|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$161,017.62
|
$161,017.62
|
$161,017.62
|
2025-09-11
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$150,848.16
|
$150,848.16
|
$150,848.16
|
2025-09-11
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
1
|
—
|
—
|
$104,951.57
|
$104,951.57
|
$104,951.57
|
2025-09-11
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
2
|
1
|
—
|
—
|
$97,528.91
|
$97,528.91
|
$97,528.91
|
2025-09-11
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$88,335.18
|
$88,335.18
|
$88,335.18
|
2025-09-11
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
1
|
—
|
—
|
$87,955.44
|
$87,955.44
|
$87,955.44
|
2025-09-11
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
2
|
1
|
—
|
—
|
$84,783.02
|
$84,783.02
|
$84,783.02
|
2025-09-11
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$83,924.56
|
$83,924.56
|
$83,924.56
|
2025-09-11
|
|
B0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$78,886.88
|
$144,894.28
|
$80,496.82
|
2025-09-11
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
1
|
—
|
—
|
$74,777.73
|
$74,777.73
|
$74,777.73
|
2025-09-11
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$74,736.00
|
$74,736.00
|
$74,736.00
|
2025-09-11
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$74,111.38
|
$74,111.38
|
$74,111.38
|
2025-09-11
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
2
|
1
|
—
|
—
|
$72,473.09
|
$72,473.09
|
$72,473.09
|
2025-09-11
|
|
C0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$70,152.57
|
$128,851.65
|
$71,584.25
|
2025-09-11
|
|
B1904
|
HCPCS
|
Guillain-barré M <38.50
|
40
|
17
|
—
|
—
|
$68,260.54
|
$125,376.50
|
$69,653.61
|
2025-09-11
|
|
D0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$68,100.06
|
$125,081.75
|
$69,489.86
|
2025-09-11
|
|
B1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
40
|
17
|
—
|
—
|
$64,209.65
|
$117,936.09
|
$65,520.05
|
2025-09-11
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$65,194.60
|
$65,194.60
|
$65,194.60
|
2025-09-11
|
|
A0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$61,879.12
|
$113,655.53
|
$63,141.96
|
2025-09-11
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$60,328.71
|
$60,328.71
|
$60,328.71
|
2025-09-11
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
1
|
—
|
—
|
$59,638.90
|
$59,638.90
|
$59,638.90
|
2025-09-11
|
|
B0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$57,703.22
|
$105,985.51
|
$58,880.84
|
2025-09-11
|
|
B0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
40
|
17
|
—
|
—
|
$56,865.43
|
$104,446.71
|
$58,025.95
|
2025-09-11
|
|
B0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
40
|
17
|
—
|
—
|
$56,281.40
|
$103,374.00
|
$57,430.00
|
2025-09-11
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$57,216.30
|
$57,216.30
|
$57,216.30
|
2025-09-11
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$56,814.15
|
$56,814.15
|
$56,814.15
|
2025-09-11
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$56,794.83
|
$56,794.83
|
$56,794.83
|
2025-09-11
|
|
B0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
40
|
17
|
—
|
—
|
$54,230.77
|
$99,607.54
|
$55,337.52
|
2025-09-11
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
1
|
—
|
—
|
$55,329.34
|
$55,329.34
|
$55,329.34
|
2025-09-11
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
2
|
1
|
—
|
—
|
$54,013.53
|
$54,013.53
|
$54,013.53
|
2025-09-11
|
|
C1904
|
HCPCS
|
Guillain-barré M <38.50
|
40
|
17
|
—
|
—
|
$52,478.68
|
$96,389.41
|
$53,549.67
|
2025-09-11
|
|
C0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$51,314.35
|
$94,250.84
|
$52,361.58
|
2025-09-11
|
|
C1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
40
|
17
|
—
|
—
|
$51,222.92
|
$94,082.92
|
$52,268.29
|
2025-09-11
|
|
C0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
40
|
17
|
—
|
—
|
$50,569.85
|
$92,883.40
|
$51,601.89
|
2025-09-11
|
|
D0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$49,812.29
|
$91,491.97
|
$50,828.87
|
2025-09-11
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$50,589.68
|
$50,589.68
|
$50,589.68
|
2025-09-11
|
|
B0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
40
|
17
|
—
|
—
|
$49,232.00
|
$90,426.11
|
$50,236.73
|
2025-09-11
|
|
D0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
40
|
17
|
—
|
—
|
$49,090.19
|
$90,165.65
|
$50,092.03
|
2025-09-11
|
|
D1904
|
HCPCS
|
Guillain-barré M <38.50
|
40
|
17
|
—
|
—
|
$48,968.90
|
$89,942.89
|
$49,968.27
|
2025-09-11
|
|
B1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
40
|
17
|
—
|
—
|
$48,924.12
|
$89,860.63
|
$49,922.57
|
2025-09-11
|
|
D1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
40
|
17
|
—
|
—
|
$48,629.31
|
$89,319.13
|
$49,621.74
|
2025-09-11
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
1
|
—
|
—
|
$49,543.25
|
$49,543.25
|
$49,543.25
|
2025-09-11
|
|
A1904
|
HCPCS
|
Guillain-barré M <38.50
|
40
|
17
|
—
|
—
|
$48,121.78
|
$88,386.95
|
$49,103.86
|
2025-09-11
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
2
|
1
|
—
|
—
|
$49,098.32
|
$49,098.32
|
$49,098.32
|
2025-09-11
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
2
|
1
|
—
|
—
|
$48,797.57
|
$48,797.57
|
$48,797.57
|
2025-09-11
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$48,742.73
|
$48,742.73
|
$48,742.73
|
2025-09-11
|
|
B0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
40
|
17
|
—
|
—
|
$47,679.56
|
$87,574.70
|
$48,652.61
|
2025-09-11
|
|
C0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
40
|
17
|
—
|
—
|
$47,032.09
|
$86,385.47
|
$47,991.93
|
2025-09-11
|
|
B1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
40
|
17
|
—
|
—
|
$46,860.42
|
$86,070.17
|
$47,816.76
|
2025-09-11
|
|
B0604
|
HCPCS
|
Neurological M <43.50
|
40
|
17
|
—
|
—
|
$46,468.59
|
$85,350.47
|
$47,416.93
|
2025-09-11
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
1
|
—
|
—
|
$47,270.68
|
$47,270.68
|
$47,270.68
|
2025-09-11
|
|
A0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
40
|
17
|
—
|
—
|
$45,263.21
|
$83,136.51
|
$46,186.95
|
2025-09-11
|
|
B0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
40
|
17
|
—
|
—
|
$45,222.16
|
$83,061.11
|
$46,145.06
|
2025-09-11
|
|
B1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
40
|
17
|
—
|
—
|
$45,212.83
|
$83,043.97
|
$46,135.54
|
2025-09-11
|
|
A1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
40
|
17
|
—
|
—
|
$45,087.81
|
$82,814.35
|
$46,007.97
|
2025-09-11
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$45,994.88
|
$45,994.88
|
$45,994.88
|
2025-09-11
|
|
A0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
40
|
17
|
—
|
—
|
$44,606.42
|
$81,930.15
|
$45,516.75
|
2025-09-11
|
|
B0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
40
|
17
|
—
|
—
|
$44,492.59
|
$81,721.08
|
$45,400.60
|
2025-09-11
|
|
A5104
|
HCPCS
|
Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More
|
40
|
17
|
—
|
—
|
$44,472.07
|
$81,683.39
|
$45,379.66
|
2025-09-11
|
|
B1604
|
HCPCS
|
Pain Syndrome M <43.50
|
40
|
17
|
—
|
—
|
$43,802.21
|
$80,453.03
|
$44,696.13
|
2025-09-11
|
|
C0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
40
|
17
|
—
|
—
|
$43,785.41
|
$80,422.18
|
$44,678.99
|
2025-09-11
|
|
B0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
40
|
17
|
—
|
—
|
$43,425.29
|
$79,760.74
|
$44,311.52
|
2025-09-11
|
|
B2102
|
HCPCS
|
Burns M <52.50
|
40
|
17
|
—
|
—
|
$43,244.29
|
$79,428.29
|
$44,126.83
|
2025-09-11
|
|
D0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
40
|
17
|
—
|
—
|
$42,979.34
|
$78,941.65
|
$43,856.47
|
2025-09-11
|
|
B1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
40
|
17
|
—
|
—
|
$42,936.43
|
$78,862.82
|
$43,812.68
|
2025-09-11
|
|
B1504
|
HCPCS
|
Pulmonary M <45.50
|
40
|
17
|
—
|
—
|
$42,438.22
|
$77,947.76
|
$43,304.31
|
2025-09-11
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
2
|
1
|
—
|
—
|
$43,105.98
|
$43,105.98
|
$43,105.98
|
2025-09-11
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
2
|
1
|
—
|
—
|
$42,770.73
|
$42,770.73
|
$42,770.73
|
2025-09-11
|
|
B1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
40
|
17
|
—
|
—
|
$41,689.99
|
$76,573.46
|
$42,540.81
|
2025-09-11
|
|
B2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
40
|
17
|
—
|
—
|
$41,445.56
|
$76,124.50
|
$42,291.39
|
2025-09-11
|
|
D0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
40
|
17
|
—
|
—
|
$41,365.33
|
$75,977.14
|
$42,209.52
|
2025-09-11
|
|
C0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
40
|
17
|
—
|
—
|
$41,350.40
|
$75,949.72
|
$42,194.29
|
2025-09-11
|
|
234
|
APR_DRG
|
Spinal Procedures
|
2
|
1
|
—
|
—
|
$42,137.14
|
$42,137.14
|
$42,137.14
|
2025-09-11
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$41,984.70
|
$41,984.70
|
$41,984.70
|
2025-09-11
|
|
A0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
40
|
17
|
—
|
—
|
$40,958.56
|
$75,230.01
|
$41,794.45
|
2025-09-11
|
|
B1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
40
|
17
|
—
|
—
|
$40,745.84
|
$74,839.30
|
$41,577.39
|
2025-09-11
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
1
|
—
|
—
|
$41,445.27
|
$41,445.27
|
$41,445.27
|
2025-09-11
|
|
C0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
40
|
17
|
—
|
—
|
$40,548.06
|
$74,476.03
|
$41,375.57
|
2025-09-11
|
|
B0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
40
|
17
|
—
|
—
|
$40,503.27
|
$74,393.77
|
$41,329.87
|
2025-09-11
|
|
B0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
40
|
17
|
—
|
—
|
$40,342.81
|
$74,099.03
|
$41,166.13
|
2025-09-11
|
|
C0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
40
|
17
|
—
|
—
|
$40,215.93
|
$73,865.99
|
$41,036.66
|
2025-09-11
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$40,926.88
|
$40,926.88
|
$40,926.88
|
2025-09-11
|
|
B1404
|
HCPCS
|
Cardiac M <45.50
|
40
|
17
|
—
|
—
|
$40,038.66
|
$73,540.40
|
$40,855.78
|
2025-09-11
|
|
B1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
40
|
17
|
—
|
—
|
$39,960.29
|
$73,396.46
|
$40,775.81
|
2025-09-11
|
|
B0904
|
HCPCS
|
Other Orthopedic M <44.5
|
40
|
17
|
—
|
—
|
$39,960.29
|
$73,396.46
|
$40,775.81
|
2025-09-11
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$40,738.22
|
$40,738.22
|
$40,738.22
|
2025-09-11
|
|
B2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
40
|
17
|
—
|
—
|
$39,320.30
|
$72,220.95
|
$40,122.75
|
2025-09-11
|
|
D0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
40
|
17
|
—
|
—
|
$39,038.54
|
$71,703.43
|
$39,835.24
|
2025-09-11
|
|
B1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
40
|
17
|
—
|
—
|
$38,855.68
|
$71,367.57
|
$39,648.65
|
2025-09-11
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
2
|
1
|
—
|
—
|
$39,311.70
|
$39,311.70
|
$39,311.70
|
2025-09-11
|
|
B0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
40
|
17
|
—
|
—
|
$38,461.97
|
$70,644.44
|
$39,246.91
|
2025-09-11
|
|
B0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
40
|
17
|
—
|
—
|
$38,433.98
|
$70,593.03
|
$39,218.35
|
2025-09-11
|
|
B1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
40
|
17
|
—
|
—
|
$38,267.92
|
$70,288.02
|
$39,048.90
|
2025-09-11
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$38,909.89
|
$38,909.89
|
$38,909.89
|
2025-09-11
|
|
B0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$38,129.84
|
$70,034.40
|
$38,908.00
|
2025-09-11
|
|
A0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
40
|
17
|
—
|
—
|
$38,118.65
|
$70,013.84
|
$38,896.58
|
2025-09-11
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
2
|
1
|
—
|
—
|
$38,878.50
|
$38,878.50
|
$38,878.50
|
2025-09-11
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$38,855.39
|
$38,855.39
|
$38,855.39
|
2025-09-11
|
|
C1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
40
|
17
|
—
|
—
|
$38,029.09
|
$69,849.34
|
$38,805.19
|
2025-09-11
|
|
D0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
40
|
17
|
—
|
—
|
$37,786.52
|
$69,403.81
|
$38,557.67
|
2025-09-11
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
2
|
1
|
—
|
—
|
$38,219.39
|
$38,219.39
|
$38,219.39
|
2025-09-11
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
1
|
—
|
—
|
$38,210.08
|
$38,210.08
|
$38,210.08
|
2025-09-11
|
|
B1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
40
|
17
|
—
|
—
|
$37,422.66
|
$68,735.50
|
$38,186.39
|
2025-09-11
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
2
|
1
|
—
|
—
|
$38,102.12
|
$38,102.12
|
$38,102.12
|
2025-09-11
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
2
|
1
|
—
|
—
|
$38,053.15
|
$38,053.15
|
$38,053.15
|
2025-09-11
|
|
B1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
40
|
17
|
—
|
—
|
$37,292.05
|
$68,495.60
|
$38,053.11
|
2025-09-11
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
1
|
—
|
—
|
$38,014.17
|
$38,014.17
|
$38,014.17
|
2025-09-11
|
|
B0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
40
|
17
|
—
|
—
|
$37,053.21
|
$68,056.92
|
$37,809.40
|
2025-09-11
|
|
B1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$36,833.04
|
$67,652.51
|
$37,584.73
|
2025-09-11
|
|
D0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
40
|
17
|
—
|
—
|
$36,829.30
|
$67,645.66
|
$37,580.92
|
2025-09-11
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$37,375.41
|
$37,375.41
|
$37,375.41
|
2025-09-11
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
2
|
1
|
—
|
—
|
$37,250.21
|
$37,250.21
|
$37,250.21
|
2025-09-11
|
|
B0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
40
|
17
|
—
|
—
|
$36,420.67
|
$66,895.11
|
$37,163.95
|
2025-09-11
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$37,133.98
|
$37,133.98
|
$37,133.98
|
2025-09-11
|
|
C1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
40
|
17
|
—
|
—
|
$36,068.01
|
$66,247.36
|
$36,804.09
|
2025-09-11
|
|
C1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
40
|
17
|
—
|
—
|
$36,025.09
|
$66,168.54
|
$36,760.30
|
2025-09-11
|
|
A0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
40
|
17
|
—
|
—
|
$36,012.03
|
$66,144.55
|
$36,746.97
|
2025-09-11
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$36,681.47
|
$36,681.47
|
$36,681.47
|
2025-09-11
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
2
|
1
|
—
|
—
|
$36,594.55
|
$36,594.55
|
$36,594.55
|
2025-09-11
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
2
|
1
|
—
|
—
|
$36,462.46
|
$36,462.46
|
$36,462.46
|
2025-09-11
|
|
C0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
40
|
17
|
—
|
—
|
$35,595.94
|
$65,380.30
|
$36,322.39
|
2025-09-11
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
2
|
1
|
—
|
—
|
$36,318.63
|
$36,318.63
|
$36,318.63
|
2025-09-11
|
|
B0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
40
|
17
|
—
|
—
|
$35,547.42
|
$65,291.18
|
$36,272.88
|
2025-09-11
|
|
C1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
40
|
17
|
—
|
—
|
$35,510.10
|
$65,222.64
|
$36,234.80
|
2025-09-11
|
|
A0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
40
|
17
|
—
|
—
|
$35,472.79
|
$65,154.10
|
$36,196.72
|
2025-09-11
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
2
|
1
|
—
|
—
|
$36,119.62
|
$36,119.62
|
$36,119.62
|
2025-09-11
|
|
B1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
40
|
17
|
—
|
—
|
$35,353.37
|
$64,934.77
|
$36,074.87
|
2025-09-11
|
|
D1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
40
|
17
|
—
|
—
|
$35,219.02
|
$64,688.00
|
$35,937.78
|
2025-09-11
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$35,897.85
|
$35,897.85
|
$35,897.85
|
2025-09-11
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$35,569.85
|
$35,569.85
|
$35,569.85
|
2025-09-11
|
|
B0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
40
|
17
|
—
|
—
|
$34,795.46
|
$63,910.03
|
$35,505.57
|
2025-09-11
|
|
C0604
|
HCPCS
|
Neurological M <43.50
|
40
|
17
|
—
|
—
|
$34,789.86
|
$63,899.75
|
$35,499.86
|
2025-09-11
|
|
A0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
40
|
17
|
—
|
—
|
$34,674.18
|
$63,687.28
|
$35,381.82
|
2025-09-11
|
|
C1504
|
HCPCS
|
Pulmonary M <45.50
|
40
|
17
|
—
|
—
|
$34,444.67
|
$63,265.72
|
$35,147.62
|
2025-09-11
|
|
B1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
40
|
17
|
—
|
—
|
$34,269.28
|
$62,943.57
|
$34,968.65
|
2025-09-11
|
|
D1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
40
|
17
|
—
|
—
|
$34,241.29
|
$62,892.16
|
$34,940.09
|
2025-09-11
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
2
|
1
|
—
|
—
|
$34,930.05
|
$34,930.05
|
$34,930.05
|
2025-09-11
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
1
|
—
|
—
|
$34,811.40
|
$34,811.40
|
$34,811.40
|
2025-09-11
|
|
B1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
40
|
17
|
—
|
—
|
$34,101.34
|
$62,635.12
|
$34,797.29
|
2025-09-11
|
|
B0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
40
|
17
|
—
|
—
|
$34,073.36
|
$62,583.71
|
$34,768.73
|
2025-09-11
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
2
|
1
|
—
|
—
|
$34,669.99
|
$34,669.99
|
$34,669.99
|
2025-09-11
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
2
|
1
|
—
|
—
|
$34,538.24
|
$34,538.24
|
$34,538.24
|
2025-09-11
|
|
D1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
40
|
17
|
—
|
—
|
$33,616.21
|
$61,744.05
|
$34,302.25
|
2025-09-11
|
|
C0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
40
|
17
|
—
|
—
|
$33,591.95
|
$61,699.50
|
$34,277.50
|
2025-09-11
|
|
B1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
40
|
17
|
—
|
—
|
$33,537.84
|
$61,600.12
|
$34,222.29
|
2025-09-11
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
2
|
1
|
—
|
—
|
$34,167.82
|
$34,167.82
|
$34,167.82
|
2025-09-11
|
|
A5102
|
HCPCS
|
Expired, Orthopedic, Length Of Stay Is 14 Days Or More
|
40
|
17
|
—
|
—
|
$33,448.27
|
$61,435.60
|
$34,130.89
|
2025-09-11
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$34,122.63
|
$34,122.63
|
$34,122.63
|
2025-09-11
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
2
|
1
|
—
|
—
|
$34,114.01
|
$34,114.01
|
$34,114.01
|
2025-09-11
|
|
B0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
40
|
17
|
—
|
—
|
$33,349.38
|
$61,253.96
|
$34,029.98
|
2025-09-11
|
|
C2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
40
|
17
|
—
|
—
|
$33,104.95
|
$60,805.01
|
$33,780.56
|
2025-09-11
|
|
C0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$33,067.63
|
$60,736.46
|
$33,742.48
|
2025-09-11
|
|
C1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
40
|
17
|
—
|
—
|
$33,039.64
|
$60,685.06
|
$33,713.92
|
2025-09-11
|
|
A1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
40
|
17
|
—
|
—
|
$33,034.05
|
$60,674.78
|
$33,708.21
|
2025-09-11
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$33,605.97
|
$33,605.97
|
$33,605.97
|
2025-09-11
|
|
B2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
40
|
17
|
—
|
—
|
$32,886.63
|
$60,404.02
|
$33,557.79
|
2025-09-11
|
|
D2102
|
HCPCS
|
Burns M <52.50
|
40
|
17
|
—
|
—
|
$32,860.52
|
$60,356.05
|
$33,531.14
|
2025-09-11
|
|
C2102
|
HCPCS
|
Burns M <52.50
|
40
|
17
|
—
|
—
|
$32,860.52
|
$60,356.05
|
$33,531.14
|
2025-09-11
|
|
D0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
40
|
17
|
—
|
—
|
$32,698.18
|
$60,057.88
|
$33,365.49
|
2025-09-11
|
|
B1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
40
|
17
|
—
|
—
|
$32,675.79
|
$60,016.75
|
$33,342.64
|
2025-09-11
|
|
C1604
|
HCPCS
|
Pain Syndrome M <43.50
|
40
|
17
|
—
|
—
|
$32,533.98
|
$59,756.29
|
$33,197.94
|
2025-09-11
|
|
D0604
|
HCPCS
|
Neurological M <43.50
|
40
|
17
|
—
|
—
|
$32,478.00
|
$59,653.48
|
$33,140.82
|
2025-09-11
|
|
D1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
40
|
17
|
—
|
—
|
$32,436.95
|
$59,578.07
|
$33,098.93
|
2025-09-11
|
|
C1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
40
|
17
|
—
|
—
|
$32,405.24
|
$59,519.83
|
$33,066.57
|
2025-09-11
|
|
D1504
|
HCPCS
|
Pulmonary M <45.50
|
40
|
17
|
—
|
—
|
$32,394.04
|
$59,499.25
|
$33,055.14
|
2025-09-11
|
|
C0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
40
|
17
|
—
|
—
|
$32,388.44
|
$59,488.97
|
$33,049.43
|
2025-09-11
|
|
C0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
40
|
17
|
—
|
—
|
$32,276.49
|
$59,283.34
|
$32,935.19
|
2025-09-11
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
2
|
1
|
—
|
—
|
$32,758.20
|
$32,758.20
|
$32,758.20
|
2025-09-11
|
|
B0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
40
|
17
|
—
|
—
|
$32,069.37
|
$58,902.93
|
$32,723.85
|
2025-09-11
|
|
C0904
|
HCPCS
|
Other Orthopedic M <44.5
|
40
|
17
|
—
|
—
|
$32,005.93
|
$58,786.40
|
$32,659.11
|
2025-09-11
|
|
A1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
40
|
17
|
—
|
—
|
$31,951.82
|
$58,687.02
|
$32,603.90
|
2025-09-11
|
|
D0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
40
|
17
|
—
|
—
|
$31,821.21
|
$58,447.12
|
$32,470.62
|
2025-09-11
|
|
A1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
40
|
17
|
—
|
—
|
$31,748.43
|
$58,313.45
|
$32,396.36
|
2025-09-11
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$32,374.66
|
$32,374.66
|
$32,374.66
|
2025-09-11
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
2
|
1
|
—
|
—
|
$32,356.04
|
$32,356.04
|
$32,356.04
|
2025-09-11
|
|
C0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
40
|
17
|
—
|
—
|
$31,657.01
|
$58,145.53
|
$32,303.07
|
2025-09-11
|
|
B1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
40
|
17
|
—
|
—
|
$31,642.07
|
$58,118.09
|
$32,287.83
|
2025-09-11
|
|
C1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
40
|
17
|
—
|
—
|
$31,640.21
|
$58,114.67
|
$32,285.93
|
2025-09-11
|
|
C1404
|
HCPCS
|
Cardiac M <45.50
|
40
|
17
|
—
|
—
|
$31,541.32
|
$57,933.04
|
$32,185.02
|
2025-09-11
|
|
D1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
40
|
17
|
—
|
—
|
$31,537.59
|
$57,926.18
|
$32,181.21
|
2025-09-11
|
|
C0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
40
|
17
|
—
|
—
|
$31,509.60
|
$57,874.77
|
$32,152.65
|
2025-09-11
|
|
B0602
|
HCPCS
|
Neurological M >=52.50 And M <64.50
|
40
|
17
|
—
|
—
|
$31,446.16
|
$57,758.26
|
$32,087.92
|
2025-09-11
|
|
D0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
40
|
17
|
—
|
—
|
$31,440.56
|
$57,747.96
|
$32,082.20
|
2025-09-11
|
|
C2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
40
|
17
|
—
|
—
|
$31,406.97
|
$57,686.27
|
$32,047.93
|
2025-09-11
|
|
B1902
|
HCPCS
|
Guillain-barré M >=51.50 And M <66.50
|
40
|
17
|
—
|
—
|
$31,058.05
|
$57,045.40
|
$31,691.89
|
2025-09-11
|
|
B1702
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50
|
40
|
17
|
—
|
—
|
$30,996.47
|
$56,932.29
|
$31,629.05
|
2025-09-11
|
|
B0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
40
|
17
|
—
|
—
|
$30,989.01
|
$56,918.59
|
$31,621.44
|
2025-09-11
|
|
C1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
40
|
17
|
—
|
—
|
$30,977.81
|
$56,898.02
|
$31,610.01
|
2025-09-11
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
1
|
—
|
—
|
$31,582.77
|
$31,582.77
|
$31,582.77
|
2025-09-11
|
|
D2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
40
|
17
|
—
|
—
|
$30,925.57
|
$56,802.06
|
$31,556.70
|
2025-09-11
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
2
|
1
|
—
|
—
|
$31,532.41
|
$31,532.41
|
$31,532.41
|
2025-09-11
|
|
C0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
40
|
17
|
—
|
—
|
$30,862.13
|
$56,685.55
|
$31,491.97
|
2025-09-11
|
|
A0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
40
|
17
|
—
|
—
|
$30,819.22
|
$56,606.72
|
$31,448.18
|
2025-09-11
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$31,225.10
|
$31,225.10
|
$31,225.10
|
2025-09-11
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
2
|
1
|
—
|
—
|
$31,057.14
|
$31,057.14
|
$31,057.14
|
2025-09-11
|
|
A1504
|
HCPCS
|
Pulmonary M <45.50
|
40
|
17
|
—
|
—
|
$30,302.35
|
$55,657.39
|
$30,920.77
|
2025-09-11
|
|
D0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$30,218.39
|
$55,503.16
|
$30,835.09
|
2025-09-11
|
|
D1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
40
|
17
|
—
|
—
|
$30,201.60
|
$55,472.33
|
$30,817.96
|
2025-09-11
|
|
B1502
|
HCPCS
|
Pulmonary M >=56.50 And M <68.50
|
40
|
17
|
—
|
—
|
$30,153.08
|
$55,383.21
|
$30,768.45
|
2025-09-11
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
2
|
1
|
—
|
—
|
$30,740.17
|
$30,740.17
|
$30,740.17
|
2025-09-11
|
|
D1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
40
|
17
|
—
|
—
|
$30,082.18
|
$55,252.98
|
$30,696.10
|
2025-09-11
|
|
C1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
40
|
17
|
—
|
—
|
$30,082.18
|
$55,252.98
|
$30,696.10
|
2025-09-11
|
|
D1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
40
|
17
|
—
|
—
|
$30,011.28
|
$55,122.75
|
$30,623.75
|
2025-09-11
|
|
B1102
|
HCPCS
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
40
|
17
|
—
|
—
|
$30,009.40
|
$55,119.31
|
$30,621.84
|
2025-09-11
|
|
B1202
|
HCPCS
|
Osteoarthritis M >=49.50 And M <61.50
|
40
|
17
|
—
|
—
|
$29,992.62
|
$55,088.48
|
$30,604.71
|
2025-09-11
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
1
|
—
|
—
|
$30,531.16
|
$30,531.16
|
$30,531.16
|
2025-09-11
|
|
B0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
40
|
17
|
—
|
—
|
$29,876.93
|
$54,875.99
|
$30,486.66
|
2025-09-11
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
1
|
—
|
—
|
$30,472.52
|
$30,472.52
|
$30,472.52
|
2025-09-11
|
|
D0904
|
HCPCS
|
Other Orthopedic M <44.5
|
40
|
17
|
—
|
—
|
$29,832.15
|
$54,793.75
|
$30,440.97
|
2025-09-11
|
|
D0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
40
|
17
|
—
|
—
|
$29,768.71
|
$54,677.21
|
$30,376.23
|
2025-09-11
|
|
C1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
40
|
17
|
—
|
—
|
$29,750.05
|
$54,642.94
|
$30,357.19
|
2025-09-11
|
|
B0502
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50
|
40
|
17
|
—
|
—
|
$29,725.79
|
$54,598.39
|
$30,332.44
|
2025-09-11
|
|
D0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
40
|
17
|
—
|
—
|
$29,649.28
|
$54,457.87
|
$30,254.37
|
2025-09-11
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
2
|
1
|
—
|
—
|
$30,236.61
|
$30,236.61
|
$30,236.61
|
2025-09-11
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
2
|
1
|
—
|
—
|
$30,144.18
|
$30,144.18
|
$30,144.18
|
2025-09-11
|
|
C1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
40
|
17
|
—
|
—
|
$29,539.20
|
$54,255.67
|
$30,142.04
|
2025-09-11
|
|
A1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
40
|
17
|
—
|
—
|
$29,473.89
|
$54,135.72
|
$30,075.40
|
2025-09-11
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
2
|
1
|
—
|
—
|
$30,045.19
|
$30,045.19
|
$30,045.19
|
2025-09-11
|
|
D1604
|
HCPCS
|
Pain Syndrome M <43.50
|
40
|
17
|
—
|
—
|
$29,406.72
|
$54,012.35
|
$30,006.86
|
2025-09-11
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
1
|
—
|
—
|
$30,005.18
|
$30,005.18
|
$30,005.18
|
2025-09-11
|
|
A0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
40
|
17
|
—
|
—
|
$29,399.26
|
$53,998.63
|
$29,999.24
|
2025-09-11
|
|
A1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
40
|
17
|
—
|
—
|
$29,339.54
|
$53,888.96
|
$29,938.31
|
2025-09-11
|
|
D2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
40
|
17
|
—
|
—
|
$29,339.54
|
$53,888.96
|
$29,938.31
|
2025-09-11
|
|
D1404
|
HCPCS
|
Cardiac M <45.50
|
40
|
17
|
—
|
—
|
$29,326.48
|
$53,864.96
|
$29,924.98
|
2025-09-11
|
|
A0604
|
HCPCS
|
Neurological M <43.50
|
40
|
17
|
—
|
—
|
$29,291.03
|
$53,799.86
|
$29,888.81
|
2025-09-11
|
|
A1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
40
|
17
|
—
|
—
|
$29,061.53
|
$53,378.32
|
$29,654.62
|
2025-09-11
|
|
D1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
40
|
17
|
—
|
—
|
$29,044.73
|
$53,347.46
|
$29,637.48
|
2025-09-11
|
|
B0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
40
|
17
|
—
|
—
|
$29,022.34
|
$53,306.33
|
$29,614.63
|
2025-09-11
|
|
B0302
|
HCPCS
|
Non-traumatic Brain Injury M >=52.50 And M <65.50
|
40
|
17
|
—
|
—
|
$28,917.85
|
$53,114.42
|
$29,508.01
|
2025-09-11
|
|
B0702
|
HCPCS
|
Fracture Of Lower Extremity M >=52.50 And M <61.50
|
40
|
17
|
—
|
—
|
$28,906.66
|
$53,093.86
|
$29,496.59
|
2025-09-11
|
|
A0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$28,798.44
|
$52,895.09
|
$29,386.16
|
2025-09-11
|
|
D0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
40
|
17
|
—
|
—
|
$28,751.79
|
$52,809.41
|
$29,338.56
|
2025-09-11
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$29,240.19
|
$29,240.19
|
$29,240.19
|
2025-09-11
|
|
C1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$28,630.50
|
$52,586.64
|
$29,214.80
|
2025-09-11
|
|
B1002
|
HCPCS
|
Amputation Lower Extremity M >=55.50 And M <64.50
|
40
|
17
|
—
|
—
|
$28,624.90
|
$52,576.34
|
$29,209.08
|
2025-09-11
|
|
B0803
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=51.50 And M <57.50
|
40
|
17
|
—
|
—
|
$28,624.90
|
$52,576.34
|
$29,209.08
|
2025-09-11
|
|
A0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
40
|
17
|
—
|
—
|
$28,568.93
|
$52,473.55
|
$29,151.97
|
2025-09-11
|
|
D1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
40
|
17
|
—
|
—
|
$28,242.39
|
$51,873.79
|
$28,818.77
|
2025-09-11
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
2
|
1
|
—
|
—
|
$28,776.29
|
$28,776.29
|
$28,776.29
|
2025-09-11
|
|
A2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
40
|
17
|
—
|
—
|
$28,149.10
|
$51,702.43
|
$28,723.57
|
2025-09-11
|
|
D0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
40
|
17
|
—
|
—
|
$28,137.90
|
$51,681.85
|
$28,712.14
|
2025-09-11
|
|
A1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
40
|
17
|
—
|
—
|
$28,096.85
|
$51,606.47
|
$28,670.26
|
2025-09-11
|
|
B2101
|
HCPCS
|
Burns M >=52.50
|
40
|
17
|
—
|
—
|
$28,080.06
|
$51,575.62
|
$28,653.12
|
2025-09-11
|
|
A2102
|
HCPCS
|
Burns M <52.50
|
40
|
17
|
—
|
—
|
$28,063.26
|
$51,544.76
|
$28,635.98
|
2025-09-11
|
|
B1602
|
HCPCS
|
Pain Syndrome M >=58.50 And M <65.50
|
40
|
17
|
—
|
—
|
$27,994.23
|
$51,417.97
|
$28,565.54
|
2025-09-11
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
1
|
—
|
—
|
$28,522.10
|
$28,522.10
|
$28,522.10
|
2025-09-11
|
|
A0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
40
|
17
|
—
|
—
|
$27,945.71
|
$51,328.85
|
$28,516.03
|
2025-09-11
|
|
B0902
|
HCPCS
|
Other Orthopedic M >=51.50 And M <63.50
|
40
|
17
|
—
|
—
|
$27,927.05
|
$51,294.58
|
$28,496.99
|
2025-09-11
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
2
|
1
|
—
|
—
|
$28,410.35
|
$28,410.35
|
$28,410.35
|
2025-09-11
|
|
C0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
40
|
17
|
—
|
—
|
$27,837.49
|
$51,130.08
|
$28,405.60
|
2025-09-11
|
|
B1302
|
HCPCS
|
Rheumatoid Other Arthritis M >=51.50 And M <62.50
|
40
|
17
|
—
|
—
|
$27,813.23
|
$51,085.53
|
$28,380.85
|
2025-09-11
|
|
C1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
40
|
17
|
—
|
—
|
$27,813.23
|
$51,085.53
|
$28,380.85
|
2025-09-11
|
|
C0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
40
|
17
|
—
|
—
|
$27,740.46
|
$50,951.86
|
$28,306.59
|
2025-09-11
|
|
C1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
40
|
17
|
—
|
—
|
$27,736.73
|
$50,945.02
|
$28,302.79
|
2025-09-11
|
|
D1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
40
|
17
|
—
|
—
|
$27,697.54
|
$50,873.04
|
$28,262.80
|
2025-09-11
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
1
|
—
|
—
|
$28,231.00
|
$28,231.00
|
$28,231.00
|
2025-09-11
|
|
C0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
40
|
17
|
—
|
—
|
$27,497.90
|
$50,506.34
|
$28,059.08
|
2025-09-11
|
|
B2002
|
HCPCS
|
Miscellaneous M >=55.50 And M <66.50
|
40
|
17
|
—
|
—
|
$27,462.44
|
$50,441.22
|
$28,022.90
|
2025-09-11
|
|
A0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
40
|
17
|
—
|
—
|
$27,432.59
|
$50,386.39
|
$27,992.44
|
2025-09-11
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
2
|
1
|
—
|
—
|
$27,945.77
|
$27,945.77
|
$27,945.77
|
2025-09-11
|
|
A0904
|
HCPCS
|
Other Orthopedic M <44.5
|
40
|
17
|
—
|
—
|
$27,294.51
|
$50,132.77
|
$27,851.54
|
2025-09-11
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
2
|
1
|
—
|
—
|
$27,786.08
|
$27,786.08
|
$27,786.08
|
2025-09-11
|
|
A1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
40
|
17
|
—
|
—
|
$27,227.34
|
$50,009.40
|
$27,783.00
|
2025-09-11
|
|
A1604
|
HCPCS
|
Pain Syndrome M <43.50
|
40
|
17
|
—
|
—
|
$27,221.74
|
$49,999.12
|
$27,777.29
|
2025-09-11
|
|
C1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
40
|
17
|
—
|
—
|
$27,204.95
|
$49,968.27
|
$27,760.15
|
2025-09-11
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
2
|
1
|
—
|
—
|
$27,738.82
|
$27,738.82
|
$27,738.82
|
2025-09-11
|
|
A0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
40
|
17
|
—
|
—
|
$27,070.60
|
$49,721.51
|
$27,623.06
|
2025-09-11
|
|
A1404
|
HCPCS
|
Cardiac M <45.50
|
40
|
17
|
—
|
—
|
$26,984.77
|
$49,563.86
|
$27,535.48
|
2025-09-11
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$27,390.47
|
$27,390.47
|
$27,390.47
|
2025-09-11
|
|
C0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
40
|
17
|
—
|
—
|
$26,710.48
|
$49,060.06
|
$27,255.59
|
2025-09-11
|
|
B1402
|
HCPCS
|
Cardiac M >=55.50 And M <68.50
|
40
|
17
|
—
|
—
|
$26,704.88
|
$49,049.78
|
$27,249.88
|
2025-09-11
|
|
A2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
40
|
17
|
—
|
—
|
$26,704.88
|
$49,049.78
|
$27,249.88
|
2025-09-11
|
|
A1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
40
|
17
|
—
|
—
|
$26,553.75
|
$48,772.19
|
$27,095.66
|
2025-09-11
|
|
B1802
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50
|
40
|
17
|
—
|
—
|
$26,542.55
|
$48,751.61
|
$27,084.23
|
2025-09-11
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
2
|
1
|
—
|
—
|
$27,074.54
|
$27,074.54
|
$27,074.54
|
2025-09-11
|
|
D1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
40
|
17
|
—
|
—
|
$26,516.43
|
$48,703.64
|
$27,057.58
|
2025-09-11
|
|
C0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
40
|
17
|
—
|
—
|
$26,507.10
|
$48,686.51
|
$27,048.06
|
2025-09-11
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
2
|
1
|
—
|
—
|
$26,907.95
|
$26,907.95
|
$26,907.95
|
2025-09-11
|
|
C2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
40
|
17
|
—
|
—
|
$26,268.26
|
$48,247.83
|
$26,804.35
|
2025-09-11
|
|
C1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
40
|
17
|
—
|
—
|
$26,258.93
|
$48,230.69
|
$26,794.83
|
2025-09-11
|
|
A0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
40
|
17
|
—
|
—
|
$26,244.01
|
$48,203.28
|
$26,779.60
|
2025-09-11
|
|
A1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
40
|
17
|
—
|
—
|
$26,186.16
|
$48,097.03
|
$26,720.57
|
2025-09-11
|
|
C1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
40
|
17
|
—
|
—
|
$26,163.77
|
$48,055.90
|
$26,697.72
|
2025-09-11
|
|
D1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
40
|
17
|
—
|
—
|
$26,158.17
|
$48,045.62
|
$26,692.01
|
2025-09-11
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
2
|
1
|
—
|
—
|
$26,635.48
|
$26,635.48
|
$26,635.48
|
2025-09-11
|
|
7234
|
APR_DRG
|
Viral Illness
|
2
|
1
|
—
|
—
|
$26,599.26
|
$26,599.26
|
$26,599.26
|
2025-09-11
|
|
D0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
40
|
17
|
—
|
—
|
$26,048.09
|
$47,843.42
|
$26,579.68
|
2025-09-11
|
|
C0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
40
|
17
|
—
|
—
|
$25,911.88
|
$47,593.24
|
$26,440.69
|
2025-09-11
|
|
D0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
40
|
17
|
—
|
—
|
$25,896.94
|
$47,565.81
|
$26,425.45
|
2025-09-11
|
|
D1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
40
|
17
|
—
|
—
|
$25,827.91
|
$47,439.02
|
$26,355.01
|
2025-09-11
|
|
C0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
40
|
17
|
—
|
—
|
$25,809.25
|
$47,404.75
|
$26,335.97
|
2025-09-11
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
2
|
1
|
—
|
—
|
$26,313.34
|
$26,313.34
|
$26,313.34
|
2025-09-11
|
|
C1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
40
|
17
|
—
|
—
|
$25,742.07
|
$47,281.36
|
$26,267.42
|
2025-09-11
|
|
C0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
40
|
17
|
—
|
—
|
$25,732.74
|
$47,264.22
|
$26,257.90
|
2025-09-11
|
|
B0802
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=57.50 And M <63.50
|
40
|
17
|
—
|
—
|
$25,717.82
|
$47,236.81
|
$26,242.67
|
2025-09-11
|
|
D0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
40
|
17
|
—
|
—
|
$25,572.28
|
$46,969.49
|
$26,094.16
|
2025-09-11
|
|
C0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
40
|
17
|
—
|
—
|
$25,523.77
|
$46,880.39
|
$26,044.66
|
2025-09-11
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$26,022.59
|
$26,022.59
|
$26,022.59
|
2025-09-11
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
1
|
—
|
—
|
$25,971.20
|
$25,971.20
|
$25,971.20
|
2025-09-11
|
|
D1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
40
|
17
|
—
|
—
|
$25,337.17
|
$46,537.67
|
$25,854.26
|
2025-09-11
|