|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
2
|
1
|
—
|
—
|
$1,476,857.10
|
$1,476,857.10
|
$1,476,857.10
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
2
|
1
|
—
|
—
|
$1,340,483.41
|
$1,340,483.41
|
$1,340,483.41
|
2026-04-01
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
4
|
2
|
—
|
—
|
$54,211.21
|
$995,490.00
|
$524,850.60
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
16
|
6
|
—
|
—
|
$346,792.00
|
$533,607.00
|
$474,944.00
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
6
|
—
|
—
|
$240,736.00
|
$454,107.07
|
$335,730.00
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
16
|
6
|
—
|
—
|
$234,357.00
|
$414,588.00
|
$334,028.50
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
16
|
6
|
—
|
—
|
$234,357.00
|
$414,588.00
|
$334,028.50
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
6
|
—
|
—
|
$72,430.98
|
$341,227.00
|
$300,936.00
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
2
|
1
|
—
|
—
|
$289,186.00
|
$289,186.00
|
$289,186.00
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
16
|
6
|
—
|
—
|
$205,801.00
|
$351,279.00
|
$286,898.50
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
6
|
—
|
—
|
$205,801.00
|
$351,279.00
|
$286,898.50
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
6
|
—
|
—
|
$204,627.00
|
$320,672.00
|
$285,371.50
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
16
|
6
|
—
|
—
|
$198,310.00
|
$325,194.00
|
$283,017.00
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
16
|
6
|
—
|
—
|
$201,127.00
|
$315,727.00
|
$279,861.00
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
18
|
6
|
—
|
—
|
$92,512.26
|
$311,639.00
|
$276,285.00
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
20
|
6
|
—
|
—
|
$79,535.74
|
$310,887.00
|
$270,200.50
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
6
|
2
|
—
|
—
|
$237,084.79
|
$507,270.57
|
$258,092.05
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
6
|
—
|
—
|
$179,909.00
|
$440,208.85
|
$251,682.00
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
16
|
6
|
—
|
—
|
$179,909.00
|
$307,570.00
|
$250,782.50
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
6
|
—
|
—
|
$81,508.41
|
$307,570.00
|
$249,883.00
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
6
|
—
|
—
|
$91,868.08
|
$295,319.00
|
$241,267.00
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
14
|
5
|
—
|
—
|
$173,063.00
|
$266,222.00
|
$240,376.00
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
26
|
6
|
—
|
—
|
$67,162.59
|
$436,419.00
|
$235,088.00
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
2
|
1
|
—
|
—
|
$231,250.00
|
$231,250.00
|
$231,250.00
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
16
|
6
|
—
|
—
|
$163,033.00
|
$278,368.00
|
$227,249.00
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
16
|
6
|
—
|
—
|
$161,544.00
|
$275,916.00
|
$225,270.50
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
20
|
6
|
—
|
—
|
$60,163.48
|
$278,368.00
|
$224,373.00
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
22
|
6
|
—
|
—
|
$1,289.31
|
$253,959.00
|
$221,144.00
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
2
|
1
|
—
|
—
|
$219,791.04
|
$219,791.04
|
$219,791.04
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
6
|
—
|
—
|
$156,408.00
|
$243,801.00
|
$218,623.00
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
20
|
6
|
—
|
—
|
$44,411.12
|
$240,030.00
|
$213,438.00
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
18
|
6
|
—
|
—
|
$70,445.37
|
$231,802.00
|
$207,855.00
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
16
|
6
|
—
|
—
|
$147,148.00
|
$227,150.00
|
$207,581.50
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
2
|
1
|
—
|
—
|
$207,351.00
|
$207,351.00
|
$207,351.00
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
6
|
2
|
—
|
—
|
$128,797.68
|
$330,559.00
|
$203,500.00
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
22
|
6
|
—
|
—
|
$50,977.09
|
$242,459.00
|
$202,598.00
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
16
|
6
|
—
|
—
|
$144,720.00
|
$228,310.00
|
$201,969.00
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
16
|
6
|
—
|
—
|
$142,257.00
|
$219,136.00
|
$200,664.00
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
6
|
1
|
—
|
—
|
$73,511.26
|
$257,828.00
|
$198,740.00
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
2
|
1
|
—
|
—
|
$192,725.00
|
$192,725.00
|
$192,725.00
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
4
|
1
|
—
|
—
|
$165,478.00
|
$214,679.00
|
$190,078.50
|
2026-04-01
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
4
|
1
|
—
|
—
|
$159,032.00
|
$220,890.00
|
$189,961.00
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
6
|
—
|
—
|
$131,440.00
|
$203,151.00
|
$189,917.00
|
2026-04-01
|
|
A9543
|
HCPCS
|
Hchg Y-90 Ibritumomab (zevalin) Therapeutic
|
2
|
1
|
—
|
—
|
$189,311.16
|
$189,311.16
|
$189,311.16
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
16
|
6
|
—
|
—
|
$147,288.00
|
$282,353.00
|
$183,195.50
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
16
|
6
|
—
|
—
|
$147,288.00
|
$268,566.00
|
$183,195.50
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
18
|
6
|
—
|
—
|
$123,491.00
|
$183,808.00
|
$175,698.00
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
6
|
2
|
—
|
—
|
$157,356.00
|
$192,058.00
|
$174,814.42
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
16
|
6
|
—
|
—
|
$138,200.00
|
$208,354.00
|
$171,337.00
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
16
|
6
|
—
|
—
|
$122,776.00
|
$209,543.00
|
$171,131.50
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
12
|
5
|
—
|
—
|
$140,151.00
|
$182,013.00
|
$170,696.00
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
6
|
3
|
—
|
—
|
$79,311.50
|
$230,767.00
|
$170,058.58
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
24
|
6
|
—
|
—
|
$53,230.01
|
$229,372.00
|
$169,930.00
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
20
|
6
|
—
|
—
|
$46,275.26
|
$183,626.00
|
$166,337.50
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
18
|
6
|
—
|
—
|
$69,778.03
|
$178,051.00
|
$166,154.00
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
20
|
6
|
—
|
—
|
$650.00
|
$203,824.00
|
$163,362.00
|
2026-04-01
|
|
999
|
MS_DRG
|
Ungroupable
|
8
|
3
|
—
|
—
|
$35,875.71
|
$198,406.00
|
$163,322.50
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
6
|
—
|
—
|
$59,909.30
|
$183,588.00
|
$161,147.00
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$159,969.47
|
$159,969.47
|
$159,969.47
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
4
|
1
|
—
|
—
|
$138,156.00
|
$179,231.00
|
$158,693.50
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
18
|
6
|
—
|
—
|
$109,755.00
|
$187,485.00
|
$153,627.00
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
6
|
—
|
—
|
$109,030.00
|
$167,382.00
|
$151,844.00
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
20
|
6
|
—
|
—
|
$30,897.54
|
$167,879.00
|
$151,828.00
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
26
|
6
|
—
|
—
|
$56,027.26
|
$168,499.00
|
$149,336.00
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$147,359.63
|
$147,359.63
|
$147,359.63
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$146,326.57
|
$146,326.57
|
$146,326.57
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
4
|
1
|
—
|
—
|
$145,441.90
|
$145,441.90
|
$145,441.90
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
22
|
6
|
—
|
—
|
$38,237.87
|
$372,960.96
|
$143,446.00
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
16
|
6
|
—
|
—
|
$110,671.00
|
$202,907.00
|
$137,715.00
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
16
|
6
|
—
|
—
|
$98,238.00
|
$167,674.00
|
$137,042.00
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
16
|
6
|
—
|
—
|
$98,226.00
|
$165,463.00
|
$134,672.00
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
26
|
6
|
—
|
—
|
$250.00
|
$163,471.00
|
$131,297.00
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
6
|
2
|
—
|
—
|
$131,139.34
|
$162,691.22
|
$131,139.34
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
22
|
6
|
—
|
—
|
$2,346.13
|
$146,761.00
|
$128,952.00
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
16
|
6
|
—
|
—
|
$90,441.00
|
$154,635.00
|
$126,075.00
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
14
|
5
|
—
|
—
|
$90,441.00
|
$139,144.00
|
$125,618.00
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
16
|
6
|
—
|
—
|
$87,888.00
|
$150,671.00
|
$123,246.50
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
10
|
3
|
—
|
—
|
$103,987.69
|
$129,708.04
|
$122,953.40
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
6
|
2
|
—
|
—
|
$30,575.12
|
$159,186.00
|
$122,703.00
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
10
|
4
|
—
|
—
|
$35,074.63
|
$179,714.80
|
$121,765.90
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
6
|
1
|
—
|
—
|
$38,282.36
|
$154,627.00
|
$119,189.00
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
14
|
5
|
—
|
—
|
$83,755.00
|
$129,109.00
|
$116,332.00
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
4
|
1
|
—
|
—
|
$98,844.00
|
$128,369.00
|
$113,606.50
|
2026-04-01
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
2
|
1
|
—
|
—
|
$112,186.08
|
$112,186.08
|
$112,186.08
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
16
|
6
|
—
|
—
|
$77,465.00
|
$115,294.00
|
$110,303.50
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
16
|
6
|
—
|
—
|
$77,991.00
|
$122,600.00
|
$109,867.00
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
16
|
6
|
—
|
—
|
$78,518.00
|
$134,179.00
|
$109,514.50
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
22
|
6
|
—
|
—
|
$33,315.17
|
$136,629.00
|
$108,048.00
|
2026-04-01
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
16
|
6
|
—
|
—
|
$75,380.00
|
$119,247.00
|
$105,064.00
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
20
|
6
|
—
|
—
|
$46,360.82
|
$128,461.00
|
$104,938.50
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
4
|
1
|
—
|
—
|
$91,006.00
|
$118,188.00
|
$104,597.00
|
2026-04-01
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
1
|
—
|
—
|
$103,894.00
|
$103,894.00
|
$103,894.00
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
14
|
5
|
—
|
—
|
$74,264.00
|
$114,017.00
|
$103,151.00
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
6
|
2
|
—
|
—
|
$79,407.00
|
$105,060.00
|
$103,016.00
|
2026-04-01
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
28
|
6
|
—
|
—
|
$20,269.70
|
$126,540.00
|
$101,532.50
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
4
|
1
|
—
|
—
|
$88,217.00
|
$114,567.00
|
$101,392.00
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
16
|
6
|
—
|
—
|
$72,010.00
|
$113,324.00
|
$100,329.00
|
2026-04-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
18
|
6
|
—
|
—
|
$23,844.78
|
$122,131.00
|
$99,323.00
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
12
|
5
|
—
|
—
|
$78,620.00
|
$102,102.00
|
$98,144.00
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
22
|
6
|
—
|
—
|
$68,998.00
|
$122,020.84
|
$97,842.00
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
12
|
5
|
—
|
—
|
$80,238.00
|
$104,205.00
|
$97,725.50
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
16
|
6
|
—
|
—
|
$69,724.00
|
$107,384.00
|
$97,116.00
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
4
|
1
|
—
|
—
|
$83,174.00
|
$108,019.00
|
$95,596.50
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
4
|
1
|
—
|
—
|
$81,717.00
|
$106,125.00
|
$93,921.00
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$30,567.49
|
$105,073.00
|
$93,350.00
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
24
|
6
|
—
|
—
|
$37,942.72
|
$120,510.00
|
$92,792.00
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
18
|
6
|
—
|
—
|
$65,854.00
|
$100,553.00
|
$91,467.00
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
4
|
1
|
—
|
—
|
$78,174.00
|
$101,416.00
|
$89,795.00
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
20
|
6
|
—
|
—
|
$37,443.54
|
$99,461.00
|
$88,937.00
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
18
|
6
|
—
|
—
|
$63,807.00
|
$98,227.00
|
$88,626.00
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
16
|
6
|
—
|
—
|
$63,153.00
|
$107,835.00
|
$88,105.00
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
22
|
6
|
—
|
—
|
$32,595.09
|
$95,168.00
|
$87,665.00
|
2026-04-01
|
|
5378
|
OTHER
|
Level 8 Urology And Related Services
|
6
|
3
|
—
|
—
|
$33,512.92
|
$95,991.13
|
$87,526.68
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
2
|
1
|
—
|
—
|
$87,177.61
|
$87,177.61
|
$87,177.61
|
2026-04-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
6
|
1
|
—
|
—
|
$66,495.00
|
$91,345.00
|
$86,267.00
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
24
|
6
|
—
|
—
|
$45,590.16
|
$97,942.00
|
$85,520.50
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
4
|
1
|
—
|
—
|
$73,548.00
|
$95,518.00
|
$84,533.00
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
16
|
6
|
—
|
—
|
$60,625.00
|
$103,546.00
|
$84,436.00
|
2026-04-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
20
|
6
|
—
|
—
|
$250.00
|
$103,546.00
|
$82,981.50
|
2026-04-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
20
|
6
|
—
|
—
|
$21,616.06
|
$93,924.00
|
$82,864.50
|
2026-04-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$20,314.02
|
$92,805.00
|
$82,438.00
|
2026-04-01
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
4
|
1
|
—
|
—
|
$71,477.00
|
$92,727.00
|
$82,102.00
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
6
|
2
|
—
|
—
|
$39,448.36
|
$106,517.00
|
$82,019.00
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
4
|
1
|
—
|
—
|
$70,993.00
|
$92,202.00
|
$81,597.50
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
20
|
6
|
—
|
—
|
$29,100.35
|
$249,906.63
|
$81,040.50
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
16
|
6
|
—
|
—
|
$57,782.00
|
$98,644.00
|
$80,445.00
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
16
|
6
|
—
|
—
|
$56,387.00
|
$83,930.00
|
$80,292.00
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
4
|
1
|
—
|
—
|
$69,026.00
|
$89,645.00
|
$79,335.50
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
6
|
2
|
—
|
—
|
$26,169.00
|
$101,902.00
|
$78,549.00
|
2026-04-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
24
|
6
|
—
|
—
|
$652.50
|
$149,723.55
|
$78,013.21
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
26
|
6
|
—
|
—
|
$28,113.42
|
$149,683.00
|
$77,786.00
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
16
|
6
|
—
|
—
|
$54,323.00
|
$80,847.00
|
$77,351.00
|
2026-04-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
6
|
2
|
—
|
—
|
$18,500.00
|
$100,257.00
|
$77,280.00
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
6
|
2
|
—
|
—
|
$55,500.00
|
$100,097.00
|
$77,076.00
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
16
|
6
|
—
|
—
|
$54,969.00
|
$93,948.00
|
$76,703.00
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
22
|
6
|
—
|
—
|
$22,722.06
|
$90,885.00
|
$76,114.00
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
2
|
1
|
—
|
—
|
$74,101.05
|
$74,101.05
|
$74,101.05
|
2026-04-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
18
|
6
|
—
|
—
|
$53,145.00
|
$90,885.00
|
$73,816.00
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
14
|
5
|
—
|
—
|
$53,145.00
|
$81,897.00
|
$73,816.00
|
2026-04-01
|
|
5194
|
OTHER
|
Level 4 Endovascular Procedures
|
4
|
2
|
—
|
—
|
$56,501.11
|
$89,984.65
|
$73,242.88
|
2026-04-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/Mcc
|
26
|
6
|
—
|
—
|
$2,702.00
|
$88,843.00
|
$72,773.00
|
2026-04-01
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc
|
16
|
6
|
—
|
—
|
$50,727.00
|
$75,504.00
|
$72,233.50
|
2026-04-01
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
16
|
6
|
—
|
—
|
$52,006.00
|
$81,423.00
|
$72,216.50
|
2026-04-01
|
|
42
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc
|
22
|
6
|
—
|
—
|
$51,589.00
|
$132,636.73
|
$72,037.00
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
18
|
6
|
—
|
—
|
$2,600.00
|
$75,301.00
|
$71,975.00
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
4
|
1
|
—
|
—
|
$62,466.00
|
$81,039.00
|
$71,752.50
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
16
|
6
|
—
|
—
|
$50,619.00
|
$86,388.00
|
$70,585.00
|
2026-04-01
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
4
|
2
|
—
|
—
|
$13,848.00
|
$126,156.00
|
$70,002.00
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
4
|
1
|
—
|
—
|
$60,799.00
|
$78,961.00
|
$69,880.00
|
2026-04-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
6
|
3
|
—
|
—
|
$30,405.53
|
$75,903.52
|
$69,146.58
|
2026-04-01
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
4
|
1
|
—
|
—
|
$59,875.00
|
$77,678.00
|
$68,776.50
|
2026-04-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
4
|
1
|
—
|
—
|
$59,769.00
|
$77,621.00
|
$68,695.00
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
12
|
5
|
—
|
—
|
$54,489.00
|
$70,764.00
|
$68,020.00
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
16
|
6
|
—
|
—
|
$48,775.00
|
$83,123.00
|
$67,992.00
|
2026-04-01
|
|
259
|
MS_DRG
|
Cardiac Pacemaker Device Replacement Without Mcc
|
16
|
6
|
—
|
—
|
$48,775.00
|
$83,123.00
|
$67,992.00
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$47,381.00
|
$80,633.00
|
$67,220.00
|
2026-04-01
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
16
|
6
|
—
|
—
|
$47,944.00
|
$74,507.00
|
$66,805.50
|
2026-04-01
|
|
58546
|
HCPCS
|
Laparo-myomectomy Complex
|
10
|
4
|
—
|
—
|
$59,520.00
|
$72,146.00
|
$65,788.00
|
2026-04-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
12
|
3
|
—
|
—
|
$22,567.61
|
$133,759.00
|
$65,747.77
|
2026-04-01
|
|
50544
|
HCPCS
|
Laparoscopy Pyeloplasty
|
10
|
4
|
—
|
—
|
$57,619.00
|
$68,899.00
|
$65,254.00
|
2026-04-01
|
|
55866
|
HCPCS
|
Laparo Radical Prostatectomy
|
10
|
4
|
—
|
—
|
$57,619.00
|
$69,572.00
|
$65,254.00
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
4
|
1
|
—
|
—
|
$56,566.00
|
$73,463.00
|
$65,014.50
|
2026-04-01
|
|
27447
|
HCPCS
|
Total Knee Arthroplasty
|
2
|
1
|
—
|
—
|
$64,740.00
|
$64,740.00
|
$64,740.00
|
2026-04-01
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
14
|
5
|
—
|
—
|
$51,764.00
|
$67,226.00
|
$64,369.00
|
2026-04-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
18
|
6
|
—
|
—
|
$23,990.43
|
$66,822.00
|
$63,881.00
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
4
|
2
|
—
|
—
|
$45,304.12
|
$82,334.00
|
$63,819.06
|
2026-04-01
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
4
|
1
|
—
|
—
|
$55,389.00
|
$71,933.00
|
$63,661.00
|
2026-04-01
|
|
27130
|
HCPCS
|
Total Hip Arthroplasty
|
2
|
1
|
—
|
—
|
$63,249.00
|
$63,249.00
|
$63,249.00
|
2026-04-01
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
16
|
6
|
—
|
—
|
$44,642.00
|
$74,671.00
|
$63,242.50
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
16
|
6
|
—
|
—
|
$45,336.00
|
$70,496.00
|
$62,480.50
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
16
|
6
|
—
|
—
|
$44,759.00
|
$76,178.00
|
$62,336.50
|
2026-04-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
4
|
1
|
—
|
—
|
$54,020.00
|
$70,156.00
|
$62,088.00
|
2026-04-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
4
|
1
|
—
|
—
|
$53,873.00
|
$69,966.00
|
$61,919.50
|
2026-04-01
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc
|
16
|
6
|
—
|
—
|
$42,944.00
|
$69,626.00
|
$61,816.50
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
6
|
3
|
—
|
—
|
$10,920.17
|
$204,624.00
|
$61,574.75
|
2026-04-01
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$20,514.07
|
$75,360.00
|
$61,471.00
|
2026-04-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
4
|
1
|
—
|
—
|
$53,260.00
|
$69,169.00
|
$61,214.50
|
2026-04-01
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
6
|
2
|
—
|
—
|
$18,044.22
|
$79,373.00
|
$61,182.00
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
10
|
3
|
—
|
—
|
$60,432.98
|
$62,262.23
|
$61,062.67
|
2026-04-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
4
|
1
|
—
|
—
|
$53,016.00
|
$68,852.00
|
$60,934.00
|
2026-04-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
6
|
1
|
—
|
—
|
$24,519.45
|
$78,665.00
|
$60,635.00
|
2026-04-01
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc/Mcc
|
18
|
6
|
—
|
—
|
$20,118.94
|
$67,463.00
|
$59,911.00
|
2026-04-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
4
|
1
|
—
|
—
|
$52,072.00
|
$67,554.00
|
$59,813.00
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
1
|
—
|
—
|
$59,740.10
|
$59,740.10
|
$59,740.10
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
8
|
2
|
—
|
—
|
$38,539.51
|
$92,619.93
|
$59,572.85
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
18
|
6
|
—
|
—
|
$42,434.00
|
$72,298.00
|
$59,422.00
|
2026-04-01
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$42,434.00
|
$72,298.00
|
$59,422.00
|
2026-04-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
18
|
6
|
—
|
—
|
$42,521.00
|
$67,038.00
|
$59,383.00
|
2026-04-01
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
16
|
6
|
—
|
—
|
$42,434.00
|
$72,298.00
|
$59,180.50
|
2026-04-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
4
|
1
|
—
|
—
|
$51,483.00
|
$66,862.00
|
$59,172.50
|
2026-04-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
22
|
6
|
—
|
—
|
$25,307.45
|
$74,542.00
|
$58,995.00
|
2026-04-01
|
|
33
|
MS_DRG
|
Ventricular Shunt Procedures Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$14,141.29
|
$72,298.00
|
$58,939.00
|
2026-04-01
|
|
131
|
MS_DRG
|
Cranial/Facial Procedures W Cc/Mcc
|
4
|
1
|
—
|
—
|
$49,308.00
|
$68,486.00
|
$58,897.00
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
4
|
2
|
—
|
—
|
$34,404.30
|
$83,258.20
|
$58,831.25
|
2026-04-01
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
20
|
6
|
—
|
—
|
$22,881.76
|
$64,362.00
|
$58,209.50
|
2026-04-01
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
6
|
2
|
—
|
—
|
$44,366.00
|
$114,675.48
|
$57,556.00
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
2
|
1
|
—
|
—
|
$57,417.72
|
$57,417.72
|
$57,417.72
|
2026-04-01
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc
|
16
|
6
|
—
|
—
|
$40,298.00
|
$59,980.00
|
$57,383.00
|
2026-04-01
|
|
150
|
MS_DRG
|
Epistaxis With Mcc
|
4
|
1
|
—
|
—
|
$49,934.00
|
$64,780.00
|
$57,357.00
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
18
|
6
|
—
|
—
|
$26,630.27
|
$70,664.00
|
$56,899.00
|
2026-04-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$24,105.87
|
$69,643.00
|
$56,589.00
|
2026-04-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
20
|
6
|
—
|
—
|
$26,603.41
|
$70,664.00
|
$56,290.50
|
2026-04-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
4
|
1
|
—
|
—
|
$48,589.00
|
$63,102.00
|
$55,845.50
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
16
|
6
|
—
|
—
|
$40,679.00
|
$65,274.00
|
$55,808.50
|
2026-04-01
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
10
|
3
|
—
|
—
|
$11,281.35
|
$77,326.00
|
$55,558.95
|
2026-04-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
4
|
1
|
—
|
—
|
$47,842.00
|
$62,133.00
|
$54,987.50
|
2026-04-01
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
4
|
1
|
—
|
—
|
$20,026.42
|
$88,913.35
|
$54,469.89
|
2026-04-01
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$40,840.00
|
$59,914.00
|
$54,432.50
|
2026-04-01
|
|
A9604
|
HCPCS
|
Hchg Sm 153 Lexidronam 150mci
|
2
|
1
|
—
|
—
|
$54,373.92
|
$54,373.92
|
$54,373.92
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
16
|
6
|
—
|
—
|
$38,934.00
|
$66,375.00
|
$54,356.50
|
2026-04-01
|
|
58544
|
HCPCS
|
Lsh W/t/o Uterus Above 250 G
|
10
|
4
|
—
|
—
|
$48,788.00
|
$59,137.00
|
$53,926.00
|
2026-04-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
4
|
1
|
—
|
—
|
$46,139.00
|
$59,922.00
|
$53,030.50
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
2
|
1
|
—
|
—
|
$52,990.00
|
$52,990.00
|
$52,990.00
|
2026-04-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
4
|
1
|
—
|
—
|
$45,927.00
|
$59,646.00
|
$52,786.50
|
2026-04-01
|
|
803
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc
|
4
|
1
|
—
|
—
|
$45,746.00
|
$59,411.00
|
$52,578.50
|
2026-04-01
|
|
585
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$34,407.00
|
$59,265.00
|
$52,463.00
|
2026-04-01
|
|
49656
|
HCPCS
|
Lap Inc Hernia Repair Recur
|
2
|
1
|
—
|
—
|
$52,171.00
|
$52,171.00
|
$52,171.00
|
2026-04-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$36,518.00
|
$54,351.00
|
$52,000.00
|
2026-04-01
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
16
|
6
|
—
|
—
|
$36,987.00
|
$58,149.00
|
$51,532.50
|
2026-04-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
20
|
6
|
—
|
—
|
$18,193.77
|
$68,747.00
|
$51,492.00
|
2026-04-01
|
|
740
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc
|
18
|
6
|
—
|
—
|
$35,974.00
|
$53,542.00
|
$51,182.00
|
2026-04-01
|
|
23615
|
HCPCS
|
Treat Humerus Fracture
|
8
|
3
|
—
|
—
|
$45,585.00
|
$55,255.00
|
$50,832.00
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
16
|
6
|
—
|
—
|
$36,257.00
|
$61,677.00
|
$50,588.50
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
4
|
2
|
—
|
—
|
$49,761.09
|
$50,958.33
|
$50,359.71
|
2026-04-01
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$34,406.00
|
$56,142.00
|
$49,538.00
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$49,315.93
|
$49,315.93
|
$49,315.93
|
2026-04-01
|
|
839
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$49,205.00
|
$49,205.00
|
$49,205.00
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
16
|
6
|
—
|
—
|
$34,508.00
|
$51,364.00
|
$49,139.00
|
2026-04-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
22
|
6
|
—
|
—
|
$20,204.05
|
$61,677.00
|
$49,069.00
|
2026-04-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
22
|
6
|
—
|
—
|
$4,224.89
|
$52,477.00
|
$48,970.00
|
2026-04-01
|
|
506
|
MS_DRG
|
Major Thumb Or Joint Procedures
|
16
|
6
|
—
|
—
|
$34,967.00
|
$55,405.00
|
$48,909.50
|
2026-04-01
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
4
|
1
|
—
|
—
|
$42,307.00
|
$54,942.00
|
$48,624.50
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
6
|
2
|
—
|
—
|
$26,192.29
|
$62,942.00
|
$48,466.00
|
2026-04-01
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
4
|
1
|
—
|
—
|
$42,166.00
|
$54,761.00
|
$48,463.50
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
2
|
1
|
—
|
—
|
$48,231.33
|
$48,231.33
|
$48,231.33
|
2026-04-01
|
|
508
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$34,581.00
|
$59,024.00
|
$48,224.50
|
2026-04-01
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/Mcc
|
16
|
6
|
—
|
—
|
$34,581.00
|
$59,024.00
|
$48,224.50
|
2026-04-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
8
|
3
|
—
|
—
|
$13,997.20
|
$58,855.00
|
$48,080.00
|
2026-04-01
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
4
|
1
|
—
|
—
|
$41,433.00
|
$53,752.00
|
$47,592.50
|
2026-04-01
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
4
|
1
|
—
|
—
|
$41,344.00
|
$53,636.00
|
$47,490.00
|
2026-04-01
|
|
716
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$33,058.00
|
$49,208.00
|
$47,076.50
|
2026-04-01
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
4
|
1
|
—
|
—
|
$40,912.00
|
$53,076.00
|
$46,994.00
|
2026-04-01
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
4
|
1
|
—
|
—
|
$40,882.00
|
$53,036.00
|
$46,959.00
|
2026-04-01
|
|
39
|
MS_DRG
|
Extracranial Procedures Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$13,423.90
|
$52,820.00
|
$46,577.00
|
2026-04-01
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
18
|
6
|
—
|
—
|
$32,882.00
|
$56,774.00
|
$46,512.00
|
2026-04-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
14
|
3
|
—
|
—
|
$16,754.49
|
$151,282.78
|
$46,371.44
|
2026-04-01
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
26
|
6
|
—
|
—
|
$12,701.50
|
$56,774.00
|
$46,171.00
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
16
|
6
|
—
|
—
|
$32,907.00
|
$56,164.00
|
$45,865.00
|
2026-04-01
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
4
|
2
|
—
|
—
|
$19,763.67
|
$71,613.50
|
$45,688.58
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
2
|
1
|
—
|
—
|
$45,613.65
|
$45,613.65
|
$45,613.65
|
2026-04-01
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
8
|
2
|
—
|
—
|
$14,333.41
|
$91,217.00
|
$45,595.56
|
2026-04-01
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
4
|
2
|
—
|
—
|
$37,000.00
|
$54,121.96
|
$45,560.98
|
2026-04-01
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$31,797.00
|
$47,334.00
|
$45,282.00
|
2026-04-01
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$31,868.00
|
$52,220.00
|
$45,274.00
|
2026-04-01
|
|
5212
|
OTHER
|
Level 2 Electrophysiologic Procedures
|
4
|
2
|
—
|
—
|
$32,092.89
|
$58,380.17
|
$45,236.53
|
2026-04-01
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
16
|
6
|
—
|
—
|
$31,714.00
|
$47,206.00
|
$45,160.00
|
2026-04-01
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
14
|
5
|
—
|
—
|
$8,939.39
|
$52,776.00
|
$45,051.00
|
2026-04-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
6
|
2
|
—
|
—
|
$10,730.52
|
$58,433.00
|
$44,993.00
|
2026-04-01
|
|
413
|
MS_DRG
|
Cholecystectomy With C.d.e. Without Cc/Mcc
|
4
|
1
|
—
|
—
|
$39,127.00
|
$50,815.00
|
$44,971.00
|
2026-04-01
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
4
|
1
|
—
|
—
|
$39,144.00
|
$50,782.00
|
$44,963.00
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
4
|
1
|
—
|
—
|
$39,144.00
|
$50,782.00
|
$44,963.00
|
2026-04-01
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
2
|
1
|
—
|
—
|
$44,925.00
|
$44,925.00
|
$44,925.00
|
2026-04-01
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$31,906.00
|
$50,095.00
|
$44,574.00
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
12
|
3
|
—
|
—
|
$11,656.00
|
$74,000.00
|
$44,558.00
|
2026-04-01
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
4
|
2
|
—
|
—
|
$15,427.24
|
$73,615.00
|
$44,521.12
|
2026-04-01
|
|
658
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$33,586.00
|
$49,493.00
|
$44,507.50
|
2026-04-01
|
|
132
|
MS_DRG
|
Cranial/Facial Procedures Without Cc/Mcc
|
10
|
3
|
—
|
—
|
$33,844.00
|
$49,436.00
|
$44,389.00
|
2026-04-01
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
16
|
6
|
—
|
—
|
$32,015.00
|
$49,430.00
|
$44,022.50
|
2026-04-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
18
|
6
|
—
|
—
|
$23,160.02
|
$45,952.00
|
$43,923.00
|
2026-04-01
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
16
|
6
|
—
|
—
|
$30,838.00
|
$45,898.00
|
$43,908.50
|
2026-04-01
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
4
|
2
|
—
|
—
|
$14,435.61
|
$72,756.10
|
$43,595.86
|
2026-04-01
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc
|
16
|
6
|
—
|
—
|
$30,591.00
|
$45,535.00
|
$43,561.00
|
2026-04-01
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
12
|
5
|
—
|
—
|
$34,852.00
|
$45,264.00
|
$43,511.50
|
2026-04-01
|
|
27427
|
HCPCS
|
Reconstruction Knee
|
10
|
4
|
—
|
—
|
$39,146.00
|
$45,428.00
|
$43,269.00
|
2026-04-01
|
|
29916
|
HCPCS
|
Hip Arthro W/labral Repair
|
8
|
3
|
—
|
—
|
$39,536.00
|
$48,425.00
|
$43,251.00
|
2026-04-01
|
|
99
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$42,798.00
|
$42,798.00
|
$42,798.00
|
2026-04-01
|
|
479
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc
|
4
|
1
|
—
|
—
|
$37,187.00
|
$48,294.00
|
$42,740.50
|
2026-04-01
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc
|
4
|
1
|
—
|
—
|
$37,077.00
|
$48,152.00
|
$42,614.50
|
2026-04-01
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
2
|
1
|
—
|
—
|
$42,459.31
|
$42,459.31
|
$42,459.31
|
2026-04-01
|
|
58573
|
HCPCS
|
Tlh W/t/o Uterus Over 250 G
|
10
|
4
|
—
|
—
|
$39,127.00
|
$47,427.00
|
$41,853.00
|
2026-04-01
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
4
|
2
|
—
|
—
|
$17,413.01
|
$65,977.32
|
$41,695.17
|
2026-04-01
|
|
5094
|
OTHER
|
Level 4 Breast/Lymphatic Surgery And Related Procedures
|
2
|
1
|
—
|
—
|
$41,564.96
|
$41,564.96
|
$41,564.96
|
2026-04-01
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
4
|
1
|
—
|
—
|
$36,158.00
|
$46,959.00
|
$41,558.50
|
2026-04-01
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/Mcc
|
18
|
6
|
—
|
—
|
$31,110.00
|
$47,258.00
|
$41,557.00
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
4
|
1
|
—
|
—
|
$18,308.86
|
$64,696.00
|
$41,502.43
|
2026-04-01
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc
|
20
|
6
|
—
|
—
|
$29,391.00
|
$105,361.62
|
$41,393.50
|
2026-04-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
26
|
6
|
—
|
—
|
$8,511.17
|
$48,558.00
|
$41,005.00
|
2026-04-01
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
22
|
7
|
—
|
—
|
$11,602.01
|
$43,875.00
|
$40,937.00
|
2026-04-01
|
|
5184
|
OTHER
|
Level 4 Vascular Procedures
|
12
|
4
|
—
|
—
|
$7,638.27
|
$90,513.68
|
$40,909.30
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
4
|
2
|
—
|
—
|
$40,283.68
|
$41,357.31
|
$40,820.49
|
2026-04-01
|
|
797
|
MS_DRG
|
Vaginal Delivery With Sterilization And/Or D&c With Cc
|
6
|
3
|
—
|
—
|
$29,545.75
|
$52,776.00
|
$40,804.98
|
2026-04-01
|
|
410
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
4
|
1
|
—
|
—
|
$35,452.00
|
$46,042.00
|
$40,747.00
|
2026-04-01
|
|
497
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
16
|
6
|
—
|
—
|
$29,057.00
|
$49,424.00
|
$40,454.50
|
2026-04-01
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
4
|
1
|
—
|
—
|
$34,966.00
|
$45,411.00
|
$40,188.50
|
2026-04-01
|
|
425
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/Mcc
|
4
|
1
|
—
|
—
|
$34,874.00
|
$45,291.00
|
$40,082.50
|
2026-04-01
|
|
708
|
MS_DRG
|
Major Male Pelvic Procedures Without Cc/Mcc
|
16
|
6
|
—
|
—
|
$30,209.00
|
$44,115.00
|
$40,071.00
|
2026-04-01
|
|
27814
|
HCPCS
|
Treatment Of Ankle Fracture
|
10
|
4
|
—
|
—
|
$37,064.00
|
$44,925.00
|
$39,943.00
|
2026-04-01
|
|
57425
|
HCPCS
|
Laparoscopy Surg Colpopexy
|
10
|
4
|
—
|
—
|
$35,722.00
|
$43,300.00
|
$39,484.00
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
2
|
1
|
—
|
—
|
$39,364.00
|
$39,364.00
|
$39,364.00
|
2026-04-01
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
18
|
6
|
—
|
—
|
$18,950.19
|
$41,031.00
|
$39,224.00
|
2026-04-01
|