|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
9
|
9
|
—
|
—
|
$3,635,800.00
|
$3,895,500.00
|
$3,710,000.00
|
2025-06-11
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
9
|
9
|
—
|
—
|
$3,635,800.00
|
$3,895,500.00
|
$3,710,000.00
|
2025-06-11
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
10
|
10
|
—
|
—
|
$3,255,345.88
|
$4,683,711.93
|
$3,321,781.51
|
2025-06-11
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
11
|
11
|
—
|
—
|
$3,129,140.00
|
$4,949,150.00
|
$3,193,000.00
|
2025-06-11
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
11
|
11
|
—
|
—
|
$2,908,640.00
|
$4,600,400.00
|
$2,968,000.00
|
2025-06-11
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
12
|
12
|
—
|
—
|
$2,355,389.58
|
$4,751,637.95
|
$2,403,458.75
|
2025-06-11
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
12
|
12
|
—
|
—
|
$2,285,360.00
|
$4,610,364.00
|
$2,332,000.00
|
2025-06-11
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
13
|
13
|
—
|
—
|
$773.49
|
$1,118,238.33
|
$565,623.84
|
2025-06-11
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
12
|
12
|
—
|
—
|
$540,291.97
|
$1,089,956.36
|
$551,318.34
|
2025-06-11
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
12
|
12
|
—
|
—
|
$517,746.18
|
$1,044,473.67
|
$528,312.43
|
2025-06-11
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
12
|
12
|
—
|
—
|
$506,156.25
|
$1,021,092.76
|
$516,485.97
|
2025-06-11
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
13
|
13
|
—
|
—
|
$339,191.27
|
$967,775.41
|
$489,517.15
|
2025-06-11
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
12
|
12
|
—
|
—
|
$478,290.48
|
$964,877.84
|
$488,051.51
|
2025-06-11
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
10
|
—
|
—
|
$409,714.64
|
$589,487.39
|
$418,076.16
|
2025-06-11
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
10
|
—
|
—
|
$306,093.69
|
$440,400.11
|
$312,340.50
|
2025-06-11
|
|
5834
|
APR_DRG
|
Neonate With Ecmo - Extreme Severity
|
5
|
5
|
—
|
—
|
$254,412.72
|
$318,015.90
|
$295,118.76
|
2025-06-11
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
10
|
—
|
—
|
$257,830.63
|
$370,960.40
|
$263,092.48
|
2025-06-11
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$208,687.25
|
$260,859.06
|
$242,077.21
|
2025-06-11
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
10
|
10
|
—
|
—
|
$232,955.95
|
$335,171.31
|
$237,710.15
|
2025-06-11
|
|
5833
|
APR_DRG
|
Neonate With Ecmo - Major Severity
|
5
|
5
|
—
|
—
|
$201,499.63
|
$251,874.54
|
$233,739.57
|
2025-06-11
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems - Extreme Severity
|
5
|
5
|
—
|
—
|
$199,529.50
|
$249,411.88
|
$231,454.22
|
2025-06-11
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant - Extreme Severity
|
5
|
5
|
—
|
—
|
$192,552.40
|
$240,690.50
|
$223,360.78
|
2025-06-11
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems - Major Severity
|
5
|
5
|
—
|
—
|
$152,860.98
|
$191,076.23
|
$177,318.74
|
2025-06-11
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Extreme …
|
5
|
5
|
—
|
—
|
$151,473.30
|
$189,341.63
|
$175,709.03
|
2025-06-11
|
|
5832
|
APR_DRG
|
Neonate With Ecmo - Moderate Severity
|
5
|
5
|
—
|
—
|
$148,586.54
|
$185,733.18
|
$172,360.39
|
2025-06-11
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft - Extreme Severity
|
5
|
5
|
—
|
—
|
$140,708.86
|
$175,886.08
|
$163,222.28
|
2025-06-11
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$136,104.03
|
$170,130.04
|
$157,880.67
|
2025-06-11
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
10
|
10
|
—
|
—
|
$153,685.31
|
$221,118.65
|
$156,821.74
|
2025-06-11
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$134,444.48
|
$168,055.60
|
$155,955.60
|
2025-06-11
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Moderate Severity
|
5
|
5
|
—
|
—
|
$131,646.46
|
$164,558.08
|
$152,709.89
|
2025-06-11
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$131,431.23
|
$164,289.04
|
$152,460.23
|
2025-06-11
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Extreme Sever…
|
5
|
5
|
—
|
—
|
$131,261.31
|
$164,076.64
|
$152,263.12
|
2025-06-11
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$130,592.96
|
$163,241.20
|
$151,487.83
|
2025-06-11
|
|
5831
|
APR_DRG
|
Neonate With Ecmo - Minor Severity
|
5
|
5
|
—
|
—
|
$128,405.71
|
$160,507.14
|
$148,950.62
|
2025-06-11
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant - Extreme Severity
|
5
|
5
|
—
|
—
|
$126,234.51
|
$157,793.14
|
$146,432.03
|
2025-06-11
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$125,373.58
|
$156,716.98
|
$145,433.35
|
2025-06-11
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$142,522.55
|
$205,057.95
|
$145,431.17
|
2025-06-11
|
|
7
|
MS_DRG
|
Lung Transplant
|
10
|
10
|
—
|
—
|
$142,164.28
|
$204,542.48
|
$145,065.59
|
2025-06-11
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$125,035.63
|
$156,294.54
|
$145,041.33
|
2025-06-11
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant - Extreme Severity
|
5
|
5
|
—
|
—
|
$123,090.99
|
$153,863.74
|
$142,785.55
|
2025-06-11
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems - Moderate Severity
|
5
|
5
|
—
|
—
|
$122,733.22
|
$153,416.53
|
$142,370.54
|
2025-06-11
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Extreme Severity
|
5
|
5
|
—
|
—
|
$122,413.20
|
$153,016.50
|
$141,999.31
|
2025-06-11
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant - Major Severity
|
5
|
5
|
—
|
—
|
$119,071.44
|
$148,839.30
|
$138,122.87
|
2025-06-11
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems - Minor Severity
|
5
|
5
|
—
|
—
|
$116,597.22
|
$145,746.53
|
$135,252.78
|
2025-06-11
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
57
|
32
|
$142,328.00
|
$142,328.00
|
$2,790.75
|
$128,095.20
|
$128,095.20
|
2025-06-11
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Ext…
|
5
|
5
|
—
|
—
|
$109,404.88
|
$136,756.10
|
$126,909.66
|
2025-06-11
|
|
33249
|
CPT
|
Insrt Of 1or2 Chmbr, Crdio-def
|
57
|
32
|
$140,207.00
|
$140,207.00
|
$2,671.00
|
$126,186.30
|
$126,186.30
|
2025-06-11
|
|
64
|
APR_DRG
|
Pancreas Transplant - Extreme Severity
|
5
|
5
|
—
|
—
|
$108,703.49
|
$135,879.36
|
$126,096.05
|
2025-06-11
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
10
|
—
|
—
|
$119,917.99
|
$172,535.07
|
$122,365.30
|
2025-06-11
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
10
|
10
|
—
|
—
|
$118,552.23
|
$170,570.04
|
$120,971.66
|
2025-06-11
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
10
|
—
|
—
|
$115,897.79
|
$166,750.90
|
$118,263.05
|
2025-06-11
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
10
|
10
|
—
|
—
|
$115,305.02
|
$165,898.03
|
$117,658.18
|
2025-06-11
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
10
|
—
|
—
|
$114,008.75
|
$164,033.00
|
$116,335.46
|
2025-06-11
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$97,559.57
|
$121,949.46
|
$113,169.10
|
2025-06-11
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
18
|
—
|
—
|
$18,500.00
|
$151,157.22
|
$106,131.67
|
2025-06-11
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant - Moderate Severity
|
5
|
5
|
—
|
—
|
$88,364.06
|
$110,455.08
|
$102,502.31
|
2025-06-11
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
10
|
10
|
—
|
—
|
$100,291.41
|
$144,296.82
|
$102,338.17
|
2025-06-11
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$87,523.90
|
$109,404.88
|
$101,527.72
|
2025-06-11
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure - Minor Severity
|
5
|
5
|
—
|
—
|
$86,655.42
|
$108,319.28
|
$100,520.29
|
2025-06-11
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
12
|
12
|
—
|
—
|
$97,999.91
|
$197,699.82
|
$99,999.91
|
2025-06-11
|
|
33240
|
CPT
|
BiV Aicd Generator Placemen
|
57
|
32
|
$110,671.00
|
$110,671.00
|
$2,671.00
|
$99,603.90
|
$99,603.90
|
2025-06-11
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$85,565.10
|
$106,956.38
|
$99,255.52
|
2025-06-11
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Extreme Severity
|
5
|
5
|
—
|
—
|
$84,429.47
|
$105,536.84
|
$97,938.19
|
2025-06-11
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$82,400.82
|
$103,001.03
|
$95,584.95
|
2025-06-11
|
|
33264
|
CPT
|
Rem And Repl Defib Gen Mult Ld
|
57
|
32
|
$105,877.00
|
$105,877.00
|
$1,680.00
|
$95,289.30
|
$95,289.30
|
2025-06-11
|
|
33262
|
CPT
|
Rem Repl Defib Gen Sngl Lead
|
57
|
32
|
$105,819.00
|
$105,819.00
|
$1,680.00
|
$95,237.10
|
$95,237.10
|
2025-06-11
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
16
|
16
|
—
|
—
|
$15,500.00
|
$132,769.08
|
$94,162.47
|
2025-06-11
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
10
|
—
|
—
|
$92,228.20
|
$132,695.68
|
$94,110.41
|
2025-06-11
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
12
|
12
|
—
|
—
|
$91,352.37
|
$184,289.42
|
$93,216.70
|
2025-06-11
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
10
|
10
|
—
|
—
|
$90,832.04
|
$130,686.92
|
$92,685.76
|
2025-06-11
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Extreme Sever…
|
5
|
5
|
—
|
—
|
$79,573.54
|
$99,466.93
|
$92,305.31
|
2025-06-11
|
|
33263
|
CPT
|
Rem And Repl Defib Gen Dual Ld
|
57
|
32
|
$102,366.00
|
$102,366.00
|
$1,680.00
|
$92,129.40
|
$92,129.40
|
2025-06-11
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
10
|
—
|
—
|
$87,797.61
|
$126,321.05
|
$89,589.40
|
2025-06-11
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$76,998.30
|
$96,247.88
|
$89,318.03
|
2025-06-11
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$76,928.45
|
$96,160.56
|
$89,237.00
|
2025-06-11
|
|
63
|
APR_DRG
|
Pancreas Transplant - Major Severity
|
5
|
5
|
—
|
—
|
$76,434.74
|
$95,543.43
|
$88,664.30
|
2025-06-11
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
10
|
10
|
—
|
—
|
$86,841.15
|
$124,944.92
|
$88,613.42
|
2025-06-11
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Extreme Severity
|
5
|
5
|
—
|
—
|
$76,075.07
|
$95,093.84
|
$88,247.08
|
2025-06-11
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
10
|
—
|
—
|
$86,345.01
|
$124,231.08
|
$88,107.15
|
2025-06-11
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant - Minor Severity
|
5
|
5
|
—
|
—
|
$75,751.28
|
$94,689.10
|
$87,871.48
|
2025-06-11
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$74,933.78
|
$93,667.23
|
$86,923.18
|
2025-06-11
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
16
|
16
|
—
|
—
|
$15,500.00
|
$122,498.78
|
$86,878.57
|
2025-06-11
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant - Major Severity
|
5
|
5
|
—
|
—
|
$74,392.86
|
$92,991.08
|
$86,295.72
|
2025-06-11
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
15
|
—
|
—
|
$15,500.00
|
$121,266.36
|
$86,004.51
|
2025-06-11
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Major Se…
|
5
|
5
|
—
|
—
|
$73,188.32
|
$91,485.40
|
$84,898.45
|
2025-06-11
|
|
4404
|
APR_DRG
|
Kidney Transplant - Extreme Severity
|
5
|
5
|
—
|
—
|
$72,321.73
|
$90,402.16
|
$83,893.21
|
2025-06-11
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
10
|
—
|
—
|
$81,317.30
|
$116,997.34
|
$82,976.84
|
2025-06-11
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant - Major Severity
|
5
|
5
|
—
|
—
|
$71,162.50
|
$88,953.13
|
$82,548.50
|
2025-06-11
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns - Extreme Severity
|
5
|
5
|
—
|
—
|
$71,110.58
|
$88,888.23
|
$82,488.27
|
2025-06-11
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure - Moderate Severity
|
5
|
5
|
—
|
—
|
$69,370.78
|
$86,713.48
|
$80,470.10
|
2025-06-11
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
10
|
—
|
—
|
$77,392.64
|
$111,350.63
|
$78,972.08
|
2025-06-11
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
11
|
11
|
—
|
—
|
$9,636.00
|
$110,792.99
|
$78,576.59
|
2025-06-11
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis - Extreme Se…
|
5
|
5
|
—
|
—
|
$67,712.18
|
$84,640.23
|
$78,546.13
|
2025-06-11
|
|
1784
|
APR_DRG
|
External Heart Assist Systems - Extreme Severity
|
5
|
5
|
—
|
—
|
$67,260.94
|
$84,076.18
|
$78,022.69
|
2025-06-11
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
10
|
—
|
—
|
$75,805.41
|
$109,066.97
|
$77,352.46
|
2025-06-11
|
|
62
|
APR_DRG
|
Pancreas Transplant - Moderate Severity
|
5
|
5
|
—
|
—
|
$66,352.82
|
$82,941.03
|
$76,969.27
|
2025-06-11
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$74,413.58
|
$107,064.43
|
$75,932.22
|
2025-06-11
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$65,061.42
|
$81,326.78
|
$75,471.25
|
2025-06-11
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
18
|
18
|
—
|
—
|
$2,085.39
|
$148,564.13
|
$75,146.24
|
2025-06-11
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies - Major Severit…
|
5
|
5
|
—
|
—
|
$64,610.19
|
$80,762.74
|
$74,947.82
|
2025-06-11
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
10
|
10
|
—
|
—
|
$73,071.70
|
$105,133.77
|
$74,562.96
|
2025-06-11
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
10
|
—
|
—
|
$72,791.60
|
$104,730.77
|
$74,277.14
|
2025-06-11
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
10
|
—
|
—
|
$72,668.92
|
$104,554.26
|
$74,151.96
|
2025-06-11
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant - Extreme Severity
|
5
|
5
|
—
|
—
|
$63,856.88
|
$79,821.10
|
$74,073.98
|
2025-06-11
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
10
|
—
|
—
|
$70,493.26
|
$101,423.98
|
$71,931.90
|
2025-06-11
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis - Extreme Severity
|
5
|
5
|
—
|
—
|
$61,921.68
|
$77,402.10
|
$71,829.15
|
2025-06-11
|
|
33229
|
CPT
|
Rem Repl Biv Pm Generator Mult
|
57
|
32
|
$78,631.00
|
$78,631.00
|
$1,680.00
|
$70,767.90
|
$70,767.90
|
2025-06-11
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$60,907.82
|
$76,134.78
|
$70,653.07
|
2025-06-11
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$60,679.38
|
$75,849.23
|
$70,388.08
|
2025-06-11
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$68,941.85
|
$99,191.85
|
$70,348.83
|
2025-06-11
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant - Moderate Severity
|
5
|
5
|
—
|
—
|
$59,642.86
|
$74,553.58
|
$69,185.72
|
2025-06-11
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
11
|
11
|
—
|
—
|
$9,636.00
|
$97,162.79
|
$68,909.78
|
2025-06-11
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
10
|
10
|
—
|
—
|
$67,444.73
|
$97,037.82
|
$68,821.15
|
2025-06-11
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
10
|
10
|
—
|
—
|
$67,138.56
|
$96,597.31
|
$68,508.73
|
2025-06-11
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
10
|
10
|
—
|
—
|
$66,905.16
|
$96,261.50
|
$68,270.57
|
2025-06-11
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Moderate Severity
|
5
|
5
|
—
|
—
|
$58,827.25
|
$73,534.06
|
$68,239.61
|
2025-06-11
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$58,697.92
|
$73,372.40
|
$68,089.59
|
2025-06-11
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back - Extreme Severi…
|
5
|
5
|
—
|
—
|
$58,391.12
|
$72,988.90
|
$67,733.70
|
2025-06-11
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
10
|
—
|
—
|
$66,284.16
|
$95,368.03
|
$67,636.90
|
2025-06-11
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$58,294.83
|
$72,868.54
|
$67,622.00
|
2025-06-11
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant - Moderate Severity
|
5
|
5
|
—
|
—
|
$58,190.99
|
$72,738.74
|
$67,501.55
|
2025-06-11
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
12
|
12
|
—
|
—
|
$66,103.61
|
$133,353.91
|
$67,452.66
|
2025-06-11
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
10
|
10
|
—
|
—
|
$65,810.82
|
$94,687.00
|
$67,153.90
|
2025-06-11
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
10
|
10
|
—
|
—
|
$65,810.82
|
$94,687.00
|
$67,153.90
|
2025-06-11
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Major Severity
|
5
|
5
|
—
|
—
|
$57,600.99
|
$72,001.24
|
$66,817.15
|
2025-06-11
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
10
|
10
|
—
|
—
|
$65,321.17
|
$93,982.51
|
$66,654.26
|
2025-06-11
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$57,396.14
|
$71,745.18
|
$66,579.52
|
2025-06-11
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
20
|
—
|
—
|
$15,500.00
|
$101,278.69
|
$66,289.64
|
2025-06-11
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
15
|
—
|
—
|
$15,500.00
|
$93,334.25
|
$66,194.50
|
2025-06-11
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
10
|
—
|
—
|
$64,821.77
|
$93,263.97
|
$66,144.66
|
2025-06-11
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly - Extreme Severity
|
5
|
5
|
—
|
—
|
$56,943.97
|
$71,179.96
|
$66,055.01
|
2025-06-11
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Major Severity
|
5
|
5
|
—
|
—
|
$56,419.10
|
$70,523.88
|
$65,446.16
|
2025-06-11
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$63,491.82
|
$91,350.47
|
$64,787.57
|
2025-06-11
|
|
8634
|
APR_DRG
|
Neonatal Aftercare - Extreme Severity
|
5
|
5
|
—
|
—
|
$55,826.27
|
$69,782.84
|
$64,758.47
|
2025-06-11
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis - Extreme Severity
|
5
|
5
|
—
|
—
|
$55,816.83
|
$69,771.04
|
$64,747.52
|
2025-06-11
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
20
|
20
|
—
|
—
|
$15,500.00
|
$95,824.15
|
$64,394.09
|
2025-06-11
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma - Extreme Severity
|
5
|
5
|
—
|
—
|
$55,140.93
|
$68,926.16
|
$63,963.48
|
2025-06-11
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
10
|
—
|
—
|
$62,591.82
|
$90,055.57
|
$63,869.20
|
2025-06-11
|
|
33274
|
CPT
|
Ins/replace Leadless Pm Vent
|
56
|
32
|
$70,869.00
|
$70,869.00
|
$2,249.00
|
$63,782.10
|
$63,782.10
|
2025-06-11
|
|
1794
|
APR_DRG
|
Defibrillator Implants - Extreme Severity
|
5
|
5
|
—
|
—
|
$54,798.26
|
$68,497.83
|
$63,565.98
|
2025-06-11
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
10
|
—
|
—
|
$62,219.43
|
$89,519.79
|
$63,489.21
|
2025-06-11
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
12
|
12
|
—
|
—
|
$62,134.00
|
$125,345.83
|
$63,402.04
|
2025-06-11
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme …
|
5
|
5
|
—
|
—
|
$54,571.70
|
$68,214.63
|
$63,303.17
|
2025-06-11
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Major Severit…
|
5
|
5
|
—
|
—
|
$54,501.84
|
$68,127.30
|
$63,222.13
|
2025-06-11
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
20
|
20
|
—
|
—
|
$15,500.00
|
$92,317.38
|
$63,175.43
|
2025-06-11
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$54,452.75
|
$68,065.94
|
$63,165.19
|
2025-06-11
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
10
|
10
|
—
|
—
|
$60,802.65
|
$87,481.36
|
$62,043.52
|
2025-06-11
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection - Ex…
|
5
|
5
|
—
|
—
|
$53,424.74
|
$66,780.93
|
$61,972.70
|
2025-06-11
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition - Maj…
|
5
|
5
|
—
|
—
|
$53,239.71
|
$66,549.64
|
$61,758.06
|
2025-06-11
|
|
C9606
|
HCPCS
|
Ami Asp Thromb De Ath Angiopl
|
45
|
32
|
$68,588.00
|
$68,588.00
|
$3,700.00
|
$61,729.20
|
$61,729.20
|
2025-06-11
|
|
C9607
|
HCPCS
|
Cto De Stent Ather Angioplasty
|
57
|
32
|
$68,564.00
|
$68,564.00
|
$3,700.00
|
$61,707.60
|
$61,707.60
|
2025-06-11
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
10
|
10
|
—
|
—
|
$60,289.14
|
$86,742.54
|
$61,519.53
|
2025-06-11
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
10
|
10
|
—
|
—
|
$60,289.14
|
$86,742.54
|
$61,519.53
|
2025-06-11
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant - Minor Severity
|
5
|
5
|
—
|
—
|
$52,954.62
|
$66,193.28
|
$61,427.36
|
2025-06-11
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
10
|
—
|
—
|
$60,037.26
|
$86,380.14
|
$61,262.51
|
2025-06-11
|
|
36906
|
CPT
|
Perc Thromb Per Dial W Stent
|
58
|
32
|
$67,829.00
|
$67,829.00
|
$1,554.92
|
$61,046.10
|
$61,046.10
|
2025-06-11
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
10
|
10
|
—
|
—
|
$59,672.47
|
$85,855.29
|
$60,890.28
|
2025-06-11
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$52,241.90
|
$65,302.38
|
$60,600.60
|
2025-06-11
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
10
|
—
|
—
|
$59,353.29
|
$85,396.06
|
$60,564.58
|
2025-06-11
|
|
61
|
APR_DRG
|
Pancreas Transplant - Minor Severity
|
5
|
5
|
—
|
—
|
$52,156.94
|
$65,196.18
|
$60,502.05
|
2025-06-11
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma - Ext…
|
5
|
5
|
—
|
—
|
$52,093.70
|
$65,117.13
|
$60,428.69
|
2025-06-11
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
10
|
10
|
—
|
—
|
$59,218.66
|
$85,202.35
|
$60,427.20
|
2025-06-11
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses - E…
|
5
|
5
|
—
|
—
|
$51,867.14
|
$64,833.93
|
$60,165.88
|
2025-06-11
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
10
|
—
|
—
|
$58,917.95
|
$84,769.71
|
$60,120.36
|
2025-06-11
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant - Minor Severity
|
5
|
5
|
—
|
—
|
$51,814.27
|
$64,767.84
|
$60,104.55
|
2025-06-11
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
10
|
10
|
—
|
—
|
$58,862.57
|
$84,690.03
|
$60,063.85
|
2025-06-11
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
10
|
—
|
—
|
$58,856.06
|
$84,680.65
|
$60,057.20
|
2025-06-11
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft - Major Severity
|
5
|
5
|
—
|
—
|
$51,638.69
|
$64,548.36
|
$59,900.88
|
2025-06-11
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$51,595.26
|
$64,494.08
|
$59,850.50
|
2025-06-11
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
16
|
16
|
—
|
—
|
$15,500.00
|
$83,507.57
|
$59,225.23
|
2025-06-11
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
15
|
—
|
—
|
$15,500.00
|
$83,140.49
|
$58,964.89
|
2025-06-11
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma - Extreme S…
|
5
|
5
|
—
|
—
|
$50,613.50
|
$63,266.88
|
$58,711.66
|
2025-06-11
|
|
C1721
|
HCPCS
|
Aicd Dual
|
48
|
32
|
$99,120.00
|
$99,120.00
|
$1,537.53
|
$89,208.00
|
$57,737.40
|
2025-06-11
|
|
C1882
|
HCPCS
|
Aicd Biv
|
41
|
32
|
$99,120.00
|
$99,120.00
|
$26,266.80
|
$110,880.00
|
$57,737.40
|
2025-06-11
|
|
1783
|
APR_DRG
|
External Heart Assist Systems - Major Severity
|
5
|
5
|
—
|
—
|
$49,759.18
|
$62,198.98
|
$57,720.65
|
2025-06-11
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$49,556.22
|
$61,945.28
|
$57,485.22
|
2025-06-11
|
|
C1722
|
HCPCS
|
Aicd Single
|
48
|
32
|
$98,560.00
|
$98,560.00
|
$12,159.26
|
$88,704.00
|
$57,411.20
|
2025-06-11
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
10
|
10
|
—
|
—
|
$56,194.02
|
$80,850.58
|
$57,340.84
|
2025-06-11
|
|
234
|
APR_DRG
|
Spinal Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$49,429.73
|
$61,787.16
|
$57,338.49
|
2025-06-11
|
|
C9774
|
HCPCS
|
Revasc Lithotr-ather Tib/per
|
56
|
32
|
$63,675.90
|
$63,675.90
|
$3,400.00
|
$57,308.31
|
$57,308.31
|
2025-06-11
|
|
C9765
|
HCPCS
|
Revas Intra Le Lithotrip-stent
|
56
|
32
|
$63,675.90
|
$63,675.90
|
$3,400.00
|
$57,308.31
|
$57,308.31
|
2025-06-11
|
|
C9766
|
HCPCS
|
Revas Intra Le Lithotrip-ather
|
56
|
32
|
$63,675.90
|
$63,675.90
|
$3,519.00
|
$57,308.31
|
$57,308.31
|
2025-06-11
|
|
C9773
|
HCPCS
|
Revasc Lithotr-stent Tib/per
|
56
|
32
|
$63,675.90
|
$63,675.90
|
$3,400.00
|
$57,308.31
|
$57,308.31
|
2025-06-11
|
|
C9767
|
HCPCS
|
Revas Le Lithotrip-stent-ather
|
56
|
32
|
$63,675.90
|
$63,675.90
|
$3,519.00
|
$57,308.31
|
$57,308.31
|
2025-06-11
|
|
C9775
|
HCPCS
|
Revasc Litho-stent-ath Tib/per
|
56
|
32
|
$63,675.90
|
$63,675.90
|
$3,400.00
|
$57,308.31
|
$57,308.31
|
2025-06-11
|
|
0266T
|
CPT
|
Outpatient Services
|
17
|
17
|
—
|
—
|
$2,249.00
|
$113,040.18
|
$57,177.64
|
2025-06-11
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
13
|
13
|
—
|
—
|
$12,045.00
|
$113,040.18
|
$57,177.64
|
2025-06-11
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
12
|
—
|
—
|
$15,500.00
|
$80,583.47
|
$57,151.40
|
2025-06-11
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
13
|
13
|
—
|
—
|
$20,188.56
|
$112,342.14
|
$56,824.55
|
2025-06-11
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
10
|
—
|
—
|
$55,591.48
|
$79,983.66
|
$56,726.00
|
2025-06-11
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
10
|
10
|
—
|
—
|
$55,422.12
|
$79,739.98
|
$56,553.18
|
2025-06-11
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma - Extreme Severity
|
5
|
5
|
—
|
—
|
$48,751.94
|
$60,939.93
|
$56,552.25
|
2025-06-11
|
|
4414
|
APR_DRG
|
Major Bladder Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$48,743.44
|
$60,929.30
|
$56,542.39
|
2025-06-11
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
10
|
10
|
—
|
—
|
$54,965.06
|
$79,082.39
|
$56,086.80
|
2025-06-11
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure - Major Severity
|
5
|
5
|
—
|
—
|
$48,146.83
|
$60,183.54
|
$55,850.32
|
2025-06-11
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$48,131.73
|
$60,164.66
|
$55,832.81
|
2025-06-11
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
10
|
10
|
—
|
—
|
$54,642.60
|
$78,618.44
|
$55,757.76
|
2025-06-11
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
10
|
—
|
—
|
$54,600.26
|
$78,557.52
|
$55,714.55
|
2025-06-11
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$54,578.55
|
$78,526.28
|
$55,692.40
|
2025-06-11
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
13
|
13
|
—
|
—
|
$30,203.76
|
$109,795.66
|
$55,536.50
|
2025-06-11
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
15
|
15
|
—
|
—
|
$15,500.00
|
$78,245.12
|
$55,492.99
|
2025-06-11
|
|
4403
|
APR_DRG
|
Kidney Transplant - Major Severity
|
5
|
5
|
—
|
—
|
$47,672.00
|
$59,590.00
|
$55,299.52
|
2025-06-11
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure - Extreme Severity
|
5
|
5
|
—
|
—
|
$47,516.24
|
$59,395.30
|
$55,118.84
|
2025-06-11
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition - Ext…
|
5
|
5
|
—
|
—
|
$47,445.44
|
$59,306.80
|
$55,036.71
|
2025-06-11
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
15
|
15
|
—
|
—
|
$4,800.00
|
$76,737.76
|
$54,423.94
|
2025-06-11
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
10
|
10
|
—
|
—
|
$53,015.20
|
$76,276.97
|
$54,097.14
|
2025-06-11
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
10
|
10
|
—
|
—
|
$52,927.27
|
$76,150.46
|
$54,007.42
|
2025-06-11
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms - Extreme…
|
5
|
5
|
—
|
—
|
$46,533.54
|
$58,166.93
|
$53,978.91
|
2025-06-11
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure - Moderate…
|
5
|
5
|
—
|
—
|
$46,435.36
|
$58,044.20
|
$53,865.02
|
2025-06-11
|
|
1782
|
APR_DRG
|
External Heart Assist Systems - Moderate Severity
|
5
|
5
|
—
|
—
|
$46,359.84
|
$57,949.80
|
$53,777.41
|
2025-06-11
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$46,178.59
|
$57,723.24
|
$53,567.16
|
2025-06-11
|
|
93653
|
CPT
|
Ep & Ablate Supravent Arrythm
|
57
|
32
|
$59,311.00
|
$59,311.00
|
$2,700.00
|
$61,624.55
|
$53,379.90
|
2025-06-11
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$45,865.18
|
$57,331.48
|
$53,203.61
|
2025-06-11
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
10
|
—
|
—
|
$52,127.13
|
$74,999.24
|
$53,190.95
|
2025-06-11
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis - Major Severity
|
5
|
5
|
—
|
—
|
$45,733.02
|
$57,166.28
|
$53,050.30
|
2025-06-11
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
10
|
10
|
—
|
—
|
$51,902.40
|
$74,675.90
|
$52,961.63
|
2025-06-11
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
10
|
—
|
—
|
$51,892.62
|
$74,661.83
|
$52,951.65
|
2025-06-11
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis - Extreme Severity
|
5
|
5
|
—
|
—
|
$45,413.95
|
$56,767.44
|
$52,680.18
|
2025-06-11
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly - Major Severity
|
5
|
5
|
—
|
—
|
$45,322.38
|
$56,652.98
|
$52,573.96
|
2025-06-11
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition - Maj…
|
5
|
5
|
—
|
—
|
$45,186.45
|
$56,483.06
|
$52,416.28
|
2025-06-11
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
10
|
10
|
—
|
—
|
$51,358.50
|
$73,893.35
|
$52,406.63
|
2025-06-11
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$45,139.25
|
$56,424.06
|
$52,361.53
|
2025-06-11
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis - Major Seve…
|
5
|
5
|
—
|
—
|
$45,077.89
|
$56,347.36
|
$52,290.35
|
2025-06-11
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma - Extreme Severity
|
5
|
5
|
—
|
—
|
$44,977.82
|
$56,222.28
|
$52,174.27
|
2025-06-11
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
10
|
—
|
—
|
$51,084.89
|
$73,499.69
|
$52,127.44
|
2025-06-11
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$44,770.14
|
$55,962.68
|
$51,933.36
|
2025-06-11
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
11
|
11
|
—
|
—
|
$9,636.00
|
$73,068.58
|
$51,821.69
|
2025-06-11
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly - Extreme Severity
|
5
|
5
|
—
|
—
|
$44,673.86
|
$55,842.33
|
$51,821.68
|
2025-06-11
|
|
6904
|
APR_DRG
|
Acute Leukemia - Extreme Severity
|
5
|
5
|
—
|
—
|
$44,542.64
|
$55,678.30
|
$51,669.46
|
2025-06-11
|
|
7594
|
APR_DRG
|
Eating Disorders - Extreme Severity
|
5
|
5
|
—
|
—
|
$44,462.40
|
$55,578.00
|
$51,576.38
|
2025-06-11
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure - Moderate Severity
|
5
|
5
|
—
|
—
|
$44,415.20
|
$55,519.00
|
$51,521.63
|
2025-06-11
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
10
|
10
|
—
|
—
|
$50,321.67
|
$72,401.58
|
$51,348.64
|
2025-06-11
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
10
|
—
|
—
|
$50,301.05
|
$72,371.92
|
$51,327.60
|
2025-06-11
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
15
|
—
|
—
|
$15,500.00
|
$72,142.30
|
$51,164.75
|
2025-06-11
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
10
|
—
|
—
|
$50,133.86
|
$72,131.37
|
$51,157.00
|
2025-06-11
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses - Extreme Severity
|
5
|
5
|
—
|
—
|
$43,924.32
|
$54,905.40
|
$50,952.21
|
2025-06-11
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$49,262.07
|
$70,877.06
|
$50,267.42
|
2025-06-11
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis - Moderate Seve…
|
5
|
5
|
—
|
—
|
$43,194.61
|
$53,993.26
|
$50,105.75
|
2025-06-11
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$43,194.61
|
$53,993.26
|
$50,105.75
|
2025-06-11
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
10
|
10
|
—
|
—
|
$48,970.02
|
$70,456.87
|
$49,969.41
|
2025-06-11
|
|
274
|
APR_DRG
|
Other Open Craniotomy - Extreme Severity
|
5
|
5
|
—
|
—
|
$42,971.82
|
$53,714.78
|
$49,847.31
|
2025-06-11
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
10
|
—
|
—
|
$48,835.41
|
$70,263.19
|
$49,832.05
|
2025-06-11
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…
|
5
|
5
|
—
|
—
|
$42,933.12
|
$53,666.40
|
$49,802.42
|
2025-06-11
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
10
|
10
|
—
|
—
|
$48,381.60
|
$69,610.26
|
$49,368.98
|
2025-06-11
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours - Extreme Severi…
|
5
|
5
|
—
|
—
|
$42,486.61
|
$53,108.26
|
$49,284.47
|
2025-06-11
|
|
37227
|
CPT
|
Ather & Stnt Plmt Fem/pop
|
57
|
32
|
$54,721.00
|
$54,721.00
|
$2,671.00
|
$49,248.90
|
$49,248.90
|
2025-06-11
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices - Ex…
|
5
|
5
|
—
|
—
|
$42,434.69
|
$53,043.36
|
$49,224.24
|
2025-06-11
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$42,307.25
|
$52,884.06
|
$49,076.41
|
2025-06-11
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
10
|
10
|
—
|
—
|
$47,972.30
|
$69,021.38
|
$48,951.33
|
2025-06-11
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia - Extreme Severity
|
5
|
5
|
—
|
—
|
$41,921.15
|
$52,401.44
|
$48,628.53
|
2025-06-11
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back - Moderate Severity
|
5
|
5
|
—
|
—
|
$41,849.41
|
$52,311.76
|
$48,545.32
|
2025-06-11
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
10
|
10
|
—
|
—
|
$47,256.85
|
$67,992.00
|
$48,221.28
|
2025-06-11
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
10
|
—
|
—
|
$47,160.24
|
$67,852.99
|
$48,122.69
|
2025-06-11
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$41,388.74
|
$51,735.93
|
$48,010.94
|
2025-06-11
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
5
|
5
|
—
|
—
|
$41,373.63
|
$51,717.04
|
$47,993.41
|
2025-06-11
|
|
1781
|
APR_DRG
|
External Heart Assist Systems - Minor Severity
|
5
|
5
|
—
|
—
|
$41,349.09
|
$51,686.36
|
$47,964.94
|
2025-06-11
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo) - Moderate Severity
|
5
|
5
|
—
|
—
|
$41,149.90
|
$51,437.38
|
$47,733.88
|
2025-06-11
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$46,592.43
|
$67,036.05
|
$47,543.30
|
2025-06-11
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure - Moderate Severity
|
5
|
5
|
—
|
—
|
$40,972.43
|
$51,215.54
|
$47,528.02
|
2025-06-11
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
10
|
10
|
—
|
—
|
$46,524.03
|
$66,937.64
|
$47,473.50
|
2025-06-11
|
|
4402
|
APR_DRG
|
Kidney Transplant - Moderate Severity
|
5
|
5
|
—
|
—
|
$40,886.53
|
$51,108.16
|
$47,428.37
|
2025-06-11
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures - Extreme …
|
5
|
5
|
—
|
—
|
$40,816.67
|
$51,020.84
|
$47,347.34
|
2025-06-11
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$40,772.30
|
$50,965.38
|
$47,295.87
|
2025-06-11
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
12
|
12
|
—
|
—
|
$46,267.04
|
$93,336.68
|
$47,211.27
|
2025-06-11
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
10
|
10
|
—
|
—
|
$46,196.16
|
$66,465.91
|
$47,138.94
|
2025-06-11
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment - Extreme Severit…
|
5
|
5
|
—
|
—
|
$40,618.43
|
$50,773.04
|
$47,117.38
|
2025-06-11
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly - Extreme Severity
|
5
|
5
|
—
|
—
|
$40,604.27
|
$50,755.34
|
$47,100.95
|
2025-06-11
|
|
4014
|
APR_DRG
|
Adrenal Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$40,534.42
|
$50,668.03
|
$47,019.93
|
2025-06-11
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures - Major Severity
|
5
|
5
|
—
|
—
|
$40,319.18
|
$50,398.98
|
$46,770.25
|
2025-06-11
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs - Extreme Severity
|
5
|
5
|
—
|
—
|
$40,278.59
|
$50,348.24
|
$46,723.16
|
2025-06-11
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
10
|
10
|
—
|
—
|
$45,777.08
|
$65,862.95
|
$46,711.31
|
2025-06-11
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
10
|
—
|
—
|
$45,766.24
|
$65,847.34
|
$46,700.24
|
2025-06-11
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant - Major Severity
|
5
|
5
|
—
|
—
|
$40,209.68
|
$50,262.10
|
$46,643.23
|
2025-06-11
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
10
|
10
|
—
|
—
|
$45,558.89
|
$65,549.01
|
$46,488.66
|
2025-06-11
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
10
|
10
|
—
|
—
|
$45,452.48
|
$65,395.91
|
$46,380.08
|
2025-06-11
|
|
1793
|
APR_DRG
|
Defibrillator Implants - Major Severity
|
5
|
5
|
—
|
—
|
$39,956.69
|
$49,945.86
|
$46,349.76
|
2025-06-11
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$39,833.97
|
$49,792.46
|
$46,207.41
|
2025-06-11
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
20
|
20
|
—
|
—
|
$15,500.00
|
$64,636.77
|
$45,841.68
|
2025-06-11
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
10
|
—
|
—
|
$44,899.89
|
$64,600.86
|
$45,816.21
|
2025-06-11
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back - Major Severity
|
5
|
5
|
—
|
—
|
$39,460.14
|
$49,325.18
|
$45,773.76
|
2025-06-11
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
10
|
10
|
—
|
—
|
$44,833.67
|
$64,505.58
|
$45,748.64
|
2025-06-11
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure - Minor Severity
|
5
|
5
|
—
|
—
|
$39,282.67
|
$49,103.34
|
$45,567.90
|
2025-06-11
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
10
|
10
|
—
|
—
|
$44,614.35
|
$64,190.04
|
$45,524.85
|
2025-06-11
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$44,439.57
|
$63,938.57
|
$45,346.50
|
2025-06-11
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
10
|
10
|
—
|
—
|
$44,358.14
|
$63,821.41
|
$45,263.41
|
2025-06-11
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
13
|
13
|
—
|
—
|
$14,208.75
|
$89,482.58
|
$45,261.80
|
2025-06-11
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
13
|
13
|
—
|
—
|
$3,400.00
|
$87,920.42
|
$44,471.64
|
2025-06-11
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures - Ex…
|
5
|
5
|
—
|
—
|
$38,317.90
|
$47,897.38
|
$44,448.76
|
2025-06-11
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$38,295.25
|
$47,869.06
|
$44,422.49
|
2025-06-11
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
10
|
—
|
—
|
$43,530.87
|
$62,631.16
|
$44,419.26
|
2025-06-11
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
10
|
10
|
—
|
—
|
$43,500.48
|
$62,587.42
|
$44,388.24
|
2025-06-11
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures - Extreme Severit…
|
5
|
5
|
—
|
—
|
$38,037.54
|
$47,546.93
|
$44,123.55
|
2025-06-11
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis - Moderate Severity
|
5
|
5
|
—
|
—
|
$38,036.59
|
$47,545.74
|
$44,122.44
|
2025-06-11
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis - Major Severity
|
5
|
5
|
—
|
—
|
$38,022.43
|
$47,528.04
|
$44,106.02
|
2025-06-11
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures - Major Severity
|
5
|
5
|
—
|
—
|
$37,935.58
|
$47,419.48
|
$44,005.27
|
2025-06-11
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$43,118.30
|
$62,037.56
|
$43,998.27
|
2025-06-11
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
10
|
10
|
—
|
—
|
$43,030.37
|
$61,911.04
|
$43,908.54
|
2025-06-11
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
10
|
10
|
—
|
—
|
$42,943.52
|
$61,786.09
|
$43,819.92
|
2025-06-11
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
10
|
10
|
—
|
—
|
$42,754.62
|
$61,514.30
|
$43,627.16
|
2025-06-11
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures - Extreme Severity
|
5
|
5
|
—
|
—
|
$37,579.70
|
$46,974.63
|
$43,592.45
|
2025-06-11
|