|
6332423
|
CDM
|
Peg-electrolyte 4l Liq
|
40
|
13
|
$1,514,880.00
|
$415,077.12
73% off
|
$166,636.80
|
$1,514,880.00
|
$1,287,648.00
|
2026-02-28
|
|
J0225
|
HCPCS
|
Vutris 25mg/0.5ml Pfsjwtb
|
40
|
13
|
$556,200.00
|
$152,398.80
73% off
|
$61,182.00
|
$556,200.00
|
$500,580.00
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$342,182.00
|
$615,928.00
|
$479,055.00
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
24
|
8
|
—
|
—
|
$14,412.00
|
$378,568.71
|
$371,145.79
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$255,224.00
|
$459,403.00
|
$357,313.50
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$297,996.00
|
$372,495.00
|
$335,245.50
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
22
|
8
|
—
|
—
|
$30,246.00
|
$283,066.00
|
$277,515.68
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
2
|
—
|
—
|
$173,475.00
|
$312,255.00
|
$242,865.00
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$235,408.00
|
$235,408.00
|
$235,408.00
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$167,781.00
|
$302,006.00
|
$234,893.50
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
24
|
8
|
—
|
—
|
$24,584.00
|
$238,584.11
|
$233,905.99
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$166,108.00
|
$298,994.00
|
$232,551.00
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
2
|
—
|
—
|
$163,184.00
|
$293,731.00
|
$228,457.50
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
2
|
—
|
—
|
$228,058.00
|
$228,058.00
|
$228,058.00
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$161,318.00
|
$290,372.00
|
$225,845.00
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
24
|
8
|
—
|
—
|
$24,584.00
|
$215,658.26
|
$211,429.66
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$187,000.00
|
$233,750.00
|
$210,375.00
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$163,694.00
|
$204,617.00
|
$184,155.50
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$159,340.00
|
$199,175.00
|
$179,257.50
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$178,385.00
|
$178,385.00
|
$178,385.00
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$125,861.00
|
$226,549.00
|
$176,205.00
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$151,436.00
|
$189,295.00
|
$170,365.50
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$121,068.00
|
$217,923.00
|
$169,495.50
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
2
|
—
|
—
|
$169,074.00
|
$169,074.00
|
$169,074.00
|
2026-02-28
|
|
J9347
|
HCPCS
|
Tre-actl300mg/15mlsdvjwtb
|
40
|
13
|
$187,200.00
|
$51,292.80
73% off
|
$20,592.00
|
$187,200.00
|
$168,480.00
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
2
|
—
|
—
|
$151,952.00
|
$151,952.00
|
$151,952.00
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
2
|
—
|
—
|
$149,142.00
|
$149,142.00
|
$149,142.00
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
2
|
—
|
—
|
$147,645.00
|
$147,645.00
|
$147,645.00
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
2
|
—
|
—
|
$144,340.00
|
$144,340.00
|
$144,340.00
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$143,137.00
|
$143,137.00
|
$143,137.00
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$143,054.00
|
$143,054.00
|
$143,054.00
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$142,598.11
|
$139,802.06
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$136,065.00
|
$136,065.00
|
$136,065.00
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$94,113.00
|
$169,403.00
|
$131,758.00
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
24
|
8
|
—
|
—
|
$14,412.00
|
$132,309.89
|
$129,715.57
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
24
|
8
|
—
|
—
|
$24,584.00
|
$131,979.69
|
$129,391.85
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$113,011.00
|
$141,264.00
|
$127,137.50
|
2026-02-28
|
|
J7330
|
HCPCS
|
Maci Imp 56051x-61656
|
58
|
16
|
$308,280.00
|
$84,468.72
73% off
|
$33,910.80
|
$308,280.00
|
$126,394.80
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$108,751.00
|
$135,938.00
|
$122,344.50
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$105,979.00
|
$132,474.00
|
$119,226.50
|
2026-02-28
|
|
4848967
|
CDM
|
Cath Other 23772x-26149
|
34
|
12
|
$130,745.00
|
$35,824.13
73% off
|
$14,381.95
|
$130,745.00
|
$117,670.50
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
2
|
—
|
—
|
$114,046.00
|
$114,046.00
|
$114,046.00
|
2026-02-28
|
|
C1825
|
HCPCS
|
Nrstm Crsn Br26149x-28764
|
68
|
18
|
$143,820.00
|
$39,406.68
73% off
|
$15,820.20
|
$143,820.00
|
$111,460.50
|
2026-02-28
|
|
C1823
|
HCPCS
|
Nrstm Trn S/s26149x-28764
|
68
|
18
|
$143,820.00
|
$39,406.68
73% off
|
$15,820.20
|
$143,820.00
|
$111,460.50
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
22
|
8
|
—
|
—
|
$30,246.00
|
$111,476.29
|
$109,290.48
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
8
|
—
|
—
|
$30,246.00
|
$110,217.54
|
$108,056.41
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
2
|
—
|
—
|
$107,340.00
|
$107,340.00
|
$107,340.00
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
2
|
—
|
—
|
$93,971.00
|
$117,464.00
|
$105,717.50
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
24
|
8
|
—
|
—
|
$24,584.00
|
$107,771.06
|
$105,657.90
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
24
|
8
|
—
|
—
|
$24,584.00
|
$107,224.73
|
$105,122.28
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
2
|
—
|
—
|
$74,967.00
|
$134,940.00
|
$104,953.50
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
8
|
—
|
—
|
$47,975.00
|
$106,030.00
|
$103,950.98
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
2
|
—
|
—
|
$103,885.00
|
$103,885.00
|
$103,885.00
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$91,458.00
|
$114,323.00
|
$102,890.50
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
2
|
—
|
—
|
$102,402.00
|
$102,402.00
|
$102,402.00
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$71,379.00
|
$128,482.00
|
$99,930.50
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$87,869.00
|
$109,837.00
|
$98,853.00
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
2
|
—
|
—
|
$98,573.00
|
$98,573.00
|
$98,573.00
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$68,610.00
|
$123,497.00
|
$96,053.50
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$97,782.02
|
$95,864.72
|
2026-02-28
|
|
A9543
|
HCPCS
|
Y90 Ibritumm Tx To 40mctb
|
60
|
20
|
$170,352.00
|
$46,676.45
73% off
|
$18,738.72
|
$170,352.00
|
$93,760.51
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$93,240.00
|
$93,240.00
|
$93,240.00
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
2
|
—
|
—
|
$92,287.00
|
$92,287.00
|
$92,287.00
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$91,795.00
|
$91,795.00
|
$91,795.00
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
22
|
8
|
—
|
—
|
$30,246.00
|
$93,387.37
|
$91,556.24
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
2
|
—
|
—
|
$90,289.00
|
$90,289.00
|
$90,289.00
|
2026-02-28
|
|
3706229
|
CDM
|
Inst/supp Ste17861x-19647
|
34
|
12
|
$98,235.00
|
$26,916.39
73% off
|
$10,805.85
|
$98,235.00
|
$88,411.50
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$86,526.00
|
$86,526.00
|
$86,526.00
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
2
|
—
|
—
|
$85,404.00
|
$85,404.00
|
$85,404.00
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
2
|
—
|
—
|
$84,634.00
|
$84,634.00
|
$84,634.00
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$86,002.91
|
$84,316.57
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
24
|
8
|
—
|
—
|
$38,994.00
|
$85,955.87
|
$84,270.46
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
22
|
8
|
—
|
—
|
$47,975.00
|
$84,669.10
|
$83,008.92
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$81,444.00
|
$81,444.00
|
$81,444.00
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$58,153.00
|
$104,676.00
|
$81,414.50
|
2026-02-28
|
|
3706499
|
CDM
|
Inst/supp Ste16237x-17861
|
34
|
12
|
$89,305.00
|
$24,469.57
73% off
|
$9,823.55
|
$89,305.00
|
$80,374.50
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$81,872.41
|
$80,267.06
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$70,952.00
|
$88,690.00
|
$79,821.00
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$70,822.00
|
$88,527.00
|
$79,674.50
|
2026-02-28
|
|
33276
|
CPT
|
Ins Phrenic Nrv Stim Sys
|
60
|
14
|
$94,115.00
|
$25,787.51
73% off
|
$2,565.00
|
$144,375.00
|
$79,406.25
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
24
|
8
|
—
|
—
|
$24,584.00
|
$80,990.88
|
$79,402.82
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$70,362.00
|
$87,952.00
|
$79,157.00
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
24
|
8
|
—
|
—
|
$24,584.00
|
$80,533.59
|
$78,954.50
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$55,751.00
|
$100,352.00
|
$78,051.50
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$79,423.93
|
$77,866.59
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$77,666.00
|
$77,666.00
|
$77,666.00
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$78,634.46
|
$77,092.60
|
2026-02-28
|
|
C2624
|
HCPCS
|
Wrless Sens 17861x-19647
|
242
|
18
|
$108,055.00
|
$29,607.07
73% off
|
$2,584.45
|
$118,860.00
|
$75,640.95
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$74,624.00
|
$74,624.00
|
$74,624.00
|
2026-02-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$75,899.80
|
$74,411.56
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
2
|
—
|
—
|
$74,166.00
|
$74,166.00
|
$74,166.00
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$52,464.00
|
$94,436.00
|
$73,450.00
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
2
|
—
|
—
|
$72,514.00
|
$72,514.00
|
$72,514.00
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$64,284.00
|
$80,355.00
|
$72,319.50
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$51,398.00
|
$92,516.00
|
$71,957.00
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$71,939.00
|
$71,939.00
|
$71,939.00
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
2
|
—
|
—
|
$71,805.00
|
$71,805.00
|
$71,805.00
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
2
|
—
|
—
|
$71,668.00
|
$71,668.00
|
$71,668.00
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
8
|
—
|
—
|
$45,031.00
|
$72,282.61
|
$70,865.30
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
22
|
8
|
—
|
—
|
$30,246.00
|
$71,925.40
|
$70,515.09
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
8
|
—
|
—
|
$14,412.00
|
$70,819.73
|
$69,431.10
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
2
|
—
|
—
|
$68,811.00
|
$68,811.00
|
$68,811.00
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$60,775.00
|
$75,968.00
|
$68,371.50
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
8
|
2
|
—
|
—
|
$60,726.00
|
$75,908.00
|
$68,317.00
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
2
|
—
|
—
|
$48,703.00
|
$87,665.00
|
$68,184.00
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
8
|
—
|
—
|
$24,584.00
|
$69,536.95
|
$68,173.48
|
2026-02-28
|
|
J9334
|
HCPCS
|
E-a Qvfc180-2k/m5.6sdjwtb
|
40
|
13
|
$75,711.00
|
$20,744.82
73% off
|
$8,328.21
|
$75,711.00
|
$68,139.90
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$67,950.00
|
$67,950.00
|
$67,950.00
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
2
|
—
|
—
|
$67,724.00
|
$67,724.00
|
$67,724.00
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
22
|
8
|
—
|
—
|
$42,508.00
|
$68,300.20
|
$66,960.98
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
2
|
—
|
—
|
$66,715.00
|
$66,715.00
|
$66,715.00
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$68,042.05
|
$66,707.89
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
2
|
—
|
—
|
$66,666.00
|
$66,666.00
|
$66,666.00
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$67,928.99
|
$66,597.04
|
2026-02-28
|
|
C1767
|
HCPCS
|
Neurstm Nrec 10082x-11090
|
1,020
|
18
|
$98,235.00
|
$26,916.39
73% off
|
$5,545.10
|
$210,560.00
|
$66,502.80
|
2026-02-28
|
|
3706375
|
CDM
|
Inst/supp Ste13419x-14761
|
34
|
12
|
$73,805.00
|
$20,222.57
73% off
|
$8,118.55
|
$73,805.00
|
$66,424.50
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
8
|
—
|
—
|
$14,412.00
|
$65,923.77
|
$64,631.14
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$65,830.71
|
$64,539.91
|
2026-02-28
|
|
C1882
|
HCPCS
|
Icd Not S/d 10082x-11090
|
952
|
18
|
$93,770.00
|
$25,692.98
73% off
|
$5,545.10
|
$191,420.00
|
$64,508.70
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
2
|
—
|
—
|
$64,177.00
|
$64,177.00
|
$64,177.00
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
8
|
2
|
—
|
—
|
$63,930.00
|
$63,930.00
|
$63,930.00
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$63,835.00
|
$63,835.00
|
$63,835.00
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$63,748.00
|
$63,748.00
|
$63,748.00
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$63,325.00
|
$63,325.00
|
$63,325.00
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$64,493.91
|
$63,229.32
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
8
|
2
|
—
|
—
|
$62,477.00
|
$62,477.00
|
$62,477.00
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$62,173.00
|
$62,173.00
|
$62,173.00
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
22
|
8
|
—
|
—
|
$30,246.00
|
$63,194.13
|
$61,955.02
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
22
|
8
|
—
|
—
|
$30,246.00
|
$63,114.08
|
$61,876.54
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
2
|
—
|
—
|
$61,759.00
|
$61,759.00
|
$61,759.00
|
2026-02-28
|
|
33287
|
CPT
|
Rem Rep Phr Nrv Stim Gen
|
32
|
14
|
$106,229.00
|
$29,106.75
73% off
|
$2,565.00
|
$106,229.00
|
$61,612.82
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
8
|
2
|
—
|
—
|
$61,610.00
|
$61,610.00
|
$61,610.00
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$62,831.90
|
$61,599.90
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
24
|
8
|
—
|
—
|
$38,907.00
|
$62,616.77
|
$61,388.99
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$62,336.60
|
$61,114.31
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$62,044.42
|
$60,827.86
|
2026-02-28
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$60,565.00
|
$60,565.00
|
$60,565.00
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
24
|
8
|
—
|
—
|
$14,412.00
|
$61,608.16
|
$60,400.15
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
24
|
8
|
—
|
—
|
$14,412.00
|
$61,608.16
|
$60,400.15
|
2026-02-28
|
|
3706191
|
CDM
|
Inst/supp Ste12199x-13419
|
34
|
12
|
$67,095.00
|
$18,384.03
73% off
|
$7,380.45
|
$67,095.00
|
$60,385.50
|
2026-02-28
|
|
J9298
|
HCPCS
|
Ni/re-r240/80mg20mlsdjwtb
|
40
|
13
|
$67,048.00
|
$18,371.16
73% off
|
$7,375.28
|
$67,048.00
|
$60,343.20
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
2
|
—
|
—
|
$53,516.00
|
$66,895.00
|
$60,205.50
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$61,156.89
|
$59,957.73
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
8
|
2
|
—
|
—
|
$59,624.00
|
$59,624.00
|
$59,624.00
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$60,741.64
|
$59,550.62
|
2026-02-28
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome Neonate
|
24
|
8
|
—
|
—
|
$14,412.00
|
$60,696.61
|
$59,506.48
|
2026-02-28
|
|
0266T
|
CPT
|
Imp/rpl Car Sin Bf Ad Tot
|
72
|
19
|
$153,250.00
|
$41,990.50
73% off
|
$2,565.00
|
$153,250.00
|
$59,135.16
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$60,090.24
|
$58,912.00
|
2026-02-28
|
|
C2616
|
HCPCS
|
Nm Brachy Sorc Yttrium-90
|
82
|
20
|
$80,000.00
|
$21,920.00
73% off
|
$8,800.00
|
$80,000.00
|
$58,400.00
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$59,470.87
|
$58,304.77
|
2026-02-28
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$51,524.00
|
$64,405.00
|
$57,964.50
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
24
|
8
|
—
|
—
|
$36,388.00
|
$58,641.37
|
$57,491.53
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$57,181.00
|
$57,181.00
|
$57,181.00
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$58,298.17
|
$57,155.06
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$56,956.00
|
$56,956.00
|
$56,956.00
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$56,887.00
|
$56,887.00
|
$56,887.00
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
2
|
—
|
—
|
$56,761.00
|
$56,761.00
|
$56,761.00
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$50,252.00
|
$62,815.00
|
$56,533.50
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$56,992.37
|
$55,874.87
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
2
|
—
|
—
|
$55,578.00
|
$55,578.00
|
$55,578.00
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
2
|
—
|
—
|
$55,565.00
|
$55,565.00
|
$55,565.00
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
24
|
8
|
—
|
—
|
$14,412.00
|
$56,519.09
|
$55,410.87
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$56,519.09
|
$55,410.87
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
2
|
—
|
—
|
$55,265.00
|
$55,265.00
|
$55,265.00
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
8
|
—
|
—
|
$34,896.00
|
$57,215.00
|
$55,183.28
|
2026-02-28
|
|
L8699
|
HCPCS
|
Closure Laa 16237x-17861
|
1,482
|
18
|
$98,235.00
|
$26,916.39
73% off
|
$7.15
|
$546,135.00
|
$54,912.90
|
2026-02-28
|
|
3706200
|
CDM
|
Inst/supp Ste11090x-12199
|
34
|
12
|
$60,995.00
|
$16,712.63
73% off
|
$6,709.45
|
$60,995.00
|
$54,895.50
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
22
|
8
|
—
|
—
|
$34,683.00
|
$57,215.00
|
$54,853.67
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
24
|
8
|
—
|
—
|
$24,584.00
|
$55,656.57
|
$54,565.26
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
2
|
—
|
—
|
$54,503.00
|
$54,503.00
|
$54,503.00
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$55,532.49
|
$54,443.61
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
8
|
—
|
—
|
$24,584.00
|
$55,255.32
|
$54,171.88
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$55,204.29
|
$54,121.85
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$55,198.29
|
$54,115.97
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$54,068.00
|
$54,068.00
|
$54,068.00
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$38,425.00
|
$69,164.00
|
$53,794.50
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
8
|
2
|
—
|
—
|
$53,538.00
|
$53,538.00
|
$53,538.00
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
8
|
2
|
—
|
—
|
$53,522.00
|
$53,522.00
|
$53,522.00
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$54,446.84
|
$53,379.25
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$54,211.69
|
$53,148.71
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
2
|
—
|
—
|
$53,130.00
|
$53,130.00
|
$53,130.00
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
8
|
2
|
—
|
—
|
$53,120.00
|
$53,120.00
|
$53,120.00
|
2026-02-28
|
|
0823T
|
CPT
|
Ins Tcat 1chmr Ldls Pm Ra
|
38
|
14
|
$66,386.00
|
$18,189.77
73% off
|
$2,565.00
|
$66,386.00
|
$53,108.80
|
2026-02-28
|
|
3666729
|
CDM
|
Closure Impl 12199x-13419
|
64
|
18
|
$67,095.00
|
$18,384.03
73% off
|
$7,380.45
|
$67,095.00
|
$53,005.05
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
2
|
—
|
—
|
$52,578.00
|
$52,578.00
|
$52,578.00
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
2
|
—
|
—
|
$52,397.00
|
$52,397.00
|
$52,397.00
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
2
|
—
|
—
|
$52,235.00
|
$52,235.00
|
$52,235.00
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
2
|
—
|
—
|
$52,201.00
|
$52,201.00
|
$52,201.00
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
2
|
—
|
—
|
$52,193.00
|
$52,193.00
|
$52,193.00
|
2026-02-28
|
|
C1721
|
HCPCS
|
Icd Dual 10082x-11090
|
748
|
18
|
$73,805.00
|
$20,222.57
73% off
|
$4,265.25
|
$143,820.00
|
$52,123.00
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
22
|
8
|
—
|
—
|
$32,652.00
|
$57,215.00
|
$51,710.59
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
8
|
2
|
—
|
—
|
$36,936.00
|
$66,485.00
|
$51,710.50
|
2026-02-28
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$51,631.00
|
$51,631.00
|
$51,631.00
|
2026-02-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
2
|
—
|
—
|
$45,847.00
|
$57,309.00
|
$51,578.00
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
2
|
—
|
—
|
$51,550.00
|
$51,550.00
|
$51,550.00
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$52,573.70
|
$51,542.84
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$36,774.00
|
$66,194.00
|
$51,484.00
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
2
|
—
|
—
|
$51,399.00
|
$51,399.00
|
$51,399.00
|
2026-02-28
|
|
C1722
|
HCPCS
|
Icd Single 10082x-11090
|
864
|
18
|
$73,805.00
|
$20,222.57
73% off
|
$3,280.75
|
$130,745.00
|
$51,338.57
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
24
|
8
|
—
|
—
|
$32,300.00
|
$57,215.00
|
$51,166.14
|
2026-02-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$51,161.00
|
$51,161.00
|
$51,161.00
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$52,033.38
|
$51,013.11
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
2
|
—
|
—
|
$50,835.00
|
$50,835.00
|
$50,835.00
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$50,752.00
|
$50,752.00
|
$50,752.00
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
2
|
—
|
—
|
$50,700.00
|
$50,700.00
|
$50,700.00
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$51,612.12
|
$50,600.11
|
2026-02-28
|
|
C1820
|
HCPCS
|
Neurstm Rech 10082x-11090
|
884
|
18
|
$73,805.00
|
$20,222.57
73% off
|
$882.75
|
$143,820.00
|
$50,410.00
|
2026-02-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
24
|
8
|
—
|
—
|
$14,412.00
|
$51,314.94
|
$50,308.76
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
22
|
8
|
—
|
—
|
$30,246.00
|
$51,275.91
|
$50,270.50
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$51,255.90
|
$50,250.88
|
2026-02-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$51,075.80
|
$50,074.31
|
2026-02-28
|
|
L8614
|
HCPCS
|
Cochlear Dvc 10082x-11090
|
1,266
|
18
|
$73,805.00
|
$20,222.57
73% off
|
$237.05
|
$174,020.00
|
$49,905.00
|
2026-02-28
|
|
3209301
|
CDM
|
Kit/pack Disp10082x-11090
|
34
|
12
|
$55,450.00
|
$15,193.30
73% off
|
$6,099.50
|
$55,450.00
|
$49,905.00
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
8
|
2
|
—
|
—
|
$44,226.00
|
$55,282.00
|
$49,754.00
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
8
|
2
|
—
|
—
|
$49,262.00
|
$49,262.00
|
$49,262.00
|
2026-02-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
24
|
8
|
—
|
—
|
$24,584.00
|
$50,110.22
|
$49,127.66
|
2026-02-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
24
|
8
|
—
|
—
|
$30,795.00
|
$57,215.00
|
$48,838.27
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$49,733.99
|
$48,758.81
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$48,577.00
|
$48,577.00
|
$48,577.00
|
2026-02-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$43,149.00
|
$53,937.00
|
$48,543.00
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
2
|
—
|
—
|
$48,329.00
|
$48,329.00
|
$48,329.00
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$42,825.00
|
$53,532.00
|
$48,178.50
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
2
|
—
|
—
|
$48,102.00
|
$48,102.00
|
$48,102.00
|
2026-02-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
8
|
—
|
—
|
$24,584.00
|
$48,996.54
|
$48,035.82
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
8
|
2
|
—
|
—
|
$47,894.00
|
$47,894.00
|
$47,894.00
|
2026-02-28
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$48,789.42
|
$47,832.76
|
2026-02-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$48,780.41
|
$47,823.93
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
2
|
—
|
—
|
$47,798.00
|
$47,798.00
|
$47,798.00
|
2026-02-28
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
8
|
2
|
—
|
—
|
$34,031.00
|
$61,255.00
|
$47,643.00
|
2026-02-28
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$47,537.00
|
$47,537.00
|
$47,537.00
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
2
|
—
|
—
|
$47,395.00
|
$47,395.00
|
$47,395.00
|
2026-02-28
|
|
C1822
|
HCPCS
|
Nurstm Hf Rc 17861x-19647
|
476
|
18
|
$98,235.00
|
$26,916.39
73% off
|
$308.55
|
$143,820.00
|
$47,385.40
|
2026-02-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$48,288.11
|
$47,341.28
|
2026-02-28
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
2
|
—
|
—
|
$47,237.00
|
$47,237.00
|
$47,237.00
|
2026-02-28
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$48,035.96
|
$47,094.07
|
2026-02-28
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$41,724.00
|
$52,155.00
|
$46,939.50
|
2026-02-28
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
22
|
8
|
—
|
—
|
$29,493.00
|
$47,759.79
|
$46,823.32
|
2026-02-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…
|
8
|
2
|
—
|
—
|
$46,491.00
|
$46,491.00
|
$46,491.00
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
2
|
—
|
—
|
$46,451.00
|
$46,451.00
|
$46,451.00
|
2026-02-28
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$47,332.53
|
$46,404.44
|
2026-02-28
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$46,398.00
|
$46,398.00
|
$46,398.00
|
2026-02-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$47,313.52
|
$46,385.80
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$46,258.00
|
$46,258.00
|
$46,258.00
|
2026-02-28
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
8
|
—
|
—
|
$24,584.00
|
$47,166.44
|
$46,241.60
|
2026-02-28
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$47,159.43
|
$46,234.73
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
2
|
—
|
—
|
$45,699.00
|
$45,699.00
|
$45,699.00
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
2
|
—
|
—
|
$45,467.00
|
$45,467.00
|
$45,467.00
|
2026-02-28
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$46,355.94
|
$45,447.00
|
2026-02-28
|
|
3209145
|
CDM
|
Inst/supp Ster7755x-10082
|
34
|
12
|
$50,410.00
|
$13,812.34
73% off
|
$5,545.10
|
$50,410.00
|
$45,369.00
|
2026-02-28
|
|
C1772
|
HCPCS
|
Inf Pump Prg 10082x-11090
|
192
|
18
|
$55,450.00
|
$15,193.30
73% off
|
$5,545.10
|
$60,995.00
|
$45,369.00
|
2026-02-28
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$46,086.79
|
$45,183.12
|
2026-02-28
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$45,962.70
|
$45,061.47
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
8
|
2
|
—
|
—
|
$45,034.00
|
$45,034.00
|
$45,034.00
|
2026-02-28
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$39,980.00
|
$49,975.00
|
$44,977.50
|
2026-02-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
8
|
2
|
—
|
—
|
$39,925.00
|
$49,907.00
|
$44,916.00
|
2026-02-28
|
|
J9272
|
HCPCS
|
Dos-gxly500mg/10mlsdvjwtb
|
40
|
13
|
$49,774.00
|
$13,638.08
73% off
|
$5,475.14
|
$49,774.00
|
$44,796.60
|
2026-02-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
8
|
2
|
—
|
—
|
$44,748.00
|
$44,748.00
|
$44,748.00
|
2026-02-28
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$45,544.45
|
$44,651.42
|
2026-02-28
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
8
|
2
|
—
|
—
|
$44,620.00
|
$44,620.00
|
$44,620.00
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
2
|
—
|
—
|
$44,575.00
|
$44,575.00
|
$44,575.00
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
2
|
—
|
—
|
$44,562.00
|
$44,562.00
|
$44,562.00
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
2
|
—
|
—
|
$44,436.00
|
$44,436.00
|
$44,436.00
|
2026-02-28
|
|
C9360
|
HCPCS
|
Surgim2 10x15 2714x-3529
|
246
|
18
|
$67,095.00
|
$18,384.03
73% off
|
$9.00
|
$118,860.00
|
$44,283.00
|
2026-02-28
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$45,167.23
|
$44,281.59
|
2026-02-28
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
2
|
—
|
—
|
$44,063.00
|
$44,063.00
|
$44,063.00
|
2026-02-28
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
8
|
2
|
—
|
—
|
$43,685.00
|
$43,685.00
|
$43,685.00
|
2026-02-28
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
24
|
8
|
—
|
—
|
$14,412.00
|
$44,507.83
|
$43,635.12
|
2026-02-28
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
24
|
8
|
—
|
—
|
$27,376.00
|
$57,215.00
|
$43,547.81
|
2026-02-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
8
|
2
|
—
|
—
|
$43,453.00
|
$43,453.00
|
$43,453.00
|
2026-02-28
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
2
|
—
|
—
|
$43,439.00
|
$43,439.00
|
$43,439.00
|
2026-02-28
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$43,062.00
|
$43,062.00
|
$43,062.00
|
2026-02-28
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$43,895.46
|
$43,034.76
|
2026-02-28
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
22
|
8
|
—
|
—
|
$27,005.00
|
$43,832.42
|
$42,972.96
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
2
|
—
|
—
|
$42,949.00
|
$42,949.00
|
$42,949.00
|
2026-02-28
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$42,946.00
|
$42,946.00
|
$42,946.00
|
2026-02-28
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$43,530.24
|
$42,676.70
|
2026-02-28
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$42,624.00
|
$42,624.00
|
$42,624.00
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
8
|
2
|
—
|
—
|
$42,582.00
|
$42,582.00
|
$42,582.00
|
2026-02-28
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
2
|
—
|
—
|
$37,767.00
|
$47,208.00
|
$42,487.50
|
2026-02-28
|
|
J2329
|
HCPCS
|
Ubli-xiiy150mg/6mlsdvjwtb
|
40
|
13
|
$47,200.00
|
$12,932.80
73% off
|
$5,192.00
|
$47,200.00
|
$42,480.00
|
2026-02-28
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock
|
8
|
2
|
—
|
—
|
$42,327.00
|
$42,327.00
|
$42,327.00
|
2026-02-28
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$43,144.01
|
$42,298.04
|
2026-02-28
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$43,134.00
|
$42,288.23
|
2026-02-28
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
8
|
2
|
—
|
—
|
$42,209.00
|
$42,209.00
|
$42,209.00
|
2026-02-28
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$42,182.00
|
$42,182.00
|
$42,182.00
|
2026-02-28
|
|
33270
|
CPT
|
Defib Subq Ins/rep W Lead
|
86
|
20
|
$113,889.00
|
$31,205.59
73% off
|
$508.93
|
$113,889.00
|
$42,132.12
|
2026-02-28
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
24
|
8
|
—
|
—
|
$14,412.00
|
$42,942.88
|
$42,100.86
|
2026-02-28
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$42,844.82
|
$42,004.72
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
8
|
2
|
—
|
—
|
$41,934.00
|
$41,934.00
|
$41,934.00
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
8
|
2
|
—
|
—
|
$37,139.00
|
$46,424.00
|
$41,781.50
|
2026-02-28
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$42,358.53
|
$41,527.97
|
2026-02-28
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$42,335.51
|
$41,505.40
|
2026-02-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
8
|
2
|
—
|
—
|
$41,488.00
|
$41,488.00
|
$41,488.00
|
2026-02-28
|
|
12
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$42,274.48
|
$41,445.56
|
2026-02-28
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
8
|
2
|
—
|
—
|
$41,336.00
|
$41,336.00
|
$41,336.00
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
2
|
—
|
—
|
$41,277.00
|
$41,277.00
|
$41,277.00
|
2026-02-28
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
2
|
—
|
—
|
$41,258.00
|
$41,258.00
|
$41,258.00
|
2026-02-28
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
22
|
8
|
—
|
—
|
$25,889.00
|
$57,215.00
|
$41,247.40
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
2
|
—
|
—
|
$41,144.00
|
$41,144.00
|
$41,144.00
|
2026-02-28
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
24
|
8
|
—
|
—
|
$24,584.00
|
$41,911.26
|
$41,089.47
|
2026-02-28
|