|
J3391
|
HCPCS
|
Inj Atidarsagene Autotemcel
|
1
|
1
|
—
|
—
|
$4,246,175.00
|
$4,246,175.00
|
$4,246,175.00
|
2026-07-15
|
|
J1414
|
HCPCS
|
Inj Beqvez Per Tx Dose
|
9
|
8
|
—
|
—
|
$3,598,700.00
|
$4,637,500.00
|
$3,969,700.00
|
2026-07-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
10
|
9
|
—
|
—
|
$3,224,834.74
|
$4,650,494.11
|
$3,604,132.94
|
2026-07-15
|
|
J3394
|
HCPCS
|
Inj Lovotibeglogene Autotem
|
10
|
9
|
—
|
—
|
$3,163,514.35
|
$4,470,200.00
|
$3,464,405.00
|
2026-07-15
|
|
J3393
|
HCPCS
|
Inj Betibeglogene Autotemce
|
10
|
9
|
—
|
—
|
$2,862,166.07
|
$4,155,200.00
|
$3,220,280.00
|
2026-07-15
|
|
J3392
|
HCPCS
|
Inj Exagamglogene Autotem
|
10
|
9
|
—
|
—
|
$2,262,040.00
|
$3,264,800.00
|
$2,530,220.00
|
2026-07-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
22
|
15
|
—
|
—
|
$10,687.19
|
$3,364,842.25
|
$2,391,610.02
|
2026-07-15
|
|
J1411
|
HCPCS
|
Inj Hemgenix Per Tx Dose
|
18
|
14
|
—
|
—
|
$15,363.65
|
$4,637,500.00
|
$1,795,720.67
|
2026-07-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
12
|
10
|
—
|
—
|
$560,974.84
|
$1,442,340.79
|
$636,326.82
|
2026-07-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
12
|
10
|
—
|
—
|
$536,777.47
|
$1,405,861.77
|
$620,233.13
|
2026-07-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
12
|
10
|
—
|
—
|
$525,022.64
|
$1,347,196.70
|
$594,351.48
|
2026-07-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
12
|
10
|
—
|
—
|
$516,485.97
|
$1,317,039.22
|
$581,046.72
|
2026-07-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
12
|
10
|
—
|
—
|
$489,517.15
|
$1,248,268.73
|
$550,706.79
|
2026-07-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
12
|
10
|
—
|
—
|
$475,028.40
|
$1,244,531.35
|
$549,057.95
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$233,481.52
|
$587,402.50
|
$396,814.55
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
32
|
18
|
—
|
—
|
$250,888.25
|
$1,277,596.53
|
$342,376.60
|
2026-07-15
|
|
633
|
MS_DRG
|
Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive
|
1
|
1
|
—
|
—
|
$312,460.08
|
$312,460.08
|
$312,460.08
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
33
|
19
|
—
|
—
|
$187,392.49
|
$954,257.50
|
$292,919.34
|
2026-07-15
|
|
612
|
MS_DRG
|
Neonate- Birthwt <750g-- Discharged Alive
|
1
|
1
|
—
|
—
|
$286,326.48
|
$286,326.48
|
$286,326.48
|
2026-07-15
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
1
|
1
|
—
|
—
|
$262,263.75
|
$262,263.75
|
$262,263.75
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$143,002.96
|
$359,772.79
|
$243,041.32
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$133,683.73
|
$336,327.09
|
$227,202.78
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$133,595.50
|
$336,105.12
|
$227,052.83
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$132,975.48
|
$334,545.25
|
$225,999.07
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
33
|
19
|
—
|
—
|
$157,818.35
|
$803,657.30
|
$220,945.68
|
2026-07-15
|
|
631
|
MS_DRG
|
Neonate- Birthwt 750-999g- Discharged Alive
|
1
|
1
|
—
|
—
|
$207,618.07
|
$207,618.07
|
$207,618.07
|
2026-07-15
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
6
|
3
|
—
|
—
|
$78,399.72
|
$241,784.27
|
$201,914.29
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
33
|
19
|
—
|
—
|
$142,575.90
|
$726,038.31
|
$200,911.34
|
2026-07-15
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
6
|
3
|
—
|
—
|
$70,889.62
|
$232,381.28
|
$188,211.55
|
2026-07-15
|
|
636
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob
|
1
|
1
|
—
|
—
|
$183,596.31
|
$183,596.31
|
$183,596.31
|
2026-07-15
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
8
|
3
|
—
|
—
|
$99,714.20
|
$264,016.55
|
$183,479.71
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$99,695.05
|
$250,816.95
|
$169,437.17
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$99,633.81
|
$250,662.89
|
$169,333.10
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$99,489.18
|
$250,299.02
|
$169,087.29
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$97,733.47
|
$245,881.92
|
$166,103.35
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
9
|
—
|
—
|
$95,829.90
|
$241,092.85
|
$162,868.13
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$95,239.69
|
$239,607.98
|
$161,865.04
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$93,774.45
|
$235,921.65
|
$159,374.78
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
18
|
9
|
—
|
—
|
$88,681.34
|
$223,108.21
|
$150,718.77
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
9
|
—
|
—
|
$86,907.90
|
$218,646.51
|
$147,704.71
|
2026-07-15
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
6
|
3
|
—
|
—
|
$59,877.28
|
$177,232.59
|
$146,524.03
|
2026-07-15
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
6
|
3
|
—
|
—
|
$88,452.76
|
$259,382.64
|
$145,602.62
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$82,445.69
|
$207,420.30
|
$140,120.95
|
2026-07-15
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
8
|
3
|
—
|
—
|
$44,989.74
|
$197,602.75
|
$137,227.66
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$78,655.88
|
$197,885.73
|
$133,679.95
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$102,100.60
|
$169,021.98
|
$133,195.79
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$78,063.66
|
$196,395.79
|
$132,673.43
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
33
|
19
|
—
|
—
|
$94,001.27
|
$478,682.01
|
$131,601.77
|
2026-07-15
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
6
|
3
|
—
|
—
|
$55,429.52
|
$170,086.25
|
$129,328.95
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$75,109.40
|
$188,963.35
|
$127,652.51
|
2026-07-15
|
|
454
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Cc
|
8
|
3
|
—
|
—
|
$64,925.00
|
$182,229.04
|
$126,641.05
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$74,362.07
|
$187,083.19
|
$126,382.39
|
2026-07-15
|
|
J7330
|
HCPCS
|
Impl Maci Double Membrane
|
66
|
16
|
$235,500.00
|
$141,300.00
40% off
|
$28,350.00
|
$313,500.00
|
$126,348.30
|
2026-07-15
|
|
681
|
MS_DRG
|
Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob
|
1
|
1
|
—
|
—
|
$125,052.34
|
$125,052.34
|
$125,052.34
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$72,771.93
|
$183,082.66
|
$123,679.87
|
2026-07-15
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad Rep
|
12
|
10
|
—
|
—
|
$106,036.81
|
$278,756.57
|
$122,980.84
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
33
|
19
|
—
|
—
|
$87,161.06
|
$443,849.68
|
$122,025.48
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$70,722.13
|
$177,925.66
|
$120,196.10
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
33
|
19
|
—
|
—
|
$53,627.29
|
$273,085.88
|
$114,702.60
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
33
|
19
|
—
|
—
|
$86,941.52
|
$442,731.74
|
$114,334.78
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$66,659.16
|
$167,703.89
|
$113,290.88
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
33
|
19
|
—
|
—
|
$73,309.68
|
$373,314.38
|
$112,312.42
|
2026-07-15
|
|
634
|
MS_DRG
|
Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive
|
1
|
1
|
—
|
—
|
$111,995.64
|
$111,995.64
|
$111,995.64
|
2026-07-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$65,683.01
|
$165,248.03
|
$111,631.85
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
33
|
19
|
—
|
—
|
$70,846.22
|
$360,769.72
|
$109,314.62
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$81,610.14
|
$135,101.14
|
$106,464.87
|
2026-07-15
|
|
212
|
MS_DRG
|
Testes Procedures Age 0-17
|
32
|
18
|
—
|
—
|
$72,472.78
|
$369,052.65
|
$106,245.79
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$62,109.13
|
$156,256.73
|
$105,557.85
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$79,092.60
|
$130,933.48
|
$103,180.59
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$60,311.51
|
$151,734.22
|
$102,502.71
|
2026-07-15
|
|
632
|
MS_DRG
|
Neonate- Birthwt 750-999g- Died
|
1
|
1
|
—
|
—
|
$101,894.61
|
$101,894.61
|
$101,894.61
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
31
|
18
|
—
|
—
|
$70,482.99
|
$358,920.04
|
$97,389.03
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
9
|
—
|
—
|
$57,230.35
|
$143,982.50
|
$97,266.10
|
2026-07-15
|
|
455
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion Without Cc/mcc
|
8
|
3
|
—
|
—
|
$51,020.98
|
$137,219.25
|
$95,361.26
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$91,647.68
|
$99,814.31
|
$95,277.30
|
2026-07-15
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
6
|
3
|
—
|
—
|
$63,630.74
|
$176,793.90
|
$93,950.82
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
18
|
—
|
—
|
$64,204.93
|
$326,950.31
|
$89,886.90
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
9
|
—
|
—
|
$52,323.78
|
$131,638.33
|
$88,927.10
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$51,793.60
|
$130,304.49
|
$88,026.04
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$66,659.16
|
$110,350.61
|
$86,960.51
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$50,025.79
|
$125,856.98
|
$85,021.56
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
18
|
9
|
—
|
—
|
$49,648.71
|
$124,908.28
|
$84,380.68
|
2026-07-15
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
6
|
3
|
—
|
—
|
$32,822.90
|
$101,962.99
|
$83,445.90
|
2026-07-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$48,573.04
|
$122,202.08
|
$82,552.53
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$48,010.63
|
$120,787.14
|
$81,596.68
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
9
|
—
|
—
|
$47,905.48
|
$120,522.60
|
$81,417.98
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
29
|
17
|
—
|
—
|
$18,645.74
|
$354,875.13
|
$80,141.97
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$60,659.20
|
$100,417.99
|
$79,133.22
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
33
|
19
|
—
|
—
|
$56,342.22
|
$286,911.09
|
$78,879.10
|
2026-07-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
30
|
18
|
—
|
—
|
$61,283.10
|
$312,071.54
|
$78,135.96
|
2026-07-15
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
18
|
9
|
—
|
—
|
$45,813.77
|
$115,260.19
|
$77,863.00
|
2026-07-15
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
18
|
9
|
—
|
—
|
$45,813.77
|
$115,260.19
|
$77,863.00
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
32
|
18
|
—
|
—
|
$52,737.17
|
$268,553.14
|
$77,313.29
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$45,427.01
|
$114,287.17
|
$77,205.68
|
2026-07-15
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
12
|
10
|
—
|
—
|
$65,429.08
|
$172,004.28
|
$75,884.24
|
2026-07-15
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
8
|
3
|
—
|
—
|
$26,489.41
|
$108,983.47
|
$75,738.65
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$57,439.45
|
$95,087.87
|
$74,932.89
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
33
|
19
|
—
|
—
|
$42,146.66
|
$270,101.32
|
$74,257.67
|
2026-07-15
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
19
|
10
|
—
|
—
|
$14,280.00
|
$151,383.01
|
$74,207.36
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$43,123.39
|
$108,491.63
|
$73,290.55
|
2026-07-15
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$69,951.83
|
$76,185.17
|
$72,722.20
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
31
|
18
|
—
|
—
|
$51,999.40
|
$264,796.18
|
$72,055.18
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$55,105.61
|
$91,224.33
|
$71,888.26
|
2026-07-15
|
|
J9029
|
HCPCS
|
Instill Adstiladrin Tx Dose
|
12
|
10
|
—
|
—
|
$61,528.12
|
$161,675.20
|
$71,327.30
|
2026-07-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
30
|
18
|
—
|
—
|
$55,486.69
|
$282,554.51
|
$70,745.54
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
18
|
—
|
—
|
$51,474.51
|
$262,123.29
|
$69,846.00
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
33
|
19
|
—
|
—
|
$49,656.35
|
$252,864.70
|
$69,518.89
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$66,659.16
|
$72,599.09
|
$69,299.13
|
2026-07-15
|
|
S2068
|
HCPCS
|
Breast Diep Or Siea Flap
|
1
|
1
|
—
|
—
|
$68,089.13
|
$68,089.13
|
$68,089.13
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$39,931.04
|
$100,460.17
|
$67,864.97
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
18
|
9
|
—
|
—
|
$39,564.02
|
$99,536.81
|
$67,241.21
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
33
|
19
|
—
|
—
|
$46,278.83
|
$235,665.35
|
$67,037.58
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
18
|
9
|
—
|
—
|
$39,053.98
|
$98,253.64
|
$66,374.37
|
2026-07-15
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
4
|
2
|
—
|
—
|
$30,847.06
|
$79,147.76
|
$66,096.38
|
2026-07-15
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$38,606.80
|
$97,128.59
|
$65,614.36
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$38,460.96
|
$96,761.68
|
$65,366.49
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
9
|
—
|
—
|
$38,275.23
|
$96,294.43
|
$65,050.85
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
31
|
18
|
—
|
—
|
$54,396.49
|
$287,070.31
|
$64,829.51
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
9
|
—
|
—
|
$37,973.08
|
$95,534.26
|
$64,537.32
|
2026-07-15
|
|
0424T
|
CPT
|
Insj/rplc Nstim Apnea Compl
|
1
|
1
|
—
|
—
|
$64,230.00
|
$64,230.00
|
$64,230.00
|
2026-07-15
|
|
0100T
|
CPT
|
Prosth Retina Receive&gen
|
1
|
1
|
—
|
—
|
$64,230.00
|
$64,230.00
|
$64,230.00
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
18
|
9
|
—
|
—
|
$37,660.86
|
$94,748.75
|
$64,006.67
|
2026-07-15
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab Rx
|
12
|
10
|
—
|
—
|
$55,119.81
|
$144,902.60
|
$63,927.62
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$37,433.24
|
$94,176.09
|
$63,619.82
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
31
|
18
|
—
|
—
|
$45,425.96
|
$231,322.32
|
$63,596.35
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$48,510.19
|
$80,305.98
|
$63,284.18
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
32
|
18
|
—
|
—
|
$47,013.94
|
$239,408.76
|
$62,806.11
|
2026-07-15
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
6
|
3
|
—
|
—
|
$33,631.68
|
$101,475.17
|
$62,523.44
|
2026-07-15
|
|
647
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob
|
1
|
1
|
—
|
—
|
$62,463.74
|
$62,463.74
|
$62,463.74
|
2026-07-15
|
|
635
|
MS_DRG
|
Neonate- Birthwt 1000-1499g- Died
|
1
|
1
|
—
|
—
|
$62,333.35
|
$62,333.35
|
$62,333.35
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
33
|
19
|
—
|
—
|
$31,589.50
|
$226,261.10
|
$62,204.89
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
33
|
19
|
—
|
—
|
$13,854.61
|
$225,878.29
|
$62,099.64
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$36,770.93
|
$187,248.34
|
$61,930.50
|
2026-07-15
|
|
317
|
MS_DRG
|
Endovascular Cardiac Valve Replacement & Supplement Procedures W Mcc
|
32
|
18
|
—
|
—
|
$41,155.66
|
$209,576.67
|
$61,665.11
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$42,073.05
|
$214,248.31
|
$61,508.62
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
33
|
19
|
—
|
—
|
$43,023.71
|
$219,089.33
|
$60,797.36
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$57,439.45
|
$62,557.81
|
$59,714.27
|
2026-07-15
|
|
0620T
|
CPT
|
Cl Endovascular Venous Arterialization Tibl/prnl Vn
|
45
|
20
|
$122,965.00
|
$73,779.00
40% off
|
$20,046.00
|
$122,965.00
|
$59,515.06
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$34,983.77
|
$88,013.63
|
$59,456.82
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$34,561.97
|
$86,952.43
|
$58,739.95
|
2026-07-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
33
|
19
|
—
|
—
|
$38,181.94
|
$194,433.65
|
$58,299.73
|
2026-07-15
|
|
646
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob
|
1
|
1
|
—
|
—
|
$58,162.92
|
$58,162.92
|
$58,162.92
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
33
|
19
|
—
|
—
|
$37,953.76
|
$193,271.67
|
$58,117.01
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
33
|
19
|
—
|
—
|
$40,968.05
|
$208,621.34
|
$57,355.27
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$33,654.69
|
$84,669.89
|
$57,197.99
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
33
|
19
|
—
|
—
|
$40,825.02
|
$207,892.99
|
$57,155.03
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
31
|
18
|
—
|
—
|
$40,638.75
|
$206,944.43
|
$56,894.25
|
2026-07-15
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
6
|
3
|
—
|
—
|
$20,315.96
|
$76,007.47
|
$56,869.93
|
2026-07-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
30
|
18
|
—
|
—
|
$44,603.70
|
$227,135.12
|
$56,869.72
|
2026-07-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
33
|
19
|
—
|
—
|
$40,444.49
|
$205,955.22
|
$56,622.29
|
2026-07-15
|
|
16
|
MS_DRG
|
Autolous Bone Marrow Transplant With Cc/mcc
|
33
|
19
|
—
|
—
|
$40,154.44
|
$204,478.18
|
$56,216.22
|
2026-07-15
|
|
17
|
MS_DRG
|
Autolous Bone Marrow Transplant Without Cc/mcc
|
33
|
19
|
—
|
—
|
$40,154.44
|
$204,478.18
|
$56,216.22
|
2026-07-15
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
4
|
2
|
—
|
—
|
$27,115.86
|
$67,304.65
|
$56,206.18
|
2026-07-15
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
9
|
—
|
—
|
$32,975.86
|
$82,962.04
|
$56,044.27
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$32,917.04
|
$82,814.06
|
$55,944.30
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
33
|
19
|
—
|
—
|
$38,568.69
|
$202,950.33
|
$55,796.17
|
2026-07-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
21
|
16
|
—
|
—
|
$15,363.65
|
$141,618.08
|
$55,536.50
|
2026-07-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
33
|
19
|
—
|
—
|
$36,197.47
|
$184,328.14
|
$55,455.17
|
2026-07-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
18
|
—
|
—
|
$39,578.32
|
$201,544.44
|
$55,409.65
|
2026-07-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
31
|
18
|
—
|
—
|
$39,145.24
|
$199,339.04
|
$54,803.34
|
2026-07-15
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
12
|
10
|
—
|
—
|
$47,173.81
|
$124,013.61
|
$54,711.89
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
18
|
9
|
—
|
—
|
$32,002.92
|
$80,514.29
|
$54,390.71
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$38,733.44
|
$197,242.06
|
$54,226.82
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
33
|
19
|
—
|
—
|
$35,930.70
|
$182,969.68
|
$53,625.21
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$31,455.02
|
$79,135.85
|
$53,459.52
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$31,372.43
|
$78,928.07
|
$53,319.15
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
30
|
18
|
—
|
—
|
$13,977.65
|
$240,618.17
|
$53,157.87
|
2026-07-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
32
|
18
|
—
|
—
|
$34,592.91
|
$209,847.69
|
$52,541.32
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$30,847.49
|
$77,607.39
|
$52,426.99
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Facemouth & Neck Diagnoses W Mcc
|
33
|
19
|
—
|
—
|
$35,896.77
|
$182,796.90
|
$52,404.28
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
32
|
18
|
—
|
—
|
$31,298.50
|
$159,381.12
|
$51,989.63
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
33
|
19
|
—
|
—
|
$33,543.42
|
$188,850.72
|
$51,919.83
|
2026-07-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
33
|
19
|
—
|
—
|
$32,259.80
|
$164,276.35
|
$51,642.14
|
2026-07-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
33
|
19
|
—
|
—
|
$36,770.93
|
$187,248.34
|
$51,479.30
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
33
|
19
|
—
|
—
|
$35,892.78
|
$182,776.58
|
$51,401.52
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$30,235.52
|
$76,067.79
|
$51,386.93
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
32
|
18
|
—
|
—
|
$34,147.81
|
$173,890.64
|
$50,987.53
|
2026-07-15
|
|
0266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
12
|
9
|
—
|
—
|
$43,478.00
|
$115,185.04
|
$50,816.93
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$48,704.38
|
$53,044.37
|
$50,633.26
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas- Liver And Shunt Procedures With Mcc
|
33
|
19
|
—
|
—
|
$36,114.98
|
$183,908.07
|
$50,560.97
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
18
|
9
|
—
|
—
|
$29,625.18
|
$74,532.25
|
$50,349.60
|
2026-07-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
33
|
19
|
—
|
—
|
$32,509.94
|
$165,550.12
|
$49,805.53
|
2026-07-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
31
|
18
|
—
|
—
|
$35,393.17
|
$180,232.42
|
$49,550.44
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
18
|
—
|
—
|
$42,961.84
|
$218,774.28
|
$49,406.11
|
2026-07-15
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
18
|
9
|
—
|
—
|
$28,840.38
|
$72,557.83
|
$49,015.80
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
18
|
9
|
—
|
—
|
$28,803.32
|
$72,464.58
|
$48,952.81
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
18
|
9
|
—
|
—
|
$28,718.31
|
$72,250.72
|
$48,808.33
|
2026-07-15
|
|
C1825
|
HCPCS
|
C1825 Gen Neuro Carot Sinus Baro 29001-30000
|
165
|
16
|
$94,501.00
|
$56,700.60
40% off
|
$15,930.18
|
$100,501.00
|
$48,750.50
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
33
|
19
|
—
|
—
|
$31,631.79
|
$161,078.36
|
$48,460.38
|
2026-07-15
|
|
C1822
|
HCPCS
|
C1822 Gen Neu Rchg Hf 20001-21000
|
660
|
16
|
$90,001.00
|
$54,000.60
40% off
|
$11,070.18
|
$118,501.00
|
$48,188.15
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
18
|
—
|
—
|
$35,236.84
|
$179,436.31
|
$48,127.07
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
33
|
19
|
—
|
—
|
$31,769.50
|
$161,779.61
|
$48,022.40
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
9
|
—
|
—
|
$28,165.97
|
$70,861.13
|
$47,869.60
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$28,134.15
|
$70,781.06
|
$47,815.51
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
33
|
19
|
—
|
—
|
$31,625.80
|
$161,047.87
|
$47,601.42
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
33
|
19
|
—
|
—
|
$33,892.35
|
$172,589.76
|
$47,449.28
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
18
|
9
|
—
|
—
|
$27,914.58
|
$70,228.67
|
$47,442.35
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
33
|
19
|
—
|
—
|
$33,788.57
|
$172,061.28
|
$47,303.99
|
2026-07-15
|
|
33231
|
CPT
|
Cl Insert Defib Pulse Gen Only W/mult Leads
|
61
|
26
|
$100,849.00
|
$60,509.40
40% off
|
$14,085.04
|
$100,849.00
|
$47,227.59
|
2026-07-15
|
|
33270
|
CPT
|
Cl Ins/replac Sq Impltbl Defib
|
61
|
26
|
$100,354.00
|
$60,212.40
40% off
|
$14,085.04
|
$100,354.00
|
$46,995.78
|
2026-07-15
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
18
|
9
|
—
|
—
|
$1,756.00
|
$115,185.04
|
$46,751.57
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
33
|
19
|
—
|
—
|
$33,310.91
|
$169,628.91
|
$46,716.73
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$33,271.66
|
$169,429.04
|
$46,580.32
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$27,383.59
|
$68,892.79
|
$46,539.92
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
18
|
9
|
—
|
—
|
$27,343.71
|
$68,792.45
|
$46,472.13
|
2026-07-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
18
|
9
|
—
|
—
|
$27,315.51
|
$68,721.50
|
$46,424.20
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
31
|
18
|
—
|
—
|
$33,151.91
|
$168,819.25
|
$46,412.68
|
2026-07-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
30
|
18
|
—
|
—
|
$36,393.06
|
$185,324.13
|
$46,401.15
|
2026-07-15
|
|
277
|
MS_DRG
|
Other Major Cardiovascular Procedures W Mcc
|
32
|
18
|
—
|
—
|
$30,947.24
|
$157,592.42
|
$46,259.61
|
2026-07-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$35,228.72
|
$58,319.23
|
$45,957.78
|
2026-07-15
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
18
|
9
|
—
|
—
|
$26,993.21
|
$67,910.65
|
$45,876.44
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$26,954.54
|
$67,813.35
|
$45,810.71
|
2026-07-15
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
21
|
16
|
—
|
—
|
$2,338.17
|
$115,417.59
|
$45,261.80
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
33
|
19
|
—
|
—
|
$32,313.68
|
$164,550.75
|
$45,239.16
|
2026-07-15
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
18
|
9
|
—
|
—
|
$26,603.24
|
$66,929.52
|
$45,213.65
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
9
|
—
|
—
|
$26,562.95
|
$66,828.17
|
$45,145.18
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
9
|
—
|
—
|
$26,526.29
|
$66,735.93
|
$45,082.86
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$34,458.03
|
$57,043.38
|
$44,952.37
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
18
|
9
|
—
|
—
|
$26,448.13
|
$66,539.30
|
$44,950.03
|
2026-07-15
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$27,058.79
|
$137,791.31
|
$44,924.92
|
2026-07-15
|
|
33289
|
CPT
|
Cl Transcath Impl Wrls P-art Prs Snr
|
61
|
26
|
$95,890.00
|
$57,534.00
40% off
|
$14,085.04
|
$95,890.00
|
$44,905.29
|
2026-07-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
33
|
19
|
—
|
—
|
$28,725.94
|
$146,280.89
|
$44,877.59
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
18
|
9
|
—
|
—
|
$26,398.57
|
$66,414.63
|
$44,865.82
|
2026-07-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
33
|
19
|
—
|
—
|
$31,130.85
|
$158,527.42
|
$44,840.12
|
2026-07-15
|
|
69930
|
CPT
|
Implant Cochlear Device
|
19
|
10
|
—
|
—
|
$31,928.06
|
$81,416.54
|
$44,699.28
|
2026-07-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome- Neonate
|
30
|
19
|
—
|
—
|
$6,744.13
|
$177,119.37
|
$44,491.94
|
2026-07-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
33
|
19
|
—
|
—
|
$27,340.86
|
$139,227.69
|
$44,423.54
|
2026-07-15
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
18
|
9
|
—
|
—
|
$26,041.63
|
$65,516.62
|
$44,259.17
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
18
|
9
|
—
|
—
|
$26,004.96
|
$65,424.38
|
$44,196.86
|
2026-07-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
32
|
18
|
—
|
—
|
$28,336.09
|
$144,295.69
|
$44,116.88
|
2026-07-15
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
12
|
10
|
—
|
—
|
$38,032.17
|
$99,981.47
|
$44,109.47
|
2026-07-15
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
18
|
9
|
—
|
—
|
$25,822.87
|
$64,966.25
|
$43,887.38
|
2026-07-15
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
9
|
—
|
—
|
$25,785.80
|
$64,873.01
|
$43,824.38
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$25,723.37
|
$64,715.91
|
$43,718.26
|
2026-07-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
30
|
18
|
—
|
—
|
$34,261.57
|
$174,469.94
|
$43,683.50
|
2026-07-15
|
|
648
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob
|
1
|
1
|
—
|
—
|
$43,542.54
|
$43,542.54
|
$43,542.54
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
18
|
9
|
—
|
—
|
$25,604.91
|
$64,417.92
|
$43,516.95
|
2026-07-15
|
|
0316T
|
CPT
|
Replc Vagus Nerve Pls Gen
|
1
|
1
|
—
|
—
|
$43,478.00
|
$43,478.00
|
$43,478.00
|
2026-07-15
|
|
0427T
|
CPT
|
Insj/rplc Nstim Apnea Pls Gn
|
1
|
1
|
—
|
—
|
$43,478.00
|
$43,478.00
|
$43,478.00
|
2026-07-15
|
|
0431T
|
CPT
|
Rmvl/rplc Nstim Apnea Pls Gn
|
1
|
1
|
—
|
—
|
$43,478.00
|
$43,478.00
|
$43,478.00
|
2026-07-15
|
|
0312T
|
CPT
|
Laps Impltj Nstim Vagus
|
1
|
1
|
—
|
—
|
$43,478.00
|
$43,478.00
|
$43,478.00
|
2026-07-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
33
|
19
|
—
|
—
|
$29,223.55
|
$148,814.89
|
$43,467.42
|
2026-07-15
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
12
|
10
|
—
|
—
|
$37,448.13
|
$98,446.12
|
$43,432.11
|
2026-07-15
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$43,200.30
|
$43,200.30
|
$43,200.30
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$33,097.93
|
$54,791.82
|
$43,178.06
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
18
|
9
|
—
|
—
|
$25,397.44
|
$63,895.93
|
$43,164.33
|
2026-07-15
|
|
0571T
|
CPT
|
Cl Insert/repl Ss Icd & Lead (s)
|
54
|
25
|
$103,975.00
|
$62,385.00
40% off
|
$14,085.04
|
$103,975.00
|
$43,146.18
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$32,966.19
|
$54,573.73
|
$43,006.19
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
33
|
19
|
—
|
—
|
$30,663.17
|
$156,145.87
|
$42,928.44
|
2026-07-15
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
19
|
10
|
—
|
—
|
$30,588.78
|
$78,001.38
|
$42,824.29
|
2026-07-15
|
|
63685
|
CPT
|
Ins/rplc Spi Npg/rcvr Pocket
|
19
|
10
|
—
|
—
|
$30,588.78
|
$78,001.38
|
$42,824.29
|
2026-07-15
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
19
|
10
|
—
|
—
|
$30,588.78
|
$78,001.38
|
$42,824.29
|
2026-07-15
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
19
|
10
|
—
|
—
|
$30,588.78
|
$78,001.38
|
$42,824.29
|
2026-07-15
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
19
|
10
|
—
|
—
|
$30,588.78
|
$78,001.38
|
$42,824.29
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
33
|
19
|
—
|
—
|
$30,548.08
|
$155,559.80
|
$42,767.32
|
2026-07-15
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
9
|
—
|
—
|
$25,156.93
|
$63,290.84
|
$42,755.56
|
2026-07-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
32
|
18
|
—
|
—
|
$29,963.38
|
$169,496.79
|
$42,438.33
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
18
|
9
|
—
|
—
|
$24,951.86
|
$62,774.93
|
$42,407.05
|
2026-07-15
|
|
651
|
MS_DRG
|
Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- W Mult Major Prob
|
32
|
18
|
—
|
—
|
$23,101.16
|
$124,260.86
|
$42,159.61
|
2026-07-15
|
|
C1827
|
HCPCS
|
C1827 Gen Neuro Imp Led Ex Cntr 20001-21000
|
482
|
25
|
$81,001.00
|
$48,600.60
40% off
|
$27.16
|
$100,501.00
|
$42,124.79
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$32,272.05
|
$53,424.61
|
$42,100.64
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$30,013.88
|
$152,839.47
|
$42,019.43
|
2026-07-15
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
32
|
18
|
—
|
—
|
$27,679.48
|
$140,952.03
|
$41,987.55
|
2026-07-15
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$24,623.12
|
$61,947.87
|
$41,848.33
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
33
|
19
|
—
|
—
|
$29,834.92
|
$151,928.18
|
$41,768.89
|
2026-07-15
|
|
956
|
MS_DRG
|
Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma
|
33
|
19
|
—
|
—
|
$25,428.91
|
$129,491.44
|
$41,586.98
|
2026-07-15
|
|
C2642
|
HCPCS
|
C2642 Brachytx Stranded 26001-27000
|
153
|
26
|
$84,001.00
|
$50,400.60
40% off
|
$107.86
|
$88,501.00
|
$41,382.48
|
2026-07-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
33
|
19
|
—
|
—
|
$29,474.35
|
$150,092.05
|
$41,264.09
|
2026-07-15
|
|
677
|
MS_DRG
|
Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob
|
1
|
1
|
—
|
—
|
$41,245.22
|
$41,245.22
|
$41,245.22
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
18
|
9
|
—
|
—
|
$24,263.35
|
$61,042.76
|
$41,236.89
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
30
|
18
|
—
|
—
|
$10,620.74
|
$186,462.40
|
$41,193.66
|
2026-07-15
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
6
|
3
|
—
|
—
|
$21,567.82
|
$64,688.13
|
$41,151.24
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$24,194.46
|
$60,869.44
|
$41,119.81
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
18
|
9
|
—
|
—
|
$24,032.11
|
$60,460.97
|
$40,843.88
|
2026-07-15
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
4
|
2
|
—
|
—
|
$18,190.66
|
$48,516.55
|
$40,516.22
|
2026-07-15
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$38,953.27
|
$42,424.35
|
$40,495.97
|
2026-07-15
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
33
|
19
|
—
|
—
|
$28,785.14
|
$146,582.39
|
$40,299.20
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
18
|
9
|
—
|
—
|
$23,711.02
|
$59,653.17
|
$40,298.17
|
2026-07-15
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
18
|
9
|
—
|
—
|
$23,646.55
|
$59,491.00
|
$40,188.62
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$23,637.70
|
$59,468.70
|
$40,173.54
|
2026-07-15
|
|
613
|
MS_DRG
|
Neonate- Birthwt <750g- Died
|
1
|
1
|
—
|
—
|
$40,143.39
|
$40,143.39
|
$40,143.39
|
2026-07-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
18
|
—
|
—
|
$30,552.74
|
$155,583.51
|
$40,064.42
|
2026-07-15
|
|
12
|
MS_DRG
|
Tracheostomy For Facemouth & Neck Diagnoses W Cc
|
33
|
19
|
—
|
—
|
$27,300.28
|
$139,021.04
|
$40,004.40
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
18
|
9
|
—
|
—
|
$23,391.94
|
$58,850.42
|
$39,755.88
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$28,378.00
|
$144,509.12
|
$39,729.21
|
2026-07-15
|
|
739
|
MS_DRG
|
Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
33
|
19
|
—
|
—
|
$26,483.34
|
$134,860.95
|
$39,691.70
|
2026-07-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
18
|
9
|
—
|
—
|
$23,353.67
|
$58,754.14
|
$39,690.83
|
2026-07-15
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
33
|
19
|
—
|
—
|
$25,869.97
|
$131,737.49
|
$39,633.79
|
2026-07-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
18
|
9
|
—
|
—
|
$23,309.76
|
$58,643.66
|
$39,616.20
|
2026-07-15
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
33
|
19
|
—
|
—
|
$26,013.67
|
$132,469.23
|
$39,329.18
|
2026-07-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
18
|
9
|
—
|
—
|
$23,116.78
|
$58,158.16
|
$39,288.23
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
31
|
18
|
—
|
—
|
$29,752.43
|
$151,508.11
|
$39,228.87
|
2026-07-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
18
|
9
|
—
|
—
|
$23,040.64
|
$57,966.60
|
$39,158.82
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$26,249.17
|
$133,668.48
|
$39,106.58
|
2026-07-15
|
|
650
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob
|
32
|
18
|
—
|
—
|
$24,296.30
|
$156,081.50
|
$39,079.43
|
2026-07-15
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
18
|
9
|
—
|
—
|
$22,965.30
|
$57,777.06
|
$39,030.79
|
2026-07-15
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$29,835.87
|
$49,391.67
|
$38,922.53
|
2026-07-15
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
18
|
9
|
—
|
—
|
$22,718.34
|
$57,155.75
|
$38,611.06
|
2026-07-15
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
18
|
9
|
—
|
—
|
$22,704.65
|
$57,121.29
|
$38,587.78
|
2026-07-15
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
12
|
10
|
—
|
—
|
$33,255.91
|
$87,425.32
|
$38,569.99
|
2026-07-15
|