|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
8
|
4
|
—
|
—
|
$2,486,909.51
|
$3,552,727.88
|
$2,605,333.78
|
2026-01-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
35
|
13
|
—
|
—
|
$907,463.74
|
$1,034,508.66
|
$998,210.11
|
2026-01-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
12
|
—
|
—
|
$882,781.56
|
$1,006,370.98
|
$971,059.72
|
2026-01-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
35
|
13
|
—
|
—
|
$768,406.94
|
$875,983.91
|
$845,247.63
|
2026-01-01
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
32
|
12
|
—
|
—
|
$739,185.72
|
$842,671.72
|
$813,104.29
|
2026-01-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
35
|
13
|
—
|
—
|
$574,409.65
|
$654,827.00
|
$631,850.62
|
2026-01-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
35
|
13
|
—
|
—
|
$557,791.18
|
$635,881.95
|
$613,570.30
|
2026-01-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
35
|
13
|
—
|
—
|
$522,562.50
|
$595,721.25
|
$574,818.75
|
2026-01-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
35
|
13
|
—
|
—
|
$427,399.07
|
$487,234.94
|
$470,138.98
|
2026-01-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
35
|
13
|
—
|
—
|
$423,611.56
|
$482,917.18
|
$465,972.72
|
2026-01-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
35
|
13
|
—
|
—
|
$382,879.63
|
$436,482.78
|
$421,167.59
|
2026-01-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
35
|
13
|
—
|
—
|
$363,569.27
|
$414,468.97
|
$399,926.20
|
2026-01-01
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
35
|
13
|
—
|
—
|
$337,855.98
|
$385,155.82
|
$371,641.58
|
2026-01-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
35
|
13
|
—
|
—
|
$337,133.13
|
$384,331.77
|
$370,846.44
|
2026-01-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
12
|
—
|
—
|
$311,499.89
|
$355,109.87
|
$342,649.88
|
2026-01-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
35
|
13
|
—
|
—
|
$308,209.41
|
$351,358.73
|
$339,030.35
|
2026-01-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
35
|
13
|
—
|
—
|
$306,800.74
|
$349,752.84
|
$337,480.81
|
2026-01-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
35
|
13
|
—
|
—
|
$306,007.39
|
$348,848.42
|
$336,608.13
|
2026-01-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
35
|
13
|
—
|
—
|
$304,691.92
|
$347,348.79
|
$335,161.11
|
2026-01-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
35
|
13
|
—
|
—
|
$301,648.76
|
$343,879.59
|
$331,813.64
|
2026-01-01
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
35
|
13
|
—
|
—
|
$293,702.15
|
$334,820.45
|
$323,072.37
|
2026-01-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$291,071.20
|
$331,821.17
|
$320,178.32
|
2026-01-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
35
|
13
|
—
|
—
|
$290,728.29
|
$331,430.25
|
$319,801.12
|
2026-01-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
35
|
13
|
—
|
—
|
$289,191.78
|
$329,678.63
|
$318,110.96
|
2026-01-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension
|
67
|
25
|
$712,500.00
|
$534,375.00
25% off
|
$171,000.00
|
$655,500.00
|
$313,500.00
|
2026-01-01
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
32
|
12
|
—
|
—
|
$264,789.18
|
$301,859.67
|
$291,268.10
|
2026-01-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
32
|
12
|
—
|
—
|
$263,728.20
|
$300,650.15
|
$290,101.02
|
2026-01-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
35
|
13
|
—
|
—
|
$259,042.19
|
$295,308.10
|
$284,946.41
|
2026-01-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
35
|
13
|
—
|
—
|
$258,897.62
|
$295,143.29
|
$284,787.38
|
2026-01-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
35
|
13
|
—
|
—
|
$256,733.84
|
$292,676.58
|
$282,407.22
|
2026-01-01
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
35
|
13
|
—
|
—
|
$251,058.54
|
$286,206.74
|
$276,164.39
|
2026-01-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
35
|
13
|
—
|
—
|
$249,763.38
|
$284,730.25
|
$274,739.72
|
2026-01-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
32
|
12
|
—
|
—
|
$242,387.88
|
$276,322.18
|
$266,626.67
|
2026-01-01
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
35
|
13
|
—
|
—
|
$242,368.76
|
$276,300.39
|
$266,605.64
|
2026-01-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$241,643.52
|
$275,473.61
|
$265,807.87
|
2026-01-01
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
35
|
13
|
—
|
—
|
$234,904.84
|
$267,791.52
|
$258,395.32
|
2026-01-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$225,844.68
|
$257,462.94
|
$248,429.15
|
2026-01-01
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$222,138.41
|
$253,237.79
|
$244,352.25
|
2026-01-01
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
35
|
13
|
—
|
—
|
$220,335.45
|
$251,182.41
|
$242,369.00
|
2026-01-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
35
|
13
|
—
|
—
|
$210,945.52
|
$240,477.89
|
$232,040.07
|
2026-01-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
12
|
—
|
—
|
$209,293.11
|
$238,594.15
|
$230,222.42
|
2026-01-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
35
|
13
|
—
|
—
|
$208,988.44
|
$238,246.82
|
$229,887.28
|
2026-01-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
35
|
13
|
—
|
—
|
$206,598.84
|
$235,522.68
|
$227,258.72
|
2026-01-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
35
|
13
|
—
|
—
|
$203,394.38
|
$231,869.59
|
$223,733.82
|
2026-01-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
35
|
13
|
—
|
—
|
$201,440.89
|
$229,642.61
|
$221,584.98
|
2026-01-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
35
|
13
|
—
|
—
|
$198,206.56
|
$225,955.48
|
$218,027.22
|
2026-01-01
|
|
ALUIP
|
OTHER
|
Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Ip
|
1
|
1
|
—
|
—
|
$218,000.00
|
$218,000.00
|
$218,000.00
|
2026-01-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
32
|
12
|
—
|
—
|
$197,716.69
|
$225,397.03
|
$217,488.36
|
2026-01-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
35
|
13
|
—
|
—
|
$196,813.43
|
$224,367.31
|
$216,494.77
|
2026-01-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
35
|
13
|
—
|
—
|
$196,746.52
|
$224,291.03
|
$216,421.17
|
2026-01-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
35
|
13
|
—
|
—
|
$191,669.81
|
$218,503.58
|
$210,836.79
|
2026-01-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$191,669.81
|
$218,503.58
|
$210,836.79
|
2026-01-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
35
|
13
|
—
|
—
|
$191,126.18
|
$217,883.85
|
$210,238.80
|
2026-01-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
35
|
13
|
—
|
—
|
$187,111.65
|
$213,307.28
|
$205,822.82
|
2026-01-01
|
|
ALUOP
|
OTHER
|
Tandem Hsc Autologous/ Allogeneic - Unrelated Bmt Op
|
1
|
1
|
—
|
—
|
$205,500.00
|
$205,500.00
|
$205,500.00
|
2026-01-01
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
32
|
12
|
—
|
—
|
$182,061.23
|
$207,549.80
|
$200,267.35
|
2026-01-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
32
|
12
|
—
|
—
|
$178,260.57
|
$203,217.05
|
$196,086.63
|
2026-01-01
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
35
|
13
|
—
|
—
|
$175,250.87
|
$199,785.99
|
$192,775.96
|
2026-01-01
|
|
ALRIP
|
OTHER
|
Tandem Hsc Autologous/ Allogeneic - Related Bmt Ip
|
1
|
1
|
—
|
—
|
$192,000.00
|
$192,000.00
|
$192,000.00
|
2026-01-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$172,586.47
|
$196,748.58
|
$189,845.12
|
2026-01-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
35
|
13
|
—
|
—
|
$172,388.13
|
$196,522.47
|
$189,626.94
|
2026-01-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
35
|
13
|
—
|
—
|
$171,625.85
|
$195,653.47
|
$188,788.44
|
2026-01-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
35
|
13
|
—
|
—
|
$170,084.55
|
$193,896.39
|
$187,093.01
|
2026-01-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
35
|
13
|
—
|
—
|
$169,042.69
|
$192,708.67
|
$185,946.96
|
2026-01-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
35
|
13
|
—
|
—
|
$168,852.72
|
$192,492.10
|
$185,737.99
|
2026-01-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
35
|
13
|
—
|
—
|
$163,753.31
|
$186,678.77
|
$180,128.64
|
2026-01-01
|
|
ALROP
|
OTHER
|
Tandem Hsc Autologous/ Allogeneic - Related Bmt Op
|
1
|
1
|
—
|
—
|
$179,500.00
|
$179,500.00
|
$179,500.00
|
2026-01-01
|
|
BMTCB
|
OTHER
|
Cord Blood
|
1
|
1
|
—
|
—
|
$178,000.00
|
$178,000.00
|
$178,000.00
|
2026-01-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
35
|
13
|
—
|
—
|
$160,311.09
|
$182,754.64
|
$176,342.20
|
2026-01-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
35
|
13
|
—
|
—
|
$159,333.74
|
$181,640.46
|
$175,267.11
|
2026-01-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$158,253.64
|
$180,409.15
|
$174,079.00
|
2026-01-01
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$156,705.18
|
$178,643.91
|
$172,375.70
|
2026-01-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
32
|
12
|
—
|
—
|
$156,640.66
|
$178,570.35
|
$172,304.73
|
2026-01-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
35
|
13
|
—
|
—
|
$149,326.10
|
$170,231.75
|
$164,258.71
|
2026-01-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
35
|
13
|
—
|
—
|
$148,512.44
|
$169,304.18
|
$163,363.68
|
2026-01-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
35
|
13
|
—
|
—
|
$148,164.75
|
$168,907.82
|
$162,981.23
|
2026-01-01
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
32
|
12
|
—
|
—
|
$146,255.46
|
$166,731.22
|
$160,881.01
|
2026-01-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
35
|
13
|
—
|
—
|
$145,969.91
|
$166,405.70
|
$160,566.90
|
2026-01-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
35
|
13
|
—
|
—
|
$145,441.80
|
$165,803.65
|
$159,985.98
|
2026-01-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
35
|
13
|
—
|
—
|
$143,573.14
|
$163,673.38
|
$157,930.45
|
2026-01-01
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$143,567.16
|
$163,666.56
|
$157,923.88
|
2026-01-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
35
|
13
|
—
|
—
|
$141,777.35
|
$161,626.18
|
$155,955.09
|
2026-01-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
32
|
12
|
—
|
—
|
$141,679.38
|
$161,514.49
|
$155,847.32
|
2026-01-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
35
|
13
|
—
|
—
|
$141,123.80
|
$160,881.13
|
$155,236.18
|
2026-01-01
|
|
014-U
|
OTHER
|
Allo Bmt-unrelated
|
4
|
4
|
—
|
—
|
$120,000.00
|
$200,000.00
|
$154,000.00
|
2026-01-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
32
|
12
|
—
|
—
|
$139,850.14
|
$159,429.16
|
$153,835.15
|
2026-01-01
|
|
J9348
|
HCPCS
|
Naxitamab-gqgk 4 Mg/ml Intravenous Solution
|
68
|
25
|
$345,537.25
|
$259,152.94
25% off
|
$82,928.94
|
$317,894.27
|
$152,036.39
|
2026-01-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
32
|
12
|
—
|
—
|
$137,429.48
|
$156,669.61
|
$151,172.43
|
2026-01-01
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
32
|
12
|
—
|
—
|
$136,425.84
|
$155,525.46
|
$150,068.42
|
2026-01-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
35
|
13
|
—
|
—
|
$136,264.55
|
$155,341.59
|
$149,891.01
|
2026-01-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
35
|
13
|
—
|
—
|
$136,182.10
|
$155,247.59
|
$149,800.31
|
2026-01-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$135,594.26
|
$154,577.46
|
$149,153.69
|
2026-01-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
35
|
13
|
—
|
—
|
$134,790.16
|
$153,660.78
|
$148,269.18
|
2026-01-01
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
35
|
13
|
—
|
—
|
$134,681.44
|
$153,536.84
|
$148,149.58
|
2026-01-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$134,601.38
|
$153,445.57
|
$148,061.52
|
2026-01-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
35
|
13
|
—
|
—
|
$132,398.17
|
$150,933.91
|
$145,637.99
|
2026-01-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
35
|
13
|
—
|
—
|
$132,365.91
|
$150,897.14
|
$145,602.50
|
2026-01-01
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
35
|
13
|
—
|
—
|
$131,991.94
|
$150,470.81
|
$145,191.13
|
2026-01-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
35
|
13
|
—
|
—
|
$131,822.28
|
$150,277.40
|
$145,004.51
|
2026-01-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
35
|
13
|
—
|
—
|
$131,687.27
|
$150,123.49
|
$144,856.00
|
2026-01-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
35
|
13
|
—
|
—
|
$129,474.50
|
$147,600.93
|
$142,421.95
|
2026-01-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
35
|
13
|
—
|
—
|
$129,040.78
|
$147,106.49
|
$141,944.86
|
2026-01-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
35
|
13
|
—
|
—
|
$128,638.14
|
$146,647.48
|
$141,501.95
|
2026-01-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
35
|
13
|
—
|
—
|
$127,286.82
|
$145,106.97
|
$140,015.50
|
2026-01-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$127,070.56
|
$144,860.44
|
$139,777.62
|
2026-01-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
35
|
13
|
—
|
—
|
$126,769.47
|
$144,517.20
|
$139,446.42
|
2026-01-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
35
|
13
|
—
|
—
|
$126,311.86
|
$143,995.52
|
$138,943.05
|
2026-01-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
35
|
13
|
—
|
—
|
$125,813.63
|
$143,427.54
|
$138,394.99
|
2026-01-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
35
|
13
|
—
|
—
|
$125,124.23
|
$142,641.62
|
$137,636.65
|
2026-01-01
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
35
|
13
|
—
|
—
|
$124,355.97
|
$141,765.81
|
$136,791.57
|
2026-01-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
35
|
13
|
—
|
—
|
$123,219.72
|
$140,470.48
|
$135,541.69
|
2026-01-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
32
|
12
|
—
|
—
|
$121,011.73
|
$137,953.37
|
$133,112.90
|
2026-01-01
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
35
|
13
|
—
|
—
|
$121,003.37
|
$137,943.84
|
$133,103.71
|
2026-01-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
35
|
13
|
—
|
—
|
$120,592.35
|
$137,475.28
|
$132,651.59
|
2026-01-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
35
|
13
|
—
|
—
|
$120,102.49
|
$136,916.84
|
$132,112.74
|
2026-01-01
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
35
|
13
|
—
|
—
|
$119,646.07
|
$136,396.52
|
$131,610.68
|
2026-01-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
35
|
13
|
—
|
—
|
$118,362.86
|
$134,933.66
|
$130,199.15
|
2026-01-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
35
|
13
|
—
|
—
|
$118,206.34
|
$134,755.23
|
$130,026.97
|
2026-01-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
35
|
13
|
—
|
—
|
$118,176.47
|
$134,721.18
|
$129,994.12
|
2026-01-01
|
|
014-R
|
OTHER
|
Allo Bmt-related
|
4
|
4
|
—
|
—
|
$95,000.00
|
$170,000.00
|
$128,500.00
|
2026-01-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$116,416.53
|
$132,714.84
|
$128,058.18
|
2026-01-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
35
|
13
|
—
|
—
|
$114,102.20
|
$130,076.51
|
$125,512.42
|
2026-01-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
35
|
13
|
—
|
—
|
$113,479.71
|
$129,366.87
|
$124,827.68
|
2026-01-01
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
32
|
12
|
—
|
—
|
$113,284.96
|
$129,144.85
|
$124,613.46
|
2026-01-01
|
|
652-L
|
OTHER
|
Kidney - Live Donor
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
651-L
|
OTHER
|
Kidney - Live Donor
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
651-C
|
OTHER
|
Kidney - Live Donor
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
650-C
|
OTHER
|
Kidney - Live Donor
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
650-L
|
OTHER
|
Kidney - Live Donor
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
652-C
|
OTHER
|
Kidney - Live Donor
|
1
|
1
|
—
|
—
|
$124,000.00
|
$124,000.00
|
$124,000.00
|
2026-01-01
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
35
|
13
|
—
|
—
|
$112,151.09
|
$127,852.24
|
$123,366.20
|
2026-01-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
35
|
13
|
—
|
—
|
$112,086.57
|
$127,778.69
|
$123,295.23
|
2026-01-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
35
|
13
|
—
|
—
|
$111,676.76
|
$127,311.51
|
$122,844.44
|
2026-01-01
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
35
|
13
|
—
|
—
|
$110,774.68
|
$126,283.14
|
$121,852.15
|
2026-01-01
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$110,455.67
|
$125,919.46
|
$121,501.24
|
2026-01-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
35
|
13
|
—
|
—
|
$109,407.83
|
$124,724.93
|
$120,348.61
|
2026-01-01
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
35
|
13
|
—
|
—
|
$109,233.39
|
$124,526.06
|
$120,156.73
|
2026-01-01
|
|
TAUIP
|
OTHER
|
Tandem Hsc Autologous/ Autologous Bmt - Ip
|
1
|
1
|
—
|
—
|
$120,000.00
|
$120,000.00
|
$120,000.00
|
2026-01-01
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$108,472.30
|
$123,658.42
|
$119,319.53
|
2026-01-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
35
|
13
|
—
|
—
|
$108,168.82
|
$123,312.45
|
$118,985.70
|
2026-01-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
35
|
13
|
—
|
—
|
$107,586.96
|
$122,649.13
|
$118,345.66
|
2026-01-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
35
|
13
|
—
|
—
|
$106,488.93
|
$121,397.38
|
$117,137.82
|
2026-01-01
|
|
54288122048
|
NDC
|
Propylene Glycol (bulk) 99.5 % (not Less Than Usp) Liquid
|
69
|
25
|
$265,104.00
|
$198,828.00
25% off
|
$63,624.96
|
$243,895.68
|
$116,645.76
|
2026-01-01
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
35
|
13
|
—
|
—
|
$105,764.89
|
$120,571.97
|
$116,341.38
|
2026-01-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
35
|
13
|
—
|
—
|
$105,561.77
|
$120,340.42
|
$116,117.95
|
2026-01-01
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
32
|
12
|
—
|
—
|
$104,787.54
|
$119,457.80
|
$115,266.29
|
2026-01-01
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
35
|
13
|
—
|
—
|
$104,744.53
|
$119,408.76
|
$115,218.98
|
2026-01-01
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
35
|
13
|
—
|
—
|
$104,424.32
|
$119,043.72
|
$114,866.75
|
2026-01-01
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
35
|
13
|
—
|
—
|
$104,081.41
|
$118,652.81
|
$114,489.55
|
2026-01-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
35
|
13
|
—
|
—
|
$104,059.91
|
$118,628.30
|
$114,465.90
|
2026-01-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
35
|
13
|
—
|
—
|
$103,942.82
|
$118,494.81
|
$114,337.10
|
2026-01-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
35
|
13
|
—
|
—
|
$101,292.75
|
$115,473.74
|
$111,422.03
|
2026-01-01
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
32
|
12
|
—
|
—
|
$100,853.06
|
$114,972.49
|
$110,938.37
|
2026-01-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
35
|
13
|
—
|
—
|
$99,685.74
|
$113,641.74
|
$109,654.31
|
2026-01-01
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$99,329.69
|
$113,235.85
|
$109,262.66
|
2026-01-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
35
|
13
|
—
|
—
|
$98,805.18
|
$112,637.91
|
$108,685.70
|
2026-01-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
35
|
13
|
—
|
—
|
$98,418.06
|
$112,196.59
|
$108,259.87
|
2026-01-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
35
|
13
|
—
|
—
|
$97,796.76
|
$111,488.31
|
$107,576.44
|
2026-01-01
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
35
|
13
|
—
|
—
|
$96,808.67
|
$110,361.88
|
$106,489.54
|
2026-01-01
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
35
|
13
|
—
|
—
|
$96,255.47
|
$109,731.24
|
$105,881.02
|
2026-01-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
35
|
13
|
—
|
—
|
$96,091.79
|
$109,544.64
|
$105,700.97
|
2026-01-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
35
|
13
|
—
|
—
|
$95,248.26
|
$108,583.02
|
$104,773.09
|
2026-01-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$94,885.04
|
$108,168.95
|
$104,373.54
|
2026-01-01
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
35
|
13
|
—
|
—
|
$93,790.60
|
$106,921.28
|
$103,169.66
|
2026-01-01
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
35
|
13
|
—
|
—
|
$93,213.51
|
$106,263.40
|
$102,534.86
|
2026-01-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
32
|
12
|
—
|
—
|
$92,794.14
|
$105,785.32
|
$102,073.55
|
2026-01-01
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
35
|
13
|
—
|
—
|
$92,269.62
|
$105,187.37
|
$101,496.58
|
2026-01-01
|
|
7234
|
APR_DRG
|
Viral Illness
|
35
|
13
|
—
|
—
|
$92,144.17
|
$105,044.35
|
$101,358.59
|
2026-01-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
35
|
13
|
—
|
—
|
$91,153.68
|
$103,915.20
|
$100,269.05
|
2026-01-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$90,146.46
|
$102,766.96
|
$99,161.11
|
2026-01-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$89,968.44
|
$102,564.02
|
$98,965.28
|
2026-01-01
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
35
|
13
|
—
|
—
|
$89,151.19
|
$101,632.36
|
$98,066.31
|
2026-01-01
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
35
|
13
|
—
|
—
|
$88,235.98
|
$100,589.02
|
$97,059.58
|
2026-01-01
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
35
|
13
|
—
|
—
|
$87,920.55
|
$100,229.43
|
$96,712.61
|
2026-01-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
35
|
13
|
—
|
—
|
$87,402.00
|
$99,638.28
|
$96,142.20
|
2026-01-01
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
35
|
13
|
—
|
—
|
$86,163.00
|
$98,225.82
|
$94,779.30
|
2026-01-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
35
|
13
|
—
|
—
|
$86,110.43
|
$98,165.89
|
$94,721.47
|
2026-01-01
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
35
|
13
|
—
|
—
|
$85,993.34
|
$98,032.41
|
$94,592.67
|
2026-01-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
35
|
13
|
—
|
—
|
$85,575.16
|
$97,555.68
|
$94,132.68
|
2026-01-01
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
35
|
13
|
—
|
—
|
$85,122.33
|
$97,039.46
|
$93,634.56
|
2026-01-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
35
|
13
|
—
|
—
|
$84,909.65
|
$96,797.00
|
$93,400.62
|
2026-01-01
|
|
38230
|
HCPCS
|
Hc Marrow Procurement Domest
|
391
|
25
|
$230,864.19
|
$173,148.14
25% off
|
$177.41
|
$244,188.15
|
$92,969.12
|
2026-01-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
35
|
13
|
—
|
—
|
$84,462.80
|
$96,287.59
|
$92,909.08
|
2026-01-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$84,190.38
|
$95,977.03
|
$92,609.42
|
2026-01-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
35
|
13
|
—
|
—
|
$83,284.72
|
$94,944.58
|
$91,613.19
|
2026-01-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
35
|
13
|
—
|
—
|
$83,202.28
|
$94,850.60
|
$91,522.51
|
2026-01-01
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
35
|
13
|
—
|
—
|
$82,890.44
|
$94,495.10
|
$91,179.48
|
2026-01-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
35
|
13
|
—
|
—
|
$82,882.08
|
$94,485.57
|
$91,170.29
|
2026-01-01
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
35
|
13
|
—
|
—
|
$82,003.90
|
$93,484.45
|
$90,204.29
|
2026-01-01
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$81,947.74
|
$93,420.42
|
$90,142.51
|
2026-01-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
35
|
13
|
—
|
—
|
$81,829.46
|
$93,285.58
|
$90,012.41
|
2026-01-01
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
35
|
13
|
—
|
—
|
$81,649.04
|
$93,079.91
|
$89,813.94
|
2026-01-01
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
35
|
13
|
—
|
—
|
$81,528.37
|
$92,942.34
|
$89,681.21
|
2026-01-01
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
35
|
13
|
—
|
—
|
$81,183.07
|
$92,548.70
|
$89,301.38
|
2026-01-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
35
|
13
|
—
|
—
|
$80,697.98
|
$91,995.70
|
$88,767.78
|
2026-01-01
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
35
|
13
|
—
|
—
|
$80,487.70
|
$91,755.98
|
$88,536.47
|
2026-01-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
35
|
13
|
—
|
—
|
$80,242.76
|
$91,476.75
|
$88,267.04
|
2026-01-01
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
35
|
13
|
—
|
—
|
$80,222.45
|
$91,453.59
|
$88,244.70
|
2026-01-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
35
|
13
|
—
|
—
|
$79,971.54
|
$91,167.56
|
$87,968.69
|
2026-01-01
|
|
50300
|
HCPCS
|
Hc Kidney Acquisit-cadaveric
|
67
|
25
|
$198,965.16
|
$149,223.87
25% off
|
$47,751.64
|
$198,965.16
|
$87,544.67
|
2026-01-01
|
|
50320
|
HCPCS
|
Hc Kidney Acquisit-living
|
67
|
25
|
$198,965.16
|
$149,223.87
25% off
|
$47,751.64
|
$198,965.16
|
$87,544.67
|
2026-01-01
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
35
|
13
|
—
|
—
|
$79,366.97
|
$90,478.35
|
$87,303.67
|
2026-01-01
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
35
|
13
|
—
|
—
|
$79,327.55
|
$90,433.41
|
$87,260.31
|
2026-01-01
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
35
|
13
|
—
|
—
|
$79,267.81
|
$90,365.30
|
$87,194.59
|
2026-01-01
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
35
|
13
|
—
|
—
|
$79,108.90
|
$90,184.15
|
$87,019.79
|
2026-01-01
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
68
|
25
|
$197,350.00
|
$148,012.50
25% off
|
$47,364.00
|
$181,562.00
|
$86,834.00
|
2026-01-01
|
|
4684
|
APR_DRG
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
35
|
13
|
—
|
—
|
$78,709.83
|
$89,729.21
|
$86,580.81
|
2026-01-01
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
35
|
13
|
—
|
—
|
$78,488.80
|
$89,477.23
|
$86,337.68
|
2026-01-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
32
|
12
|
—
|
—
|
$77,832.85
|
$88,729.45
|
$85,616.14
|
2026-01-01
|
|
8154
|
APR_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
35
|
13
|
—
|
—
|
$77,789.84
|
$88,680.42
|
$85,568.82
|
2026-01-01
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
32
|
12
|
—
|
—
|
$77,720.54
|
$88,601.42
|
$85,492.59
|
2026-01-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
4
|
4
|
—
|
—
|
$80,000.00
|
$92,000.00
|
$85,000.00
|
2026-01-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
4
|
4
|
—
|
—
|
$80,000.00
|
$92,000.00
|
$85,000.00
|
2026-01-01
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
35
|
13
|
—
|
—
|
$77,192.44
|
$87,999.38
|
$84,911.68
|
2026-01-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
35
|
13
|
—
|
—
|
$77,069.37
|
$87,859.08
|
$84,776.31
|
2026-01-01
|
|
6924
|
APR_DRG
|
Radiotherapy
|
35
|
13
|
—
|
—
|
$77,015.61
|
$87,797.80
|
$84,717.17
|
2026-01-01
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
35
|
13
|
—
|
—
|
$76,915.25
|
$87,683.39
|
$84,606.78
|
2026-01-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
35
|
13
|
—
|
—
|
$76,622.52
|
$87,349.67
|
$84,284.77
|
2026-01-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$76,541.27
|
$87,257.05
|
$84,195.40
|
2026-01-01
|
|
8104
|
APR_DRG
|
Hemorrhage Or Hematoma Due To Complication
|
35
|
13
|
—
|
—
|
$76,511.40
|
$87,223.00
|
$84,162.54
|
2026-01-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
35
|
13
|
—
|
—
|
$76,295.14
|
$86,976.46
|
$83,924.65
|
2026-01-01
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
35
|
13
|
—
|
—
|
$76,019.15
|
$86,661.83
|
$83,621.07
|
2026-01-01
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
35
|
13
|
—
|
—
|
$75,808.86
|
$86,422.10
|
$83,389.75
|
2026-01-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
35
|
13
|
—
|
—
|
$75,747.93
|
$86,352.64
|
$83,322.72
|
2026-01-01
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
35
|
13
|
—
|
—
|
$75,604.55
|
$86,189.19
|
$83,165.01
|
2026-01-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
35
|
13
|
—
|
—
|
$75,155.30
|
$85,677.04
|
$82,670.83
|
2026-01-01
|
|
TAUOP
|
OTHER
|
Tandem Hsc Autologous/ Autologous Bmt - Op
|
1
|
1
|
—
|
—
|
$82,500.00
|
$82,500.00
|
$82,500.00
|
2026-01-01
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
35
|
13
|
—
|
—
|
$74,861.38
|
$85,341.97
|
$82,347.52
|
2026-01-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
35
|
13
|
—
|
—
|
$74,550.74
|
$84,987.84
|
$82,005.81
|
2026-01-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
35
|
13
|
—
|
—
|
$74,391.83
|
$84,806.69
|
$81,831.01
|
2026-01-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
35
|
13
|
—
|
—
|
$74,124.19
|
$84,501.58
|
$81,536.61
|
2026-01-01
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
35
|
13
|
—
|
—
|
$73,968.87
|
$84,324.51
|
$81,365.76
|
2026-01-01
|
|
6613
|
APR_DRG
|
Coagulation And Platelet Disorders
|
35
|
13
|
—
|
—
|
$73,094.27
|
$83,327.47
|
$80,403.70
|
2026-01-01
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
35
|
13
|
—
|
—
|
$73,007.05
|
$83,228.04
|
$80,307.76
|
2026-01-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
32
|
12
|
—
|
—
|
$72,959.26
|
$83,173.56
|
$80,255.19
|
2026-01-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
35
|
13
|
—
|
—
|
$72,713.13
|
$82,892.97
|
$79,984.44
|
2026-01-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
35
|
13
|
—
|
—
|
$72,553.03
|
$82,710.45
|
$79,808.33
|
2026-01-01
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
35
|
13
|
—
|
—
|
$72,091.84
|
$82,184.70
|
$79,301.02
|
2026-01-01
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
35
|
13
|
—
|
—
|
$72,067.94
|
$82,157.45
|
$79,274.73
|
2026-01-01
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
35
|
13
|
—
|
—
|
$72,044.05
|
$82,130.22
|
$79,248.46
|
2026-01-01
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
35
|
13
|
—
|
—
|
$71,920.98
|
$81,989.92
|
$79,113.08
|
2026-01-01
|
|
1801
|
APR_DRG
|
Other Circulatory System Procedures
|
35
|
13
|
—
|
—
|
$71,868.41
|
$81,929.99
|
$79,055.25
|
2026-01-01
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
35
|
13
|
—
|
—
|
$71,627.06
|
$81,654.85
|
$78,789.77
|
2026-01-01
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$71,463.37
|
$81,468.24
|
$78,609.71
|
2026-01-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
35
|
13
|
—
|
—
|
$71,079.84
|
$81,031.02
|
$78,187.82
|
2026-01-01
|
|
233
|
APR_DRG
|
Spinal Procedures
|
35
|
13
|
—
|
—
|
$71,063.11
|
$81,011.95
|
$78,169.42
|
2026-01-01
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
35
|
13
|
—
|
—
|
$71,017.71
|
$80,960.19
|
$78,119.48
|
2026-01-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
35
|
13
|
—
|
—
|
$70,934.08
|
$80,864.85
|
$78,027.49
|
2026-01-01
|
|
4012
|
APR_DRG
|
Adrenal Procedures
|
35
|
13
|
—
|
—
|
$70,635.38
|
$80,524.33
|
$77,698.92
|
2026-01-01
|
|
433
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
35
|
13
|
—
|
—
|
$70,351.01
|
$80,200.15
|
$77,386.11
|
2026-01-01
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
35
|
13
|
—
|
—
|
$70,152.68
|
$79,974.06
|
$77,167.95
|
2026-01-01
|
|
6803
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
35
|
13
|
—
|
—
|
$70,115.64
|
$79,931.83
|
$77,127.20
|
2026-01-01
|
|
404
|
APR_DRG
|
Spinal Disorders And Injuries
|
35
|
13
|
—
|
—
|
$70,114.44
|
$79,930.46
|
$77,125.88
|
2026-01-01
|
|
293
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
35
|
13
|
—
|
—
|
$69,856.37
|
$79,636.26
|
$76,842.01
|
2026-01-01
|
|
7923
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
35
|
13
|
—
|
—
|
$69,036.73
|
$78,701.87
|
$75,940.40
|
2026-01-01
|
|
6813
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
35
|
13
|
—
|
—
|
$68,772.68
|
$78,400.86
|
$75,649.95
|
2026-01-01
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
35
|
13
|
—
|
—
|
$68,297.15
|
$77,858.75
|
$75,126.87
|
2026-01-01
|
|
2454
|
APR_DRG
|
Inflammatory Bowel Disease
|
35
|
13
|
—
|
—
|
$68,199.18
|
$77,747.07
|
$75,019.10
|
2026-01-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
35
|
13
|
—
|
—
|
$67,516.95
|
$76,969.32
|
$74,268.65
|
2026-01-01
|
|
203
|
APR_DRG
|
Open Craniotomy For Trauma
|
35
|
13
|
—
|
—
|
$66,949.42
|
$76,322.34
|
$73,644.36
|
2026-01-01
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
35
|
13
|
—
|
—
|
$66,783.34
|
$76,133.01
|
$73,461.67
|
2026-01-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$66,736.74
|
$76,079.88
|
$73,410.41
|
2026-01-01
|
|
2824
|
APR_DRG
|
Disorders Of Pancreas Except Malignancy
|
35
|
13
|
—
|
—
|
$66,392.64
|
$75,687.61
|
$73,031.90
|
2026-01-01
|
|
4624
|
APR_DRG
|
Nephritis And Nephrosis
|
35
|
13
|
—
|
—
|
$66,242.10
|
$75,515.99
|
$72,866.31
|
2026-01-01
|
|
273
|
APR_DRG
|
Other Open Craniotomy
|
35
|
13
|
—
|
—
|
$66,205.06
|
$75,473.77
|
$72,825.57
|
2026-01-01
|
|
7594
|
APR_DRG
|
Eating Disorders
|
35
|
13
|
—
|
—
|
$66,184.75
|
$75,450.62
|
$72,803.23
|
2026-01-01
|
|
594
|
APR_DRG
|
Anoxic And Other Severe Brain Damage
|
35
|
13
|
—
|
—
|
$66,135.76
|
$75,394.77
|
$72,749.34
|
2026-01-01
|
|
6504
|
APR_DRG
|
Splenectomy
|
35
|
13
|
—
|
—
|
$66,030.62
|
$75,274.91
|
$72,633.68
|
2026-01-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
35
|
13
|
—
|
—
|
$66,028.23
|
$75,272.18
|
$72,631.05
|
2026-01-01
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
35
|
13
|
—
|
—
|
$65,994.77
|
$75,234.04
|
$72,594.25
|
2026-01-01
|
|
2613
|
APR_DRG
|
Major Biliary Tract Procedures
|
35
|
13
|
—
|
—
|
$65,892.02
|
$75,116.90
|
$72,481.22
|
2026-01-01
|
|
2264
|
APR_DRG
|
Anal Procedures
|
35
|
13
|
—
|
—
|
$65,802.41
|
$75,014.75
|
$72,382.65
|
2026-01-01
|
|
2074
|
APR_DRG
|
Other Circulatory System Diagnoses
|
35
|
13
|
—
|
—
|
$65,232.49
|
$74,365.04
|
$71,755.74
|
2026-01-01
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
35
|
13
|
—
|
—
|
$65,188.28
|
$74,314.64
|
$71,707.11
|
2026-01-01
|
|
1934
|
APR_DRG
|
Acute And Subacute Endocarditis
|
35
|
13
|
—
|
—
|
$64,669.74
|
$73,723.50
|
$71,136.71
|
2026-01-01
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
35
|
13
|
—
|
—
|
$64,556.23
|
$73,594.10
|
$71,011.85
|
2026-01-01
|
|
4454
|
APR_DRG
|
Other Bladder Procedures
|
35
|
13
|
—
|
—
|
$64,509.64
|
$73,540.99
|
$70,960.60
|
2026-01-01
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
35
|
13
|
—
|
—
|
$64,145.22
|
$73,125.55
|
$70,559.74
|
2026-01-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$63,973.17
|
$72,929.41
|
$70,370.49
|
2026-01-01
|
|
6902
|
APR_DRG
|
Acute Leukemia
|
35
|
13
|
—
|
—
|
$63,967.20
|
$72,922.61
|
$70,363.92
|
2026-01-01
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
35
|
13
|
—
|
—
|
$63,793.95
|
$72,725.10
|
$70,173.35
|
2026-01-01
|
|
3164
|
APR_DRG
|
Hand And Wrist Procedures
|
35
|
13
|
—
|
—
|
$63,699.56
|
$72,617.50
|
$70,069.52
|
2026-01-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
35
|
13
|
—
|
—
|
$63,127.25
|
$71,965.07
|
$69,439.98
|
2026-01-01
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
35
|
13
|
—
|
—
|
$63,069.90
|
$71,899.69
|
$69,376.89
|
2026-01-01
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
35
|
13
|
—
|
—
|
$62,991.05
|
$71,809.80
|
$69,290.16
|
2026-01-01
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
35
|
13
|
—
|
—
|
$62,884.71
|
$71,688.57
|
$69,173.18
|
2026-01-01
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
35
|
13
|
—
|
—
|
$62,839.31
|
$71,636.81
|
$69,123.24
|
2026-01-01
|
|
1314
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease
|
35
|
13
|
—
|
—
|
$62,496.40
|
$71,245.90
|
$68,746.04
|
2026-01-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
35
|
13
|
—
|
—
|
$62,345.85
|
$71,074.27
|
$68,580.44
|
2026-01-01
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
35
|
13
|
—
|
—
|
$62,123.62
|
$70,820.93
|
$68,335.98
|
2026-01-01
|
|
4614
|
APR_DRG
|
Kidney And Urinary Tract Malignancy
|
35
|
13
|
—
|
—
|
$62,030.43
|
$70,714.69
|
$68,233.47
|
2026-01-01
|
|
8503
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
35
|
13
|
—
|
—
|
$61,926.48
|
$70,596.19
|
$68,119.13
|
2026-01-01
|
|
3434
|
APR_DRG
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
35
|
13
|
—
|
—
|
$61,910.95
|
$70,578.48
|
$68,102.05
|
2026-01-01
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
35
|
13
|
—
|
—
|
$61,863.15
|
$70,523.99
|
$68,049.47
|
2026-01-01
|
|
1802
|
APR_DRG
|
Other Circulatory System Procedures
|
35
|
13
|
—
|
—
|
$61,605.08
|
$70,229.79
|
$67,765.59
|
2026-01-01
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
35
|
13
|
—
|
—
|
$61,019.63
|
$69,562.38
|
$67,121.59
|
2026-01-01
|
|
4043
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
35
|
13
|
—
|
—
|
$60,789.03
|
$69,299.49
|
$66,867.93
|
2026-01-01
|
|
5174
|
APR_DRG
|
Dilation And Curettage For Non-obstetric Diagnoses
|
35
|
13
|
—
|
—
|
$60,698.22
|
$69,195.97
|
$66,768.04
|
2026-01-01
|
|
1213
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
35
|
13
|
—
|
—
|
$60,619.37
|
$69,106.08
|
$66,681.31
|
2026-01-01
|