|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
12
|
12
|
—
|
—
|
$3,710,000.00
|
$4,081,000.00
|
$3,765,650.00
|
2026-11-02
|
|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
12
|
12
|
—
|
—
|
$3,710,000.00
|
$4,081,000.00
|
$3,765,650.00
|
2026-11-02
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
14
|
13
|
—
|
—
|
$3,321,781.51
|
$4,982,672.26
|
$3,404,826.05
|
2026-11-02
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
14
|
13
|
—
|
—
|
$3,193,000.00
|
$4,789,500.00
|
$3,272,825.00
|
2026-11-02
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
14
|
13
|
—
|
—
|
$2,968,000.00
|
$4,452,000.00
|
$3,042,200.00
|
2026-11-02
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
15
|
14
|
—
|
—
|
$2,403,458.75
|
$4,531,961.82
|
$2,475,562.51
|
2026-11-02
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
15
|
14
|
—
|
—
|
$2,332,000.00
|
$4,397,219.20
|
$2,401,960.00
|
2026-11-02
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
15
|
14
|
—
|
—
|
$565,623.84
|
$1,066,540.31
|
$582,592.56
|
2026-11-02
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
15
|
14
|
—
|
—
|
$551,318.34
|
$1,039,565.86
|
$567,857.89
|
2026-11-02
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
15
|
14
|
—
|
—
|
$528,312.43
|
$996,185.92
|
$544,161.80
|
2026-11-02
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
15
|
14
|
—
|
—
|
$516,485.97
|
$973,885.94
|
$531,980.55
|
2026-11-02
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
15
|
14
|
—
|
—
|
$489,517.15
|
$923,033.54
|
$504,202.66
|
2026-11-02
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
15
|
14
|
—
|
—
|
$488,051.51
|
$920,269.93
|
$502,693.06
|
2026-11-02
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
28
|
16
|
—
|
—
|
$325,727.86
|
$878,035.87
|
$411,230.17
|
2026-11-02
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
28
|
16
|
—
|
—
|
$211,384.28
|
$569,809.96
|
$266,871.83
|
2026-11-02
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$208,261.10
|
$249,913.31
|
$224,921.98
|
2026-11-02
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
28
|
16
|
—
|
—
|
$161,046.82
|
$434,119.72
|
$203,320.99
|
2026-11-02
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
28
|
16
|
—
|
—
|
$160,101.68
|
$431,571.99
|
$202,127.76
|
2026-11-02
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
15
|
14
|
—
|
—
|
$152,500.50
|
$287,554.94
|
$157,075.52
|
2026-11-02
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
15
|
14
|
—
|
—
|
$152,500.50
|
$287,554.94
|
$157,075.52
|
2026-11-02
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
15
|
14
|
—
|
—
|
$137,500.50
|
$259,270.94
|
$141,625.52
|
2026-11-02
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
15
|
14
|
—
|
—
|
$137,500.50
|
$259,270.94
|
$141,625.52
|
2026-11-02
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$127,555.94
|
$153,067.12
|
$137,760.41
|
2026-11-02
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
28
|
16
|
—
|
—
|
$104,481.11
|
$281,640.52
|
$131,907.00
|
2026-11-02
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$119,243.36
|
$143,092.03
|
$128,782.83
|
2026-11-02
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$119,164.66
|
$142,997.59
|
$128,697.83
|
2026-11-02
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$118,611.62
|
$142,333.94
|
$128,100.54
|
2026-11-02
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
15
|
14
|
—
|
—
|
$122,500.50
|
$230,986.94
|
$126,175.51
|
2026-11-02
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
15
|
14
|
—
|
—
|
$122,500.50
|
$230,986.94
|
$126,175.51
|
2026-11-02
|
|
7
|
MS_DRG
|
Lung Transplant
|
28
|
16
|
—
|
—
|
$97,683.36
|
$263,316.42
|
$123,324.86
|
2026-11-02
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
28
|
16
|
—
|
—
|
$90,651.02
|
$244,359.96
|
$114,446.56
|
2026-11-02
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
15
|
14
|
—
|
—
|
$107,500.50
|
$202,702.94
|
$110,725.51
|
2026-11-02
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
15
|
14
|
—
|
—
|
$107,500.50
|
$202,702.94
|
$110,725.51
|
2026-11-02
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
28
|
16
|
—
|
—
|
$85,475.77
|
$230,409.49
|
$107,912.83
|
2026-11-02
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
28
|
16
|
—
|
—
|
$85,377.71
|
$230,145.16
|
$107,789.03
|
2026-11-02
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
16
|
—
|
—
|
$83,132.91
|
$224,094.06
|
$104,954.98
|
2026-11-02
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
28
|
16
|
—
|
—
|
$82,023.34
|
$221,103.08
|
$103,554.14
|
2026-11-02
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$91,071.80
|
$109,286.16
|
$98,357.55
|
2026-11-02
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
28
|
16
|
—
|
—
|
$77,772.10
|
$209,643.40
|
$98,186.98
|
2026-11-02
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
15
|
14
|
—
|
—
|
$95,000.50
|
$179,132.94
|
$97,850.51
|
2026-11-02
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
15
|
14
|
—
|
—
|
$95,000.50
|
$179,132.94
|
$97,850.51
|
2026-11-02
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$88,926.10
|
$106,711.32
|
$96,040.19
|
2026-11-02
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$88,871.48
|
$106,645.77
|
$95,981.20
|
2026-11-02
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$88,742.47
|
$106,490.96
|
$95,841.87
|
2026-11-02
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
16
|
—
|
—
|
$75,105.65
|
$202,455.68
|
$94,820.60
|
2026-11-02
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$87,176.41
|
$104,611.69
|
$94,150.52
|
2026-11-02
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$73,791.66
|
$198,913.67
|
$93,161.68
|
2026-11-02
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$85,478.46
|
$102,574.15
|
$92,316.73
|
2026-11-02
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$84,952.00
|
$101,942.41
|
$91,748.16
|
2026-11-02
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$83,645.03
|
$100,374.04
|
$90,336.64
|
2026-11-02
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$81,748.00
|
$98,097.60
|
$88,287.84
|
2026-11-02
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
15
|
14
|
—
|
—
|
$85,000.50
|
$160,276.94
|
$87,550.51
|
2026-11-02
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
15
|
14
|
—
|
—
|
$85,000.50
|
$160,276.94
|
$87,550.51
|
2026-11-02
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
16
|
—
|
—
|
$67,959.41
|
$183,192.20
|
$85,798.49
|
2026-11-02
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
9
|
—
|
—
|
$79,102.08
|
$94,922.50
|
$85,430.25
|
2026-11-02
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$77,520.20
|
$93,024.25
|
$83,721.82
|
2026-11-02
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
28
|
16
|
—
|
—
|
$65,318.61
|
$176,073.61
|
$82,464.49
|
2026-11-02
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
16
|
—
|
—
|
$63,586.74
|
$171,405.16
|
$80,278.01
|
2026-11-02
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
16
|
—
|
—
|
$63,386.85
|
$170,866.33
|
$80,025.65
|
2026-11-02
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$73,540.00
|
$88,248.00
|
$79,423.20
|
2026-11-02
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$72,794.70
|
$87,353.64
|
$78,618.28
|
2026-11-02
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
15
|
14
|
—
|
—
|
$75,000.50
|
$141,420.94
|
$77,250.51
|
2026-11-02
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
15
|
14
|
—
|
—
|
$75,000.50
|
$141,420.94
|
$77,250.51
|
2026-11-02
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$70,549.10
|
$84,658.92
|
$76,193.02
|
2026-11-02
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$70,159.56
|
$84,191.47
|
$75,772.32
|
2026-11-02
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$69,631.31
|
$83,557.57
|
$75,201.81
|
2026-11-02
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
28
|
16
|
—
|
—
|
$59,354.36
|
$159,996.31
|
$74,934.65
|
2026-11-02
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$57,917.42
|
$156,122.87
|
$73,120.51
|
2026-11-02
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
16
|
—
|
—
|
$57,667.74
|
$155,449.85
|
$72,805.30
|
2026-11-02
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
16
|
—
|
—
|
$57,476.91
|
$154,935.43
|
$72,564.37
|
2026-11-02
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$66,996.16
|
$80,395.40
|
$72,355.86
|
2026-11-02
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$66,329.56
|
$79,595.47
|
$71,635.93
|
2026-11-02
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$64,911.19
|
$77,893.43
|
$70,104.09
|
2026-11-02
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
16
|
—
|
—
|
$54,449.90
|
$146,775.79
|
$68,742.79
|
2026-11-02
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
28
|
16
|
—
|
—
|
$54,126.31
|
$145,903.51
|
$68,334.25
|
2026-11-02
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
28
|
16
|
—
|
—
|
$54,103.68
|
$145,842.51
|
$68,305.68
|
2026-11-02
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$63,082.80
|
$75,699.36
|
$68,129.42
|
2026-11-02
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
28
|
16
|
—
|
—
|
$53,816.29
|
$145,067.82
|
$67,942.86
|
2026-11-02
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
16
|
—
|
—
|
$53,784.61
|
$144,982.42
|
$67,902.86
|
2026-11-02
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$62,395.71
|
$74,874.86
|
$67,387.37
|
2026-11-02
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
15
|
14
|
—
|
—
|
$65,000.50
|
$122,564.94
|
$66,950.51
|
2026-11-02
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
15
|
14
|
—
|
—
|
$65,000.50
|
$122,564.94
|
$66,950.51
|
2026-11-02
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
28
|
16
|
—
|
—
|
$52,135.71
|
$140,537.63
|
$65,821.13
|
2026-11-02
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
28
|
16
|
—
|
—
|
$51,880.00
|
$139,848.34
|
$65,498.30
|
2026-11-02
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
15
|
14
|
—
|
—
|
$63,402.04
|
$119,550.89
|
$65,304.10
|
2026-11-02
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$59,458.71
|
$71,350.46
|
$64,215.41
|
2026-11-02
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$59,458.71
|
$71,350.46
|
$64,215.41
|
2026-11-02
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$59,458.71
|
$71,350.46
|
$64,215.41
|
2026-11-02
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
16
|
—
|
—
|
$50,772.69
|
$136,863.46
|
$64,100.32
|
2026-11-02
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
28
|
16
|
—
|
—
|
$50,436.27
|
$135,956.60
|
$63,675.60
|
2026-11-02
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
28
|
16
|
—
|
—
|
$50,399.31
|
$135,856.97
|
$63,628.93
|
2026-11-02
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$58,588.00
|
$70,305.60
|
$63,275.04
|
2026-11-02
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$49,597.49
|
$133,695.57
|
$62,616.64
|
2026-11-02
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$49,597.49
|
$133,695.57
|
$62,616.64
|
2026-11-02
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
28
|
16
|
—
|
—
|
$49,417.21
|
$133,209.62
|
$62,389.04
|
2026-11-02
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
28
|
16
|
—
|
—
|
$48,536.94
|
$130,836.76
|
$61,277.71
|
2026-11-02
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
15
|
14
|
—
|
—
|
$59,142.33
|
$111,518.78
|
$60,916.60
|
2026-11-02
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$55,400.17
|
$66,480.20
|
$59,832.18
|
2026-11-02
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
15
|
14
|
—
|
—
|
$56,824.55
|
$107,148.37
|
$58,529.29
|
2026-11-02
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$54,106.85
|
$64,928.22
|
$58,435.40
|
2026-11-02
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
16
|
—
|
—
|
$46,226.52
|
$124,608.76
|
$58,360.81
|
2026-11-02
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$46,172.97
|
$124,464.39
|
$58,293.19
|
2026-11-02
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$53,796.73
|
$64,556.08
|
$58,100.47
|
2026-11-02
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
28
|
16
|
—
|
—
|
$45,730.19
|
$123,270.85
|
$57,734.19
|
2026-11-02
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
28
|
16
|
—
|
—
|
$45,320.61
|
$122,166.76
|
$57,217.09
|
2026-11-02
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
15
|
14
|
—
|
—
|
$55,536.50
|
$104,719.62
|
$57,202.60
|
2026-11-02
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
28
|
16
|
—
|
—
|
$45,307.78
|
$122,132.20
|
$57,200.90
|
2026-11-02
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
16
|
—
|
—
|
$44,979.66
|
$121,247.71
|
$56,786.65
|
2026-11-02
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
15
|
14
|
—
|
—
|
$55,000.50
|
$103,708.94
|
$56,650.51
|
2026-11-02
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
15
|
14
|
—
|
—
|
$55,000.50
|
$103,708.94
|
$56,650.51
|
2026-11-02
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
28
|
16
|
—
|
—
|
$44,727.73
|
$120,568.59
|
$56,468.58
|
2026-11-02
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
28
|
16
|
—
|
—
|
$44,266.85
|
$119,326.24
|
$55,886.73
|
2026-11-02
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$44,238.19
|
$119,248.98
|
$55,850.54
|
2026-11-02
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$51,234.90
|
$61,481.88
|
$55,333.69
|
2026-11-02
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
9
|
—
|
—
|
$51,234.90
|
$61,481.88
|
$55,333.69
|
2026-11-02
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
9
|
—
|
—
|
$51,048.39
|
$61,258.07
|
$55,132.26
|
2026-11-02
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
28
|
16
|
—
|
—
|
$43,501.24
|
$117,262.44
|
$54,920.14
|
2026-11-02
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
16
|
—
|
—
|
$43,223.65
|
$116,514.19
|
$54,569.69
|
2026-11-02
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
28
|
16
|
—
|
—
|
$43,047.15
|
$116,038.40
|
$54,346.86
|
2026-11-02
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
16
|
—
|
—
|
$42,991.33
|
$115,887.93
|
$54,276.39
|
2026-11-02
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
28
|
16
|
—
|
—
|
$4,718.00
|
$120,849.19
|
$54,209.48
|
2026-11-02
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
16
|
—
|
—
|
$42,406.75
|
$114,312.13
|
$53,538.35
|
2026-11-02
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
28
|
16
|
—
|
—
|
$42,275.50
|
$113,958.33
|
$53,372.65
|
2026-11-02
|
|
C1882
|
HCPCS
|
Defib Promote Rf 3207 Jude
|
131
|
8
|
$142,854.00
|
$57,141.60
60% off
|
$1,679.00
|
$160,015.59
|
$53,238.10
|
2026-11-02
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$49,153.16
|
$58,983.79
|
$53,085.41
|
2026-11-02
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
16
|
—
|
—
|
$41,985.85
|
$113,177.54
|
$53,006.97
|
2026-11-02
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
28
|
16
|
—
|
—
|
$41,659.99
|
$112,299.16
|
$52,595.57
|
2026-11-02
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
28
|
16
|
—
|
—
|
$41,410.32
|
$111,626.14
|
$52,280.36
|
2026-11-02
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
28
|
16
|
—
|
—
|
$41,263.98
|
$111,231.68
|
$52,095.62
|
2026-11-02
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
16
|
—
|
—
|
$41,205.15
|
$111,073.08
|
$52,021.34
|
2026-11-02
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
28
|
16
|
—
|
—
|
$41,140.28
|
$110,898.22
|
$51,939.44
|
2026-11-02
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
28
|
16
|
—
|
—
|
$40,975.84
|
$110,454.96
|
$51,731.83
|
2026-11-02
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$40,225.31
|
$108,431.82
|
$50,784.30
|
2026-11-02
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
28
|
16
|
—
|
—
|
$40,201.17
|
$108,366.76
|
$50,753.82
|
2026-11-02
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
28
|
16
|
—
|
—
|
$39,931.13
|
$107,638.84
|
$50,412.90
|
2026-11-02
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$46,671.82
|
$56,006.18
|
$50,405.57
|
2026-11-02
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
28
|
16
|
—
|
—
|
$39,799.13
|
$107,283.01
|
$50,246.25
|
2026-11-02
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$46,198.91
|
$55,438.69
|
$49,894.82
|
2026-11-02
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
28
|
16
|
—
|
—
|
$39,264.33
|
$105,841.40
|
$49,571.07
|
2026-11-02
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
28
|
16
|
—
|
—
|
$39,196.45
|
$105,658.40
|
$49,485.37
|
2026-11-02
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$44,622.06
|
$53,546.48
|
$48,191.83
|
2026-11-02
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$38,018.23
|
$102,482.39
|
$47,997.87
|
2026-11-02
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
9
|
—
|
—
|
$44,285.71
|
$53,142.85
|
$47,828.57
|
2026-11-02
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
28
|
16
|
—
|
—
|
$37,619.96
|
$101,408.80
|
$47,495.06
|
2026-11-02
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$37,318.24
|
$100,595.48
|
$47,114.13
|
2026-11-02
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$37,251.86
|
$100,416.55
|
$47,030.33
|
2026-11-02
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
9
|
—
|
—
|
$43,443.38
|
$52,132.06
|
$46,918.85
|
2026-11-02
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
28
|
16
|
—
|
—
|
$37,124.38
|
$100,072.93
|
$46,869.39
|
2026-11-02
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$43,326.23
|
$51,991.48
|
$46,792.33
|
2026-11-02
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$43,270.17
|
$51,924.21
|
$46,731.79
|
2026-11-02
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
28
|
16
|
—
|
—
|
$36,969.75
|
$99,656.10
|
$46,674.17
|
2026-11-02
|
|
1142
|
OTHER
|
Supprelin La Implant
|
15
|
14
|
—
|
—
|
$45,261.80
|
$85,345.65
|
$46,619.65
|
2026-11-02
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
15
|
14
|
—
|
—
|
$45,000.50
|
$84,852.94
|
$46,350.51
|
2026-11-02
|
|
1594
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
15
|
14
|
—
|
—
|
$45,000.50
|
$84,852.94
|
$46,350.51
|
2026-11-02
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$42,824.58
|
$51,389.49
|
$46,250.54
|
2026-11-02
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$42,730.78
|
$51,276.94
|
$46,149.25
|
2026-11-02
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
28
|
16
|
—
|
—
|
$36,422.88
|
$98,181.96
|
$45,983.75
|
2026-11-02
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
28
|
16
|
—
|
—
|
$36,238.83
|
$97,685.83
|
$45,751.39
|
2026-11-02
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$35,910.71
|
$96,801.35
|
$45,337.14
|
2026-11-02
|
|
C1721
|
HCPCS
|
Defib Intrinsic 7288 Medtrnc
|
136
|
8
|
$124,088.00
|
$49,635.20
60% off
|
$1,679.00
|
$139,825.98
|
$44,803.40
|
2026-11-02
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
28
|
16
|
—
|
—
|
$35,462.66
|
$95,593.57
|
$44,771.47
|
2026-11-02
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
28
|
16
|
—
|
—
|
$35,390.25
|
$95,398.37
|
$44,680.06
|
2026-11-02
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
28
|
16
|
—
|
—
|
$35,284.65
|
$95,113.71
|
$44,546.73
|
2026-11-02
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
28
|
16
|
—
|
—
|
$34,976.89
|
$94,284.12
|
$44,158.19
|
2026-11-02
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
9
|
9
|
—
|
—
|
$40,865.02
|
$49,038.02
|
$44,134.22
|
2026-11-02
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
9
|
9
|
—
|
—
|
$40,865.02
|
$49,038.02
|
$44,134.22
|
2026-11-02
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
28
|
16
|
—
|
—
|
$34,837.35
|
$93,907.96
|
$43,982.01
|
2026-11-02
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
28
|
16
|
—
|
—
|
$34,671.40
|
$93,460.63
|
$43,772.50
|
2026-11-02
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$40,520.04
|
$48,624.05
|
$43,761.64
|
2026-11-02
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
28
|
16
|
—
|
—
|
$34,583.15
|
$93,222.74
|
$43,661.09
|
2026-11-02
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
28
|
16
|
—
|
—
|
$34,414.18
|
$92,767.28
|
$43,447.77
|
2026-11-02
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$34,310.84
|
$92,488.72
|
$43,317.31
|
2026-11-02
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
28
|
16
|
—
|
—
|
$34,295.76
|
$92,448.05
|
$43,298.26
|
2026-11-02
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$34,161.49
|
$92,086.12
|
$43,128.76
|
2026-11-02
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
28
|
16
|
—
|
—
|
$33,806.22
|
$91,128.44
|
$42,680.22
|
2026-11-02
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
28
|
16
|
—
|
—
|
$33,796.41
|
$91,102.01
|
$42,667.84
|
2026-11-02
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
28
|
16
|
—
|
—
|
$33,663.65
|
$90,744.15
|
$42,500.24
|
2026-11-02
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$33,134.89
|
$89,318.80
|
$41,832.67
|
2026-11-02
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$38,465.25
|
$46,158.30
|
$41,542.47
|
2026-11-02
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
28
|
16
|
—
|
—
|
$32,641.58
|
$87,989.02
|
$41,209.87
|
2026-11-02
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
28
|
16
|
—
|
—
|
$32,381.34
|
$87,287.54
|
$40,881.32
|
2026-11-02
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
28
|
16
|
—
|
—
|
$32,173.16
|
$86,726.34
|
$40,618.49
|
2026-11-02
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
28
|
16
|
—
|
—
|
$31,988.35
|
$86,228.19
|
$40,385.17
|
2026-11-02
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
28
|
16
|
—
|
—
|
$31,855.60
|
$85,870.33
|
$40,217.57
|
2026-11-02
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
28
|
16
|
—
|
—
|
$31,801.29
|
$85,723.93
|
$40,149.01
|
2026-11-02
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
28
|
16
|
—
|
—
|
$31,785.45
|
$85,681.23
|
$40,129.01
|
2026-11-02
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
28
|
16
|
—
|
—
|
$31,692.67
|
$85,431.13
|
$40,011.88
|
2026-11-02
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
28
|
16
|
—
|
—
|
$31,654.95
|
$85,329.47
|
$39,964.26
|
2026-11-02
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
28
|
16
|
—
|
—
|
$31,596.12
|
$85,170.87
|
$39,889.98
|
2026-11-02
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
16
|
—
|
—
|
$31,473.92
|
$84,841.48
|
$39,735.71
|
2026-11-02
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$31,326.08
|
$84,442.95
|
$39,549.06
|
2026-11-02
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
28
|
16
|
—
|
—
|
$31,118.65
|
$83,883.79
|
$39,287.17
|
2026-11-02
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$35,617.73
|
$42,741.28
|
$38,467.15
|
2026-11-02
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
28
|
16
|
—
|
—
|
$30,326.63
|
$81,748.83
|
$38,287.25
|
2026-11-02
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$35,290.36
|
$42,348.43
|
$38,113.59
|
2026-11-02
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
28
|
16
|
—
|
—
|
$4,475.00
|
$84,780.48
|
$38,030.09
|
2026-11-02
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
28
|
16
|
—
|
—
|
$30,052.07
|
$81,008.71
|
$37,940.62
|
2026-11-02
|
|
C1722
|
HCPCS
|
Defib Atlas Ii Vr V168
|
101
|
8
|
$105,092.00
|
$42,036.80
60% off
|
$1,679.00
|
$109,170.81
|
$37,737.51
|
2026-11-02
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
9
|
—
|
—
|
$34,835.42
|
$41,802.50
|
$37,622.25
|
2026-11-02
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$34,745.58
|
$41,694.69
|
$37,525.23
|
2026-11-02
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
16
|
—
|
—
|
$29,507.46
|
$79,540.66
|
$37,253.06
|
2026-11-02
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
9
|
—
|
—
|
$34,436.53
|
$41,323.84
|
$37,191.46
|
2026-11-02
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
28
|
16
|
—
|
—
|
$29,373.95
|
$79,180.77
|
$37,084.50
|
2026-11-02
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$34,306.45
|
$41,167.74
|
$37,050.96
|
2026-11-02
|
|
Q4142
|
HCPCS
|
Matrix Xcm Per Sqcm
|
11
|
8
|
$139,788.00
|
$55,915.20
60% off
|
$1,679.00
|
$88,066.44
|
$37,043.82
|
2026-11-02
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
28
|
16
|
—
|
—
|
$4,475.00
|
$82,531.65
|
$37,021.32
|
2026-11-02
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
9
|
—
|
—
|
$34,140.79
|
$40,968.94
|
$36,872.05
|
2026-11-02
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
28
|
16
|
—
|
—
|
$29,196.69
|
$78,702.94
|
$36,860.71
|
2026-11-02
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
28
|
16
|
—
|
—
|
$29,152.94
|
$78,585.01
|
$36,805.48
|
2026-11-02
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
28
|
16
|
—
|
—
|
$29,125.03
|
$78,509.78
|
$36,770.24
|
2026-11-02
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
9
|
—
|
—
|
$33,871.27
|
$40,645.52
|
$36,580.97
|
2026-11-02
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
28
|
16
|
—
|
—
|
$28,959.84
|
$78,064.49
|
$36,561.68
|
2026-11-02
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
9
|
—
|
—
|
$33,592.77
|
$40,311.33
|
$36,280.19
|
2026-11-02
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$33,389.74
|
$40,067.68
|
$36,060.92
|
2026-11-02
|
|
1579
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
15
|
14
|
—
|
—
|
$35,000.50
|
$65,996.94
|
$36,050.51
|
2026-11-02
|
|
1593
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
15
|
14
|
—
|
—
|
$35,000.50
|
$65,996.94
|
$36,050.51
|
2026-11-02
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
28
|
16
|
—
|
—
|
$28,384.31
|
$76,513.08
|
$35,835.08
|
2026-11-02
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$28,260.60
|
$76,179.62
|
$35,678.90
|
2026-11-02
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$28,193.47
|
$75,998.65
|
$35,594.15
|
2026-11-02
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
28
|
16
|
—
|
—
|
$28,190.45
|
$75,990.52
|
$35,590.34
|
2026-11-02
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$32,930.12
|
$39,516.15
|
$35,564.53
|
2026-11-02
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$28,111.25
|
$75,777.02
|
$35,490.35
|
2026-11-02
|
|
C1767
|
HCPCS
|
Generator Inspire V 3150
|
66
|
8
|
$95,040.00
|
$38,016.00
60% off
|
$1,679.00
|
$81,779.67
|
$35,488.08
|
2026-11-02
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
28
|
16
|
—
|
—
|
$27,952.85
|
$75,350.03
|
$35,290.37
|
2026-11-02
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
28
|
16
|
—
|
—
|
$27,706.19
|
$74,685.14
|
$34,978.96
|
2026-11-02
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
28
|
16
|
—
|
—
|
$27,694.88
|
$74,654.64
|
$34,964.68
|
2026-11-02
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
28
|
16
|
—
|
—
|
$27,369.78
|
$73,778.29
|
$34,554.24
|
2026-11-02
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
16
|
—
|
—
|
$27,348.66
|
$73,721.36
|
$34,527.57
|
2026-11-02
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
28
|
16
|
—
|
—
|
$27,310.94
|
$73,619.69
|
$34,479.96
|
2026-11-02
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
28
|
16
|
—
|
—
|
$27,292.08
|
$73,568.86
|
$34,456.15
|
2026-11-02
|
|
C2616
|
HCPCS
|
Brach Y-90 Nonstrand Per Srce
|
16
|
8
|
$99,263.00
|
$39,705.20
60% off
|
$1,679.00
|
$68,835.69
|
$34,417.85
|
2026-11-02
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
28
|
16
|
—
|
—
|
$27,243.81
|
$73,438.73
|
$34,395.21
|
2026-11-02
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
16
|
—
|
—
|
$27,203.08
|
$73,328.93
|
$34,343.78
|
2026-11-02
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
28
|
16
|
—
|
—
|
$27,025.06
|
$72,849.07
|
$34,119.04
|
2026-11-02
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
28
|
16
|
—
|
—
|
$26,962.45
|
$72,680.31
|
$34,039.99
|
2026-11-02
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
28
|
16
|
—
|
—
|
$26,935.30
|
$72,607.11
|
$34,005.71
|
2026-11-02
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
28
|
16
|
—
|
—
|
$26,895.32
|
$72,499.34
|
$33,955.24
|
2026-11-02
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$31,423.35
|
$37,708.02
|
$33,937.22
|
2026-11-02
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
28
|
16
|
—
|
—
|
$26,872.69
|
$72,438.35
|
$33,926.67
|
2026-11-02
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
28
|
16
|
—
|
—
|
$26,847.05
|
$72,369.21
|
$33,894.29
|
2026-11-02
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
28
|
16
|
—
|
—
|
$26,825.17
|
$72,310.25
|
$33,866.68
|
2026-11-02
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$31,204.86
|
$37,445.84
|
$33,701.25
|
2026-11-02
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
28
|
16
|
—
|
—
|
$26,601.14
|
$71,706.36
|
$33,583.84
|
2026-11-02
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
28
|
16
|
—
|
—
|
$26,546.83
|
$71,559.96
|
$33,515.28
|
2026-11-02
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$30,828.62
|
$36,994.34
|
$33,294.91
|
2026-11-02
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
28
|
16
|
—
|
—
|
$26,312.25
|
$70,927.60
|
$33,219.11
|
2026-11-02
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
28
|
16
|
—
|
—
|
$26,305.46
|
$70,909.30
|
$33,210.54
|
2026-11-02
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$30,735.91
|
$36,883.09
|
$33,194.78
|
2026-11-02
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
28
|
16
|
—
|
—
|
$26,184.77
|
$70,583.98
|
$33,058.17
|
2026-11-02
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
15
|
14
|
—
|
—
|
$32,061.58
|
$60,455.32
|
$33,023.43
|
2026-11-02
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
28
|
16
|
—
|
—
|
$26,058.05
|
$70,242.38
|
$32,898.18
|
2026-11-02
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
15
|
14
|
—
|
—
|
$31,807.82
|
$59,976.83
|
$32,762.05
|
2026-11-02
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
28
|
16
|
—
|
—
|
$25,937.36
|
$69,917.05
|
$32,745.82
|
2026-11-02
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
28
|
16
|
—
|
—
|
$25,860.42
|
$69,709.66
|
$32,648.68
|
2026-11-02
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
28
|
16
|
—
|
—
|
$25,733.70
|
$69,368.06
|
$32,488.69
|
2026-11-02
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$25,699.76
|
$69,276.56
|
$32,445.84
|
2026-11-02
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$30,019.36
|
$36,023.23
|
$32,420.90
|
2026-11-02
|
|
C1772
|
HCPCS
|
Pump Morphine Synchromed
|
31
|
8
|
$82,376.00
|
$32,950.40
60% off
|
$1,679.00
|
$73,617.39
|
$32,126.64
|
2026-11-02
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
9
|
—
|
—
|
$29,522.73
|
$35,427.27
|
$31,884.55
|
2026-11-02
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
28
|
16
|
—
|
—
|
$25,198.15
|
$67,924.42
|
$31,812.56
|
2026-11-02
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
9
|
9
|
—
|
—
|
$29,413.84
|
$35,296.61
|
$31,766.95
|
2026-11-02
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
9
|
—
|
—
|
$29,405.22
|
$35,286.26
|
$31,757.64
|
2026-11-02
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$29,361.38
|
$35,233.65
|
$31,710.29
|
2026-11-02
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
28
|
16
|
—
|
—
|
$24,916.79
|
$67,166.00
|
$31,457.36
|
2026-11-02
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
15
|
14
|
—
|
—
|
$30,473.59
|
$57,461.00
|
$31,387.80
|
2026-11-02
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
28
|
16
|
—
|
—
|
$24,832.31
|
$66,938.27
|
$31,350.70
|
2026-11-02
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$24,829.29
|
$66,930.14
|
$31,346.89
|
2026-11-02
|
|
C1820
|
HCPCS
|
System Neurostim Charging
|
98
|
8
|
$82,877.00
|
$33,150.80
60% off
|
$1,383.60
|
$106,065.54
|
$31,128.75
|
2026-11-02
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
9
|
—
|
—
|
$28,786.05
|
$34,543.26
|
$31,088.94
|
2026-11-02
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
28
|
16
|
—
|
—
|
$24,535.87
|
$66,139.18
|
$30,976.44
|
2026-11-02
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
28
|
16
|
—
|
—
|
$24,428.01
|
$65,848.42
|
$30,840.26
|
2026-11-02
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
9
|
9
|
—
|
—
|
$28,546.00
|
$34,255.20
|
$30,829.68
|
2026-11-02
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
28
|
16
|
—
|
—
|
$24,400.85
|
$65,775.22
|
$30,805.98
|
2026-11-02
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
28
|
16
|
—
|
—
|
$24,366.91
|
$65,683.72
|
$30,763.13
|
2026-11-02
|
|
652
|
MS_DRG
|
Kidney Transplant
|
28
|
16
|
—
|
—
|
$24,360.12
|
$65,665.42
|
$30,754.56
|
2026-11-02
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
28
|
16
|
—
|
—
|
$24,342.02
|
$65,616.62
|
$30,731.70
|
2026-11-02
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
28
|
16
|
—
|
—
|
$24,294.49
|
$65,488.53
|
$30,671.71
|
2026-11-02
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
28
|
16
|
—
|
—
|
$24,216.05
|
$65,277.06
|
$30,572.67
|
2026-11-02
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
28
|
16
|
—
|
—
|
$24,083.29
|
$64,919.20
|
$30,405.06
|
2026-11-02
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$24,038.79
|
$64,799.24
|
$30,348.88
|
2026-11-02
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$28,057.28
|
$33,668.74
|
$30,301.86
|
2026-11-02
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
28
|
16
|
—
|
—
|
$23,967.13
|
$64,606.07
|
$30,258.41
|
2026-11-02
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$27,983.61
|
$33,580.34
|
$30,222.30
|
2026-11-02
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
28
|
16
|
—
|
—
|
$23,872.09
|
$64,349.88
|
$30,138.42
|
2026-11-02
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
28
|
16
|
—
|
—
|
$23,835.88
|
$64,252.28
|
$30,092.71
|
2026-11-02
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
28
|
16
|
—
|
—
|
$23,767.99
|
$64,069.28
|
$30,007.00
|
2026-11-02
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$23,756.68
|
$64,038.78
|
$29,992.72
|
2026-11-02
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$27,738.54
|
$33,286.24
|
$29,957.62
|
2026-11-02
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
28
|
16
|
—
|
—
|
$23,700.86
|
$63,888.32
|
$29,922.25
|
2026-11-02
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
28
|
16
|
—
|
—
|
$23,543.21
|
$63,463.36
|
$29,723.22
|
2026-11-02
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$27,515.38
|
$33,018.45
|
$29,716.61
|
2026-11-02
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
16
|
—
|
—
|
$23,494.18
|
$63,331.20
|
$29,661.32
|
2026-11-02
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
28
|
16
|
—
|
—
|
$23,452.70
|
$63,219.36
|
$29,608.94
|
2026-11-02
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
15
|
14
|
—
|
—
|
$28,428.33
|
$53,604.46
|
$29,281.18
|
2026-11-02
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
28
|
16
|
—
|
—
|
$23,092.89
|
$62,249.48
|
$29,154.69
|
2026-11-02
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
9
|
—
|
—
|
$26,969.52
|
$32,363.42
|
$29,127.08
|
2026-11-02
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
28
|
16
|
—
|
—
|
$23,061.97
|
$62,166.11
|
$29,115.65
|
2026-11-02
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
26
|
16
|
—
|
—
|
$24,015.40
|
$64,736.21
|
$29,038.80
|
2026-11-02
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
28
|
16
|
—
|
—
|
$22,879.43
|
$61,674.06
|
$28,885.19
|
2026-11-02
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
28
|
16
|
—
|
—
|
$22,783.63
|
$61,415.83
|
$28,764.25
|
2026-11-02
|