|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$161,017.62
|
$161,017.62
|
$161,017.62
|
2025-09-11
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
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
|
1
|
1
|
—
|
—
|
$104,951.57
|
$104,951.57
|
$104,951.57
|
2025-09-11
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
1
|
1
|
—
|
—
|
$97,528.91
|
$97,528.91
|
$97,528.91
|
2025-09-11
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$88,335.18
|
$88,335.18
|
$88,335.18
|
2025-09-11
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
1
|
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…
|
1
|
1
|
—
|
—
|
$84,783.02
|
$84,783.02
|
$84,783.02
|
2025-09-11
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$83,924.56
|
$83,924.56
|
$83,924.56
|
2025-09-11
|
|
B0407
|
LOCAL
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$78,436.58
|
$144,067.19
|
$80,037.33
|
2025-09-11
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
1
|
1
|
—
|
—
|
$74,777.73
|
$74,777.73
|
$74,777.73
|
2025-09-11
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$74,736.00
|
$74,736.00
|
$74,736.00
|
2025-09-11
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$74,111.38
|
$74,111.38
|
$74,111.38
|
2025-09-11
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
1
|
1
|
—
|
—
|
$72,473.09
|
$72,473.09
|
$72,473.09
|
2025-09-11
|
|
C0407
|
LOCAL
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$69,752.13
|
$128,116.15
|
$71,175.64
|
2025-09-11
|
|
B1904
|
LOCAL
|
Guillain-barré M <38.50
|
19
|
16
|
—
|
—
|
$67,870.90
|
$124,660.84
|
$69,256.02
|
2025-09-11
|
|
D0407
|
LOCAL
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$67,711.35
|
$124,367.78
|
$69,093.21
|
2025-09-11
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$65,194.60
|
$65,194.60
|
$65,194.60
|
2025-09-11
|
|
B1806
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
19
|
16
|
—
|
—
|
$63,843.13
|
$117,262.89
|
$65,146.05
|
2025-09-11
|
|
A0407
|
LOCAL
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$61,525.91
|
$113,006.77
|
$62,781.54
|
2025-09-11
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
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
|
1
|
1
|
—
|
—
|
$59,638.90
|
$59,638.90
|
$59,638.90
|
2025-09-11
|
|
B0406
|
LOCAL
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$57,373.85
|
$105,380.53
|
$58,544.74
|
2025-09-11
|
|
B0404
|
LOCAL
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
19
|
16
|
—
|
—
|
$56,540.84
|
$103,850.51
|
$57,694.73
|
2025-09-11
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$57,216.30
|
$57,216.30
|
$57,216.30
|
2025-09-11
|
|
B0505
|
LOCAL
|
Non-traumatic Spinal Cord Injury M <39.50
|
19
|
16
|
—
|
—
|
$55,960.14
|
$102,783.92
|
$57,102.18
|
2025-09-11
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$56,814.15
|
$56,814.15
|
$56,814.15
|
2025-09-11
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$56,794.83
|
$56,794.83
|
$56,794.83
|
2025-09-11
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
1
|
1
|
—
|
—
|
$55,329.34
|
$55,329.34
|
$55,329.34
|
2025-09-11
|
|
B0106
|
LOCAL
|
Stroke M <41.50 And A <84.50
|
19
|
16
|
—
|
—
|
$53,921.21
|
$99,038.95
|
$55,021.64
|
2025-09-11
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$54,013.53
|
$54,013.53
|
$54,013.53
|
2025-09-11
|
|
C1904
|
LOCAL
|
Guillain-barré M <38.50
|
19
|
16
|
—
|
—
|
$52,179.12
|
$95,839.20
|
$53,244.00
|
2025-09-11
|
|
C0406
|
LOCAL
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$51,021.45
|
$93,712.86
|
$52,062.70
|
2025-09-11
|
|
C1806
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
19
|
16
|
—
|
—
|
$50,930.54
|
$93,545.89
|
$51,969.94
|
2025-09-11
|
|
C0404
|
LOCAL
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
19
|
16
|
—
|
—
|
$50,281.19
|
$92,353.21
|
$51,307.34
|
2025-09-11
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$50,589.68
|
$50,589.68
|
$50,589.68
|
2025-09-11
|
|
D0406
|
LOCAL
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$49,527.97
|
$90,969.73
|
$50,538.74
|
2025-09-11
|
|
B0205
|
LOCAL
|
Traumatic Brain Injury M <35.50
|
19
|
16
|
—
|
—
|
$48,950.98
|
$89,909.96
|
$49,949.98
|
2025-09-11
|
|
D0404
|
LOCAL
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
19
|
16
|
—
|
—
|
$48,809.98
|
$89,650.98
|
$49,806.10
|
2025-09-11
|
|
D1904
|
LOCAL
|
Guillain-barré M <38.50
|
19
|
16
|
—
|
—
|
$48,689.39
|
$89,429.49
|
$49,683.05
|
2025-09-11
|
|
B1705
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
19
|
16
|
—
|
—
|
$48,644.86
|
$89,347.70
|
$49,637.61
|
2025-09-11
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$49,543.25
|
$49,543.25
|
$49,543.25
|
2025-09-11
|
|
D1806
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
19
|
16
|
—
|
—
|
$48,351.73
|
$88,809.30
|
$49,338.50
|
2025-09-11
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
1
|
1
|
—
|
—
|
$49,098.32
|
$49,098.32
|
$49,098.32
|
2025-09-11
|
|
A1904
|
LOCAL
|
Guillain-barré M <38.50
|
19
|
16
|
—
|
—
|
$47,847.10
|
$87,882.43
|
$48,823.57
|
2025-09-11
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
1
|
1
|
—
|
—
|
$48,797.57
|
$48,797.57
|
$48,797.57
|
2025-09-11
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$48,742.73
|
$48,742.73
|
$48,742.73
|
2025-09-11
|
|
B0105
|
LOCAL
|
Stroke M <41.50 And A >=84.50
|
19
|
16
|
—
|
—
|
$47,407.40
|
$87,074.82
|
$48,374.90
|
2025-09-11
|
|
C0106
|
LOCAL
|
Stroke M <41.50 And A <84.50
|
19
|
16
|
—
|
—
|
$46,763.63
|
$85,892.38
|
$47,717.99
|
2025-09-11
|
|
B1903
|
LOCAL
|
Guillain-barré M >=38.50 And M <51.50
|
19
|
16
|
—
|
—
|
$46,592.94
|
$85,578.88
|
$47,543.82
|
2025-09-11
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$47,270.68
|
$47,270.68
|
$47,270.68
|
2025-09-11
|
|
B0604
|
LOCAL
|
Neurological M <43.50
|
19
|
16
|
—
|
—
|
$46,203.33
|
$84,863.27
|
$47,146.26
|
2025-09-11
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$45,994.88
|
$45,994.88
|
$45,994.88
|
2025-09-11
|
|
A0406
|
LOCAL
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
19
|
16
|
—
|
—
|
$45,004.84
|
$82,661.96
|
$45,923.31
|
2025-09-11
|
|
B0405
|
LOCAL
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
19
|
16
|
—
|
—
|
$44,964.03
|
$82,586.99
|
$45,881.66
|
2025-09-11
|
|
B1805
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
19
|
16
|
—
|
—
|
$44,954.75
|
$82,569.94
|
$45,872.19
|
2025-09-11
|
|
A1806
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
19
|
16
|
—
|
—
|
$44,830.45
|
$82,341.65
|
$45,745.36
|
2025-09-11
|
|
A0404
|
LOCAL
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
19
|
16
|
—
|
—
|
$44,351.79
|
$81,462.47
|
$45,256.93
|
2025-09-11
|
|
B0305
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
19
|
16
|
—
|
—
|
$44,238.62
|
$81,254.61
|
$45,141.45
|
2025-09-11
|
|
A5104
|
LOCAL
|
Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More
|
19
|
16
|
—
|
—
|
$44,218.22
|
$81,217.13
|
$45,120.63
|
2025-09-11
|
|
B1604
|
LOCAL
|
Pain Syndrome M <43.50
|
19
|
16
|
—
|
—
|
$43,552.18
|
$79,993.80
|
$44,441.00
|
2025-09-11
|
|
C0505
|
LOCAL
|
Non-traumatic Spinal Cord Injury M <39.50
|
19
|
16
|
—
|
—
|
$43,535.48
|
$79,963.13
|
$44,423.96
|
2025-09-11
|
|
B0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50
|
19
|
16
|
—
|
—
|
$43,177.42
|
$79,305.46
|
$44,058.59
|
2025-09-11
|
|
B2102
|
LOCAL
|
Burns M <52.50
|
19
|
16
|
—
|
—
|
$42,997.45
|
$78,974.91
|
$43,874.95
|
2025-09-11
|
|
D0106
|
LOCAL
|
Stroke M <41.50 And A <84.50
|
19
|
16
|
—
|
—
|
$42,734.01
|
$78,491.03
|
$43,606.13
|
2025-09-11
|
|
B1004
|
LOCAL
|
Amputation Lower Extremity M <47.50
|
19
|
16
|
—
|
—
|
$42,691.34
|
$78,412.66
|
$43,562.59
|
2025-09-11
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
1
|
1
|
—
|
—
|
$43,105.98
|
$43,105.98
|
$43,105.98
|
2025-09-11
|
|
B1504
|
LOCAL
|
Pulmonary M <45.50
|
19
|
16
|
—
|
—
|
$42,195.99
|
$77,502.83
|
$43,057.13
|
2025-09-11
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
1
|
1
|
—
|
—
|
$42,770.73
|
$42,770.73
|
$42,770.73
|
2025-09-11
|
|
B1704
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
19
|
16
|
—
|
—
|
$41,452.02
|
$76,136.36
|
$42,297.98
|
2025-09-11
|
|
234
|
APR_DRG
|
Spinal Procedures
|
1
|
1
|
—
|
—
|
$42,137.14
|
$42,137.14
|
$42,137.14
|
2025-09-11
|
|
B2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50
|
19
|
16
|
—
|
—
|
$41,208.99
|
$75,689.98
|
$42,049.99
|
2025-09-11
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$41,984.70
|
$41,984.70
|
$41,984.70
|
2025-09-11
|
|
D0505
|
LOCAL
|
Non-traumatic Spinal Cord Injury M <39.50
|
19
|
16
|
—
|
—
|
$41,129.21
|
$75,543.44
|
$41,968.58
|
2025-09-11
|
|
C0105
|
LOCAL
|
Stroke M <41.50 And A >=84.50
|
19
|
16
|
—
|
—
|
$41,114.37
|
$75,516.19
|
$41,953.44
|
2025-09-11
|
|
A0106
|
LOCAL
|
Stroke M <41.50 And A <84.50
|
19
|
16
|
—
|
—
|
$40,724.76
|
$74,800.58
|
$41,555.88
|
2025-09-11
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$41,445.27
|
$41,445.27
|
$41,445.27
|
2025-09-11
|
|
B1204
|
LOCAL
|
Osteoarthritis M <49.50 And A <74.50
|
19
|
16
|
—
|
—
|
$40,513.27
|
$74,412.13
|
$41,340.07
|
2025-09-11
|
|
C0205
|
LOCAL
|
Traumatic Brain Injury M <35.50
|
19
|
16
|
—
|
—
|
$40,316.60
|
$74,050.90
|
$41,139.39
|
2025-09-11
|
|
B0504
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
19
|
16
|
—
|
—
|
$40,272.08
|
$73,969.13
|
$41,093.96
|
2025-09-11
|
|
B0304
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
19
|
16
|
—
|
—
|
$40,112.53
|
$73,676.07
|
$40,931.15
|
2025-09-11
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$40,926.88
|
$40,926.88
|
$40,926.88
|
2025-09-11
|
|
C0405
|
LOCAL
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
19
|
16
|
—
|
—
|
$39,986.37
|
$73,444.36
|
$40,802.42
|
2025-09-11
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$40,738.22
|
$40,738.22
|
$40,738.22
|
2025-09-11
|
|
B1404
|
LOCAL
|
Cardiac M <45.50
|
19
|
16
|
—
|
—
|
$39,810.12
|
$73,120.63
|
$40,622.57
|
2025-09-11
|
|
B0904
|
LOCAL
|
Other Orthopedic M <44.5
|
19
|
16
|
—
|
—
|
$39,732.20
|
$72,977.51
|
$40,543.06
|
2025-09-11
|
|
B1304
|
LOCAL
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
19
|
16
|
—
|
—
|
$39,732.20
|
$72,977.51
|
$40,543.06
|
2025-09-11
|
|
B2004
|
LOCAL
|
Miscellaneous M <46.50 And A >=77.50
|
19
|
16
|
—
|
—
|
$39,095.85
|
$71,808.70
|
$39,893.72
|
2025-09-11
|
|
D0405
|
LOCAL
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
19
|
16
|
—
|
—
|
$38,815.70
|
$71,294.15
|
$39,607.86
|
2025-09-11
|
|
B1203
|
LOCAL
|
Osteoarthritis M <49.50 And A >=74.50
|
19
|
16
|
—
|
—
|
$38,633.88
|
$70,960.19
|
$39,422.33
|
2025-09-11
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
1
|
1
|
—
|
—
|
$39,311.70
|
$39,311.70
|
$39,311.70
|
2025-09-11
|
|
B0805
|
LOCAL
|
Replacement Of Lower-extremity Joint M <42.50
|
19
|
16
|
—
|
—
|
$38,242.43
|
$70,241.20
|
$39,022.89
|
2025-09-11
|
|
B0204
|
LOCAL
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
19
|
16
|
—
|
—
|
$38,214.60
|
$70,190.08
|
$38,994.49
|
2025-09-11
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$38,909.89
|
$38,909.89
|
$38,909.89
|
2025-09-11
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
1
|
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
|
1
|
1
|
—
|
—
|
$38,855.39
|
$38,855.39
|
$38,855.39
|
2025-09-11
|
|
B1305
|
LOCAL
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
19
|
16
|
—
|
—
|
$38,049.48
|
$69,886.80
|
$38,826.00
|
2025-09-11
|
|
B0104
|
LOCAL
|
Stroke M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$37,912.19
|
$69,634.64
|
$38,685.91
|
2025-09-11
|
|
A0505
|
LOCAL
|
Non-traumatic Spinal Cord Injury M <39.50
|
19
|
16
|
—
|
—
|
$37,901.06
|
$69,614.19
|
$38,674.55
|
2025-09-11
|
|
C1705
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
19
|
16
|
—
|
—
|
$37,812.01
|
$69,450.62
|
$38,583.68
|
2025-09-11
|
|
D0105
|
LOCAL
|
Stroke M <41.50 And A >=84.50
|
19
|
16
|
—
|
—
|
$37,570.83
|
$69,007.64
|
$38,337.58
|
2025-09-11
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
1
|
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
|
1
|
1
|
—
|
—
|
$38,210.08
|
$38,210.08
|
$38,210.08
|
2025-09-11
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
1
|
1
|
—
|
—
|
$38,102.12
|
$38,102.12
|
$38,102.12
|
2025-09-11
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$38,053.15
|
$38,053.15
|
$38,053.15
|
2025-09-11
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$38,014.17
|
$38,014.17
|
$38,014.17
|
2025-09-11
|
|
B1103
|
LOCAL
|
Amputation Non-lower Extremity M <52.50
|
19
|
16
|
—
|
—
|
$37,209.05
|
$68,343.16
|
$37,968.42
|
2025-09-11
|
|
B1804
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
19
|
16
|
—
|
—
|
$37,079.18
|
$68,104.62
|
$37,835.90
|
2025-09-11
|
|
B0603
|
LOCAL
|
Neurological M >=43.50 And M <52.50
|
19
|
16
|
—
|
—
|
$36,841.71
|
$67,668.44
|
$37,593.58
|
2025-09-11
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$37,375.41
|
$37,375.41
|
$37,375.41
|
2025-09-11
|
|
B1703
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$36,622.79
|
$67,266.34
|
$37,370.19
|
2025-09-11
|
|
D0205
|
LOCAL
|
Traumatic Brain Injury M <35.50
|
19
|
16
|
—
|
—
|
$36,619.08
|
$67,259.54
|
$37,366.41
|
2025-09-11
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
1
|
1
|
—
|
—
|
$37,250.21
|
$37,250.21
|
$37,250.21
|
2025-09-11
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$37,133.98
|
$37,133.98
|
$37,133.98
|
2025-09-11
|
|
B0403
|
LOCAL
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
19
|
16
|
—
|
—
|
$36,212.77
|
$66,513.26
|
$36,951.81
|
2025-09-11
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$36,681.47
|
$36,681.47
|
$36,681.47
|
2025-09-11
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
1
|
1
|
—
|
—
|
$36,594.55
|
$36,594.55
|
$36,594.55
|
2025-09-11
|
|
C1805
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
19
|
16
|
—
|
—
|
$35,862.13
|
$65,869.22
|
$36,594.01
|
2025-09-11
|
|
C1903
|
LOCAL
|
Guillain-barré M >=38.50 And M <51.50
|
19
|
16
|
—
|
—
|
$35,819.46
|
$65,790.85
|
$36,550.47
|
2025-09-11
|
|
A0105
|
LOCAL
|
Stroke M <41.50 And A >=84.50
|
19
|
16
|
—
|
—
|
$35,806.48
|
$65,767.00
|
$36,537.22
|
2025-09-11
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
1
|
1
|
—
|
—
|
$36,462.46
|
$36,462.46
|
$36,462.46
|
2025-09-11
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
1
|
1
|
—
|
—
|
$36,318.63
|
$36,318.63
|
$36,318.63
|
2025-09-11
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
1
|
1
|
—
|
—
|
$36,119.62
|
$36,119.62
|
$36,119.62
|
2025-09-11
|
|
C0305
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
19
|
16
|
—
|
—
|
$35,392.75
|
$65,007.09
|
$36,115.05
|
2025-09-11
|
|
B0703
|
LOCAL
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
19
|
16
|
—
|
—
|
$35,344.51
|
$64,918.49
|
$36,065.83
|
2025-09-11
|
|
C1004
|
LOCAL
|
Amputation Lower Extremity M <47.50
|
19
|
16
|
—
|
—
|
$35,307.41
|
$64,850.35
|
$36,027.97
|
2025-09-11
|
|
A0405
|
LOCAL
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
19
|
16
|
—
|
—
|
$35,270.31
|
$64,782.20
|
$35,990.11
|
2025-09-11
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$35,897.85
|
$35,897.85
|
$35,897.85
|
2025-09-11
|
|
B1603
|
LOCAL
|
Pain Syndrome M >=43.50 And M <58.50
|
19
|
16
|
—
|
—
|
$35,151.57
|
$64,564.11
|
$35,868.95
|
2025-09-11
|
|
D1705
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
19
|
16
|
—
|
—
|
$35,017.99
|
$64,318.75
|
$35,732.64
|
2025-09-11
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$35,569.85
|
$35,569.85
|
$35,569.85
|
2025-09-11
|
|
B0303
|
LOCAL
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
19
|
16
|
—
|
—
|
$34,596.85
|
$63,545.24
|
$35,302.91
|
2025-09-11
|
|
C0604
|
LOCAL
|
Neurological M <43.50
|
19
|
16
|
—
|
—
|
$34,591.29
|
$63,535.01
|
$35,297.23
|
2025-09-11
|
|
A0205
|
LOCAL
|
Traumatic Brain Injury M <35.50
|
19
|
16
|
—
|
—
|
$34,476.25
|
$63,323.73
|
$35,179.85
|
2025-09-11
|
|
C1504
|
LOCAL
|
Pulmonary M <45.50
|
19
|
16
|
—
|
—
|
$34,248.06
|
$62,904.60
|
$34,947.00
|
2025-09-11
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
1
|
1
|
—
|
—
|
$34,930.05
|
$34,930.05
|
$34,930.05
|
2025-09-11
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
1
|
1
|
—
|
—
|
$34,811.40
|
$34,811.40
|
$34,811.40
|
2025-09-11
|
|
B1503
|
LOCAL
|
Pulmonary M >=45.50 And M <56.50
|
19
|
16
|
—
|
—
|
$34,073.67
|
$62,584.29
|
$34,769.05
|
2025-09-11
|
|
D1805
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
19
|
16
|
—
|
—
|
$34,045.84
|
$62,533.17
|
$34,740.65
|
2025-09-11
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
1
|
1
|
—
|
—
|
$34,669.99
|
$34,669.99
|
$34,669.99
|
2025-09-11
|
|
B1803
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
19
|
16
|
—
|
—
|
$33,906.69
|
$62,277.59
|
$34,598.66
|
2025-09-11
|
|
B0503
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
19
|
16
|
—
|
—
|
$33,878.86
|
$62,226.49
|
$34,570.27
|
2025-09-11
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
1
|
1
|
—
|
—
|
$34,538.24
|
$34,538.24
|
$34,538.24
|
2025-09-11
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$34,167.82
|
$34,167.82
|
$34,167.82
|
2025-09-11
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$34,122.63
|
$34,122.63
|
$34,122.63
|
2025-09-11
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$34,114.01
|
$34,114.01
|
$34,114.01
|
2025-09-11
|
|
D1903
|
LOCAL
|
Guillain-barré M >=38.50 And M <51.50
|
19
|
16
|
—
|
—
|
$33,424.32
|
$61,391.61
|
$34,106.45
|
2025-09-11
|
|
C0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50
|
19
|
16
|
—
|
—
|
$33,400.20
|
$61,347.31
|
$34,081.84
|
2025-09-11
|
|
B1003
|
LOCAL
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
19
|
16
|
—
|
—
|
$33,346.40
|
$61,248.49
|
$34,026.94
|
2025-09-11
|
|
A5102
|
LOCAL
|
Expired, Orthopedic, Length Of Stay Is 14 Days Or More
|
19
|
16
|
—
|
—
|
$33,257.35
|
$61,084.93
|
$33,936.07
|
2025-09-11
|
|
B0903
|
LOCAL
|
Other Orthopedic M >=44.50 And M <51.50
|
19
|
16
|
—
|
—
|
$33,159.03
|
$60,904.33
|
$33,835.74
|
2025-09-11
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$33,605.97
|
$33,605.97
|
$33,605.97
|
2025-09-11
|
|
C2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50
|
19
|
16
|
—
|
—
|
$32,915.99
|
$60,457.93
|
$33,587.74
|
2025-09-11
|
|
C0104
|
LOCAL
|
Stroke M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$32,878.88
|
$60,389.78
|
$33,549.88
|
2025-09-11
|
|
C1304
|
LOCAL
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
19
|
16
|
—
|
—
|
$32,851.05
|
$60,338.66
|
$33,521.48
|
2025-09-11
|
|
A1903
|
LOCAL
|
Guillain-barré M >=38.50 And M <51.50
|
19
|
16
|
—
|
—
|
$32,845.48
|
$60,328.44
|
$33,515.80
|
2025-09-11
|
|
B2003
|
LOCAL
|
Miscellaneous M >=46.50 And M <55.50
|
19
|
16
|
—
|
—
|
$32,698.92
|
$60,059.23
|
$33,366.24
|
2025-09-11
|
|
D2102
|
LOCAL
|
Burns M <52.50
|
19
|
16
|
—
|
—
|
$32,672.95
|
$60,011.53
|
$33,339.74
|
2025-09-11
|
|
C2102
|
LOCAL
|
Burns M <52.50
|
19
|
16
|
—
|
—
|
$32,672.95
|
$60,011.53
|
$33,339.74
|
2025-09-11
|
|
D0305
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
19
|
16
|
—
|
—
|
$32,511.54
|
$59,715.07
|
$33,175.04
|
2025-09-11
|
|
B1403
|
LOCAL
|
Cardiac M >=45.50 And M <55.50
|
19
|
16
|
—
|
—
|
$32,489.27
|
$59,674.18
|
$33,152.32
|
2025-09-11
|
|
C1604
|
LOCAL
|
Pain Syndrome M <43.50
|
19
|
16
|
—
|
—
|
$32,348.27
|
$59,415.19
|
$33,008.44
|
2025-09-11
|
|
D0604
|
LOCAL
|
Neurological M <43.50
|
19
|
16
|
—
|
—
|
$32,292.62
|
$59,312.97
|
$32,951.65
|
2025-09-11
|
|
D1004
|
LOCAL
|
Amputation Lower Extremity M <47.50
|
19
|
16
|
—
|
—
|
$32,251.80
|
$59,238.00
|
$32,910.00
|
2025-09-11
|
|
C1704
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
19
|
16
|
—
|
—
|
$32,220.26
|
$59,180.08
|
$32,877.82
|
2025-09-11
|
|
D1504
|
LOCAL
|
Pulmonary M <45.50
|
19
|
16
|
—
|
—
|
$32,209.13
|
$59,159.63
|
$32,866.46
|
2025-09-11
|
|
C0403
|
LOCAL
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
19
|
16
|
—
|
—
|
$32,203.56
|
$59,149.40
|
$32,860.78
|
2025-09-11
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
1
|
1
|
—
|
—
|
$32,758.20
|
$32,758.20
|
$32,758.20
|
2025-09-11
|
|
C0304
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
19
|
16
|
—
|
—
|
$32,092.25
|
$58,944.94
|
$32,747.19
|
2025-09-11
|
|
B0804
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
19
|
16
|
—
|
—
|
$31,886.32
|
$58,566.71
|
$32,537.06
|
2025-09-11
|
|
C0904
|
LOCAL
|
Other Orthopedic M <44.5
|
19
|
16
|
—
|
—
|
$31,823.24
|
$58,450.84
|
$32,472.69
|
2025-09-11
|
|
A1705
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
19
|
16
|
—
|
—
|
$31,769.43
|
$58,352.02
|
$32,417.79
|
2025-09-11
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$32,374.66
|
$32,374.66
|
$32,374.66
|
2025-09-11
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
1
|
1
|
—
|
—
|
$32,356.04
|
$32,356.04
|
$32,356.04
|
2025-09-11
|
|
D0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50
|
19
|
16
|
—
|
—
|
$31,639.56
|
$58,113.49
|
$32,285.27
|
2025-09-11
|
|
A1805
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
19
|
16
|
—
|
—
|
$31,567.21
|
$57,980.59
|
$32,211.44
|
2025-09-11
|
|
C0204
|
LOCAL
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
19
|
16
|
—
|
—
|
$31,476.31
|
$57,813.62
|
$32,118.68
|
2025-09-11
|
|
B1303
|
LOCAL
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
19
|
16
|
—
|
—
|
$31,461.46
|
$57,786.35
|
$32,103.53
|
2025-09-11
|
|
C1305
|
LOCAL
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
19
|
16
|
—
|
—
|
$31,459.61
|
$57,782.95
|
$32,101.64
|
2025-09-11
|
|
C1404
|
LOCAL
|
Cardiac M <45.50
|
19
|
16
|
—
|
—
|
$31,361.27
|
$57,602.34
|
$32,001.30
|
2025-09-11
|
|
D1304
|
LOCAL
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
19
|
16
|
—
|
—
|
$31,357.57
|
$57,595.54
|
$31,997.52
|
2025-09-11
|
|
C0504
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
19
|
16
|
—
|
—
|
$31,329.74
|
$57,544.42
|
$31,969.12
|
2025-09-11
|
|
B0602
|
LOCAL
|
Neurological M >=52.50 And M <64.50
|
19
|
16
|
—
|
—
|
$31,266.66
|
$57,428.55
|
$31,904.75
|
2025-09-11
|
|
D0403
|
LOCAL
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
19
|
16
|
—
|
—
|
$31,261.09
|
$57,418.33
|
$31,899.07
|
2025-09-11
|
|
C2004
|
LOCAL
|
Miscellaneous M <46.50 And A >=77.50
|
19
|
16
|
—
|
—
|
$31,227.70
|
$57,357.00
|
$31,865.00
|
2025-09-11
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$31,582.77
|
$31,582.77
|
$31,582.77
|
2025-09-11
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
1
|
1
|
—
|
—
|
$31,532.41
|
$31,532.41
|
$31,532.41
|
2025-09-11
|
|
B1902
|
LOCAL
|
Guillain-barré M >=51.50 And M <66.50
|
19
|
16
|
—
|
—
|
$30,880.77
|
$56,719.78
|
$31,510.99
|
2025-09-11
|
|
B1702
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50
|
19
|
16
|
—
|
—
|
$30,819.54
|
$56,607.32
|
$31,448.51
|
2025-09-11
|
|
B0203
|
LOCAL
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
19
|
16
|
—
|
—
|
$30,812.12
|
$56,593.69
|
$31,440.94
|
2025-09-11
|
|
C1204
|
LOCAL
|
Osteoarthritis M <49.50 And A <74.50
|
19
|
16
|
—
|
—
|
$30,800.99
|
$56,573.24
|
$31,429.58
|
2025-09-11
|
|
D2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50
|
19
|
16
|
—
|
—
|
$30,749.04
|
$56,477.83
|
$31,376.57
|
2025-09-11
|
|
C0805
|
LOCAL
|
Replacement Of Lower-extremity Joint M <42.50
|
19
|
16
|
—
|
—
|
$30,685.97
|
$56,361.98
|
$31,312.21
|
2025-09-11
|
|
A0305
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
19
|
16
|
—
|
—
|
$30,643.30
|
$56,283.61
|
$31,268.67
|
2025-09-11
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
1
|
1
|
—
|
—
|
$31,225.10
|
$31,225.10
|
$31,225.10
|
2025-09-11
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
1
|
1
|
—
|
—
|
$31,057.14
|
$31,057.14
|
$31,057.14
|
2025-09-11
|
|
A1504
|
LOCAL
|
Pulmonary M <45.50
|
19
|
16
|
—
|
—
|
$30,129.38
|
$55,339.69
|
$30,744.27
|
2025-09-11
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
1
|
1
|
—
|
—
|
$30,740.17
|
$30,740.17
|
$30,740.17
|
2025-09-11
|
|
D0104
|
LOCAL
|
Stroke M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$30,045.90
|
$55,186.34
|
$30,659.08
|
2025-09-11
|
|
D1305
|
LOCAL
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
19
|
16
|
—
|
—
|
$30,029.20
|
$55,155.67
|
$30,642.04
|
2025-09-11
|
|
B1502
|
LOCAL
|
Pulmonary M >=56.50 And M <68.50
|
19
|
16
|
—
|
—
|
$29,980.96
|
$55,067.08
|
$30,592.82
|
2025-09-11
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$30,531.16
|
$30,531.16
|
$30,531.16
|
2025-09-11
|
|
D1103
|
LOCAL
|
Amputation Non-lower Extremity M <52.50
|
19
|
16
|
—
|
—
|
$29,910.46
|
$54,937.58
|
$30,520.88
|
2025-09-11
|
|
C1103
|
LOCAL
|
Amputation Non-lower Extremity M <52.50
|
19
|
16
|
—
|
—
|
$29,910.46
|
$54,937.58
|
$30,520.88
|
2025-09-11
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$30,472.52
|
$30,472.52
|
$30,472.52
|
2025-09-11
|
|
D1704
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
19
|
16
|
—
|
—
|
$29,839.96
|
$54,808.09
|
$30,448.94
|
2025-09-11
|
|
B1102
|
LOCAL
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
19
|
16
|
—
|
—
|
$29,838.11
|
$54,804.69
|
$30,447.05
|
2025-09-11
|
|
B1202
|
LOCAL
|
Osteoarthritis M >=49.50 And M <61.50
|
19
|
16
|
—
|
—
|
$29,821.41
|
$54,774.02
|
$30,430.01
|
2025-09-11
|
|
B0103
|
LOCAL
|
Stroke M >=50.50 And M <63.50
|
19
|
16
|
—
|
—
|
$29,706.39
|
$54,562.75
|
$30,312.64
|
2025-09-11
|
|
D0904
|
LOCAL
|
Other Orthopedic M <44.5
|
19
|
16
|
—
|
—
|
$29,661.87
|
$54,480.98
|
$30,267.21
|
2025-09-11
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
1
|
1
|
—
|
—
|
$30,236.61
|
$30,236.61
|
$30,236.61
|
2025-09-11
|
|
D0504
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
19
|
16
|
—
|
—
|
$29,598.78
|
$54,365.11
|
$30,202.84
|
2025-09-11
|
|
C1804
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
19
|
16
|
—
|
—
|
$29,580.23
|
$54,331.04
|
$30,183.91
|
2025-09-11
|
|
B0502
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50
|
19
|
16
|
—
|
—
|
$29,556.11
|
$54,286.74
|
$30,159.30
|
2025-09-11
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
1
|
1
|
—
|
—
|
$30,144.18
|
$30,144.18
|
$30,144.18
|
2025-09-11
|
|
D0304
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
19
|
16
|
—
|
—
|
$29,480.05
|
$54,147.02
|
$30,081.68
|
2025-09-11
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
1
|
1
|
—
|
—
|
$30,045.19
|
$30,045.19
|
$30,045.19
|
2025-09-11
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
1
|
1
|
—
|
—
|
$30,005.18
|
$30,005.18
|
$30,005.18
|
2025-09-11
|
|
C1203
|
LOCAL
|
Osteoarthritis M <49.50 And A >=74.50
|
19
|
16
|
—
|
—
|
$29,370.59
|
$53,945.98
|
$29,969.99
|
2025-09-11
|
|
A1103
|
LOCAL
|
Amputation Non-lower Extremity M <52.50
|
19
|
16
|
—
|
—
|
$29,305.66
|
$53,826.71
|
$29,903.73
|
2025-09-11
|
|
D1604
|
LOCAL
|
Pain Syndrome M <43.50
|
19
|
16
|
—
|
—
|
$29,238.86
|
$53,704.03
|
$29,835.57
|
2025-09-11
|
|
A0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50
|
19
|
16
|
—
|
—
|
$29,231.44
|
$53,690.40
|
$29,828.00
|
2025-09-11
|
|
A1304
|
LOCAL
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
19
|
16
|
—
|
—
|
$29,172.07
|
$53,581.36
|
$29,767.42
|
2025-09-11
|
|
D2004
|
LOCAL
|
Miscellaneous M <46.50 And A >=77.50
|
19
|
16
|
—
|
—
|
$29,172.07
|
$53,581.36
|
$29,767.42
|
2025-09-11
|
|
D1404
|
LOCAL
|
Cardiac M <45.50
|
19
|
16
|
—
|
—
|
$29,159.09
|
$53,557.51
|
$29,754.17
|
2025-09-11
|
|
A0604
|
LOCAL
|
Neurological M <43.50
|
19
|
16
|
—
|
—
|
$29,123.84
|
$53,492.76
|
$29,718.20
|
2025-09-11
|
|
A1004
|
LOCAL
|
Amputation Lower Extremity M <47.50
|
19
|
16
|
—
|
—
|
$28,895.64
|
$53,073.63
|
$29,485.35
|
2025-09-11
|
|
D1204
|
LOCAL
|
Osteoarthritis M <49.50 And A <74.50
|
19
|
16
|
—
|
—
|
$28,878.94
|
$53,042.96
|
$29,468.31
|
2025-09-11
|
|
B0402
|
LOCAL
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
19
|
16
|
—
|
—
|
$28,856.68
|
$53,002.06
|
$29,445.59
|
2025-09-11
|
|
B0302
|
LOCAL
|
Non-traumatic Brain Injury M >=52.50 And M <65.50
|
19
|
16
|
—
|
—
|
$28,752.79
|
$52,811.24
|
$29,339.58
|
2025-09-11
|
|
B0702
|
LOCAL
|
Fracture Of Lower Extremity M >=52.50 And M <61.50
|
19
|
16
|
—
|
—
|
$28,741.66
|
$52,790.80
|
$29,328.22
|
2025-09-11
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$29,240.19
|
$29,240.19
|
$29,240.19
|
2025-09-11
|
|
A0104
|
LOCAL
|
Stroke M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$28,634.05
|
$52,593.16
|
$29,218.42
|
2025-09-11
|
|
D0204
|
LOCAL
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
19
|
16
|
—
|
—
|
$28,587.67
|
$52,507.96
|
$29,171.09
|
2025-09-11
|
|
C1703
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$28,467.08
|
$52,286.47
|
$29,048.04
|
2025-09-11
|
|
B1002
|
LOCAL
|
Amputation Lower Extremity M >=55.50 And M <64.50
|
19
|
16
|
—
|
—
|
$28,461.51
|
$52,276.25
|
$29,042.36
|
2025-09-11
|
|
B0803
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=51.50 And M <57.50
|
19
|
16
|
—
|
—
|
$28,461.51
|
$52,276.25
|
$29,042.36
|
2025-09-11
|
|
A0403
|
LOCAL
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
19
|
16
|
—
|
—
|
$28,405.85
|
$52,174.01
|
$28,985.56
|
2025-09-11
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
1
|
1
|
—
|
—
|
$28,776.29
|
$28,776.29
|
$28,776.29
|
2025-09-11
|
|
D1804
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
19
|
16
|
—
|
—
|
$28,081.18
|
$51,577.69
|
$28,654.27
|
2025-09-11
|
|
A2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50
|
19
|
16
|
—
|
—
|
$27,988.42
|
$51,407.30
|
$28,559.61
|
2025-09-11
|
|
D0805
|
LOCAL
|
Replacement Of Lower-extremity Joint M <42.50
|
19
|
16
|
—
|
—
|
$27,977.29
|
$51,386.85
|
$28,548.25
|
2025-09-11
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$28,522.10
|
$28,522.10
|
$28,522.10
|
2025-09-11
|
|
A1305
|
LOCAL
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
19
|
16
|
—
|
—
|
$27,936.47
|
$51,311.88
|
$28,506.60
|
2025-09-11
|
|
B2101
|
LOCAL
|
Burns M >=52.50
|
19
|
16
|
—
|
—
|
$27,919.78
|
$51,281.23
|
$28,489.57
|
2025-09-11
|
|
A2102
|
LOCAL
|
Burns M <52.50
|
19
|
16
|
—
|
—
|
$27,903.08
|
$51,250.55
|
$28,472.53
|
2025-09-11
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$28,410.35
|
$28,410.35
|
$28,410.35
|
2025-09-11
|
|
B1602
|
LOCAL
|
Pain Syndrome M >=58.50 And M <65.50
|
19
|
16
|
—
|
—
|
$27,834.43
|
$51,124.46
|
$28,402.48
|
2025-09-11
|
|
A0304
|
LOCAL
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
19
|
16
|
—
|
—
|
$27,786.19
|
$51,035.87
|
$28,353.26
|
2025-09-11
|
|
B0902
|
LOCAL
|
Other Orthopedic M >=51.50 And M <63.50
|
19
|
16
|
—
|
—
|
$27,767.64
|
$51,001.79
|
$28,334.33
|
2025-09-11
|
|
C0303
|
LOCAL
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
19
|
16
|
—
|
—
|
$27,678.59
|
$50,838.23
|
$28,243.46
|
2025-09-11
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$28,231.00
|
$28,231.00
|
$28,231.00
|
2025-09-11
|
|
B1302
|
LOCAL
|
Rheumatoid Other Arthritis M >=51.50 And M <62.50
|
19
|
16
|
—
|
—
|
$27,654.47
|
$50,793.93
|
$28,218.85
|
2025-09-11
|
|
C1503
|
LOCAL
|
Pulmonary M >=45.50 And M <56.50
|
19
|
16
|
—
|
—
|
$27,654.47
|
$50,793.93
|
$28,218.85
|
2025-09-11
|
|
C0603
|
LOCAL
|
Neurological M >=43.50 And M <52.50
|
19
|
16
|
—
|
—
|
$27,582.12
|
$50,661.04
|
$28,145.02
|
2025-09-11
|
|
C1003
|
LOCAL
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
19
|
16
|
—
|
—
|
$27,578.41
|
$50,654.21
|
$28,141.23
|
2025-09-11
|
|
D1203
|
LOCAL
|
Osteoarthritis M <49.50 And A >=74.50
|
19
|
16
|
—
|
—
|
$27,539.45
|
$50,582.66
|
$28,101.48
|
2025-09-11
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
1
|
1
|
—
|
—
|
$27,945.77
|
$27,945.77
|
$27,945.77
|
2025-09-11
|
|
C0703
|
LOCAL
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
19
|
16
|
—
|
—
|
$27,340.93
|
$50,218.04
|
$27,898.91
|
2025-09-11
|
|
B2002
|
LOCAL
|
Miscellaneous M >=55.50 And M <66.50
|
19
|
16
|
—
|
—
|
$27,305.68
|
$50,153.29
|
$27,862.94
|
2025-09-11
|
|
A0504
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
19
|
16
|
—
|
—
|
$27,276.00
|
$50,098.77
|
$27,832.65
|
2025-09-11
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$27,786.08
|
$27,786.08
|
$27,786.08
|
2025-09-11
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
1
|
1
|
—
|
—
|
$27,738.82
|
$27,738.82
|
$27,738.82
|
2025-09-11
|
|
A0904
|
LOCAL
|
Other Orthopedic M <44.5
|
19
|
16
|
—
|
—
|
$27,138.71
|
$49,846.61
|
$27,692.56
|
2025-09-11
|
|
A1704
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
19
|
16
|
—
|
—
|
$27,071.92
|
$49,723.94
|
$27,624.41
|
2025-09-11
|
|
A1604
|
LOCAL
|
Pain Syndrome M <43.50
|
19
|
16
|
—
|
—
|
$27,066.36
|
$49,713.71
|
$27,618.73
|
2025-09-11
|
|
C1803
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
19
|
16
|
—
|
—
|
$27,049.66
|
$49,683.04
|
$27,601.69
|
2025-09-11
|
|
A0204
|
LOCAL
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
19
|
16
|
—
|
—
|
$26,916.08
|
$49,437.70
|
$27,465.39
|
2025-09-11
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$27,390.47
|
$27,390.47
|
$27,390.47
|
2025-09-11
|
|
A1404
|
LOCAL
|
Cardiac M <45.50
|
19
|
16
|
—
|
—
|
$26,830.73
|
$49,280.94
|
$27,378.30
|
2025-09-11
|
|
C0903
|
LOCAL
|
Other Orthopedic M >=44.50 And M <51.50
|
19
|
16
|
—
|
—
|
$26,558.02
|
$48,780.04
|
$27,100.02
|
2025-09-11
|
|
A2004
|
LOCAL
|
Miscellaneous M <46.50 And A >=77.50
|
19
|
16
|
—
|
—
|
$26,552.45
|
$48,769.81
|
$27,094.34
|
2025-09-11
|
|
B1402
|
LOCAL
|
Cardiac M >=55.50 And M <68.50
|
19
|
16
|
—
|
—
|
$26,552.45
|
$48,769.81
|
$27,094.34
|
2025-09-11
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
1
|
1
|
—
|
—
|
$27,074.54
|
$27,074.54
|
$27,074.54
|
2025-09-11
|
|
A1204
|
LOCAL
|
Osteoarthritis M <49.50 And A <74.50
|
19
|
16
|
—
|
—
|
$26,402.17
|
$48,493.78
|
$26,940.99
|
2025-09-11
|
|
B1802
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50
|
19
|
16
|
—
|
—
|
$26,391.04
|
$48,473.33
|
$26,929.63
|
2025-09-11
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
1
|
1
|
—
|
—
|
$26,907.95
|
$26,907.95
|
$26,907.95
|
2025-09-11
|
|
D1703
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
19
|
16
|
—
|
—
|
$26,365.07
|
$48,425.63
|
$26,903.13
|
2025-09-11
|
|
C0503
|
LOCAL
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
19
|
16
|
—
|
—
|
$26,355.80
|
$48,408.61
|
$26,893.67
|
2025-09-11
|
|
C2003
|
LOCAL
|
Miscellaneous M >=46.50 And M <55.50
|
19
|
16
|
—
|
—
|
$26,118.32
|
$47,972.43
|
$26,651.35
|
2025-09-11
|
|
C1603
|
LOCAL
|
Pain Syndrome M >=43.50 And M <58.50
|
19
|
16
|
—
|
—
|
$26,109.04
|
$47,955.38
|
$26,641.88
|
2025-09-11
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
1
|
1
|
—
|
—
|
$26,635.48
|
$26,635.48
|
$26,635.48
|
2025-09-11
|
|
A0805
|
LOCAL
|
Replacement Of Lower-extremity Joint M <42.50
|
19
|
16
|
—
|
—
|
$26,094.21
|
$47,928.13
|
$26,626.74
|
2025-09-11
|
|
7234
|
APR_DRG
|
Viral Illness
|
1
|
1
|
—
|
—
|
$26,599.26
|
$26,599.26
|
$26,599.26
|
2025-09-11
|
|
A1804
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
19
|
16
|
—
|
—
|
$26,036.69
|
$47,822.49
|
$26,568.05
|
2025-09-11
|
|
C1303
|
LOCAL
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
19
|
16
|
—
|
—
|
$26,014.42
|
$47,781.59
|
$26,545.33
|
2025-09-11
|
|
D1503
|
LOCAL
|
Pulmonary M >=45.50 And M <56.50
|
19
|
16
|
—
|
—
|
$26,008.86
|
$47,771.37
|
$26,539.65
|
2025-09-11
|
|
D0703
|
LOCAL
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
19
|
16
|
—
|
—
|
$25,899.40
|
$47,570.33
|
$26,427.96
|
2025-09-11
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$26,313.34
|
$26,313.34
|
$26,313.34
|
2025-09-11
|
|
C0103
|
LOCAL
|
Stroke M >=50.50 And M <63.50
|
19
|
16
|
—
|
—
|
$25,763.96
|
$47,321.57
|
$26,289.76
|
2025-09-11
|
|
D0603
|
LOCAL
|
Neurological M >=43.50 And M <52.50
|
19
|
16
|
—
|
—
|
$25,749.12
|
$47,294.30
|
$26,274.61
|
2025-09-11
|
|
D1803
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
19
|
16
|
—
|
—
|
$25,680.48
|
$47,168.23
|
$26,204.57
|
2025-09-11
|
|
C0402
|
LOCAL
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
19
|
16
|
—
|
—
|
$25,661.93
|
$47,134.15
|
$26,185.64
|
2025-09-11
|
|
C1403
|
LOCAL
|
Cardiac M >=45.50 And M <55.50
|
19
|
16
|
—
|
—
|
$25,595.14
|
$47,011.48
|
$26,117.49
|
2025-09-11
|
|
C0804
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
19
|
16
|
—
|
—
|
$25,585.86
|
$46,994.44
|
$26,108.02
|
2025-09-11
|
|
B0802
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=57.50 And M <63.50
|
19
|
16
|
—
|
—
|
$25,571.02
|
$46,967.18
|
$26,092.88
|
2025-09-11
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$26,022.59
|
$26,022.59
|
$26,022.59
|
2025-09-11
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$25,971.20
|
$25,971.20
|
$25,971.20
|
2025-09-11
|
|
D0303
|
LOCAL
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
19
|
16
|
—
|
—
|
$25,426.31
|
$46,701.38
|
$25,945.21
|
2025-09-11
|
|
C0203
|
LOCAL
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
19
|
16
|
—
|
—
|
$25,378.07
|
$46,612.78
|
$25,895.99
|
2025-09-11
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
1
|
1
|
—
|
—
|
$25,735.28
|
$25,735.28
|
$25,735.28
|
2025-09-11
|