|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
5
|
5
|
—
|
—
|
$4,505,000.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
7
|
6
|
—
|
—
|
$3,675,000.00
|
$3,710,000.00
|
$3,685,266.66
|
2026-04-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
5
|
5
|
—
|
—
|
$3,335,820.00
|
$3,335,820.00
|
$3,335,820.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
6
|
6
|
—
|
—
|
$3,296,000.00
|
$3,327,859.72
|
$3,327,859.72
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
5
|
5
|
—
|
—
|
$3,252,508.07
|
$3,252,508.07
|
$3,252,508.07
|
2026-04-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
5
|
5
|
—
|
—
|
$3,180,000.00
|
$3,180,000.00
|
$3,180,000.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
5
|
5
|
—
|
—
|
$2,939,968.88
|
$2,939,968.88
|
$2,939,968.88
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
5
|
—
|
—
|
$2,332,000.00
|
$2,332,000.00
|
$2,332,000.00
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$1,544,907.52
|
$1,544,907.52
|
$1,544,907.52
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$1,019,977.81
|
$1,019,977.81
|
$1,019,977.81
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$946,227.58
|
$946,227.58
|
$946,227.58
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$879,875.33
|
$879,875.33
|
$879,875.33
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
5
|
5
|
—
|
—
|
$770,620.00
|
$770,620.00
|
$770,620.00
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
3
|
3
|
—
|
—
|
$641,912.32
|
$905,269.11
|
$746,722.59
|
2026-04-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$680,434.27
|
$680,434.27
|
$680,434.27
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$675,583.60
|
$675,583.60
|
$675,583.60
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$659,259.59
|
$659,259.59
|
$659,259.59
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
7
|
—
|
—
|
$634,089.34
|
$634,089.34
|
$634,089.34
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$630,187.55
|
$630,187.55
|
$630,187.55
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$620,488.72
|
$620,488.72
|
$620,488.72
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$606,418.36
|
$606,418.36
|
$606,418.36
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
7
|
—
|
—
|
$575,054.66
|
$575,054.66
|
$575,054.66
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$567,740.43
|
$567,740.43
|
$567,740.43
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$555,597.06
|
$555,597.06
|
$555,597.06
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$545,529.17
|
$545,529.17
|
$545,529.17
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$540,000.94
|
$540,000.94
|
$540,000.94
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$507,436.06
|
$507,436.06
|
$507,436.06
|
2026-04-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$506,387.56
|
$506,387.56
|
$506,387.56
|
2026-04-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$497,450.25
|
$497,450.25
|
$497,450.25
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
3
|
3
|
—
|
—
|
$416,575.27
|
$587,483.23
|
$484,592.92
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$467,957.56
|
$467,957.56
|
$467,957.56
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$462,858.34
|
$462,858.34
|
$462,858.34
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$451,376.85
|
$451,376.85
|
$451,376.85
|
2026-04-01
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$441,073.99
|
$441,073.99
|
$441,073.99
|
2026-04-01
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$441,073.99
|
$441,073.99
|
$441,073.99
|
2026-04-01
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$441,073.99
|
$441,073.99
|
$441,073.99
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$420,719.74
|
$420,719.74
|
$420,719.74
|
2026-04-01
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$410,964.73
|
$410,964.73
|
$410,964.73
|
2026-04-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$402,571.51
|
$402,571.51
|
$402,571.51
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$401,371.79
|
$401,371.79
|
$401,371.79
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$400,349.19
|
$400,349.19
|
$400,349.19
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$399,069.27
|
$399,069.27
|
$399,069.27
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$397,333.19
|
$397,333.19
|
$397,333.19
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$382,297.04
|
$382,297.04
|
$382,297.04
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
7
|
—
|
—
|
$371,848.60
|
$371,848.60
|
$371,848.60
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
7
|
—
|
—
|
$370,846.05
|
$370,846.05
|
$370,846.05
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
3
|
3
|
—
|
—
|
$317,375.18
|
$447,584.41
|
$369,195.62
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
3
|
3
|
—
|
—
|
$315,512.60
|
$444,957.66
|
$367,028.92
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$334,318.80
|
$334,318.80
|
$334,318.80
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$320,984.48
|
$320,984.48
|
$320,984.48
|
2026-04-01
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$317,677.32
|
$317,677.32
|
$317,677.32
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
7
|
—
|
—
|
$316,984.94
|
$316,984.94
|
$316,984.94
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$300,584.90
|
$300,584.90
|
$300,584.90
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$294,755.71
|
$294,755.71
|
$294,755.71
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$292,360.03
|
$292,360.03
|
$292,360.03
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$292,360.03
|
$292,360.03
|
$292,360.03
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
7
|
—
|
—
|
$291,294.82
|
$291,294.82
|
$291,294.82
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$287,534.22
|
$287,534.22
|
$287,534.22
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
7
|
—
|
—
|
$285,795.42
|
$285,795.42
|
$285,795.42
|
2026-04-01
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$285,338.85
|
$285,338.85
|
$285,338.85
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
5
|
5
|
—
|
—
|
$278,250.00
|
$278,250.00
|
$278,250.00
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$266,323.00
|
$266,323.00
|
$266,323.00
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
5
|
5
|
—
|
—
|
$265,000.00
|
$265,000.00
|
$265,000.00
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$264,217.02
|
$264,217.02
|
$264,217.02
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$263,622.38
|
$263,622.38
|
$263,622.38
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$261,786.88
|
$261,786.88
|
$261,786.88
|
2026-04-01
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
7
|
—
|
—
|
$258,414.55
|
$258,414.55
|
$258,414.55
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$254,626.59
|
$254,626.59
|
$254,626.59
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
7
|
—
|
—
|
$252,705.04
|
$252,705.04
|
$252,705.04
|
2026-04-01
|
|
A9543TC
|
OTHER
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$247,662.86
|
$247,662.86
|
$247,662.86
|
2026-04-01
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
7
|
—
|
—
|
$246,388.98
|
$246,388.98
|
$246,388.98
|
2026-04-01
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$244,281.75
|
$244,281.75
|
$244,281.75
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
3
|
3
|
—
|
—
|
$205,901.06
|
$290,375.90
|
$239,520.21
|
2026-04-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
8
|
7
|
—
|
—
|
$233,184.57
|
$233,184.57
|
$233,184.57
|
2026-04-01
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
8
|
7
|
—
|
—
|
$233,184.57
|
$233,184.57
|
$233,184.57
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$228,690.85
|
$228,690.85
|
$228,690.85
|
2026-04-01
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$228,003.90
|
$228,003.90
|
$228,003.90
|
2026-04-01
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$227,791.69
|
$227,791.69
|
$227,791.69
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
3
|
3
|
—
|
—
|
$192,504.72
|
$271,483.46
|
$223,936.54
|
2026-04-01
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$217,805.47
|
$217,805.47
|
$217,805.47
|
2026-04-01
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$208,131.08
|
$208,131.08
|
$208,131.08
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
3
|
3
|
—
|
—
|
$178,646.08
|
$251,939.05
|
$207,815.09
|
2026-04-01
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$207,585.31
|
$207,585.31
|
$207,585.31
|
2026-04-01
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$204,112.53
|
$204,112.53
|
$204,112.53
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
5
|
5
|
—
|
—
|
$201,669.02
|
$201,669.02
|
$201,669.02
|
2026-04-01
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
7
|
—
|
—
|
$200,118.20
|
$200,118.20
|
$200,118.20
|
2026-04-01
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$198,268.71
|
$198,268.71
|
$198,268.71
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
3
|
3
|
—
|
—
|
$168,447.21
|
$237,555.89
|
$195,950.96
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$195,762.34
|
$195,762.34
|
$195,762.34
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
1
|
1
|
—
|
—
|
$195,726.16
|
$195,726.16
|
$195,726.16
|
2026-04-01
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$195,487.68
|
$195,487.68
|
$195,487.68
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$194,816.18
|
$194,816.18
|
$194,816.18
|
2026-04-01
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$193,278.94
|
$193,278.94
|
$193,278.94
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
3
|
3
|
—
|
—
|
$163,830.14
|
$231,044.58
|
$190,580.02
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
3
|
3
|
—
|
—
|
$161,643.50
|
$227,960.83
|
$188,036.35
|
2026-04-01
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
7
|
—
|
—
|
$186,368.45
|
$186,368.45
|
$186,368.45
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$181,193.21
|
$181,193.21
|
$181,193.21
|
2026-04-01
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
8
|
7
|
—
|
—
|
$180,927.12
|
$180,927.12
|
$180,927.12
|
2026-04-01
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$179,310.09
|
$179,310.09
|
$179,310.09
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$153,265.58
|
$216,145.71
|
$178,290.51
|
2026-04-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$178,063.17
|
$178,063.17
|
$178,063.17
|
2026-04-01
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
7
|
—
|
—
|
$174,673.92
|
$174,673.92
|
$174,673.92
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
3
|
3
|
—
|
—
|
$148,010.81
|
$208,735.06
|
$172,177.74
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$171,298.05
|
$171,298.05
|
$171,298.05
|
2026-04-01
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
8
|
7
|
—
|
—
|
$171,138.27
|
$171,138.27
|
$171,138.27
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$170,207.36
|
$170,207.36
|
$170,207.36
|
2026-04-01
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$169,846.23
|
$169,846.23
|
$169,846.23
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
3
|
3
|
—
|
—
|
$145,421.32
|
$205,083.20
|
$169,165.45
|
2026-04-01
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$168,463.76
|
$168,463.76
|
$168,463.76
|
2026-04-01
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
8
|
7
|
—
|
—
|
$167,843.43
|
$167,843.43
|
$167,843.43
|
2026-04-01
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$167,793.30
|
$167,793.30
|
$167,793.30
|
2026-04-01
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$166,595.47
|
$166,595.47
|
$166,595.47
|
2026-04-01
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
8
|
7
|
—
|
—
|
$162,891.26
|
$162,891.26
|
$162,891.26
|
2026-04-01
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$162,678.01
|
$162,678.01
|
$162,678.01
|
2026-04-01
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$158,283.71
|
$158,283.71
|
$158,283.71
|
2026-04-01
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$156,408.52
|
$156,408.52
|
$156,408.52
|
2026-04-01
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$155,905.79
|
$155,905.79
|
$155,905.79
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
3
|
3
|
—
|
—
|
$133,927.70
|
$188,874.10
|
$155,795.17
|
2026-04-01
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$153,895.47
|
$153,895.47
|
$153,895.47
|
2026-04-01
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
8
|
7
|
—
|
—
|
$150,787.56
|
$150,787.56
|
$150,787.56
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
3
|
3
|
—
|
—
|
$128,723.47
|
$181,534.73
|
$149,741.20
|
2026-04-01
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$149,224.01
|
$149,224.01
|
$149,224.01
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$146,794.08
|
$146,794.08
|
$146,794.08
|
2026-04-01
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
7
|
—
|
—
|
$146,604.01
|
$146,604.01
|
$146,604.01
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$146,171.66
|
$146,171.66
|
$146,171.66
|
2026-04-01
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$145,808.24
|
$145,808.24
|
$145,808.24
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
3
|
3
|
—
|
—
|
$125,310.46
|
$176,721.47
|
$145,770.93
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
3
|
3
|
—
|
—
|
$124,916.54
|
$176,165.94
|
$145,312.69
|
2026-04-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
7
|
—
|
—
|
$144,464.20
|
$144,464.20
|
$144,464.20
|
2026-04-01
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$144,130.22
|
$144,130.22
|
$144,130.22
|
2026-04-01
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$143,199.52
|
$143,199.52
|
$143,199.52
|
2026-04-01
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
7
|
—
|
—
|
$142,082.10
|
$142,082.10
|
$142,082.10
|
2026-04-01
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$141,463.86
|
$141,463.86
|
$141,463.86
|
2026-04-01
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$140,907.23
|
$140,907.23
|
$140,907.23
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$139,030.59
|
$139,030.59
|
$139,030.59
|
2026-04-01
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$138,876.24
|
$138,876.24
|
$138,876.24
|
2026-04-01
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
7
|
—
|
—
|
$137,393.09
|
$137,393.09
|
$137,393.09
|
2026-04-01
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$137,196.76
|
$137,196.76
|
$137,196.76
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
3
|
3
|
—
|
—
|
$116,969.71
|
$164,958.77
|
$136,068.31
|
2026-04-01
|
|
7594
|
APR_DRG
|
Eating Disorders
|
8
|
7
|
—
|
—
|
$135,454.04
|
$135,454.04
|
$135,454.04
|
2026-04-01
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
8
|
7
|
—
|
—
|
$135,406.79
|
$135,406.79
|
$135,406.79
|
2026-04-01
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$135,202.10
|
$135,202.10
|
$135,202.10
|
2026-04-01
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
7
|
—
|
—
|
$135,016.21
|
$135,016.21
|
$135,016.21
|
2026-04-01
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$134,971.73
|
$134,971.73
|
$134,971.73
|
2026-04-01
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
7
|
—
|
—
|
$134,617.28
|
$134,617.28
|
$134,617.28
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
3
|
3
|
—
|
—
|
$114,137.93
|
$160,965.19
|
$132,774.16
|
2026-04-01
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
7
|
—
|
—
|
$132,549.53
|
$132,549.53
|
$132,549.53
|
2026-04-01
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
7
|
—
|
—
|
$132,361.55
|
$132,361.55
|
$132,361.55
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
3
|
3
|
—
|
—
|
$113,645.90
|
$160,271.30
|
$132,201.79
|
2026-04-01
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
8
|
7
|
—
|
—
|
$132,194.04
|
$132,194.04
|
$132,194.04
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
3
|
3
|
—
|
—
|
$113,269.81
|
$159,740.92
|
$131,764.30
|
2026-04-01
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
8
|
7
|
—
|
—
|
$131,436.28
|
$131,436.28
|
$131,436.28
|
2026-04-01
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
8
|
7
|
—
|
—
|
$131,248.30
|
$131,248.30
|
$131,248.30
|
2026-04-01
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$129,270.35
|
$129,270.35
|
$129,270.35
|
2026-04-01
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$128,875.60
|
$128,875.60
|
$128,875.60
|
2026-04-01
|
|
7584
|
APR_DRG
|
Disorders Of Impulse Control & Development
|
8
|
7
|
—
|
—
|
$128,360.25
|
$128,360.25
|
$128,360.25
|
2026-04-01
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
8
|
7
|
—
|
—
|
$128,046.41
|
$128,046.41
|
$128,046.41
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
7
|
—
|
—
|
$127,002.09
|
$127,002.09
|
$127,002.09
|
2026-04-01
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
8
|
7
|
—
|
—
|
$125,916.41
|
$125,916.41
|
$125,916.41
|
2026-04-01
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$125,329.08
|
$125,329.08
|
$125,329.08
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
3
|
3
|
—
|
—
|
$107,304.49
|
$151,328.20
|
$124,824.97
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$106,666.78
|
$150,428.86
|
$124,083.14
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
3
|
3
|
—
|
—
|
$106,622.19
|
$150,365.97
|
$124,031.26
|
2026-04-01
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
7
|
—
|
—
|
$123,497.34
|
$123,497.34
|
$123,497.34
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
3
|
3
|
—
|
—
|
$106,055.83
|
$149,567.26
|
$123,372.43
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
3
|
3
|
—
|
—
|
$105,993.40
|
$149,479.21
|
$123,299.80
|
2026-04-01
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$123,148.54
|
$123,148.54
|
$123,148.54
|
2026-04-01
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$122,872.84
|
$122,872.84
|
$122,872.84
|
2026-04-01
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
7
|
—
|
—
|
$122,321.44
|
$122,321.44
|
$122,321.44
|
2026-04-01
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
7
|
—
|
—
|
$120,686.03
|
$120,686.03
|
$120,686.03
|
2026-04-01
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
7
|
—
|
—
|
$120,358.11
|
$120,358.11
|
$120,358.11
|
2026-04-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$119,864.15
|
$119,864.15
|
$119,864.15
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
3
|
3
|
—
|
—
|
$102,743.91
|
$144,896.56
|
$119,519.74
|
2026-04-01
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
7
|
—
|
—
|
$119,061.06
|
$119,061.06
|
$119,061.06
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
3
|
3
|
—
|
—
|
$102,239.98
|
$144,185.89
|
$118,933.54
|
2026-04-01
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
7
|
—
|
—
|
$118,868.91
|
$118,868.91
|
$118,868.91
|
2026-04-01
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
7
|
—
|
—
|
$118,645.42
|
$118,645.42
|
$118,645.42
|
2026-04-01
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
7
|
—
|
—
|
$117,974.34
|
$117,974.34
|
$117,974.34
|
2026-04-01
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
7
|
—
|
—
|
$117,661.67
|
$117,661.67
|
$117,661.67
|
2026-04-01
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
7
|
—
|
—
|
$117,273.18
|
$117,273.18
|
$117,273.18
|
2026-04-01
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
7
|
—
|
—
|
$116,890.96
|
$116,890.96
|
$116,890.96
|
2026-04-01
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$116,552.60
|
$116,552.60
|
$116,552.60
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$100,057.80
|
$141,108.42
|
$116,395.06
|
2026-04-01
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$116,293.61
|
$116,293.61
|
$116,293.61
|
2026-04-01
|
|
7574
|
APR_DRG
|
Organic Mental Health Conditions And Disturbances
|
8
|
7
|
—
|
—
|
$115,920.87
|
$115,920.87
|
$115,920.87
|
2026-04-01
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
7
|
—
|
—
|
$115,633.60
|
$115,633.60
|
$115,633.60
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
3
|
3
|
—
|
—
|
$99,394.82
|
$140,173.45
|
$115,623.83
|
2026-04-01
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
7
|
—
|
—
|
$115,564.67
|
$115,564.67
|
$115,564.67
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
3
|
3
|
—
|
—
|
$99,321.98
|
$140,070.72
|
$115,539.10
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
7
|
—
|
—
|
$115,435.18
|
$115,435.18
|
$115,435.18
|
2026-04-01
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
8
|
7
|
—
|
—
|
$115,295.24
|
$115,295.24
|
$115,295.24
|
2026-04-01
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
7
|
—
|
—
|
$114,831.56
|
$114,831.56
|
$114,831.56
|
2026-04-01
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
7
|
—
|
—
|
$114,814.85
|
$114,814.85
|
$114,814.85
|
2026-04-01
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$114,361.61
|
$114,361.61
|
$114,361.61
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
3
|
3
|
—
|
—
|
$97,741.83
|
$137,842.29
|
$113,700.94
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
3
|
3
|
—
|
—
|
$97,741.83
|
$137,842.29
|
$113,700.94
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
3
|
3
|
—
|
—
|
$97,386.56
|
$137,341.26
|
$113,287.66
|
2026-04-01
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
8
|
7
|
—
|
—
|
$111,399.92
|
$111,399.92
|
$111,399.92
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
3
|
3
|
—
|
—
|
$95,651.82
|
$134,894.80
|
$111,269.67
|
2026-04-01
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
7
|
—
|
—
|
$110,161.35
|
$110,161.35
|
$110,161.35
|
2026-04-01
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$109,663.00
|
$109,663.00
|
$109,663.00
|
2026-04-01
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
7
|
—
|
—
|
$109,263.23
|
$109,263.23
|
$109,263.23
|
2026-04-01
|
|
5204
|
APR_DRG
|
Other GYN Procedures For Malignancy
|
8
|
7
|
—
|
—
|
$108,860.13
|
$108,860.13
|
$108,860.13
|
2026-04-01
|
|
7524
|
APR_DRG
|
Personality Disorders
|
8
|
7
|
—
|
—
|
$108,318.16
|
$108,318.16
|
$108,318.16
|
2026-04-01
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$108,258.60
|
$108,258.60
|
$108,258.60
|
2026-04-01
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$108,052.86
|
$108,052.86
|
$108,052.86
|
2026-04-01
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
7
|
—
|
—
|
$107,759.41
|
$107,759.41
|
$107,759.41
|
2026-04-01
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
7
|
—
|
—
|
$107,352.33
|
$107,352.33
|
$107,352.33
|
2026-04-01
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
8
|
7
|
—
|
—
|
$107,017.94
|
$107,017.94
|
$107,017.94
|
2026-04-01
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
7
|
—
|
—
|
$106,531.29
|
$106,531.29
|
$106,531.29
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
3
|
3
|
—
|
—
|
$91,098.67
|
$128,473.63
|
$105,973.09
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
3
|
3
|
—
|
—
|
$90,993.12
|
$128,324.79
|
$105,850.32
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
3
|
3
|
—
|
—
|
$90,120.55
|
$127,094.22
|
$104,835.27
|
2026-04-01
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
7
|
—
|
—
|
$104,277.64
|
$104,277.64
|
$104,277.64
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
3
|
3
|
—
|
—
|
$89,313.38
|
$125,955.90
|
$103,896.30
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
3
|
3
|
—
|
—
|
$89,288.11
|
$125,920.26
|
$103,866.91
|
2026-04-01
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
8
|
7
|
—
|
—
|
$103,498.58
|
$103,498.58
|
$103,498.58
|
2026-04-01
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
8
|
7
|
—
|
—
|
$103,431.74
|
$103,431.74
|
$103,431.74
|
2026-04-01
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
1
|
1
|
—
|
—
|
$103,124.58
|
$103,124.58
|
$103,124.58
|
2026-04-01
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
7
|
—
|
—
|
$103,122.62
|
$103,122.62
|
$103,122.62
|
2026-04-01
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
8
|
7
|
—
|
—
|
$103,118.44
|
$103,118.44
|
$103,118.44
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
3
|
3
|
—
|
—
|
$88,641.48
|
$125,008.34
|
$103,114.70
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
3
|
3
|
—
|
—
|
$88,350.13
|
$124,597.45
|
$102,775.77
|
2026-04-01
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$102,722.85
|
$102,722.85
|
$102,722.85
|
2026-04-01
|
|
7614
|
APR_DRG
|
Schizoaffective Disorders
|
8
|
7
|
—
|
—
|
$102,661.78
|
$102,661.78
|
$102,661.78
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
3
|
3
|
—
|
—
|
$88,144.99
|
$124,308.16
|
$102,537.14
|
2026-04-01
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
7
|
—
|
—
|
$102,074.12
|
$102,074.12
|
$102,074.12
|
2026-04-01
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
7
|
—
|
—
|
$102,057.41
|
$102,057.41
|
$102,057.41
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
3
|
3
|
—
|
—
|
$87,236.74
|
$123,027.28
|
$101,480.59
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
3
|
3
|
—
|
—
|
$87,180.25
|
$122,947.61
|
$101,414.88
|
2026-04-01
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
7
|
—
|
—
|
$101,284.61
|
$101,284.61
|
$101,284.61
|
2026-04-01
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
7
|
—
|
—
|
$101,153.03
|
$101,153.03
|
$101,153.03
|
2026-04-01
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
8
|
7
|
—
|
—
|
$100,969.23
|
$100,969.23
|
$100,969.23
|
2026-04-01
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$100,933.51
|
$100,933.51
|
$100,933.51
|
2026-04-01
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
8
|
7
|
—
|
—
|
$100,891.95
|
$100,891.95
|
$100,891.95
|
2026-04-01
|
|
1814
|
APR_DRG
|
Lower Extremity Vascular Procedures
|
8
|
7
|
—
|
—
|
$100,668.46
|
$100,668.46
|
$100,668.46
|
2026-04-01
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$100,653.84
|
$100,653.84
|
$100,653.84
|
2026-04-01
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
8
|
7
|
—
|
—
|
$100,513.44
|
$100,513.44
|
$100,513.44
|
2026-04-01
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
8
|
7
|
—
|
—
|
$99,799.59
|
$99,799.59
|
$99,799.59
|
2026-04-01
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
7
|
—
|
—
|
$99,759.90
|
$99,759.90
|
$99,759.90
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
3
|
3
|
—
|
—
|
$85,727.94
|
$120,899.47
|
$99,725.44
|
2026-04-01
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
8
|
7
|
—
|
—
|
$99,200.15
|
$99,200.15
|
$99,200.15
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
3
|
3
|
—
|
—
|
$85,180.91
|
$120,128.00
|
$99,089.09
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
1
|
1
|
—
|
—
|
$98,684.46
|
$98,684.46
|
$98,684.46
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
3
|
3
|
—
|
—
|
$84,723.07
|
$119,482.32
|
$98,556.49
|
2026-04-01
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
7
|
—
|
—
|
$98,368.87
|
$98,368.87
|
$98,368.87
|
2026-04-01
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$98,331.27
|
$98,331.27
|
$98,331.27
|
2026-04-01
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
8
|
7
|
—
|
—
|
$98,088.99
|
$98,088.99
|
$98,088.99
|
2026-04-01
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
8
|
7
|
—
|
—
|
$97,896.83
|
$97,896.83
|
$97,896.83
|
2026-04-01
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
7
|
—
|
—
|
$97,543.85
|
$97,543.85
|
$97,543.85
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
3
|
3
|
—
|
—
|
$83,571.03
|
$117,857.64
|
$97,216.35
|
2026-04-01
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
7
|
—
|
—
|
$97,147.01
|
$97,147.01
|
$97,147.01
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
3
|
3
|
—
|
—
|
$83,312.38
|
$117,492.87
|
$96,915.47
|
2026-04-01
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
8
|
7
|
—
|
—
|
$96,915.17
|
$96,915.17
|
$96,915.17
|
2026-04-01
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
8
|
7
|
—
|
—
|
$96,645.74
|
$96,645.74
|
$96,645.74
|
2026-04-01
|
|
2992
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
8
|
7
|
—
|
—
|
$96,528.77
|
$96,528.77
|
$96,528.77
|
2026-04-01
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
8
|
7
|
—
|
—
|
$96,315.73
|
$96,315.73
|
$96,315.73
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
3
|
3
|
—
|
—
|
$82,741.56
|
$116,687.87
|
$96,251.45
|
2026-04-01
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$96,184.14
|
$96,184.14
|
$96,184.14
|
2026-04-01
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$96,184.14
|
$96,184.14
|
$96,184.14
|
2026-04-01
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
8
|
7
|
—
|
—
|
$95,712.11
|
$95,712.11
|
$95,712.11
|
2026-04-01
|
|
7504
|
APR_DRG
|
Schizophrenia And Other Severe Psychotic Disorders
|
8
|
7
|
—
|
—
|
$95,571.88
|
$95,571.88
|
$95,571.88
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
3
|
3
|
—
|
—
|
$82,099.40
|
$115,782.24
|
$95,504.43
|
2026-04-01
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
8
|
7
|
—
|
—
|
$95,100.14
|
$95,100.14
|
$95,100.14
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
3
|
3
|
—
|
—
|
$81,607.36
|
$115,088.34
|
$94,932.06
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
3
|
3
|
—
|
—
|
$81,318.98
|
$114,681.65
|
$94,596.60
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
3
|
3
|
—
|
—
|
$81,203.04
|
$114,518.13
|
$94,461.72
|
2026-04-01
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
8
|
7
|
—
|
—
|
$94,461.01
|
$94,461.01
|
$94,461.01
|
2026-04-01
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
8
|
7
|
—
|
—
|
$94,454.75
|
$94,454.75
|
$94,454.75
|
2026-04-01
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$94,358.67
|
$94,358.67
|
$94,358.67
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
3
|
3
|
—
|
—
|
$81,075.20
|
$114,337.84
|
$94,313.01
|
2026-04-01
|
|
4854
|
APR_DRG
|
Prostatectomy Procedures
|
8
|
7
|
—
|
—
|
$94,233.35
|
$94,233.35
|
$94,233.35
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
3
|
3
|
—
|
—
|
$80,751.14
|
$113,880.84
|
$93,936.04
|
2026-04-01
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
8
|
7
|
—
|
—
|
$93,876.19
|
$93,876.19
|
$93,876.19
|
2026-04-01
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
7
|
—
|
—
|
$93,147.26
|
$93,147.26
|
$93,147.26
|
2026-04-01
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
8
|
7
|
—
|
—
|
$92,865.29
|
$92,865.29
|
$92,865.29
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
3
|
3
|
—
|
—
|
$79,272.07
|
$111,794.95
|
$92,215.47
|
2026-04-01
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$92,211.54
|
$92,211.54
|
$92,211.54
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
3
|
3
|
—
|
—
|
$79,224.50
|
$111,727.87
|
$92,160.14
|
2026-04-01
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures
|
8
|
7
|
—
|
—
|
$91,979.70
|
$91,979.70
|
$91,979.70
|
2026-04-01
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
8
|
7
|
—
|
—
|
$91,693.56
|
$91,693.56
|
$91,693.56
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
3
|
3
|
—
|
—
|
$78,692.34
|
$110,977.37
|
$91,541.08
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
3
|
3
|
—
|
—
|
$78,432.20
|
$110,610.51
|
$91,238.47
|
2026-04-01
|
|
4484
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Percutaneous Procedures
|
8
|
7
|
—
|
—
|
$91,208.99
|
$91,208.99
|
$91,208.99
|
2026-04-01
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$90,887.34
|
$90,887.34
|
$90,887.34
|
2026-04-01
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
8
|
7
|
—
|
—
|
$90,845.57
|
$90,845.57
|
$90,845.57
|
2026-04-01
|
|
6223
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$90,520.58
|
$90,520.58
|
$90,520.58
|
2026-04-01
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$90,210.62
|
$90,210.62
|
$90,210.62
|
2026-04-01
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
7
|
—
|
—
|
$90,026.82
|
$90,026.82
|
$90,026.82
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
3
|
3
|
—
|
—
|
$77,378.27
|
$109,124.18
|
$90,012.45
|
2026-04-01
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
7
|
—
|
—
|
$89,949.54
|
$89,949.54
|
$89,949.54
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
3
|
3
|
—
|
—
|
$77,244.49
|
$108,935.51
|
$89,856.82
|
2026-04-01
|
|
3003
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
8
|
7
|
—
|
—
|
$89,529.73
|
$89,529.73
|
$89,529.73
|
2026-04-01
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
7
|
—
|
—
|
$88,763.19
|
$88,763.19
|
$88,763.19
|
2026-04-01
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
8
|
7
|
—
|
—
|
$88,642.05
|
$88,642.05
|
$88,642.05
|
2026-04-01
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
8
|
7
|
—
|
—
|
$88,192.99
|
$88,192.99
|
$88,192.99
|
2026-04-01
|
|
7724
|
APR_DRG
|
Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy
|
8
|
7
|
—
|
—
|
$87,755.51
|
$87,755.51
|
$87,755.51
|
2026-04-01
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
8
|
7
|
—
|
—
|
$87,669.58
|
$87,669.58
|
$87,669.58
|
2026-04-01
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
8
|
7
|
—
|
—
|
$87,568.49
|
$87,568.49
|
$87,568.49
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
3
|
3
|
—
|
—
|
$74,922.57
|
$105,660.99
|
$87,155.79
|
2026-04-01
|