|
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
|
—
|
—
|
$210,343.71
|
$529,191.44
|
$357,490.58
|
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
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
7
|
—
|
—
|
$18,645.74
|
$354,875.13
|
$228,075.64
|
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
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$128,831.50
|
$324,119.63
|
$218,956.14
|
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
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$120,435.79
|
$302,997.38
|
$204,687.19
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$120,356.31
|
$302,797.40
|
$204,552.10
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$119,797.74
|
$301,392.11
|
$203,602.77
|
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
|
|
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
|
—
|
—
|
$89,815.36
|
$225,961.22
|
$152,646.10
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$89,760.19
|
$225,822.43
|
$152,552.34
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$89,629.89
|
$225,494.62
|
$152,330.89
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$88,048.17
|
$221,515.25
|
$149,642.67
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
9
|
—
|
—
|
$86,333.24
|
$217,200.76
|
$146,728.05
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$85,801.52
|
$215,863.04
|
$145,824.36
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$84,481.48
|
$212,542.03
|
$143,580.89
|
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
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
18
|
9
|
—
|
—
|
$79,893.10
|
$200,998.39
|
$135,782.68
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
9
|
—
|
—
|
$78,295.40
|
$196,978.84
|
$133,067.30
|
2026-07-15
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
9
|
5
|
—
|
—
|
$83.30
|
$241,784.27
|
$132,922.50
|
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
|
|
454
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Cc
|
8
|
3
|
—
|
—
|
$64,925.00
|
$182,229.04
|
$126,641.05
|
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
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$74,275.40
|
$186,865.14
|
$126,235.09
|
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
|
|
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
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$70,861.16
|
$178,275.43
|
$120,432.39
|
2026-07-15
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
9
|
5
|
—
|
—
|
$83.30
|
$232,381.28
|
$120,016.88
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$91,982.52
|
$152,272.05
|
$119,996.20
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$70,327.62
|
$176,933.15
|
$119,525.62
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$67,666.12
|
$170,237.25
|
$115,002.26
|
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
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$66,992.86
|
$168,543.42
|
$113,858.01
|
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
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$65,560.30
|
$164,939.34
|
$111,423.30
|
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
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$63,713.63
|
$160,293.39
|
$108,284.77
|
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
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
9
|
5
|
—
|
—
|
$83.30
|
$259,382.64
|
$104,715.59
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$60,053.30
|
$151,084.59
|
$102,063.86
|
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
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$59,173.88
|
$148,872.10
|
$100,569.23
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$73,522.65
|
$121,712.74
|
$95,914.29
|
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
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$55,954.17
|
$140,771.83
|
$95,097.16
|
2026-07-15
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
9
|
5
|
—
|
—
|
$83.30
|
$177,232.59
|
$94,831.88
|
2026-07-15
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
9
|
5
|
—
|
—
|
$83.30
|
$170,086.25
|
$94,138.13
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$71,254.59
|
$117,958.09
|
$92,955.49
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$54,334.70
|
$136,697.49
|
$92,344.77
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
38
|
19
|
—
|
—
|
$65.55
|
$358,920.04
|
$89,222.24
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
9
|
—
|
—
|
$51,558.87
|
$129,713.96
|
$87,627.12
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$82,565.48
|
$89,922.80
|
$85,835.40
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
19
|
—
|
—
|
$65.55
|
$335,720.20
|
$81,861.29
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
9
|
—
|
—
|
$47,138.54
|
$118,593.09
|
$80,114.51
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$46,660.90
|
$117,391.43
|
$79,302.74
|
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
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$60,053.30
|
$99,414.97
|
$78,342.79
|
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
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
32
|
18
|
—
|
—
|
$52,737.17
|
$268,553.14
|
$77,313.29
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$45,068.28
|
$113,384.67
|
$76,596.01
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
18
|
9
|
—
|
—
|
$44,728.57
|
$112,529.99
|
$76,018.64
|
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
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$43,759.49
|
$110,091.96
|
$74,371.65
|
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
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$43,252.83
|
$108,817.25
|
$73,510.52
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
9
|
—
|
—
|
$43,158.09
|
$108,578.92
|
$73,349.52
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$264,796.18
|
$72,427.17
|
2026-07-15
|
|
J9029
|
HCPCS
|
Instill Adstiladrin Tx Dose
|
12
|
10
|
—
|
—
|
$61,528.12
|
$161,675.20
|
$71,327.30
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$54,647.92
|
$90,466.66
|
$71,291.19
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
19
|
—
|
—
|
$65.55
|
$276,498.26
|
$70,955.15
|
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
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
18
|
9
|
—
|
—
|
$41,273.67
|
$103,838.01
|
$70,146.85
|
2026-07-15
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
18
|
9
|
—
|
—
|
$41,273.67
|
$103,838.01
|
$70,146.85
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$40,925.24
|
$102,961.42
|
$69,554.67
|
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
|
|
S2068
|
HCPCS
|
Breast Diep Or Siea Flap
|
1
|
1
|
—
|
—
|
$68,089.13
|
$68,089.13
|
$68,089.13
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$51,747.25
|
$85,664.75
|
$67,507.10
|
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
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
4
|
2
|
—
|
—
|
$30,847.06
|
$79,147.76
|
$66,096.38
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$38,849.90
|
$97,740.21
|
$66,027.53
|
2026-07-15
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$63,019.67
|
$68,635.28
|
$65,515.50
|
2026-07-15
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
9
|
5
|
—
|
—
|
$83.30
|
$176,793.90
|
$65,054.62
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$49,644.69
|
$82,184.08
|
$64,764.20
|
2026-07-15
|
|
0100T
|
CPT
|
Prosth Retina Receive&gen
|
1
|
1
|
—
|
—
|
$64,230.00
|
$64,230.00
|
$64,230.00
|
2026-07-15
|
|
0424T
|
CPT
|
Insj/rplc Nstim Apnea Compl
|
1
|
1
|
—
|
—
|
$64,230.00
|
$64,230.00
|
$64,230.00
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
33
|
19
|
—
|
—
|
$45,720.67
|
$214,248.31
|
$64,008.94
|
2026-07-15
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab Rx
|
12
|
10
|
—
|
—
|
$55,119.81
|
$144,902.60
|
$63,927.62
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
34
|
18
|
—
|
—
|
$52.30
|
$239,408.76
|
$62,806.11
|
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
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$60,053.30
|
$65,404.58
|
$62,431.65
|
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
|
|
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
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$287,070.31
|
$61,165.23
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$35,973.91
|
$90,504.65
|
$61,139.61
|
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
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
18
|
9
|
—
|
—
|
$35,643.26
|
$89,672.80
|
$60,577.67
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
18
|
9
|
—
|
—
|
$35,183.77
|
$88,516.80
|
$59,796.74
|
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
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$34,780.90
|
$87,503.23
|
$59,112.03
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$34,649.51
|
$87,172.69
|
$58,888.74
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
34
|
19
|
—
|
—
|
$37,953.76
|
$293,885.73
|
$58,829.14
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
9
|
—
|
—
|
$34,482.20
|
$86,751.74
|
$58,604.36
|
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
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
9
|
—
|
—
|
$34,209.98
|
$86,066.90
|
$58,141.74
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
18
|
9
|
—
|
—
|
$33,928.70
|
$85,359.23
|
$57,663.67
|
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
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$33,723.64
|
$84,843.32
|
$57,315.15
|
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
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$43,702.87
|
$72,347.73
|
$57,012.79
|
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
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
34
|
19
|
—
|
—
|
$70.90
|
$225,878.29
|
$56,555.03
|
2026-07-15
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
9
|
5
|
—
|
—
|
$83.30
|
$101,962.99
|
$56,433.75
|
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
|
|
16
|
MS_DRG
|
Autolous Bone Marrow Transplant With 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
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
9
|
5
|
—
|
—
|
$83.30
|
$101,475.17
|
$56,163.75
|
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
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$199,339.04
|
$55,165.07
|
2026-07-15
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
12
|
10
|
—
|
—
|
$47,173.81
|
$124,013.61
|
$54,711.89
|
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
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$51,747.25
|
$56,358.39
|
$53,796.64
|
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
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$31,516.91
|
$79,291.56
|
$53,564.71
|
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
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$31,136.91
|
$78,335.52
|
$52,918.87
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$293,041.63
|
$52,871.31
|
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
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$328,997.91
|
$52,368.61
|
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
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$30,319.55
|
$76,279.18
|
$51,529.73
|
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
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
38
|
19
|
—
|
—
|
$65.55
|
$231,322.32
|
$51,104.21
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
34
|
19
|
—
|
—
|
$3,353.24
|
$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
|
|
405
|
MS_DRG
|
Pancreas- Liver And Shunt Procedures With Mcc
|
33
|
19
|
—
|
—
|
$36,114.98
|
$183,908.07
|
$50,560.97
|
2026-07-15
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
9
|
—
|
—
|
$29,707.98
|
$74,740.58
|
$50,490.34
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$29,654.99
|
$74,607.26
|
$50,400.27
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
19
|
—
|
—
|
$65.55
|
$218,774.28
|
$49,406.11
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
18
|
9
|
—
|
—
|
$28,831.46
|
$72,535.40
|
$49,000.64
|
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
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
19
|
—
|
—
|
$65.55
|
$179,436.31
|
$48,729.32
|
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
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$28,337.85
|
$71,293.55
|
$48,161.73
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$28,263.45
|
$71,106.36
|
$48,035.27
|
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
|
|
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
|
|
326
|
MS_DRG
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
33
|
19
|
—
|
—
|
$33,788.57
|
$172,061.28
|
$47,303.99
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$27,790.53
|
$69,916.57
|
$47,231.52
|
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
|
|
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
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
34
|
18
|
—
|
—
|
$35.40
|
$209,847.69
|
$46,359.99
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$27,239.22
|
$68,529.54
|
$46,294.53
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$206,944.43
|
$45,718.59
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$43,877.81
|
$47,787.72
|
$45,615.55
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
18
|
9
|
—
|
—
|
$26,689.35
|
$67,146.17
|
$45,360.00
|
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
|
|
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
|
—
|
—
|
$30,142.94
|
$146,280.89
|
$44,877.59
|
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
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
19
|
—
|
—
|
$65.55
|
$201,544.44
|
$44,525.62
|
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
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
18
|
9
|
—
|
—
|
$25,982.32
|
$65,367.42
|
$44,158.38
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$160,211.59
|
$44,117.55
|
2026-07-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
34
|
18
|
—
|
—
|
$52.30
|
$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
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
18
|
9
|
—
|
—
|
$25,948.93
|
$65,283.41
|
$44,101.63
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
18
|
9
|
—
|
—
|
$25,872.35
|
$65,090.74
|
$43,971.47
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
33
|
19
|
—
|
—
|
$3,715.93
|
$159,381.12
|
$43,817.90
|
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
|
|
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
|
|
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
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
9
|
—
|
—
|
$25,374.76
|
$63,838.85
|
$43,125.77
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$25,346.08
|
$63,766.72
|
$43,077.04
|
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
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
18
|
9
|
—
|
—
|
$25,148.27
|
$63,269.07
|
$42,740.86
|
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
|
|
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
|
|
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
|
34
|
19
|
—
|
—
|
$6,297.88
|
$140,952.03
|
$41,987.55
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$24,669.91
|
$62,065.58
|
$41,927.85
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
18
|
9
|
—
|
—
|
$24,633.97
|
$61,975.18
|
$41,866.78
|
2026-07-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
18
|
9
|
—
|
—
|
$24,608.57
|
$61,911.26
|
$41,823.60
|
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
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$31,737.58
|
$52,539.84
|
$41,403.40
|
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
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
18
|
9
|
—
|
—
|
$24,318.21
|
$61,180.77
|
$41,330.12
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$24,283.37
|
$61,093.11
|
$41,270.90
|
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
|
|
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
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
18
|
9
|
—
|
—
|
$23,966.88
|
$60,296.87
|
$40,733.01
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
9
|
—
|
—
|
$23,930.59
|
$60,205.56
|
$40,671.32
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
9
|
—
|
—
|
$23,897.56
|
$60,122.46
|
$40,615.19
|
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
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$139,305.61
|
$40,503.54
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$31,043.27
|
$51,390.44
|
$40,497.63
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
18
|
9
|
—
|
—
|
$23,827.14
|
$59,945.32
|
$40,495.52
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
18
|
9
|
—
|
—
|
$23,782.50
|
$59,833.00
|
$40,419.65
|
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
|
|
613
|
MS_DRG
|
Neonate- Birthwt <750g- Died
|
1
|
1
|
—
|
—
|
$40,143.39
|
$40,143.39
|
$40,143.39
|
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
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
18
|
9
|
—
|
—
|
$23,460.93
|
$59,023.98
|
$39,873.12
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
18
|
9
|
—
|
—
|
$23,427.90
|
$58,940.89
|
$39,816.99
|
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
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
33
|
19
|
—
|
—
|
$25,869.97
|
$131,737.49
|
$39,633.79
|
2026-07-15
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
18
|
9
|
—
|
—
|
$23,263.85
|
$58,528.16
|
$39,538.18
|
2026-07-15
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
9
|
—
|
—
|
$23,230.45
|
$58,444.15
|
$39,481.43
|
2026-07-15
|
|
277
|
MS_DRG
|
Other Major Cardiovascular Procedures W Mcc
|
34
|
18
|
—
|
—
|
$52.30
|
$157,592.42
|
$39,457.72
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$23,174.20
|
$58,302.62
|
$39,385.82
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
18
|
9
|
—
|
—
|
$23,067.49
|
$58,034.16
|
$39,204.46
|
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
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$29,817.96
|
$49,362.00
|
$38,899.15
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
18
|
9
|
—
|
—
|
$22,880.58
|
$57,563.90
|
$38,886.78
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$29,699.27
|
$49,165.53
|
$38,744.32
|
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
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
9
|
—
|
—
|
$22,663.90
|
$57,018.77
|
$38,518.53
|
2026-07-15
|
|
C1604
|
HCPCS
|
C1604 Grft Trnsmurl Trnsvens Byps 20001-21000
|
351
|
26
|
$75,001.00
|
$45,000.60
40% off
|
$25.62
|
$88,501.00
|
$38,250.50
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
18
|
9
|
—
|
—
|
$22,479.16
|
$56,554.00
|
$38,204.55
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor…
|
33
|
19
|
—
|
—
|
$24,894.04
|
$126,767.73
|
$38,138.05
|
2026-07-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$29,073.91
|
$48,130.28
|
$37,928.50
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
33
|
19
|
—
|
—
|
$27,269.41
|
$141,931.08
|
$37,890.76
|
2026-07-15
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
36
|
19
|
—
|
—
|
$53.15
|
$132,469.23
|
$37,874.16
|
2026-07-15
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
33
|
19
|
—
|
—
|
$23,292.76
|
$118,613.54
|
$37,774.16
|
2026-07-15
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$22,182.99
|
$55,808.89
|
$37,701.19
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
38
|
19
|
—
|
—
|
$65.55
|
$170,635.06
|
$37,697.05
|
2026-07-15
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
33
|
19
|
—
|
—
|
$25,686.36
|
$130,802.48
|
$37,496.44
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
18
|
9
|
—
|
—
|
$21,858.87
|
$54,993.48
|
$37,150.36
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
33
|
19
|
—
|
—
|
$26,501.97
|
$134,955.80
|
$37,102.76
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$21,796.81
|
$54,837.33
|
$37,044.87
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
18
|
9
|
—
|
—
|
$21,650.54
|
$54,469.35
|
$36,796.28
|
2026-07-15
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
33
|
19
|
—
|
—
|
$26,195.29
|
$133,394.08
|
$36,673.40
|
2026-07-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
38
|
19
|
—
|
—
|
$65.55
|
$165,550.12
|
$36,573.68
|
2026-07-15
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$35,093.04
|
$38,220.14
|
$36,482.86
|
2026-07-15
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
33
|
19
|
—
|
—
|
$23,480.36
|
$119,568.87
|
$36,408.88
|
2026-07-15
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
1
|
1
|
—
|
—
|
$36,346.66
|
$36,346.66
|
$36,346.66
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
18
|
9
|
—
|
—
|
$21,361.28
|
$53,741.59
|
$36,304.65
|
2026-07-15
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
18
|
9
|
—
|
—
|
$21,303.20
|
$53,595.49
|
$36,205.96
|
2026-07-15
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
12
|
10
|
—
|
—
|
$32,182.77
|
$82,066.07
|
$36,205.62
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$21,295.22
|
$53,575.40
|
$36,192.39
|
2026-07-15
|
|
342
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Cc
|
4
|
2
|
—
|
—
|
$17,069.18
|
$43,296.64
|
$36,157.07
|
2026-07-15
|