|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
28
|
9
|
—
|
—
|
$4,552.00
|
$747,926.10
|
$278,115.94
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$485,373.95
|
$181,383.99
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
28
|
9
|
—
|
—
|
$7,623.00
|
$369,790.66
|
$137,506.47
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
36
|
9
|
—
|
—
|
$7,623.00
|
$367,620.46
|
$136,699.48
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
9
|
—
|
—
|
$4,552.00
|
$239,906.25
|
$99,450.42
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
32
|
9
|
—
|
—
|
$12,705.00
|
$188,339.41
|
$85,973.13
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
28
|
9
|
—
|
—
|
$7,623.00
|
$224,297.46
|
$83,404.90
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
28
|
9
|
—
|
—
|
$5,661.00
|
$208,150.03
|
$77,400.48
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$196,266.78
|
$73,344.80
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
26
|
9
|
—
|
—
|
$70,359.24
|
$196,041.62
|
$73,260.65
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$190,887.18
|
$70,981.30
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
28
|
9
|
—
|
—
|
$7,623.00
|
$178,577.86
|
$66,404.09
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
9
|
—
|
—
|
$12,705.00
|
$172,455.24
|
$64,127.39
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
34
|
9
|
—
|
—
|
$7,623.00
|
$169,438.10
|
$63,318.93
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$156,046.27
|
$58,025.73
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
14
|
5
|
—
|
—
|
$2,707.00
|
$103,563.23
|
$56,959.78
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
28
|
9
|
—
|
—
|
$7,623.00
|
$149,982.54
|
$55,770.93
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$146,005.87
|
$54,562.32
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$145,546.89
|
$54,121.53
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
42
|
9
|
—
|
—
|
$7,623.00
|
$183,579.83
|
$53,359.40
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
9
|
—
|
—
|
$7,623.00
|
$113,884.20
|
$52,897.17
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$136,287.62
|
$50,678.48
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
32
|
9
|
—
|
—
|
$4,552.00
|
$111,449.00
|
$49,875.67
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
34
|
9
|
—
|
—
|
$12,705.00
|
$132,988.16
|
$49,697.61
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$131,976.67
|
$49,075.46
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
40
|
9
|
—
|
—
|
$7,623.00
|
$94,613.96
|
$48,059.51
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$125,026.15
|
$46,490.91
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
28
|
9
|
—
|
—
|
$5,661.00
|
$124,283.12
|
$46,214.62
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$124,231.16
|
$46,195.29
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
28
|
9
|
—
|
—
|
$5,661.00
|
$123,571.27
|
$45,949.91
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
32
|
9
|
—
|
—
|
$12,705.00
|
$123,498.53
|
$45,922.86
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
46
|
9
|
—
|
—
|
$4,552.00
|
$119,712.38
|
$44,293.52
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
32
|
10
|
—
|
—
|
$12,705.00
|
$119,125.23
|
$44,076.27
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
9
|
—
|
—
|
$7,623.00
|
$116,582.65
|
$43,351.20
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$115,725.31
|
$43,032.40
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
30
|
9
|
—
|
—
|
$12,705.00
|
$115,810.18
|
$42,849.71
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$113,884.20
|
$42,347.77
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$113,470.25
|
$42,193.85
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
14
|
5
|
—
|
—
|
$3,295.00
|
$72,520.11
|
$39,886.06
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
14
|
5
|
—
|
—
|
$8,290.00
|
$72,520.11
|
$39,886.06
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
14
|
5
|
—
|
—
|
$6,729.00
|
$72,520.11
|
$39,886.06
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
14
|
5
|
—
|
—
|
$6,729.00
|
$72,520.11
|
$39,886.06
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
30
|
9
|
—
|
—
|
$5,661.00
|
$106,020.92
|
$39,619.97
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
38
|
9
|
—
|
—
|
$12,705.00
|
$106,143.89
|
$39,273.18
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$105,004.23
|
$39,045.77
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$104,063.76
|
$38,696.06
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
34
|
9
|
—
|
—
|
$12,705.00
|
$104,034.31
|
$38,492.64
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$103,280.89
|
$38,404.95
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
28
|
9
|
—
|
—
|
$3,389.00
|
$102,941.42
|
$38,278.71
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$102,702.40
|
$38,189.84
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
34
|
9
|
—
|
—
|
$7,623.00
|
$101,644.15
|
$37,984.36
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$101,578.34
|
$37,771.85
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$99,886.17
|
$36,957.83
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
26
|
9
|
—
|
—
|
$35,474.89
|
$98,843.51
|
$36,937.77
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
9
|
—
|
—
|
$5,661.00
|
$99,248.80
|
$36,905.61
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
34
|
9
|
—
|
—
|
$5,661.00
|
$98,715.34
|
$36,524.63
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$97,373.04
|
$36,208.12
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
28
|
9
|
—
|
—
|
$5,661.00
|
$97,071.67
|
$36,096.05
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
30
|
9
|
—
|
—
|
$7,623.00
|
$112,770.54
|
$36,027.09
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$95,658.36
|
$35,570.51
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$95,085.07
|
$35,357.33
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$94,749.06
|
$35,232.38
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$94,465.01
|
$35,126.77
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$94,087.44
|
$34,986.36
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
28
|
9
|
—
|
—
|
$12,705.00
|
$92,308.67
|
$34,324.93
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
9
|
—
|
—
|
$12,705.00
|
$92,364.10
|
$34,174.67
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
38
|
9
|
—
|
—
|
$7,623.00
|
$251,612.67
|
$34,150.72
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$91,688.62
|
$34,094.36
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$90,001.65
|
$33,467.07
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$90,157.53
|
$33,358.24
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$87,296.26
|
$32,461.07
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
34
|
9
|
—
|
—
|
$7,388.22
|
$86,381.77
|
$32,037.93
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$85,688.97
|
$32,021.92
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
32
|
9
|
—
|
—
|
$7,623.00
|
$85,243.84
|
$31,697.88
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
46
|
10
|
—
|
—
|
$5,661.00
|
$85,536.55
|
$31,648.48
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$84,888.78
|
$31,565.86
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$83,633.08
|
$31,253.64
|
2026-04-01
|
|
0686T
|
HCPCS
|
Histotripsy Mal Hepatcel Tis
|
14
|
5
|
—
|
—
|
$11,250.45
|
$56,404.71
|
$31,022.59
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
28
|
9
|
—
|
—
|
$5,661.00
|
$83,210.48
|
$30,941.77
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
34
|
9
|
—
|
—
|
$12,705.00
|
$82,457.06
|
$30,509.07
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
14
|
5
|
—
|
—
|
$22,608.00
|
$54,286.79
|
$30,460.92
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$81,428.25
|
$30,279.05
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
28
|
9
|
—
|
—
|
$5,661.00
|
$81,019.50
|
$30,127.06
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
9
|
—
|
—
|
$7,623.00
|
$90,917.00
|
$30,066.89
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$80,312.84
|
$29,864.29
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
32
|
9
|
—
|
—
|
$12,705.00
|
$79,992.42
|
$29,745.14
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$79,408.74
|
$29,528.10
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
38
|
9
|
—
|
—
|
$5,661.00
|
$79,611.38
|
$29,456.17
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$78,748.84
|
$29,282.72
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
30
|
9
|
—
|
—
|
$12,705.00
|
$79,020.77
|
$29,237.64
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$78,440.55
|
$29,168.07
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
32
|
10
|
—
|
—
|
$4,552.00
|
$78,783.48
|
$29,149.85
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
20
|
8
|
—
|
—
|
$22,687.00
|
$256,229.02
|
$29,070.67
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
14
|
5
|
—
|
—
|
$26,648.00
|
$51,680.04
|
$28,998.25
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
14
|
5
|
—
|
—
|
$26,648.00
|
$51,680.04
|
$28,998.25
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
14
|
5
|
—
|
—
|
$26,648.00
|
$51,680.04
|
$28,998.25
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
14
|
5
|
—
|
—
|
$26,648.00
|
$51,680.04
|
$28,998.25
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$77,624.78
|
$28,864.74
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$77,602.26
|
$28,856.36
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
30
|
9
|
—
|
—
|
$7,623.00
|
$77,297.43
|
$28,600.01
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
46
|
9
|
—
|
—
|
$7,623.00
|
$101,441.08
|
$28,502.98
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
14
|
5
|
—
|
—
|
$6,729.00
|
$51,680.04
|
$28,424.02
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
14
|
5
|
—
|
—
|
$6,729.00
|
$51,680.04
|
$28,424.02
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
14
|
5
|
—
|
—
|
$6,729.00
|
$51,680.04
|
$28,424.02
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
32
|
9
|
—
|
—
|
$7,623.00
|
$76,083.30
|
$28,150.78
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
14
|
5
|
—
|
—
|
$8,290.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
14
|
5
|
—
|
—
|
$5,049.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
14
|
5
|
—
|
—
|
$5,049.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
14
|
5
|
—
|
—
|
$9,746.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
14
|
5
|
—
|
—
|
$5,049.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
14
|
5
|
—
|
—
|
$8,290.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
14
|
5
|
—
|
—
|
$5,049.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
14
|
5
|
—
|
—
|
$3,770.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
14
|
5
|
—
|
—
|
$3,295.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
14
|
5
|
—
|
—
|
$3,770.00
|
$50,805.51
|
$27,943.03
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
34
|
9
|
—
|
—
|
$12,705.00
|
$74,950.57
|
$27,731.67
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
30
|
9
|
—
|
—
|
$4,552.00
|
$74,353.03
|
$27,510.58
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$73,875.00
|
$27,470.38
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$73,450.66
|
$27,312.60
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
38
|
9
|
—
|
—
|
$12,705.00
|
$101,590.00
|
$27,242.65
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$73,021.12
|
$27,152.87
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$72,984.75
|
$27,139.34
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$72,685.11
|
$27,027.92
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
36
|
9
|
—
|
—
|
$6,752.55
|
$396,656.00
|
$26,925.50
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
9
|
—
|
—
|
$12,705.00
|
$72,269.43
|
$26,873.35
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
28
|
9
|
—
|
—
|
$7,623.00
|
$72,217.47
|
$26,854.03
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$71,929.96
|
$26,747.12
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
30
|
9
|
—
|
—
|
$7,623.00
|
$71,453.66
|
$26,702.20
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
14
|
5
|
—
|
—
|
$20,142.55
|
$46,567.00
|
$26,648.00
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
14
|
5
|
—
|
—
|
$20,142.55
|
$46,567.00
|
$26,648.00
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
14
|
5
|
—
|
—
|
$20,142.55
|
$46,567.00
|
$26,648.00
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
14
|
5
|
—
|
—
|
$20,142.55
|
$46,567.00
|
$26,648.00
|
2026-04-01
|
|
C9605
|
HCPCS
|
Perc D-e Cor Revasc T Cabg B
|
6
|
1
|
—
|
—
|
$19,176.00
|
$33,508.00
|
$26,548.00
|
2026-04-01
|
|
C9608
|
HCPCS
|
Perc D-e Cor Revasc Chro Add
|
6
|
1
|
—
|
—
|
$19,176.00
|
$33,508.00
|
$26,548.00
|
2026-04-01
|
|
C9606
|
HCPCS
|
Perc D-e Cor Revasc W Ami S
|
6
|
1
|
—
|
—
|
$19,176.00
|
$33,508.00
|
$26,548.00
|
2026-04-01
|
|
C9603
|
HCPCS
|
Perc D-e Cor Stent Ather Br
|
6
|
1
|
—
|
—
|
$19,176.00
|
$33,508.00
|
$26,548.00
|
2026-04-01
|
|
C9601
|
HCPCS
|
Perc Drug-el Cor Stent Bran
|
6
|
1
|
—
|
—
|
$19,176.00
|
$33,508.00
|
$26,548.00
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
28
|
9
|
—
|
—
|
$3,389.00
|
$70,301.88
|
$26,141.72
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
14
|
5
|
—
|
—
|
$6,729.00
|
$47,225.57
|
$25,974.06
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
28
|
9
|
—
|
—
|
$12,705.00
|
$69,635.06
|
$25,893.76
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$69,004.61
|
$25,659.33
|
2026-04-01
|
|
93609
|
HCPCS
|
Map Tachycardia Add-on
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93621
|
HCPCS
|
Electrophysiology Evaluation
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93655
|
HCPCS
|
Ablate Arrhythmia Add On
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93623
|
HCPCS
|
Stimulation Pacing Heart
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93613
|
HCPCS
|
Electrophys Map 3d Add-on
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93631
|
HCPCS
|
Heart Pacing Mapping
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93622
|
HCPCS
|
Electrophysiology Evaluation
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
93657
|
HCPCS
|
Tx L/r Atrial Fib Addl
|
6
|
1
|
—
|
—
|
$18,446.00
|
$32,233.00
|
$25,537.00
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
9
|
—
|
—
|
$4,552.00
|
$67,754.11
|
$25,194.33
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
28
|
9
|
—
|
—
|
$12,705.00
|
$67,447.54
|
$25,080.34
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$67,040.52
|
$24,928.99
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
30
|
9
|
—
|
—
|
$1,000.00
|
$66,940.07
|
$24,767.79
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
30
|
9
|
—
|
—
|
$5,661.00
|
$66,875.98
|
$24,744.08
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
34
|
9
|
—
|
—
|
$6,258.07
|
$66,496.68
|
$24,603.74
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
14
|
5
|
—
|
—
|
$3,465.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
14
|
5
|
—
|
—
|
$5,049.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
14
|
5
|
—
|
—
|
$2,617.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
14
|
5
|
—
|
—
|
$5,049.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
14
|
5
|
—
|
—
|
$3,295.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
14
|
5
|
—
|
—
|
$3,127.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
14
|
5
|
—
|
—
|
$2,707.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
14
|
5
|
—
|
—
|
$3,295.00
|
$44,674.68
|
$24,571.07
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
14
|
5
|
—
|
—
|
$6,729.00
|
$44,318.16
|
$24,374.99
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
30
|
9
|
—
|
—
|
$5,661.00
|
$65,175.16
|
$24,355.93
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
14
|
5
|
—
|
—
|
$18,446.00
|
$43,034.55
|
$24,147.16
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
14
|
5
|
—
|
—
|
$18,446.00
|
$43,034.55
|
$24,147.16
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
14
|
5
|
—
|
—
|
$18,446.00
|
$43,034.55
|
$24,147.16
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$64,891.11
|
$24,129.73
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
30
|
9
|
—
|
—
|
$4,552.00
|
$64,736.96
|
$24,091.96
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
28
|
9
|
—
|
—
|
$7,623.00
|
$64,730.04
|
$24,069.83
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$64,548.18
|
$24,002.21
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$64,184.46
|
$23,866.96
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$63,618.09
|
$23,656.35
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
32
|
9
|
—
|
—
|
$7,623.00
|
$63,592.11
|
$23,529.05
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
30
|
9
|
—
|
—
|
$5,661.00
|
$62,556.38
|
$23,377.29
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$62,845.62
|
$23,369.11
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
9
|
—
|
—
|
$4,552.00
|
$62,797.12
|
$23,351.08
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$62,710.52
|
$23,318.88
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
28
|
9
|
—
|
—
|
$12,705.00
|
$62,667.22
|
$23,302.78
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
9
|
—
|
—
|
$7,623.00
|
$62,462.85
|
$23,226.78
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
30
|
9
|
—
|
—
|
$4,552.00
|
$61,756.19
|
$23,078.26
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
28
|
9
|
—
|
—
|
$5,661.00
|
$62,054.10
|
$23,074.78
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$61,910.34
|
$23,021.33
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
36
|
9
|
—
|
—
|
$4,552.00
|
$61,847.99
|
$22,998.14
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
28
|
9
|
—
|
—
|
$4,552.00
|
$61,645.34
|
$22,922.79
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
30
|
9
|
—
|
—
|
$7,623.00
|
$61,704.23
|
$22,830.53
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
36
|
9
|
—
|
—
|
$7,623.00
|
$61,595.12
|
$22,790.16
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$60,956.01
|
$22,666.46
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
34
|
9
|
—
|
—
|
$12,705.00
|
$61,080.71
|
$22,599.83
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
30
|
9
|
—
|
—
|
$4,552.00
|
$60,401.77
|
$22,572.11
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$60,124.65
|
$22,357.32
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
40
|
9
|
—
|
—
|
$5,661.00
|
$60,417.36
|
$22,354.39
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
26
|
9
|
—
|
—
|
$21,374.81
|
$59,556.55
|
$22,256.25
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
34
|
9
|
—
|
—
|
$4,552.00
|
$59,833.67
|
$22,138.43
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
30
|
9
|
—
|
—
|
$12,705.00
|
$88,635.00
|
$22,081.50
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
9
|
—
|
—
|
$3,389.00
|
$59,379.89
|
$22,080.39
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$59,010.97
|
$21,943.20
|
2026-04-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
30
|
10
|
—
|
—
|
$1,589.29
|
$40,445.34
|
$21,702.03
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
36
|
9
|
—
|
—
|
$12,705.00
|
$55,299.30
|
$21,589.34
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
36
|
9
|
—
|
—
|
$6,329.39
|
$131,201.43
|
$21,514.91
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
30
|
9
|
—
|
—
|
$4,552.00
|
$57,213.16
|
$21,380.53
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
36
|
9
|
—
|
—
|
$7,623.00
|
$57,019.17
|
$21,097.06
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
42
|
9
|
—
|
—
|
$12,458.00
|
$70,507.81
|
$21,094.50
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$56,338.50
|
$20,949.43
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
30
|
9
|
—
|
—
|
$12,705.00
|
$63,525.00
|
$20,908.69
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
32
|
9
|
—
|
—
|
$5,661.00
|
$56,090.82
|
$20,857.34
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
6
|
2
|
—
|
—
|
$19,859.75
|
$41,509.37
|
$20,852.44
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
28
|
9
|
—
|
—
|
$5,661.00
|
$55,934.94
|
$20,799.38
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$55,893.37
|
$20,783.93
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$55,784.26
|
$20,743.35
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
34
|
9
|
—
|
—
|
$4,552.00
|
$56,028.47
|
$20,730.50
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
28
|
9
|
—
|
—
|
$12,705.00
|
$55,604.13
|
$20,676.37
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
30
|
9
|
—
|
—
|
$5,661.00
|
$55,143.42
|
$20,607.07
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$55,197.11
|
$20,525.01
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
28
|
9
|
—
|
—
|
$7,623.00
|
$55,032.57
|
$20,463.83
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
32
|
9
|
—
|
—
|
$4,552.00
|
$119,375.33
|
$20,414.24
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
32
|
9
|
—
|
—
|
$5,661.00
|
$101,898.00
|
$20,382.68
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
28
|
9
|
—
|
—
|
$5,661.00
|
$54,731.20
|
$20,351.78
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$54,575.32
|
$20,293.81
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$54,421.17
|
$20,236.49
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
32
|
9
|
—
|
—
|
$5,349.46
|
$54,549.34
|
$20,183.23
|
2026-04-01
|
|
0923T
|
HCPCS
|
Rmvl&rplcmt Perm Ccm-d Pg
|
14
|
5
|
—
|
—
|
$6,729.00
|
$36,622.83
|
$20,142.55
|
2026-04-01
|
|
0409T
|
HCPCS
|
Insj/rplc Car Modulj Pls Gn
|
14
|
5
|
—
|
—
|
$6,729.00
|
$36,622.83
|
$20,142.55
|
2026-04-01
|
|
0614T
|
HCPCS
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
14
|
5
|
—
|
—
|
$6,729.00
|
$36,622.83
|
$20,142.55
|
2026-04-01
|
|
0414T
|
HCPCS
|
Rmvl & Rpl Car Modulj Pls Gn
|
14
|
5
|
—
|
—
|
$6,729.00
|
$36,622.83
|
$20,142.55
|
2026-04-01
|
|
0916T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg Only
|
14
|
5
|
—
|
—
|
$6,729.00
|
$36,622.83
|
$20,142.55
|
2026-04-01
|
|
0515T
|
HCPCS
|
Insj Wcs Lv Compl Sys
|
14
|
5
|
—
|
—
|
$6,729.00
|
$36,622.83
|
$20,142.55
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
28
|
9
|
—
|
—
|
$3,389.00
|
$54,059.18
|
$20,101.88
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$53,851.34
|
$20,024.60
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
9
|
—
|
—
|
$3,109.00
|
$53,946.60
|
$19,960.22
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
34
|
9
|
—
|
—
|
$12,705.00
|
$52,535.02
|
$19,632.31
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
30
|
9
|
—
|
—
|
$4,552.00
|
$53,025.18
|
$19,619.29
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
30
|
9
|
—
|
—
|
$5,661.00
|
$52,954.17
|
$19,593.02
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$52,315.06
|
$19,453.33
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$52,308.13
|
$19,450.75
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
28
|
9
|
—
|
—
|
$4,552.00
|
$52,250.98
|
$19,429.50
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
30
|
9
|
—
|
—
|
$5,661.00
|
$51,551.25
|
$19,264.68
|
2026-04-01
|
|
C9607
|
HCPCS
|
Perc D-e Cor Revasc Chro Sin
|
14
|
5
|
—
|
—
|
$16,600.12
|
$33,508.00
|
$19,176.00
|
2026-04-01
|
|
C9602
|
HCPCS
|
Perc D-e Cor Stent Ather S
|
14
|
5
|
—
|
—
|
$16,600.12
|
$33,508.00
|
$19,176.00
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
32
|
9
|
—
|
—
|
$3,389.00
|
$50,939.85
|
$19,054.84
|
2026-04-01
|
|
C9604
|
HCPCS
|
Perc D-e Cor Revasc T Cabg S
|
14
|
5
|
—
|
—
|
$10,453.78
|
$33,508.00
|
$19,006.87
|
2026-04-01
|
|
C9600
|
HCPCS
|
Perc Drug-el Cor Stent Sing
|
14
|
5
|
—
|
—
|
$10,453.78
|
$33,508.00
|
$19,006.87
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$50,991.81
|
$18,961.28
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
36
|
9
|
—
|
—
|
$4,552.00
|
$50,262.64
|
$18,900.83
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
34
|
9
|
—
|
—
|
$12,705.00
|
$51,026.45
|
$18,879.76
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
32
|
9
|
—
|
—
|
$4,552.00
|
$50,574.40
|
$18,806.06
|
2026-04-01
|
|
54417
|
HCPCS
|
Remv/replc Penis Pros Compl
|
14
|
5
|
—
|
—
|
$1,433.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
54405
|
HCPCS
|
Insert Multi-comp Penis Pros
|
14
|
5
|
—
|
—
|
$3,465.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
54410
|
HCPCS
|
Remove/replace Penis Prosth
|
14
|
5
|
—
|
—
|
$3,465.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
54401
|
HCPCS
|
Insert Self-contd Prosthesis
|
14
|
5
|
—
|
—
|
$3,465.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
54411
|
HCPCS
|
Remov/replc Penis Pros Comp
|
14
|
5
|
—
|
—
|
$956.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
54416
|
HCPCS
|
Remv/repl Penis Contain Pros
|
14
|
5
|
—
|
—
|
$3,465.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
53444
|
HCPCS
|
Insert Tandem Cuff
|
14
|
5
|
—
|
—
|
$3,295.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
14
|
5
|
—
|
—
|
$3,465.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
53447
|
HCPCS
|
Remove/replace Ur Sphincter
|
14
|
5
|
—
|
—
|
$3,465.00
|
$34,124.42
|
$18,768.43
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
42
|
9
|
—
|
—
|
$7,623.00
|
$69,003.14
|
$18,730.34
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$50,231.46
|
$18,678.55
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
28
|
9
|
—
|
—
|
$7,623.00
|
$50,009.77
|
$18,596.11
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
28
|
9
|
—
|
—
|
$3,389.00
|
$49,985.52
|
$18,587.10
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
30
|
9
|
—
|
—
|
$3,389.00
|
$49,912.78
|
$18,467.70
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
32
|
9
|
—
|
—
|
$12,705.00
|
$49,711.86
|
$18,393.36
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
38
|
9
|
—
|
—
|
$4,552.00
|
$63,728.00
|
$18,328.99
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
50
|
10
|
—
|
—
|
$12,705.00
|
$109,331.55
|
$18,309.52
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
28
|
9
|
—
|
—
|
$5,661.00
|
$48,658.81
|
$18,093.75
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
38
|
9
|
—
|
—
|
$7,623.00
|
$47,607.48
|
$18,039.20
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
30
|
9
|
—
|
—
|
$7,623.00
|
$48,483.88
|
$17,939.01
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
30
|
9
|
—
|
—
|
$3,389.00
|
$48,341.85
|
$17,886.46
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
30
|
9
|
—
|
—
|
$12,705.00
|
$48,009.31
|
$17,763.42
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
32
|
9
|
—
|
—
|
$5,661.00
|
$47,752.97
|
$17,668.58
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
32
|
9
|
—
|
—
|
$12,705.00
|
$47,595.36
|
$17,610.26
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$47,349.42
|
$17,606.85
|
2026-04-01
|
|
63655
|
HCPCS
|
Implant Neuroelectrodes
|
14
|
5
|
—
|
—
|
$9,746.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
64580
|
HCPCS
|
Implant Neuroelectrodes
|
14
|
5
|
—
|
—
|
$6,129.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
64590
|
HCPCS
|
Insrt/redo Pn/gastr Stimul
|
14
|
5
|
—
|
—
|
$6,129.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
0817T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subf
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
0816T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subq
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
0680T
|
HCPCS
|
Insj/rplcmt Pg Only Isdss
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
1013T
|
HCPCS
|
Lap Srg Imp/rpl Eso Nea&pg/r
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,941.22
|
$17,567.67
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
28
|
9
|
—
|
—
|
$3,389.00
|
$46,928.54
|
$17,450.36
|
2026-04-01
|
|
0795T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0802T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
33274
|
HCPCS
|
Tcat Insj/rpl Perm Ldls Pm
|
14
|
5
|
—
|
—
|
$5,049.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0801T
|
HCPCS
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
14
|
5
|
—
|
—
|
$6,134.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0525T
|
HCPCS
|
Insj/rplcmt Compl Iims
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
14
|
5
|
—
|
—
|
$6,134.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0825T
|
HCPCS
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0803T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0823T
|
HCPCS
|
Tcat Ins 1chmbr Ldls Pm Ra
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0796T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Ra
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
0797T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Rv
|
14
|
5
|
—
|
—
|
$3,295.00
|
$31,713.32
|
$17,442.33
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
28
|
9
|
—
|
—
|
$3,389.00
|
$46,871.38
|
$17,429.10
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
28
|
9
|
—
|
—
|
$4,552.00
|
$46,718.97
|
$17,372.42
|
2026-04-01
|
|
43644
|
HCPCS
|
Lap Gastric Bypass/roux-en-y
|
6
|
1
|
—
|
—
|
$12,386.00
|
$21,643.00
|
$17,147.00
|
2026-04-01
|
|
43771
|
HCPCS
|
Lap Revise Gastr Adj Device
|
6
|
1
|
—
|
—
|
$12,386.00
|
$21,643.00
|
$17,147.00
|
2026-04-01
|
|
43842
|
HCPCS
|
V-band Gastroplasty
|
6
|
1
|
—
|
—
|
$12,386.00
|
$21,643.00
|
$17,147.00
|
2026-04-01
|
|
43775
|
HCPCS
|
Lap Sleeve Gastrectomy
|
6
|
1
|
—
|
—
|
$12,386.00
|
$21,643.00
|
$17,147.00
|
2026-04-01
|
|
43843
|
HCPCS
|
Gastroplasty Without V-band
|
6
|
1
|
—
|
—
|
$12,386.00
|
$21,643.00
|
$17,147.00
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
28
|
9
|
—
|
—
|
$12,705.00
|
$46,071.20
|
$17,131.55
|
2026-04-01
|