|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
5
|
2
|
—
|
—
|
$963,050.00
|
$4,465,050.00
|
$4,465,050.00
|
2025-12-23
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
5
|
2
|
—
|
—
|
$816,200.00
|
$3,784,200.00
|
$3,784,200.00
|
2025-12-23
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
5
|
2
|
—
|
—
|
$810,758.67
|
$3,758,972.00
|
$3,758,972.00
|
2025-12-23
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
5
|
2
|
—
|
—
|
$731,405.82
|
$3,391,063.34
|
$3,391,063.34
|
2025-12-23
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
5
|
2
|
—
|
—
|
$717,498.10
|
$3,326,582.10
|
$3,326,582.10
|
2025-12-23
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
5
|
2
|
—
|
—
|
$649,151.07
|
$3,009,700.40
|
$3,009,700.40
|
2025-12-23
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
6
|
3
|
—
|
—
|
$513,040.00
|
$4,897,200.00
|
$2,378,640.00
|
2025-12-23
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
6
|
3
|
—
|
—
|
$169,536.40
|
$1,618,302.00
|
$786,032.40
|
2025-12-23
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$443,999.01
|
$493,999.83
|
$465,094.72
|
2025-12-23
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$289,659.20
|
$322,279.08
|
$303,421.77
|
2025-12-23
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$287,636.42
|
$320,028.51
|
$301,302.89
|
2025-12-23
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
18
|
8
|
—
|
—
|
$65,243.14
|
$573,083.71
|
$284,677.33
|
2025-12-23
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
6
|
3
|
—
|
—
|
$59,482.50
|
$567,787.50
|
$275,782.50
|
2025-12-23
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$256,519.18
|
$285,407.01
|
$268,707.17
|
2025-12-23
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$225,558.05
|
$250,959.20
|
$236,274.98
|
2025-12-23
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$219,835.98
|
$244,592.74
|
$230,281.04
|
2025-12-23
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$211,296.47
|
$235,091.55
|
$221,335.79
|
2025-12-23
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
8
|
—
|
—
|
$208,401.80
|
$231,870.90
|
$218,303.59
|
2025-12-23
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
19
|
9
|
—
|
—
|
$48,731.16
|
$428,045.49
|
$212,630.10
|
2025-12-23
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$190,451.72
|
$211,899.39
|
$199,500.65
|
2025-12-23
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$188,386.59
|
$209,601.69
|
$197,337.40
|
2025-12-23
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
8
|
—
|
—
|
$186,976.63
|
$208,032.94
|
$195,860.45
|
2025-12-23
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$184,009.72
|
$204,731.92
|
$192,752.57
|
2025-12-23
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$174,662.26
|
$194,331.80
|
$182,960.98
|
2025-12-23
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$173,787.05
|
$193,358.02
|
$182,044.18
|
2025-12-23
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
19
|
9
|
—
|
—
|
$41,040.44
|
$360,491.67
|
$179,072.98
|
2025-12-23
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$170,624.17
|
$189,838.96
|
$178,731.04
|
2025-12-23
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$157,821.55
|
$175,594.58
|
$165,320.12
|
2025-12-23
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$155,330.44
|
$172,822.93
|
$162,710.65
|
2025-12-23
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
19
|
9
|
—
|
—
|
$37,076.67
|
$325,674.59
|
$161,777.72
|
2025-12-23
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$154,266.74
|
$171,639.44
|
$161,596.41
|
2025-12-23
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$148,746.45
|
$165,497.48
|
$155,813.83
|
2025-12-23
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$145,322.76
|
$245,723.57
|
$152,588.90
|
2025-12-23
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$144,034.11
|
$160,254.46
|
$150,877.60
|
2025-12-23
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$136,579.06
|
$151,959.86
|
$143,068.33
|
2025-12-23
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$131,545.36
|
$146,359.30
|
$137,795.47
|
2025-12-23
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
8
|
—
|
—
|
$128,259.59
|
$142,703.50
|
$134,353.59
|
2025-12-23
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$126,701.82
|
$140,970.31
|
$132,721.80
|
2025-12-23
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$118,334.19
|
$131,660.35
|
$123,956.60
|
2025-12-23
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$111,741.06
|
$124,324.74
|
$117,050.21
|
2025-12-23
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$108,772.56
|
$183,921.51
|
$114,211.19
|
2025-12-23
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
8
|
8
|
—
|
—
|
$108,345.69
|
$120,547.00
|
$113,493.51
|
2025-12-23
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$107,474.63
|
$119,577.85
|
$112,581.07
|
2025-12-23
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
8
|
—
|
—
|
$106,729.79
|
$118,749.12
|
$111,800.83
|
2025-12-23
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
19
|
9
|
—
|
—
|
$24,444.90
|
$214,719.48
|
$106,661.15
|
2025-12-23
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$100,893.96
|
$112,256.10
|
$105,687.73
|
2025-12-23
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$100,624.09
|
$111,955.83
|
$105,405.04
|
2025-12-23
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$97,101.66
|
$108,036.73
|
$101,715.24
|
2025-12-23
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$96,734.64
|
$107,628.38
|
$101,330.79
|
2025-12-23
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
9
|
—
|
—
|
$22,666.11
|
$199,094.95
|
$98,899.72
|
2025-12-23
|
|
7
|
MS_DRG
|
Lung Transplant
|
19
|
9
|
—
|
—
|
$22,609.02
|
$198,593.48
|
$98,650.62
|
2025-12-23
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$92,119.45
|
$102,493.45
|
$96,496.32
|
2025-12-23
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$89,874.13
|
$99,995.28
|
$94,144.32
|
2025-12-23
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$87,559.90
|
$97,420.42
|
$91,720.13
|
2025-12-23
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$86,570.10
|
$96,319.15
|
$90,683.30
|
2025-12-23
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$85,363.57
|
$94,976.76
|
$89,419.45
|
2025-12-23
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
8
|
—
|
—
|
$81,827.03
|
$91,041.96
|
$85,714.88
|
2025-12-23
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
8
|
—
|
—
|
$80,871.28
|
$89,978.57
|
$84,713.71
|
2025-12-23
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
19
|
9
|
—
|
—
|
$19,064.08
|
$167,455.36
|
$83,182.87
|
2025-12-23
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$79,381.59
|
$88,321.13
|
$83,153.25
|
2025-12-23
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
8
|
—
|
—
|
$79,068.54
|
$87,972.82
|
$82,825.32
|
2025-12-23
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$78,567.03
|
$132,847.54
|
$82,495.38
|
2025-12-23
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$78,699.03
|
$87,561.70
|
$82,438.26
|
2025-12-23
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
7
|
5
|
—
|
—
|
$18,846.45
|
$151,479.68
|
$82,233.26
|
2025-12-23
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
19
|
9
|
—
|
—
|
$18,423.46
|
$161,828.28
|
$80,387.63
|
2025-12-23
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
19
|
9
|
—
|
—
|
$18,329.00
|
$160,998.58
|
$79,975.48
|
2025-12-23
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
5
|
—
|
—
|
$18,122.44
|
$145,660.44
|
$79,074.19
|
2025-12-23
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$74,895.94
|
$83,330.33
|
$78,454.47
|
2025-12-23
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$74,321.59
|
$125,669.00
|
$78,037.67
|
2025-12-23
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
8
|
—
|
—
|
$73,432.83
|
$81,702.44
|
$76,921.84
|
2025-12-23
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$72,937.10
|
$81,150.89
|
$76,402.56
|
2025-12-23
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
8
|
—
|
—
|
$54,007.27
|
$146,658.12
|
$76,127.88
|
2025-12-23
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$72,664.74
|
$80,847.85
|
$76,117.26
|
2025-12-23
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$72,258.96
|
$122,181.34
|
$75,871.91
|
2025-12-23
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$71,110.29
|
$79,118.35
|
$74,488.95
|
2025-12-23
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$69,896.29
|
$77,767.63
|
$73,217.26
|
2025-12-23
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$69,711.95
|
$77,562.53
|
$73,024.17
|
2025-12-23
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$69,493.60
|
$178,608.27
|
$72,968.28
|
2025-12-23
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$69,507.68
|
$77,335.26
|
$72,810.19
|
2025-12-23
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$69,359.04
|
$77,169.89
|
$72,654.49
|
2025-12-23
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$68,972.98
|
$116,625.13
|
$72,421.63
|
2025-12-23
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
8
|
—
|
—
|
$68,725.47
|
$76,464.96
|
$71,990.82
|
2025-12-23
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$68,150.11
|
$115,233.77
|
$71,557.62
|
2025-12-23
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$68,115.98
|
$75,786.84
|
$71,352.37
|
2025-12-23
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$67,217.52
|
$74,787.20
|
$70,411.23
|
2025-12-23
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
8
|
—
|
—
|
$66,692.73
|
$74,203.30
|
$69,861.49
|
2025-12-23
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$66,621.32
|
$74,123.85
|
$69,786.70
|
2025-12-23
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
8
|
—
|
—
|
$66,564.02
|
$74,060.10
|
$69,726.68
|
2025-12-23
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
7
|
5
|
—
|
—
|
$15,936.59
|
$128,091.47
|
$69,536.58
|
2025-12-23
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$65,950.38
|
$73,377.36
|
$69,083.88
|
2025-12-23
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
8
|
—
|
—
|
$64,587.74
|
$71,861.26
|
$67,656.49
|
2025-12-23
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$63,775.17
|
$107,836.25
|
$66,963.93
|
2025-12-23
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
17
|
8
|
—
|
—
|
$47,419.69
|
$128,769.38
|
$66,842.12
|
2025-12-23
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$62,775.88
|
$69,845.36
|
$65,758.54
|
2025-12-23
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$61,659.86
|
$68,603.67
|
$64,589.51
|
2025-12-23
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$61,338.01
|
$157,647.27
|
$64,404.91
|
2025-12-23
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$61,349.31
|
$68,258.14
|
$64,264.19
|
2025-12-23
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
9
|
—
|
—
|
$14,651.72
|
$128,697.96
|
$63,930.26
|
2025-12-23
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
8
|
—
|
—
|
$60,912.53
|
$67,772.17
|
$63,806.67
|
2025-12-23
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
8
|
—
|
—
|
$60,653.46
|
$67,483.93
|
$63,535.29
|
2025-12-23
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
8
|
—
|
—
|
$60,484.89
|
$67,296.38
|
$63,358.71
|
2025-12-23
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
8
|
—
|
—
|
$60,405.18
|
$67,207.68
|
$63,275.21
|
2025-12-23
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
7
|
5
|
—
|
—
|
$14,429.24
|
$115,976.04
|
$62,959.52
|
2025-12-23
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
8
|
—
|
—
|
$60,083.82
|
$66,850.14
|
$62,938.58
|
2025-12-23
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$59,650.37
|
$66,367.87
|
$62,484.54
|
2025-12-23
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
17
|
8
|
—
|
—
|
$43,740.34
|
$118,778.01
|
$61,655.76
|
2025-12-23
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
8
|
—
|
—
|
$58,604.11
|
$65,203.79
|
$61,388.57
|
2025-12-23
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
8
|
—
|
—
|
$58,428.90
|
$65,008.85
|
$61,205.03
|
2025-12-23
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
19
|
9
|
—
|
—
|
$13,945.70
|
$122,496.48
|
$60,849.70
|
2025-12-23
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$57,826.88
|
$64,339.04
|
$60,574.40
|
2025-12-23
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
8
|
—
|
—
|
$57,474.80
|
$63,947.31
|
$60,205.60
|
2025-12-23
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
19
|
9
|
—
|
—
|
$13,793.29
|
$121,157.71
|
$60,184.67
|
2025-12-23
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
18
|
8
|
—
|
—
|
$13,714.23
|
$120,463.25
|
$59,839.70
|
2025-12-23
|
|
7594
|
APR_DRG
|
Eating Disorders
|
8
|
8
|
—
|
—
|
$56,721.66
|
$63,109.35
|
$59,416.67
|
2025-12-23
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
8
|
8
|
—
|
—
|
$56,645.27
|
$63,024.35
|
$59,336.65
|
2025-12-23
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
8
|
—
|
—
|
$56,627.00
|
$63,004.03
|
$59,317.51
|
2025-12-23
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
8
|
—
|
—
|
$56,144.55
|
$62,467.25
|
$58,812.15
|
2025-12-23
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$55,937.79
|
$62,237.20
|
$58,595.56
|
2025-12-23
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
9
|
—
|
—
|
$13,385.88
|
$117,579.05
|
$58,406.98
|
2025-12-23
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
8
|
8
|
—
|
—
|
$55,399.71
|
$61,638.53
|
$58,031.91
|
2025-12-23
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
8
|
—
|
—
|
$55,136.49
|
$61,345.66
|
$57,756.18
|
2025-12-23
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
8
|
—
|
—
|
$54,693.90
|
$60,853.23
|
$57,292.57
|
2025-12-23
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$54,076.94
|
$60,166.78
|
$56,646.29
|
2025-12-23
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
8
|
8
|
—
|
—
|
$53,873.50
|
$59,940.44
|
$56,433.19
|
2025-12-23
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
19
|
9
|
—
|
—
|
$12,913.07
|
$113,425.98
|
$56,343.96
|
2025-12-23
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
8
|
8
|
—
|
—
|
$53,508.13
|
$59,533.93
|
$56,050.46
|
2025-12-23
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
8
|
—
|
—
|
$53,244.91
|
$59,241.06
|
$55,774.74
|
2025-12-23
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
8
|
—
|
—
|
$52,913.59
|
$58,872.44
|
$55,427.67
|
2025-12-23
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
8
|
—
|
—
|
$52,767.44
|
$58,709.83
|
$55,274.58
|
2025-12-23
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
8
|
—
|
—
|
$52,568.16
|
$58,488.09
|
$55,065.82
|
2025-12-23
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
8
|
—
|
—
|
$51,946.21
|
$57,796.11
|
$54,414.33
|
2025-12-23
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
8
|
—
|
—
|
$51,492.00
|
$57,290.75
|
$53,938.54
|
2025-12-23
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$51,484.52
|
$57,282.44
|
$53,930.71
|
2025-12-23
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
5
|
—
|
—
|
$12,287.67
|
$98,763.04
|
$53,615.16
|
2025-12-23
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
5
|
4
|
—
|
—
|
$53,345.67
|
$98,266.64
|
$53,345.67
|
2025-12-23
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
8
|
—
|
—
|
$50,824.38
|
$56,547.95
|
$53,239.19
|
2025-12-23
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
17
|
8
|
—
|
—
|
$37,311.69
|
$101,320.85
|
$52,594.03
|
2025-12-23
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
19
|
9
|
—
|
—
|
$12,034.75
|
$105,710.97
|
$52,511.56
|
2025-12-23
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
8
|
—
|
—
|
$49,589.62
|
$55,174.14
|
$51,945.77
|
2025-12-23
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
8
|
—
|
—
|
$49,559.73
|
$55,140.88
|
$51,914.46
|
2025-12-23
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$49,247.34
|
$126,572.55
|
$51,709.71
|
2025-12-23
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
19
|
9
|
—
|
—
|
$11,812.96
|
$103,762.85
|
$51,543.83
|
2025-12-23
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$48,983.85
|
$125,895.34
|
$51,433.04
|
2025-12-23
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$48,849.76
|
$54,350.96
|
$51,170.76
|
2025-12-23
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
8
|
—
|
—
|
$36,138.21
|
$98,134.25
|
$50,939.92
|
2025-12-23
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$48,621.41
|
$54,096.90
|
$50,931.56
|
2025-12-23
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
8
|
—
|
—
|
$48,321.65
|
$53,763.37
|
$50,617.55
|
2025-12-23
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
5
|
4
|
—
|
—
|
$50,610.83
|
$93,228.85
|
$50,610.83
|
2025-12-23
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
19
|
9
|
—
|
—
|
$11,554.50
|
$101,492.56
|
$50,416.08
|
2025-12-23
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
8
|
—
|
—
|
$47,988.67
|
$53,392.89
|
$50,268.75
|
2025-12-23
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
8
|
—
|
—
|
$47,856.64
|
$53,246.00
|
$50,130.45
|
2025-12-23
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
8
|
—
|
—
|
$47,409.07
|
$52,748.03
|
$49,661.61
|
2025-12-23
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$47,292.77
|
$79,966.47
|
$49,657.41
|
2025-12-23
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
8
|
—
|
—
|
$47,058.66
|
$52,358.15
|
$49,294.55
|
2025-12-23
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
8
|
—
|
—
|
$46,675.86
|
$51,932.25
|
$48,893.57
|
2025-12-23
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
19
|
9
|
—
|
—
|
$11,188.26
|
$98,275.57
|
$48,818.05
|
2025-12-23
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$46,545.49
|
$51,787.20
|
$48,757.01
|
2025-12-23
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
8
|
—
|
—
|
$46,453.32
|
$51,684.64
|
$48,660.46
|
2025-12-23
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
17
|
8
|
—
|
—
|
$34,461.10
|
$93,580.01
|
$48,575.88
|
2025-12-23
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
8
|
8
|
—
|
—
|
$46,107.06
|
$51,299.38
|
$48,297.74
|
2025-12-23
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
8
|
—
|
—
|
$46,011.56
|
$51,193.13
|
$48,197.71
|
2025-12-23
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
17
|
8
|
—
|
—
|
$34,184.10
|
$92,827.81
|
$48,185.43
|
2025-12-23
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
8
|
8
|
—
|
—
|
$45,923.54
|
$51,095.21
|
$48,105.51
|
2025-12-23
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
8
|
8
|
—
|
—
|
$45,760.79
|
$50,914.13
|
$47,935.03
|
2025-12-23
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$45,585.58
|
$50,719.19
|
$47,751.49
|
2025-12-23
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
19
|
9
|
—
|
—
|
$10,941.04
|
$96,104.06
|
$47,739.36
|
2025-12-23
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
8
|
—
|
—
|
$45,536.59
|
$50,664.68
|
$47,700.17
|
2025-12-23
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$45,042.19
|
$76,161.01
|
$47,294.30
|
2025-12-23
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
8
|
—
|
—
|
$33,292.10
|
$90,405.56
|
$46,928.08
|
2025-12-23
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
7
|
5
|
—
|
—
|
$10,716.31
|
$86,133.13
|
$46,758.80
|
2025-12-23
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
7
|
5
|
—
|
—
|
$10,702.47
|
$86,021.89
|
$46,698.41
|
2025-12-23
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
8
|
8
|
—
|
—
|
$44,538.49
|
$49,554.17
|
$46,654.64
|
2025-12-23
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
19
|
9
|
—
|
—
|
$10,616.49
|
$93,253.29
|
$46,323.25
|
2025-12-23
|
|
7584
|
APR_DRG
|
Behavioral Disorders
|
8
|
8
|
—
|
—
|
$44,179.77
|
$49,155.06
|
$46,278.89
|
2025-12-23
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$44,170.64
|
$49,144.90
|
$46,269.32
|
2025-12-23
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
8
|
8
|
—
|
—
|
$44,005.39
|
$48,961.04
|
$46,096.21
|
2025-12-23
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
6
|
3
|
—
|
—
|
$9,937.53
|
$94,858.26
|
$46,074.01
|
2025-12-23
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
8
|
8
|
—
|
—
|
$43,840.15
|
$48,777.19
|
$45,923.12
|
2025-12-23
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
19
|
9
|
—
|
—
|
$10,517.54
|
$92,384.08
|
$45,891.47
|
2025-12-23
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
8
|
—
|
—
|
$43,757.94
|
$48,685.73
|
$45,837.01
|
2025-12-23
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
8
|
8
|
—
|
—
|
$43,718.09
|
$48,641.38
|
$45,795.26
|
2025-12-23
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
8
|
8
|
—
|
—
|
$43,700.65
|
$48,621.98
|
$45,776.99
|
2025-12-23
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
8
|
8
|
—
|
—
|
$43,665.77
|
$48,583.18
|
$45,740.46
|
2025-12-23
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
8
|
8
|
—
|
—
|
$43,630.90
|
$48,544.37
|
$45,703.93
|
2025-12-23
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
8
|
8
|
—
|
—
|
$43,621.76
|
$48,534.20
|
$45,694.36
|
2025-12-23
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
19
|
9
|
—
|
—
|
$10,442.11
|
$91,721.54
|
$45,562.35
|
2025-12-23
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
19
|
9
|
—
|
—
|
$10,442.11
|
$91,721.54
|
$45,562.35
|
2025-12-23
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$43,210.73
|
$48,076.89
|
$45,263.80
|
2025-12-23
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
19
|
9
|
—
|
—
|
$10,364.08
|
$91,036.20
|
$45,221.91
|
2025-12-23
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
17
|
8
|
—
|
—
|
$10,284.50
|
$90,337.18
|
$44,874.68
|
2025-12-23
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
8
|
8
|
—
|
—
|
$42,782.26
|
$47,600.17
|
$44,814.97
|
2025-12-23
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
19
|
9
|
—
|
—
|
$10,179.67
|
$89,416.30
|
$44,417.24
|
2025-12-23
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
8
|
8
|
—
|
—
|
$42,382.02
|
$47,154.86
|
$44,395.71
|
2025-12-23
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
8
|
—
|
—
|
$42,196.02
|
$46,947.91
|
$44,200.88
|
2025-12-23
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
8
|
8
|
—
|
—
|
$41,990.92
|
$46,719.71
|
$43,986.04
|
2025-12-23
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
19
|
9
|
—
|
—
|
$10,072.58
|
$88,475.67
|
$43,949.98
|
2025-12-23
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$41,823.96
|
$70,719.35
|
$43,915.16
|
2025-12-23
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
8
|
8
|
—
|
—
|
$41,892.10
|
$46,609.77
|
$43,882.52
|
2025-12-23
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$41,730.88
|
$107,254.21
|
$43,817.42
|
2025-12-23
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
8
|
8
|
—
|
—
|
$41,775.02
|
$46,479.49
|
$43,759.87
|
2025-12-23
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
8
|
—
|
—
|
$41,542.52
|
$46,220.81
|
$43,516.33
|
2025-12-23
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$41,444.54
|
$46,111.80
|
$43,413.69
|
2025-12-23
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
8
|
—
|
—
|
$41,398.87
|
$46,060.99
|
$43,365.85
|
2025-12-23
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
9
|
—
|
—
|
$9,929.16
|
$87,215.92
|
$43,324.21
|
2025-12-23
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$41,348.21
|
$46,004.63
|
$43,312.79
|
2025-12-23
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
8
|
8
|
—
|
—
|
$41,306.69
|
$45,958.43
|
$43,269.29
|
2025-12-23
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
9
|
—
|
—
|
$9,869.82
|
$86,694.70
|
$43,065.29
|
2025-12-23
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
8
|
—
|
—
|
$41,003.61
|
$45,621.22
|
$42,951.81
|
2025-12-23
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
8
|
8
|
—
|
—
|
$40,997.80
|
$45,614.74
|
$42,945.72
|
2025-12-23
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
8
|
—
|
—
|
$40,794.36
|
$45,388.39
|
$42,732.62
|
2025-12-23
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
19
|
9
|
—
|
—
|
$9,644.06
|
$84,711.62
|
$42,080.20
|
2025-12-23
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
17
|
8
|
—
|
—
|
$29,771.68
|
$80,845.76
|
$41,965.74
|
2025-12-23
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
8
|
—
|
—
|
$29,640.17
|
$80,488.65
|
$41,780.37
|
2025-12-23
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
19
|
9
|
—
|
—
|
$9,562.23
|
$83,992.85
|
$41,723.16
|
2025-12-23
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
19
|
9
|
—
|
—
|
$9,562.23
|
$83,992.85
|
$41,723.16
|
2025-12-23
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
8
|
8
|
—
|
—
|
$39,669.21
|
$44,136.54
|
$41,554.01
|
2025-12-23
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
5
|
—
|
—
|
$9,522.09
|
$76,534.51
|
$41,548.03
|
2025-12-23
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
8
|
8
|
—
|
—
|
$39,471.58
|
$43,916.65
|
$41,346.99
|
2025-12-23
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
7
|
5
|
—
|
—
|
$9,463.97
|
$76,067.30
|
$41,294.40
|
2025-12-23
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
8
|
8
|
—
|
—
|
$39,415.94
|
$43,854.75
|
$41,288.71
|
2025-12-23
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
8
|
—
|
—
|
$39,409.30
|
$43,847.36
|
$41,281.75
|
2025-12-23
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$39,277.78
|
$66,414.07
|
$41,241.67
|
2025-12-23
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
8
|
8
|
—
|
—
|
$39,219.15
|
$43,635.80
|
$41,082.57
|
2025-12-23
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
19
|
9
|
—
|
—
|
$9,413.10
|
$82,682.96
|
$41,072.47
|
2025-12-23
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
8
|
8
|
—
|
—
|
$39,126.15
|
$43,532.32
|
$40,985.15
|
2025-12-23
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
19
|
9
|
—
|
—
|
$9,391.65
|
$82,494.53
|
$40,978.87
|
2025-12-23
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
19
|
9
|
—
|
—
|
$9,343.73
|
$82,073.60
|
$40,769.77
|
2025-12-23
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
19
|
9
|
—
|
—
|
$9,334.91
|
$81,996.10
|
$40,731.27
|
2025-12-23
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
19
|
9
|
—
|
—
|
$9,333.87
|
$81,986.98
|
$40,726.75
|
2025-12-23
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
8
|
—
|
—
|
$38,873.71
|
$43,251.47
|
$40,720.72
|
2025-12-23
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
8
|
—
|
—
|
$38,706.81
|
$43,065.76
|
$40,545.88
|
2025-12-23
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
8
|
8
|
—
|
—
|
$38,679.41
|
$43,035.27
|
$40,517.18
|
2025-12-23
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
17
|
8
|
—
|
—
|
$28,724.11
|
$78,001.07
|
$40,489.10
|
2025-12-23
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
8
|
8
|
—
|
—
|
$38,554.85
|
$42,896.70
|
$40,386.71
|
2025-12-23
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
15
|
11
|
—
|
—
|
$24,610.06
|
$1,136,646.95
|
$40,362.85
|
2025-12-23
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
15
|
11
|
—
|
—
|
$24,610.06
|
$1,028,412.00
|
$40,362.85
|
2025-12-23
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
15
|
11
|
—
|
—
|
$24,610.06
|
$1,137,434.89
|
$40,362.85
|
2025-12-23
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
15
|
11
|
—
|
—
|
$24,610.06
|
$1,119,460.61
|
$40,362.85
|
2025-12-23
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
11
|
—
|
—
|
$24,610.06
|
$1,214,481.62
|
$40,362.85
|
2025-12-23
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$38,410.11
|
$64,946.95
|
$40,330.62
|
2025-12-23
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$38,318.20
|
$42,633.38
|
$40,138.81
|
2025-12-23
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
8
|
—
|
—
|
$38,144.65
|
$42,440.30
|
$39,957.01
|
2025-12-23
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$37,991.03
|
$64,238.33
|
$39,890.58
|
2025-12-23
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
8
|
—
|
—
|
$38,005.15
|
$42,285.08
|
$39,810.89
|
2025-12-23
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
8
|
8
|
—
|
—
|
$38,003.49
|
$42,283.23
|
$39,809.15
|
2025-12-23
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
8
|
8
|
—
|
—
|
$37,833.26
|
$42,093.84
|
$39,630.83
|
2025-12-23
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
8
|
8
|
—
|
—
|
$37,810.84
|
$42,068.89
|
$39,607.34
|
2025-12-23
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
8
|
8
|
—
|
—
|
$37,795.90
|
$42,052.26
|
$39,591.69
|
2025-12-23
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
8
|
8
|
—
|
—
|
$37,623.18
|
$41,860.10
|
$39,410.77
|
2025-12-23
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
8
|
8
|
—
|
—
|
$37,472.88
|
$41,692.87
|
$39,253.32
|
2025-12-23
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
8
|
8
|
—
|
—
|
$37,470.39
|
$41,690.10
|
$39,250.71
|
2025-12-23
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
8
|
8
|
—
|
—
|
$37,408.11
|
$41,620.82
|
$39,185.49
|
2025-12-23
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
8
|
—
|
—
|
$37,305.98
|
$41,507.17
|
$39,078.49
|
2025-12-23
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
10
|
—
|
—
|
$24,610.06
|
$1,162,095.54
|
$39,042.57
|
2025-12-23
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
5
|
4
|
—
|
—
|
$38,875.84
|
$71,612.14
|
$38,875.84
|
2025-12-23
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
8
|
8
|
—
|
—
|
$36,923.18
|
$41,081.27
|
$38,677.51
|
2025-12-23
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
8
|
8
|
—
|
—
|
$36,883.32
|
$41,036.92
|
$38,635.75
|
2025-12-23
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
8
|
8
|
—
|
—
|
$36,721.40
|
$40,856.76
|
$38,466.14
|
2025-12-23
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
19
|
9
|
—
|
—
|
$8,813.66
|
$77,417.54
|
$38,456.89
|
2025-12-23
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
8
|
8
|
—
|
—
|
$36,639.19
|
$40,765.30
|
$38,380.03
|
2025-12-23
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
19
|
9
|
—
|
—
|
$8,786.67
|
$77,180.48
|
$38,339.14
|
2025-12-23
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
17
|
8
|
—
|
—
|
$27,181.31
|
$73,811.53
|
$38,314.38
|
2025-12-23
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
8
|
—
|
—
|
$36,542.87
|
$40,658.13
|
$38,279.12
|
2025-12-23
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
8
|
8
|
—
|
—
|
$36,302.89
|
$40,391.13
|
$38,027.74
|
2025-12-23
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
19
|
9
|
—
|
—
|
$8,713.84
|
$76,540.73
|
$38,021.34
|
2025-12-23
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
8
|
8
|
—
|
—
|
$36,234.80
|
$40,315.36
|
$37,956.42
|
2025-12-23
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
19
|
9
|
—
|
—
|
$8,662.46
|
$76,089.41
|
$37,797.15
|
2025-12-23
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
7
|
5
|
—
|
—
|
$8,655.71
|
$69,570.89
|
$37,767.71
|
2025-12-23
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
19
|
9
|
—
|
—
|
$8,652.25
|
$75,999.75
|
$37,752.61
|
2025-12-23
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
20
|
10
|
—
|
—
|
$8,454.16
|
$74,259.81
|
$37,717.69
|
2025-12-23
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
8
|
8
|
—
|
—
|
$36,006.45
|
$40,061.30
|
$37,717.22
|
2025-12-23
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
8
|
—
|
—
|
$35,986.52
|
$40,039.13
|
$37,696.35
|
2025-12-23
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
19
|
9
|
—
|
—
|
$8,621.11
|
$75,726.23
|
$37,616.74
|
2025-12-23
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
17
|
8
|
—
|
—
|
$26,607.72
|
$72,253.94
|
$37,505.86
|
2025-12-23
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
8
|
8
|
—
|
—
|
$35,788.06
|
$39,818.32
|
$37,488.46
|
2025-12-23
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
8
|
—
|
—
|
$35,622.82
|
$39,634.47
|
$37,315.36
|
2025-12-23
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
8
|
—
|
—
|
$35,515.70
|
$39,515.29
|
$37,203.16
|
2025-12-23
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
8
|
—
|
—
|
$35,438.48
|
$39,429.37
|
$37,122.26
|
2025-12-23
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
17
|
8
|
—
|
—
|
$26,327.36
|
$71,492.62
|
$37,110.67
|
2025-12-23
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
8
|
8
|
—
|
—
|
$35,399.45
|
$39,385.94
|
$37,081.38
|
2025-12-23
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
8
|
8
|
—
|
—
|
$35,373.71
|
$39,357.31
|
$37,054.42
|
2025-12-23
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
8
|
8
|
—
|
—
|
$35,367.90
|
$39,350.83
|
$37,048.33
|
2025-12-23
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures
|
8
|
8
|
—
|
—
|
$35,323.89
|
$39,301.87
|
$37,002.23
|
2025-12-23
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
8
|
8
|
—
|
—
|
$35,175.25
|
$39,136.50
|
$36,846.53
|
2025-12-23
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
19
|
9
|
—
|
—
|
$8,389.12
|
$73,688.44
|
$36,604.48
|
2025-12-23
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
8
|
8
|
—
|
—
|
$34,828.99
|
$38,751.24
|
$36,483.82
|
2025-12-23
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
8
|
8
|
—
|
—
|
$34,794.94
|
$38,713.36
|
$36,448.15
|
2025-12-23
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
8
|
—
|
—
|
$25,700.05
|
$69,789.15
|
$36,226.43
|
2025-12-23
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
8
|
8
|
—
|
—
|
$34,423.77
|
$38,300.38
|
$36,059.34
|
2025-12-23
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
19
|
9
|
—
|
—
|
$8,261.62
|
$72,568.50
|
$36,048.15
|
2025-12-23
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
8
|
8
|
—
|
—
|
$34,393.04
|
$38,266.21
|
$36,027.15
|
2025-12-23
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
19
|
9
|
—
|
—
|
$8,224.25
|
$72,240.26
|
$35,885.10
|
2025-12-23
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
8
|
8
|
—
|
—
|
$33,918.90
|
$37,738.66
|
$35,530.49
|
2025-12-23
|
|
1744
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami
|
8
|
8
|
—
|
—
|
$33,753.66
|
$37,554.82
|
$35,357.39
|
2025-12-23
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
19
|
9
|
—
|
—
|
$8,095.54
|
$71,109.68
|
$35,323.49
|
2025-12-23
|
|
3174
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures
|
8
|
8
|
—
|
—
|
$33,658.17
|
$37,448.57
|
$35,257.37
|
2025-12-23
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
5
|
4
|
—
|
—
|
$35,115.15
|
$64,684.67
|
$35,115.15
|
2025-12-23
|
|
233
|
APR_DRG
|
Spinal Procedures
|
8
|
8
|
—
|
—
|
$33,423.17
|
$37,187.11
|
$35,011.21
|
2025-12-23
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
8
|
8
|
—
|
—
|
$33,407.40
|
$37,169.55
|
$34,994.68
|
2025-12-23
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
8
|
8
|
—
|
—
|
$33,366.71
|
$37,124.28
|
$34,952.06
|
2025-12-23
|