54
|
2026-08-01
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$147,513.88
|
$154,889.57
|
$150,464.16
|
2026-08-01
|
|
0054
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$146,463.72
|
$153,786.91
|
$149,392.99
|
2026-08-01
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
7
|
7
|
—
|
—
|
$144,590.29
|
$151,819.80
|
$147,482.10
|
2026-08-01
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$142,300.67
|
$149,415.70
|
$145,146.68
|
2026-08-01
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$141,924.39
|
$149,020.61
|
$144,762.88
|
2026-08-01
|
|
3404
|
OTHER
|
Fracture Of Femur
|
7
|
7
|
—
|
—
|
$141,038.42
|
$148,090.34
|
$143,859.19
|
2026-08-01
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
7
|
7
|
—
|
—
|
$140,797.82
|
$147,837.71
|
$143,613.78
|
2026-08-01
|
|
0013
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$139,622.23
|
$146,603.34
|
$142,414.67
|
2026-08-01
|
|
0063
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$139,121.66
|
$146,077.74
|
$141,904.09
|
2026-08-01
|
|
0043
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$137,647.32
|
$144,529.69
|
$140,400.27
|
2026-08-01
|
|
0924
|
RC
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
7
|
7
|
—
|
—
|
$136,988.25
|
$143,837.66
|
$139,728.02
|
2026-08-01
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$135,523.04
|
$142,299.19
|
$138,233.50
|
2026-08-01
|
|
9114
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$133,635.93
|
$140,317.73
|
$136,308.65
|
2026-08-01
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$133,180.97
|
$139,840.02
|
$135,844.59
|
2026-08-01
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
7
|
7
|
—
|
—
|
$130,350.87
|
$136,868.41
|
$132,957.89
|
2026-08-01
|
|
3623
|
OTHER
|
Mastectomy Procedures
|
7
|
7
|
—
|
—
|
$128,796.71
|
$135,236.55
|
$131,372.64
|
2026-08-01
|
|
0234
|
RC
|
Spinal Procedures
|
7
|
7
|
—
|
—
|
$128,258.52
|
$134,671.45
|
$130,823.69
|
2026-08-01
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
7
|
7
|
—
|
—
|
$128,207.20
|
$134,617.56
|
$130,771.34
|
2026-08-01
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$127,731.72
|
$134,118.31
|
$130,286.35
|
2026-08-01
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$127,542.44
|
$133,919.56
|
$130,093.29
|
2026-08-01
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
7
|
7
|
—
|
—
|
$127,137.65
|
$133,494.53
|
$129,680.40
|
2026-08-01
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$127,056.69
|
$133,409.52
|
$129,597.82
|
2026-08-01
|
|
0214
|
RC
|
Open Craniotomy Except Trauma
|
7
|
7
|
—
|
—
|
$126,190.11
|
$132,499.62
|
$128,713.91
|
2026-08-01
|
|
0042
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$125,154.76
|
$131,412.50
|
$127,657.86
|
2026-08-01
|
|
6344
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
7
|
7
|
—
|
—
|
$125,065.82
|
$131,319.11
|
$127,567.14
|
2026-08-01
|
|
0012
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$122,776.20
|
$128,915.01
|
$125,231.72
|
2026-08-01
|
|
0204
|
RC
|
Open Craniotomy For Trauma
|
7
|
7
|
—
|
—
|
$122,147.93
|
$128,255.33
|
$124,590.89
|
2026-08-01
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
7
|
7
|
—
|
—
|
$121,454.66
|
$127,527.39
|
$123,883.75
|
2026-08-01
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
7
|
7
|
—
|
—
|
$121,012.24
|
$127,062.85
|
$123,432.48
|
2026-08-01
|
|
0062
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$120,542.46
|
$126,569.58
|
$122,953.31
|
2026-08-01
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$119,814.98
|
$125,805.73
|
$122,211.28
|
2026-08-01
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$116,638.25
|
$122,470.16
|
$118,971.02
|
2026-08-01
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
7
|
7
|
—
|
—
|
$116,028.22
|
$121,829.63
|
$118,348.78
|
2026-08-01
|
|
1694
|
OTHER
|
Major Abdominal Vascular Procedures
|
7
|
7
|
—
|
—
|
$115,295.04
|
$121,059.79
|
$117,600.94
|
2026-08-01
|
|
0093
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$114,309.86
|
$120,025.35
|
$116,596.06
|
2026-08-01
|
|
0041
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
7
|
7
|
—
|
—
|
$113,776.23
|
$119,465.04
|
$116,051.75
|
2026-08-01
|
|
0224
|
RC
|
Ventricular Shunt Procedures
|
7
|
7
|
—
|
—
|
$112,487.75
|
$118,112.14
|
$114,737.50
|
2026-08-01
|
|
0011
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$112,451.26
|
$118,073.82
|
$114,700.29
|
2026-08-01
|
|
0404
|
RC
|
Spinal Disorders And Injuries
|
7
|
7
|
—
|
—
|
$111,479.77
|
$117,053.76
|
$113,709.37
|
2026-08-01
|
|
6302
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
—
|
—
|
$111,225.49
|
$116,786.76
|
$113,450.00
|
2026-08-01
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
7
|
7
|
—
|
—
|
$110,880.00
|
$116,424.00
|
$113,097.60
|
2026-08-01
|
|
4034
|
OTHER
|
Procedures For Obesity
|
7
|
7
|
—
|
—
|
$109,939.29
|
$115,436.25
|
$112,138.08
|
2026-08-01
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$108,509.42
|
$113,934.89
|
$110,679.61
|
2026-08-01
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
7
|
7
|
—
|
—
|
$107,616.61
|
$112,997.44
|
$109,768.94
|
2026-08-01
|
|
0894
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
7
|
7
|
—
|
—
|
$107,496.88
|
$112,871.72
|
$109,646.82
|
2026-08-01
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
7
|
7
|
—
|
—
|
$107,244.89
|
$112,607.13
|
$109,389.79
|
2026-08-01
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
7
|
7
|
—
|
—
|
$106,895.97
|
$112,240.77
|
$109,033.89
|
2026-08-01
|
|
0053
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$106,817.29
|
$112,158.15
|
$108,953.64
|
2026-08-01
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$106,779.66
|
$112,118.64
|
$108,915.25
|
2026-08-01
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
7
|
7
|
—
|
—
|
$106,714.67
|
$112,050.40
|
$108,848.96
|
2026-08-01
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
7
|
—
|
—
|
$106,255.15
|
$111,567.91
|
$108,380.25
|
2026-08-01
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$106,169.63
|
$111,478.11
|
$108,293.02
|
2026-08-01
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$104,889.13
|
$110,133.59
|
$106,986.91
|
2026-08-01
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$104,346.37
|
$109,563.69
|
$106,433.30
|
2026-08-01
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
7
|
7
|
—
|
—
|
$104,222.09
|
$109,433.19
|
$106,306.53
|
2026-08-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
7
|
5
|
—
|
—
|
$64,713.00
|
$146,086.00
|
$105,399.50
|
2026-02-28
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
7
|
7
|
—
|
—
|
$103,281.38
|
$108,445.45
|
$105,347.01
|
2026-08-01
|
|
0071
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
7
|
7
|
—
|
—
|
$102,803.62
|
$107,943.80
|
$104,859.69
|
2026-08-01
|
|
0081
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
7
|
7
|
—
|
—
|
$102,803.62
|
$107,943.80
|
$104,859.69
|
2026-08-01
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
7
|
7
|
—
|
—
|
$102,643.98
|
$107,776.18
|
$104,696.86
|
2026-08-01
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$101,389.71
|
$106,459.20
|
$103,417.50
|
2026-08-01
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$101,046.50
|
$106,098.83
|
$103,067.43
|
2026-08-01
|
|
3214
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
7
|
7
|
—
|
—
|
$101,028.25
|
$106,079.66
|
$103,048.82
|
2026-08-01
|
|
5104
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
7
|
7
|
—
|
—
|
$100,840.11
|
$105,882.12
|
$102,856.91
|
2026-08-01
|
|
0734
|
OTHER
|
Orbit And Eye Procedures
|
7
|
7
|
—
|
—
|
$100,633.73
|
$105,665.42
|
$102,646.40
|
2026-08-01
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
7
|
7
|
—
|
—
|
$100,422.78
|
$105,443.92
|
$102,431.24
|
2026-08-01
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$99,990.63
|
$104,990.16
|
$101,990.44
|
2026-08-01
|
|
4403
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$99,529.97
|
$104,506.47
|
$101,520.57
|
2026-08-01
|
|
0061
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$99,301.92
|
$104,267.02
|
$101,287.96
|
2026-08-01
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
7
|
7
|
—
|
—
|
$99,158.25
|
$104,116.16
|
$101,141.42
|
2026-08-01
|
|
2324
|
OTHER
|
Gastric Fundoplication
|
7
|
7
|
—
|
—
|
$99,158.25
|
$104,116.16
|
$101,141.42
|
2026-08-01
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
7
|
7
|
—
|
—
|
$99,158.25
|
$104,116.16
|
$101,141.42
|
2026-08-01
|
|
0052
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$98,954.14
|
$103,901.85
|
$100,933.22
|
2026-08-01
|
|
3024
|
OTHER
|
No Active Code Description
|
7
|
7
|
—
|
—
|
$98,212.98
|
$103,123.63
|
$100,177.24
|
2026-08-01
|
|
5114
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
7
|
7
|
—
|
—
|
$97,729.52
|
$102,616.00
|
$99,684.11
|
2026-08-01
|
|
8412
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$97,657.68
|
$102,540.56
|
$99,610.83
|
2026-08-01
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$97,613.21
|
$102,493.87
|
$99,565.47
|
2026-08-01
|
|
6904
|
OTHER
|
Acute Leukemia
|
7
|
7
|
—
|
—
|
$97,159.39
|
$102,017.36
|
$99,102.58
|
2026-08-01
|
|
0264
|
RC
|
Other Nervous System And Related Procedures
|
7
|
7
|
—
|
—
|
$97,106.94
|
$101,962.29
|
$99,049.08
|
2026-08-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
7
|
5
|
—
|
—
|
$66,540.00
|
$130,574.00
|
$98,557.00
|
2026-02-28
|
|
6364
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
7
|
7
|
—
|
—
|
$96,167.38
|
$100,975.75
|
$98,090.73
|
2026-08-01
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$95,962.13
|
$100,760.24
|
$97,881.37
|
2026-08-01
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
7
|
7
|
—
|
—
|
$95,880.03
|
$100,674.03
|
$97,797.63
|
2026-08-01
|
|
0244
|
OTHER
|
Open Extracranial Vascular Procedures
|
7
|
7
|
—
|
—
|
$95,802.50
|
$100,592.62
|
$97,718.55
|
2026-08-01
|
|
7104
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
7
|
7
|
—
|
—
|
$94,529.98
|
$99,256.48
|
$96,420.58
|
2026-08-01
|
|
4234
|
OTHER
|
Inborn Errors Of Metabolism
|
7
|
7
|
—
|
—
|
$93,018.01
|
$97,668.91
|
$94,878.37
|
2026-08-01
|
|
2294
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
7
|
7
|
—
|
—
|
$92,870.92
|
$97,514.47
|
$94,728.34
|
2026-08-01
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
7
|
7
|
—
|
—
|
$92,511.74
|
$97,137.33
|
$94,361.97
|
2026-08-01
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
7
|
7
|
—
|
—
|
$91,250.63
|
$95,813.16
|
$93,075.64
|
2026-08-01
|
|
0914
|
RC
|
Other Major Head And Neck Procedures
|
7
|
7
|
—
|
—
|
$89,971.27
|
$94,469.83
|
$91,770.70
|
2026-08-01
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
7
|
7
|
—
|
—
|
$89,908.55
|
$94,403.98
|
$91,706.72
|
2026-08-01
|
|
1714
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
7
|
7
|
—
|
—
|
$89,344.13
|
$93,811.34
|
$91,131.01
|
2026-08-01
|
|
0494
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System
|
7
|
7
|
—
|
—
|
$88,849.26
|
$93,291.72
|
$90,626.25
|
2026-08-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
7
|
5
|
—
|
—
|
$49,237.00
|
$131,909.00
|
$90,573.00
|
2026-02-28
|
|
8444
|
OTHER
|
Partial Thickness Burns Without Skin Graft
|
7
|
7
|
—
|
—
|
$88,577.89
|
$93,006.78
|
$90,349.45
|
2026-08-01
|
|
1214
|
OTHER
|
Other Respiratory And Chest Procedures
|
7
|
7
|
—
|
—
|
$88,510.61
|
$92,936.14
|
$90,280.82
|
2026-08-01
|
|
8434
|
OTHER
|
Extensive Third Degree Burns Without Skin Graft
|
7
|
7
|
—
|
—
|
$88,436.49
|
$92,858.31
|
$90,205.22
|
2026-08-01
|
|
8411
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
7
|
7
|
—
|
—
|
$87,891.46
|
$92,286.03
|
$89,649.29
|
2026-08-01
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
7
|
7
|
—
|
—
|
$87,316.77
|
$91,682.61
|
$89,063.11
|
2026-08-01
|
|
9103
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
7
|
7
|
—
|
—
|
$87,207.31
|
$91,567.68
|
$88,951.46
|
2026-08-01
|
|
0051
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
7
|
7
|
—
|
—
|
$85,797.96
|
$90,087.86
|
$87,513.92
|
2026-08-01
|
|
4014
|
OTHER
|
Adrenal Procedures
|
7
|
7
|
—
|
—
|
$84,598.42
|
$88,828.34
|
$86,290.39
|
2026-08-01
|
|
3134
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
7
|
7
|
—
|
—
|
$83,868.66
|
$88,062.09
|
$85,546.03
|
2026-08-01
|
|
9514
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
7
|
7
|
—
|
—
|
$83,192.49
|
$87,352.11
|
$84,856.34
|
2026-08-01
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
7
|
7
|
—
|
—
|
$82,690.78
|
$86,825.32
|
$84,344.60
|
2026-08-01
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$82,054.53
|
$86,157.26
|
$83,695.62
|
2026-08-01
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
7
|
7
|
—
|
—
|
$81,996.37
|
$86,096.19
|
$83,636.30
|
2026-08-01
|
|
7234
|
OTHER
|
Viral Illness
|
7
|
7
|
—
|
—
|
$81,868.67
|
$85,962.10
|
$83,506.04
|
2026-08-01
|
|
3032
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
7
|
7
|
—
|
—
|
$81,865.25
|
$85,958.51
|
$83,502.56
|
2026-08-01
|
|
7114
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
7
|
7
|
—
|
—
|
$81,861.82
|
$85,954.91
|
$83,499.06
|
2026-08-01
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$81,734.12
|
$85,820.83
|
$83,368.80
|
2026-08-01
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
7
|
7
|
—
|
—
|
$80,559.66
|
$84,587.64
|
$82,170.85
|
2026-08-01
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
7
|
7
|
—
|
—
|
$80,541.42
|
$84,568.49
|
$82,152.25
|
2026-08-01
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
7
|
7
|
—
|
—
|
$80,295.12
|
$84,309.88
|
$81,901.02
|
2026-08-01
|
|
4402
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$79,264.34
|
$83,227.56
|
$80,849.63
|
2026-08-01
|
|
2244
|
OTHER
|
Peritoneal Adhesiolysis
|
7
|
7
|
—
|
—
|
$79,049.97
|
$83,002.47
|
$80,630.97
|
2026-08-01
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
7
|
—
|
—
|
$78,898.32
|
$82,843.24
|
$80,476.29
|
2026-08-01
|
|
0092
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
7
|
—
|
—
|
$78,799.12
|
$82,739.08
|
$80,375.10
|
2026-08-01
|
|
3014
|
OTHER
|
No Active Code Description
|
7
|
7
|
—
|
—
|
$78,621.24
|
$82,552.30
|
$80,193.66
|
2026-08-01
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
7
|
7
|
—
|
—
|
$77,974.72
|
$81,873.46
|
$79,534.21
|
2026-08-01
|
|
6224
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
—
|
—
|
$77,624.66
|
$81,505.89
|
$79,177.15
|
2026-08-01
|
|
3814
|
OTHER
|
Major Skin Disorders
|
7
|
7
|
—
|
—
|
$77,504.94
|
$81,380.19
|
$79,055.04
|
2026-08-01
|
|
3124
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
7
|
7
|
—
|
—
|
$77,255.22
|
$81,117.98
|
$78,800.32
|
2026-08-01
|
|
222
|
MS_DRG
|
No Active Code Description
|
6
|
5
|
—
|
—
|
$108,561.00
|
$108,561.00
|
$108,561.00
|
2026-02-28
|
|
224
|
MS_DRG
|
No Active Code Description
|
6
|
5
|
—
|
—
|
$100,516.00
|
$100,516.00
|
$100,516.00
|
2026-02-28
|