|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
11
|
9
|
—
|
—
|
$4,414,900.00
|
$4,955,500.00
|
$4,505,000.00
|
2026-04-30
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
4
|
4
|
—
|
—
|
$3,710,000.00
|
$4,081,000.00
|
$3,710,000.00
|
2026-04-30
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
13
|
11
|
—
|
—
|
$3,617,621.00
|
$4,983,457.50
|
$3,691,450.00
|
2026-04-30
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
13
|
11
|
—
|
—
|
$3,269,103.60
|
$4,503,357.00
|
$3,335,820.00
|
2026-04-30
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
17
|
15
|
—
|
—
|
$3,254,948.85
|
$4,483,858.11
|
$3,321,376.38
|
2026-04-30
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
17
|
15
|
—
|
—
|
$3,180,473.76
|
$4,381,264.88
|
$3,245,381.39
|
2026-04-30
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
13
|
11
|
—
|
—
|
$3,116,400.00
|
$4,293,000.00
|
$3,180,000.00
|
2026-04-30
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
17
|
15
|
—
|
—
|
$2,879,553.60
|
$3,966,732.00
|
$2,938,320.00
|
2026-04-30
|
|
C9309
|
HCPCS
|
Inj Onase Abepar-brve Treat
|
13
|
11
|
—
|
—
|
$2,610,944.02
|
$3,596,708.60
|
$2,664,228.59
|
2026-04-30
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
17
|
15
|
—
|
—
|
$2,302,784.67
|
$3,492,567.80
|
$2,587,087.26
|
2026-04-30
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
17
|
15
|
—
|
—
|
$2,285,360.00
|
$3,148,200.00
|
$2,332,000.00
|
2026-04-30
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
13
|
11
|
—
|
—
|
$755,207.60
|
$1,040,337.00
|
$770,620.00
|
2026-04-30
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
17
|
15
|
—
|
—
|
$511,072.50
|
$829,144.09
|
$614,180.81
|
2026-04-30
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
17
|
15
|
—
|
—
|
$478,950.00
|
$794,467.99
|
$588,494.81
|
2026-04-30
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
17
|
15
|
—
|
—
|
$473,853.52
|
$759,052.13
|
$562,260.84
|
2026-04-30
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
17
|
15
|
—
|
—
|
$484,690.30
|
$755,704.46
|
$559,781.08
|
2026-04-30
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
17
|
15
|
—
|
—
|
$449,440.00
|
$717,996.31
|
$531,849.12
|
2026-04-30
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
17
|
15
|
—
|
—
|
$449,440.00
|
$660,542.31
|
$489,290.60
|
2026-04-30
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
10
|
—
|
—
|
$342,079.60
|
$432,100.55
|
$360,083.79
|
2026-04-30
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
13
|
11
|
—
|
—
|
$272,685.00
|
$375,637.50
|
$278,250.00
|
2026-04-30
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
13
|
11
|
—
|
—
|
$256,989.10
|
$354,015.59
|
$262,233.77
|
2026-04-30
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
9
|
—
|
—
|
$223,815.61
|
$282,714.46
|
$235,595.38
|
2026-04-30
|
|
24
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$230,314.83
|
$253,346.31
|
$230,314.83
|
2026-04-30
|
|
5834
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$202,870.77
|
$223,157.85
|
$202,870.77
|
2026-04-30
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
13
|
11
|
—
|
—
|
$198,659.31
|
$273,663.34
|
$202,713.58
|
2026-04-30
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
12
|
10
|
—
|
—
|
$171,752.29
|
$216,950.26
|
$180,791.88
|
2026-04-30
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
12
|
10
|
—
|
—
|
$170,774.74
|
$215,715.46
|
$179,762.88
|
2026-04-30
|
|
5884
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$166,409.02
|
$183,049.92
|
$166,409.02
|
2026-04-30
|
|
5833
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$160,677.62
|
$176,745.38
|
$160,677.62
|
2026-04-30
|
|
1614
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$159,106.81
|
$175,017.49
|
$159,106.81
|
2026-04-30
|
|
74
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$150,990.21
|
$166,089.23
|
$150,990.21
|
2026-04-30
|
|
14
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$147,230.98
|
$161,954.08
|
$147,230.98
|
2026-04-30
|
|
23
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$142,422.67
|
$156,664.94
|
$142,422.67
|
2026-04-30
|
|
64
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$130,021.91
|
$143,024.10
|
$130,021.91
|
2026-04-30
|
|
J3404
|
HCPCS
|
Inj Zopapogene Per Ther Dose
|
13
|
11
|
—
|
—
|
$119,462.00
|
$164,565.00
|
$121,900.00
|
2026-04-30
|
|
1613
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$121,892.47
|
$134,081.72
|
$121,892.47
|
2026-04-30
|
|
6304
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$120,785.83
|
$132,864.41
|
$120,785.83
|
2026-04-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
12
|
10
|
—
|
—
|
$113,247.16
|
$143,049.05
|
$119,207.54
|
2026-04-30
|
|
5832
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$118,484.47
|
$130,332.92
|
$118,484.47
|
2026-04-30
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovecvncg (Adstiladrin) 3 X 10^11 vp/mL Intravesical Suspensi…
|
50
|
21
|
$163,829.75
|
$163,829.75
|
$59,145.87
|
$147,446.78
|
$114,107.43
|
2026-04-30
|
|
8414
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$112,202.77
|
$123,423.05
|
$112,202.77
|
2026-04-30
|
|
7
|
MS_DRG
|
Lung Transplant
|
10
|
9
|
—
|
—
|
$106,216.35
|
$134,168.02
|
$111,806.68
|
2026-04-30
|
|
5934
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$108,530.53
|
$119,383.58
|
$108,530.53
|
2026-04-30
|
|
5883
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$107,207.10
|
$117,927.81
|
$107,207.10
|
2026-04-30
|
|
22
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$105,693.05
|
$116,262.36
|
$105,693.05
|
2026-04-30
|
|
5882
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$104,976.20
|
$115,473.82
|
$104,976.20
|
2026-04-30
|
|
5914
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$104,804.09
|
$115,284.50
|
$104,804.09
|
2026-04-30
|
|
114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$104,669.22
|
$115,136.14
|
$104,669.22
|
2026-04-30
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
10
|
—
|
—
|
$98,942.88
|
$124,980.48
|
$104,150.40
|
2026-04-30
|
|
6094
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$104,135.66
|
$114,549.23
|
$104,135.66
|
2026-04-30
|
|
5831
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$102,391.94
|
$112,631.13
|
$102,391.94
|
2026-04-30
|
|
6314
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$99,974.33
|
$109,971.76
|
$99,974.33
|
2026-04-30
|
|
44
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$99,704.21
|
$109,674.63
|
$99,704.21
|
2026-04-30
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
9
|
—
|
—
|
$93,590.20
|
$118,219.20
|
$98,516.00
|
2026-04-30
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
12
|
10
|
—
|
—
|
$93,488.78
|
$118,091.09
|
$98,409.24
|
2026-04-30
|
|
1612
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$97,868.83
|
$107,655.71
|
$97,868.83
|
2026-04-30
|
|
94
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$97,613.37
|
$107,374.71
|
$97,613.37
|
2026-04-30
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
10
|
—
|
—
|
$91,167.03
|
$115,158.35
|
$95,965.29
|
2026-04-30
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
12
|
10
|
—
|
—
|
$90,019.40
|
$113,708.71
|
$94,757.26
|
2026-04-30
|
|
1611
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$92,975.40
|
$102,272.94
|
$92,975.40
|
2026-04-30
|
|
63
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$91,424.55
|
$100,567.01
|
$91,424.55
|
2026-04-30
|
|
21
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$90,607.28
|
$99,668.01
|
$90,607.28
|
2026-04-30
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
9
|
—
|
—
|
$85,622.43
|
$108,154.64
|
$90,128.87
|
2026-04-30
|
|
73
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$88,982.43
|
$97,880.67
|
$88,982.43
|
2026-04-30
|
|
6034
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$87,240.04
|
$95,964.04
|
$87,240.04
|
2026-04-30
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
12
|
10
|
—
|
—
|
$82,864.54
|
$104,671.00
|
$87,225.83
|
2026-04-30
|
|
4404
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$86,505.43
|
$95,155.97
|
$86,505.43
|
2026-04-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
10
|
—
|
—
|
$81,505.49
|
$102,954.30
|
$85,795.25
|
2026-04-30
|
|
13
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$85,118.61
|
$93,630.47
|
$85,118.61
|
2026-04-30
|
|
J9226
|
HCPCS
|
Histrelin 50 Mg SubCutaneous Implant
|
49
|
21
|
$115,859.75
|
$115,859.75
|
$40,349.96
|
$104,273.78
|
$80,696.32
|
2026-04-30
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
12
|
10
|
—
|
—
|
$75,473.27
|
$95,334.66
|
$79,445.55
|
2026-04-30
|
|
62
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$79,365.81
|
$87,302.39
|
$79,365.81
|
2026-04-30
|
|
6024
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$77,794.67
|
$85,574.14
|
$77,794.67
|
2026-04-30
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
12
|
10
|
—
|
—
|
$72,741.94
|
$91,884.55
|
$76,570.46
|
2026-04-30
|
|
84
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$76,379.70
|
$84,017.67
|
$76,379.70
|
2026-04-30
|
|
120
|
EAPG
|
Outpatient Eapg
|
1
|
1
|
—
|
—
|
$75,215.39
|
$75,215.39
|
$75,215.39
|
2026-04-30
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
12
|
10
|
—
|
—
|
$70,950.68
|
$89,621.92
|
$74,684.93
|
2026-04-30
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
10
|
—
|
—
|
$70,743.92
|
$89,360.74
|
$74,467.28
|
2026-04-30
|
|
J9183
|
HCPCS
|
Gemcitabine Intravesical Sys
|
13
|
11
|
—
|
—
|
$71,626.49
|
$98,669.15
|
$73,088.26
|
2026-04-30
|
|
Q2043
|
HCPCS
|
sipuleucelT Injection 250 Ml Sd
|
53
|
21
|
$104,811.00
|
$104,811.00
|
$49,890.04
|
$94,329.90
|
$73,000.86
|
2026-04-30
|
|
12
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$71,339.63
|
$78,473.59
|
$71,339.63
|
2026-04-30
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
12
|
10
|
—
|
—
|
$66,573.19
|
$84,092.45
|
$70,077.04
|
2026-04-30
|
|
5933
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$69,792.36
|
$76,771.60
|
$69,792.36
|
2026-04-30
|
|
72
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$69,603.07
|
$76,563.38
|
$69,603.07
|
2026-04-30
|
|
5881
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$69,099.69
|
$76,009.66
|
$69,099.69
|
2026-04-30
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
10
|
—
|
—
|
$65,086.99
|
$82,215.14
|
$68,512.62
|
2026-04-30
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
12
|
10
|
—
|
—
|
$64,828.77
|
$81,888.97
|
$68,240.81
|
2026-04-30
|
|
43
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,230.32
|
$75,053.35
|
$68,230.32
|
2026-04-30
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
12
|
10
|
—
|
—
|
$64,631.37
|
$81,639.62
|
$68,033.02
|
2026-04-30
|
|
1604
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$67,325.15
|
$74,057.67
|
$67,325.15
|
2026-04-30
|
|
246
|
EAPG
|
Outpatient Eapg
|
1
|
1
|
—
|
—
|
$66,264.05
|
$66,264.05
|
$66,264.05
|
2026-04-30
|
|
54
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,707.10
|
$72,277.81
|
$65,707.10
|
2026-04-30
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
10
|
—
|
—
|
$61,500.58
|
$77,684.94
|
$64,737.45
|
2026-04-30
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
10
|
9
|
—
|
—
|
$61,165.89
|
$77,262.18
|
$64,385.15
|
2026-04-30
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
12
|
10
|
—
|
—
|
$61,142.48
|
$77,232.60
|
$64,360.50
|
2026-04-30
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
10
|
—
|
—
|
$60,845.23
|
$76,857.13
|
$64,047.61
|
2026-04-30
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
12
|
10
|
—
|
—
|
$60,812.47
|
$76,815.76
|
$64,013.13
|
2026-04-30
|
|
1624
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$63,452.66
|
$69,797.93
|
$63,452.66
|
2026-04-30
|
|
11
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$63,339.83
|
$69,673.81
|
$63,339.83
|
2026-04-30
|
|
61
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$62,385.17
|
$68,623.69
|
$62,385.17
|
2026-04-30
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
12
|
10
|
—
|
—
|
$59,107.03
|
$74,661.52
|
$62,217.93
|
2026-04-30
|
|
71
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$61,975.63
|
$68,173.19
|
$61,975.63
|
2026-04-30
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
10
|
—
|
—
|
$58,842.57
|
$74,327.46
|
$61,939.55
|
2026-04-30
|
|
5913
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$61,399.44
|
$67,539.38
|
$61,399.44
|
2026-04-30
|
|
6023
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$61,343.47
|
$67,477.82
|
$61,343.47
|
2026-04-30
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
10
|
—
|
—
|
$57,697.29
|
$72,880.79
|
$60,733.99
|
2026-04-30
|
|
3034
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$60,663.06
|
$66,729.37
|
$60,663.06
|
2026-04-30
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
12
|
10
|
—
|
—
|
$57,349.32
|
$72,441.24
|
$60,367.70
|
2026-04-30
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
12
|
10
|
—
|
—
|
$57,311.12
|
$72,392.99
|
$60,327.49
|
2026-04-30
|
|
6074
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$59,753.19
|
$65,728.51
|
$59,753.19
|
2026-04-30
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
10
|
—
|
—
|
$56,481.80
|
$71,345.44
|
$59,454.53
|
2026-04-30
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
10
|
—
|
—
|
$56,481.80
|
$71,345.44
|
$59,454.53
|
2026-04-30
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
12
|
10
|
—
|
—
|
$56,295.34
|
$71,109.90
|
$59,258.25
|
2026-04-30
|
|
c1889
|
HCPCS
|
Pump Impella Cp--4000021
|
38
|
21
|
$84,000.00
|
$84,000.00
|
$15.20
|
$75,600.00
|
$58,506.00
|
2026-04-30
|
|
6303
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$58,361.06
|
$64,197.17
|
$58,361.06
|
2026-04-30
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
12
|
10
|
—
|
—
|
$55,384.90
|
$69,959.87
|
$58,299.89
|
2026-04-30
|
|
4403
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$57,021.26
|
$62,723.39
|
$57,021.26
|
2026-04-30
|
|
7404
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$56,834.60
|
$62,518.06
|
$56,834.60
|
2026-04-30
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
17
|
15
|
—
|
—
|
$55,688.06
|
$76,713.14
|
$56,824.55
|
2026-04-30
|
|
8424
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$56,703.95
|
$62,374.35
|
$56,703.95
|
2026-04-30
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
12
|
10
|
—
|
—
|
$52,995.25
|
$66,941.36
|
$55,784.47
|
2026-04-30
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$52,939.87
|
$66,871.42
|
$55,726.18
|
2026-04-30
|
|
5932
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$55,316.75
|
$60,848.43
|
$55,316.75
|
2026-04-30
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
12
|
10
|
—
|
—
|
$52,481.90
|
$66,292.93
|
$55,244.11
|
2026-04-30
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
12
|
10
|
—
|
—
|
$52,058.28
|
$65,757.83
|
$54,798.19
|
2026-04-30
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
12
|
10
|
—
|
—
|
$52,045.00
|
$65,741.05
|
$54,784.21
|
2026-04-30
|
|
J9269
|
HCPCS
|
Tagraxofusperzs (Elzonris) 100 mcg/mL Injection 10 Ml Sd
|
53
|
21
|
$78,148.75
|
$78,148.75
|
$325.56
|
$70,333.88
|
$54,430.61
|
2026-04-30
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
10
|
—
|
—
|
$51,705.64
|
$65,312.39
|
$54,426.99
|
2026-04-30
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
12
|
10
|
—
|
—
|
$51,552.75
|
$65,119.26
|
$54,266.05
|
2026-04-30
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
12
|
10
|
—
|
—
|
$51,445.07
|
$64,983.25
|
$54,152.71
|
2026-04-30
|
|
1634
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$53,994.50
|
$59,393.95
|
$53,994.50
|
2026-04-30
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
10
|
—
|
—
|
$50,968.40
|
$64,381.14
|
$53,650.95
|
2026-04-30
|
|
1784
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$53,634.29
|
$58,997.72
|
$53,634.29
|
2026-04-30
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$50,938.74
|
$64,343.68
|
$53,619.73
|
2026-04-30
|
|
7594
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$53,182.16
|
$58,500.38
|
$53,182.16
|
2026-04-30
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
12
|
10
|
—
|
—
|
$50,176.53
|
$63,380.88
|
$52,817.40
|
2026-04-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
10
|
—
|
—
|
$49,889.43
|
$63,018.23
|
$52,515.19
|
2026-04-30
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
12
|
10
|
—
|
—
|
$49,706.88
|
$62,787.64
|
$52,323.03
|
2026-04-30
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
12
|
10
|
—
|
—
|
$49,649.14
|
$62,714.70
|
$52,262.25
|
2026-04-30
|
|
6093
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$51,880.72
|
$57,068.79
|
$51,880.72
|
2026-04-30
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
10
|
—
|
—
|
$49,044.52
|
$61,950.97
|
$51,625.81
|
2026-04-30
|
|
113
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$51,520.77
|
$56,672.85
|
$51,520.77
|
2026-04-30
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
9
|
—
|
—
|
$48,908.76
|
$61,779.49
|
$51,482.91
|
2026-04-30
|
|
J9298
|
HCPCS
|
Nivolumabrelatlimab Rmbw (Opdualag) 240 Mg80 Mg/20 Ml Injection Sd
|
53
|
21
|
$73,740.75
|
$73,740.75
|
$180.38
|
$66,366.68
|
$51,360.43
|
2026-04-30
|
|
C1826
|
HCPCS
|
Implant Neurostimulator Inceptive MRI--977119
|
36
|
21
|
$73,600.00
|
$73,600.00
|
$30,176.00
|
$66,240.00
|
$51,262.40
|
2026-04-30
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
12
|
10
|
—
|
—
|
$48,609.20
|
$61,401.10
|
$51,167.58
|
2026-04-30
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
12
|
10
|
—
|
—
|
$48,272.16
|
$60,975.36
|
$50,812.80
|
2026-04-30
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
12
|
10
|
—
|
—
|
$48,013.92
|
$60,649.16
|
$50,540.97
|
2026-04-30
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
12
|
10
|
—
|
—
|
$47,862.55
|
$60,457.96
|
$50,381.63
|
2026-04-30
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
12
|
10
|
—
|
—
|
$47,801.73
|
$60,381.13
|
$50,317.61
|
2026-04-30
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
12
|
10
|
—
|
—
|
$47,734.61
|
$60,296.35
|
$50,246.96
|
2026-04-30
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
12
|
10
|
—
|
—
|
$47,564.53
|
$60,081.52
|
$50,067.93
|
2026-04-30
|
|
1654
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$49,376.86
|
$54,314.55
|
$49,376.86
|
2026-04-30
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
10
|
—
|
—
|
$46,788.30
|
$59,101.01
|
$49,250.84
|
2026-04-30
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
12
|
10
|
—
|
—
|
$46,763.33
|
$59,069.47
|
$49,224.56
|
2026-04-30
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
12
|
10
|
—
|
—
|
$46,484.01
|
$58,716.65
|
$48,930.54
|
2026-04-30
|
|
4402
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$48,904.78
|
$53,795.26
|
$48,904.78
|
2026-04-30
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
10
|
—
|
—
|
$46,347.48
|
$58,544.18
|
$48,786.82
|
2026-04-30
|
|
1674
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$48,568.21
|
$53,425.03
|
$48,568.21
|
2026-04-30
|
|
53
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$48,385.94
|
$53,224.53
|
$48,385.94
|
2026-04-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
12
|
10
|
—
|
—
|
$45,794.35
|
$57,845.50
|
$48,204.58
|
2026-04-30
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
12
|
10
|
—
|
—
|
$45,724.17
|
$57,756.85
|
$48,130.71
|
2026-04-30
|
|
83
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$48,094.90
|
$52,904.39
|
$48,094.90
|
2026-04-30
|
|
J9118
|
HCPCS
|
Calaspargase Pegolmknl (Asparlas) 750 units/mL Injection 5mL Sd
|
53
|
21
|
$67,392.00
|
$67,392.00
|
$72.88
|
$60,652.80
|
$46,938.53
|
2026-04-30
|
|
42
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$46,909.12
|
$51,600.03
|
$46,909.12
|
2026-04-30
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
10
|
—
|
—
|
$44,505.53
|
$56,217.52
|
$46,847.93
|
2026-04-30
|
|
6022
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$46,806.62
|
$51,487.28
|
$46,806.62
|
2026-04-30
|
|
250
|
EAPG
|
Outpatient Eapg
|
1
|
1
|
—
|
—
|
$46,676.17
|
$46,676.17
|
$46,676.17
|
2026-04-30
|
|
3044
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$46,561.37
|
$51,217.51
|
$46,561.37
|
2026-04-30
|
|
J2507
|
HCPCS
|
Pegloticase (Krystexxa) 8 mg/mL 1 Ml Vial Sd
|
53
|
21
|
$66,842.75
|
$66,842.75
|
$3,371.08
|
$60,158.48
|
$46,555.98
|
2026-04-30
|
|
6073
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$46,485.03
|
$51,133.53
|
$46,485.03
|
2026-04-30
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
12
|
10
|
—
|
—
|
$44,093.60
|
$55,697.18
|
$46,414.32
|
2026-04-30
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
12
|
10
|
—
|
—
|
$43,781.54
|
$55,303.00
|
$46,085.83
|
2026-04-30
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$43,712.88
|
$55,216.27
|
$46,013.56
|
2026-04-30
|
|
3033
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$45,931.46
|
$50,524.61
|
$45,931.46
|
2026-04-30
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
12
|
10
|
—
|
—
|
$43,581.05
|
$55,049.75
|
$45,874.79
|
2026-04-30
|
|
J9281
|
HCPCS
|
mitoMYcin (Jelmyto) 80 Mg Kit Sd
|
53
|
21
|
$65,854.75
|
$65,854.75
|
$300.75
|
$59,269.28
|
$45,867.83
|
2026-04-30
|
|
1834
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$45,768.02
|
$50,344.82
|
$45,768.02
|
2026-04-30
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
12
|
10
|
—
|
—
|
$43,421.11
|
$54,847.72
|
$45,706.43
|
2026-04-30
|
|
6114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$45,407.75
|
$49,948.53
|
$45,407.75
|
2026-04-30
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
12
|
10
|
—
|
—
|
$42,855.50
|
$54,133.26
|
$45,111.05
|
2026-04-30
|
|
93
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$44,989.17
|
$49,488.09
|
$44,989.17
|
2026-04-30
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
12
|
10
|
—
|
—
|
$42,665.14
|
$53,892.80
|
$44,910.67
|
2026-04-30
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
12
|
10
|
—
|
—
|
$42,325.75
|
$53,464.10
|
$44,553.42
|
2026-04-30
|
|
8634
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$44,516.39
|
$48,968.03
|
$44,516.39
|
2026-04-30
|
|
1664
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$44,508.68
|
$48,959.55
|
$44,508.68
|
2026-04-30
|
|
C2616
|
HCPCS
|
Ir Ph Y-90 Per Source Bo
|
62
|
21
|
$71,006.00
|
$71,006.00
|
$13,357.19
|
$63,905.40
|
$44,423.45
|
2026-04-30
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
12
|
10
|
—
|
—
|
$41,862.35
|
$52,878.76
|
$44,065.63
|
2026-04-30
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirinelpyl (Zynlonta) 5 mg/mL Injection 2 Ml Sd
|
53
|
21
|
$63,218.50
|
$63,218.50
|
$200.63
|
$56,896.65
|
$44,031.68
|
2026-04-30
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
10
|
—
|
—
|
$41,787.43
|
$52,784.12
|
$43,986.77
|
2026-04-30
|
|
9104
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$43,969.94
|
$48,366.93
|
$43,969.94
|
2026-04-30
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
12
|
10
|
—
|
—
|
$41,678.24
|
$52,646.20
|
$43,871.83
|
2026-04-30
|
|
1794
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$43,696.98
|
$48,066.68
|
$43,696.98
|
2026-04-30
|
|
4401
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$43,668.73
|
$48,035.60
|
$43,668.73
|
2026-04-30
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
10
|
9
|
—
|
—
|
$41,359.90
|
$52,244.09
|
$43,536.74
|
2026-04-30
|
|
6804
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$43,516.04
|
$47,867.64
|
$43,516.04
|
2026-04-30
|
|
1623
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$43,459.98
|
$47,805.98
|
$43,459.98
|
2026-04-30
|
|
6124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$43,421.46
|
$47,763.61
|
$43,421.46
|
2026-04-30
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
12
|
10
|
—
|
—
|
$41,215.58
|
$52,061.78
|
$43,384.82
|
2026-04-30
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
10
|
—
|
—
|
$41,043.94
|
$51,844.98
|
$43,204.15
|
2026-04-30
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,952.68
|
$51,729.70
|
$43,108.08
|
2026-04-30
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
12
|
10
|
—
|
—
|
$40,777.92
|
$51,508.96
|
$42,924.13
|
2026-04-30
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,671.03
|
$51,373.93
|
$42,811.61
|
2026-04-30
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,655.44
|
$51,354.24
|
$42,795.20
|
2026-04-30
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,516.57
|
$51,178.82
|
$42,649.02
|
2026-04-30
|
|
6134
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$42,601.30
|
$46,861.43
|
$42,601.30
|
2026-04-30
|
|
6033
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$42,453.59
|
$46,698.95
|
$42,453.59
|
2026-04-30
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,149.11
|
$50,714.66
|
$42,262.22
|
2026-04-30
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,138.97
|
$50,701.86
|
$42,251.55
|
2026-04-30
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
12
|
10
|
—
|
—
|
$40,001.66
|
$50,528.41
|
$42,107.01
|
2026-04-30
|
|
1694
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$41,658.26
|
$45,824.09
|
$41,658.26
|
2026-04-30
|
|
9114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$41,540.02
|
$45,694.02
|
$41,540.02
|
2026-04-30
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$39,454.75
|
$49,837.58
|
$41,531.32
|
2026-04-30
|
|
97
|
EAPG
|
Outpatient Eapg
|
1
|
1
|
—
|
—
|
$41,409.02
|
$41,409.02
|
$41,409.02
|
2026-04-30
|
|
3124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$41,359.14
|
$45,495.05
|
$41,359.14
|
2026-04-30
|
|
466
|
EAPG
|
Outpatient Eapg
|
1
|
1
|
—
|
—
|
$41,296.54
|
$41,296.54
|
$41,296.54
|
2026-04-30
|
|
8413
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$41,177.13
|
$45,294.84
|
$41,177.13
|
2026-04-30
|
|
914
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$41,142.57
|
$45,256.83
|
$41,142.57
|
2026-04-30
|
|
C1735
|
HCPCS
|
Catheter Symplicity Spiral Rdn 117cm X 4fr X 014in X 4rf--rdn016
|
36
|
21
|
$58,880.00
|
$58,880.00
|
$24,140.80
|
$52,992.00
|
$41,009.92
|
2026-04-30
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
12
|
10
|
—
|
—
|
$38,944.55
|
$49,193.11
|
$40,994.26
|
2026-04-30
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
12
|
10
|
—
|
—
|
$38,675.37
|
$48,853.10
|
$40,710.92
|
2026-04-30
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
12
|
10
|
—
|
—
|
$38,460.06
|
$48,581.12
|
$40,484.27
|
2026-04-30
|
|
9124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$40,359.76
|
$44,395.74
|
$40,359.76
|
2026-04-30
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
12
|
10
|
—
|
—
|
$38,268.92
|
$48,339.68
|
$40,283.07
|
2026-04-30
|
|
82
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$40,240.51
|
$44,264.56
|
$40,240.51
|
2026-04-30
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
12
|
10
|
—
|
—
|
$38,131.61
|
$48,166.25
|
$40,138.54
|
2026-04-30
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
12
|
10
|
—
|
—
|
$38,075.43
|
$48,095.28
|
$40,079.40
|
2026-04-30
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
12
|
10
|
—
|
—
|
$38,059.04
|
$48,074.58
|
$40,062.15
|
2026-04-30
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
12
|
10
|
—
|
—
|
$37,963.09
|
$47,953.38
|
$39,961.15
|
2026-04-30
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
12
|
10
|
—
|
—
|
$37,924.10
|
$47,904.12
|
$39,920.10
|
2026-04-30
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
12
|
10
|
—
|
—
|
$37,863.22
|
$47,827.22
|
$39,856.02
|
2026-04-30
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
10
|
—
|
—
|
$37,736.84
|
$47,667.59
|
$39,722.99
|
2026-04-30
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
12
|
10
|
—
|
—
|
$37,713.45
|
$47,638.04
|
$39,698.37
|
2026-04-30
|
|
1783
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$39,678.22
|
$43,646.04
|
$39,678.22
|
2026-04-30
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$37,583.94
|
$47,474.45
|
$39,562.04
|
2026-04-30
|
|
8504
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$39,516.60
|
$43,468.26
|
$39,516.60
|
2026-04-30
|
|
234
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$39,415.86
|
$43,357.45
|
$39,415.86
|
2026-04-30
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
12
|
10
|
—
|
—
|
$37,369.40
|
$47,203.45
|
$39,336.21
|
2026-04-30
|
|
214
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$38,875.56
|
$42,763.12
|
$38,875.56
|
2026-04-30
|
|
4414
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$38,868.39
|
$42,755.23
|
$38,868.39
|
2026-04-30
|
|
C1767
|
HCPCS
|
Battery Brain Stimulator--37601
|
204
|
21
|
$56,060.00
|
$56,060.00
|
$1,118.89
|
$112,954.27
|
$38,805.62
|
2026-04-30
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
12
|
10
|
—
|
—
|
$36,850.59
|
$46,548.11
|
$38,790.09
|
2026-04-30
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
10
|
—
|
—
|
$36,550.21
|
$46,168.69
|
$38,473.91
|
2026-04-30
|
|
6313
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$38,392.83
|
$42,232.11
|
$38,392.83
|
2026-04-30
|
|
2604
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$38,380.95
|
$42,219.05
|
$38,380.95
|
2026-04-30
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg Inj Sd
|
53
|
21
|
$54,981.75
|
$54,981.75
|
$2,580.15
|
$49,483.58
|
$38,294.79
|
2026-04-30
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
12
|
10
|
—
|
—
|
$36,266.25
|
$45,810.00
|
$38,175.00
|
2026-04-30
|
|
J9266
|
HCPCS
|
Pegaspargase 750 units/mL Injection 5 Ml Sd
|
53
|
21
|
$54,718.50
|
$54,718.50
|
$23,577.01
|
$49,246.65
|
$38,111.43
|
2026-04-30
|
|
6084
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$37,833.43
|
$41,616.77
|
$37,833.43
|
2026-04-30
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
10
|
—
|
—
|
$35,702.96
|
$45,098.47
|
$37,582.06
|
2026-04-30
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
12
|
10
|
—
|
—
|
$35,564.87
|
$44,924.04
|
$37,436.70
|
2026-04-30
|
|
7524
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$37,269.87
|
$40,996.86
|
$37,269.87
|
2026-04-30
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
12
|
10
|
—
|
—
|
$35,381.54
|
$44,692.48
|
$37,243.73
|
2026-04-30
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
12
|
10
|
—
|
—
|
$35,336.29
|
$44,635.31
|
$37,196.09
|
2026-04-30
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
12
|
10
|
—
|
—
|
$35,307.42
|
$44,598.85
|
$37,165.71
|
2026-04-30
|
|
6814
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$37,106.53
|
$40,817.18
|
$37,106.53
|
2026-04-30
|
|
6302
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$37,027.99
|
$40,730.79
|
$37,027.99
|
2026-04-30
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
12
|
10
|
—
|
—
|
$35,136.57
|
$44,383.03
|
$36,985.86
|
2026-04-30
|
|
1782
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,967.64
|
$40,664.40
|
$36,967.64
|
2026-04-30
|
|
2204
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,822.98
|
$40,505.28
|
$36,822.98
|
2026-04-30
|
|
894
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,573.51
|
$40,230.86
|
$36,573.51
|
2026-04-30
|
|
1653
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,467.74
|
$40,114.51
|
$36,467.74
|
2026-04-30
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
12
|
10
|
—
|
—
|
$34,541.31
|
$43,631.12
|
$36,359.27
|
2026-04-30
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$34,413.35
|
$43,469.50
|
$36,224.58
|
2026-04-30
|
|
9504
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,213.24
|
$39,834.56
|
$36,213.24
|
2026-04-30
|
|
J9274
|
HCPCS
|
Tebentafusptebn (Kimmtrak) 100 Mcg/0.5 Ml Injection Sd
|
53
|
21
|
$51,975.00
|
$51,975.00
|
$198.86
|
$46,777.50
|
$36,200.59
|
2026-04-30
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$34,343.92
|
$43,381.79
|
$36,151.49
|
2026-04-30
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
12
|
10
|
—
|
—
|
$34,340.81
|
$43,377.86
|
$36,148.22
|
2026-04-30
|
|
1603
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,140.59
|
$39,754.65
|
$36,140.59
|
2026-04-30
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
12
|
10
|
—
|
—
|
$34,258.88
|
$43,274.38
|
$36,061.98
|
2026-04-30
|
|
6083
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$36,031.82
|
$39,635.00
|
$36,031.82
|
2026-04-30
|
|
6072
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,994.43
|
$39,593.87
|
$35,994.43
|
2026-04-30
|
|
1633
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,945.42
|
$39,539.96
|
$35,945.42
|
2026-04-30
|
|
104
|
EAPG
|
Outpatient Eapg
|
1
|
1
|
—
|
—
|
$35,932.52
|
$35,932.52
|
$35,932.52
|
2026-04-30
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
12
|
10
|
—
|
—
|
$34,095.06
|
$43,067.45
|
$35,889.54
|
2026-04-30
|
|
204
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,865.49
|
$39,452.04
|
$35,865.49
|
2026-04-30
|
|
1204
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,700.18
|
$39,270.20
|
$35,700.18
|
2026-04-30
|
|
6214
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,623.19
|
$39,185.51
|
$35,623.19
|
2026-04-30
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
12
|
10
|
—
|
—
|
$33,839.94
|
$42,745.19
|
$35,620.99
|
2026-04-30
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
12
|
10
|
—
|
—
|
$33,828.24
|
$42,730.40
|
$35,608.67
|
2026-04-30
|
|
6904
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,518.60
|
$39,070.46
|
$35,518.60
|
2026-04-30
|
|
52
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,417.37
|
$38,959.11
|
$35,417.37
|
2026-04-30
|
|
33249
|
CPT
|
Ins Rep Icd System With Leads
|
53
|
21
|
$50,482.00
|
$50,482.00
|
$781.99
|
$45,433.80
|
$35,337.40
|
2026-04-30
|
|
33264
|
CPT
|
Rem And Rep Icd Mult Lead Sys
|
53
|
21
|
$50,482.00
|
$50,482.00
|
$348.28
|
$45,433.80
|
$35,337.40
|
2026-04-30
|
|
33231
|
CPT
|
Ins Icd Gen Exist Mult Leads
|
53
|
21
|
$50,482.00
|
$50,482.00
|
$347.95
|
$45,433.80
|
$35,337.40
|
2026-04-30
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
12
|
10
|
—
|
—
|
$33,491.98
|
$42,305.66
|
$35,254.72
|
2026-04-30
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
12
|
10
|
—
|
—
|
$33,470.13
|
$42,278.06
|
$35,231.72
|
2026-04-30
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
12
|
10
|
—
|
—
|
$33,431.15
|
$42,228.82
|
$35,190.68
|
2026-04-30
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
12
|
10
|
—
|
—
|
$33,411.62
|
$42,204.16
|
$35,170.13
|
2026-04-30
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
12
|
10
|
—
|
—
|
$33,361.70
|
$42,141.10
|
$35,117.58
|
2026-04-30
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
12
|
10
|
—
|
—
|
$33,319.57
|
$42,087.88
|
$35,073.23
|
2026-04-30
|
|
3614
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$35,025.59
|
$38,528.15
|
$35,025.59
|
2026-04-30
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
12
|
10
|
—
|
—
|
$33,135.46
|
$41,855.32
|
$34,879.43
|
2026-04-30
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
12
|
10
|
—
|
—
|
$33,070.69
|
$41,773.50
|
$34,811.25
|
2026-04-30
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
12
|
10
|
—
|
—
|
$33,042.61
|
$41,738.03
|
$34,781.69
|
2026-04-30
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
12
|
10
|
—
|
—
|
$33,001.28
|
$41,685.83
|
$34,738.19
|
2026-04-30
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
12
|
10
|
—
|
—
|
$32,977.87
|
$41,656.26
|
$34,713.55
|
2026-04-30
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
12
|
10
|
—
|
—
|
$32,951.31
|
$41,622.71
|
$34,685.59
|
2026-04-30
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
12
|
10
|
—
|
—
|
$32,928.71
|
$41,594.16
|
$34,661.80
|
2026-04-30
|
|
C1882
|
HCPCS
|
Amplia MRI Quad Crt-d Sure Scan--ampliamriqdcrtmmqm
|
324
|
21
|
$55,829.00
|
$55,829.00
|
$314.06
|
$74,488.50
|
$34,533.01
|
2026-04-30
|