|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
7
|
7
|
—
|
—
|
$3,747,100.00
|
$4,081,000.00
|
$3,821,300.00
|
2026-07-15
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
7
|
7
|
—
|
—
|
$3,747,100.00
|
$4,081,000.00
|
$3,821,300.00
|
2026-07-15
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
8
|
8
|
—
|
—
|
$3,354,999.00
|
$4,982,672.00
|
$3,438,044.00
|
2026-07-15
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
8
|
8
|
—
|
—
|
$3,224,930.00
|
$4,789,500.00
|
$3,304,755.00
|
2026-07-15
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
8
|
8
|
—
|
—
|
$2,997,680.00
|
$4,452,000.00
|
$3,071,880.00
|
2026-07-15
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
9
|
9
|
—
|
—
|
$2,427,493.00
|
$4,206,053.00
|
$2,499,597.00
|
2026-07-15
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
9
|
9
|
—
|
—
|
$2,355,320.00
|
$4,081,000.00
|
$2,425,280.00
|
2026-07-15
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
9
|
9
|
—
|
—
|
$571,280.00
|
$989,842.00
|
$588,249.00
|
2026-07-15
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
9
|
9
|
—
|
—
|
$556,831.52
|
$964,807.00
|
$573,371.00
|
2026-07-15
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
9
|
9
|
—
|
—
|
$533,595.55
|
$924,547.00
|
$549,445.00
|
2026-07-15
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
9
|
9
|
—
|
—
|
$521,650.83
|
$903,850.00
|
$537,145.00
|
2026-07-15
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
9
|
9
|
—
|
—
|
$494,412.00
|
$856,655.00
|
$509,098.00
|
2026-07-15
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
9
|
9
|
—
|
—
|
$492,932.00
|
$854,090.00
|
$507,574.00
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
19
|
10
|
—
|
—
|
$263,990.00
|
$725,519.00
|
$406,846.00
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
19
|
10
|
—
|
—
|
$197,178.00
|
$541,902.00
|
$303,880.00
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
19
|
10
|
—
|
—
|
$166,060.00
|
$456,379.00
|
$255,922.00
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
19
|
10
|
—
|
—
|
$150,021.00
|
$412,301.00
|
$231,204.00
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$164,184.00
|
$191,282.00
|
$171,357.10
|
2026-07-15
|
|
C1825
|
HCPCS
|
Barostim Neo Ipg Model 2104
|
6
|
5
|
$620,444.00
|
$248,177.60
60% off
|
$11,538.00
|
$353,653.00
|
$166,899.44
|
2026-07-15
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
9
|
9
|
—
|
—
|
$154,025.51
|
$266,876.00
|
$158,601.00
|
2026-07-15
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
9
|
9
|
—
|
—
|
$154,025.51
|
$266,876.00
|
$158,601.00
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
19
|
10
|
—
|
—
|
$98,910.00
|
$271,833.00
|
$152,434.00
|
2026-07-15
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
9
|
9
|
—
|
—
|
$138,875.51
|
$240,626.00
|
$143,001.00
|
2026-07-15
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
9
|
9
|
—
|
—
|
$138,875.51
|
$240,626.00
|
$143,001.00
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
10
|
—
|
—
|
$91,713.00
|
$252,052.00
|
$141,342.00
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
19
|
10
|
—
|
—
|
$91,482.00
|
$251,418.00
|
$140,986.00
|
2026-07-15
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
9
|
9
|
—
|
—
|
$123,725.51
|
$214,376.00
|
$127,401.00
|
2026-07-15
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
9
|
9
|
—
|
—
|
$123,725.51
|
$214,376.00
|
$127,401.00
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
19
|
10
|
—
|
—
|
$77,138.00
|
$211,997.00
|
$118,881.00
|
2026-07-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
19
|
10
|
—
|
—
|
$76,257.00
|
$209,577.00
|
$117,523.00
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
19
|
10
|
—
|
—
|
$74,546.00
|
$204,873.00
|
$114,886.00
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
19
|
10
|
—
|
—
|
$74,164.00
|
$203,823.00
|
$114,297.00
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
10
|
—
|
—
|
$73,328.00
|
$201,526.00
|
$113,009.00
|
2026-07-15
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
9
|
9
|
—
|
—
|
$108,575.51
|
$188,126.00
|
$111,801.00
|
2026-07-15
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
9
|
9
|
—
|
—
|
$108,575.51
|
$188,126.00
|
$111,801.00
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$107,111.00
|
$124,790.00
|
$111,790.99
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$106,363.00
|
$123,919.00
|
$111,010.38
|
2026-07-15
|
|
C1823
|
HCPCS
|
Implant Pulse Generator Remede
|
6
|
5
|
$401,551.00
|
$160,620.40
60% off
|
$11,538.00
|
$228,884.00
|
$108,017.36
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
10
|
—
|
—
|
$67,558.00
|
$185,668.00
|
$104,116.00
|
2026-07-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
19
|
10
|
—
|
—
|
$64,483.00
|
$177,219.00
|
$99,378.00
|
2026-07-15
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$94,857.00
|
$110,513.00
|
$99,001.26
|
2026-07-15
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
9
|
9
|
—
|
—
|
$95,950.51
|
$166,251.00
|
$98,801.00
|
2026-07-15
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
9
|
9
|
—
|
—
|
$95,950.51
|
$166,251.00
|
$98,801.00
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
19
|
10
|
—
|
—
|
$59,317.00
|
$163,021.00
|
$91,416.00
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
10
|
—
|
—
|
$59,284.00
|
$162,930.00
|
$91,366.00
|
2026-07-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
19
|
10
|
—
|
—
|
$58,384.00
|
$160,456.00
|
$89,978.00
|
2026-07-15
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
9
|
9
|
—
|
—
|
$85,850.51
|
$148,751.00
|
$88,401.00
|
2026-07-15
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
9
|
9
|
—
|
—
|
$85,850.51
|
$148,751.00
|
$88,401.00
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$83,408.00
|
$97,174.00
|
$87,051.93
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
19
|
10
|
—
|
—
|
$56,428.00
|
$155,079.00
|
$86,963.00
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
19
|
10
|
—
|
—
|
$55,811.00
|
$153,385.00
|
$86,013.00
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
19
|
10
|
—
|
—
|
$55,491.00
|
$152,505.00
|
$85,520.00
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$81,668.00
|
$95,147.00
|
$85,235.60
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$81,292.00
|
$94,709.00
|
$84,843.57
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
19
|
10
|
—
|
—
|
$54,715.00
|
$150,372.00
|
$84,323.00
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
10
|
—
|
—
|
$54,163.00
|
$148,854.00
|
$83,472.00
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$78,134.00
|
$91,030.00
|
$81,547.49
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
19
|
10
|
—
|
—
|
$52,249.00
|
$143,596.00
|
$80,524.00
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
8
|
—
|
—
|
$77,064.00
|
$89,783.00
|
$80,430.32
|
2026-07-15
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
9
|
9
|
—
|
—
|
$75,750.51
|
$131,251.00
|
$78,001.00
|
2026-07-15
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
9
|
9
|
—
|
—
|
$75,750.51
|
$131,251.00
|
$78,001.00
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
10
|
—
|
—
|
$49,719.00
|
$136,642.00
|
$76,624.00
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
19
|
10
|
—
|
—
|
$49,469.00
|
$135,955.00
|
$76,239.00
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
19
|
10
|
—
|
—
|
$48,696.00
|
$133,829.00
|
$75,047.00
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
19
|
10
|
—
|
—
|
$47,798.00
|
$131,363.00
|
$73,664.00
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$70,426.00
|
$82,050.00
|
$73,502.96
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$69,662.00
|
$81,160.00
|
$72,706.01
|
2026-07-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
19
|
10
|
—
|
—
|
$46,933.00
|
$128,985.00
|
$72,330.00
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
8
|
—
|
—
|
$69,141.00
|
$80,553.00
|
$72,161.71
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
19
|
10
|
—
|
—
|
$46,752.00
|
$128,489.00
|
$72,052.00
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
19
|
10
|
—
|
—
|
$46,673.00
|
$128,271.00
|
$71,930.00
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$68,044.00
|
$79,275.00
|
$71,016.55
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
19
|
10
|
—
|
—
|
$45,270.00
|
$124,416.00
|
$69,768.00
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
10
|
—
|
—
|
$45,205.00
|
$124,237.00
|
$69,668.00
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$44,270.00
|
$121,667.00
|
$68,227.00
|
2026-07-15
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
9
|
9
|
—
|
—
|
$65,650.51
|
$113,751.00
|
$67,601.00
|
2026-07-15
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
9
|
9
|
—
|
—
|
$65,650.51
|
$113,751.00
|
$67,601.00
|
2026-07-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$64,587.00
|
$75,247.00
|
$67,409.32
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$64,264.00
|
$74,870.00
|
$67,071.17
|
2026-07-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
19
|
10
|
—
|
—
|
$43,361.00
|
$119,168.00
|
$66,825.00
|
2026-07-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
19
|
10
|
—
|
—
|
$43,305.00
|
$119,014.00
|
$66,739.00
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
19
|
10
|
—
|
—
|
$43,107.00
|
$118,471.00
|
$66,435.00
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
19
|
10
|
—
|
—
|
$42,957.00
|
$118,058.00
|
$66,203.00
|
2026-07-15
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
9
|
9
|
—
|
—
|
$64,036.00
|
$110,954.00
|
$65,938.00
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
19
|
10
|
—
|
—
|
$42,761.00
|
$117,519.00
|
$65,901.00
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$63,094.00
|
$73,508.00
|
$65,850.46
|
2026-07-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
19
|
10
|
—
|
—
|
$42,557.00
|
$116,957.00
|
$65,586.00
|
2026-07-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
19
|
10
|
—
|
—
|
$42,251.00
|
$116,119.00
|
$65,115.00
|
2026-07-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
19
|
10
|
—
|
—
|
$42,251.00
|
$116,119.00
|
$65,115.00
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
19
|
10
|
—
|
—
|
$41,936.00
|
$115,251.00
|
$64,629.00
|
2026-07-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
10
|
—
|
—
|
$41,645.00
|
$114,453.00
|
$64,181.00
|
2026-07-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
19
|
10
|
—
|
—
|
$41,614.00
|
$114,366.00
|
$64,133.00
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$61,127.00
|
$71,216.00
|
$63,797.84
|
2026-07-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
19
|
10
|
—
|
—
|
$41,189.00
|
$113,200.00
|
$63,479.00
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$40,756.00
|
$112,009.00
|
$62,811.00
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$59,362.00
|
$69,159.00
|
$61,955.12
|
2026-07-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
10
|
—
|
—
|
$40,176.00
|
$110,415.00
|
$61,917.00
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
10
|
—
|
—
|
$39,936.00
|
$109,755.00
|
$61,547.00
|
2026-07-15
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
9
|
9
|
—
|
—
|
$59,733.75
|
$103,499.00
|
$61,508.00
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$58,360.00
|
$67,992.00
|
$60,909.54
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
19
|
10
|
—
|
—
|
$39,022.00
|
$107,244.00
|
$60,139.00
|
2026-07-15
|
|
C1882
|
HCPCS
|
Defib Resonate Hf Rt Df-4
|
224
|
5
|
$158,696.50
|
$63,478.60
60% off
|
$9,783.00
|
$250,078.00
|
$59,954.50
|
2026-07-15
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$57,439.00
|
$66,919.00
|
$59,948.60
|
2026-07-15
|
|
C1721
|
HCPCS
|
Defib Current Dr 2207 Jude
|
210
|
5
|
$186,507.50
|
$74,603.00
60% off
|
$5,506.00
|
$276,358.00
|
$59,723.50
|
2026-07-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
19
|
10
|
—
|
—
|
$38,691.00
|
$106,334.00
|
$59,629.00
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
19
|
10
|
—
|
—
|
$38,691.00
|
$106,334.00
|
$59,629.00
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$57,045.00
|
$66,461.00
|
$59,537.75
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
10
|
—
|
—
|
$38,529.00
|
$105,888.00
|
$59,378.00
|
2026-07-15
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
9
|
9
|
—
|
—
|
$57,392.79
|
$99,443.00
|
$59,098.00
|
2026-07-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
19
|
10
|
—
|
—
|
$38,294.00
|
$105,241.00
|
$59,016.00
|
2026-07-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
19
|
10
|
—
|
—
|
$38,088.00
|
$104,676.00
|
$58,699.00
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
19
|
10
|
—
|
—
|
$38,001.00
|
$104,437.00
|
$58,565.00
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
19
|
10
|
—
|
—
|
$37,807.00
|
$103,904.00
|
$58,266.00
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
19
|
10
|
—
|
—
|
$37,771.00
|
$103,806.00
|
$58,211.00
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
19
|
10
|
—
|
—
|
$37,767.00
|
$103,795.00
|
$58,204.00
|
2026-07-15
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
9
|
9
|
—
|
—
|
$56,091.86
|
$97,189.00
|
$57,758.00
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$55,004.00
|
$64,082.00
|
$57,407.11
|
2026-07-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
19
|
10
|
—
|
—
|
$37,241.00
|
$102,350.00
|
$57,394.00
|
2026-07-15
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
9
|
9
|
—
|
—
|
$55,550.51
|
$96,251.00
|
$57,201.00
|
2026-07-15
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
9
|
9
|
—
|
—
|
$55,550.51
|
$96,251.00
|
$57,201.00
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
10
|
—
|
—
|
$37,077.00
|
$101,898.00
|
$57,141.00
|
2026-07-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$53,262.00
|
$62,052.00
|
$55,588.62
|
2026-07-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
19
|
10
|
—
|
—
|
$36,051.00
|
$99,078.00
|
$55,559.00
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
19
|
10
|
—
|
—
|
$35,931.00
|
$98,749.00
|
$55,375.00
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
19
|
10
|
—
|
—
|
$35,662.00
|
$98,010.00
|
$54,961.00
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
19
|
10
|
—
|
—
|
$35,553.00
|
$97,710.00
|
$54,792.00
|
2026-07-15
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$52,395.00
|
$61,043.00
|
$54,684.21
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
19
|
10
|
—
|
—
|
$35,258.00
|
$96,900.00
|
$54,338.00
|
2026-07-15
|
|
C1722
|
HCPCS
|
Icd Intica Neo 7 Vr-t 429559
|
221
|
5
|
$148,649.00
|
$59,459.60
60% off
|
$3.00
|
$207,693.00
|
$54,180.00
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
19
|
10
|
—
|
—
|
$35,050.00
|
$96,329.00
|
$54,018.00
|
2026-07-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
10
|
—
|
—
|
$35,023.00
|
$96,253.00
|
$53,976.00
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$35,009.00
|
$96,215.00
|
$53,954.00
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
19
|
10
|
—
|
—
|
$34,883.00
|
$95,869.00
|
$53,760.00
|
2026-07-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
19
|
10
|
—
|
—
|
$34,208.00
|
$94,012.00
|
$52,719.00
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$50,505.00
|
$58,841.00
|
$52,711.26
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
19
|
10
|
—
|
—
|
$34,001.00
|
$93,445.00
|
$52,401.00
|
2026-07-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
19
|
10
|
—
|
—
|
$33,944.00
|
$93,289.00
|
$52,313.00
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
19
|
10
|
—
|
—
|
$33,429.00
|
$91,871.00
|
$51,518.00
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
19
|
10
|
—
|
—
|
$33,284.00
|
$91,473.00
|
$51,295.00
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
19
|
10
|
—
|
—
|
$33,277.00
|
$91,456.00
|
$51,285.00
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$48,644.00
|
$56,672.00
|
$50,768.96
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
19
|
10
|
—
|
—
|
$32,933.00
|
$90,509.00
|
$50,754.00
|
2026-07-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
19
|
10
|
—
|
—
|
$32,757.00
|
$90,024.00
|
$50,482.00
|
2026-07-15
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
19
|
10
|
—
|
—
|
$32,563.00
|
$89,493.00
|
$50,185.00
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
19
|
10
|
—
|
—
|
$32,264.00
|
$88,672.00
|
$49,724.00
|
2026-07-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
19
|
10
|
—
|
—
|
$32,251.00
|
$88,635.00
|
$49,704.00
|
2026-07-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
10
|
—
|
—
|
$32,148.00
|
$88,352.00
|
$49,545.00
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
19
|
10
|
—
|
—
|
$32,143.00
|
$88,339.00
|
$49,537.00
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
8
|
—
|
—
|
$47,428.00
|
$55,256.00
|
$49,500.38
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$46,852.00
|
$54,585.00
|
$48,899.35
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$31,581.00
|
$86,794.00
|
$48,671.00
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
19
|
10
|
—
|
—
|
$31,393.00
|
$86,277.00
|
$48,381.00
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
19
|
10
|
—
|
—
|
$31,306.00
|
$86,038.00
|
$48,247.00
|
2026-07-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
19
|
10
|
—
|
—
|
$31,014.00
|
$85,234.00
|
$47,796.00
|
2026-07-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
19
|
10
|
—
|
—
|
$30,750.00
|
$84,509.00
|
$47,390.00
|
2026-07-15
|
|
1142
|
OTHER
|
Supprelin La Implant
|
9
|
9
|
—
|
—
|
$45,714.00
|
$79,208.00
|
$47,072.00
|
2026-07-15
|
|
1594
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
9
|
9
|
—
|
—
|
$45,450.51
|
$78,751.00
|
$46,801.00
|
2026-07-15
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
9
|
9
|
—
|
—
|
$45,450.51
|
$78,751.00
|
$46,801.00
|
2026-07-15
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
19
|
10
|
—
|
—
|
$30,288.00
|
$83,241.00
|
$46,679.00
|
2026-07-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
10
|
—
|
—
|
$30,226.00
|
$83,070.00
|
$46,583.00
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$44,153.00
|
$51,440.00
|
$46,081.57
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$29,860.00
|
$82,064.00
|
$46,018.00
|
2026-07-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
19
|
10
|
—
|
—
|
$29,816.00
|
$81,942.00
|
$45,950.00
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$43,758.00
|
$50,980.00
|
$45,669.65
|
2026-07-15
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
19
|
10
|
—
|
—
|
$29,604.00
|
$81,361.00
|
$45,625.00
|
2026-07-15
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
19
|
10
|
—
|
—
|
$29,334.00
|
$80,619.00
|
$45,208.00
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
19
|
10
|
—
|
—
|
$29,327.00
|
$80,600.00
|
$45,197.00
|
2026-07-15
|
|
C1735
|
HCPCS
|
Cath Renal Symplicity Spyral
|
6
|
5
|
$168,000.00
|
$67,200.00
60% off
|
$11,538.00
|
$95,760.00
|
$45,192.00
|
2026-07-15
|
|
0266T
|
OTHER
|
Implnt/rep Cartd Baroreflx Sys
|
8
|
6
|
$195,957.00
|
$78,382.80
60% off
|
$11,538.00
|
$111,695.00
|
$45,168.00
|
2026-07-15
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
8
|
6
|
$195,957.00
|
$78,382.80
60% off
|
$11,538.00
|
$111,695.00
|
$45,168.00
|
2026-07-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
19
|
10
|
—
|
—
|
$29,194.00
|
$80,232.00
|
$44,991.00
|
2026-07-15
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
19
|
10
|
—
|
—
|
$29,125.00
|
$80,044.00
|
$44,886.00
|
2026-07-15
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
19
|
10
|
—
|
—
|
$28,785.00
|
$79,109.00
|
$44,361.00
|
2026-07-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
19
|
10
|
—
|
—
|
$28,769.00
|
$79,064.00
|
$44,337.00
|
2026-07-15
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
19
|
10
|
—
|
—
|
$28,726.00
|
$78,947.00
|
$44,271.00
|
2026-07-15
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
19
|
10
|
—
|
—
|
$28,585.00
|
$78,558.00
|
$44,053.00
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$42,067.00
|
$49,010.00
|
$43,905.14
|
2026-07-15
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$28,472.00
|
$78,249.00
|
$43,879.00
|
2026-07-15
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
19
|
10
|
—
|
—
|
$28,419.00
|
$78,104.00
|
$43,798.00
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$41,842.00
|
$48,748.00
|
$43,670.12
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$41,767.00
|
$48,660.00
|
$43,591.71
|
2026-07-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$41,320.00
|
$48,140.00
|
$43,125.42
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
19
|
10
|
—
|
—
|
$27,886.00
|
$76,638.00
|
$42,976.00
|
2026-07-15
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
19
|
10
|
—
|
—
|
$27,866.00
|
$76,585.00
|
$42,946.00
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$27,620.00
|
$75,907.00
|
$42,566.00
|
2026-07-15
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
19
|
10
|
—
|
—
|
$27,563.00
|
$75,752.00
|
$42,479.00
|
2026-07-15
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
19
|
10
|
—
|
—
|
$27,507.00
|
$75,598.00
|
$42,393.00
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$40,608.00
|
$47,310.00
|
$42,381.94
|
2026-07-15
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
19
|
10
|
—
|
—
|
$27,385.00
|
$75,263.00
|
$42,205.00
|
2026-07-15
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
19
|
10
|
—
|
—
|
$27,372.00
|
$75,226.00
|
$42,184.00
|
2026-07-15
|
|
C2616
|
HCPCS
|
Brach Y-90 Nonstrand Per Srce
|
9
|
5
|
$162,135.00
|
$64,854.00
60% off
|
$11,538.00
|
$118,681.00
|
$42,059.00
|
2026-07-15
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
19
|
10
|
—
|
—
|
$27,221.00
|
$74,811.00
|
$41,951.00
|
2026-07-15
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
8
|
8
|
—
|
—
|
$40,064.00
|
$46,677.00
|
$41,814.68
|
2026-07-15
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
19
|
10
|
—
|
—
|
$27,028.00
|
$74,280.00
|
$41,654.00
|
2026-07-15
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$26,952.00
|
$74,072.00
|
$41,537.00
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$39,742.00
|
$46,302.00
|
$41,478.81
|
2026-07-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
19
|
10
|
—
|
—
|
$26,757.00
|
$73,535.00
|
$41,236.00
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
8
|
—
|
—
|
$39,467.00
|
$45,981.00
|
$41,191.39
|
2026-07-15
|
|
C1772
|
HCPCS
|
Pump Synchro W/fltr 10ml
|
15
|
5
|
$138,983.00
|
$55,593.20
60% off
|
$5,157.76
|
$94,945.00
|
$41,071.00
|
2026-07-15
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
10
|
—
|
—
|
$26,612.00
|
$73,137.00
|
$41,013.00
|
2026-07-15
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
19
|
10
|
—
|
—
|
$26,405.00
|
$72,568.00
|
$40,693.00
|
2026-07-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$38,761.00
|
$45,159.00
|
$40,454.41
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
19
|
10
|
—
|
—
|
$26,194.00
|
$71,989.00
|
$40,369.00
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$38,299.00
|
$44,620.00
|
$39,971.96
|
2026-07-15
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
19
|
10
|
—
|
—
|
$25,541.00
|
$70,194.00
|
$39,362.00
|
2026-07-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
19
|
10
|
—
|
—
|
$25,364.00
|
$69,707.00
|
$39,089.00
|
2026-07-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
20
|
11
|
—
|
—
|
$829.00
|
$74,355.00
|
$39,019.50
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$37,309.00
|
$43,467.00
|
$38,939.10
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$37,209.00
|
$43,350.00
|
$38,834.69
|
2026-07-15
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
19
|
10
|
—
|
—
|
$25,094.00
|
$68,964.00
|
$38,673.00
|
2026-07-15
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
19
|
10
|
—
|
—
|
$25,092.00
|
$68,961.00
|
$38,671.00
|
2026-07-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
19
|
10
|
—
|
—
|
$25,088.00
|
$68,949.00
|
$38,664.00
|
2026-07-15
|
|
C1767
|
HCPCS
|
Ipg Eterna Generator
|
85
|
5
|
$108,495.00
|
$43,398.00
60% off
|
$484.00
|
$353,653.00
|
$38,547.00
|
2026-07-15
|
|
C2624
|
HCPCS
|
Cardiomems Pa System
|
11
|
5
|
$111,804.00
|
$44,721.60
60% off
|
$11,538.00
|
$84,803.00
|
$38,534.00
|
2026-07-15
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
19
|
10
|
—
|
—
|
$24,970.00
|
$68,626.00
|
$38,483.00
|
2026-07-15
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
19
|
10
|
—
|
—
|
$24,858.00
|
$68,318.00
|
$38,310.00
|
2026-07-15
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
19
|
10
|
—
|
—
|
$24,713.00
|
$67,918.00
|
$38,086.00
|
2026-07-15
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
19
|
10
|
—
|
—
|
$24,707.00
|
$67,901.00
|
$38,076.00
|
2026-07-15
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
19
|
10
|
—
|
—
|
$24,644.00
|
$67,729.00
|
$37,980.00
|
2026-07-15
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
19
|
10
|
—
|
—
|
$24,527.00
|
$67,406.00
|
$37,799.00
|
2026-07-15
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
19
|
10
|
—
|
—
|
$24,519.00
|
$67,385.00
|
$37,787.00
|
2026-07-15
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
19
|
10
|
—
|
—
|
$24,509.00
|
$67,358.00
|
$37,772.00
|
2026-07-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
19
|
10
|
—
|
—
|
$24,466.00
|
$67,239.00
|
$37,705.00
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$35,907.00
|
$41,833.00
|
$37,475.31
|
2026-07-15
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
19
|
10
|
—
|
—
|
$24,308.00
|
$66,804.00
|
$37,461.00
|
2026-07-15
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
19
|
10
|
—
|
—
|
$24,281.00
|
$66,731.00
|
$37,420.00
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$35,840.00
|
$41,755.00
|
$37,405.87
|
2026-07-15
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
19
|
10
|
—
|
—
|
$24,254.00
|
$66,658.00
|
$37,379.00
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$35,771.00
|
$41,675.00
|
$37,333.76
|
2026-07-15
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$35,647.00
|
$41,530.00
|
$37,204.04
|
2026-07-15
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
19
|
10
|
—
|
—
|
$24,111.00
|
$66,263.00
|
$37,158.00
|
2026-07-15
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
19
|
10
|
—
|
—
|
$24,073.00
|
$66,159.00
|
$37,100.00
|
2026-07-15
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
19
|
10
|
—
|
—
|
$24,035.00
|
$66,056.00
|
$37,042.00
|
2026-07-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
19
|
10
|
—
|
—
|
$24,013.00
|
$65,994.00
|
$37,007.00
|
2026-07-15
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
19
|
10
|
—
|
—
|
$23,976.00
|
$65,894.00
|
$36,951.00
|
2026-07-15
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
19
|
10
|
—
|
—
|
$23,843.00
|
$65,528.00
|
$36,746.00
|
2026-07-15
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
19
|
10
|
—
|
—
|
$23,744.00
|
$65,255.00
|
$36,593.00
|
2026-07-15
|
|
1593
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
9
|
9
|
—
|
—
|
$35,350.51
|
$61,251.00
|
$36,401.00
|
2026-07-15
|
|
1579
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
9
|
9
|
—
|
—
|
$35,350.51
|
$61,251.00
|
$36,401.00
|
2026-07-15
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
19
|
10
|
—
|
—
|
$23,497.00
|
$64,576.00
|
$36,212.00
|
2026-07-15
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
19
|
10
|
—
|
—
|
$23,246.00
|
$63,887.00
|
$35,826.00
|
2026-07-15
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$23,113.00
|
$63,522.00
|
$35,621.00
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$34,064.00
|
$39,686.00
|
$35,552.40
|
2026-07-15
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
19
|
10
|
—
|
—
|
$22,881.00
|
$62,883.00
|
$35,263.00
|
2026-07-15
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
19
|
10
|
—
|
—
|
$22,816.00
|
$62,704.00
|
$35,162.00
|
2026-07-15
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
19
|
10
|
—
|
—
|
$22,806.00
|
$62,677.00
|
$35,147.00
|
2026-07-15
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
19
|
10
|
—
|
—
|
$22,535.00
|
$61,933.00
|
$34,730.00
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$33,234.00
|
$38,719.00
|
$34,686.21
|
2026-07-15
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
10
|
—
|
—
|
$22,431.00
|
$61,646.00
|
$34,569.00
|
2026-07-15
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
19
|
10
|
—
|
—
|
$22,366.00
|
$61,467.00
|
$34,469.00
|
2026-07-15
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
19
|
10
|
—
|
—
|
$22,323.00
|
$61,350.00
|
$34,403.00
|
2026-07-15
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
19
|
10
|
—
|
—
|
$22,263.00
|
$61,185.00
|
$34,310.00
|
2026-07-15
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
19
|
10
|
—
|
—
|
$22,218.00
|
$61,061.00
|
$34,241.00
|
2026-07-15
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
19
|
10
|
—
|
—
|
$22,181.00
|
$60,959.00
|
$34,184.00
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$32,378.00
|
$37,722.00
|
$33,793.11
|
2026-07-15
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
19
|
10
|
—
|
—
|
$21,847.00
|
$60,042.00
|
$33,669.00
|
2026-07-15
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
19
|
10
|
—
|
—
|
$21,837.00
|
$60,015.00
|
$33,654.00
|
2026-07-15
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
19
|
10
|
—
|
—
|
$21,744.00
|
$59,759.00
|
$33,511.00
|
2026-07-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$32,012.00
|
$37,296.00
|
$33,410.63
|
2026-07-15
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
19
|
10
|
—
|
—
|
$21,647.00
|
$59,492.00
|
$33,361.00
|
2026-07-15
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
9
|
9
|
—
|
—
|
$32,382.00
|
$56,108.00
|
$33,344.00
|
2026-07-15
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
19
|
10
|
—
|
—
|
$21,602.00
|
$59,368.00
|
$33,292.00
|
2026-07-15
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
19
|
10
|
—
|
—
|
$21,587.00
|
$59,326.00
|
$33,268.00
|
2026-07-15
|
|
652
|
MS_DRG
|
Kidney Transplant
|
19
|
10
|
—
|
—
|
$21,500.00
|
$59,088.00
|
$33,134.00
|
2026-07-15
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
19
|
10
|
—
|
—
|
$21,480.00
|
$59,034.00
|
$33,104.00
|
2026-07-15
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
9
|
9
|
—
|
—
|
$32,125.90
|
$55,664.00
|
$33,080.00
|
2026-07-15
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
19
|
10
|
—
|
—
|
$21,410.00
|
$58,841.00
|
$32,996.00
|
2026-07-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$31,566.00
|
$36,776.00
|
$32,945.23
|
2026-07-15
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
19
|
10
|
—
|
—
|
$21,071.00
|
$57,910.00
|
$32,474.00
|
2026-07-15
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
19
|
10
|
—
|
—
|
$20,903.00
|
$57,449.00
|
$32,215.00
|
2026-07-15
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
19
|
10
|
—
|
—
|
$20,640.00
|
$56,725.00
|
$31,809.00
|
2026-07-15
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
19
|
10
|
—
|
—
|
$20,587.00
|
$56,579.00
|
$31,728.00
|
2026-07-15
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
9
|
9
|
—
|
—
|
$30,778.00
|
$53,329.00
|
$31,693.00
|
2026-07-15
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
19
|
10
|
—
|
—
|
$20,531.00
|
$56,425.00
|
$31,641.00
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
8
|
—
|
—
|
$30,258.00
|
$35,252.00
|
$31,580.12
|
2026-07-15
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
19
|
10
|
—
|
—
|
$20,414.00
|
$56,104.00
|
$31,461.00
|
2026-07-15
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
19
|
10
|
—
|
—
|
$20,403.00
|
$56,073.00
|
$31,444.00
|
2026-07-15
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
19
|
10
|
—
|
—
|
$20,397.00
|
$56,056.00
|
$31,434.00
|
2026-07-15
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
19
|
10
|
—
|
—
|
$20,385.00
|
$56,025.00
|
$31,417.00
|
2026-07-15
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
19
|
10
|
—
|
—
|
$20,280.00
|
$55,736.00
|
$31,255.00
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
8
|
—
|
—
|
$29,905.00
|
$34,841.00
|
$31,211.25
|
2026-07-15
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
19
|
10
|
—
|
—
|
$20,070.00
|
$55,157.00
|
$30,930.00
|
2026-07-15
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
19
|
10
|
—
|
—
|
$20,047.00
|
$55,094.00
|
$30,895.00
|
2026-07-15
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
19
|
10
|
—
|
—
|
$20,035.00
|
$55,061.00
|
$30,876.00
|
2026-07-15
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
19
|
10
|
—
|
—
|
$20,007.00
|
$54,984.00
|
$30,833.00
|
2026-07-15
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
19
|
10
|
—
|
—
|
$19,928.00
|
$54,767.00
|
$30,711.00
|
2026-07-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$29,354.00
|
$34,199.00
|
$30,636.60
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
8
|
—
|
—
|
$29,238.00
|
$34,064.00
|
$30,515.85
|
2026-07-15
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
19
|
10
|
—
|
—
|
$19,755.00
|
$54,292.00
|
$30,445.00
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$29,102.00
|
$33,905.00
|
$30,373.22
|
2026-07-15
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
19
|
10
|
—
|
—
|
$19,659.00
|
$54,028.00
|
$30,297.00
|
2026-07-15
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
19
|
10
|
—
|
—
|
$19,639.00
|
$53,972.00
|
$30,266.00
|
2026-07-15
|
|
0515T
|
OTHER
|
Insert Wrls Card Stim Lv Sys
|
8
|
6
|
$134,627.00
|
$53,850.80
60% off
|
$2,472.00
|
$76,737.00
|
$29,853.00
|
2026-07-15
|
|
92997
|
HCPCS
|
Pta Pulm 1st Ves
|
13
|
7
|
$114,598.00
|
$45,839.20
60% off
|
$9,885.00
|
$65,321.00
|
$29,681.00
|
2026-07-15
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
9
|
9
|
—
|
—
|
$28,712.61
|
$49,750.00
|
$29,565.00
|
2026-07-15
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
19
|
10
|
—
|
—
|
$19,155.00
|
$52,643.00
|
$29,520.00
|
2026-07-15
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
19
|
10
|
—
|
—
|
$19,121.00
|
$52,549.00
|
$29,467.00
|
2026-07-15
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
19
|
10
|
—
|
—
|
$19,086.00
|
$52,452.00
|
$29,413.00
|
2026-07-15
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
19
|
10
|
—
|
—
|
$19,017.00
|
$52,264.00
|
$29,308.00
|
2026-07-15
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
19
|
10
|
—
|
—
|
$18,924.00
|
$52,008.00
|
$29,164.00
|
2026-07-15
|