|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other I
|
60
|
5
|
—
|
—
|
$20,141.20
|
$263,944.06
|
$215,642.26
|
2025-10-30
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System
|
31
|
5
|
—
|
—
|
$167,919.63
|
$171,289.08
|
$171,289.08
|
2025-10-30
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principa
|
60
|
5
|
—
|
—
|
$120,734.54
|
$129,733.72
|
$120,893.67
|
2025-10-30
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >9
|
60
|
5
|
—
|
—
|
$48,287.79
|
$130,499.59
|
$113,247.81
|
2025-10-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagno
|
60
|
5
|
—
|
—
|
$81,923.32
|
$101,349.63
|
$84,663.21
|
2025-10-30
|
|
01901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
01585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
30
|
6
|
—
|
—
|
$72,037.79
|
$80,041.99
|
$80,041.99
|
2025-10-30
|
|
7
|
MS_DRG
|
Lung Transplant
|
31
|
5
|
—
|
—
|
$72,828.75
|
$79,154.85
|
$79,154.85
|
2025-10-30
|
|
01584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
30
|
6
|
—
|
—
|
$68,670.15
|
$76,300.17
|
$76,300.17
|
2025-10-30
|
|
01598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
30
|
6
|
—
|
—
|
$68,670.15
|
$76,300.17
|
$76,300.17
|
2025-10-30
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System
|
31
|
5
|
—
|
—
|
$69,262.79
|
$80,380.51
|
$69,262.79
|
2025-10-30
|
|
01597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
30
|
6
|
—
|
—
|
$60,591.35
|
$67,323.73
|
$67,323.73
|
2025-10-30
|
|
01583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
30
|
6
|
—
|
—
|
$60,591.35
|
$67,323.73
|
$67,323.73
|
2025-10-30
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
60
|
5
|
—
|
—
|
$20,141.20
|
$73,456.40
|
$66,777.44
|
2025-10-30
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
31
|
5
|
—
|
—
|
$63,020.35
|
$68,054.16
|
$63,020.35
|
2025-10-30
|
|
C1882
|
CPT
|
Defib Not Sngl/dual G01
|
1,276
|
9
|
$70,713.00
|
$18,385.38
74% off
|
$1,500.00
|
$90,512.00
|
$61,251.73
|
2025-10-30
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
60
|
5
|
—
|
—
|
$31,404.48
|
$61,468.89
|
$60,859.67
|
2025-10-30
|
|
01582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
30
|
6
|
—
|
—
|
$52,512.57
|
$58,347.30
|
$58,347.30
|
2025-10-30
|
|
01596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
30
|
6
|
—
|
—
|
$52,512.57
|
$58,347.30
|
$58,347.30
|
2025-10-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
60
|
5
|
—
|
—
|
$31,404.48
|
$59,794.91
|
$58,120.18
|
2025-10-30
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With
|
60
|
5
|
—
|
—
|
$29,098.74
|
$54,617.54
|
$54,163.09
|
2025-10-30
|
|
05244
|
OTHER
|
Level 4 Blood Product Exchange And Related Service
|
30
|
6
|
—
|
—
|
$47,779.86
|
$53,088.74
|
$53,088.74
|
2025-10-30
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spi
|
58
|
5
|
—
|
—
|
$34,990.82
|
$67,364.32
|
$51,177.57
|
2025-10-30
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
58
|
5
|
—
|
—
|
$48,287.79
|
$52,929.02
|
$50,608.40
|
2025-10-30
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvatur
|
60
|
5
|
—
|
—
|
$48,287.79
|
$51,363.68
|
$50,407.93
|
2025-10-30
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
58
|
5
|
—
|
—
|
$31,404.48
|
$69,183.33
|
$50,293.90
|
2025-10-30
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
60
|
5
|
—
|
—
|
$31,404.48
|
$51,525.65
|
$50,073.83
|
2025-10-30
|
|
01581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
30
|
6
|
—
|
—
|
$44,433.77
|
$49,370.86
|
$49,370.86
|
2025-10-30
|
|
01595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
30
|
6
|
—
|
—
|
$44,433.77
|
$49,370.86
|
$49,370.86
|
2025-10-30
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
58
|
5
|
—
|
—
|
$31,404.48
|
$66,465.21
|
$48,934.85
|
2025-10-30
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Di
|
60
|
5
|
—
|
—
|
$48,096.07
|
$55,503.49
|
$48,287.79
|
2025-10-30
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
60
|
5
|
—
|
—
|
$31,404.48
|
$48,493.44
|
$46,931.68
|
2025-10-30
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Op
|
60
|
5
|
—
|
—
|
$31,404.48
|
$46,729.37
|
$46,206.07
|
2025-10-30
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
60
|
5
|
—
|
—
|
$44,728.00
|
$46,799.05
|
$45,679.28
|
2025-10-30
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fu
|
58
|
5
|
—
|
—
|
$34,990.82
|
$55,068.92
|
$45,029.87
|
2025-10-30
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Tra
|
60
|
5
|
—
|
—
|
$39,844.48
|
$46,574.73
|
$44,211.04
|
2025-10-30
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
31
|
5
|
—
|
—
|
$24,739.81
|
$43,859.67
|
$43,859.67
|
2025-10-30
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation
|
60
|
5
|
—
|
—
|
$36,937.30
|
$48,287.79
|
$43,841.33
|
2025-10-30
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With H
|
31
|
5
|
—
|
—
|
$42,565.02
|
$43,608.45
|
$43,608.45
|
2025-10-30
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
60
|
5
|
—
|
—
|
$42,294.17
|
$44,728.00
|
$43,330.96
|
2025-10-30
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
60
|
5
|
—
|
—
|
$37,414.91
|
$48,287.79
|
$43,239.18
|
2025-10-30
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
60
|
5
|
—
|
—
|
$40,514.51
|
$69,669.78
|
$42,246.64
|
2025-10-30
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsatio
|
60
|
5
|
—
|
—
|
$31,404.48
|
$42,039.44
|
$41,289.49
|
2025-10-30
|
|
01594
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
30
|
6
|
—
|
—
|
$36,354.97
|
$40,394.42
|
$40,394.42
|
2025-10-30
|
|
01580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
30
|
6
|
—
|
—
|
$36,354.97
|
$40,394.42
|
$40,394.42
|
2025-10-30
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
60
|
5
|
—
|
—
|
$39,844.48
|
$41,142.16
|
$40,186.98
|
2025-10-30
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
60
|
5
|
—
|
—
|
$35,023.40
|
$49,793.99
|
$40,043.79
|
2025-10-30
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
60
|
5
|
—
|
—
|
$29,098.74
|
$40,538.27
|
$39,572.48
|
2025-10-30
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spi
|
58
|
5
|
—
|
—
|
$34,990.82
|
$44,121.88
|
$39,556.35
|
2025-10-30
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Suppo
|
60
|
5
|
—
|
—
|
$39,172.16
|
$67,981.12
|
$39,330.49
|
2025-10-30
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath
|
60
|
5
|
—
|
—
|
$38,187.77
|
$44,728.00
|
$39,123.90
|
2025-10-30
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
60
|
5
|
—
|
—
|
$31,404.48
|
$40,189.87
|
$37,876.94
|
2025-10-30
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
58
|
5
|
—
|
—
|
$31,404.48
|
$43,582.78
|
$37,493.63
|
2025-10-30
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplem
|
60
|
5
|
—
|
—
|
$31,404.48
|
$39,379.78
|
$37,458.31
|
2025-10-30
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intralumin
|
58
|
5
|
—
|
—
|
$26,450.15
|
$48,287.79
|
$37,368.97
|
2025-10-30
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
60
|
5
|
—
|
—
|
$35,065.17
|
$47,508.16
|
$36,724.23
|
2025-10-30
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With
|
60
|
5
|
—
|
—
|
$26,056.50
|
$37,384.35
|
$36,338.31
|
2025-10-30
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
60
|
5
|
—
|
—
|
$31,404.48
|
$36,299.53
|
$36,243.80
|
2025-10-30
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Card
|
58
|
5
|
—
|
—
|
$31,404.48
|
$40,869.55
|
$36,137.01
|
2025-10-30
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvatur
|
60
|
5
|
—
|
—
|
$24,175.41
|
$36,447.95
|
$36,015.55
|
2025-10-30
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrom
|
60
|
5
|
—
|
—
|
$29,284.53
|
$36,328.15
|
$35,921.88
|
2025-10-30
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures W
|
60
|
5
|
—
|
—
|
$31,724.80
|
$48,287.79
|
$35,847.12
|
2025-10-30
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Wi
|
60
|
5
|
—
|
—
|
$31,404.48
|
$35,870.35
|
$35,736.34
|
2025-10-30
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
60
|
5
|
—
|
—
|
$31,404.48
|
$40,189.87
|
$35,430.28
|
2025-10-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Comp
|
60
|
5
|
—
|
—
|
$34,193.53
|
$48,287.79
|
$35,025.02
|
2025-10-30
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
60
|
5
|
—
|
—
|
$31,404.48
|
$37,056.12
|
$34,947.63
|
2025-10-30
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For M
|
60
|
5
|
—
|
—
|
$31,271.39
|
$41,281.00
|
$34,836.76
|
2025-10-30
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intralumina
|
58
|
5
|
—
|
—
|
$21,017.58
|
$48,287.79
|
$34,652.68
|
2025-10-30
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
31
|
5
|
—
|
—
|
$33,356.50
|
$34,256.71
|
$34,256.71
|
2025-10-30
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intralu
|
58
|
5
|
—
|
—
|
$19,622.76
|
$48,287.79
|
$33,955.28
|
2025-10-30
|
|
C1820
|
CPT
|
Imp Gen Chrg G04
|
1,824
|
9
|
$42,428.00
|
$11,031.28
74% off
|
$1,500.00
|
$70,713.00
|
$33,942.00
|
2025-10-30
|
|
C1767
|
CPT
|
Imp Gen Nonchrg G01
|
1,824
|
9
|
$42,428.00
|
$11,031.28
74% off
|
$1,500.00
|
$70,713.00
|
$33,942.00
|
2025-10-30
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intralumin
|
58
|
5
|
—
|
—
|
$19,259.69
|
$48,287.79
|
$33,773.74
|
2025-10-30
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lo
|
60
|
5
|
—
|
—
|
$26,146.07
|
$38,273.08
|
$33,757.95
|
2025-10-30
|
|
C1722
|
CPT
|
Defib Sngl G01
|
3,553
|
9
|
$42,428.00
|
$11,031.28
74% off
|
$1,500.00
|
$70,713.00
|
$33,659.50
|
2025-10-30
|
|
C1721
|
CPT
|
Defib Dual G01
|
3,553
|
9
|
$42,428.00
|
$11,031.28
74% off
|
$1,500.00
|
$70,713.00
|
$33,659.50
|
2025-10-30
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or
|
60
|
5
|
—
|
—
|
$30,815.58
|
$75,654.75
|
$33,336.82
|
2025-10-30
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
60
|
5
|
—
|
—
|
$31,761.69
|
$48,287.79
|
$33,151.27
|
2025-10-30
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Pro
|
58
|
5
|
—
|
—
|
$31,404.48
|
$34,881.99
|
$33,143.24
|
2025-10-30
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
60
|
5
|
—
|
—
|
$31,404.48
|
$33,437.06
|
$33,062.98
|
2025-10-30
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
60
|
5
|
—
|
—
|
$23,511.89
|
$33,555.64
|
$32,991.98
|
2025-10-30
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With
|
58
|
5
|
—
|
—
|
$18,192.50
|
$47,259.34
|
$32,725.92
|
2025-10-30
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of P
|
58
|
5
|
—
|
—
|
$31,404.48
|
$34,022.00
|
$32,713.24
|
2025-10-30
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
60
|
5
|
—
|
—
|
$31,404.48
|
$32,595.40
|
$32,425.81
|
2025-10-30
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Di
|
60
|
5
|
—
|
—
|
$31,404.48
|
$40,504.37
|
$32,357.02
|
2025-10-30
|
|
230302
|
CDM
|
Aspiration Catheter 130cm
|
97
|
9
|
$32,000.00
|
$8,320.00
74% off
|
$1,500.00
|
$32,000.00
|
$32,000.00
|
2025-10-30
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
60
|
5
|
—
|
—
|
$31,134.76
|
$44,728.00
|
$31,897.99
|
2025-10-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
60
|
5
|
—
|
—
|
$31,292.27
|
$48,287.79
|
$31,816.70
|
2025-10-30
|
|
604020
|
CDM
|
Atrial Pacemaker Insert
|
97
|
9
|
$31,803.50
|
$8,268.91
74% off
|
$1,500.00
|
$31,803.50
|
$31,803.50
|
2025-10-30
|
|
01579
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
30
|
6
|
—
|
—
|
$28,276.18
|
$31,417.98
|
$31,417.98
|
2025-10-30
|
|
01593
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
30
|
6
|
—
|
—
|
$28,276.18
|
$31,417.98
|
$31,417.98
|
2025-10-30
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Wit
|
60
|
5
|
—
|
—
|
$29,957.35
|
$33,701.93
|
$31,404.48
|
2025-10-30
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Op
|
60
|
5
|
—
|
—
|
$30,941.47
|
$33,389.38
|
$31,404.48
|
2025-10-30
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
60
|
5
|
—
|
—
|
$30,501.77
|
$32,250.06
|
$31,404.48
|
2025-10-30
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
60
|
5
|
—
|
—
|
$27,681.76
|
$46,605.77
|
$31,069.14
|
2025-10-30
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
60
|
5
|
—
|
—
|
$30,174.24
|
$44,728.00
|
$30,913.92
|
2025-10-30
|
|
01643
|
OTHER
|
Y90 Ibritumomab, Rx
|
2
|
1
|
—
|
—
|
$30,841.52
|
$30,841.52
|
$30,841.52
|
2025-10-30
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
60
|
5
|
—
|
—
|
$28,228.73
|
$31,404.48
|
$30,806.96
|
2025-10-30
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplem
|
60
|
5
|
—
|
—
|
$29,099.19
|
$31,404.48
|
$30,788.14
|
2025-10-30
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath
|
60
|
5
|
—
|
—
|
$29,953.50
|
$44,728.00
|
$30,687.77
|
2025-10-30
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentia
|
60
|
5
|
—
|
—
|
$28,591.88
|
$48,287.79
|
$30,676.58
|
2025-10-30
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With M
|
60
|
5
|
—
|
—
|
$30,484.23
|
$48,287.79
|
$30,538.76
|
2025-10-30
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spi
|
58
|
5
|
—
|
—
|
$26,146.07
|
$34,363.06
|
$30,254.56
|
2025-10-30
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
60
|
5
|
—
|
—
|
$29,402.24
|
$31,404.48
|
$30,239.74
|
2025-10-30
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Proced
|
60
|
5
|
—
|
—
|
$29,239.37
|
$48,712.45
|
$30,185.95
|
2025-10-30
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except
|
60
|
5
|
—
|
—
|
$27,742.50
|
$48,287.79
|
$30,082.66
|
2025-10-30
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fu
|
58
|
5
|
—
|
—
|
$24,175.41
|
$35,249.95
|
$29,712.68
|
2025-10-30
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
60
|
5
|
—
|
—
|
$24,175.41
|
$30,050.74
|
$29,514.22
|
2025-10-30
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diag
|
60
|
5
|
—
|
—
|
$23,511.89
|
$32,110.21
|
$29,365.08
|
2025-10-30
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mc
|
58
|
5
|
—
|
—
|
$26,146.07
|
$32,575.84
|
$29,360.96
|
2025-10-30
|
|
129592
|
CDM
|
Rem/repl Pmkr Dual
|
97
|
9
|
$29,133.00
|
$7,574.58
74% off
|
$1,500.00
|
$29,133.00
|
$29,133.00
|
2025-10-30
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With
|
58
|
5
|
—
|
—
|
$17,341.14
|
$40,839.60
|
$29,090.37
|
2025-10-30
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
60
|
5
|
—
|
—
|
$27,393.88
|
$80,209.83
|
$28,897.51
|
2025-10-30
|
|
05232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
30
|
6
|
—
|
—
|
$25,901.89
|
$28,779.88
|
$28,779.88
|
2025-10-30
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
31
|
5
|
—
|
—
|
$27,705.51
|
$28,736.13
|
$28,736.13
|
2025-10-30
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal D
|
60
|
5
|
—
|
—
|
$27,326.67
|
$73,607.79
|
$28,677.45
|
2025-10-30
|
|
05166
|
OTHER
|
Cochlear Implant Procedure
|
30
|
6
|
—
|
—
|
$25,696.88
|
$28,552.09
|
$28,552.09
|
2025-10-30
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid
|
58
|
5
|
—
|
—
|
$20,141.20
|
$36,713.84
|
$28,427.52
|
2025-10-30
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
31
|
5
|
—
|
—
|
$28,342.50
|
$28,692.28
|
$28,342.50
|
2025-10-30
|
|
240933
|
CDM
|
Imp Vascular G25
|
97
|
9
|
$28,285.00
|
$7,354.10
74% off
|
$1,500.00
|
$28,285.00
|
$28,285.00
|
2025-10-30
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With
|
60
|
5
|
—
|
—
|
$22,768.75
|
$28,565.21
|
$28,150.57
|
2025-10-30
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
60
|
5
|
—
|
—
|
$27,582.61
|
$48,287.79
|
$28,094.95
|
2025-10-30
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedu
|
60
|
5
|
—
|
—
|
$25,811.30
|
$48,287.79
|
$28,023.44
|
2025-10-30
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
60
|
5
|
—
|
—
|
$23,511.89
|
$29,090.22
|
$27,886.52
|
2025-10-30
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.
|
60
|
5
|
—
|
—
|
$26,326.17
|
$40,527.91
|
$27,802.79
|
2025-10-30
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedure
|
60
|
5
|
—
|
—
|
$27,088.62
|
$48,287.79
|
$27,790.56
|
2025-10-30
|
|
129589
|
CDM
|
Rem/repl Pmkr Sgl
|
97
|
9
|
$27,467.50
|
$7,141.55
74% off
|
$1,500.00
|
$27,467.50
|
$27,467.50
|
2025-10-30
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
60
|
5
|
—
|
—
|
$24,585.89
|
$48,287.79
|
$27,385.93
|
2025-10-30
|
|
05465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
30
|
6
|
—
|
—
|
$24,618.98
|
$27,354.43
|
$27,354.43
|
2025-10-30
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With M
|
60
|
5
|
—
|
—
|
$25,693.18
|
$31,404.48
|
$27,278.36
|
2025-10-30
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
60
|
5
|
—
|
—
|
$25,191.44
|
$46,605.77
|
$26,849.89
|
2025-10-30
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of P
|
58
|
5
|
—
|
—
|
$22,043.21
|
$31,404.48
|
$26,723.85
|
2025-10-30
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
31
|
5
|
—
|
—
|
$25,664.54
|
$26,293.67
|
$26,293.67
|
2025-10-30
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
60
|
5
|
—
|
—
|
$25,650.66
|
$39,662.01
|
$26,242.05
|
2025-10-30
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connecti
|
60
|
5
|
—
|
—
|
$24,442.11
|
$48,287.79
|
$26,239.27
|
2025-10-30
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
60
|
5
|
—
|
—
|
$20,141.20
|
$33,203.57
|
$26,072.02
|
2025-10-30
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
60
|
5
|
—
|
—
|
$24,796.49
|
$75,654.75
|
$26,070.57
|
2025-10-30
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Di
|
60
|
5
|
—
|
—
|
$19,421.06
|
$31,404.48
|
$26,002.81
|
2025-10-30
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsatio
|
60
|
5
|
—
|
—
|
$25,512.41
|
$31,404.48
|
$25,813.25
|
2025-10-30
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or
|
60
|
5
|
—
|
—
|
$23,324.08
|
$47,259.34
|
$25,769.24
|
2025-10-30
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Tra
|
60
|
5
|
—
|
—
|
$24,881.20
|
$39,844.48
|
$25,756.41
|
2025-10-30
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
60
|
5
|
—
|
—
|
$20,845.20
|
$48,835.20
|
$25,681.22
|
2025-10-30
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Wi
|
60
|
5
|
—
|
—
|
$24,331.73
|
$31,404.48
|
$25,602.99
|
2025-10-30
|
|
05200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
30
|
6
|
—
|
—
|
$22,966.65
|
$25,518.51
|
$25,518.51
|
2025-10-30
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvatur
|
60
|
5
|
—
|
—
|
$24,175.41
|
$28,714.95
|
$25,503.97
|
2025-10-30
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
60
|
5
|
—
|
—
|
$25,200.38
|
$29,284.53
|
$25,485.63
|
2025-10-30
|
|
240932
|
CDM
|
Imp Vascular G24
|
97
|
9
|
$25,456.50
|
$6,618.69
74% off
|
$1,500.00
|
$25,456.50
|
$25,456.50
|
2025-10-30
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnex
|
60
|
5
|
—
|
—
|
$21,848.23
|
$48,287.79
|
$25,446.18
|
2025-10-30
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures Wi
|
60
|
5
|
—
|
—
|
$23,457.72
|
$31,404.48
|
$25,384.17
|
2025-10-30
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Wit
|
60
|
5
|
—
|
—
|
$23,941.56
|
$31,404.48
|
$25,216.08
|
2025-10-30
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
60
|
5
|
—
|
—
|
$24,532.79
|
$29,284.53
|
$24,809.62
|
2025-10-30
|
|
01578
|
OTHER
|
New Technology - Level 41 ($25,001-$30,000)
|
30
|
6
|
—
|
—
|
$22,217.09
|
$24,685.66
|
$24,685.66
|
2025-10-30
|
|
01592
|
OTHER
|
New Technology - Level 41 ($25,001-$30,000)
|
30
|
6
|
—
|
—
|
$22,217.09
|
$24,685.66
|
$24,685.66
|
2025-10-30
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spina
|
58
|
5
|
—
|
—
|
$24,175.41
|
$24,574.30
|
$24,374.85
|
2025-10-30
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Formi
|
60
|
5
|
—
|
—
|
$22,742.39
|
$48,287.79
|
$24,351.81
|
2025-10-30
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
60
|
5
|
—
|
—
|
$22,130.62
|
$48,287.79
|
$24,223.75
|
2025-10-30
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
58
|
5
|
—
|
—
|
$20,141.20
|
$28,229.42
|
$24,185.31
|
2025-10-30
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intral
|
58
|
5
|
—
|
—
|
$16,630.20
|
$31,404.48
|
$24,017.34
|
2025-10-30
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Comp
|
60
|
5
|
—
|
—
|
$23,558.54
|
$31,404.48
|
$23,910.51
|
2025-10-30
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
60
|
5
|
—
|
—
|
$23,658.68
|
$48,287.79
|
$23,860.42
|
2025-10-30
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental
|
31
|
5
|
—
|
—
|
$19,069.13
|
$23,623.23
|
$23,623.23
|
2025-10-30
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System
|
60
|
5
|
—
|
—
|
$22,601.59
|
$47,508.16
|
$23,600.61
|
2025-10-30
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
60
|
5
|
—
|
—
|
$23,062.77
|
$39,844.48
|
$23,466.76
|
2025-10-30
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And
|
60
|
5
|
—
|
—
|
$21,898.96
|
$48,287.79
|
$23,281.12
|
2025-10-30
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except V
|
60
|
5
|
—
|
—
|
$22,076.22
|
$33,298.84
|
$23,197.00
|
2025-10-30
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intralum
|
58
|
5
|
—
|
—
|
$14,805.09
|
$31,404.48
|
$23,104.78
|
2025-10-30
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intralumina
|
58
|
5
|
—
|
—
|
$14,756.80
|
$31,404.48
|
$23,080.64
|
2025-10-30
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Mu
|
60
|
5
|
—
|
—
|
$22,695.86
|
$39,844.48
|
$23,000.39
|
2025-10-30
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures
|
60
|
5
|
—
|
—
|
$18,927.73
|
$48,287.79
|
$22,900.15
|
2025-10-30
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
60
|
5
|
—
|
—
|
$21,870.16
|
$75,654.75
|
$22,845.75
|
2025-10-30
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With
|
60
|
5
|
—
|
—
|
$22,239.46
|
$48,287.79
|
$22,843.31
|
2025-10-30
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Pr
|
60
|
5
|
—
|
—
|
$21,744.88
|
$48,287.79
|
$22,779.13
|
2025-10-30
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
31
|
5
|
—
|
—
|
$21,156.63
|
$22,650.77
|
$22,650.77
|
2025-10-30
|
|
242430
|
CDM
|
Imp Hrt Valve G07
|
97
|
9
|
$22,628.00
|
$5,883.28
74% off
|
$1,500.00
|
$22,628.00
|
$22,628.00
|
2025-10-30
|
|
243133
|
CDM
|
Imp Hrt Valve M G07
|
97
|
9
|
$22,628.00
|
$5,883.28
74% off
|
$1,500.00
|
$22,628.00
|
$22,628.00
|
2025-10-30
|
|
243137
|
CDM
|
Imp Hrt Valve T G07
|
97
|
9
|
$22,628.00
|
$5,883.28
74% off
|
$1,500.00
|
$22,628.00
|
$22,628.00
|
2025-10-30
|
|
240931
|
CDM
|
Imp Vascular G23
|
97
|
9
|
$22,628.00
|
$5,883.28
74% off
|
$1,500.00
|
$22,628.00
|
$22,628.00
|
2025-10-30
|
|
604254
|
CDM
|
Insert Icd Generator
|
97
|
9
|
$22,618.50
|
$5,880.81
74% off
|
$1,500.00
|
$22,618.50
|
$22,618.50
|
2025-10-30
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
60
|
5
|
—
|
—
|
$22,357.99
|
$26,056.50
|
$22,467.96
|
2025-10-30
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritiona
|
60
|
5
|
—
|
—
|
$21,315.86
|
$31,404.48
|
$22,459.01
|
2025-10-30
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
60
|
5
|
—
|
—
|
$21,190.64
|
$48,287.79
|
$22,450.90
|
2025-10-30
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip,
|
60
|
5
|
—
|
—
|
$20,796.88
|
$31,404.48
|
$22,441.73
|
2025-10-30
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact Wi
|
60
|
5
|
—
|
—
|
$18,477.30
|
$38,129.28
|
$22,178.29
|
2025-10-30
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation De
|
60
|
5
|
—
|
—
|
$22,160.11
|
$31,404.48
|
$22,161.18
|
2025-10-30
|
|
05213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
30
|
6
|
—
|
—
|
$19,819.14
|
$22,021.27
|
$22,021.27
|
2025-10-30
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
60
|
5
|
—
|
—
|
$21,826.23
|
$48,287.79
|
$21,977.55
|
2025-10-30
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without
|
58
|
5
|
—
|
—
|
$19,745.01
|
$24,175.41
|
$21,960.21
|
2025-10-30
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystecto
|
60
|
5
|
—
|
—
|
$21,793.83
|
$48,287.79
|
$21,892.24
|
2025-10-30
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
58
|
5
|
—
|
—
|
$14,638.22
|
$29,072.20
|
$21,855.21
|
2025-10-30
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.
|
60
|
5
|
—
|
—
|
$21,088.02
|
$31,404.48
|
$21,775.50
|
2025-10-30
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, N
|
60
|
5
|
—
|
—
|
$21,603.48
|
$42,296.19
|
$21,754.72
|
2025-10-30
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
60
|
5
|
—
|
—
|
$20,784.35
|
$31,404.48
|
$21,736.99
|
2025-10-30
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
60
|
5
|
—
|
—
|
$21,555.46
|
$31,404.48
|
$21,632.12
|
2025-10-30
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous Sy
|
60
|
5
|
—
|
—
|
$21,319.50
|
$33,740.08
|
$21,511.45
|
2025-10-30
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
60
|
5
|
—
|
—
|
$21,218.06
|
$48,287.79
|
$21,505.04
|
2025-10-30
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Witho
|
58
|
5
|
—
|
—
|
$16,734.01
|
$25,920.82
|
$21,327.42
|
2025-10-30
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
60
|
5
|
—
|
—
|
$19,946.13
|
$48,287.79
|
$21,321.36
|
2025-10-30
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective
|
60
|
5
|
—
|
—
|
$20,301.10
|
$48,287.79
|
$21,115.37
|
2025-10-30
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Princip
|
60
|
5
|
—
|
—
|
$19,797.57
|
$68,963.13
|
$20,955.23
|
2025-10-30
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Di
|
60
|
5
|
—
|
—
|
$20,349.43
|
$62,915.13
|
$20,848.27
|
2025-10-30
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
60
|
5
|
—
|
—
|
$19,456.32
|
$21,435.07
|
$20,825.04
|
2025-10-30
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
60
|
5
|
—
|
—
|
$19,515.19
|
$48,287.79
|
$20,722.90
|
2025-10-30
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
60
|
5
|
—
|
—
|
$19,745.67
|
$37,873.82
|
$20,418.58
|
2025-10-30
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulato
|
60
|
5
|
—
|
—
|
$20,141.20
|
$20,852.55
|
$20,389.40
|
2025-10-30
|
|
C1891
|
CPT
|
Imp Pump Infusion G01
|
643
|
9
|
$25,456.50
|
$6,618.69
74% off
|
$1,500.00
|
$33,942.00
|
$20,365.20
|
2025-10-30
|
|
0275
|
RC
|
—
|
640
|
5
|
$34,649.00
|
$9,008.74
74% off
|
$155.65
|
$90,512.00
|
$20,224.05
|
2025-10-30
|
|
01577
|
OTHER
|
New Technology - Level 40 ($20,001-$25,000)
|
30
|
6
|
—
|
—
|
$18,177.69
|
$20,197.44
|
$20,197.44
|
2025-10-30
|
|
01591
|
OTHER
|
New Technology - Level 40 ($20,001-$25,000)
|
30
|
6
|
—
|
—
|
$18,177.69
|
$20,197.44
|
$20,197.44
|
2025-10-30
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
60
|
5
|
—
|
—
|
$20,154.34
|
$31,404.48
|
$20,190.59
|
2025-10-30
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
60
|
5
|
—
|
—
|
$20,141.20
|
$22,115.34
|
$20,177.61
|
2025-10-30
|
|
05231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
30
|
6
|
—
|
—
|
$18,133.81
|
$20,148.68
|
$20,148.68
|
2025-10-30
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replaceme
|
60
|
5
|
—
|
—
|
$19,881.92
|
$20,872.65
|
$20,141.20
|
2025-10-30
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
60
|
5
|
—
|
—
|
$20,122.13
|
$23,511.89
|
$20,123.32
|
2025-10-30
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Wit
|
60
|
5
|
—
|
—
|
$20,042.78
|
$31,404.48
|
$20,119.69
|
2025-10-30
|
|
240930
|
CDM
|
Imp Vascular G22
|
97
|
9
|
$19,800.00
|
$5,148.00
74% off
|
$1,500.00
|
$19,800.00
|
$19,800.00
|
2025-10-30
|
|
243131
|
CDM
|
Imp Hrt Valve M G06
|
97
|
9
|
$19,800.00
|
$5,148.00
74% off
|
$1,500.00
|
$19,800.00
|
$19,800.00
|
2025-10-30
|
|
243135
|
CDM
|
Imp Hrt Valve T G06
|
97
|
9
|
$19,800.00
|
$5,148.00
74% off
|
$1,500.00
|
$19,800.00
|
$19,800.00
|
2025-10-30
|
|
717493
|
CDM
|
Imp Exfix G30
|
97
|
9
|
$19,800.00
|
$5,148.00
74% off
|
$1,500.00
|
$19,800.00
|
$19,800.00
|
2025-10-30
|
|
242429
|
CDM
|
Imp Hrt Valve G06
|
97
|
9
|
$19,800.00
|
$5,148.00
74% off
|
$1,500.00
|
$19,800.00
|
$19,800.00
|
2025-10-30
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedu
|
60
|
5
|
—
|
—
|
$18,803.04
|
$44,618.52
|
$19,794.52
|
2025-10-30
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
60
|
5
|
—
|
—
|
$18,536.36
|
$31,404.48
|
$19,772.51
|
2025-10-30
|
|
652
|
MS_DRG
|
Kidney Transplant
|
31
|
5
|
—
|
—
|
$18,405.71
|
$19,739.51
|
$19,739.51
|
2025-10-30
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infect
|
60
|
5
|
—
|
—
|
$19,395.47
|
$48,287.79
|
$19,724.84
|
2025-10-30
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
60
|
5
|
—
|
—
|
$19,460.18
|
$48,287.79
|
$19,719.42
|
2025-10-30
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
60
|
5
|
—
|
—
|
$19,250.53
|
$31,404.48
|
$19,693.17
|
2025-10-30
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation
|
60
|
5
|
—
|
—
|
$17,532.88
|
$23,511.89
|
$19,686.33
|
2025-10-30
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue
|
60
|
5
|
—
|
—
|
$18,600.79
|
$35,740.60
|
$19,479.12
|
2025-10-30
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
60
|
5
|
—
|
—
|
$19,118.05
|
$42,345.96
|
$19,344.04
|
2025-10-30
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentia
|
60
|
5
|
—
|
—
|
$18,880.60
|
$48,287.79
|
$19,314.71
|
2025-10-30
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachme
|
60
|
5
|
—
|
—
|
$18,539.67
|
$48,287.79
|
$19,278.53
|
2025-10-30
|
|
05464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
30
|
6
|
—
|
—
|
$17,324.47
|
$19,249.42
|
$19,249.42
|
2025-10-30
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
60
|
5
|
—
|
—
|
$17,010.86
|
$48,287.79
|
$19,205.30
|
2025-10-30
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
60
|
5
|
—
|
—
|
$18,257.75
|
$48,835.20
|
$19,077.55
|
2025-10-30
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For M
|
60
|
5
|
—
|
—
|
$17,821.64
|
$30,024.36
|
$19,037.82
|
2025-10-30
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedure
|
60
|
5
|
—
|
—
|
$18,038.20
|
$31,404.48
|
$19,004.20
|
2025-10-30
|
|
09225
|
OTHER
|
Fluocinolone Acetonide Implt
|
2
|
1
|
—
|
—
|
$18,980.00
|
$18,980.00
|
$18,980.00
|
2025-10-30
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
60
|
5
|
—
|
—
|
$16,621.28
|
$23,511.89
|
$18,687.59
|
2025-10-30
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures Wi
|
60
|
5
|
—
|
—
|
$13,945.70
|
$48,287.79
|
$18,672.39
|
2025-10-30
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Majo
|
60
|
5
|
—
|
—
|
$17,230.40
|
$20,141.20
|
$18,462.05
|
2025-10-30
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures W
|
60
|
5
|
—
|
—
|
$17,165.38
|
$48,287.79
|
$18,459.60
|
2025-10-30
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation De
|
60
|
5
|
—
|
—
|
$15,291.45
|
$48,287.79
|
$18,439.43
|
2025-10-30
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
60
|
5
|
—
|
—
|
$16,120.44
|
$48,287.79
|
$18,425.39
|
2025-10-30
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-dr
|
60
|
5
|
—
|
—
|
$17,956.47
|
$44,728.00
|
$18,396.65
|
2025-10-30
|
|
242718
|
CDM
|
Graft Bone G13
|
97
|
9
|
$18,385.00
|
$4,780.10
74% off
|
$1,500.00
|
$18,385.00
|
$18,385.00
|
2025-10-30
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
60
|
5
|
—
|
—
|
$18,007.29
|
$24,175.41
|
$18,321.59
|
2025-10-30
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-e
|
60
|
5
|
—
|
—
|
$17,870.56
|
$44,728.00
|
$18,308.63
|
2025-10-30
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
60
|
5
|
—
|
—
|
$17,341.14
|
$18,712.65
|
$18,128.88
|
2025-10-30
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >9
|
60
|
5
|
—
|
—
|
$17,341.14
|
$23,802.32
|
$18,094.88
|
2025-10-30
|
|
05378
|
OTHER
|
Level 8 Urology And Related Services
|
30
|
6
|
—
|
—
|
$16,261.45
|
$18,068.28
|
$18,068.28
|
2025-10-30
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fr
|
60
|
5
|
—
|
—
|
$17,543.37
|
$24,175.41
|
$18,012.55
|
2025-10-30
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Tra
|
60
|
5
|
—
|
—
|
$15,324.86
|
$20,141.20
|
$17,995.07
|
2025-10-30
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
60
|
5
|
—
|
—
|
$17,403.42
|
$40,086.66
|
$17,976.73
|
2025-10-30
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lo
|
60
|
5
|
—
|
—
|
$16,258.58
|
$24,175.41
|
$17,812.09
|
2025-10-30
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With M
|
60
|
5
|
—
|
—
|
$17,695.16
|
$48,287.79
|
$17,800.70
|
2025-10-30
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With
|
60
|
5
|
—
|
—
|
$17,109.29
|
$48,287.79
|
$17,737.74
|
2025-10-30
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
60
|
5
|
—
|
—
|
$17,478.59
|
$21,624.17
|
$17,726.74
|
2025-10-30
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
60
|
5
|
—
|
—
|
$17,251.88
|
$42,296.19
|
$17,648.51
|
2025-10-30
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
60
|
5
|
—
|
—
|
$17,140.32
|
$33,968.99
|
$17,639.95
|
2025-10-30
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or
|
60
|
5
|
—
|
—
|
$16,873.64
|
$47,259.34
|
$17,614.28
|
2025-10-30
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transien
|
60
|
5
|
—
|
—
|
$16,852.08
|
$38,772.89
|
$17,495.89
|
2025-10-30
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except
|
60
|
5
|
—
|
—
|
$16,192.92
|
$23,511.89
|
$17,422.96
|
2025-10-30
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
60
|
5
|
—
|
—
|
$16,841.42
|
$17,847.77
|
$17,341.14
|
2025-10-30
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
60
|
5
|
—
|
—
|
$15,860.61
|
$31,404.48
|
$17,171.75
|
2025-10-30
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intral
|
58
|
5
|
—
|
—
|
$10,775.89
|
$23,511.89
|
$17,143.89
|
2025-10-30
|
|
05224
|
OTHER
|
Level 4 Pacemaker And Similar Procedures
|
30
|
6
|
—
|
—
|
$15,407.19
|
$17,119.11
|
$17,119.11
|
2025-10-30
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
60
|
5
|
—
|
—
|
$16,958.36
|
$48,287.79
|
$17,110.02
|
2025-10-30
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
60
|
5
|
—
|
—
|
$15,113.67
|
$48,287.79
|
$17,059.90
|
2025-10-30
|
|
242560
|
CDM
|
Imp Hrt Valve M G05
|
97
|
9
|
$16,970.50
|
$4,412.33
74% off
|
$1,500.00
|
$16,970.50
|
$16,970.50
|
2025-10-30
|
|
242717
|
CDM
|
Graft Bone G12
|
97
|
9
|
$16,970.50
|
$4,412.33
74% off
|
$1,500.00
|
$16,970.50
|
$16,970.50
|
2025-10-30
|
|
242565
|
CDM
|
Imp Hrt Valve T G05
|
97
|
9
|
$16,970.50
|
$4,412.33
74% off
|
$1,500.00
|
$16,970.50
|
$16,970.50
|
2025-10-30
|
|
242428
|
CDM
|
Imp Hrt Valve G05
|
97
|
9
|
$16,970.50
|
$4,412.33
74% off
|
$1,500.00
|
$16,970.50
|
$16,970.50
|
2025-10-30
|
|
240929
|
CDM
|
Imp Vascular G21
|
97
|
9
|
$16,970.50
|
$4,412.33
74% off
|
$1,500.00
|
$16,970.50
|
$16,970.50
|
2025-10-30
|
|
717492
|
CDM
|
Imp Exfix G29
|
97
|
9
|
$16,970.50
|
$4,412.33
74% off
|
$1,500.00
|
$16,970.50
|
$16,970.50
|
2025-10-30
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upp
|
60
|
5
|
—
|
—
|
$14,065.44
|
$48,287.79
|
$16,942.54
|
2025-10-30
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Suppo
|
60
|
5
|
—
|
—
|
$15,512.20
|
$38,978.58
|
$16,800.74
|
2025-10-30
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
60
|
5
|
—
|
—
|
$16,640.96
|
$20,141.20
|
$16,796.46
|
2025-10-30
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
60
|
5
|
—
|
—
|
$16,544.91
|
$20,141.20
|
$16,709.66
|
2025-10-30
|
|
849
|
MS_DRG
|
Radiotherapy
|
60
|
5
|
—
|
—
|
$13,953.88
|
$23,511.89
|
$16,561.14
|
2025-10-30
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
60
|
5
|
—
|
—
|
$16,087.32
|
$32,333.41
|
$16,540.97
|
2025-10-30
|
|
05116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
30
|
6
|
—
|
—
|
$14,856.93
|
$16,507.71
|
$16,507.71
|
2025-10-30
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory Syst
|
60
|
5
|
—
|
—
|
$15,306.37
|
$48,287.79
|
$16,487.18
|
2025-10-30
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis
|
60
|
5
|
—
|
—
|
$15,848.68
|
$32,522.52
|
$16,237.19
|
2025-10-30
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Wit
|
60
|
5
|
—
|
—
|
$15,623.16
|
$29,576.48
|
$16,201.74
|
2025-10-30
|
|
05194
|
OTHER
|
Level 4 Endovascular Procedures
|
30
|
6
|
—
|
—
|
$14,506.86
|
$16,118.74
|
$16,118.74
|
2025-10-30
|
|
131
|
MS_DRG
|
Cranial/facial Procedures W Cc/mcc
|
60
|
5
|
—
|
—
|
$15,951.06
|
$16,437.67
|
$16,044.36
|
2025-10-30
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
60
|
5
|
—
|
—
|
$15,864.95
|
$23,511.89
|
$15,953.08
|
2025-10-30
|
|
05471
|
OTHER
|
Implantation Of Drug Infusion Device
|
30
|
6
|
—
|
—
|
$14,278.55
|
$15,865.06
|
$15,865.06
|
2025-10-30
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary D
|
60
|
5
|
—
|
—
|
$14,372.09
|
$31,404.48
|
$15,846.00
|
2025-10-30
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
60
|
5
|
—
|
—
|
$15,705.50
|
$48,287.79
|
$15,786.71
|
2025-10-30
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous Sy
|
60
|
5
|
—
|
—
|
$13,628.13
|
$17,341.14
|
$15,764.71
|
2025-10-30
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous Sy
|
60
|
5
|
—
|
—
|
$15,253.87
|
$26,859.36
|
$15,764.71
|
2025-10-30
|
|
01576
|
OTHER
|
New Technology - Level 39 ($15,001-$20,000)
|
30
|
6
|
—
|
—
|
$14,138.29
|
$15,709.22
|
$15,709.22
|
2025-10-30
|