|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
18
|
16
|
—
|
$4,377,500.00
|
$4,158,625.00
|
$4,815,250.00
|
$4,377,500.00
|
2025-12-02
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
18
|
16
|
—
|
$3,710,000.00
|
$3,524,500.00
|
$4,081,000.00
|
$3,710,000.00
|
2025-12-02
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
18
|
16
|
—
|
$3,685,266.67
|
$3,501,003.34
|
$4,053,793.34
|
$3,685,266.67
|
2025-12-02
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
18
|
16
|
—
|
$3,324,571.90
|
$3,158,343.31
|
$3,657,029.09
|
$3,324,571.90
|
2025-12-02
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
18
|
16
|
—
|
$3,261,355.00
|
$3,098,287.25
|
$3,587,490.50
|
$3,261,355.00
|
2025-12-02
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
18
|
16
|
—
|
$2,950,686.67
|
$2,803,152.34
|
$3,245,755.34
|
$2,950,686.67
|
2025-12-02
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
18
|
16
|
—
|
$2,452,115.60
|
$2,329,509.82
|
$2,697,327.16
|
$2,452,115.60
|
2025-12-02
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
18
|
16
|
—
|
$2,332,000.00
|
$2,215,400.00
|
$2,565,200.00
|
$2,332,000.00
|
2025-12-02
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
18
|
16
|
—
|
$770,620.00
|
$732,089.00
|
$847,682.00
|
$770,620.00
|
2025-12-02
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
19
|
16
|
—
|
$578,324.58
|
$529,810.07
|
$636,157.04
|
$578,324.58
|
2025-12-02
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
18
|
16
|
—
|
$553,378.83
|
$525,709.89
|
$608,716.71
|
$553,378.83
|
2025-12-02
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
18
|
16
|
—
|
$541,635.66
|
$514,553.88
|
$595,799.23
|
$541,635.66
|
2025-12-02
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
18
|
16
|
—
|
$541,260.45
|
$514,197.43
|
$595,386.50
|
$541,260.45
|
2025-12-02
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
19
|
16
|
—
|
$533,076.48
|
$474,456.00
|
$586,384.13
|
$533,076.48
|
2025-12-02
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
18
|
16
|
—
|
$489,720.00
|
$465,234.00
|
$538,692.00
|
$489,720.00
|
2025-12-02
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
24
|
17
|
—
|
—
|
$159,652.61
|
$438,942.92
|
$399,039.02
|
2025-12-02
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
17
|
—
|
—
|
$119,247.12
|
$330,967.59
|
$300,879.63
|
2025-12-02
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
18
|
16
|
—
|
$270,375.00
|
$256,856.25
|
$297,412.50
|
$270,375.00
|
2025-12-02
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
24
|
17
|
—
|
—
|
$100,427.63
|
$280,676.41
|
$255,160.37
|
2025-12-02
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
24
|
17
|
—
|
—
|
$90,728.11
|
$254,756.45
|
$231,596.77
|
2025-12-02
|
|
5834
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$208,261.09
|
$218,674.14
|
$208,261.09
|
2025-12-02
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
24
|
17
|
—
|
—
|
$59,817.66
|
$172,154.68
|
$156,504.25
|
2025-12-02
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
24
|
17
|
—
|
—
|
$55,464.90
|
$160,522.82
|
$145,929.84
|
2025-12-02
|
|
7
|
MS_DRG
|
Lung Transplant
|
24
|
17
|
—
|
—
|
$55,325.20
|
$160,149.50
|
$145,590.45
|
2025-12-02
|
|
5884
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$127,555.93
|
$133,933.73
|
$127,555.93
|
2025-12-02
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
24
|
17
|
—
|
—
|
$46,650.58
|
$136,968.37
|
$124,516.70
|
2025-12-02
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve?procedures
|
24
|
17
|
—
|
—
|
$46,118.02
|
$135,545.22
|
$123,222.93
|
2025-12-02
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
24
|
17
|
—
|
—
|
$45,082.96
|
$132,779.23
|
$120,708.39
|
2025-12-02
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
24
|
17
|
—
|
—
|
$44,851.81
|
$132,161.55
|
$120,146.86
|
2025-12-02
|
|
0114
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$119,243.35
|
$125,205.52
|
$119,243.35
|
2025-12-02
|
|
0024
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$119,164.66
|
$125,122.89
|
$119,164.66
|
2025-12-02
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
17
|
—
|
—
|
$112,972.96
|
$130,810.80
|
$118,918.91
|
2025-12-02
|
|
5833
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$118,611.61
|
$124,542.19
|
$118,611.61
|
2025-12-02
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
17
|
—
|
—
|
$40,856.77
|
$121,485.63
|
$110,441.48
|
2025-12-02
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
19
|
17
|
—
|
—
|
$100,628.35
|
$116,517.04
|
$105,924.58
|
2025-12-02
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
24
|
17
|
—
|
—
|
$35,873.24
|
$108,168.17
|
$98,334.70
|
2025-12-02
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
17
|
—
|
—
|
$35,853.34
|
$108,115.00
|
$98,286.36
|
2025-12-02
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
19
|
17
|
—
|
—
|
$92,115.60
|
$106,660.17
|
$96,963.79
|
2025-12-02
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
17
|
—
|
—
|
$34,125.70
|
$103,498.23
|
$94,089.30
|
2025-12-02
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
24
|
17
|
—
|
—
|
$33,752.74
|
$102,501.56
|
$93,183.24
|
2025-12-02
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
24
|
17
|
—
|
—
|
$33,559.27
|
$101,984.58
|
$92,713.25
|
2025-12-02
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
24
|
17
|
—
|
—
|
$33,089.79
|
$100,729.98
|
$91,572.71
|
2025-12-02
|
|
5832
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$91,071.80
|
$95,625.39
|
$91,071.80
|
2025-12-02
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
17
|
—
|
—
|
$32,755.78
|
$99,837.40
|
$90,761.27
|
2025-12-02
|
|
1614
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$88,926.10
|
$93,372.41
|
$88,926.10
|
2025-12-02
|
|
6094
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$88,871.47
|
$93,315.04
|
$88,871.47
|
2025-12-02
|
|
0113
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$88,742.47
|
$93,179.59
|
$88,742.47
|
2025-12-02
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
24
|
17
|
—
|
—
|
$31,598.79
|
$96,745.59
|
$87,950.54
|
2025-12-02
|
|
0094
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$87,176.40
|
$91,535.22
|
$87,176.40
|
2025-12-02
|
|
Q048000
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$86,664.80
|
$86,664.80
|
$86,664.80
|
2025-12-02
|
|
6314
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$85,478.45
|
$89,752.37
|
$85,478.45
|
2025-12-02
|
|
5883
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$84,952.00
|
$89,199.60
|
$84,952.00
|
2025-12-02
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
17
|
—
|
—
|
$80,021.10
|
$92,656.01
|
$84,232.74
|
2025-12-02
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
24
|
17
|
—
|
—
|
$29,917.30
|
$92,252.14
|
$83,865.58
|
2025-12-02
|
|
5914
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$83,645.03
|
$87,827.28
|
$83,645.03
|
2025-12-02
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
17
|
—
|
—
|
$29,449.51
|
$91,002.08
|
$82,729.16
|
2025-12-02
|
|
5831
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$81,748.00
|
$85,835.40
|
$81,748.00
|
2025-12-02
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
17
|
—
|
—
|
$28,906.79
|
$89,551.77
|
$81,410.70
|
2025-12-02
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
19
|
17
|
—
|
—
|
$76,132.57
|
$88,153.51
|
$80,139.55
|
2025-12-02
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
24
|
17
|
—
|
—
|
$28,274.32
|
$87,861.63
|
$79,874.21
|
2025-12-02
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
24
|
17
|
—
|
—
|
$28,226.48
|
$87,733.80
|
$79,758.00
|
2025-12-02
|
|
8414
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$79,102.08
|
$83,057.18
|
$79,102.08
|
2025-12-02
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
17
|
—
|
—
|
$27,378.12
|
$85,466.71
|
$77,697.01
|
2025-12-02
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
17
|
—
|
—
|
$27,338.74
|
$85,361.50
|
$77,601.36
|
2025-12-02
|
|
6304
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$77,520.20
|
$81,396.21
|
$77,520.20
|
2025-12-02
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$26,773.17
|
$83,850.11
|
$76,227.37
|
2025-12-02
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
24
|
17
|
—
|
—
|
$26,223.25
|
$82,380.56
|
$74,891.42
|
2025-12-02
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
19
|
17
|
—
|
—
|
$71,068.69
|
$82,290.07
|
$74,809.15
|
2025-12-02
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
17
|
—
|
—
|
$26,070.00
|
$81,971.04
|
$74,519.13
|
2025-12-02
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
24
|
17
|
—
|
—
|
$25,978.98
|
$81,727.81
|
$74,298.01
|
2025-12-02
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
24
|
17
|
—
|
—
|
$25,860.45
|
$81,411.06
|
$74,010.05
|
2025-12-02
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
24
|
17
|
—
|
—
|
$25,736.83
|
$81,080.73
|
$73,709.75
|
2025-12-02
|
|
5934
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$73,539.99
|
$77,216.99
|
$73,539.99
|
2025-12-02
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
24
|
17
|
—
|
—
|
$25,552.26
|
$80,587.49
|
$73,261.35
|
2025-12-02
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
24
|
17
|
—
|
—
|
$25,552.26
|
$80,587.49
|
$73,261.35
|
2025-12-02
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
24
|
17
|
—
|
—
|
$25,361.33
|
$80,077.27
|
$72,797.52
|
2025-12-02
|
|
5882
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$72,794.69
|
$76,434.42
|
$72,794.69
|
2025-12-02
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
17
|
—
|
—
|
$25,185.65
|
$79,607.79
|
$72,370.72
|
2025-12-02
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
24
|
17
|
—
|
—
|
$25,166.60
|
$79,556.88
|
$72,324.44
|
2025-12-02
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
24
|
17
|
—
|
—
|
$24,910.05
|
$78,871.32
|
$71,701.20
|
2025-12-02
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$24,648.01
|
$78,171.06
|
$71,064.60
|
2025-12-02
|
|
0112
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$70,549.09
|
$74,076.54
|
$70,549.09
|
2025-12-02
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
17
|
—
|
—
|
$24,297.06
|
$77,233.22
|
$70,212.02
|
2025-12-02
|
|
0074
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$70,159.55
|
$73,667.53
|
$70,159.55
|
2025-12-02
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
17
|
—
|
—
|
$24,151.86
|
$76,845.20
|
$69,859.27
|
2025-12-02
|
|
1613
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$69,631.30
|
$73,112.87
|
$69,631.30
|
2025-12-02
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
24
|
17
|
—
|
—
|
$23,599.40
|
$75,368.88
|
$68,517.16
|
2025-12-02
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$23,399.16
|
$74,833.77
|
$68,030.70
|
2025-12-02
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
24
|
17
|
—
|
—
|
$23,399.16
|
$74,833.77
|
$68,030.70
|
2025-12-02
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
17
|
—
|
—
|
$64,402.50
|
$74,571.32
|
$67,792.11
|
2025-12-02
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
19
|
17
|
—
|
—
|
$64,074.22
|
$74,191.21
|
$67,446.55
|
2025-12-02
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
24
|
17
|
—
|
—
|
$23,034.24
|
$73,858.61
|
$67,144.19
|
2025-12-02
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
24
|
17
|
—
|
—
|
$22,981.75
|
$73,718.33
|
$67,016.66
|
2025-12-02
|
|
0044
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$66,996.16
|
$70,345.97
|
$66,996.16
|
2025-12-02
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
17
|
—
|
—
|
$22,864.49
|
$73,404.97
|
$66,731.79
|
2025-12-02
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
24
|
17
|
—
|
—
|
$22,842.90
|
$73,347.27
|
$66,679.34
|
2025-12-02
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
24
|
17
|
—
|
—
|
$22,840.36
|
$73,340.49
|
$66,673.17
|
2025-12-02
|
|
0014
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$66,329.56
|
$69,646.04
|
$66,329.56
|
2025-12-02
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
24
|
17
|
—
|
—
|
$22,522.43
|
$72,490.89
|
$65,900.81
|
2025-12-02
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
17
|
—
|
—
|
$22,422.94
|
$72,225.03
|
$65,659.12
|
2025-12-02
|
|
0023
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$64,911.19
|
$68,156.75
|
$64,911.19
|
2025-12-02
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
19
|
17
|
—
|
—
|
$60,943.86
|
$70,566.57
|
$64,151.43
|
2025-12-02
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
24
|
17
|
—
|
—
|
$21,729.94
|
$70,373.13
|
$63,975.57
|
2025-12-02
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
24
|
17
|
—
|
—
|
$21,567.38
|
$69,938.72
|
$63,580.65
|
2025-12-02
|
|
J902900
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
1
|
1
|
—
|
$63,431.05
|
$63,505.40
|
$63,505.40
|
$63,505.40
|
2025-12-02
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
18
|
16
|
—
|
$63,431.05
|
$60,259.50
|
$69,774.16
|
$63,431.05
|
2025-12-02
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
24
|
17
|
—
|
—
|
$21,501.34
|
$69,762.23
|
$63,420.21
|
2025-12-02
|
|
5913
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$63,082.79
|
$66,236.93
|
$63,082.79
|
2025-12-02
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
24
|
17
|
—
|
—
|
$21,323.11
|
$69,285.96
|
$62,987.24
|
2025-12-02
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
24
|
17
|
—
|
—
|
$21,197.38
|
$68,949.97
|
$62,681.79
|
2025-12-02
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
24
|
17
|
—
|
—
|
$21,180.87
|
$68,905.85
|
$62,641.68
|
2025-12-02
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$21,172.40
|
$68,883.22
|
$62,621.11
|
2025-12-02
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
24
|
17
|
—
|
—
|
$21,096.20
|
$68,679.60
|
$62,436.00
|
2025-12-02
|
|
5881
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$62,395.71
|
$65,515.50
|
$62,395.71
|
2025-12-02
|
|
A954300
|
HCPCS
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
$56,824.55
|
$61,523.28
|
$61,523.28
|
$61,523.28
|
2025-12-02
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
24
|
17
|
—
|
—
|
$20,687.68
|
$67,587.91
|
$61,443.55
|
2025-12-02
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
24
|
17
|
—
|
—
|
$20,562.80
|
$67,254.18
|
$61,140.16
|
2025-12-02
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
24
|
17
|
—
|
—
|
$20,528.51
|
$67,162.55
|
$61,056.86
|
2025-12-02
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
17
|
—
|
—
|
$20,216.51
|
$66,328.79
|
$60,298.90
|
2025-12-02
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
17
|
—
|
—
|
$20,128.88
|
$66,094.61
|
$60,086.01
|
2025-12-02
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
17
|
—
|
—
|
$20,125.07
|
$66,084.44
|
$60,076.76
|
2025-12-02
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
24
|
17
|
—
|
—
|
$19,916.78
|
$65,527.84
|
$59,570.76
|
2025-12-02
|
|
5893
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$59,458.71
|
$62,431.65
|
$59,458.71
|
2025-12-02
|
|
5891
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$59,458.71
|
$62,431.65
|
$59,458.71
|
2025-12-02
|
|
5892
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$59,458.71
|
$62,431.65
|
$59,458.71
|
2025-12-02
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
18
|
16
|
—
|
$59,365.89
|
$56,397.59
|
$65,302.48
|
$59,365.89
|
2025-12-02
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
24
|
17
|
—
|
—
|
$19,810.10
|
$65,242.76
|
$59,311.60
|
2025-12-02
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
24
|
17
|
—
|
—
|
$19,693.26
|
$64,930.53
|
$59,027.75
|
2025-12-02
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
24
|
17
|
—
|
—
|
$19,512.50
|
$64,447.46
|
$58,588.60
|
2025-12-02
|
|
0093
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$58,587.99
|
$61,517.39
|
$58,587.99
|
2025-12-02
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
24
|
17
|
—
|
—
|
$19,504.45
|
$64,425.97
|
$58,569.06
|
2025-12-02
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
17
|
—
|
—
|
$19,442.22
|
$64,259.67
|
$58,417.88
|
2025-12-02
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
24
|
17
|
—
|
—
|
$19,439.26
|
$64,251.75
|
$58,410.68
|
2025-12-02
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$19,099.32
|
$63,343.34
|
$57,584.85
|
2025-12-02
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
24
|
17
|
—
|
—
|
$18,985.44
|
$63,039.02
|
$57,308.20
|
2025-12-02
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
24
|
17
|
—
|
—
|
$18,932.95
|
$62,898.74
|
$57,180.67
|
2025-12-02
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
19
|
16
|
—
|
$56,824.55
|
$50,967.20
|
$62,507.01
|
$56,824.55
|
2025-12-02
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
24
|
17
|
—
|
—
|
$18,755.99
|
$62,425.86
|
$56,750.78
|
2025-12-02
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
24
|
17
|
—
|
—
|
$18,596.39
|
$61,999.37
|
$56,363.06
|
2025-12-02
|
|
J733000
|
HCPCS
|
Cultured Chondrocytes Implnt
|
1
|
1
|
—
|
—
|
$55,946.32
|
$55,946.32
|
$55,946.32
|
2025-12-02
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
19
|
16
|
—
|
$55,945.97
|
$53,148.67
|
$61,540.57
|
$55,945.97
|
2025-12-02
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
24
|
17
|
—
|
—
|
$18,317.41
|
$61,253.85
|
$55,685.32
|
2025-12-02
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
17
|
—
|
—
|
$18,279.73
|
$61,153.17
|
$55,593.79
|
2025-12-02
|
|
Q204300
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
$55,945.97
|
$55,453.57
|
$55,453.57
|
$55,453.57
|
2025-12-02
|
|
6024
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$55,400.16
|
$58,170.17
|
$55,400.16
|
2025-12-02
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$18,058.33
|
$60,561.51
|
$55,055.92
|
2025-12-02
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
24
|
17
|
—
|
—
|
$18,031.66
|
$60,490.23
|
$54,991.12
|
2025-12-02
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
24
|
17
|
—
|
—
|
$17,903.81
|
$60,148.58
|
$54,680.53
|
2025-12-02
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
24
|
17
|
—
|
—
|
$17,740.40
|
$59,711.92
|
$54,283.56
|
2025-12-02
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
24
|
17
|
—
|
—
|
$17,736.17
|
$59,700.60
|
$54,273.27
|
2025-12-02
|
|
5912
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$54,106.85
|
$56,812.19
|
$54,106.85
|
2025-12-02
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
24
|
17
|
—
|
—
|
$17,655.31
|
$59,484.52
|
$54,076.84
|
2025-12-02
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
24
|
17
|
—
|
—
|
$17,613.82
|
$59,373.66
|
$53,976.05
|
2025-12-02
|
|
5933
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$53,796.73
|
$56,486.57
|
$53,796.73
|
2025-12-02
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
24
|
17
|
—
|
—
|
$17,408.08
|
$58,823.85
|
$53,476.23
|
2025-12-02
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
24
|
17
|
—
|
—
|
$17,398.35
|
$58,797.84
|
$53,452.58
|
2025-12-02
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
24
|
17
|
—
|
—
|
$17,372.52
|
$58,728.82
|
$53,389.84
|
2025-12-02
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
19
|
17
|
—
|
—
|
$50,523.00
|
$58,500.31
|
$53,182.10
|
2025-12-02
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$17,218.85
|
$58,318.17
|
$53,016.52
|
2025-12-02
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
24
|
17
|
—
|
—
|
$17,187.10
|
$58,233.33
|
$52,939.39
|
2025-12-02
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
24
|
17
|
—
|
—
|
$16,864.52
|
$57,371.29
|
$52,155.72
|
2025-12-02
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
24
|
17
|
—
|
—
|
$16,852.66
|
$57,339.61
|
$52,126.92
|
2025-12-02
|
|
C915000
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
1
|
1
|
—
|
—
|
$51,792.00
|
$51,792.00
|
$51,792.00
|
2025-12-02
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$16,703.65
|
$56,941.40
|
$51,764.91
|
2025-12-02
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
24
|
17
|
—
|
—
|
$16,669.36
|
$56,849.77
|
$51,681.61
|
2025-12-02
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
24
|
17
|
—
|
—
|
$16,635.49
|
$56,759.26
|
$51,599.33
|
2025-12-02
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
19
|
17
|
—
|
—
|
$48,849.36
|
$56,562.42
|
$51,420.38
|
2025-12-02
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
24
|
17
|
—
|
—
|
$16,553.79
|
$56,540.92
|
$51,400.84
|
2025-12-02
|
|
1612
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$51,234.89
|
$53,796.63
|
$51,234.89
|
2025-12-02
|
|
1611
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$51,234.89
|
$53,796.63
|
$51,234.89
|
2025-12-02
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
24
|
17
|
—
|
—
|
$16,462.34
|
$56,296.57
|
$51,178.70
|
2025-12-02
|
|
1604
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$51,048.39
|
$53,600.81
|
$51,048.39
|
2025-12-02
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
24
|
17
|
—
|
—
|
$16,362.01
|
$56,028.46
|
$50,934.96
|
2025-12-02
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
24
|
17
|
—
|
—
|
$16,345.50
|
$55,984.34
|
$50,894.85
|
2025-12-02
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$16,299.78
|
$55,862.16
|
$50,783.78
|
2025-12-02
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
24
|
17
|
—
|
—
|
$16,181.67
|
$55,546.52
|
$50,496.84
|
2025-12-02
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
17
|
—
|
—
|
$16,094.04
|
$55,312.36
|
$50,283.96
|
2025-12-02
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
24
|
17
|
—
|
—
|
$15,968.73
|
$54,977.49
|
$49,979.54
|
2025-12-02
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
24
|
17
|
—
|
—
|
$15,841.31
|
$54,636.98
|
$49,669.98
|
2025-12-02
|
|
0022
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$49,153.15
|
$51,610.81
|
$49,153.15
|
2025-12-02
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
24
|
17
|
—
|
—
|
$15,446.33
|
$53,581.50
|
$48,710.45
|
2025-12-02
|
|
9028800
|
HCPCS
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$48,705.00
|
$48,705.00
|
$48,705.00
|
2025-12-02
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
24
|
17
|
—
|
—
|
$15,339.23
|
$53,295.28
|
$48,450.25
|
2025-12-02
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
24
|
17
|
—
|
—
|
$15,175.82
|
$52,858.60
|
$48,053.27
|
2025-12-02
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
24
|
17
|
—
|
—
|
$15,174.97
|
$52,856.34
|
$48,051.22
|
2025-12-02
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
24
|
17
|
—
|
—
|
$15,172.43
|
$52,849.54
|
$48,045.04
|
2025-12-02
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
24
|
17
|
—
|
—
|
$15,101.31
|
$52,659.50
|
$47,872.27
|
2025-12-02
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
24
|
17
|
—
|
—
|
$15,033.58
|
$52,478.49
|
$47,707.72
|
2025-12-02
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
24
|
17
|
—
|
—
|
$14,945.52
|
$52,243.18
|
$47,493.80
|
2025-12-02
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
24
|
17
|
—
|
—
|
$14,941.71
|
$52,233.01
|
$47,484.55
|
2025-12-02
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
24
|
17
|
—
|
—
|
$14,904.04
|
$52,132.31
|
$47,393.01
|
2025-12-02
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
24
|
17
|
—
|
—
|
$14,832.92
|
$51,942.26
|
$47,220.24
|
2025-12-02
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
17
|
—
|
—
|
$14,828.26
|
$51,929.81
|
$47,208.92
|
2025-12-02
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
24
|
17
|
—
|
—
|
$14,822.33
|
$51,913.98
|
$47,194.53
|
2025-12-02
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
24
|
17
|
—
|
—
|
$14,796.09
|
$51,843.84
|
$47,130.76
|
2025-12-02
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
24
|
17
|
—
|
—
|
$14,700.41
|
$51,588.17
|
$46,898.34
|
2025-12-02
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
24
|
17
|
—
|
—
|
$14,684.33
|
$51,545.18
|
$46,859.25
|
2025-12-02
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
24
|
17
|
—
|
—
|
$14,668.24
|
$51,502.19
|
$46,820.17
|
2025-12-02
|
|
0054
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$46,671.81
|
$49,005.40
|
$46,671.81
|
2025-12-02
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
24
|
17
|
—
|
—
|
$14,581.45
|
$51,270.27
|
$46,609.34
|
2025-12-02
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
24
|
17
|
—
|
—
|
$14,558.59
|
$51,209.19
|
$46,553.81
|
2025-12-02
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
24
|
17
|
—
|
—
|
$14,535.73
|
$51,148.10
|
$46,498.27
|
2025-12-02
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
24
|
17
|
—
|
—
|
$14,522.19
|
$51,111.90
|
$46,465.36
|
2025-12-02
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
24
|
17
|
—
|
—
|
$14,500.17
|
$51,053.07
|
$46,411.88
|
2025-12-02
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
24
|
17
|
—
|
—
|
$14,419.74
|
$50,838.13
|
$46,216.48
|
2025-12-02
|
|
0043
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$46,198.90
|
$48,508.85
|
$46,198.90
|
2025-12-02
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
24
|
17
|
—
|
—
|
$14,359.62
|
$50,677.48
|
$46,070.44
|
2025-12-02
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
24
|
17
|
—
|
—
|
$14,210.19
|
$50,278.14
|
$45,707.40
|
2025-12-02
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
19
|
16
|
—
|
$45,560.39
|
$43,282.37
|
$50,116.43
|
$45,560.39
|
2025-12-02
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
24
|
17
|
—
|
—
|
$14,058.63
|
$49,873.14
|
$45,339.22
|
2025-12-02
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
18
|
16
|
—
|
$45,170.60
|
$42,912.07
|
$49,687.66
|
$45,170.60
|
2025-12-02
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
19
|
16
|
—
|
$45,170.60
|
$21,682.20
|
$49,687.66
|
$45,170.60
|
2025-12-02
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$13,978.20
|
$49,658.20
|
$45,143.82
|
2025-12-02
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
24
|
17
|
—
|
—
|
$13,837.65
|
$49,282.62
|
$44,802.38
|
2025-12-02
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
24
|
17
|
—
|
—
|
$13,798.28
|
$49,177.40
|
$44,706.73
|
2025-12-02
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
24
|
17
|
—
|
—
|
$13,792.35
|
$49,161.56
|
$44,692.33
|
2025-12-02
|
|
0073
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$44,622.06
|
$46,853.16
|
$44,622.06
|
2025-12-02
|
|
J922600
|
HCPCS
|
Supprelin La Implant
|
1
|
1
|
—
|
$45,560.39
|
$44,578.75
|
$44,578.75
|
$44,578.75
|
2025-12-02
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
24
|
17
|
—
|
—
|
$13,628.52
|
$48,723.76
|
$44,294.33
|
2025-12-02
|
|
8424
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$44,285.70
|
$46,499.99
|
$44,285.70
|
2025-12-02
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
24
|
17
|
—
|
—
|
$13,565.44
|
$48,555.20
|
$44,141.09
|
2025-12-02
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
24
|
17
|
—
|
—
|
$13,526.07
|
$48,449.98
|
$44,045.44
|
2025-12-02
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
24
|
17
|
—
|
—
|
$13,500.25
|
$48,380.98
|
$43,982.71
|
2025-12-02
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
24
|
17
|
—
|
—
|
$13,463.84
|
$48,283.69
|
$43,894.26
|
2025-12-02
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
24
|
17
|
—
|
—
|
$13,436.75
|
$48,211.28
|
$43,828.44
|
2025-12-02
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
24
|
17
|
—
|
—
|
$13,414.31
|
$48,151.33
|
$43,773.94
|
2025-12-02
|
|
0021
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$43,443.38
|
$45,615.55
|
$43,443.38
|
2025-12-02
|
|
0064
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$43,326.23
|
$45,492.54
|
$43,326.23
|
2025-12-02
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
24
|
17
|
—
|
—
|
$13,212.38
|
$47,611.71
|
$43,283.37
|
2025-12-02
|
|
5932
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$43,270.17
|
$45,433.68
|
$43,270.17
|
2025-12-02
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
24
|
17
|
—
|
—
|
$13,206.45
|
$47,595.87
|
$43,268.97
|
2025-12-02
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
24
|
17
|
—
|
—
|
$13,150.15
|
$47,445.41
|
$43,132.19
|
2025-12-02
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$13,091.30
|
$47,288.16
|
$42,989.24
|
2025-12-02
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
19
|
17
|
—
|
—
|
$40,777.25
|
$47,215.76
|
$42,923.42
|
2025-12-02
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
24
|
17
|
—
|
—
|
$13,054.90
|
$47,190.87
|
$42,900.79
|
2025-12-02
|
|
6074
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$42,824.57
|
$44,965.80
|
$42,824.57
|
2025-12-02
|
|
652
|
MS_DRG
|
Kidney Transplant
|
24
|
17
|
—
|
—
|
$13,002.40
|
$47,050.60
|
$42,773.27
|
2025-12-02
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
24
|
17
|
—
|
—
|
$12,990.55
|
$47,018.92
|
$42,744.47
|
2025-12-02
|
|
6303
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$42,730.78
|
$44,867.32
|
$42,730.78
|
2025-12-02
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
24
|
17
|
—
|
—
|
$12,948.22
|
$46,905.79
|
$42,641.63
|
2025-12-02
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
24
|
17
|
—
|
—
|
$12,743.32
|
$46,358.25
|
$42,143.86
|
2025-12-02
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
24
|
17
|
—
|
—
|
$12,641.72
|
$46,086.74
|
$41,897.04
|
2025-12-02
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
17
|
—
|
—
|
$12,482.54
|
$45,661.37
|
$41,510.34
|
2025-12-02
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
24
|
17
|
—
|
—
|
$12,450.37
|
$45,575.40
|
$41,432.18
|
2025-12-02
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
24
|
17
|
—
|
—
|
$12,416.50
|
$45,484.90
|
$41,349.91
|
2025-12-02
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
24
|
17
|
—
|
—
|
$12,345.81
|
$45,295.98
|
$41,178.16
|
2025-12-02
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
24
|
17
|
—
|
—
|
$12,339.03
|
$45,277.87
|
$41,161.70
|
2025-12-02
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
24
|
17
|
—
|
—
|
$12,335.22
|
$45,267.70
|
$41,152.45
|
2025-12-02
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
24
|
17
|
—
|
—
|
$12,328.45
|
$45,249.59
|
$41,135.99
|
2025-12-02
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
24
|
17
|
—
|
—
|
$12,264.95
|
$45,079.89
|
$40,981.72
|
2025-12-02
|
|
8514
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$40,865.01
|
$42,908.26
|
$40,865.01
|
2025-12-02
|
|
8513
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$40,865.01
|
$42,908.26
|
$40,865.01
|
2025-12-02
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
24
|
17
|
—
|
—
|
$12,137.52
|
$44,739.38
|
$40,672.16
|
2025-12-02
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
24
|
17
|
—
|
—
|
$12,123.55
|
$44,702.05
|
$40,638.23
|
2025-12-02
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
24
|
17
|
—
|
—
|
$12,116.36
|
$44,682.81
|
$40,620.74
|
2025-12-02
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
24
|
17
|
—
|
—
|
$12,099.42
|
$44,637.56
|
$40,579.60
|
2025-12-02
|
|
6034
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$40,520.03
|
$42,546.03
|
$40,520.03
|
2025-12-02
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
24
|
17
|
—
|
—
|
$12,051.59
|
$44,509.73
|
$40,463.39
|
2025-12-02
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
24
|
17
|
—
|
—
|
$11,947.02
|
$44,230.31
|
$40,209.37
|
2025-12-02
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
24
|
17
|
—
|
—
|
$11,889.02
|
$44,075.32
|
$40,068.47
|
2025-12-02
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
24
|
17
|
—
|
—
|
$11,876.75
|
$44,042.52
|
$40,038.65
|
2025-12-02
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
24
|
17
|
—
|
—
|
$11,584.22
|
$43,260.79
|
$39,327.99
|
2025-12-02
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
24
|
17
|
—
|
—
|
$11,563.48
|
$43,205.36
|
$39,277.60
|
2025-12-02
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
24
|
17
|
—
|
—
|
$11,542.31
|
$43,148.80
|
$39,226.18
|
2025-12-02
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
24
|
17
|
—
|
—
|
$11,500.82
|
$43,037.93
|
$39,125.39
|
2025-12-02
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
24
|
17
|
—
|
—
|
$11,444.52
|
$42,887.47
|
$38,988.61
|
2025-12-02
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
24
|
17
|
—
|
—
|
$11,406.84
|
$42,786.79
|
$38,897.08
|
2025-12-02
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
24
|
17
|
—
|
—
|
$11,361.55
|
$42,665.73
|
$38,787.03
|
2025-12-02
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
24
|
17
|
—
|
—
|
$11,354.35
|
$42,646.51
|
$38,769.55
|
2025-12-02
|
|
849
|
MS_DRG
|
Radiotherapy
|
24
|
17
|
—
|
—
|
$11,307.78
|
$42,522.06
|
$38,656.42
|
2025-12-02
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
24
|
17
|
—
|
—
|
$11,272.64
|
$42,428.17
|
$38,571.06
|
2025-12-02
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
24
|
17
|
—
|
—
|
$11,232.43
|
$42,320.70
|
$38,473.36
|
2025-12-02
|
|
6023
|
APR_DRG
|
—
|
15
|
10
|
—
|
—
|
$38,465.25
|
$40,388.51
|
$38,465.25
|
2025-12-02
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
24
|
17
|
—
|
—
|
$11,218.46
|
$42,283.36
|
$38,439.42
|
2025-12-02
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
24
|
17
|
—
|
—
|
$11,204.06
|
$42,244.91
|
$38,404.46
|
2025-12-02
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
24
|
17
|
—
|
—
|
$11,192.63
|
$42,214.36
|
$38,376.69
|
2025-12-02
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
24
|
17
|
—
|
—
|
$11,105.43
|
$41,981.31
|
$38,164.83
|
2025-12-02
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
24
|
17
|
—
|
—
|
$11,076.64
|
$41,904.39
|
$38,094.90
|
2025-12-02
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
24
|
17
|
—
|
—
|
$10,958.53
|
$41,588.76
|
$37,807.96
|
2025-12-02
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
24
|
17
|
—
|
—
|
$10,940.32
|
$41,540.11
|
$37,763.74
|
2025-12-02
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
24
|
17
|
—
|
—
|
$10,811.21
|
$41,195.07
|
$37,450.06
|
2025-12-02
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
24
|
17
|
—
|
—
|
$10,807.82
|
$41,186.02
|
$37,441.84
|
2025-12-02
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
24
|
17
|
—
|
—
|
$10,787.50
|
$41,131.72
|
$37,392.47
|
2025-12-02
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
24
|
17
|
—
|
—
|
$10,732.04
|
$40,983.53
|
$37,257.75
|
2025-12-02
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
24
|
17
|
—
|
—
|
$10,697.33
|
$40,890.75
|
$37,173.41
|
2025-12-02
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
24
|
17
|
—
|
—
|
$10,688.86
|
$40,868.12
|
$37,152.84
|
2025-12-02
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
24
|
17
|
—
|
—
|
$10,655.42
|
$40,778.76
|
$37,071.60
|
2025-12-02
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
24
|
17
|
—
|
—
|
$10,600.81
|
$40,632.82
|
$36,938.93
|
2025-12-02
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
24
|
17
|
—
|
—
|
$10,592.76
|
$40,611.33
|
$36,919.39
|
2025-12-02
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
24
|
17
|
—
|
—
|
$10,489.47
|
$40,335.30
|
$36,668.45
|
2025-12-02
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
24
|
17
|
—
|
—
|
$10,447.14
|
$40,222.17
|
$36,565.61
|
2025-12-02
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
24
|
17
|
—
|
—
|
$10,370.51
|
$40,017.41
|
$36,379.46
|
2025-12-02
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
24
|
17
|
—
|
—
|
$10,364.58
|
$40,001.57
|
$36,365.06
|
2025-12-02
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
24
|
17
|
—
|
—
|
$10,279.07
|
$39,773.05
|
$36,157.32
|
2025-12-02
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
24
|
17
|
—
|
—
|
$10,239.28
|
$39,666.70
|
$36,060.64
|
2025-12-02
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
24
|
17
|
—
|
—
|
$10,207.10
|
$39,580.73
|
$35,982.48
|
2025-12-02
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
24
|
17
|
—
|
—
|
$10,164.35
|
$39,466.47
|
$35,878.61
|
2025-12-02
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
24
|
17
|
—
|
—
|
$10,148.26
|
$39,423.48
|
$35,839.53
|
2025-12-02
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
24
|
17
|
—
|
—
|
$10,148.26
|
$39,423.48
|
$35,839.53
|
2025-12-02
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
24
|
17
|
—
|
—
|
$10,060.63
|
$39,189.30
|
$35,626.64
|
2025-12-02
|