|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
13
|
8
|
—
|
—
|
$4,377,500.00
|
$4,596,375.00
|
$4,465,050.00
|
2025-12-23
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
13
|
8
|
—
|
—
|
$3,710,000.00
|
$3,895,500.00
|
$3,784,200.00
|
2025-12-23
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
13
|
8
|
—
|
—
|
$3,685,266.67
|
$3,869,530.00
|
$3,758,972.00
|
2025-12-23
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
14
|
9
|
—
|
—
|
$3,324,571.90
|
$4,986,857.85
|
$3,391,063.34
|
2025-12-23
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
14
|
9
|
—
|
—
|
$3,261,355.00
|
$4,892,032.50
|
$3,326,582.10
|
2025-12-23
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
14
|
9
|
—
|
—
|
$2,950,686.67
|
$4,426,030.01
|
$3,009,700.40
|
2025-12-23
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
24
|
17
|
—
|
—
|
$10,712.95
|
$3,678,173.40
|
$2,458,245.89
|
2025-12-23
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
14
|
9
|
—
|
—
|
$2,332,000.00
|
$3,498,000.00
|
$2,378,640.00
|
2025-12-23
|
|
Q2058
|
HCPCS
|
Obecabtagene Auto Up To 400mil
|
61
|
25
|
$3,150,000.00
|
$2,047,500.00
35% off
|
$173.17
|
$3,150,000.00
|
$1,118,250.00
|
2026-03-30
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
14
|
9
|
—
|
—
|
$770,620.00
|
$1,155,930.00
|
$786,032.40
|
2025-12-23
|
|
Q2055
|
HCPCS
|
Idecabtagene Car Pos T upto460M
|
80
|
36
|
$3,378,135.00
|
$2,195,787.75
35% off
|
$173.17
|
$3,378,135.00
|
$607,476.55
|
2026-03-30
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel upto200M
|
80
|
36
|
$3,219,991.00
|
$2,092,994.15
35% off
|
$173.17
|
$3,219,991.00
|
$583,075.96
|
2026-03-30
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
24
|
17
|
—
|
—
|
$24,610.06
|
$867,486.87
|
$579,770.39
|
2025-12-23
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
24
|
17
|
—
|
—
|
$24,610.06
|
$830,068.25
|
$554,762.27
|
2025-12-23
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
24
|
17
|
—
|
—
|
$24,610.06
|
$812,453.49
|
$542,989.75
|
2025-12-23
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
24
|
17
|
—
|
—
|
$24,610.06
|
$734,580.00
|
$490,944.30
|
2025-12-23
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
10
|
10
|
—
|
—
|
$193,168.40
|
$532,798.81
|
$466,198.96
|
2025-12-23
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
10
|
—
|
—
|
$126,020.56
|
$347,591.04
|
$304,142.16
|
2025-12-23
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
10
|
10
|
—
|
—
|
$125,140.52
|
$345,163.70
|
$302,018.24
|
2025-12-23
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
22
|
10
|
—
|
—
|
$202,599.57
|
$812,673.13
|
$280,999.05
|
2025-12-23
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
10
|
—
|
—
|
$111,602.50
|
$307,823.02
|
$269,345.14
|
2025-12-23
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
10
|
—
|
—
|
$98,132.39
|
$270,669.66
|
$236,835.95
|
2025-12-23
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
10
|
—
|
—
|
$95,642.93
|
$263,803.18
|
$230,827.78
|
2025-12-23
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
10
|
—
|
—
|
$91,927.68
|
$253,555.76
|
$221,861.29
|
2025-12-23
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
10
|
—
|
—
|
$90,668.32
|
$250,082.16
|
$218,821.89
|
2025-12-23
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
27
|
15
|
—
|
—
|
$151,324.90
|
$606,998.70
|
$209,652.97
|
2025-12-23
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
10
|
—
|
—
|
$82,858.86
|
$228,542.06
|
$199,974.31
|
2025-12-23
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
10
|
—
|
—
|
$81,960.39
|
$226,063.91
|
$197,805.92
|
2025-12-23
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
10
|
—
|
—
|
$81,346.97
|
$224,371.96
|
$196,325.46
|
2025-12-23
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
10
|
—
|
—
|
$80,056.17
|
$220,811.66
|
$193,210.21
|
2025-12-23
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$75,989.42
|
$209,594.71
|
$183,395.37
|
2025-12-23
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
10
|
—
|
—
|
$75,608.64
|
$208,544.46
|
$182,476.40
|
2025-12-23
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
10
|
—
|
—
|
$74,232.59
|
$204,749.00
|
$179,155.38
|
2025-12-23
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
27
|
15
|
—
|
—
|
$127,442.91
|
$511,202.62
|
$176,748.80
|
2025-12-23
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
10
|
—
|
—
|
$68,662.62
|
$189,385.86
|
$165,712.63
|
2025-12-23
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
10
|
—
|
—
|
$67,578.82
|
$186,396.53
|
$163,096.96
|
2025-12-23
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
10
|
—
|
—
|
$67,116.04
|
$185,120.09
|
$161,980.08
|
2025-12-23
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
27
|
15
|
—
|
—
|
$115,134.20
|
$461,829.55
|
$159,790.07
|
2025-12-23
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
10
|
—
|
—
|
$64,714.36
|
$178,495.74
|
$156,183.77
|
2025-12-23
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
10
|
10
|
—
|
—
|
$96,085.11
|
$174,387.31
|
$152,588.90
|
2025-12-23
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
10
|
—
|
—
|
$62,664.18
|
$172,840.93
|
$151,235.82
|
2025-12-23
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
10
|
—
|
—
|
$59,420.76
|
$163,894.87
|
$143,408.01
|
2025-12-23
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
10
|
—
|
—
|
$57,230.77
|
$157,854.43
|
$138,122.63
|
2025-12-23
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
10
|
—
|
—
|
$55,801.25
|
$153,911.51
|
$134,672.57
|
2025-12-23
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$55,123.52
|
$152,042.18
|
$133,036.91
|
2025-12-23
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
10
|
—
|
—
|
$51,483.05
|
$142,001.03
|
$124,250.90
|
2025-12-23
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
10
|
10
|
—
|
—
|
$48,614.61
|
$134,089.27
|
$117,328.11
|
2025-12-23
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
10
|
—
|
—
|
$71,918.69
|
$130,527.07
|
$114,211.19
|
2025-12-23
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
10
|
10
|
—
|
—
|
$47,137.40
|
$130,014.83
|
$113,762.97
|
2025-12-23
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
10
|
—
|
—
|
$46,758.44
|
$128,969.56
|
$112,848.36
|
2025-12-23
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
10
|
—
|
—
|
$46,434.39
|
$128,075.75
|
$112,066.28
|
2025-12-23
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
10
|
—
|
—
|
$43,895.42
|
$121,072.75
|
$105,938.66
|
2025-12-23
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
27
|
15
|
—
|
—
|
$75,908.76
|
$304,487.37
|
$105,745.96
|
2025-12-23
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
10
|
—
|
—
|
$43,778.01
|
$120,748.91
|
$105,655.29
|
2025-12-23
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$42,245.53
|
$116,521.99
|
$101,956.74
|
2025-12-23
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
10
|
—
|
—
|
$42,085.84
|
$116,081.57
|
$101,571.37
|
2025-12-23
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
27
|
15
|
—
|
—
|
$70,385.10
|
$282,330.69
|
$98,135.55
|
2025-12-23
|
|
7
|
MS_DRG
|
Lung Transplant
|
27
|
15
|
—
|
—
|
$70,207.82
|
$281,619.57
|
$97,891.29
|
2025-12-23
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
10
|
—
|
—
|
$40,077.94
|
$110,543.34
|
$96,725.42
|
2025-12-23
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$39,101.08
|
$107,848.96
|
$94,367.84
|
2025-12-23
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$38,094.23
|
$105,071.88
|
$91,937.90
|
2025-12-23
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$37,663.61
|
$103,884.12
|
$90,898.61
|
2025-12-23
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$37,138.69
|
$102,436.28
|
$89,631.75
|
2025-12-23
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
10
|
10
|
—
|
—
|
$35,600.06
|
$98,192.44
|
$85,918.38
|
2025-12-23
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
10
|
10
|
—
|
—
|
$35,184.26
|
$97,045.54
|
$84,914.84
|
2025-12-23
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
10
|
10
|
—
|
—
|
$34,536.14
|
$95,257.91
|
$83,350.67
|
2025-12-23
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
10
|
—
|
—
|
$34,399.94
|
$94,882.25
|
$83,021.97
|
2025-12-23
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
27
|
15
|
—
|
—
|
$59,199.70
|
$237,463.52
|
$82,724.51
|
2025-12-23
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
10
|
—
|
—
|
$34,239.18
|
$94,438.84
|
$82,633.98
|
2025-12-23
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
10
|
—
|
—
|
$51,947.27
|
$94,280.44
|
$82,495.38
|
2025-12-23
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve?procedures
|
8
|
6
|
—
|
—
|
$81,793.38
|
$174,868.88
|
$81,997.87
|
2025-12-23
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
27
|
15
|
—
|
—
|
$57,210.39
|
$229,483.92
|
$79,983.67
|
2025-12-23
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
16
|
—
|
—
|
$56,917.07
|
$228,307.35
|
$79,579.53
|
2025-12-23
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
8
|
6
|
—
|
—
|
$78,695.77
|
$168,151.12
|
$78,892.51
|
2025-12-23
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
10
|
—
|
—
|
$32,584.59
|
$89,875.13
|
$78,640.74
|
2025-12-23
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
10
|
—
|
—
|
$49,140.25
|
$89,185.91
|
$78,037.67
|
2025-12-23
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
10
|
—
|
—
|
$31,948.05
|
$88,119.40
|
$77,104.47
|
2025-12-23
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$31,732.37
|
$87,524.52
|
$76,583.96
|
2025-12-23
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
10
|
—
|
—
|
$31,613.87
|
$87,197.69
|
$76,297.98
|
2025-12-23
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
10
|
—
|
—
|
$47,776.48
|
$86,710.75
|
$75,871.91
|
2025-12-23
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
10
|
—
|
—
|
$30,937.59
|
$85,332.35
|
$74,665.80
|
2025-12-23
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
10
|
10
|
—
|
—
|
$30,409.42
|
$83,875.55
|
$73,391.10
|
2025-12-23
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
10
|
—
|
—
|
$30,329.22
|
$83,654.34
|
$73,197.55
|
2025-12-23
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
10
|
—
|
—
|
$30,240.35
|
$83,409.22
|
$72,983.06
|
2025-12-23
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
10
|
10
|
—
|
—
|
$69,493.60
|
$83,392.32
|
$72,968.28
|
2025-12-23
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$30,175.68
|
$83,230.85
|
$72,826.99
|
2025-12-23
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$51,847.35
|
$207,971.55
|
$72,594.57
|
2025-12-23
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
10
|
—
|
—
|
$45,603.83
|
$82,767.58
|
$72,421.63
|
2025-12-23
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
10
|
—
|
—
|
$29,900.04
|
$82,470.56
|
$72,161.74
|
2025-12-23
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
10
|
—
|
—
|
$45,059.77
|
$81,780.13
|
$71,557.62
|
2025-12-23
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$29,634.87
|
$81,739.18
|
$71,521.78
|
2025-12-23
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$29,243.98
|
$80,661.02
|
$70,578.40
|
2025-12-23
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
10
|
—
|
—
|
$29,015.67
|
$80,031.28
|
$70,027.37
|
2025-12-23
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
10
|
—
|
—
|
$28,984.59
|
$79,945.58
|
$69,952.39
|
2025-12-23
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
10
|
—
|
—
|
$28,959.67
|
$79,876.82
|
$69,892.22
|
2025-12-23
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
8
|
6
|
—
|
—
|
$69,343.75
|
$147,869.42
|
$69,517.11
|
2025-12-23
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
10
|
—
|
—
|
$28,692.69
|
$79,140.46
|
$69,247.90
|
2025-12-23
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
10
|
—
|
—
|
$28,099.86
|
$77,505.29
|
$67,817.13
|
2025-12-23
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
10
|
—
|
—
|
$42,167.13
|
$76,530.20
|
$66,963.93
|
2025-12-23
|
|
C1822
|
HCPCS
|
Neuro Stim Ipg Prospera 478627
|
34
|
13
|
$112,464.00
|
$73,101.60
35% off
|
$173.17
|
$112,464.00
|
$66,353.76
|
2026-03-30
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
10
|
—
|
—
|
$27,311.58
|
$75,331.06
|
$65,914.67
|
2025-12-23
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$26,826.04
|
$73,991.83
|
$64,742.85
|
2025-12-23
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
10
|
—
|
—
|
$26,690.93
|
$73,619.17
|
$64,416.78
|
2025-12-23
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
10
|
—
|
—
|
$61,338.01
|
$73,605.61
|
$64,404.91
|
2025-12-23
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
10
|
10
|
—
|
—
|
$26,500.91
|
$73,095.04
|
$63,958.16
|
2025-12-23
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
16
|
—
|
—
|
$45,523.23
|
$182,604.07
|
$63,881.31
|
2025-12-23
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
15
|
—
|
—
|
$45,497.98
|
$182,502.79
|
$63,846.52
|
2025-12-23
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
10
|
—
|
—
|
$26,388.18
|
$72,784.15
|
$63,686.13
|
2025-12-23
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
10
|
—
|
—
|
$26,314.85
|
$72,581.87
|
$63,509.13
|
2025-12-23
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
10
|
10
|
—
|
—
|
$26,280.17
|
$72,486.22
|
$63,425.44
|
2025-12-23
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
10
|
10
|
—
|
—
|
$26,140.36
|
$72,100.58
|
$63,088.01
|
2025-12-23
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
8
|
6
|
—
|
—
|
$62,894.67
|
$133,883.31
|
$63,051.90
|
2025-12-23
|
|
35533
|
CPT
|
Bypass W Vein Axilofemoral-fem Bil
|
43
|
17
|
$139,568.00
|
$90,719.20
35% off
|
$173.17
|
$139,568.00
|
$62,805.60
|
2026-03-30
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$25,951.78
|
$71,580.44
|
$62,632.89
|
2025-12-23
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
10
|
—
|
—
|
$25,496.59
|
$70,324.93
|
$61,534.32
|
2025-12-23
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
10
|
10
|
—
|
—
|
$25,420.36
|
$70,114.68
|
$61,350.35
|
2025-12-23
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
27
|
15
|
—
|
—
|
$43,305.60
|
$173,708.64
|
$60,825.90
|
2025-12-23
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$25,158.45
|
$69,392.26
|
$60,718.22
|
2025-12-23
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
10
|
10
|
—
|
—
|
$25,005.26
|
$68,969.76
|
$60,348.54
|
2025-12-23
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
27
|
15
|
—
|
—
|
$42,832.31
|
$171,810.18
|
$60,173.81
|
2025-12-23
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
22
|
10
|
—
|
—
|
$42,586.80
|
$170,825.39
|
$59,985.14
|
2025-12-23
|
|
7594
|
APR_DRG
|
Eating Disorders
|
10
|
10
|
—
|
—
|
$24,677.60
|
$68,065.99
|
$59,557.74
|
2025-12-23
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
24
|
17
|
—
|
—
|
$2,682.09
|
$89,048.83
|
$59,514.31
|
2025-12-23
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
10
|
10
|
—
|
—
|
$24,644.37
|
$67,974.32
|
$59,477.53
|
2025-12-23
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
10
|
—
|
—
|
$24,636.42
|
$67,952.40
|
$59,458.35
|
2025-12-23
|
|
0620T
|
CPT
|
Evasc Ven Art Tibl/pero Vn
|
55
|
22
|
$148,402.00
|
$96,461.30
35% off
|
$173.17
|
$148,402.00
|
$59,335.89
|
2026-03-30
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
28
|
16
|
—
|
—
|
$41,991.03
|
$168,435.60
|
$59,014.71
|
2025-12-23
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
10
|
—
|
—
|
$24,426.53
|
$67,373.46
|
$58,951.78
|
2025-12-23
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$24,336.57
|
$67,125.35
|
$58,734.68
|
2025-12-23
|
|
43000115-12207
|
CDM
|
Tricuspid Valve Clip
|
28
|
18
|
$117,000.00
|
$17,550.00
85% off
|
$13,221.00
|
$117,000.00
|
$58,500.00
|
2025-12-23
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$41,567.17
|
$166,735.39
|
$58,430.71
|
2025-12-23
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
10
|
—
|
—
|
$24,102.46
|
$66,479.65
|
$58,169.70
|
2025-12-23
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
10
|
10
|
—
|
—
|
$23,987.94
|
$66,163.79
|
$57,893.31
|
2025-12-23
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
10
|
10
|
—
|
—
|
$23,795.40
|
$65,632.68
|
$57,428.60
|
2025-12-23
|
|
J9999
|
HCPCS
|
Dinutuximab 17.5 Mg/5 Ml
|
33
|
12
|
$94,813.00
|
$61,628.45
35% off
|
$16,402.65
|
$94,813.00
|
$56,887.80
|
2026-03-30
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$23,526.97
|
$64,892.33
|
$56,780.79
|
2025-12-23
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
10
|
10
|
—
|
—
|
$23,438.46
|
$64,648.20
|
$56,567.18
|
2025-12-23
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
27
|
15
|
—
|
—
|
$40,098.95
|
$160,846.05
|
$56,407.83
|
2025-12-23
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
10
|
10
|
—
|
—
|
$23,279.51
|
$64,209.76
|
$56,183.54
|
2025-12-23
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
24
|
17
|
—
|
—
|
$15,400.67
|
$83,918.96
|
$56,085.83
|
2025-12-23
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
10
|
10
|
—
|
—
|
$23,164.99
|
$63,893.89
|
$55,907.16
|
2025-12-23
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
10
|
10
|
—
|
—
|
$23,020.84
|
$63,496.31
|
$55,559.27
|
2025-12-23
|
|
234
|
APR_DRG
|
Spinal Procedures
|
10
|
10
|
—
|
—
|
$22,957.26
|
$63,320.93
|
$55,405.81
|
2025-12-23
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
10
|
10
|
—
|
—
|
$22,870.55
|
$63,081.79
|
$55,196.57
|
2025-12-23
|
|
31599
|
CPT
|
Unlisted Procedure Larynx
|
1
|
1
|
—
|
—
|
$55,078.40
|
$55,078.40
|
$55,078.40
|
2026-03-30
|
|
0624
|
RC
|
—
|
67
|
13
|
$125,244.00
|
$81,408.60
35% off
|
$173.17
|
$125,244.00
|
$54,657.60
|
2026-03-30
|
|
28306
|
CPT
|
Incision Of Metatarsal
|
1
|
1
|
—
|
—
|
$54,593.40
|
$54,593.40
|
$54,593.40
|
2026-03-30
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
10
|
—
|
—
|
$22,599.97
|
$62,335.45
|
$54,543.52
|
2025-12-23
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
10
|
10
|
—
|
—
|
$22,402.35
|
$61,790.40
|
$54,066.60
|
2025-12-23
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
10
|
10
|
—
|
—
|
$22,399.11
|
$61,781.42
|
$54,058.75
|
2025-12-23
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
8
|
6
|
—
|
—
|
$53,732.13
|
$114,012.54
|
$53,866.46
|
2025-12-23
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
8
|
6
|
—
|
—
|
$53,467.89
|
$113,439.48
|
$53,601.56
|
2025-12-23
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
10
|
—
|
—
|
$22,111.90
|
$60,989.26
|
$53,365.60
|
2025-12-23
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
27
|
15
|
—
|
—
|
$37,371.50
|
$149,905.62
|
$52,650.00
|
2025-12-23
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
10
|
10
|
—
|
—
|
$21,574.70
|
$59,507.54
|
$52,069.10
|
2025-12-23
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
10
|
10
|
—
|
—
|
$21,561.69
|
$59,471.68
|
$52,037.72
|
2025-12-23
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
10
|
—
|
—
|
$49,247.34
|
$59,096.81
|
$51,709.71
|
2025-12-23
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
27
|
15
|
—
|
—
|
$36,682.79
|
$147,143.04
|
$51,701.11
|
2025-12-23
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
10
|
—
|
—
|
$48,983.85
|
$58,780.62
|
$51,433.04
|
2025-12-23
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
10
|
—
|
—
|
$21,252.82
|
$58,619.71
|
$51,292.25
|
2025-12-23
|
|
A9543
|
HCPCS
|
Y90 Zevalin Tx Up To 40mCi
|
79
|
35
|
$79,083.00
|
$51,403.95
35% off
|
$13,681.36
|
$85,236.83
|
$51,245.78
|
2026-03-30
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
10
|
—
|
—
|
$21,153.47
|
$58,345.69
|
$51,052.48
|
2025-12-23
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
8
|
6
|
—
|
—
|
$50,786.26
|
$107,623.84
|
$50,913.23
|
2025-12-23
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
10
|
10
|
—
|
—
|
$21,023.05
|
$57,985.98
|
$50,737.73
|
2025-12-23
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
27
|
15
|
—
|
—
|
$35,880.19
|
$143,923.62
|
$50,595.29
|
2025-12-23
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
15
|
—
|
—
|
$35,819.48
|
$143,680.11
|
$50,511.66
|
2025-12-23
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
10
|
—
|
—
|
$20,878.18
|
$57,586.40
|
$50,388.10
|
2025-12-23
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
10
|
10
|
—
|
—
|
$20,820.75
|
$57,427.97
|
$50,249.47
|
2025-12-23
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg (Adstiladrin) Suspension 20 Ml
|
41
|
25
|
$72,000.00
|
$10,800.00
85% off
|
$10,800.00
|
$95,146.58
|
$50,040.00
|
2025-12-23
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
10
|
10
|
—
|
—
|
$20,626.02
|
$56,890.88
|
$49,779.52
|
2025-12-23
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$31,269.23
|
$56,751.32
|
$49,657.41
|
2025-12-23
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
10
|
10
|
—
|
—
|
$20,473.57
|
$56,470.39
|
$49,411.59
|
2025-12-23
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
27
|
15
|
—
|
—
|
$34,742.90
|
$139,361.69
|
$49,028.36
|
2025-12-23
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
10
|
—
|
—
|
$20,307.02
|
$56,011.03
|
$49,009.65
|
2025-12-23
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$34,692.94
|
$139,161.29
|
$48,959.52
|
2025-12-23
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$20,250.31
|
$55,854.59
|
$48,872.76
|
2025-12-23
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
10
|
—
|
—
|
$20,210.21
|
$55,743.98
|
$48,775.99
|
2025-12-23
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
10
|
10
|
—
|
—
|
$20,059.56
|
$55,328.47
|
$48,412.41
|
2025-12-23
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
10
|
—
|
—
|
$20,018.01
|
$55,213.87
|
$48,312.14
|
2025-12-23
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
10
|
10
|
—
|
—
|
$19,979.72
|
$55,108.25
|
$48,219.72
|
2025-12-23
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
10
|
10
|
—
|
—
|
$19,908.91
|
$54,912.95
|
$48,048.83
|
2025-12-23
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$33,975.21
|
$136,282.34
|
$47,970.66
|
2025-12-23
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$19,832.68
|
$54,702.70
|
$47,864.86
|
2025-12-23
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
10
|
10
|
—
|
—
|
$19,811.37
|
$54,643.91
|
$47,813.42
|
2025-12-23
|
|
33276
|
HCPCS
|
Insert Phrenic Stim Sys W/cath Image Gen Analysis
|
41
|
25
|
$135,512.00
|
$20,326.80
85% off
|
$8,860.00
|
$135,512.00
|
$47,429.13
|
2025-12-23
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$29,781.19
|
$54,050.63
|
$47,294.30
|
2025-12-23
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
8
|
6
|
—
|
—
|
$47,009.18
|
$99,432.51
|
$47,126.71
|
2025-12-23
|
|
C1767
|
HCPCS
|
Generator Neurostim N/rechrg
|
321
|
29
|
$78,469.00
|
$51,004.85
35% off
|
$173.17
|
$161,320.00
|
$47,081.40
|
2026-03-30
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
8
|
6
|
—
|
—
|
$46,949.97
|
$99,304.09
|
$47,067.35
|
2025-12-23
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
10
|
10
|
—
|
—
|
$19,377.13
|
$53,446.19
|
$46,765.41
|
2025-12-23
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
27
|
15
|
—
|
—
|
$33,082.90
|
$132,703.05
|
$46,741.24
|
2025-12-23
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
27
|
15
|
—
|
—
|
$32,967.40
|
$132,239.75
|
$46,582.10
|
2025-12-23
|
|
7584
|
APR_DRG
|
Behavioral Disorders
|
10
|
10
|
—
|
—
|
$19,221.07
|
$53,015.72
|
$46,388.76
|
2025-12-23
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$19,217.09
|
$53,004.77
|
$46,379.17
|
2025-12-23
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
28
|
16
|
—
|
—
|
$32,816.97
|
$131,636.38
|
$46,374.86
|
2025-12-23
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
10
|
10
|
—
|
—
|
$19,145.20
|
$52,806.47
|
$46,205.66
|
2025-12-23
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
27
|
15
|
—
|
—
|
$32,660.11
|
$131,007.15
|
$46,158.73
|
2025-12-23
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
10
|
10
|
—
|
—
|
$19,073.30
|
$52,608.18
|
$46,032.16
|
2025-12-23
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
10
|
10
|
—
|
—
|
$19,037.54
|
$52,509.53
|
$45,945.84
|
2025-12-23
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
10
|
10
|
—
|
—
|
$19,020.20
|
$52,461.71
|
$45,903.99
|
2025-12-23
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
10
|
10
|
—
|
—
|
$19,012.61
|
$52,440.78
|
$45,885.68
|
2025-12-23
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
10
|
10
|
—
|
—
|
$18,997.44
|
$52,398.92
|
$45,849.06
|
2025-12-23
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
27
|
15
|
—
|
—
|
$32,425.88
|
$130,067.61
|
$45,836.01
|
2025-12-23
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
27
|
15
|
—
|
—
|
$32,425.88
|
$130,067.61
|
$45,836.01
|
2025-12-23
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
10
|
10
|
—
|
—
|
$18,982.27
|
$52,357.08
|
$45,812.45
|
2025-12-23
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
10
|
10
|
—
|
—
|
$18,978.29
|
$52,346.11
|
$45,802.85
|
2025-12-23
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
24
|
17
|
—
|
—
|
$15,400.67
|
$68,340.59
|
$45,674.29
|
2025-12-23
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
27
|
15
|
—
|
—
|
$32,183.60
|
$129,095.75
|
$45,502.20
|
2025-12-23
|
|
33903
|
CPT
|
Stent Pulm A Abn Con Init Bil
|
56
|
22
|
$121,596.00
|
$79,037.40
35% off
|
$173.17
|
$121,596.00
|
$45,416.11
|
2026-03-30
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$18,799.47
|
$51,852.88
|
$45,371.27
|
2025-12-23
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
24
|
17
|
—
|
—
|
$12,436.05
|
$67,755.90
|
$45,283.52
|
2025-12-23
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$31,960.65
|
$128,201.47
|
$45,195.03
|
2025-12-23
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
26
|
14
|
—
|
—
|
$31,936.48
|
$128,104.50
|
$45,161.72
|
2025-12-23
|
|
02875375-17193
|
CDM
|
Mitral Valve Clip
|
28
|
18
|
$90,000.00
|
$13,500.00
85% off
|
$10,170.00
|
$90,000.00
|
$45,000.00
|
2025-12-23
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
10
|
10
|
—
|
—
|
$18,613.05
|
$51,338.71
|
$44,921.37
|
2025-12-23
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
28
|
16
|
—
|
—
|
$31,610.92
|
$126,798.63
|
$44,713.18
|
2025-12-23
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
10
|
10
|
—
|
—
|
$18,438.93
|
$50,858.42
|
$44,501.12
|
2025-12-23
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
10
|
—
|
—
|
$18,358.00
|
$50,635.22
|
$44,305.82
|
2025-12-23
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$31,278.39
|
$125,464.74
|
$44,255.01
|
2025-12-23
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
10
|
10
|
—
|
—
|
$18,268.77
|
$50,389.10
|
$44,090.47
|
2025-12-23
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
10
|
10
|
—
|
—
|
$18,225.79
|
$50,270.52
|
$43,986.71
|
2025-12-23
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
10
|
10
|
—
|
—
|
$27,653.34
|
$50,188.75
|
$43,915.16
|
2025-12-23
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
10
|
10
|
—
|
—
|
$18,174.84
|
$50,130.02
|
$43,863.77
|
2025-12-23
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
10
|
—
|
—
|
$41,730.88
|
$50,077.06
|
$43,817.42
|
2025-12-23
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
15
|
—
|
—
|
$30,833.03
|
$123,678.33
|
$43,641.42
|
2025-12-23
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
10
|
—
|
—
|
$18,073.69
|
$49,851.02
|
$43,619.65
|
2025-12-23
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
10
|
—
|
—
|
$18,031.06
|
$49,733.45
|
$43,516.77
|
2025-12-23
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
10
|
10
|
—
|
—
|
$18,011.19
|
$49,678.64
|
$43,468.81
|
2025-12-23
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$17,989.15
|
$49,617.85
|
$43,415.62
|
2025-12-23
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
27
|
15
|
—
|
—
|
$30,648.77
|
$122,939.20
|
$43,387.54
|
2025-12-23
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
10
|
10
|
—
|
—
|
$17,971.09
|
$49,568.03
|
$43,372.02
|
2025-12-23
|
|
33362
|
CPT
|
Tavr Open Fem Approach
|
43
|
17
|
$95,752.00
|
$62,238.80
35% off
|
$173.17
|
$95,752.00
|
$43,088.40
|
2026-03-30
|
|
33366
|
CPT
|
Tavr Open Transapical Approach
|
43
|
17
|
$95,752.00
|
$62,238.80
35% off
|
$173.17
|
$95,752.00
|
$43,088.40
|
2026-03-30
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
10
|
10
|
—
|
—
|
$17,839.23
|
$49,204.33
|
$43,053.79
|
2025-12-23
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
10
|
10
|
—
|
—
|
$17,836.70
|
$49,197.36
|
$43,047.69
|
2025-12-23
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
10
|
10
|
—
|
—
|
$17,748.19
|
$48,953.23
|
$42,834.08
|
2025-12-23
|
|
37230
|
CPT
|
Tibper Stent Wwo Pta Initial Bil
|
43
|
17
|
$95,112.00
|
$61,822.80
35% off
|
$173.17
|
$95,112.00
|
$42,800.40
|
2026-03-30
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
27
|
15
|
—
|
—
|
$29,947.70
|
$120,127.06
|
$42,421.62
|
2025-12-23
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$29,693.60
|
$119,107.79
|
$42,071.52
|
2025-12-23
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
27
|
15
|
—
|
—
|
$29,693.60
|
$119,107.79
|
$42,071.52
|
2025-12-23
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
8
|
6
|
—
|
—
|
$41,899.80
|
$88,351.81
|
$42,004.55
|
2025-12-23
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
8
|
6
|
—
|
—
|
$41,651.10
|
$87,812.47
|
$41,755.23
|
2025-12-23
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
10
|
10
|
—
|
—
|
$17,258.67
|
$47,603.05
|
$41,652.67
|
2025-12-23
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
10
|
10
|
—
|
—
|
$17,172.70
|
$47,365.90
|
$41,445.16
|
2025-12-23
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
27
|
15
|
—
|
—
|
$29,230.51
|
$117,250.26
|
$41,433.49
|
2025-12-23
|
|
33025
|
CPT
|
Crtj Pericardial Window Prtl Res W DRG
|
43
|
17
|
$92,020.00
|
$59,813.00
35% off
|
$173.17
|
$92,020.00
|
$41,409.00
|
2026-03-30
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
10
|
10
|
—
|
—
|
$17,148.49
|
$47,299.13
|
$41,386.74
|
2025-12-23
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
10
|
—
|
—
|
$17,145.60
|
$47,291.16
|
$41,379.77
|
2025-12-23
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
27
|
15
|
—
|
—
|
$29,163.90
|
$116,983.06
|
$41,341.71
|
2025-12-23
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
10
|
—
|
—
|
$25,969.84
|
$47,133.34
|
$41,241.67
|
2025-12-23
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
10
|
10
|
—
|
—
|
$17,062.87
|
$47,062.98
|
$41,180.11
|
2025-12-23
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
27
|
15
|
—
|
—
|
$29,015.09
|
$116,386.15
|
$41,136.69
|
2025-12-23
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
27
|
15
|
—
|
—
|
$28,987.69
|
$116,276.25
|
$41,098.94
|
2025-12-23
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
27
|
15
|
—
|
—
|
$28,984.47
|
$116,263.32
|
$41,094.50
|
2025-12-23
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
10
|
10
|
—
|
—
|
$17,022.41
|
$46,951.38
|
$41,082.46
|
2025-12-23
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
10
|
—
|
—
|
$16,912.58
|
$46,648.45
|
$40,817.40
|
2025-12-23
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
10
|
10
|
—
|
—
|
$16,839.97
|
$46,448.17
|
$40,642.15
|
2025-12-23
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
10
|
10
|
—
|
—
|
$16,828.05
|
$46,415.29
|
$40,613.38
|
2025-12-23
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
28
|
16
|
—
|
—
|
$28,581.02
|
$114,644.99
|
$40,538.63
|
2025-12-23
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
10
|
10
|
—
|
—
|
$16,773.86
|
$46,265.82
|
$40,482.59
|
2025-12-23
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$28,454.77
|
$114,138.59
|
$40,364.69
|
2025-12-23
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
10
|
—
|
—
|
$25,396.16
|
$46,092.13
|
$40,330.62
|
2025-12-23
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
10
|
—
|
—
|
$16,670.90
|
$45,981.84
|
$40,234.11
|
2025-12-23
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
10
|
—
|
—
|
$16,595.39
|
$45,773.58
|
$40,051.88
|
2025-12-23
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
10
|
—
|
—
|
$16,534.70
|
$45,606.18
|
$39,905.41
|
2025-12-23
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
10
|
10
|
—
|
—
|
$16,533.98
|
$45,604.19
|
$39,903.66
|
2025-12-23
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
10
|
—
|
—
|
$25,119.06
|
$45,589.24
|
$39,890.58
|
2025-12-23
|
|
37221
|
CPT
|
Iliac Art Stent Wwo Pta Initl Bil
|
43
|
17
|
$88,608.00
|
$57,595.20
35% off
|
$173.17
|
$88,608.00
|
$39,873.60
|
2026-03-30
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
10
|
10
|
—
|
—
|
$16,459.92
|
$45,399.91
|
$39,724.92
|
2025-12-23
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
10
|
10
|
—
|
—
|
$16,450.16
|
$45,373.01
|
$39,701.38
|
2025-12-23
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
10
|
10
|
—
|
—
|
$16,443.66
|
$45,355.08
|
$39,685.70
|
2025-12-23
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
10
|
10
|
—
|
—
|
$16,368.53
|
$45,147.82
|
$39,504.34
|
2025-12-23
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
8
|
6
|
—
|
—
|
$39,279.60
|
$82,669.41
|
$39,377.80
|
2025-12-23
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
10
|
10
|
—
|
—
|
$16,303.13
|
$44,967.46
|
$39,346.52
|
2025-12-23
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
10
|
10
|
—
|
—
|
$16,302.04
|
$44,964.47
|
$39,343.91
|
2025-12-23
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
10
|
10
|
—
|
—
|
$16,274.95
|
$44,889.73
|
$39,278.52
|
2025-12-23
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
10
|
—
|
—
|
$16,230.52
|
$44,767.18
|
$39,171.28
|
2025-12-23
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
15
|
—
|
—
|
$27,575.35
|
$110,611.02
|
$39,153.04
|
2025-12-23
|
|
37226
|
CPT
|
Fempop Artery Stent W/wo Pta Bil
|
43
|
17
|
$86,466.00
|
$56,202.90
35% off
|
$173.17
|
$86,466.00
|
$38,909.70
|
2026-03-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
27
|
15
|
—
|
—
|
$27,369.06
|
$109,783.54
|
$38,868.81
|
2025-12-23
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
10
|
10
|
—
|
—
|
$16,063.97
|
$44,307.82
|
$38,769.34
|
2025-12-23
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
27
|
15
|
—
|
—
|
$27,285.25
|
$109,447.37
|
$38,753.35
|
2025-12-23
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
10
|
10
|
—
|
—
|
$16,046.63
|
$44,259.98
|
$38,727.49
|
2025-12-23
|
|
20983
|
CPT
|
Perc Cryo Ablat Bone Tumrs Wgu Bil
|
56
|
22
|
$103,496.00
|
$67,272.40
35% off
|
$173.17
|
$103,496.00
|
$38,655.76
|
2026-03-30
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
10
|
10
|
—
|
—
|
$15,976.18
|
$44,065.68
|
$38,557.47
|
2025-12-23
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
10
|
10
|
—
|
—
|
$15,940.43
|
$43,967.03
|
$38,471.15
|
2025-12-23
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
27
|
15
|
—
|
—
|
$27,059.08
|
$108,540.16
|
$38,441.73
|
2025-12-23
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
10
|
10
|
—
|
—
|
$15,898.52
|
$43,851.44
|
$38,370.01
|
2025-12-23
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
8
|
6
|
—
|
—
|
$38,193.04
|
$80,312.97
|
$38,288.53
|
2025-12-23
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
27
|
15
|
—
|
—
|
$26,899.53
|
$107,900.15
|
$38,221.90
|
2025-12-23
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$26,867.83
|
$107,773.01
|
$38,178.23
|
2025-12-23
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
10
|
10
|
—
|
—
|
$15,794.11
|
$43,563.47
|
$38,118.03
|
2025-12-23
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
10
|
10
|
—
|
—
|
$15,764.49
|
$43,481.76
|
$38,046.54
|
2025-12-23
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$26,771.13
|
$107,385.13
|
$38,045.00
|
2025-12-23
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
10
|
10
|
—
|
—
|
$15,665.14
|
$43,207.74
|
$37,806.77
|
2025-12-23
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
10
|
10
|
—
|
—
|
$15,656.47
|
$43,183.82
|
$37,785.85
|
2025-12-23
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
10
|
10
|
—
|
—
|
$15,570.12
|
$42,945.67
|
$37,577.46
|
2025-12-23
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
10
|
—
|
—
|
$15,498.24
|
$42,747.38
|
$37,403.96
|
2025-12-23
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
29
|
17
|
—
|
—
|
$23,874.00
|
$105,305.65
|
$37,330.74
|
2025-12-23
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
10
|
10
|
—
|
—
|
$15,451.63
|
$42,618.84
|
$37,291.49
|
2025-12-23
|