|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
12
|
12
|
—
|
—
|
$3,121,965.00
|
$4,774,770.00
|
$3,856,545.00
|
2026-02-04
|
|
C9172
|
HCPCS
|
Apc
|
12
|
12
|
—
|
—
|
$3,064,250.00
|
$4,686,500.00
|
$3,785,250.00
|
2026-02-04
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
13
|
13
|
—
|
—
|
$2,826,636.54
|
$4,988,182.14
|
$3,491,727.49
|
2026-02-04
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
13
|
13
|
—
|
—
|
$2,793,100.00
|
$4,929,000.00
|
$3,450,300.00
|
2026-02-04
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
13
|
13
|
—
|
—
|
$2,522,800.00
|
$4,452,000.00
|
$3,116,400.00
|
2026-02-04
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
17
|
17
|
—
|
—
|
$2,030,322.10
|
$4,777,228.46
|
$2,627,475.65
|
2026-02-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
20
|
18
|
—
|
—
|
$86,886.87
|
$1,258,420.61
|
$582,112.14
|
2026-02-04
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
20
|
18
|
—
|
—
|
$86,227.85
|
$1,253,499.52
|
$579,835.78
|
2026-02-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
20
|
18
|
—
|
—
|
$98,876.82
|
$1,252,225.30
|
$579,246.35
|
2026-02-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
20
|
18
|
—
|
—
|
$96,666.11
|
$1,228,774.61
|
$568,398.68
|
2026-02-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
20
|
18
|
—
|
—
|
$91,690.31
|
$1,163,926.27
|
$538,401.55
|
2026-02-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
20
|
18
|
—
|
—
|
$91,685.76
|
$1,095,141.30
|
$506,583.44
|
2026-02-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
15
|
—
|
—
|
$362,941.74
|
$748,333.48
|
$411,583.41
|
2026-02-04
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
15
|
15
|
—
|
—
|
$271,189.52
|
$559,153.64
|
$307,534.50
|
2026-02-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
15
|
15
|
—
|
—
|
$228,454.51
|
$471,040.22
|
$259,072.12
|
2026-02-04
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$251,555.97
|
$251,555.97
|
$251,555.97
|
2026-02-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
15
|
15
|
—
|
—
|
$206,428.96
|
$425,626.72
|
$234,094.70
|
2026-02-04
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$206,343.94
|
$206,343.94
|
$206,343.94
|
2026-02-04
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$199,237.03
|
$199,237.03
|
$199,237.03
|
2026-02-04
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$197,289.02
|
$197,289.02
|
$197,289.02
|
2026-02-04
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$190,390.26
|
$190,390.26
|
$190,390.26
|
2026-02-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
15
|
15
|
—
|
—
|
$136,237.96
|
$280,903.02
|
$154,496.66
|
2026-02-04
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$151,144.53
|
$151,144.53
|
$151,144.53
|
2026-02-04
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$149,772.43
|
$149,772.43
|
$149,772.43
|
2026-02-04
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$146,918.09
|
$146,918.09
|
$146,918.09
|
2026-02-04
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
15
|
15
|
—
|
—
|
$126,353.79
|
$260,523.28
|
$143,287.80
|
2026-02-04
|
|
7
|
MS_DRG
|
Lung Transplant
|
15
|
15
|
—
|
—
|
$126,036.54
|
$259,869.16
|
$142,928.04
|
2026-02-04
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$139,128.87
|
$139,128.87
|
$139,128.87
|
2026-02-04
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$134,575.75
|
$134,575.75
|
$134,575.75
|
2026-02-04
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$132,934.83
|
$132,934.83
|
$132,934.83
|
2026-02-04
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$130,168.23
|
$130,168.23
|
$130,168.23
|
2026-02-04
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$129,955.42
|
$129,955.42
|
$129,955.42
|
2026-02-04
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$129,787.40
|
$129,787.40
|
$129,787.40
|
2026-02-04
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$129,126.56
|
$129,126.56
|
$129,126.56
|
2026-02-04
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
1
|
1
|
—
|
—
|
$126,963.87
|
$126,963.87
|
$126,963.87
|
2026-02-04
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$124,817.05
|
$124,817.05
|
$124,817.05
|
2026-02-04
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$123,965.79
|
$123,965.79
|
$123,965.79
|
2026-02-04
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$123,631.63
|
$123,631.63
|
$123,631.63
|
2026-02-04
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$121,708.83
|
$121,708.83
|
$121,708.83
|
2026-02-04
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$121,355.07
|
$121,355.07
|
$121,355.07
|
2026-02-04
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$121,038.64
|
$121,038.64
|
$121,038.64
|
2026-02-04
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
15
|
15
|
—
|
—
|
$106,338.36
|
$219,254.36
|
$120,589.90
|
2026-02-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
15
|
15
|
—
|
—
|
$105,129.03
|
$216,760.88
|
$119,218.48
|
2026-02-04
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$117,734.41
|
$117,734.41
|
$117,734.41
|
2026-02-04
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
15
|
15
|
—
|
—
|
$102,778.61
|
$211,914.66
|
$116,553.06
|
2026-02-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
15
|
15
|
—
|
—
|
$102,253.75
|
$210,832.48
|
$115,957.86
|
2026-02-04
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
1
|
1
|
—
|
—
|
$115,287.97
|
$115,287.97
|
$115,287.97
|
2026-02-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
15
|
—
|
—
|
$101,105.94
|
$208,465.86
|
$114,656.22
|
2026-02-04
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
19
|
18
|
—
|
—
|
$84,999.92
|
$237,799.79
|
$109,999.90
|
2026-02-04
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$108,176.39
|
$108,176.39
|
$108,176.39
|
2026-02-04
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$107,482.88
|
$107,482.88
|
$107,482.88
|
2026-02-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
15
|
—
|
—
|
$93,181.87
|
$192,127.56
|
$105,670.16
|
2026-02-04
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
15
|
15
|
—
|
—
|
$88,959.80
|
$183,422.26
|
$100,882.24
|
2026-02-04
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
19
|
18
|
—
|
—
|
$77,377.14
|
$216,473.93
|
$100,135.12
|
2026-02-04
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$96,464.09
|
$96,464.09
|
$96,464.09
|
2026-02-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
15
|
15
|
—
|
—
|
$81,865.34
|
$168,794.52
|
$92,836.99
|
2026-02-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
15
|
—
|
—
|
$81,820.15
|
$168,701.34
|
$92,785.74
|
2026-02-04
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
15
|
15
|
—
|
—
|
$80,583.91
|
$166,152.40
|
$91,383.82
|
2026-02-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
15
|
15
|
—
|
—
|
$77,897.05
|
$160,612.48
|
$88,336.86
|
2026-02-04
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
15
|
15
|
—
|
—
|
$77,050.15
|
$158,866.28
|
$87,376.45
|
2026-02-04
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$87,371.84
|
$87,371.84
|
$87,371.84
|
2026-02-04
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
15
|
15
|
—
|
—
|
$76,610.80
|
$157,960.42
|
$86,878.23
|
2026-02-04
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$86,541.11
|
$86,541.11
|
$86,541.11
|
2026-02-04
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$85,682.39
|
$85,682.39
|
$85,682.39
|
2026-02-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
15
|
15
|
—
|
—
|
$75,544.72
|
$155,762.30
|
$85,669.27
|
2026-02-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
15
|
—
|
—
|
$74,786.24
|
$154,198.44
|
$84,809.14
|
2026-02-04
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$84,604.31
|
$84,604.31
|
$84,604.31
|
2026-02-04
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$83,481.43
|
$83,481.43
|
$83,481.43
|
2026-02-04
|
|
C1882
|
HCPCS
|
Pacemaker Vigilant X4 Crt-d Is-1 Df4 Is4
|
59
|
26
|
$173,250.00
|
$173,250.00
|
$25,987.50
|
$160,880.80
|
$82,640.25
|
2026-02-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
15
|
15
|
—
|
—
|
$72,159.00
|
$148,781.44
|
$81,829.79
|
2026-02-04
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$81,475.55
|
$81,475.55
|
$81,475.55
|
2026-02-04
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$78,680.02
|
$78,680.02
|
$78,680.02
|
2026-02-04
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
15
|
—
|
—
|
$68,683.86
|
$141,616.20
|
$77,888.91
|
2026-02-04
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
15
|
15
|
—
|
—
|
$68,340.67
|
$140,908.60
|
$77,499.73
|
2026-02-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
15
|
15
|
—
|
—
|
$67,278.40
|
$138,718.36
|
$76,295.10
|
2026-02-04
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$76,133.70
|
$76,133.70
|
$76,133.70
|
2026-02-04
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$76,064.63
|
$76,064.63
|
$76,064.63
|
2026-02-04
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$75,576.46
|
$75,576.46
|
$75,576.46
|
2026-02-04
|
|
C1822
|
HCPCS
|
Itrevia 7 Hf-t
|
37
|
26
|
$158,905.59
|
$158,905.59
|
$23,835.84
|
$127,124.47
|
$75,480.15
|
2026-02-04
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$75,220.84
|
$75,220.84
|
$75,220.84
|
2026-02-04
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
21
|
18
|
—
|
—
|
$106.32
|
$162,361.40
|
$75,104.10
|
2026-02-04
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx Per Tx Dose
|
53
|
26
|
$130,422.08
|
$130,422.08
|
$1,053.00
|
$155,703.31
|
$74,992.70
|
2026-02-04
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
1
|
1
|
—
|
—
|
$74,900.68
|
$74,900.68
|
$74,900.68
|
2026-02-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
15
|
15
|
—
|
—
|
$66,046.02
|
$136,177.36
|
$74,897.55
|
2026-02-04
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$74,092.36
|
$74,092.36
|
$74,092.36
|
2026-02-04
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$73,557.52
|
$73,557.52
|
$73,557.52
|
2026-02-04
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
15
|
15
|
—
|
—
|
$64,857.84
|
$133,727.50
|
$73,550.13
|
2026-02-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
15
|
15
|
—
|
—
|
$64,609.81
|
$133,216.10
|
$73,268.86
|
2026-02-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
15
|
15
|
—
|
—
|
$64,501.20
|
$132,992.16
|
$73,145.69
|
2026-02-04
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
19
|
18
|
—
|
—
|
$55,990.98
|
$156,643.00
|
$72,458.91
|
2026-02-04
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$72,366.50
|
$72,366.50
|
$72,366.50
|
2026-02-04
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$71,509.64
|
$71,509.64
|
$71,509.64
|
2026-02-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
15
|
15
|
—
|
—
|
$62,574.73
|
$129,020.06
|
$70,961.03
|
2026-02-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
15
|
—
|
—
|
$62,485.31
|
$128,835.70
|
$70,859.64
|
2026-02-04
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$70,363.43
|
$70,363.43
|
$70,363.43
|
2026-02-04
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
1
|
1
|
—
|
—
|
$70,312.09
|
$70,312.09
|
$70,312.09
|
2026-02-04
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
20
|
18
|
—
|
—
|
$15,300.00
|
$150,657.65
|
$69,690.25
|
2026-02-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$61,201.02
|
$126,187.66
|
$69,403.21
|
2026-02-04
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$68,591.83
|
$68,591.83
|
$68,591.83
|
2026-02-04
|
|
C1722
|
HCPCS
|
Lumax 740 Vr-t
|
169
|
26
|
$128,782.50
|
$128,782.50
|
$9,659.70
|
$127,935.19
|
$68,376.00
|
2026-02-04
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
15
|
15
|
—
|
—
|
$59,952.27
|
$123,612.92
|
$67,987.11
|
2026-02-04
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
15
|
15
|
—
|
—
|
$59,875.37
|
$123,454.38
|
$67,899.91
|
2026-02-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
15
|
15
|
—
|
—
|
$59,604.28
|
$122,895.42
|
$67,592.48
|
2026-02-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
15
|
15
|
—
|
—
|
$59,397.60
|
$122,469.28
|
$67,358.10
|
2026-02-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
15
|
15
|
—
|
—
|
$59,128.44
|
$121,914.30
|
$67,052.87
|
2026-02-04
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$66,951.85
|
$66,951.85
|
$66,951.85
|
2026-02-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
15
|
15
|
—
|
—
|
$58,847.72
|
$121,335.50
|
$66,734.53
|
2026-02-04
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$66,505.68
|
$66,505.68
|
$66,505.68
|
2026-02-04
|
|
L8682
|
HCPCS
|
Imp Freedom 8a Stim/receiv Kit
|
51
|
26
|
$140,000.00
|
$140,000.00
|
$6,122.56
|
$112,000.00
|
$66,500.00
|
2026-02-04
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
15
|
15
|
—
|
—
|
$58,428.61
|
$120,471.36
|
$66,259.25
|
2026-02-04
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
15
|
15
|
—
|
—
|
$58,428.61
|
$120,471.36
|
$66,259.25
|
2026-02-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
15
|
15
|
—
|
—
|
$57,995.05
|
$119,577.42
|
$65,767.58
|
2026-02-04
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$65,607.75
|
$65,607.75
|
$65,607.75
|
2026-02-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
15
|
—
|
—
|
$57,596.11
|
$118,754.86
|
$65,315.17
|
2026-02-04
|
|
0266T
|
CPT
|
Apc
|
20
|
18
|
—
|
—
|
$3,153.00
|
$140,328.05
|
$64,912.05
|
2026-02-04
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
19
|
18
|
—
|
—
|
$50,159.31
|
$140,328.05
|
$64,912.05
|
2026-02-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
15
|
15
|
—
|
—
|
$56,970.29
|
$117,464.52
|
$64,605.49
|
2026-02-04
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
1
|
1
|
—
|
—
|
$64,330.86
|
$64,330.86
|
$64,330.86
|
2026-02-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$56,375.23
|
$116,237.58
|
$63,930.67
|
2026-02-04
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$63,884.70
|
$63,884.70
|
$63,884.70
|
2026-02-04
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
14
|
14
|
—
|
—
|
$57,552.85
|
$118,665.66
|
$63,782.79
|
2026-02-04
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$63,139.84
|
$63,139.84
|
$63,139.84
|
2026-02-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
15
|
—
|
—
|
$55,578.32
|
$114,594.48
|
$63,026.96
|
2026-02-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
15
|
15
|
—
|
—
|
$55,248.59
|
$113,914.62
|
$62,653.04
|
2026-02-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
15
|
15
|
—
|
—
|
$53,994.09
|
$111,328.02
|
$61,230.41
|
2026-02-04
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$61,226.37
|
$61,226.37
|
$61,226.37
|
2026-02-04
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
15
|
15
|
—
|
—
|
$53,539.38
|
$110,390.48
|
$60,714.76
|
2026-02-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
15
|
15
|
—
|
—
|
$53,539.38
|
$110,390.48
|
$60,714.76
|
2026-02-04
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
20
|
18
|
—
|
—
|
$46,762.94
|
$130,826.21
|
$60,516.75
|
2026-02-04
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
15
|
—
|
—
|
$53,316.34
|
$109,930.60
|
$60,461.83
|
2026-02-04
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
1
|
1
|
—
|
—
|
$60,223.90
|
$60,223.90
|
$60,223.90
|
2026-02-04
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
15
|
15
|
—
|
—
|
$52,993.35
|
$109,264.64
|
$60,095.55
|
2026-02-04
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$59,998.02
|
$59,998.02
|
$59,998.02
|
2026-02-04
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
15
|
15
|
—
|
—
|
$52,710.73
|
$108,681.92
|
$59,775.06
|
2026-02-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
15
|
15
|
—
|
—
|
$52,591.52
|
$108,436.12
|
$59,639.87
|
2026-02-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
15
|
15
|
—
|
—
|
$52,325.25
|
$107,887.12
|
$59,337.92
|
2026-02-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
15
|
15
|
—
|
—
|
$52,276.22
|
$107,786.02
|
$59,282.31
|
2026-02-04
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
15
|
15
|
—
|
—
|
$52,270.45
|
$107,774.12
|
$59,275.77
|
2026-02-04
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$58,973.15
|
$58,973.15
|
$58,973.15
|
2026-02-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
15
|
15
|
—
|
—
|
$51,548.51
|
$106,285.58
|
$58,457.07
|
2026-02-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
15
|
—
|
—
|
$51,322.60
|
$105,819.80
|
$58,200.89
|
2026-02-04
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
1
|
1
|
—
|
—
|
$58,166.69
|
$58,166.69
|
$58,166.69
|
2026-02-04
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$58,038.81
|
$58,038.81
|
$58,038.81
|
2026-02-04
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
1
|
1
|
—
|
—
|
$57,735.46
|
$57,735.46
|
$57,735.46
|
2026-02-04
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$57,640.25
|
$57,640.25
|
$57,640.25
|
2026-02-04
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$57,537.58
|
$57,537.58
|
$57,537.58
|
2026-02-04
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$56,954.20
|
$56,954.20
|
$56,954.20
|
2026-02-04
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$56,751.65
|
$56,751.65
|
$56,751.65
|
2026-02-04
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
15
|
15
|
—
|
—
|
$49,913.32
|
$102,914.06
|
$56,602.73
|
2026-02-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
15
|
15
|
—
|
—
|
$49,748.93
|
$102,575.12
|
$56,416.32
|
2026-02-04
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$56,304.55
|
$56,304.55
|
$56,304.55
|
2026-02-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
15
|
15
|
—
|
—
|
$49,379.79
|
$101,814.00
|
$55,997.70
|
2026-02-04
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
15
|
15
|
—
|
—
|
$49,229.83
|
$101,504.80
|
$55,827.64
|
2026-02-04
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$55,785.58
|
$55,785.58
|
$55,785.58
|
2026-02-04
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
15
|
15
|
—
|
—
|
$48,825.11
|
$100,670.34
|
$55,368.69
|
2026-02-04
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$55,199.41
|
$55,199.41
|
$55,199.41
|
2026-02-04
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$55,190.08
|
$55,190.08
|
$55,190.08
|
2026-02-04
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
15
|
15
|
—
|
—
|
$48,539.61
|
$100,081.66
|
$55,044.91
|
2026-02-04
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
15
|
—
|
—
|
$48,502.10
|
$100,004.34
|
$55,002.39
|
2026-02-04
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$48,482.88
|
$99,964.70
|
$54,980.59
|
2026-02-04
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
15
|
15
|
—
|
—
|
$48,309.85
|
$99,607.94
|
$54,784.37
|
2026-02-04
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$54,521.76
|
$54,521.76
|
$54,521.76
|
2026-02-04
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
1
|
1
|
—
|
—
|
$54,182.94
|
$54,182.94
|
$54,182.94
|
2026-02-04
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
1
|
1
|
—
|
—
|
$53,958.92
|
$53,958.92
|
$53,958.92
|
2026-02-04
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$53,889.85
|
$53,889.85
|
$53,889.85
|
2026-02-04
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$53,841.31
|
$53,841.31
|
$53,841.31
|
2026-02-04
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
15
|
15
|
—
|
—
|
$47,382.18
|
$97,695.22
|
$53,732.37
|
2026-02-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
15
|
15
|
—
|
—
|
$47,098.59
|
$97,110.50
|
$53,410.78
|
2026-02-04
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
15
|
15
|
—
|
—
|
$47,020.72
|
$96,949.94
|
$53,322.47
|
2026-02-04
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
1
|
1
|
—
|
—
|
$52,824.84
|
$52,824.84
|
$52,824.84
|
2026-02-04
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$52,641.89
|
$52,641.89
|
$52,641.89
|
2026-02-04
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
15
|
15
|
—
|
—
|
$46,312.24
|
$95,489.16
|
$52,519.04
|
2026-02-04
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$52,360.01
|
$52,360.01
|
$52,360.01
|
2026-02-04
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
15
|
15
|
—
|
—
|
$46,113.26
|
$95,078.88
|
$52,293.38
|
2026-02-04
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
15
|
15
|
—
|
—
|
$46,104.59
|
$95,061.02
|
$52,283.56
|
2026-02-04
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
15
|
15
|
—
|
—
|
$45,631.64
|
$94,085.86
|
$51,747.22
|
2026-02-04
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
1
|
1
|
—
|
—
|
$51,655.29
|
$51,655.29
|
$51,655.29
|
2026-02-04
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$51,571.28
|
$51,571.28
|
$51,571.28
|
2026-02-04
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$51,508.75
|
$51,508.75
|
$51,508.75
|
2026-02-04
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
15
|
15
|
—
|
—
|
$45,389.38
|
$93,586.36
|
$51,472.50
|
2026-02-04
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
1
|
1
|
—
|
—
|
$51,284.73
|
$51,284.73
|
$51,284.73
|
2026-02-04
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$51,232.46
|
$51,232.46
|
$51,232.46
|
2026-02-04
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
15
|
15
|
—
|
—
|
$45,124.07
|
$93,039.32
|
$51,171.63
|
2026-02-04
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
1
|
1
|
—
|
—
|
$51,058.85
|
$51,058.85
|
$51,058.85
|
2026-02-04
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
1
|
1
|
—
|
—
|
$51,015.91
|
$51,015.91
|
$51,015.91
|
2026-02-04
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
19
|
18
|
—
|
—
|
$39,189.05
|
$109,637.12
|
$50,715.24
|
2026-02-04
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
15
|
15
|
—
|
—
|
$44,713.60
|
$92,192.98
|
$50,706.14
|
2026-02-04
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
15
|
15
|
—
|
—
|
$44,695.33
|
$92,155.32
|
$50,685.43
|
2026-02-04
|
|
C1820
|
HCPCS
|
Imp Neurostimulator Surescan
|
37
|
26
|
$106,680.00
|
$106,680.00
|
$16,002.00
|
$85,344.00
|
$50,673.00
|
2026-02-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
15
|
—
|
—
|
$44,554.00
|
$91,863.92
|
$50,525.16
|
2026-02-04
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
15
|
15
|
—
|
—
|
$44,547.29
|
$91,850.08
|
$50,517.54
|
2026-02-04
|
|
C1721
|
HCPCS
|
Pulse Generator Reply Dr
|
169
|
26
|
$114,210.00
|
$114,210.00
|
$6,545.68
|
$111,648.34
|
$50,498.69
|
2026-02-04
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$50,045.17
|
$50,045.17
|
$50,045.17
|
2026-02-04
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
20
|
18
|
—
|
—
|
$38,547.68
|
$107,842.81
|
$49,885.24
|
2026-02-04
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$43,775.35
|
$90,258.46
|
$49,642.15
|
2026-02-04
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
15
|
15
|
—
|
—
|
$43,516.75
|
$89,725.26
|
$49,348.89
|
2026-02-04
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
15
|
15
|
—
|
—
|
$43,397.57
|
$89,479.52
|
$49,213.74
|
2026-02-04
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$49,200.45
|
$49,200.45
|
$49,200.45
|
2026-02-04
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
1
|
1
|
—
|
—
|
$48,999.77
|
$48,999.77
|
$48,999.77
|
2026-02-04
|
|
234
|
APR_DRG
|
Spinal Procedures
|
1
|
1
|
—
|
—
|
$48,874.69
|
$48,874.69
|
$48,874.69
|
2026-02-04
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
15
|
15
|
—
|
—
|
$42,995.73
|
$88,650.98
|
$48,758.04
|
2026-02-04
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
15
|
15
|
—
|
—
|
$42,633.31
|
$87,903.74
|
$48,347.06
|
2026-02-04
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
1
|
1
|
—
|
—
|
$48,204.51
|
$48,204.51
|
$48,204.51
|
2026-02-04
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$48,196.11
|
$48,196.11
|
$48,196.11
|
2026-02-04
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
20
|
18
|
—
|
—
|
$3,153.00
|
$97,748.25
|
$47,897.89
|
2026-02-04
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
20
|
18
|
—
|
—
|
$4,387.00
|
$97,748.25
|
$47,897.89
|
2026-02-04
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
19
|
18
|
—
|
—
|
$37,633.75
|
$92,260.90
|
$47,740.57
|
2026-02-04
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
15
|
15
|
—
|
—
|
$41,999.82
|
$86,597.56
|
$47,628.66
|
2026-02-04
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
1
|
1
|
—
|
—
|
$47,606.20
|
$47,606.20
|
$47,606.20
|
2026-02-04
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
1
|
1
|
—
|
—
|
$47,591.27
|
$47,591.27
|
$47,591.27
|
2026-02-04
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
15
|
—
|
—
|
$41,914.25
|
$86,421.14
|
$47,531.63
|
2026-02-04
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$47,136.70
|
$47,136.70
|
$47,136.70
|
2026-02-04
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
1
|
1
|
—
|
—
|
$46,982.69
|
$46,982.69
|
$46,982.69
|
2026-02-04
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$41,411.49
|
$85,384.52
|
$46,961.49
|
2026-02-04
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$46,912.68
|
$46,912.68
|
$46,912.68
|
2026-02-04
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
15
|
15
|
—
|
—
|
$41,350.94
|
$85,259.66
|
$46,892.81
|
2026-02-04
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
20
|
18
|
—
|
—
|
$16,636.20
|
$100,988.62
|
$46,714.67
|
2026-02-04
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
15
|
15
|
—
|
—
|
$41,060.61
|
$84,661.06
|
$46,563.58
|
2026-02-04
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
15
|
15
|
—
|
—
|
$40,689.54
|
$83,895.96
|
$46,142.78
|
2026-02-04
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
15
|
15
|
—
|
—
|
$40,679.93
|
$83,876.14
|
$46,131.88
|
2026-02-04
|
|
69930
|
CPT
|
Implant Cochlear Device
|
22
|
19
|
—
|
—
|
$1,149.87
|
$99,636.18
|
$46,089.06
|
2026-02-04
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
1
|
1
|
—
|
—
|
$46,011.02
|
$46,011.02
|
$46,011.02
|
2026-02-04
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$45,913.95
|
$45,913.95
|
$45,913.95
|
2026-02-04
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$45,839.27
|
$45,839.27
|
$45,839.27
|
2026-02-04
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
15
|
15
|
—
|
—
|
$40,402.12
|
$83,303.34
|
$45,816.84
|
2026-02-04
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
1
|
1
|
—
|
—
|
$45,660.06
|
$45,660.06
|
$45,660.06
|
2026-02-04
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$45,350.17
|
$45,350.17
|
$45,350.17
|
2026-02-04
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
15
|
15
|
—
|
—
|
$39,934.91
|
$82,340.02
|
$45,287.01
|
2026-02-04
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
15
|
15
|
—
|
—
|
$39,912.80
|
$82,294.44
|
$45,261.94
|
2026-02-04
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$45,219.50
|
$45,219.50
|
$45,219.50
|
2026-02-04
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
21
|
18
|
—
|
—
|
$519.11
|
$97,748.25
|
$45,215.76
|
2026-02-04
|
|
33249
|
CPT
|
Insj/rplcmt Defib W/lead(s)
|
21
|
18
|
—
|
—
|
$912.91
|
$97,748.25
|
$45,215.76
|
2026-02-04
|
|
33264
|
CPT
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
21
|
18
|
—
|
—
|
$331.63
|
$97,748.25
|
$45,215.76
|
2026-02-04
|
|
33231
|
CPT
|
Insrt Pulse Gen W/mult Leads
|
21
|
18
|
—
|
—
|
$331.02
|
$97,748.25
|
$45,215.76
|
2026-02-04
|
|
0268T
|
CPT
|
Apc
|
20
|
18
|
—
|
—
|
$3,153.00
|
$92,260.90
|
$45,209.01
|
2026-02-04
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
15
|
15
|
—
|
—
|
$39,854.16
|
$82,173.52
|
$45,195.44
|
2026-02-04
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
15
|
15
|
—
|
—
|
$39,659.98
|
$81,773.16
|
$44,975.24
|
2026-02-04
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
1
|
1
|
—
|
—
|
$44,904.01
|
$44,904.01
|
$44,904.01
|
2026-02-04
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
14
|
14
|
—
|
—
|
$40,496.33
|
$83,497.58
|
$44,879.95
|
2026-02-04
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$44,813.47
|
$44,813.47
|
$44,813.47
|
2026-02-04
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$39,505.22
|
$81,454.06
|
$44,799.73
|
2026-02-04
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
1
|
1
|
—
|
—
|
$44,679.06
|
$44,679.06
|
$44,679.06
|
2026-02-04
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
1
|
1
|
—
|
—
|
$44,632.39
|
$44,632.39
|
$44,632.39
|
2026-02-04
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$44,571.72
|
$44,571.72
|
$44,571.72
|
2026-02-04
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
1
|
1
|
—
|
—
|
$44,472.78
|
$44,472.78
|
$44,472.78
|
2026-02-04
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
1
|
1
|
—
|
—
|
$44,267.43
|
$44,267.43
|
$44,267.43
|
2026-02-04
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$44,172.22
|
$44,172.22
|
$44,172.22
|
2026-02-04
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
1
|
1
|
—
|
—
|
$44,042.48
|
$44,042.48
|
$44,042.48
|
2026-02-04
|
|
7594
|
APR_DRG
|
Eating Disorders
|
1
|
1
|
—
|
—
|
$43,963.14
|
$43,963.14
|
$43,963.14
|
2026-02-04
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$43,916.47
|
$43,916.47
|
$43,916.47
|
2026-02-04
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
15
|
15
|
—
|
—
|
$38,700.59
|
$79,795.04
|
$43,887.27
|
2026-02-04
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
15
|
15
|
—
|
—
|
$38,673.69
|
$79,739.56
|
$43,856.76
|
2026-02-04
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
14
|
14
|
—
|
—
|
$39,433.12
|
$81,305.40
|
$43,701.65
|
2026-02-04
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$38,335.29
|
$79,041.84
|
$43,473.01
|
2026-02-04
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
1
|
1
|
—
|
—
|
$43,431.10
|
$43,431.10
|
$43,431.10
|
2026-02-04
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
15
|
15
|
—
|
—
|
$38,257.42
|
$78,881.28
|
$43,384.70
|
2026-02-04
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
15
|
15
|
—
|
—
|
$38,180.52
|
$78,722.72
|
$43,297.50
|
2026-02-04
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
15
|
15
|
—
|
—
|
$38,013.26
|
$78,377.86
|
$43,107.82
|
2026-02-04
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
15
|
15
|
—
|
—
|
$37,995.00
|
$78,340.20
|
$43,087.11
|
2026-02-04
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
15
|
15
|
—
|
—
|
$37,787.35
|
$77,912.06
|
$42,851.63
|
2026-02-04
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
1
|
1
|
—
|
—
|
$42,709.58
|
$42,709.58
|
$42,709.58
|
2026-02-04
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
1
|
1
|
—
|
—
|
$42,709.58
|
$42,709.58
|
$42,709.58
|
2026-02-04
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
22
|
19
|
—
|
—
|
$386.20
|
$92,260.90
|
$42,677.45
|
2026-02-04
|
|
63685
|
CPT
|
Ins/rplc Spi Npg/rcvr Pocket
|
22
|
19
|
—
|
—
|
$385.83
|
$92,260.90
|
$42,677.45
|
2026-02-04
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
21
|
18
|
—
|
—
|
$560.90
|
$92,260.90
|
$42,677.45
|
2026-02-04
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
21
|
18
|
—
|
—
|
$754.93
|
$92,260.90
|
$42,677.45
|
2026-02-04
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
15
|
15
|
—
|
—
|
$37,559.52
|
$77,442.30
|
$42,593.27
|
2026-02-04
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
15
|
15
|
—
|
—
|
$37,522.03
|
$77,365.02
|
$42,550.76
|
2026-02-04
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
1
|
1
|
—
|
—
|
$42,489.30
|
$42,489.30
|
$42,489.30
|
2026-02-04
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
1
|
1
|
—
|
—
|
$42,451.03
|
$42,451.03
|
$42,451.03
|
2026-02-04
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
15
|
15
|
—
|
—
|
$37,418.23
|
$77,150.98
|
$42,433.04
|
2026-02-04
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
15
|
15
|
—
|
—
|
$37,150.01
|
$76,597.96
|
$42,128.88
|
2026-02-04
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
19
|
18
|
—
|
—
|
$32,501.72
|
$90,928.35
|
$42,061.05
|
2026-02-04
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
1
|
1
|
—
|
—
|
$42,009.53
|
$42,009.53
|
$42,009.53
|
2026-02-04
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
1
|
1
|
—
|
—
|
$41,958.20
|
$41,958.20
|
$41,958.20
|
2026-02-04
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
15
|
15
|
—
|
—
|
$36,951.02
|
$76,187.66
|
$41,903.21
|
2026-02-04
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
1
|
1
|
—
|
—
|
$41,832.19
|
$41,832.19
|
$41,832.19
|
2026-02-04
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
15
|
15
|
—
|
—
|
$36,666.48
|
$75,600.98
|
$41,580.54
|
2026-02-04
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
1
|
1
|
—
|
—
|
$41,450.43
|
$41,450.43
|
$41,450.43
|
2026-02-04
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
1
|
1
|
—
|
—
|
$41,379.49
|
$41,379.49
|
$41,379.49
|
2026-02-04
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
15
|
15
|
—
|
—
|
$36,377.11
|
$75,004.36
|
$41,252.40
|
2026-02-04
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
1
|
1
|
—
|
—
|
$40,923.99
|
$40,923.99
|
$40,923.99
|
2026-02-04
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
1
|
1
|
—
|
—
|
$40,909.06
|
$40,909.06
|
$40,909.06
|
2026-02-04
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
1
|
1
|
—
|
—
|
$40,884.79
|
$40,884.79
|
$40,884.79
|
2026-02-04
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$40,687.84
|
$40,687.84
|
$40,687.84
|
2026-02-04
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
1
|
1
|
—
|
—
|
$40,512.36
|
$40,512.36
|
$40,512.36
|
2026-02-04
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$40,427.42
|
$40,427.42
|
$40,427.42
|
2026-02-04
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
1
|
1
|
—
|
—
|
$40,358.35
|
$40,358.35
|
$40,358.35
|
2026-02-04
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
1
|
1
|
—
|
—
|
$40,314.48
|
$40,314.48
|
$40,314.48
|
2026-02-04
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
15
|
15
|
—
|
—
|
$35,480.21
|
$73,155.08
|
$40,235.29
|
2026-02-04
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
1
|
1
|
—
|
—
|
$40,162.34
|
$40,162.34
|
$40,162.34
|
2026-02-04
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
1
|
1
|
—
|
—
|
$40,148.33
|
$40,148.33
|
$40,148.33
|
2026-02-04
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
1
|
1
|
—
|
—
|
$40,079.26
|
$40,079.26
|
$40,079.26
|
2026-02-04
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
15
|
15
|
—
|
—
|
$35,237.01
|
$72,653.62
|
$39,959.49
|
2026-02-04
|
|
33289
|
CPT
|
Tcat Impl Wrls P-art Prs Snr
|
21
|
18
|
—
|
—
|
$281.39
|
$86,355.27
|
$39,945.67
|
2026-02-04
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
1
|
1
|
—
|
—
|
$39,866.45
|
$39,866.45
|
$39,866.45
|
2026-02-04
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
1
|
1
|
—
|
—
|
$39,826.31
|
$39,826.31
|
$39,826.31
|
2026-02-04
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$39,758.17
|
$39,758.17
|
$39,758.17
|
2026-02-04
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
20
|
18
|
—
|
—
|
$7,452.00
|
$85,756.64
|
$39,668.76
|
2026-02-04
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
20
|
18
|
—
|
—
|
$4,187.00
|
$85,756.64
|
$39,668.76
|
2026-02-04
|