|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
1
|
—
|
—
|
$813,285.00
|
$813,285.00
|
$813,285.00
|
2024-12-02
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
8
|
3
|
—
|
—
|
$511,072.50
|
$1,022,145.00
|
$769,015.35
|
2024-12-02
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
8
|
3
|
—
|
—
|
$484,690.30
|
$969,380.60
|
$759,373.81
|
2024-12-02
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
2
|
1
|
—
|
—
|
$749,907.36
|
$749,907.36
|
$749,907.36
|
2024-12-02
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$741,576.00
|
$741,576.00
|
$741,576.00
|
2024-12-02
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
8
|
3
|
—
|
—
|
$449,440.00
|
$898,880.00
|
$730,340.00
|
2024-12-02
|
|
222
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$205,602.00
|
$304,936.00
|
$277,841.00
|
2024-12-02
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
35
|
14
|
—
|
—
|
$267,899.29
|
$610,557.22
|
$276,184.83
|
2024-12-02
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
35
|
14
|
—
|
—
|
$197,178.97
|
$449,078.00
|
$203,277.29
|
2024-12-02
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
35
|
14
|
—
|
—
|
$191,808.95
|
$436,816.38
|
$197,741.19
|
2024-12-02
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$175,277.25
|
$175,277.25
|
$175,277.25
|
2024-12-02
|
|
223
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$131,297.00
|
$182,044.00
|
$171,287.00
|
2024-12-02
|
|
226
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$131,630.00
|
$177,878.00
|
$163,049.00
|
2024-12-02
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
35
|
14
|
—
|
—
|
$155,241.47
|
$353,320.01
|
$160,042.75
|
2024-12-02
|
|
224
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$116,765.00
|
$177,858.00
|
$157,790.00
|
2024-12-02
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$157,644.10
|
$157,644.10
|
$157,644.10
|
2024-12-02
|
|
225
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$116,765.00
|
$162,137.00
|
$153,288.00
|
2024-12-02
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$137,317.99
|
$137,317.99
|
$137,317.99
|
2024-12-02
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$136,966.19
|
$136,966.19
|
$136,966.19
|
2024-12-02
|
|
227
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$98,290.00
|
$132,824.00
|
$131,268.00
|
2024-12-02
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$129,453.40
|
$129,453.40
|
$129,453.40
|
2024-12-02
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$126,055.69
|
$126,055.69
|
$126,055.69
|
2024-12-02
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$116,645.23
|
$116,645.23
|
$116,645.23
|
2024-12-02
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$115,560.60
|
$115,560.60
|
$115,560.60
|
2024-12-02
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$114,595.72
|
$114,595.72
|
$114,595.72
|
2024-12-02
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$111,609.40
|
$111,609.40
|
$111,609.40
|
2024-12-02
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
35
|
14
|
—
|
—
|
$107,192.93
|
$243,608.40
|
$110,508.18
|
2024-12-02
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$103,978.58
|
$103,978.58
|
$103,978.58
|
2024-12-02
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$96,253.23
|
$96,253.23
|
$96,253.23
|
2024-12-02
|
|
7
|
MS_DRG
|
Lung Transplant
|
35
|
14
|
—
|
—
|
$89,530.46
|
$203,278.78
|
$92,299.44
|
2024-12-02
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
35
|
14
|
—
|
—
|
$89,368.61
|
$202,909.23
|
$92,132.59
|
2024-12-02
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$89,099.13
|
$89,099.13
|
$89,099.13
|
2024-12-02
|
|
230
|
MS_DRG
|
DRG
|
6
|
2
|
—
|
—
|
$72,214.00
|
$97,587.00
|
$87,828.00
|
2024-12-02
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
11
|
5
|
—
|
—
|
$53,426.66
|
$120,701.30
|
$87,553.03
|
2024-12-02
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$86,683.49
|
$86,683.49
|
$86,683.49
|
2024-12-02
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
35
|
14
|
—
|
—
|
$83,684.33
|
$189,930.03
|
$86,272.51
|
2024-12-02
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
49
|
17
|
—
|
—
|
$56,469.92
|
$152,183.00
|
$86,080.13
|
2024-12-02
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$85,816.01
|
$85,816.01
|
$85,816.01
|
2024-12-02
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$85,420.09
|
$85,420.09
|
$85,420.09
|
2024-12-02
|
|
C1822
|
HCPCS
|
Hc Implant Gen, Neuro, Hf, Rechg Bat
|
80
|
23
|
$151,042.50
|
$60,417.00
60% off
|
$40,781.48
|
$128,386.13
|
$84,583.80
|
2024-12-02
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$84,150.38
|
$84,150.38
|
$84,150.38
|
2024-12-02
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
3
|
—
|
—
|
$84,015.74
|
$84,015.74
|
$84,015.74
|
2024-12-02
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$82,146.14
|
$82,146.14
|
$82,146.14
|
2024-12-02
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$81,544.52
|
$81,544.52
|
$81,544.52
|
2024-12-02
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
35
|
14
|
—
|
—
|
$78,675.03
|
$178,492.04
|
$81,108.28
|
2024-12-02
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
43
|
15
|
—
|
—
|
$75,621.69
|
$255,479.00
|
$77,960.50
|
2024-12-02
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
41
|
15
|
—
|
—
|
$74,640.44
|
$249,811.00
|
$76,948.91
|
2024-12-02
|
|
246
|
MS_DRG
|
DRG
|
15
|
6
|
—
|
—
|
$43,588.00
|
$89,232.00
|
$76,735.00
|
2024-12-02
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
3
|
—
|
—
|
$76,378.62
|
$76,378.62
|
$76,378.62
|
2024-12-02
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$76,204.44
|
$76,204.44
|
$76,204.44
|
2024-12-02
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
15
|
—
|
—
|
$70,942.61
|
$184,865.00
|
$75,379.85
|
2024-12-02
|
|
C1767
|
HCPCS
|
Hc Implant Neurostim Generator
|
80
|
23
|
$137,876.07
|
$55,150.43
60% off
|
$37,226.54
|
$117,194.66
|
$75,348.38
|
2024-12-02
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
6
|
3
|
—
|
—
|
$72,572.38
|
$72,572.38
|
$72,572.38
|
2024-12-02
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$71,425.87
|
$71,425.87
|
$71,425.87
|
2024-12-02
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
9
|
3
|
—
|
—
|
$44,575.94
|
$92,642.65
|
$71,321.50
|
2024-12-02
|
|
33270
|
CPT
|
Hc Insert/replace (sicd) Subcutaneous Icd System
|
117
|
23
|
$114,909.36
|
$45,963.74
60% off
|
$543.45
|
$167,409.00
|
$71,243.80
|
2024-12-02
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
6
|
3
|
—
|
—
|
$70,086.84
|
$70,086.84
|
$70,086.84
|
2024-12-02
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$69,873.13
|
$69,873.13
|
$69,873.13
|
2024-12-02
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$69,784.88
|
$69,784.88
|
$69,784.88
|
2024-12-02
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
6
|
3
|
—
|
—
|
$69,435.37
|
$69,435.37
|
$69,435.37
|
2024-12-02
|
|
0812
|
RC
|
Hc Kidney Fee
|
160
|
23
|
$138,852.90
|
$55,541.16
60% off
|
$28,165.05
|
$118,024.97
|
$69,426.45
|
2024-12-02
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$69,127.68
|
$69,127.68
|
$69,127.68
|
2024-12-02
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$68,248.18
|
$68,248.18
|
$68,248.18
|
2024-12-02
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$68,201.19
|
$68,201.19
|
$68,201.19
|
2024-12-02
|
|
33991
|
CPT
|
Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc
|
117
|
23
|
$109,708.35
|
$43,883.34
60% off
|
$428.29
|
$93,252.10
|
$68,019.18
|
2024-12-02
|
|
248
|
MS_DRG
|
DRG
|
11
|
4
|
—
|
—
|
$52,524.00
|
$73,070.00
|
$67,424.00
|
2024-12-02
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
3
|
—
|
—
|
$67,172.14
|
$67,172.14
|
$67,172.14
|
2024-12-02
|
|
453
|
MS_DRG
|
DRG
|
47
|
16
|
—
|
—
|
$54,987.00
|
$312,162.00
|
$66,822.46
|
2024-12-02
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$66,314.97
|
$66,314.97
|
$66,314.97
|
2024-12-02
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
15
|
—
|
—
|
$61,682.44
|
$311,529.00
|
$65,504.24
|
2024-12-02
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$65,235.50
|
$65,235.50
|
$65,235.50
|
2024-12-02
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$64,814.37
|
$64,814.37
|
$64,814.37
|
2024-12-02
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$64,235.09
|
$64,235.09
|
$64,235.09
|
2024-12-02
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
6
|
3
|
—
|
—
|
$63,782.45
|
$63,782.45
|
$63,782.45
|
2024-12-02
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
35
|
14
|
—
|
—
|
$61,849.36
|
$140,073.17
|
$63,762.23
|
2024-12-02
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
46
|
15
|
—
|
—
|
$59,402.05
|
$165,146.00
|
$63,072.30
|
2024-12-02
|
|
624000007
|
CPT
|
Hc Fda Ide G190285 Amplatz Cardiac Plug
|
94
|
23
|
$100,001.02
|
$40,000.41
60% off
|
$33,000.34
|
$85,000.87
|
$62,000.64
|
2024-12-02
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$61,712.88
|
$61,712.88
|
$61,712.88
|
2024-12-02
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
46
|
15
|
—
|
—
|
$57,111.50
|
$153,602.00
|
$60,629.52
|
2024-12-02
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
35
|
14
|
—
|
—
|
$58,518.78
|
$132,468.28
|
$60,328.64
|
2024-12-02
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$60,246.65
|
$60,246.65
|
$60,246.65
|
2024-12-02
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
6
|
3
|
—
|
—
|
$60,113.72
|
$60,113.72
|
$60,113.72
|
2024-12-02
|
|
L8614
|
HCPCS
|
Hc Implant Ent/plast Coch
|
41
|
21
|
$106,715.72
|
$42,686.29
60% off
|
$28,813.24
|
$90,708.36
|
$59,760.80
|
2024-12-02
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
|
84
|
23
|
$108,194.38
|
$43,277.75
60% off
|
$532.29
|
$91,965.22
|
$59,506.91
|
2024-12-02
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$59,127.64
|
$59,127.64
|
$59,127.64
|
2024-12-02
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$58,831.99
|
$58,831.99
|
$58,831.99
|
2024-12-02
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
6
|
3
|
—
|
—
|
$58,579.88
|
$58,579.88
|
$58,579.88
|
2024-12-02
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
49
|
17
|
—
|
—
|
$38,567.93
|
$142,998.00
|
$58,545.47
|
2024-12-02
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$57,851.06
|
$57,851.06
|
$57,851.06
|
2024-12-02
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
6
|
3
|
—
|
—
|
$57,083.86
|
$57,083.86
|
$57,083.86
|
2024-12-02
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$56,457.03
|
$56,457.03
|
$56,457.03
|
2024-12-02
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$55,352.91
|
$55,352.91
|
$55,352.91
|
2024-12-02
|
|
33264
|
CPT
|
Hc Replace Generator Only (icd) Multiple
|
117
|
23
|
$89,034.31
|
$35,613.72
60% off
|
$391.49
|
$167,409.00
|
$55,201.27
|
2024-12-02
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
35
|
14
|
—
|
—
|
$52,995.63
|
$119,856.99
|
$54,634.67
|
2024-12-02
|
|
247
|
MS_DRG
|
DRG
|
17
|
7
|
—
|
—
|
$31,134.00
|
$63,640.00
|
$54,260.00
|
2024-12-02
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$53,703.91
|
$53,703.91
|
$53,703.91
|
2024-12-02
|
|
J3357
|
HCPCS
|
Ustekinumab 90 Mg/ml Subcutaneous Syringe
|
84
|
23
|
$97,449.98
|
$38,979.99
60% off
|
$153.96
|
$82,832.48
|
$53,597.49
|
2024-12-02
|
|
C1824
|
HCPCS
|
Hc Implant Generator Cardiac Contracility Modulation
|
80
|
23
|
$95,550.00
|
$38,220.00
60% off
|
$25,798.50
|
$81,217.50
|
$53,508.00
|
2024-12-02
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
35
|
14
|
—
|
—
|
$51,568.03
|
$116,597.28
|
$53,162.92
|
2024-12-02
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
46
|
15
|
—
|
—
|
$49,990.92
|
$112,996.18
|
$53,035.69
|
2024-12-02
|
|
C1817
|
HCPCS
|
Hc Implant Cardiac Septal
|
41
|
21
|
$94,165.12
|
$37,666.05
60% off
|
$25,424.58
|
$80,040.35
|
$52,732.46
|
2024-12-02
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
35
|
14
|
—
|
—
|
$51,053.46
|
$115,422.32
|
$52,632.43
|
2024-12-02
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
35
|
14
|
—
|
—
|
$50,725.40
|
$114,673.27
|
$52,294.23
|
2024-12-02
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
35
|
14
|
—
|
—
|
$50,640.49
|
$114,479.38
|
$52,206.69
|
2024-12-02
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
35
|
14
|
—
|
—
|
$50,383.57
|
$113,892.73
|
$51,941.82
|
2024-12-02
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
49
|
17
|
—
|
—
|
$34,242.31
|
$138,561.00
|
$51,892.32
|
2024-12-02
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
44
|
15
|
—
|
—
|
$50,253.64
|
$143,166.00
|
$51,807.88
|
2024-12-02
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$51,477.92
|
$51,477.92
|
$51,477.92
|
2024-12-02
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
6
|
3
|
—
|
—
|
$51,251.59
|
$51,251.59
|
$51,251.59
|
2024-12-02
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
6
|
3
|
—
|
—
|
$51,004.64
|
$51,004.64
|
$51,004.64
|
2024-12-02
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$50,957.66
|
$50,957.66
|
$50,957.66
|
2024-12-02
|
|
459
|
MS_DRG
|
DRG
|
46
|
15
|
—
|
—
|
$38,569.00
|
$185,328.00
|
$50,143.84
|
2024-12-02
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$49,944.65
|
$49,944.65
|
$49,944.65
|
2024-12-02
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
15
|
—
|
—
|
$46,701.70
|
$160,757.00
|
$49,527.88
|
2024-12-02
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
6
|
3
|
—
|
—
|
$49,326.99
|
$49,326.99
|
$49,326.99
|
2024-12-02
|
|
249
|
MS_DRG
|
DRG
|
13
|
5
|
—
|
—
|
$38,857.00
|
$54,892.00
|
$49,279.00
|
2024-12-02
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
6
|
3
|
—
|
—
|
$49,138.48
|
$49,138.48
|
$49,138.48
|
2024-12-02
|
|
93617
|
CPT
|
Eps
|
3
|
1
|
—
|
—
|
$45,608.00
|
$49,041.00
|
$49,041.00
|
2024-12-02
|
|
93601
|
CPT
|
Eps
|
3
|
1
|
—
|
—
|
$45,608.00
|
$49,041.00
|
$49,041.00
|
2024-12-02
|
|
454
|
MS_DRG
|
DRG
|
47
|
16
|
—
|
—
|
$44,894.52
|
$235,074.00
|
$48,918.17
|
2024-12-02
|
|
33249
|
CPT
|
Hc Insert/replace (icd) Single/dual Lead/s System
|
117
|
23
|
$77,952.53
|
$31,181.01
60% off
|
$882.28
|
$167,409.00
|
$48,330.57
|
2024-12-02
|
|
C9741
|
HCPCS
|
Ptca W/stent
|
3
|
1
|
—
|
—
|
$44,796.00
|
$48,168.00
|
$48,168.00
|
2024-12-02
|
|
92934
|
CPT
|
Prq Card Stent/ath/angio
|
3
|
1
|
—
|
—
|
$44,796.00
|
$48,168.00
|
$48,168.00
|
2024-12-02
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$47,757.05
|
$47,757.05
|
$47,757.05
|
2024-12-02
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$47,722.10
|
$47,722.10
|
$47,722.10
|
2024-12-02
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$47,343.37
|
$47,343.37
|
$47,343.37
|
2024-12-02
|
|
61886
|
CPT
|
Hc Ins/repl Cranial Neurostim Pulse Gen/recvr
|
117
|
23
|
$76,338.17
|
$30,535.27
60% off
|
$870.90
|
$73,070.00
|
$47,329.67
|
2024-12-02
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
15
|
—
|
—
|
$44,596.95
|
$204,513.00
|
$47,283.24
|
2024-12-02
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
41
|
15
|
—
|
—
|
$45,836.57
|
$224,499.00
|
$47,254.20
|
2024-12-02
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$47,210.44
|
$47,210.44
|
$47,210.44
|
2024-12-02
|
|
C2616
|
HCPCS
|
Yttrium-90 Brachytx Src Non-stranded
|
97
|
23
|
$79,875.00
|
$31,950.00
60% off
|
$21,566.25
|
$71,627.91
|
$47,190.15
|
2024-12-02
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
6
|
3
|
—
|
—
|
$47,147.41
|
$47,147.41
|
$47,147.41
|
2024-12-02
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
35
|
14
|
—
|
—
|
$45,633.36
|
$103,046.35
|
$47,044.70
|
2024-12-02
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
35
|
14
|
—
|
—
|
$45,576.02
|
$102,915.43
|
$46,985.59
|
2024-12-02
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
46
|
16
|
—
|
—
|
$44,239.87
|
$116,940.00
|
$46,902.43
|
2024-12-02
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
35
|
14
|
—
|
—
|
$45,335.06
|
$102,365.24
|
$46,737.18
|
2024-12-02
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
35
|
14
|
—
|
—
|
$45,335.06
|
$102,365.24
|
$46,737.18
|
2024-12-02
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
6
|
3
|
—
|
—
|
$46,730.86
|
$46,730.86
|
$46,730.86
|
2024-12-02
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
6
|
3
|
—
|
—
|
$46,645.49
|
$46,645.49
|
$46,645.49
|
2024-12-02
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
6
|
3
|
—
|
—
|
$46,585.33
|
$46,585.33
|
$46,585.33
|
2024-12-02
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
35
|
14
|
—
|
—
|
$45,076.69
|
$101,775.28
|
$46,470.81
|
2024-12-02
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
6
|
3
|
—
|
—
|
$46,379.63
|
$46,379.63
|
$46,379.63
|
2024-12-02
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
46
|
15
|
—
|
—
|
$43,677.39
|
$159,870.00
|
$46,302.57
|
2024-12-02
|
|
62362
|
CPT
|
Hc Impl Repl Epi Pump W Wo Progr
|
117
|
23
|
$74,602.40
|
$29,840.96
60% off
|
$379.71
|
$63,412.04
|
$46,253.49
|
2024-12-02
|
|
62361
|
CPT
|
Hc Impl Repl Epi Pump Nonprog
|
117
|
23
|
$74,602.40
|
$29,840.96
60% off
|
$430.36
|
$63,412.04
|
$46,253.49
|
2024-12-02
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
35
|
14
|
—
|
—
|
$44,705.09
|
$100,926.79
|
$46,087.72
|
2024-12-02
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
46
|
15
|
—
|
—
|
$43,183.87
|
$120,495.00
|
$45,776.24
|
2024-12-02
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
35
|
14
|
—
|
—
|
$44,389.38
|
$100,205.91
|
$45,762.25
|
2024-12-02
|
|
234
|
APR_DRG
|
Spinal Procedures
|
6
|
3
|
—
|
—
|
$45,607.27
|
$45,607.27
|
$45,607.27
|
2024-12-02
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
84
|
23
|
$82,845.00
|
$33,138.00
60% off
|
$300.75
|
$70,418.25
|
$45,564.75
|
2024-12-02
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
6
|
3
|
—
|
—
|
$45,430.79
|
$45,430.79
|
$45,430.79
|
2024-12-02
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
28
|
13
|
—
|
—
|
$44,051.17
|
$86,575.44
|
$45,413.58
|
2024-12-02
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
47
|
16
|
—
|
—
|
$41,646.67
|
$122,876.00
|
$45,339.06
|
2024-12-02
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$45,327.66
|
$45,327.66
|
$45,327.66
|
2024-12-02
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$45,261.19
|
$45,261.19
|
$45,261.19
|
2024-12-02
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
6
|
3
|
—
|
—
|
$45,242.28
|
$45,242.28
|
$45,242.28
|
2024-12-02
|
|
0811
|
RC
|
Hc Living Donor/stand Acquisition
|
94
|
23
|
$72,910.01
|
$29,164.00
60% off
|
$24,060.30
|
$61,973.51
|
$45,204.21
|
2024-12-02
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$45,026.85
|
$45,026.85
|
$45,026.85
|
2024-12-02
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
6
|
3
|
—
|
—
|
$44,604.00
|
$44,604.00
|
$44,604.00
|
2024-12-02
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
15
|
—
|
—
|
$41,849.17
|
$154,921.00
|
$44,352.84
|
2024-12-02
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$44,139.89
|
$44,139.89
|
$44,139.89
|
2024-12-02
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$43,965.13
|
$43,965.13
|
$43,965.13
|
2024-12-02
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
6
|
3
|
—
|
—
|
$43,571.50
|
$43,571.50
|
$43,571.50
|
2024-12-02
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$43,548.01
|
$43,548.01
|
$43,548.01
|
2024-12-02
|
|
93616
|
CPT
|
Esophageal Recording W/pacg
|
7
|
3
|
—
|
—
|
$41,004.00
|
$49,041.00
|
$43,228.00
|
2024-12-02
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$43,129.74
|
$43,129.74
|
$43,129.74
|
2024-12-02
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
35
|
14
|
—
|
—
|
$41,750.46
|
$94,180.33
|
$43,041.71
|
2024-12-02
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
6
|
3
|
—
|
—
|
$42,955.56
|
$42,955.56
|
$42,955.56
|
2024-12-02
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
6
|
3
|
—
|
—
|
$42,939.52
|
$42,939.52
|
$42,939.52
|
2024-12-02
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
41
|
15
|
—
|
—
|
$41,609.66
|
$93,858.84
|
$42,896.56
|
2024-12-02
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$42,715.49
|
$42,715.49
|
$42,715.49
|
2024-12-02
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
6
|
3
|
—
|
—
|
$42,608.91
|
$42,608.91
|
$42,608.91
|
2024-12-02
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
35
|
14
|
—
|
—
|
$41,140.09
|
$92,786.63
|
$42,412.46
|
2024-12-02
|
|
93631
|
CPT
|
Ntraop Epicar&endcar Pac&map
|
4
|
2
|
—
|
—
|
$41,004.00
|
$43,228.00
|
$42,116.00
|
2024-12-02
|
|
0431T
|
CPT
|
Hc Replace Neurostimulator Generator Only For Central Sleep Apnea
|
94
|
23
|
$67,856.15
|
$27,142.46
60% off
|
$1,267.00
|
$57,677.73
|
$42,070.82
|
2024-12-02
|
|
0424T
|
CPT
|
Hc Insert/replace Neurostimulator Complete System For Central Sleep Apnea
|
94
|
23
|
$67,856.15
|
$27,142.46
60% off
|
$1,267.00
|
$57,677.73
|
$42,070.82
|
2024-12-02
|
|
0427T
|
CPT
|
Hc Insert Neurostimulator Generator Only For Central Sleep Apnea
|
94
|
23
|
$67,856.15
|
$27,142.46
60% off
|
$1,267.00
|
$57,677.73
|
$42,070.82
|
2024-12-02
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
43
|
16
|
—
|
—
|
$40,459.30
|
$123,064.00
|
$41,710.62
|
2024-12-02
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$41,673.25
|
$41,673.25
|
$41,673.25
|
2024-12-02
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$41,480.16
|
$41,480.16
|
$41,480.16
|
2024-12-02
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
38
|
14
|
—
|
—
|
$39,794.49
|
$113,740.00
|
$41,025.25
|
2024-12-02
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$40,998.87
|
$40,998.87
|
$40,998.87
|
2024-12-02
|
|
460
|
MS_DRG
|
DRG
|
49
|
17
|
—
|
—
|
$27,052.05
|
$114,152.00
|
$40,833.14
|
2024-12-02
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
6
|
3
|
—
|
—
|
$40,816.09
|
$40,816.09
|
$40,816.09
|
2024-12-02
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
6
|
3
|
—
|
—
|
$40,538.20
|
$40,538.20
|
$40,538.20
|
2024-12-02
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$40,507.83
|
$40,507.83
|
$40,507.83
|
2024-12-02
|
|
33231
|
CPT
|
Hc Insert Generator Only (icd) To Existing Multiple Leads
|
117
|
23
|
$65,317.97
|
$26,127.19
60% off
|
$387.19
|
$167,409.00
|
$40,497.14
|
2024-12-02
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
46
|
15
|
—
|
—
|
$38,228.99
|
$117,740.00
|
$40,492.07
|
2024-12-02
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
6
|
3
|
—
|
—
|
$40,284.37
|
$40,284.37
|
$40,284.37
|
2024-12-02
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$40,222.49
|
$40,222.49
|
$40,222.49
|
2024-12-02
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
6
|
3
|
—
|
—
|
$40,156.03
|
$40,156.03
|
$40,156.03
|
2024-12-02
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
6
|
3
|
—
|
—
|
$40,102.74
|
$40,102.74
|
$40,102.74
|
2024-12-02
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
39
|
15
|
—
|
—
|
$38,692.04
|
$139,905.00
|
$39,888.70
|
2024-12-02
|
|
33263
|
CPT
|
Hc Replace Generator Only (icd) Dual
|
117
|
23
|
$64,164.18
|
$25,665.67
60% off
|
$375.39
|
$167,409.00
|
$39,781.79
|
2024-12-02
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
6
|
3
|
—
|
—
|
$39,486.23
|
$39,486.23
|
$39,486.23
|
2024-12-02
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
46
|
15
|
—
|
—
|
$37,205.65
|
$118,403.00
|
$39,400.71
|
2024-12-02
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
46
|
15
|
—
|
—
|
$30,194.00
|
$93,199.00
|
$39,326.79
|
2024-12-02
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
6
|
3
|
—
|
—
|
$39,267.93
|
$39,267.93
|
$39,267.93
|
2024-12-02
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
6
|
3
|
—
|
—
|
$39,210.63
|
$39,210.63
|
$39,210.63
|
2024-12-02
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
35
|
14
|
—
|
—
|
$37,927.07
|
$85,450.20
|
$39,100.07
|
2024-12-02
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
6
|
3
|
—
|
—
|
$39,077.70
|
$39,077.70
|
$39,077.70
|
2024-12-02
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
6
|
3
|
—
|
—
|
$38,963.11
|
$38,963.11
|
$38,963.11
|
2024-12-02
|
|
A9543
|
HCPCS
|
Y-90 Zevalin
|
94
|
23
|
$70,810.44
|
$28,324.18
60% off
|
$17,702.61
|
$114,584.02
|
$38,945.74
|
2024-12-02
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
49
|
17
|
—
|
—
|
$25,806.62
|
$90,135.00
|
$38,917.57
|
2024-12-02
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
6
|
3
|
—
|
—
|
$38,593.54
|
$38,593.54
|
$38,593.54
|
2024-12-02
|
|
C1815
|
HCPCS
|
Hc Implant Gu Urinary Sphnchtr
|
80
|
23
|
$68,843.58
|
$27,537.43
60% off
|
$18,587.77
|
$58,517.04
|
$38,552.40
|
2024-12-02
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
6
|
3
|
—
|
—
|
$38,541.40
|
$38,541.40
|
$38,541.40
|
2024-12-02
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
44
|
15
|
—
|
—
|
$37,366.05
|
$226,687.00
|
$38,521.70
|
2024-12-02
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
6
|
3
|
—
|
—
|
$38,469.21
|
$38,469.21
|
$38,469.21
|
2024-12-02
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
6
|
3
|
—
|
—
|
$38,333.41
|
$38,333.41
|
$38,333.41
|
2024-12-02
|
|
6934
|
APR_DRG
|
Chemotherapy
|
6
|
3
|
—
|
—
|
$38,261.22
|
$38,261.22
|
$38,261.22
|
2024-12-02
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
15
|
—
|
—
|
$33,388.80
|
$168,740.00
|
$38,232.22
|
2024-12-02
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
44
|
15
|
—
|
—
|
$37,073.56
|
$148,337.00
|
$38,220.16
|
2024-12-02
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
6
|
3
|
—
|
—
|
$38,156.94
|
$38,156.94
|
$38,156.94
|
2024-12-02
|
|
120
|
EAPG
|
Immunotherapy
|
6
|
3
|
—
|
—
|
$38,156.50
|
$38,156.50
|
$38,156.50
|
2024-12-02
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
6
|
3
|
—
|
—
|
$38,017.13
|
$38,017.13
|
$38,017.13
|
2024-12-02
|
|
J2350
|
HCPCS
|
Ocrelizumab 30 Mg/ml Intravenous Solution
|
84
|
23
|
$69,000.33
|
$27,600.13
60% off
|
$101.34
|
$58,650.28
|
$37,950.18
|
2024-12-02
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
14
|
—
|
—
|
$36,787.61
|
$120,962.00
|
$37,925.37
|
2024-12-02
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
6
|
3
|
—
|
—
|
$37,905.40
|
$37,905.40
|
$37,905.40
|
2024-12-02
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
6
|
3
|
—
|
—
|
$37,772.47
|
$37,772.47
|
$37,772.47
|
2024-12-02
|
|
93656
|
CPT
|
Hc Comp Ep Eval W Pv Iso Abl
|
110
|
23
|
$60,647.73
|
$24,259.09
60% off
|
$910.16
|
$58,710.00
|
$37,601.59
|
2024-12-02
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
35
|
14
|
—
|
—
|
$36,463.18
|
$82,107.63
|
$37,590.91
|
2024-12-02
|
|
93653
|
CPT
|
Hc Comp Ep Eval W Svt Abl
|
110
|
23
|
$60,337.69
|
$24,135.08
60% off
|
$802.62
|
$58,710.00
|
$37,409.37
|
2024-12-02
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
47
|
16
|
—
|
—
|
$21,271.00
|
$93,816.00
|
$37,324.54
|
2024-12-02
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
49
|
17
|
—
|
—
|
$24,670.78
|
$70,250.00
|
$37,170.56
|
2024-12-02
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
2
|
1
|
—
|
—
|
$37,142.40
|
$37,142.40
|
$37,142.40
|
2024-12-02
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
5
|
3
|
—
|
—
|
$6,580.38
|
$39,357.54
|
$37,108.53
|
2024-12-02
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
41
|
15
|
—
|
—
|
$35,923.20
|
$168,564.00
|
$37,034.23
|
2024-12-02
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
6
|
3
|
—
|
—
|
$36,964.01
|
$36,964.01
|
$36,964.01
|
2024-12-02
|
|
33363
|
CPT
|
Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach
|
117
|
23
|
$59,568.25
|
$23,827.30
60% off
|
$1,267.00
|
$50,633.01
|
$36,932.32
|
2024-12-02
|
|
455
|
MS_DRG
|
DRG
|
47
|
16
|
—
|
—
|
$33,930.22
|
$166,455.00
|
$36,835.59
|
2024-12-02
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$36,796.71
|
$36,796.71
|
$36,796.71
|
2024-12-02
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
43
|
15
|
—
|
—
|
$35,608.94
|
$255,479.00
|
$36,710.25
|
2024-12-02
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
6
|
3
|
—
|
—
|
$36,700.45
|
$36,700.45
|
$36,700.45
|
2024-12-02
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
6
|
3
|
—
|
—
|
$36,639.14
|
$36,639.14
|
$36,639.14
|
2024-12-02
|
|
J7311
|
HCPCS
|
Fluocinolone 0.59 Mg Intravitreal Implant
|
84
|
23
|
$66,587.50
|
$26,635.00
60% off
|
$299.05
|
$56,599.38
|
$36,623.13
|
2024-12-02
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
6
|
3
|
—
|
—
|
$36,591.58
|
$36,591.58
|
$36,591.58
|
2024-12-02
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
6
|
3
|
—
|
—
|
$36,580.70
|
$36,580.70
|
$36,580.70
|
2024-12-02
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
43
|
15
|
—
|
—
|
$35,439.84
|
$255,479.00
|
$36,535.92
|
2024-12-02
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
35
|
14
|
—
|
—
|
$35,390.49
|
$79,658.29
|
$36,485.04
|
2024-12-02
|
|
64568
|
CPT
|
Hc Incis/implant Cranial Nerve Stim Electrode
|
117
|
23
|
$58,791.60
|
$23,516.64
60% off
|
$592.89
|
$49,972.86
|
$36,450.79
|
2024-12-02
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
35
|
14
|
—
|
—
|
$35,213.40
|
$79,253.93
|
$36,302.47
|
2024-12-02
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
35
|
14
|
—
|
—
|
$35,026.15
|
$80,274.77
|
$36,109.43
|
2024-12-02
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
6
|
3
|
—
|
—
|
$36,032.94
|
$36,032.94
|
$36,032.94
|
2024-12-02
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
35
|
14
|
—
|
—
|
$34,908.57
|
$78,557.91
|
$35,988.22
|
2024-12-02
|
|
C1721
|
HCPCS
|
Hc Implant Aicd Dual
|
80
|
23
|
$80,583.87
|
$32,233.55
60% off
|
$20,922.18
|
$68,496.29
|
$35,866.60
|
2024-12-02
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
6
|
3
|
—
|
—
|
$35,813.49
|
$35,813.49
|
$35,813.49
|
2024-12-02
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Injection Solution
|
84
|
23
|
$65,104.83
|
$26,041.93
60% off
|
$16,276.21
|
$55,339.11
|
$35,807.66
|
2024-12-02
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
35
|
14
|
—
|
—
|
$34,714.06
|
$78,113.78
|
$35,787.69
|
2024-12-02
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
110
|
23
|
$65,041.27
|
$26,016.51
60% off
|
$3,371.08
|
$85,179.01
|
$35,772.70
|
2024-12-02
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
6
|
3
|
—
|
—
|
$35,604.93
|
$35,604.93
|
$35,604.93
|
2024-12-02
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
6
|
3
|
—
|
—
|
$35,527.00
|
$35,527.00
|
$35,527.00
|
2024-12-02
|
|
33362
|
CPT
|
Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach
|
117
|
23
|
$57,180.66
|
$22,872.26
60% off
|
$1,246.61
|
$48,603.56
|
$35,452.01
|
2024-12-02
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
6
|
3
|
—
|
—
|
$35,376.31
|
$35,376.31
|
$35,376.31
|
2024-12-02
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
46
|
15
|
—
|
—
|
$33,391.70
|
$94,995.00
|
$35,333.29
|
2024-12-02
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
47
|
16
|
—
|
—
|
$32,554.15
|
$129,687.00
|
$35,319.17
|
2024-12-02
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
6
|
3
|
—
|
—
|
$35,223.33
|
$35,223.33
|
$35,223.33
|
2024-12-02
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
6
|
3
|
—
|
—
|
$35,120.20
|
$35,120.20
|
$35,120.20
|
2024-12-02
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
6
|
3
|
—
|
—
|
$34,907.62
|
$34,907.62
|
$34,907.62
|
2024-12-02
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
6
|
3
|
—
|
—
|
$34,743.75
|
$34,743.75
|
$34,743.75
|
2024-12-02
|
|
93654
|
CPT
|
Hc Comp Ep Eval W Vt Abl Wwo 3dmp
|
110
|
23
|
$55,770.79
|
$22,308.32
60% off
|
$967.28
|
$58,710.00
|
$34,577.89
|
2024-12-02
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$34,550.66
|
$34,550.66
|
$34,550.66
|
2024-12-02
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
6
|
3
|
—
|
—
|
$34,548.95
|
$34,548.95
|
$34,548.95
|
2024-12-02
|
|
7724
|
APR_DRG
|
Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy
|
6
|
3
|
—
|
—
|
$34,415.44
|
$34,415.44
|
$34,415.44
|
2024-12-02
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
6
|
3
|
—
|
—
|
$34,412.01
|
$34,412.01
|
$34,412.01
|
2024-12-02
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
48
|
16
|
—
|
—
|
$27,007.78
|
$60,517.63
|
$34,363.44
|
2024-12-02
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$34,344.97
|
$34,344.97
|
$34,344.97
|
2024-12-02
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
41
|
15
|
—
|
—
|
$15,729.00
|
$125,134.00
|
$34,315.19
|
2024-12-02
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
6
|
3
|
—
|
—
|
$34,245.27
|
$34,245.27
|
$34,245.27
|
2024-12-02
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
35
|
14
|
—
|
—
|
$33,177.60
|
$74,605.49
|
$34,203.71
|
2024-12-02
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
43
|
15
|
—
|
—
|
$33,145.66
|
$80,568.00
|
$34,170.78
|
2024-12-02
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
6
|
3
|
—
|
—
|
$34,149.01
|
$34,149.01
|
$34,149.01
|
2024-12-02
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
6
|
3
|
—
|
—
|
$34,054.47
|
$34,054.47
|
$34,054.47
|
2024-12-02
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
6
|
3
|
—
|
—
|
$33,935.29
|
$33,935.29
|
$33,935.29
|
2024-12-02
|
|
C1813
|
HCPCS
|
Hc Implant Gu Penile Infl
|
41
|
21
|
$60,539.97
|
$24,215.99
60% off
|
$16,345.79
|
$51,458.97
|
$33,902.38
|
2024-12-02
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
6
|
3
|
—
|
—
|
$33,893.47
|
$33,893.47
|
$33,893.47
|
2024-12-02
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
35
|
14
|
—
|
—
|
$13,574.00
|
$73,917.75
|
$33,893.19
|
2024-12-02
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
6
|
3
|
—
|
—
|
$33,751.94
|
$33,751.94
|
$33,751.94
|
2024-12-02
|
|
33230
|
CPT
|
Hc Insert Generator Only (icd) To Existing Dual Leads
|
117
|
23
|
$54,431.64
|
$21,772.66
60% off
|
$371.43
|
$167,409.00
|
$33,747.61
|
2024-12-02
|
|
33364
|
CPT
|
Hc Tavr/tavi Aortic Valve Open Iliac Artery Approach
|
117
|
23
|
$54,399.14
|
$21,759.66
60% off
|
$1,267.00
|
$46,239.27
|
$33,727.46
|
2024-12-02
|
|
33361
|
CPT
|
Hc Tavr/tavi Aortic Valve Perc Femoral Artery Approach
|
117
|
23
|
$54,399.14
|
$21,759.66
60% off
|
$1,143.05
|
$46,239.27
|
$33,727.46
|
2024-12-02
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
35
|
14
|
—
|
—
|
$32,644.15
|
$73,387.44
|
$33,653.76
|
2024-12-02
|
|
C1820
|
HCPCS
|
Hc Implant Neurostm Gen Rechrg
|
80
|
23
|
$96,009.41
|
$38,403.76
60% off
|
$16,727.28
|
$81,608.00
|
$33,603.29
|
2024-12-02
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
49
|
17
|
—
|
—
|
$22,235.08
|
$70,250.00
|
$33,424.25
|
2024-12-02
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
6
|
3
|
—
|
—
|
$33,416.76
|
$33,416.76
|
$33,416.76
|
2024-12-02
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
35
|
14
|
—
|
—
|
$32,356.75
|
$76,690.24
|
$33,357.47
|
2024-12-02
|
|
37231
|
CPT
|
Hc Revasc Arterial Tib/per W Atherect & Stent W/wo Angioplas Initial Ves
|
117
|
23
|
$53,800.01
|
$21,520.00
60% off
|
$692.75
|
$45,730.01
|
$33,356.00
|
2024-12-02
|
|
33340
|
CPT
|
Hc Closure Left Atrial Appendage With Implant Including Imaging
|
117
|
23
|
$53,798.50
|
$21,519.40
60% off
|
$745.87
|
$45,728.73
|
$33,355.07
|
2024-12-02
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
3
|
—
|
—
|
$33,256.32
|
$33,256.32
|
$33,256.32
|
2024-12-02
|
|
J3245
|
HCPCS
|
Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe
|
84
|
23
|
$60,331.15
|
$24,132.46
60% off
|
$140.66
|
$51,281.48
|
$33,182.14
|
2024-12-02
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
6
|
3
|
—
|
—
|
$33,163.50
|
$33,163.50
|
$33,163.50
|
2024-12-02
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
41
|
15
|
—
|
—
|
$32,161.51
|
$92,952.00
|
$33,156.20
|
2024-12-02
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
6
|
3
|
—
|
—
|
$33,017.40
|
$33,017.40
|
$33,017.40
|
2024-12-02
|
|
0408T
|
CPT
|
Hc Insert/replace Cardiac Contractility Modulation System
|
94
|
23
|
$53,156.52
|
$21,262.61
60% off
|
$1,267.00
|
$45,183.04
|
$32,957.04
|
2024-12-02
|
|
0414T
|
CPT
|
Hc Replace Cardiac Contractility Generator Only
|
94
|
23
|
$53,156.52
|
$21,262.61
60% off
|
$1,267.00
|
$45,183.04
|
$32,957.04
|
2024-12-02
|
|
0409T
|
CPT
|
Hc Insert Cardiac Contractility Generator Only
|
94
|
23
|
$53,156.52
|
$21,262.61
60% off
|
$1,267.00
|
$45,183.04
|
$32,957.04
|
2024-12-02
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
35
|
14
|
—
|
—
|
$31,914.02
|
$71,720.30
|
$32,901.05
|
2024-12-02
|
|
9123
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$32,871.29
|
$32,871.29
|
$32,871.29
|
2024-12-02
|
|
33366
|
CPT
|
Hc Tavr/tavi Aortic Valve Transapical Approach
|
117
|
23
|
$52,950.62
|
$21,180.25
60% off
|
$1,267.00
|
$45,008.03
|
$32,829.39
|
2024-12-02
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
6
|
3
|
—
|
—
|
$32,779.61
|
$32,779.61
|
$32,779.61
|
2024-12-02
|