|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
14
|
5
|
—
|
—
|
$0.03
|
$4,526,200.00
|
$3,703,693.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
14
|
5
|
—
|
—
|
$0.03
|
$4,021,120.00
|
$3,333,044.90
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
12
|
4
|
—
|
—
|
$0.03
|
$3,345,899.09
|
$3,256,566.83
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
12
|
4
|
—
|
—
|
$0.03
|
$3,034,112.20
|
$2,953,104.35
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
14
|
5
|
—
|
—
|
$0.03
|
$2,809,397.30
|
$2,467,386.16
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
12
|
4
|
—
|
—
|
$0.03
|
$2,401,960.00
|
$2,337,830.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
12
|
4
|
—
|
—
|
$0.03
|
$793,738.60
|
$772,546.55
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
10
|
5
|
—
|
—
|
$591,726.20
|
$623,508.45
|
$603,560.73
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
5
|
—
|
—
|
$0.03
|
$618,779.02
|
$568,698.29
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
14
|
5
|
—
|
—
|
$0.03
|
$579,414.33
|
$565,350.88
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
44
|
9
|
—
|
—
|
$287,227.21
|
$774,160.24
|
$562,118.21
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
14
|
5
|
—
|
—
|
$0.03
|
$591,322.17
|
$560,104.52
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
14
|
5
|
—
|
—
|
$0.03
|
$549,227.08
|
$535,896.32
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
14
|
5
|
—
|
—
|
$0.03
|
$548,316.80
|
$491,751.13
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
26
|
9
|
—
|
—
|
$442,127.91
|
$1,192,924.85
|
$450,970.47
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
48
|
9
|
—
|
—
|
$28,843.28
|
$586,346.15
|
$396,881.88
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
46
|
9
|
—
|
—
|
$116,300.23
|
$589,807.56
|
$388,041.64
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
44
|
9
|
—
|
—
|
$116,659.56
|
$356,896.17
|
$287,355.08
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
44
|
9
|
—
|
—
|
$102,611.21
|
$342,628.51
|
$261,077.55
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
44
|
9
|
—
|
—
|
$123,670.45
|
$331,994.49
|
$254,995.89
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
52
|
9
|
—
|
—
|
$142,406.00
|
$382,644.93
|
$250,179.72
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
44
|
9
|
—
|
—
|
$133,197.12
|
$357,749.28
|
$231,424.93
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
44
|
9
|
—
|
—
|
$106,223.44
|
$284,827.56
|
$222,809.78
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
26
|
5
|
—
|
—
|
$200,451.07
|
$252,513.07
|
$215,794.59
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
44
|
9
|
—
|
—
|
$100,831.16
|
$270,249.85
|
$208,867.19
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
52
|
9
|
—
|
—
|
$78,228.37
|
$277,198.30
|
$204,418.80
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
9
|
—
|
—
|
$86,735.80
|
$242,629.94
|
$192,605.60
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
26
|
5
|
—
|
—
|
$171,751.88
|
$216,360.01
|
$187,972.64
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
44
|
9
|
—
|
—
|
$87,006.59
|
$232,875.99
|
$178,493.68
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
26
|
5
|
—
|
—
|
$151,601.06
|
$197,415.35
|
$171,360.14
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
44
|
9
|
—
|
—
|
$79,326.39
|
$212,113.04
|
$165,437.78
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
44
|
9
|
—
|
—
|
$78,988.16
|
$211,198.65
|
$161,945.85
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
46
|
9
|
—
|
—
|
$76,260.82
|
$210,499.74
|
$160,381.54
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
26
|
5
|
—
|
—
|
$140,371.04
|
$181,289.12
|
$154,722.55
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
44
|
9
|
—
|
—
|
$63,488.79
|
$191,214.79
|
$154,691.40
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
26
|
5
|
—
|
—
|
$124,692.80
|
$183,217.29
|
$152,788.26
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
26
|
5
|
—
|
—
|
$133,750.84
|
$168,962.79
|
$147,843.20
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
16
|
5
|
—
|
—
|
$108,243.35
|
$310,775.77
|
$144,697.13
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
44
|
9
|
—
|
—
|
$71,147.53
|
$190,001.99
|
$143,041.60
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
26
|
5
|
—
|
—
|
$126,146.42
|
$169,005.00
|
$142,054.71
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
9
|
—
|
—
|
$61,799.68
|
$174,014.37
|
$140,554.84
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
44
|
9
|
—
|
—
|
$61,458.39
|
$173,876.11
|
$140,391.64
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
44
|
9
|
—
|
—
|
$54,960.46
|
$210,202.00
|
$140,089.83
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
44
|
9
|
—
|
—
|
$68,055.43
|
$181,642.66
|
$136,742.35
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
46
|
9
|
—
|
—
|
$69,647.46
|
$192,049.81
|
$134,622.00
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
54
|
9
|
—
|
—
|
$63,200.85
|
$190,938.48
|
$132,874.90
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
44
|
9
|
—
|
—
|
$51,420.79
|
$174,854.58
|
$130,923.05
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
44
|
9
|
—
|
—
|
$62,816.42
|
$167,479.33
|
$129,704.97
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
26
|
5
|
—
|
—
|
$116,909.44
|
$152,073.13
|
$129,264.16
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
44
|
9
|
—
|
—
|
$74,159.94
|
$198,145.84
|
$128,830.60
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
44
|
9
|
—
|
—
|
$68,055.43
|
$181,642.66
|
$128,711.82
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
44
|
9
|
—
|
—
|
$60,834.04
|
$162,120.08
|
$125,321.45
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
44
|
9
|
—
|
—
|
$49,514.02
|
$155,495.13
|
$122,929.91
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
26
|
5
|
—
|
—
|
$111,616.59
|
$141,365.74
|
$121,360.36
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
46
|
9
|
—
|
—
|
$63,416.24
|
$169,100.91
|
$120,600.93
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
44
|
9
|
—
|
—
|
$62,261.56
|
$165,979.29
|
$120,121.41
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
52
|
9
|
—
|
—
|
$8,008.00
|
$164,189.19
|
$119,382.12
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
44
|
9
|
—
|
—
|
$53,965.18
|
$145,947.02
|
$119,181.21
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
44
|
9
|
—
|
—
|
$56,964.30
|
$151,658.49
|
$118,979.75
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
26
|
9
|
—
|
—
|
$116,526.72
|
$312,681.85
|
$118,857.25
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
9
|
—
|
—
|
$49,822.54
|
$448,308.87
|
$118,487.43
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
54
|
9
|
—
|
—
|
$7,477.34
|
$177,758.59
|
$118,125.33
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
46
|
9
|
—
|
—
|
$59,053.91
|
$162,015.10
|
$117,296.00
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
44
|
9
|
—
|
—
|
$49,958.52
|
$142,891.94
|
$116,958.32
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
32
|
9
|
—
|
—
|
$96,614.09
|
$304,460.65
|
$114,904.27
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
26
|
9
|
—
|
—
|
$111,982.57
|
$300,397.01
|
$114,222.22
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
44
|
9
|
—
|
—
|
$67,811.21
|
$180,982.43
|
$114,104.59
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
26
|
5
|
—
|
—
|
$104,869.91
|
$132,945.00
|
$113,005.00
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
44
|
9
|
—
|
—
|
$59,106.09
|
$157,448.69
|
$112,566.91
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
44
|
9
|
—
|
—
|
$58,136.36
|
$154,827.08
|
$112,115.24
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
44
|
9
|
—
|
—
|
$55,358.98
|
$147,318.60
|
$111,870.67
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
48
|
9
|
—
|
—
|
$53,550.29
|
$151,122.56
|
$111,473.33
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
44
|
9
|
—
|
—
|
$47,486.68
|
$133,266.73
|
$111,148.88
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
44
|
9
|
—
|
—
|
$56,686.36
|
$150,907.09
|
$110,636.43
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
44
|
9
|
—
|
—
|
$54,057.15
|
$143,799.18
|
$109,820.95
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
44
|
9
|
—
|
—
|
$48,665.89
|
$131,559.71
|
$109,136.76
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
44
|
9
|
—
|
—
|
$56,598.48
|
$150,669.51
|
$109,027.41
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
44
|
9
|
—
|
—
|
$43,503.52
|
$136,167.59
|
$107,695.79
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
44
|
9
|
—
|
—
|
$50,207.85
|
$133,392.84
|
$107,362.40
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
52
|
9
|
—
|
—
|
$52,163.94
|
$145,757.79
|
$103,782.33
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
44
|
9
|
—
|
—
|
$47,144.36
|
$125,110.86
|
$102,894.46
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
54
|
9
|
—
|
—
|
$46,265.92
|
$130,799.27
|
$102,061.37
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
44
|
9
|
—
|
—
|
$50,948.69
|
$135,395.65
|
$101,717.13
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
60
|
9
|
—
|
—
|
$47,218.35
|
$132,750.90
|
$101,405.26
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
44
|
9
|
—
|
—
|
$48,248.97
|
$129,368.78
|
$101,212.24
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
44
|
9
|
—
|
—
|
$52,369.06
|
$139,235.53
|
$101,174.46
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
44
|
9
|
—
|
—
|
$51,158.17
|
$135,961.96
|
$101,156.59
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
44
|
9
|
—
|
—
|
$57,302.54
|
$152,572.88
|
$100,607.21
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
48
|
9
|
—
|
—
|
$51,829.53
|
$139,749.13
|
$100,247.71
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
44
|
9
|
—
|
—
|
$74,190.59
|
$198,228.71
|
$98,869.25
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
44
|
9
|
—
|
—
|
$56,375.72
|
$150,067.29
|
$97,913.20
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
44
|
9
|
—
|
—
|
$47,715.57
|
$126,655.10
|
$95,518.88
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
26
|
9
|
—
|
—
|
$92,930.24
|
$248,890.20
|
$94,788.84
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
46
|
9
|
—
|
—
|
$43,925.54
|
$116,408.99
|
$93,414.35
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
52
|
9
|
—
|
—
|
$45,634.48
|
$125,657.84
|
$93,329.18
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
44
|
9
|
—
|
—
|
$43,748.76
|
$118,717.23
|
$93,133.21
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
56
|
9
|
—
|
—
|
$15,972.40
|
$164,017.30
|
$93,042.07
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
26
|
5
|
—
|
—
|
$82,911.70
|
$107,353.09
|
$91,251.54
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
26
|
9
|
—
|
—
|
$89,352.75
|
$239,218.69
|
$91,139.80
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
66
|
9
|
—
|
—
|
$26,560.43
|
$136,428.83
|
$90,620.35
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
56
|
9
|
—
|
—
|
$6,109.79
|
$125,602.59
|
$90,609.60
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
44
|
9
|
—
|
—
|
$46,649.79
|
$123,773.81
|
$89,932.88
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
50
|
9
|
—
|
—
|
$39,547.65
|
$112,101.88
|
$86,158.04
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
54
|
9
|
—
|
—
|
$37,104.10
|
$116,665.90
|
$85,817.30
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
44
|
9
|
—
|
—
|
$37,300.91
|
$107,592.39
|
$85,798.58
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
44
|
9
|
—
|
—
|
$36,501.83
|
$109,950.83
|
$85,789.55
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
44
|
9
|
—
|
—
|
$37,391.86
|
$107,169.62
|
$85,738.34
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
50
|
9
|
—
|
—
|
$36,062.58
|
$108,004.52
|
$85,736.63
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
44
|
9
|
—
|
—
|
$43,669.06
|
$115,715.60
|
$84,906.91
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
9
|
—
|
—
|
$40,839.57
|
$108,066.24
|
$84,877.00
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
44
|
9
|
—
|
—
|
$44,732.80
|
$118,591.36
|
$84,816.69
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
30
|
6
|
—
|
—
|
$56,824.55
|
$223,795.58
|
$84,514.21
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
46
|
9
|
—
|
—
|
$32,045.49
|
$121,351.10
|
$84,316.53
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
44
|
9
|
—
|
—
|
$33,334.10
|
$137,132.77
|
$84,083.54
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
48
|
9
|
—
|
—
|
$38,808.87
|
$106,665.65
|
$83,633.36
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
44
|
9
|
—
|
—
|
$43,303.24
|
$114,726.63
|
$83,590.82
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
44
|
9
|
—
|
—
|
$33,049.01
|
$123,596.31
|
$83,345.21
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
44
|
9
|
—
|
—
|
$43,947.00
|
$116,467.00
|
$82,407.89
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
44
|
9
|
—
|
—
|
$43,022.23
|
$113,966.94
|
$80,458.76
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
48
|
9
|
—
|
—
|
$25,875.92
|
$103,952.88
|
$80,269.93
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
44
|
9
|
—
|
—
|
$37,235.51
|
$100,985.02
|
$80,084.98
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
46
|
9
|
—
|
—
|
$43,799.85
|
$116,069.20
|
$79,949.08
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
28
|
6
|
—
|
—
|
$63,342.28
|
$211,839.29
|
$79,812.00
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
50
|
9
|
—
|
—
|
$6,970.00
|
$112,129.88
|
$79,087.93
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
48
|
9
|
—
|
—
|
$25,343.61
|
$106,928.09
|
$78,932.96
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
44
|
9
|
—
|
—
|
$35,681.28
|
$94,121.14
|
$78,614.84
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
54
|
9
|
—
|
—
|
$3,919.54
|
$115,185.20
|
$78,409.78
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
44
|
9
|
—
|
—
|
$38,948.13
|
$102,952.85
|
$78,397.00
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
44
|
9
|
—
|
—
|
$34,104.57
|
$96,238.89
|
$77,511.73
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
44
|
9
|
—
|
—
|
$37,476.67
|
$98,974.85
|
$77,193.54
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
9
|
—
|
—
|
$5,463.53
|
$199,413.83
|
$76,867.84
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
20
|
3
|
—
|
—
|
$64,742.69
|
$220,503.70
|
$76,853.16
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
50
|
9
|
—
|
—
|
$33,174.58
|
$99,360.43
|
$76,522.28
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
46
|
9
|
—
|
—
|
$37,863.95
|
$173,746.06
|
$75,946.37
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
30
|
9
|
—
|
—
|
$73,727.70
|
$196,977.30
|
$75,939.53
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
46
|
9
|
—
|
—
|
$34,339.57
|
$97,791.68
|
$75,610.40
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
46
|
9
|
—
|
—
|
$36,500.70
|
$98,416.83
|
$75,503.96
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
26
|
9
|
—
|
—
|
$73,770.61
|
$197,093.33
|
$75,246.02
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
46
|
9
|
—
|
—
|
$13,298.95
|
$103,253.96
|
$74,754.00
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
46
|
9
|
—
|
—
|
$5,044.80
|
$106,767.86
|
$73,782.99
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
44
|
9
|
—
|
—
|
$41,577.34
|
$110,060.76
|
$73,445.11
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
46
|
9
|
—
|
—
|
$28,000.55
|
$97,422.33
|
$73,249.73
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
26
|
5
|
—
|
—
|
$66,295.91
|
$86,116.45
|
$73,200.12
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
38
|
7
|
—
|
—
|
$55,272.32
|
$191,007.29
|
$73,098.36
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
46
|
9
|
—
|
—
|
$27,967.50
|
$106,305.48
|
$73,069.46
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
44
|
9
|
—
|
—
|
$37,943.65
|
$100,237.31
|
$72,922.83
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
44
|
9
|
—
|
—
|
$37,915.04
|
$100,159.96
|
$72,796.39
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
26
|
5
|
—
|
—
|
$62,935.99
|
$84,356.26
|
$72,752.89
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
52
|
9
|
—
|
—
|
$19,836.54
|
$98,242.79
|
$72,434.82
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
50
|
9
|
—
|
—
|
$37,773.00
|
$99,775.98
|
$72,236.00
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
44
|
9
|
—
|
—
|
$33,866.48
|
$89,214.94
|
$71,751.29
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
50
|
9
|
—
|
—
|
$35,514.18
|
$101,427.95
|
$71,563.28
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
44
|
9
|
—
|
—
|
$33,399.50
|
$88,477.56
|
$71,167.40
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
16
|
2
|
—
|
—
|
$59,935.20
|
$79,050.40
|
$71,146.40
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
48
|
9
|
—
|
—
|
$35,405.92
|
$105,016.67
|
$71,016.36
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
44
|
9
|
—
|
—
|
$33,841.96
|
$89,148.64
|
$70,906.11
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
26
|
9
|
—
|
—
|
$69,191.72
|
$184,714.56
|
$70,575.55
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
48
|
9
|
—
|
—
|
$35,727.27
|
$94,245.45
|
$70,526.74
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
30
|
9
|
—
|
—
|
$9,079.74
|
$184,579.20
|
$70,524.48
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
48
|
9
|
—
|
—
|
$37,904.04
|
$101,469.39
|
$70,054.18
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
44
|
9
|
—
|
—
|
$37,838.40
|
$99,952.78
|
$69,655.13
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
48
|
9
|
—
|
—
|
$35,724.19
|
$96,364.29
|
$69,285.30
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
46
|
9
|
—
|
—
|
$35,824.89
|
$95,433.33
|
$69,092.00
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
44
|
9
|
—
|
—
|
$34,506.16
|
$90,944.26
|
$68,974.95
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
44
|
9
|
—
|
—
|
$31,860.60
|
$84,398.80
|
$68,954.79
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
52
|
9
|
—
|
—
|
$40,685.38
|
$155,307.75
|
$68,484.27
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
44
|
9
|
—
|
—
|
$33,156.30
|
$87,295.00
|
$67,496.52
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
44
|
9
|
—
|
—
|
$28,047.07
|
$84,927.92
|
$67,411.36
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
44
|
9
|
—
|
—
|
$32,149.78
|
$84,573.94
|
$67,281.00
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
46
|
9
|
—
|
—
|
$19,385.31
|
$86,223.15
|
$67,094.93
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
50
|
9
|
—
|
—
|
$33,921.66
|
$89,364.11
|
$67,083.78
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
44
|
9
|
—
|
—
|
$36,338.33
|
$95,897.43
|
$66,816.21
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
50
|
9
|
—
|
—
|
$25,978.27
|
$92,284.08
|
$66,668.57
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
46
|
9
|
—
|
—
|
$32,637.20
|
$85,891.65
|
$66,394.76
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
46
|
9
|
—
|
—
|
$30,519.94
|
$80,167.75
|
$66,284.90
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
46
|
9
|
—
|
—
|
$35,963.25
|
$103,242.91
|
$65,435.92
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
44
|
9
|
—
|
—
|
$30,370.75
|
$79,764.43
|
$64,820.91
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
46
|
9
|
—
|
—
|
$19,861.56
|
$87,427.60
|
$64,756.28
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
26
|
5
|
—
|
—
|
$57,077.30
|
$76,172.17
|
$64,747.34
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
46
|
9
|
—
|
—
|
$33,431.18
|
$88,038.11
|
$64,675.68
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
16
|
5
|
—
|
—
|
$48,155.50
|
$138,223.26
|
$64,363.04
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
44
|
9
|
—
|
—
|
$40,658.70
|
$107,577.28
|
$64,285.24
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
46
|
9
|
—
|
—
|
$29,338.52
|
$86,800.51
|
$63,633.99
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
44
|
9
|
—
|
—
|
$33,777.58
|
$88,974.60
|
$63,575.12
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
26
|
9
|
—
|
—
|
$62,244.19
|
$165,932.33
|
$63,489.07
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
9
|
—
|
—
|
$32,693.40
|
$86,043.59
|
$62,998.70
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
50
|
9
|
—
|
—
|
$1,000.00
|
$80,575.31
|
$62,363.95
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
54
|
9
|
—
|
—
|
$25,107.72
|
$81,386.01
|
$62,198.11
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
48
|
9
|
—
|
—
|
$26,882.53
|
$79,426.66
|
$61,707.11
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
50
|
9
|
—
|
—
|
$29,702.65
|
$90,933.21
|
$61,328.37
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
28
|
9
|
—
|
—
|
$59,796.86
|
$159,316.14
|
$61,291.79
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
44
|
9
|
—
|
—
|
$29,470.50
|
$77,330.66
|
$61,034.07
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
38
|
7
|
—
|
—
|
$45,020.65
|
$151,460.33
|
$60,988.80
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
44
|
9
|
—
|
—
|
$33,958.45
|
$89,463.56
|
$60,790.60
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
44
|
9
|
—
|
—
|
$28,946.29
|
$75,913.50
|
$60,651.54
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
26
|
9
|
—
|
—
|
$59,181.71
|
$157,653.11
|
$60,365.34
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
46
|
9
|
—
|
—
|
$28,519.16
|
$74,758.78
|
$59,992.54
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
44
|
9
|
—
|
—
|
$31,726.74
|
$83,430.26
|
$59,977.96
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
16
|
5
|
—
|
—
|
$46,081.51
|
$125,421.48
|
$59,630.74
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
48
|
9
|
—
|
—
|
$26,602.66
|
$75,605.97
|
$59,254.43
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
46
|
9
|
—
|
—
|
$28,801.19
|
$75,521.23
|
$58,994.07
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
26
|
9
|
—
|
—
|
$57,743.97
|
$153,766.28
|
$58,898.85
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
48
|
9
|
—
|
—
|
$28,982.15
|
$80,118.03
|
$58,895.85
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
46
|
9
|
—
|
—
|
$30,919.48
|
$81,247.89
|
$58,822.00
|
2026-04-01
|
|
131
|
MS_DRG
|
Cranial/Facial Procedures W Cc/Mcc
|
18
|
2
|
—
|
—
|
$53,097.85
|
$69,886.53
|
$58,742.11
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
46
|
9
|
—
|
—
|
$30,515.66
|
$80,665.00
|
$58,400.00
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
46
|
9
|
—
|
—
|
$29,885.37
|
$78,745.06
|
$57,936.60
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
44
|
9
|
—
|
—
|
$27,816.13
|
$74,122.16
|
$57,879.95
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
50
|
9
|
—
|
—
|
$27,924.20
|
$76,164.89
|
$57,779.43
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
46
|
9
|
—
|
—
|
$29,344.60
|
$83,441.31
|
$57,672.77
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
52
|
9
|
—
|
—
|
$30,356.44
|
$79,725.75
|
$57,597.18
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
44
|
9
|
—
|
—
|
$29,573.71
|
$77,609.68
|
$57,447.18
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
26
|
9
|
—
|
—
|
$55,326.28
|
$147,230.20
|
$56,432.81
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
44
|
9
|
—
|
—
|
$27,357.32
|
$74,925.14
|
$56,105.21
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
44
|
9
|
—
|
—
|
$27,102.88
|
$70,929.95
|
$56,005.46
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
46
|
9
|
—
|
—
|
$27,222.01
|
$77,104.14
|
$55,105.59
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
44
|
9
|
—
|
—
|
$30,950.13
|
$81,330.76
|
$55,079.48
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
2
|
1
|
—
|
—
|
$55,036.65
|
$55,036.65
|
$55,036.65
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
44
|
9
|
—
|
—
|
$28,429.24
|
$74,515.68
|
$54,834.72
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
48
|
9
|
—
|
—
|
$25,020.33
|
$70,526.63
|
$54,809.63
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
26
|
5
|
—
|
—
|
$48,218.94
|
$62,404.88
|
$54,668.09
|
2026-04-01
|
|
129
|
MS_DRG
|
Major Head & Neck Procedures W Cc/Mcc Or Major Device
|
18
|
2
|
—
|
—
|
$47,340.35
|
$64,637.86
|
$54,330.42
|
2026-04-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
40
|
9
|
—
|
—
|
$24,180.40
|
$67,315.37
|
$54,293.71
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
58
|
9
|
—
|
—
|
$23,142.23
|
$69,725.50
|
$54,221.77
|
2026-04-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
46
|
9
|
—
|
—
|
$24,323.46
|
$64,108.74
|
$53,885.67
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
48
|
9
|
—
|
—
|
$26,225.12
|
$100,727.55
|
$53,880.90
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
68
|
9
|
—
|
—
|
$22,952.47
|
$67,092.02
|
$53,811.65
|
2026-04-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
44
|
9
|
—
|
—
|
$23,167.75
|
$68,780.43
|
$53,677.49
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
52
|
9
|
—
|
—
|
$3,242.92
|
$65,924.30
|
$53,566.41
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
44
|
9
|
—
|
—
|
$27,952.04
|
$73,225.59
|
$53,561.35
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
52
|
9
|
—
|
—
|
$19,197.63
|
$71,703.45
|
$53,554.09
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
44
|
9
|
—
|
—
|
$29,190.51
|
$76,573.74
|
$53,268.84
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
62
|
9
|
—
|
—
|
$24,943.59
|
$134,303.66
|
$52,114.00
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
44
|
9
|
—
|
—
|
$30,313.52
|
$79,609.73
|
$51,994.95
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
44
|
9
|
—
|
—
|
$27,221.42
|
$71,250.40
|
$51,837.28
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
46
|
9
|
—
|
—
|
$32,107.89
|
$84,460.68
|
$51,769.35
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
46
|
9
|
—
|
—
|
$25,415.18
|
$68,838.74
|
$51,638.28
|
2026-04-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
58
|
9
|
—
|
—
|
$20,168.23
|
$61,106.84
|
$51,362.47
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
54
|
9
|
—
|
—
|
$16,410.75
|
$67,916.06
|
$51,295.02
|
2026-04-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
44
|
9
|
—
|
—
|
$23,741.01
|
$63,662.04
|
$51,137.41
|
2026-04-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
44
|
9
|
—
|
—
|
$23,262.78
|
$62,845.76
|
$50,962.96
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
44
|
9
|
—
|
—
|
$31,693.02
|
$83,339.10
|
$50,911.02
|
2026-04-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
44
|
9
|
—
|
—
|
$22,350.27
|
$63,332.34
|
$50,548.19
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
50
|
9
|
—
|
—
|
$25,426.67
|
$69,695.11
|
$50,458.00
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
44
|
9
|
—
|
—
|
$25,812.29
|
$67,440.91
|
$50,425.31
|
2026-04-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
48
|
9
|
—
|
—
|
$23,129.94
|
$62,183.69
|
$50,331.32
|
2026-04-01
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
44
|
9
|
—
|
—
|
$22,195.98
|
$62,553.28
|
$50,056.48
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
26
|
9
|
—
|
—
|
$48,907.04
|
$129,876.18
|
$49,885.18
|
2026-04-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
44
|
9
|
—
|
—
|
$24,482.87
|
$63,846.90
|
$49,613.43
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
46
|
9
|
—
|
—
|
$25,995.20
|
$67,935.40
|
$49,591.71
|
2026-04-01
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/Mcc
|
44
|
9
|
—
|
—
|
$23,040.02
|
$61,106.84
|
$49,423.18
|
2026-04-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
46
|
9
|
—
|
—
|
$21,708.98
|
$61,758.27
|
$49,025.23
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
26
|
9
|
—
|
—
|
$48,059.93
|
$127,586.06
|
$49,021.13
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
48
|
9
|
—
|
—
|
$18,117.02
|
$62,707.50
|
$48,959.15
|
2026-04-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
44
|
9
|
—
|
—
|
$24,890.58
|
$64,949.14
|
$48,526.96
|
2026-04-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
44
|
9
|
—
|
—
|
$24,745.48
|
$64,556.86
|
$48,490.57
|
2026-04-01
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc
|
44
|
9
|
—
|
—
|
$22,631.28
|
$61,311.58
|
$48,431.13
|
2026-04-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
46
|
9
|
—
|
—
|
$24,016.91
|
$62,587.20
|
$48,406.52
|
2026-04-01
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
44
|
9
|
—
|
—
|
$22,641.50
|
$61,210.54
|
$47,861.57
|
2026-04-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
50
|
9
|
—
|
—
|
$22,385.96
|
$64,603.83
|
$47,838.04
|
2026-04-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
46
|
9
|
—
|
—
|
$20,102.22
|
$66,037.56
|
$47,810.00
|
2026-04-01
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
44
|
9
|
—
|
—
|
$23,222.93
|
$60,440.74
|
$47,608.22
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
58
|
9
|
—
|
—
|
$3,446.35
|
$70,059.76
|
$47,408.43
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
26
|
9
|
—
|
—
|
$46,469.94
|
$123,287.61
|
$47,399.34
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
46
|
9
|
—
|
—
|
$27,221.42
|
$71,250.40
|
$47,178.74
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
26
|
5
|
—
|
—
|
$43,689.26
|
$55,228.01
|
$46,944.54
|
2026-04-01
|
|
133
|
MS_DRG
|
Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc
|
18
|
2
|
—
|
—
|
$41,006.69
|
$55,799.68
|
$46,901.61
|
2026-04-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
56
|
9
|
—
|
—
|
$3,602.00
|
$94,536.00
|
$46,887.29
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
54
|
9
|
—
|
—
|
$24,809.28
|
$67,521.03
|
$46,880.18
|
2026-04-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
46
|
9
|
—
|
—
|
$22,233.78
|
$58,985.04
|
$46,823.77
|
2026-04-01
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc
|
46
|
9
|
—
|
—
|
$21,396.71
|
$61,805.41
|
$46,644.36
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
50
|
9
|
—
|
—
|
$23,679.82
|
$66,302.17
|
$46,521.30
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
26
|
9
|
—
|
—
|
$45,085.34
|
$119,544.43
|
$45,987.05
|
2026-04-01
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
44
|
9
|
—
|
—
|
$22,179.63
|
$57,620.23
|
$45,956.89
|
2026-04-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/Mcc
|
46
|
9
|
—
|
—
|
$22,490.22
|
$60,642.40
|
$45,922.50
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
30
|
9
|
—
|
—
|
$44,450.77
|
$117,828.91
|
$45,784.29
|
2026-04-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
44
|
9
|
—
|
—
|
$24,645.34
|
$64,286.14
|
$45,664.71
|
2026-04-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
46
|
9
|
—
|
—
|
$3,092.49
|
$62,866.21
|
$45,514.00
|
2026-04-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
60
|
9
|
—
|
—
|
$3,007.01
|
$61,128.60
|
$45,485.77
|
2026-04-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/Mcc
|
46
|
9
|
—
|
—
|
$22,494.35
|
$58,471.08
|
$45,404.79
|
2026-04-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
50
|
9
|
—
|
—
|
$11,610.88
|
$62,761.24
|
$45,364.91
|
2026-04-01
|
|
259
|
MS_DRG
|
Cardiac Pacemaker Device Replacement Without Mcc
|
44
|
9
|
—
|
—
|
$21,528.71
|
$55,860.51
|
$45,246.24
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
42
|
9
|
—
|
—
|
$32,236.17
|
$117,152.10
|
$45,084.43
|
2026-04-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
48
|
9
|
—
|
—
|
$23,427.30
|
$60,993.24
|
$45,021.59
|
2026-04-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
56
|
9
|
—
|
—
|
$16,192.16
|
$63,139.70
|
$45,017.78
|
2026-04-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
48
|
9
|
—
|
—
|
$19,335.83
|
$56,124.06
|
$45,014.83
|
2026-04-01
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
26
|
5
|
—
|
—
|
$40,407.81
|
$52,914.77
|
$44,978.25
|
2026-04-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
54
|
9
|
—
|
—
|
$13,734.69
|
$177,996.61
|
$44,841.82
|
2026-04-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
52
|
9
|
—
|
—
|
$17,765.24
|
$94,804.97
|
$44,488.18
|
2026-04-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
46
|
9
|
—
|
—
|
$23,546.86
|
$61,316.45
|
$44,392.00
|
2026-04-01
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/Mcc
|
44
|
9
|
—
|
—
|
$22,159.19
|
$57,564.98
|
$44,360.53
|
2026-04-01
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
44
|
9
|
—
|
—
|
$22,536.25
|
$58,584.34
|
$44,082.35
|
2026-04-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
46
|
9
|
—
|
—
|
$22,748.79
|
$59,233.40
|
$44,042.38
|
2026-04-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
50
|
9
|
—
|
—
|
$20,311.72
|
$57,824.65
|
$43,726.43
|
2026-04-01
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc
|
48
|
9
|
—
|
—
|
$18,941.39
|
$105,392.15
|
$43,493.15
|
2026-04-01
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
46
|
9
|
—
|
—
|
$21,922.12
|
$56,924.08
|
$43,413.23
|
2026-04-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
48
|
9
|
—
|
—
|
$21,253.83
|
$55,117.40
|
$43,299.56
|
2026-04-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
60
|
9
|
—
|
—
|
$8,821.10
|
$61,192.83
|
$43,228.25
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
46
|
9
|
—
|
—
|
$12,752.33
|
$64,703.28
|
$43,084.40
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
28
|
9
|
—
|
—
|
$41,949.29
|
$111,066.31
|
$42,998.02
|
2026-04-01
|