|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
1
|
1
|
—
|
—
|
$4,208,253.00
|
$4,208,253.00
|
$4,208,253.00
|
2026-04-24
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
1
|
1
|
—
|
—
|
$3,802,834.80
|
$3,802,834.80
|
$3,802,834.80
|
2026-04-24
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
1
|
1
|
—
|
—
|
$3,786,369.07
|
$3,786,369.07
|
$3,786,369.07
|
2026-04-24
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
1
|
1
|
—
|
—
|
$3,699,734.78
|
$3,699,734.78
|
$3,699,734.78
|
2026-04-24
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
1
|
1
|
—
|
—
|
$3,625,200.00
|
$3,625,200.00
|
$3,625,200.00
|
2026-04-24
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
1
|
1
|
—
|
—
|
$3,349,684.80
|
$3,349,684.80
|
$3,349,684.80
|
2026-04-24
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
1
|
1
|
—
|
—
|
$2,949,279.47
|
$2,949,279.47
|
$2,949,279.47
|
2026-04-24
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
1
|
1
|
—
|
—
|
$2,658,480.00
|
$2,658,480.00
|
$2,658,480.00
|
2026-04-24
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
1
|
1
|
—
|
—
|
$298,946.50
|
$298,946.50
|
$298,946.50
|
2026-04-24
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
1
|
1
|
—
|
—
|
$231,093.49
|
$231,093.49
|
$231,093.49
|
2026-04-24
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
1
|
1
|
—
|
—
|
$134,171.49
|
$134,171.49
|
$134,171.49
|
2026-04-24
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
1
|
1
|
—
|
—
|
$73,281.82
|
$73,281.82
|
$73,281.82
|
2026-04-24
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
—
|
$64,146.88
|
$64,146.88
|
$64,146.88
|
2026-04-24
|
|
36906
|
CPT
|
Thrmbc/nfs Dialysis Circuit
|
1
|
1
|
—
|
—
|
$55,840.63
|
$55,840.63
|
$55,840.63
|
2026-04-24
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
2
|
—
|
—
|
$501,646.38
|
$537,582.68
|
$519,614.53
|
2026-04-24
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
2
|
2
|
—
|
—
|
$325,548.32
|
$348,869.53
|
$337,208.93
|
2026-04-24
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
2
|
2
|
—
|
—
|
$248,024.70
|
$265,792.37
|
$256,908.54
|
2026-04-24
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
2
|
2
|
—
|
—
|
$246,569.12
|
$264,232.51
|
$255,400.82
|
2026-04-24
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
2
|
2
|
—
|
—
|
$160,909.08
|
$172,436.08
|
$166,672.58
|
2026-04-24
|
|
7
|
MS_DRG
|
Lung Transplant
|
2
|
2
|
—
|
—
|
$150,440.01
|
$161,217.04
|
$155,828.53
|
2026-04-24
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$139,609.66
|
$149,610.84
|
$144,610.25
|
2026-04-24
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
2
|
2
|
—
|
—
|
$131,639.37
|
$141,069.58
|
$136,354.47
|
2026-04-24
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
2
|
2
|
—
|
—
|
$131,488.35
|
$140,907.74
|
$136,198.04
|
2026-04-24
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
2
|
2
|
—
|
—
|
$128,031.19
|
$137,202.92
|
$132,617.05
|
2026-04-24
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
2
|
2
|
—
|
—
|
$126,322.35
|
$135,371.67
|
$130,847.01
|
2026-04-24
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$119,775.12
|
$128,355.41
|
$124,065.26
|
2026-04-24
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
2
|
2
|
—
|
—
|
$115,668.58
|
$123,954.69
|
$119,811.64
|
2026-04-24
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$113,644.93
|
$121,786.08
|
$117,715.51
|
2026-04-24
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$104,662.81
|
$112,160.51
|
$108,411.66
|
2026-04-24
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
2
|
2
|
—
|
—
|
$100,595.77
|
$107,802.12
|
$104,198.95
|
2026-04-24
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
2
|
2
|
—
|
—
|
$97,928.55
|
$104,943.83
|
$101,436.19
|
2026-04-24
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
2
|
—
|
—
|
$97,620.70
|
$104,613.93
|
$101,117.32
|
2026-04-24
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
2
|
2
|
—
|
—
|
$91,410.35
|
$97,958.69
|
$94,684.52
|
2026-04-24
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$89,197.35
|
$95,587.16
|
$92,392.26
|
2026-04-24
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
2
|
2
|
—
|
—
|
$88,812.84
|
$95,175.09
|
$91,993.96
|
2026-04-24
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
2
|
2
|
—
|
—
|
$88,518.93
|
$94,860.14
|
$91,689.54
|
2026-04-24
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
2
|
2
|
—
|
—
|
$83,857.10
|
$89,864.35
|
$86,860.73
|
2026-04-24
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
2
|
2
|
—
|
—
|
$83,358.74
|
$89,330.29
|
$86,344.51
|
2026-04-24
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
2
|
2
|
—
|
—
|
$83,323.89
|
$89,292.94
|
$86,308.42
|
2026-04-24
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
2
|
2
|
—
|
—
|
$82,881.29
|
$88,818.64
|
$85,849.96
|
2026-04-24
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
2
|
2
|
—
|
—
|
$82,832.50
|
$88,766.35
|
$85,799.43
|
2026-04-24
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
2
|
—
|
—
|
$80,293.07
|
$86,045.00
|
$83,169.04
|
2026-04-24
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
2
|
2
|
—
|
—
|
$79,899.26
|
$85,622.98
|
$82,761.12
|
2026-04-24
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$78,193.91
|
$83,795.46
|
$80,994.68
|
2026-04-24
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
2
|
2
|
—
|
—
|
$77,675.80
|
$83,240.24
|
$80,458.02
|
2026-04-24
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
2
|
2
|
—
|
—
|
$77,618.88
|
$83,179.24
|
$80,399.06
|
2026-04-24
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$76,384.01
|
$81,855.91
|
$79,119.96
|
2026-04-24
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$76,384.01
|
$81,855.91
|
$79,119.96
|
2026-04-24
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
2
|
2
|
—
|
—
|
$76,106.37
|
$81,558.38
|
$78,832.38
|
2026-04-24
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
2
|
2
|
—
|
—
|
$74,750.69
|
$80,105.58
|
$77,428.14
|
2026-04-24
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
2
|
2
|
—
|
—
|
$71,192.46
|
$76,292.45
|
$73,742.46
|
2026-04-24
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$71,109.98
|
$76,204.06
|
$73,657.02
|
2026-04-24
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
2
|
2
|
—
|
—
|
$70,428.07
|
$75,473.31
|
$72,950.69
|
2026-04-24
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$69,797.28
|
$74,797.33
|
$72,297.30
|
2026-04-24
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
2
|
2
|
—
|
—
|
$69,777.53
|
$74,776.16
|
$72,276.85
|
2026-04-24
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
2
|
—
|
—
|
$69,272.20
|
$74,234.63
|
$71,753.42
|
2026-04-24
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
2
|
2
|
—
|
—
|
$69,044.51
|
$73,990.63
|
$71,517.57
|
2026-04-24
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
2
|
2
|
—
|
—
|
$68,884.20
|
$73,818.84
|
$71,351.52
|
2026-04-24
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
2
|
2
|
—
|
—
|
$68,174.41
|
$73,058.20
|
$70,616.30
|
2026-04-24
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$68,130.27
|
$73,010.90
|
$70,570.58
|
2026-04-24
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
2
|
2
|
—
|
—
|
$66,995.30
|
$71,794.63
|
$69,394.96
|
2026-04-24
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
2
|
2
|
—
|
—
|
$66,567.81
|
$71,336.50
|
$68,952.15
|
2026-04-24
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
2
|
2
|
—
|
—
|
$66,295.97
|
$71,045.20
|
$68,670.58
|
2026-04-24
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
2
|
—
|
—
|
$66,210.01
|
$70,953.08
|
$68,581.54
|
2026-04-24
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
2
|
2
|
—
|
—
|
$65,309.71
|
$69,988.28
|
$67,648.99
|
2026-04-24
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
2
|
2
|
—
|
—
|
$65,107.57
|
$69,771.67
|
$67,439.62
|
2026-04-24
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
2
|
2
|
—
|
—
|
$64,661.49
|
$69,293.62
|
$66,977.55
|
2026-04-24
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
2
|
2
|
—
|
—
|
$64,159.64
|
$68,755.83
|
$66,457.74
|
2026-04-24
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
2
|
2
|
—
|
—
|
$63,775.13
|
$68,343.77
|
$66,059.45
|
2026-04-24
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
2
|
2
|
—
|
—
|
$63,549.76
|
$68,102.25
|
$65,826.01
|
2026-04-24
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
2
|
2
|
—
|
—
|
$63,459.15
|
$68,005.15
|
$65,732.15
|
2026-04-24
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
2
|
2
|
—
|
—
|
$63,359.24
|
$67,898.09
|
$65,628.66
|
2026-04-24
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
2
|
2
|
—
|
—
|
$63,106.00
|
$67,626.70
|
$65,366.35
|
2026-04-24
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$61,950.12
|
$66,388.03
|
$64,169.07
|
2026-04-24
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
2
|
2
|
—
|
—
|
$61,912.95
|
$66,348.19
|
$64,130.57
|
2026-04-24
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
2
|
2
|
—
|
—
|
$61,497.07
|
$65,902.52
|
$63,699.79
|
2026-04-24
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
2
|
2
|
—
|
—
|
$61,293.77
|
$65,684.66
|
$63,489.21
|
2026-04-24
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
2
|
2
|
—
|
—
|
$60,470.14
|
$64,802.02
|
$62,636.08
|
2026-04-24
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
2
|
2
|
—
|
—
|
$60,365.59
|
$64,689.98
|
$62,527.79
|
2026-04-24
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$58,551.05
|
$62,745.45
|
$60,648.25
|
2026-04-24
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$57,937.68
|
$62,088.14
|
$60,012.91
|
2026-04-24
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
2
|
2
|
—
|
—
|
$57,473.01
|
$61,590.18
|
$59,531.60
|
2026-04-24
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$57,370.78
|
$61,480.63
|
$59,425.71
|
2026-04-24
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
2
|
2
|
—
|
—
|
$57,174.45
|
$61,270.24
|
$59,222.35
|
2026-04-24
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
2
|
2
|
—
|
—
|
$56,936.31
|
$61,015.04
|
$58,975.68
|
2026-04-24
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$56,094.09
|
$60,112.49
|
$58,103.29
|
2026-04-24
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
2
|
2
|
—
|
—
|
$55,810.64
|
$59,808.73
|
$57,809.68
|
2026-04-24
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
2
|
2
|
—
|
—
|
$55,305.31
|
$59,267.20
|
$57,286.25
|
2026-04-24
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
2
|
2
|
—
|
—
|
$54,615.27
|
$58,527.73
|
$56,571.50
|
2026-04-24
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
2
|
—
|
—
|
$54,503.75
|
$58,408.22
|
$56,455.99
|
2026-04-24
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
2
|
—
|
—
|
$54,341.11
|
$58,233.93
|
$56,287.52
|
2026-04-24
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
2
|
2
|
—
|
—
|
$53,867.15
|
$57,726.01
|
$55,796.58
|
2026-04-24
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
2
|
2
|
—
|
—
|
$53,652.24
|
$57,495.71
|
$55,573.97
|
2026-04-24
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
2
|
2
|
—
|
—
|
$53,396.67
|
$57,221.83
|
$55,309.25
|
2026-04-24
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$551,717.46
|
$551,717.46
|
$551,717.46
|
2026-04-24
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$484,603.61
|
$484,603.61
|
$484,603.61
|
2026-04-24
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$420,177.02
|
$420,177.02
|
$420,177.02
|
2026-04-24
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$378,202.00
|
$378,202.00
|
$378,202.00
|
2026-04-24
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$341,656.41
|
$341,656.41
|
$341,656.41
|
2026-04-24
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$333,438.64
|
$333,438.64
|
$333,438.64
|
2026-04-24
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$321,463.96
|
$321,463.96
|
$321,463.96
|
2026-04-24
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$319,906.28
|
$319,906.28
|
$319,906.28
|
2026-04-24
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$303,911.34
|
$303,911.34
|
$303,911.34
|
2026-04-24
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$287,157.53
|
$287,157.53
|
$287,157.53
|
2026-04-24
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$275,160.39
|
$275,160.39
|
$275,160.39
|
2026-04-24
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$275,160.39
|
$275,160.39
|
$275,160.39
|
2026-04-24
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$264,395.17
|
$264,395.17
|
$264,395.17
|
2026-04-24
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$261,570.62
|
$261,570.62
|
$261,570.62
|
2026-04-24
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$260,889.14
|
$260,889.14
|
$260,889.14
|
2026-04-24
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$258,263.05
|
$258,263.05
|
$258,263.05
|
2026-04-24
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$246,526.77
|
$246,526.77
|
$246,526.77
|
2026-04-24
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$243,634.82
|
$243,634.82
|
$243,634.82
|
2026-04-24
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$232,767.25
|
$232,767.25
|
$232,767.25
|
2026-04-24
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$225,079.94
|
$225,079.94
|
$225,079.94
|
2026-04-24
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$220,232.16
|
$220,232.16
|
$220,232.16
|
2026-04-24
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$219,888.92
|
$219,888.92
|
$219,888.92
|
2026-04-24
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$208,710.56
|
$208,710.56
|
$208,710.56
|
2026-04-24
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$205,283.16
|
$205,283.16
|
$205,283.16
|
2026-04-24
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$190,607.51
|
$190,607.51
|
$190,607.51
|
2026-04-24
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$179,927.16
|
$179,927.16
|
$179,927.16
|
2026-04-24
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$178,725.20
|
$178,725.20
|
$178,725.20
|
2026-04-24
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$178,645.32
|
$178,645.32
|
$178,645.32
|
2026-04-24
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$174,464.04
|
$174,464.04
|
$174,464.04
|
2026-04-24
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$172,697.92
|
$172,697.92
|
$172,697.92
|
2026-04-24
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$169,748.56
|
$169,748.56
|
$169,748.56
|
2026-04-24
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$165,528.59
|
$165,528.59
|
$165,528.59
|
2026-04-24
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$165,251.50
|
$165,251.50
|
$165,251.50
|
2026-04-24
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$163,075.99
|
$163,075.99
|
$163,075.99
|
2026-04-24
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$159,405.21
|
$159,405.21
|
$159,405.21
|
2026-04-24
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$151,759.09
|
$151,759.09
|
$151,759.09
|
2026-04-24
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$146,247.29
|
$146,247.29
|
$146,247.29
|
2026-04-24
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$145,529.61
|
$145,529.61
|
$145,529.61
|
2026-04-24
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$144,407.53
|
$144,407.53
|
$144,407.53
|
2026-04-24
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$142,268.22
|
$142,268.22
|
$142,268.22
|
2026-04-24
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$142,039.81
|
$142,039.81
|
$142,039.81
|
2026-04-24
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$140,930.21
|
$140,930.21
|
$140,930.21
|
2026-04-24
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$140,859.07
|
$140,859.07
|
$140,859.07
|
2026-04-24
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$139,744.47
|
$139,744.47
|
$139,744.47
|
2026-04-24
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$136,758.92
|
$136,758.92
|
$136,758.92
|
2026-04-24
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$133,742.16
|
$133,742.16
|
$133,742.16
|
2026-04-24
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$132,194.46
|
$132,194.46
|
$132,194.46
|
2026-04-24
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$131,083.62
|
$131,083.62
|
$131,083.62
|
2026-04-24
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$130,273.57
|
$130,273.57
|
$130,273.57
|
2026-04-24
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$126,143.47
|
$126,143.47
|
$126,143.47
|
2026-04-24
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$124,690.63
|
$124,690.63
|
$124,690.63
|
2026-04-24
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$120,771.47
|
$120,771.47
|
$120,771.47
|
2026-04-24
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$120,015.09
|
$120,015.09
|
$120,015.09
|
2026-04-24
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$119,367.31
|
$119,367.31
|
$119,367.31
|
2026-04-24
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$114,645.59
|
$114,645.59
|
$114,645.59
|
2026-04-24
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$113,077.92
|
$113,077.92
|
$113,077.92
|
2026-04-24
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$112,413.91
|
$112,413.91
|
$112,413.91
|
2026-04-24
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$110,575.40
|
$110,575.40
|
$110,575.40
|
2026-04-24
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$110,047.43
|
$110,047.43
|
$110,047.43
|
2026-04-24
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$108,411.12
|
$108,411.12
|
$108,411.12
|
2026-04-24
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$107,956.79
|
$107,956.79
|
$107,956.79
|
2026-04-24
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$107,314.00
|
$107,314.00
|
$107,314.00
|
2026-04-24
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$107,281.55
|
$107,281.55
|
$107,281.55
|
2026-04-24
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$106,894.63
|
$106,894.63
|
$106,894.63
|
2026-04-24
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$106,291.77
|
$106,291.77
|
$106,291.77
|
2026-04-24
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$105,116.02
|
$105,116.02
|
$105,116.02
|
2026-04-24
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$104,833.94
|
$104,833.94
|
$104,833.94
|
2026-04-24
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$103,583.30
|
$103,583.30
|
$103,583.30
|
2026-04-24
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
5
|
5
|
—
|
—
|
$103,396.08
|
$103,396.08
|
$103,396.08
|
2026-04-24
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$102,964.23
|
$102,964.23
|
$102,964.23
|
2026-04-24
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$102,923.04
|
$102,923.04
|
$102,923.04
|
2026-04-24
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$101,038.34
|
$101,038.34
|
$101,038.34
|
2026-04-24
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$100,922.27
|
$100,922.27
|
$100,922.27
|
2026-04-24
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$100,887.32
|
$100,887.32
|
$100,887.32
|
2026-04-24
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
5
|
5
|
—
|
—
|
$100,861.11
|
$100,861.11
|
$100,861.11
|
2026-04-24
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$100,755.01
|
$100,755.01
|
$100,755.01
|
2026-04-24
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$100,205.83
|
$100,205.83
|
$100,205.83
|
2026-04-24
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$98,988.89
|
$98,988.89
|
$98,988.89
|
2026-04-24
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$98,699.32
|
$98,699.32
|
$98,699.32
|
2026-04-24
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$98,683.10
|
$98,683.10
|
$98,683.10
|
2026-04-24
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$97,292.67
|
$97,292.67
|
$97,292.67
|
2026-04-24
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$97,058.02
|
$97,058.02
|
$97,058.02
|
2026-04-24
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$96,002.09
|
$96,002.09
|
$96,002.09
|
2026-04-24
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$95,432.94
|
$95,432.94
|
$95,432.94
|
2026-04-24
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$95,414.22
|
$95,414.22
|
$95,414.22
|
2026-04-24
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$95,320.60
|
$95,320.60
|
$95,320.60
|
2026-04-24
|
|
7594
|
APR_DRG
|
Eating Disorders
|
5
|
5
|
—
|
—
|
$94,187.29
|
$94,187.29
|
$94,187.29
|
2026-04-24
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$92,959.12
|
$92,959.12
|
$92,959.12
|
2026-04-24
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$92,497.31
|
$92,497.31
|
$92,497.31
|
2026-04-24
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$90,957.10
|
$90,957.10
|
$90,957.10
|
2026-04-24
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$90,904.68
|
$90,904.68
|
$90,904.68
|
2026-04-24
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$90,769.88
|
$90,769.88
|
$90,769.88
|
2026-04-24
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
5
|
—
|
—
|
$89,639.06
|
$89,639.06
|
$89,639.06
|
2026-04-24
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$89,567.92
|
$89,567.92
|
$89,567.92
|
2026-04-24
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$88,259.87
|
$88,259.87
|
$88,259.87
|
2026-04-24
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$87,215.17
|
$87,215.17
|
$87,215.17
|
2026-04-24
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$86,450.06
|
$86,450.06
|
$86,450.06
|
2026-04-24
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$84,969.76
|
$84,969.76
|
$84,969.76
|
2026-04-24
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$84,778.80
|
$84,778.80
|
$84,778.80
|
2026-04-24
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$83,701.65
|
$83,701.65
|
$83,701.65
|
2026-04-24
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$83,539.39
|
$83,539.39
|
$83,539.39
|
2026-04-24
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$83,491.96
|
$83,491.96
|
$83,491.96
|
2026-04-24
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$83,132.50
|
$83,132.50
|
$83,132.50
|
2026-04-24
|
|
0120
|
EAPG
|
Car T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$81,761.75
|
$81,761.75
|
$81,761.75
|
2026-04-24
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
5
|
5
|
—
|
—
|
$81,103.02
|
$81,103.02
|
$81,103.02
|
2026-04-24
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$81,099.27
|
$81,099.27
|
$81,099.27
|
2026-04-24
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
5
|
—
|
—
|
$80,822.19
|
$80,822.19
|
$80,822.19
|
2026-04-24
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$80,716.09
|
$80,716.09
|
$80,716.09
|
2026-04-24
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$80,473.96
|
$80,473.96
|
$80,473.96
|
2026-04-24
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
5
|
5
|
—
|
—
|
$80,103.26
|
$80,103.26
|
$80,103.26
|
2026-04-24
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$79,746.29
|
$79,746.29
|
$79,746.29
|
2026-04-24
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$79,681.39
|
$79,681.39
|
$79,681.39
|
2026-04-24
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$78,499.39
|
$78,499.39
|
$78,499.39
|
2026-04-24
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$78,061.30
|
$78,061.30
|
$78,061.30
|
2026-04-24
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$77,912.77
|
$77,912.77
|
$77,912.77
|
2026-04-24
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$77,387.30
|
$77,387.30
|
$77,387.30
|
2026-04-24
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$77,192.59
|
$77,192.59
|
$77,192.59
|
2026-04-24
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$76,981.65
|
$76,981.65
|
$76,981.65
|
2026-04-24
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$76,749.50
|
$76,749.50
|
$76,749.50
|
2026-04-24
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$76,310.15
|
$76,310.15
|
$76,310.15
|
2026-04-24
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$74,933.45
|
$74,933.45
|
$74,933.45
|
2026-04-24
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$74,873.54
|
$74,873.54
|
$74,873.54
|
2026-04-24
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$74,534.05
|
$74,534.05
|
$74,534.05
|
2026-04-24
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
5
|
—
|
—
|
$74,351.82
|
$74,351.82
|
$74,351.82
|
2026-04-24
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$74,338.09
|
$74,338.09
|
$74,338.09
|
2026-04-24
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
5
|
5
|
—
|
—
|
$74,278.18
|
$74,278.18
|
$74,278.18
|
2026-04-24
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$72,494.58
|
$72,494.58
|
$72,494.58
|
2026-04-24
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$72,076.46
|
$72,076.46
|
$72,076.46
|
2026-04-24
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
5
|
5
|
—
|
—
|
$71,981.60
|
$71,981.60
|
$71,981.60
|
2026-04-24
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$71,469.86
|
$71,469.86
|
$71,469.86
|
2026-04-24
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$70,943.14
|
$70,943.14
|
$70,943.14
|
2026-04-24
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
5
|
5
|
—
|
—
|
$70,915.68
|
$70,915.68
|
$70,915.68
|
2026-04-24
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$70,502.55
|
$70,502.55
|
$70,502.55
|
2026-04-24
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$70,337.79
|
$70,337.79
|
$70,337.79
|
2026-04-24
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
5
|
5
|
—
|
—
|
$69,844.78
|
$69,844.78
|
$69,844.78
|
2026-04-24
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$69,462.85
|
$69,462.85
|
$69,462.85
|
2026-04-24
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$69,462.85
|
$69,462.85
|
$69,462.85
|
2026-04-24
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$69,310.57
|
$69,310.57
|
$69,310.57
|
2026-04-24
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$69,295.60
|
$69,295.60
|
$69,295.60
|
2026-04-24
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$68,906.18
|
$68,906.18
|
$68,906.18
|
2026-04-24
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$68,515.51
|
$68,515.51
|
$68,515.51
|
2026-04-24
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$68,515.51
|
$68,515.51
|
$68,515.51
|
2026-04-24
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
5
|
5
|
—
|
—
|
$68,466.83
|
$68,466.83
|
$68,466.83
|
2026-04-24
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$68,406.92
|
$68,406.92
|
$68,406.92
|
2026-04-24
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$68,302.07
|
$68,302.07
|
$68,302.07
|
2026-04-24
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$68,250.90
|
$68,250.90
|
$68,250.90
|
2026-04-24
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
5
|
5
|
—
|
—
|
$68,078.22
|
$68,078.22
|
$68,078.22
|
2026-04-24
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$67,796.58
|
$67,796.58
|
$67,796.58
|
2026-04-24
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$66,862.97
|
$66,862.97
|
$66,862.97
|
2026-04-24
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
5
|
5
|
—
|
—
|
$66,496.01
|
$66,496.01
|
$66,496.01
|
2026-04-24
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$66,056.67
|
$66,056.67
|
$66,056.67
|
2026-04-24
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$65,722.17
|
$65,722.17
|
$65,722.17
|
2026-04-24
|
|
0246
|
EAPG
|
Class IV Therapeutic Radiopharmaceuticals
|
5
|
5
|
—
|
—
|
$65,599.41
|
$65,599.41
|
$65,599.41
|
2026-04-24
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
5
|
5
|
—
|
—
|
$65,347.72
|
$65,347.72
|
$65,347.72
|
2026-04-24
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
5
|
5
|
—
|
—
|
$65,294.05
|
$65,294.05
|
$65,294.05
|
2026-04-24
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
5
|
5
|
—
|
—
|
$65,211.68
|
$65,211.68
|
$65,211.68
|
2026-04-24
|
|
7584
|
APR_DRG
|
Behavioral Disorders
|
5
|
5
|
—
|
—
|
$65,140.53
|
$65,140.53
|
$65,140.53
|
2026-04-24
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
5
|
5
|
—
|
—
|
$65,098.09
|
$65,098.09
|
$65,098.09
|
2026-04-24
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
5
|
5
|
—
|
—
|
$64,523.95
|
$64,523.95
|
$64,523.95
|
2026-04-24
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
5
|
5
|
—
|
—
|
$64,507.72
|
$64,507.72
|
$64,507.72
|
2026-04-24
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
5
|
5
|
—
|
—
|
$63,984.75
|
$63,984.75
|
$63,984.75
|
2026-04-24
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$63,834.97
|
$63,834.97
|
$63,834.97
|
2026-04-24
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$63,813.76
|
$63,813.76
|
$63,813.76
|
2026-04-24
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$63,798.78
|
$63,798.78
|
$63,798.78
|
2026-04-24
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$63,530.43
|
$63,530.43
|
$63,530.43
|
2026-04-24
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$63,237.11
|
$63,237.11
|
$63,237.11
|
2026-04-24
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$63,237.11
|
$63,237.11
|
$63,237.11
|
2026-04-24
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$63,149.74
|
$63,149.74
|
$63,149.74
|
2026-04-24
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$62,744.10
|
$62,744.10
|
$62,744.10
|
2026-04-24
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
5
|
5
|
—
|
—
|
$62,470.76
|
$62,470.76
|
$62,470.76
|
2026-04-24
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
5
|
5
|
—
|
—
|
$61,961.51
|
$61,961.51
|
$61,961.51
|
2026-04-24
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$61,892.87
|
$61,892.87
|
$61,892.87
|
2026-04-24
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$61,726.86
|
$61,726.86
|
$61,726.86
|
2026-04-24
|
|
6504
|
APR_DRG
|
Splenectomy
|
5
|
5
|
—
|
—
|
$61,644.49
|
$61,644.49
|
$61,644.49
|
2026-04-24
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$61,499.70
|
$61,499.70
|
$61,499.70
|
2026-04-24
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
5
|
5
|
—
|
—
|
$61,479.73
|
$61,479.73
|
$61,479.73
|
2026-04-24
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$60,836.94
|
$60,836.94
|
$60,836.94
|
2026-04-24
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
5
|
5
|
—
|
—
|
$60,765.79
|
$60,765.79
|
$60,765.79
|
2026-04-24
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$60,091.80
|
$60,091.80
|
$60,091.80
|
2026-04-24
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
5
|
5
|
—
|
—
|
$59,817.21
|
$59,817.21
|
$59,817.21
|
2026-04-24
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$59,560.09
|
$59,560.09
|
$59,560.09
|
2026-04-24
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$59,553.85
|
$59,553.85
|
$59,553.85
|
2026-04-24
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$59,512.66
|
$59,512.66
|
$59,512.66
|
2026-04-24
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$59,165.68
|
$59,165.68
|
$59,165.68
|
2026-04-24
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
5
|
5
|
—
|
—
|
$59,089.54
|
$59,089.54
|
$59,089.54
|
2026-04-24
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$58,884.84
|
$58,884.84
|
$58,884.84
|
2026-04-24
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$58,817.44
|
$58,817.44
|
$58,817.44
|
2026-04-24
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$58,374.35
|
$58,374.35
|
$58,374.35
|
2026-04-24
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$57,857.62
|
$57,857.62
|
$57,857.62
|
2026-04-24
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$57,681.63
|
$57,681.63
|
$57,681.63
|
2026-04-24
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$57,525.62
|
$57,525.62
|
$57,525.62
|
2026-04-24
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
5
|
5
|
—
|
—
|
$57,524.37
|
$57,524.37
|
$57,524.37
|
2026-04-24
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$57,484.43
|
$57,484.43
|
$57,484.43
|
2026-04-24
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
5
|
5
|
—
|
—
|
$57,322.17
|
$57,322.17
|
$57,322.17
|
2026-04-24
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
—
|
—
|
$57,236.05
|
$57,236.05
|
$57,236.05
|
2026-04-24
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$56,940.24
|
$56,940.24
|
$56,940.24
|
2026-04-24
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$56,911.53
|
$56,911.53
|
$56,911.53
|
2026-04-24
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$56,767.99
|
$56,767.99
|
$56,767.99
|
2026-04-24
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
5
|
5
|
—
|
—
|
$56,524.61
|
$56,524.61
|
$56,524.61
|
2026-04-24
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
5
|
5
|
—
|
—
|
$56,273.73
|
$56,273.73
|
$56,273.73
|
2026-04-24
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$56,245.02
|
$56,245.02
|
$56,245.02
|
2026-04-24
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$56,218.81
|
$56,218.81
|
$56,218.81
|
2026-04-24
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
5
|
5
|
—
|
—
|
$55,891.80
|
$55,891.80
|
$55,891.80
|
2026-04-24
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
5
|
5
|
—
|
—
|
$55,613.46
|
$55,613.46
|
$55,613.46
|
2026-04-24
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
5
|
5
|
—
|
—
|
$55,551.06
|
$55,551.06
|
$55,551.06
|
2026-04-24
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
5
|
5
|
—
|
—
|
$55,184.10
|
$55,184.10
|
$55,184.10
|
2026-04-24
|