|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$4,526,200.00
|
$4,526,200.00
|
$4,526,200.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
2
|
1
|
—
|
—
|
$4,496,025.34
|
$4,496,025.34
|
$4,496,025.34
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
2
|
1
|
—
|
—
|
$4,055,977.72
|
$4,055,977.72
|
$4,055,977.72
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
2
|
1
|
—
|
—
|
$3,978,853.10
|
$3,978,853.10
|
$3,978,853.10
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
2
|
1
|
—
|
—
|
$3,599,837.74
|
$3,599,837.74
|
$3,599,837.74
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
2
|
1
|
—
|
—
|
$2,845,040.00
|
$2,845,040.00
|
$2,845,040.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
2
|
1
|
—
|
—
|
$2,260,161.87
|
$2,260,161.87
|
$2,260,161.87
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
5
|
3
|
—
|
—
|
$1,176,256.29
|
$1,764,362.84
|
$1,356,544.48
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
4
|
2
|
—
|
—
|
$940,156.40
|
$1,872,606.60
|
$1,337,025.70
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
4
|
2
|
—
|
—
|
$705,555.99
|
$1,405,328.73
|
$1,003,393.15
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
4
|
2
|
—
|
—
|
$675,122.17
|
$1,344,710.56
|
$960,112.27
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
4
|
2
|
—
|
—
|
$660,795.51
|
$1,316,174.65
|
$939,737.88
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
4
|
2
|
—
|
—
|
$660,337.75
|
$1,315,262.89
|
$939,086.88
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
4
|
2
|
—
|
—
|
$650,353.31
|
$1,295,375.85
|
$924,887.70
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
7
|
5
|
—
|
—
|
$281,047.46
|
$1,533,085.81
|
$880,342.79
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
4
|
2
|
—
|
—
|
$597,458.40
|
$1,190,019.60
|
$849,664.20
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
12
|
6
|
—
|
—
|
$578,153.22
|
$2,838,371.67
|
$695,474.40
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
5
|
3
|
—
|
—
|
$581,566.27
|
$872,338.73
|
$670,704.61
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
9
|
6
|
—
|
—
|
$155,170.64
|
$565,940.50
|
$435,127.88
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
11
|
9
|
—
|
—
|
$409,024.79
|
$409,024.79
|
$409,024.79
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
5
|
3
|
—
|
—
|
$352,750.50
|
$529,119.27
|
$406,817.58
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
5
|
—
|
—
|
$185,494.95
|
$933,524.58
|
$358,998.71
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
5
|
3
|
—
|
—
|
$308,666.90
|
$462,994.68
|
$355,977.17
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
5
|
3
|
—
|
—
|
$308,312.79
|
$462,463.53
|
$355,568.78
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
3
|
—
|
—
|
$300,206.47
|
$450,304.19
|
$346,219.98
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
5
|
3
|
—
|
—
|
$296,199.61
|
$444,293.98
|
$341,598.98
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
2
|
1
|
—
|
—
|
$329,857.50
|
$329,857.50
|
$329,857.50
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
5
|
3
|
—
|
—
|
$280,847.71
|
$421,266.41
|
$323,894.05
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
6
|
3
|
—
|
—
|
$271,218.72
|
$406,823.11
|
$313,107.83
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
3
|
—
|
—
|
$266,473.69
|
$399,705.64
|
$307,316.88
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
5
|
3
|
—
|
—
|
$245,412.49
|
$368,114.24
|
$283,027.57
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
5
|
3
|
—
|
—
|
$229,622.05
|
$344,428.85
|
$264,816.88
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
9
|
—
|
—
|
$250,519.86
|
$250,519.86
|
$250,519.86
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
5
|
3
|
—
|
—
|
$214,338.24
|
$321,503.43
|
$247,190.48
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
9
|
7
|
—
|
—
|
$90,359.67
|
$353,809.85
|
$245,323.64
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
5
|
3
|
—
|
—
|
$208,247.60
|
$312,367.58
|
$240,166.31
|
2026-04-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
11
|
9
|
—
|
—
|
$234,193.96
|
$234,193.96
|
$234,193.96
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/Or Lung Transplant
|
11
|
9
|
—
|
—
|
$234,039.39
|
$234,039.39
|
$234,039.39
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
8
|
5
|
—
|
—
|
$75,841.07
|
$343,346.12
|
$233,484.27
|
2026-04-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
11
|
9
|
—
|
—
|
$232,953.21
|
$232,953.21
|
$232,953.21
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
3
|
—
|
—
|
$196,627.45
|
$294,937.56
|
$226,765.10
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
5
|
3
|
—
|
—
|
$195,458.89
|
$293,184.75
|
$225,417.44
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
5
|
3
|
—
|
—
|
$195,377.18
|
$293,062.18
|
$225,323.20
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
5
|
3
|
—
|
—
|
$194,339.37
|
$291,505.49
|
$224,126.32
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
5
|
3
|
—
|
—
|
$194,224.97
|
$291,333.88
|
$223,994.39
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
6
|
—
|
—
|
$49,995.09
|
$313,719.98
|
$222,268.38
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
8
|
5
|
—
|
—
|
$93,693.79
|
$435,036.19
|
$216,282.45
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
7
|
4
|
—
|
—
|
$98,098.94
|
$311,333.87
|
$215,871.77
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
3
|
—
|
—
|
$183,348.43
|
$275,019.28
|
$211,450.78
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
5
|
3
|
—
|
—
|
$182,133.57
|
$273,197.02
|
$210,049.71
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
5
|
3
|
—
|
—
|
$182,000.10
|
$272,996.81
|
$209,895.78
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
3
|
—
|
—
|
$179,104.60
|
$268,653.61
|
$206,556.47
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
3
|
—
|
—
|
$179,104.60
|
$268,653.61
|
$206,556.47
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
6
|
4
|
—
|
—
|
$178,453.58
|
$277,696.51
|
$206,015.33
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
13
|
7
|
—
|
—
|
$31,687.99
|
$782,277.00
|
$193,988.96
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
5
|
3
|
—
|
—
|
$166,931.49
|
$250,394.17
|
$192,517.56
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
5
|
3
|
—
|
—
|
$166,738.09
|
$250,104.08
|
$192,294.52
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
5
|
3
|
—
|
—
|
$165,139.16
|
$247,705.71
|
$190,450.52
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
5
|
3
|
—
|
—
|
$163,613.78
|
$245,417.66
|
$188,691.33
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
18
|
9
|
—
|
—
|
$7,609.24
|
$631,231.69
|
$186,899.30
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
8
|
4
|
—
|
—
|
$154,295.71
|
$338,311.10
|
$186,465.35
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
5
|
3
|
—
|
—
|
$159,854.80
|
$239,779.26
|
$184,356.20
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
15
|
7
|
—
|
—
|
$6,632.84
|
$961,585.07
|
$183,117.38
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
5
|
3
|
—
|
—
|
$157,090.04
|
$235,632.17
|
$181,167.68
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
11
|
6
|
—
|
—
|
$48,434.36
|
$262,908.97
|
$180,344.34
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
5
|
3
|
—
|
—
|
$155,450.25
|
$233,172.52
|
$179,276.56
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
5
|
3
|
—
|
—
|
$155,248.68
|
$232,870.17
|
$179,044.09
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
11
|
9
|
—
|
—
|
$178,865.02
|
$178,865.02
|
$178,865.02
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
3
|
—
|
—
|
$153,137.66
|
$229,703.68
|
$176,609.51
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
5
|
3
|
—
|
—
|
$152,663.70
|
$228,992.75
|
$176,062.90
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
5
|
3
|
—
|
—
|
$151,617.72
|
$227,423.80
|
$174,856.61
|
2026-04-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
9
|
—
|
—
|
$174,650.86
|
$174,650.86
|
$174,650.86
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
11
|
9
|
—
|
—
|
$174,543.58
|
$174,543.58
|
$174,543.58
|
2026-04-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
11
|
9
|
—
|
—
|
$174,290.21
|
$174,290.21
|
$174,290.21
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
5
|
3
|
—
|
—
|
$150,441.00
|
$225,658.73
|
$173,499.52
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
9
|
6
|
—
|
—
|
$66,927.72
|
$488,830.49
|
$172,811.07
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
5
|
3
|
—
|
—
|
$149,010.95
|
$223,513.69
|
$171,850.29
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
5
|
3
|
—
|
—
|
$148,798.49
|
$223,195.00
|
$171,605.26
|
2026-04-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
11
|
9
|
—
|
—
|
$171,214.46
|
$171,214.46
|
$171,214.46
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$147,970.42
|
$221,952.91
|
$170,650.27
|
2026-04-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
11
|
9
|
—
|
—
|
$167,879.69
|
$167,879.69
|
$167,879.69
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
5
|
3
|
—
|
—
|
$145,172.97
|
$217,756.80
|
$167,424.05
|
2026-04-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
9
|
—
|
—
|
$166,845.74
|
$166,845.74
|
$166,845.74
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
5
|
3
|
—
|
—
|
$144,197.82
|
$216,294.08
|
$166,299.43
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
7
|
4
|
—
|
—
|
$125,796.91
|
$239,624.00
|
$166,149.78
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
14
|
7
|
—
|
—
|
$46,140.26
|
$244,626.74
|
$165,408.57
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
5
|
—
|
—
|
$51,542.63
|
$291,557.64
|
$164,860.66
|
2026-04-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
11
|
9
|
—
|
—
|
$164,278.85
|
$164,278.85
|
$164,278.85
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
5
|
3
|
—
|
—
|
$141,789.89
|
$212,682.23
|
$163,522.44
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
5
|
3
|
—
|
—
|
$141,544.74
|
$212,314.51
|
$163,239.71
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
6
|
4
|
—
|
—
|
$88,245.56
|
$222,843.62
|
$162,924.88
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
11
|
9
|
—
|
—
|
$160,553.08
|
$160,553.08
|
$160,553.08
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
10
|
6
|
—
|
—
|
$61,914.14
|
$304,050.76
|
$158,290.79
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
11
|
9
|
—
|
—
|
$155,356.49
|
$155,356.49
|
$155,356.49
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
6
|
—
|
—
|
$13,615.10
|
$816,859.29
|
$155,141.18
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
5
|
3
|
—
|
—
|
$134,062.19
|
$201,090.82
|
$154,610.28
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
5
|
3
|
—
|
—
|
$133,503.79
|
$200,253.23
|
$153,966.30
|
2026-04-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
11
|
9
|
—
|
—
|
$152,249.68
|
$152,249.68
|
$152,249.68
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
6
|
—
|
—
|
$38,225.97
|
$217,887.54
|
$151,078.22
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
11
|
6
|
—
|
—
|
$26,572.53
|
$511,388.81
|
$150,922.28
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
5
|
3
|
—
|
—
|
$129,679.43
|
$194,516.77
|
$149,555.77
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
5
|
3
|
—
|
—
|
$128,061.43
|
$192,089.80
|
$147,689.78
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
5
|
3
|
—
|
—
|
$127,418.59
|
$191,125.55
|
$146,948.41
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
5
|
3
|
—
|
—
|
$126,307.24
|
$189,458.55
|
$145,666.72
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
5
|
3
|
—
|
—
|
$125,803.32
|
$188,702.67
|
$145,085.56
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
11
|
9
|
—
|
—
|
$144,432.56
|
$144,432.56
|
$144,432.56
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
6
|
4
|
—
|
—
|
$36,930.60
|
$197,291.02
|
$144,242.92
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
5
|
3
|
—
|
—
|
$124,275.21
|
$186,410.54
|
$143,323.23
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
9
|
—
|
—
|
$142,968.79
|
$142,968.79
|
$142,968.79
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
5
|
3
|
—
|
—
|
$123,902.04
|
$185,850.78
|
$142,892.86
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
5
|
3
|
—
|
—
|
$123,362.71
|
$185,041.80
|
$142,270.86
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
13
|
8
|
—
|
—
|
$17,048.96
|
$448,911.44
|
$141,293.04
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
6
|
—
|
—
|
$31,678.36
|
$245,487.12
|
$140,549.16
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
7
|
4
|
—
|
—
|
$36,226.68
|
$242,175.10
|
$140,197.54
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
11
|
6
|
—
|
—
|
$56,530.30
|
$358,703.88
|
$140,159.84
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
8
|
5
|
—
|
—
|
$40,504.28
|
$205,932.49
|
$140,039.44
|
2026-04-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
11
|
9
|
—
|
—
|
$138,558.42
|
$138,558.42
|
$138,558.42
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
9
|
—
|
—
|
$137,793.37
|
$137,793.37
|
$137,793.37
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
6
|
4
|
—
|
—
|
$18,132.85
|
$187,325.76
|
$136,957.15
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
9
|
—
|
—
|
$136,755.88
|
$136,755.88
|
$136,755.88
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
5
|
3
|
—
|
—
|
$117,874.05
|
$176,808.91
|
$135,940.94
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
5
|
3
|
—
|
—
|
$116,934.30
|
$175,399.31
|
$134,857.16
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
5
|
3
|
—
|
—
|
$116,182.51
|
$174,271.63
|
$133,990.13
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
5
|
—
|
—
|
$15,050.56
|
$254,688.96
|
$132,918.69
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
7
|
4
|
—
|
—
|
$34,684.10
|
$172,551.51
|
$132,667.60
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
5
|
3
|
—
|
—
|
$114,839.62
|
$172,257.33
|
$132,441.42
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
5
|
3
|
—
|
—
|
$114,782.42
|
$172,171.53
|
$132,375.45
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
6
|
3
|
—
|
—
|
$114,447.38
|
$376,581.17
|
$132,123.51
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
5
|
3
|
—
|
—
|
$114,311.19
|
$171,464.68
|
$131,831.99
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
5
|
3
|
—
|
—
|
$114,098.72
|
$171,145.99
|
$131,586.96
|
2026-04-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
11
|
9
|
—
|
—
|
$131,580.46
|
$131,580.46
|
$131,580.46
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$96,589.06
|
$179,481.02
|
$131,221.72
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
5
|
3
|
—
|
—
|
$113,123.57
|
$169,683.27
|
$130,462.34
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/Or Intestinal Transplant
|
11
|
9
|
—
|
—
|
$130,271.26
|
$130,271.26
|
$130,271.26
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
13
|
7
|
—
|
—
|
$34,104.78
|
$546,558.45
|
$130,218.85
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/Or Lung Transplant
|
11
|
9
|
—
|
—
|
$127,485.58
|
$127,485.58
|
$127,485.58
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
3
|
—
|
—
|
$109,514.40
|
$164,269.59
|
$126,299.99
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
15
|
7
|
—
|
—
|
$30,135.11
|
$857,391.44
|
$126,175.66
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
7
|
4
|
—
|
—
|
$56,596.74
|
$569,947.69
|
$125,156.52
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
11
|
9
|
—
|
—
|
$123,894.62
|
$123,894.62
|
$123,894.62
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
7
|
5
|
—
|
—
|
$50,671.02
|
$168,559.68
|
$123,617.93
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
5
|
3
|
—
|
—
|
$106,556.24
|
$159,832.41
|
$122,888.43
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
11
|
9
|
—
|
—
|
$122,545.18
|
$122,545.18
|
$122,545.18
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
5
|
3
|
—
|
—
|
$106,074.11
|
$159,109.22
|
$122,332.40
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
11
|
6
|
—
|
—
|
$18,316.47
|
$183,064.27
|
$122,044.34
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
5
|
3
|
—
|
—
|
$105,434.00
|
$158,149.06
|
$121,594.17
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
5
|
3
|
—
|
—
|
$105,276.01
|
$157,912.08
|
$121,411.97
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
6
|
3
|
—
|
—
|
$104,578.69
|
$170,024.70
|
$120,730.63
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
8
|
6
|
—
|
—
|
$26,253.78
|
$173,270.61
|
$117,828.51
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
9
|
6
|
—
|
—
|
$19,679.76
|
$711,511.15
|
$117,695.69
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
6
|
3
|
—
|
—
|
$101,800.31
|
$824,797.22
|
$117,523.13
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
9
|
6
|
—
|
—
|
$33,363.51
|
$390,135.95
|
$117,416.11
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
5
|
3
|
—
|
—
|
$101,514.31
|
$152,269.59
|
$117,073.70
|
2026-04-01
|
|
5891
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
11
|
9
|
—
|
—
|
$116,776.91
|
$116,776.91
|
$116,776.91
|
2026-04-01
|
|
5893
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
11
|
9
|
—
|
—
|
$116,776.91
|
$116,776.91
|
$116,776.91
|
2026-04-01
|
|
5892
|
APR_DRG
|
Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini…
|
11
|
9
|
—
|
—
|
$116,776.91
|
$116,776.91
|
$116,776.91
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
5
|
3
|
—
|
—
|
$100,942.29
|
$151,411.58
|
$116,414.00
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
16
|
7
|
—
|
—
|
$43,717.30
|
$173,182.71
|
$115,933.60
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
5
|
3
|
—
|
—
|
$100,051.57
|
$150,075.52
|
$115,386.76
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
6
|
4
|
—
|
—
|
$33,616.26
|
$157,760.91
|
$115,341.77
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
5
|
3
|
—
|
—
|
$100,010.71
|
$150,014.23
|
$115,339.64
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (Ecmo)
|
11
|
9
|
—
|
—
|
$115,066.83
|
$115,066.83
|
$115,066.83
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
5
|
3
|
—
|
—
|
$98,836.71
|
$148,253.25
|
$113,985.70
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
5
|
3
|
—
|
—
|
$98,760.44
|
$148,138.85
|
$113,897.74
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
5
|
3
|
—
|
—
|
$98,624.25
|
$147,934.56
|
$113,740.67
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
5
|
3
|
—
|
—
|
$98,556.15
|
$147,832.42
|
$113,662.13
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
5
|
3
|
—
|
—
|
$98,234.73
|
$147,350.29
|
$113,291.45
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
5
|
3
|
—
|
—
|
$97,591.89
|
$146,386.04
|
$112,550.08
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
6
|
4
|
—
|
—
|
$73,827.21
|
$153,748.65
|
$112,408.33
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
5
|
3
|
—
|
—
|
$97,365.81
|
$146,046.92
|
$112,289.34
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
5
|
3
|
—
|
—
|
$97,123.38
|
$145,683.28
|
$112,009.76
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
5
|
3
|
—
|
—
|
$97,041.66
|
$145,560.71
|
$111,915.52
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
5
|
3
|
—
|
—
|
$96,949.05
|
$145,421.79
|
$111,808.71
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
6
|
3
|
—
|
—
|
$96,061.06
|
$254,188.98
|
$110,897.46
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
5
|
3
|
—
|
—
|
$95,864.94
|
$143,795.65
|
$110,558.43
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
4
|
2
|
—
|
—
|
$77,385.88
|
$154,137.45
|
$110,052.87
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
9
|
5
|
—
|
—
|
$95,017.80
|
$397,208.30
|
$109,804.71
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
5
|
3
|
—
|
—
|
$94,993.29
|
$142,488.19
|
$109,553.18
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
5
|
3
|
—
|
—
|
$94,557.46
|
$141,834.46
|
$109,050.56
|
2026-04-01
|
|
6024
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
11
|
9
|
—
|
—
|
$108,805.93
|
$108,805.93
|
$108,805.93
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
5
|
3
|
—
|
—
|
$93,664.03
|
$140,494.32
|
$108,020.18
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
5
|
3
|
—
|
—
|
$92,806.00
|
$139,207.29
|
$107,030.64
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
16
|
7
|
—
|
—
|
$17,575.04
|
$195,400.94
|
$106,832.25
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
8
|
4
|
—
|
—
|
$32,647.29
|
$145,899.83
|
$106,669.93
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
11
|
9
|
—
|
—
|
$106,265.86
|
$106,265.86
|
$106,265.86
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
11
|
9
|
—
|
—
|
$105,656.78
|
$105,656.78
|
$105,656.78
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
8
|
4
|
—
|
—
|
$90,994.60
|
$378,389.28
|
$105,048.51
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
5
|
3
|
—
|
—
|
$89,978.59
|
$134,966.23
|
$103,769.87
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
5
|
3
|
—
|
—
|
$89,673.51
|
$134,508.62
|
$103,418.03
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
8
|
4
|
—
|
—
|
$43,905.74
|
$140,077.57
|
$102,688.02
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
9
|
5
|
—
|
—
|
$15,130.36
|
$177,063.28
|
$102,322.29
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
7
|
4
|
—
|
—
|
$86,071.13
|
$224,086.97
|
$102,183.46
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
10
|
5
|
—
|
—
|
$59,748.14
|
$145,303.31
|
$101,854.30
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
6
|
3
|
—
|
—
|
$88,115.44
|
$136,088.21
|
$101,724.66
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
5
|
3
|
—
|
—
|
$87,992.87
|
$131,987.68
|
$101,479.79
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
5
|
3
|
—
|
—
|
$87,968.35
|
$131,950.91
|
$101,451.51
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$87,731.37
|
$131,595.45
|
$101,178.21
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
5
|
3
|
—
|
—
|
$87,448.09
|
$131,170.52
|
$100,851.51
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
9
|
—
|
—
|
$100,625.34
|
$100,625.34
|
$100,625.34
|
2026-04-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
11
|
9
|
—
|
—
|
$100,625.34
|
$100,625.34
|
$100,625.34
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
7
|
4
|
—
|
—
|
$86,807.97
|
$567,262.51
|
$100,317.24
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
9
|
—
|
—
|
$100,259.04
|
$100,259.04
|
$100,259.04
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
5
|
3
|
—
|
—
|
$86,723.53
|
$130,083.70
|
$100,015.89
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
5
|
3
|
—
|
—
|
$86,549.20
|
$129,822.21
|
$99,814.84
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
6
|
3
|
—
|
—
|
$86,205.99
|
$129,307.40
|
$99,520.30
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
5
|
3
|
—
|
—
|
$85,830.09
|
$128,743.56
|
$98,985.51
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
5
|
3
|
—
|
—
|
$85,018.37
|
$127,525.99
|
$98,049.38
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
7
|
5
|
—
|
—
|
$24,261.94
|
$141,148.05
|
$97,868.82
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
5
|
3
|
—
|
—
|
$84,841.31
|
$127,260.41
|
$97,845.19
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
4
|
2
|
—
|
—
|
$68,254.08
|
$135,948.71
|
$97,066.26
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
6
|
4
|
—
|
—
|
$36,649.46
|
$132,318.63
|
$96,740.48
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/Or Lung Transplant
|
11
|
9
|
—
|
—
|
$96,536.80
|
$96,536.80
|
$96,536.80
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
6
|
3
|
—
|
—
|
$86,739.87
|
$131,852.85
|
$96,399.93
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$96,363.41
|
$96,363.41
|
$96,363.41
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
5
|
3
|
—
|
—
|
$83,392.20
|
$125,086.77
|
$96,173.96
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
5
|
3
|
—
|
—
|
$83,280.52
|
$124,919.25
|
$96,045.16
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
5
|
3
|
—
|
—
|
$82,621.33
|
$123,930.49
|
$95,284.94
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
5
|
3
|
—
|
—
|
$82,275.40
|
$123,411.59
|
$94,885.99
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
5
|
3
|
—
|
—
|
$82,264.50
|
$123,395.25
|
$94,873.42
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
5
|
3
|
—
|
—
|
$82,174.62
|
$123,260.41
|
$94,769.76
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
7
|
4
|
—
|
—
|
$21,086.89
|
$130,451.42
|
$94,589.31
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
6
|
3
|
—
|
—
|
$71,717.00
|
$128,379.92
|
$93,860.81
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
5
|
3
|
—
|
—
|
$81,074.16
|
$121,609.75
|
$93,500.63
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
14
|
7
|
—
|
—
|
$24,747.71
|
$139,391.15
|
$92,637.29
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$80,194.34
|
$120,290.04
|
$92,485.96
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
5
|
3
|
—
|
—
|
$79,537.88
|
$119,305.36
|
$91,728.88
|
2026-04-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
11
|
9
|
—
|
—
|
$91,663.45
|
$91,663.45
|
$91,663.45
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
10
|
6
|
—
|
—
|
$10,343.26
|
$129,111.28
|
$91,652.70
|
2026-04-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
11
|
9
|
—
|
—
|
$90,734.66
|
$90,734.66
|
$90,734.66
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
5
|
3
|
—
|
—
|
$78,649.89
|
$117,973.39
|
$90,704.78
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
5
|
3
|
—
|
—
|
$78,611.75
|
$117,916.19
|
$90,660.80
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$78,497.35
|
$117,744.58
|
$90,528.87
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
12
|
6
|
—
|
—
|
$32,415.06
|
$234,980.21
|
$90,180.54
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
5
|
3
|
—
|
—
|
$78,181.38
|
$117,270.63
|
$90,164.46
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
9
|
5
|
—
|
—
|
$11,120.44
|
$134,492.28
|
$89,662.62
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
5
|
3
|
—
|
—
|
$77,644.77
|
$116,465.73
|
$89,545.61
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
6
|
4
|
—
|
—
|
$30,610.97
|
$120,167.46
|
$87,856.54
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
5
|
3
|
—
|
—
|
$76,026.77
|
$114,038.76
|
$87,679.62
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
9
|
—
|
—
|
$87,637.73
|
$87,637.73
|
$87,637.73
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
6
|
4
|
—
|
—
|
$75,503.78
|
$113,254.29
|
$87,165.17
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
11
|
9
|
—
|
—
|
$86,977.13
|
$86,977.13
|
$86,977.13
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
10
|
6
|
—
|
—
|
$34,240.48
|
$848,912.59
|
$86,688.54
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
5
|
3
|
—
|
—
|
$75,100.65
|
$112,649.59
|
$86,611.54
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
5
|
3
|
—
|
—
|
$74,852.77
|
$112,277.78
|
$86,325.67
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
5
|
3
|
—
|
—
|
$74,111.87
|
$111,166.45
|
$85,471.21
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/Or Lung Transplant
|
11
|
9
|
—
|
—
|
$85,322.80
|
$85,322.80
|
$85,322.80
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
5
|
3
|
—
|
—
|
$73,804.07
|
$110,704.75
|
$85,116.23
|
2026-04-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
11
|
9
|
—
|
—
|
$85,092.72
|
$85,092.72
|
$85,092.72
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
5
|
3
|
—
|
—
|
$73,714.18
|
$110,569.92
|
$85,012.57
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
11
|
9
|
—
|
—
|
$84,982.62
|
$84,982.62
|
$84,982.62
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
5
|
3
|
—
|
—
|
$73,474.48
|
$110,210.37
|
$84,736.12
|
2026-04-01
|
|
6074
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
11
|
9
|
—
|
—
|
$84,107.47
|
$84,107.47
|
$84,107.47
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
11
|
9
|
—
|
—
|
$83,923.26
|
$83,923.26
|
$83,923.26
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
5
|
3
|
—
|
—
|
$72,455.74
|
$108,682.28
|
$83,561.24
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
7
|
4
|
—
|
—
|
$42,317.42
|
$120,371.75
|
$83,463.01
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
5
|
3
|
—
|
—
|
$72,202.42
|
$108,302.30
|
$83,269.09
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
5
|
3
|
—
|
—
|
$71,840.14
|
$107,758.89
|
$82,851.28
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
7
|
4
|
—
|
—
|
$26,357.49
|
$118,496.37
|
$82,162.67
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
8
|
5
|
—
|
—
|
$21,061.94
|
$118,990.75
|
$80,916.80
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
16
|
7
|
—
|
—
|
$17,738.69
|
$127,035.69
|
$80,740.93
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
5
|
3
|
—
|
—
|
$69,938.86
|
$104,907.00
|
$80,658.59
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
6
|
3
|
—
|
—
|
$69,541.17
|
$104,310.47
|
$80,281.64
|
2026-04-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
11
|
9
|
—
|
—
|
$80,258.90
|
$80,258.90
|
$80,258.90
|
2026-04-01
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
11
|
9
|
—
|
—
|
$80,258.90
|
$80,258.90
|
$80,258.90
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
11
|
9
|
—
|
—
|
$79,581.36
|
$79,581.36
|
$79,581.36
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
8
|
3
|
—
|
—
|
$58,570.27
|
$106,051.02
|
$79,513.42
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
7
|
5
|
—
|
—
|
$13,590.11
|
$114,373.80
|
$79,304.17
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
11
|
5
|
—
|
—
|
$22,052.22
|
$103,125.59
|
$79,288.94
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
4
|
2
|
—
|
—
|
$55,583.68
|
$110,711.75
|
$79,047.28
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
7
|
4
|
—
|
—
|
$21,089.89
|
$101,814.05
|
$78,280.55
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
8
|
5
|
—
|
—
|
$20,603.09
|
$114,786.47
|
$78,057.77
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
7
|
4
|
—
|
—
|
$65,214.20
|
$100,477.99
|
$77,253.31
|
2026-04-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
5
|
3
|
—
|
—
|
$66,874.47
|
$100,310.48
|
$77,124.51
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
6
|
4
|
—
|
—
|
$22,864.66
|
$105,380.95
|
$77,045.87
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
8
|
5
|
—
|
—
|
$22,437.28
|
$223,920.05
|
$77,045.87
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
8
|
5
|
—
|
—
|
$18,269.63
|
$111,697.60
|
$76,146.46
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
5
|
3
|
—
|
—
|
$65,978.31
|
$98,966.25
|
$76,090.99
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
6
|
4
|
—
|
—
|
$14,146.08
|
$103,816.09
|
$75,901.76
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
5
|
3
|
—
|
—
|
$65,763.12
|
$98,643.47
|
$75,842.82
|
2026-04-01
|
|
6023
|
APR_DRG
|
Respiratory Condition Or Major Anomaly
|
11
|
9
|
—
|
—
|
$75,545.76
|
$75,545.76
|
$75,545.76
|
2026-04-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
5
|
3
|
—
|
—
|
$65,114.83
|
$97,671.05
|
$75,095.17
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
12
|
6
|
—
|
—
|
$14,271.10
|
$112,306.38
|
$74,856.14
|
2026-04-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
5
|
3
|
—
|
—
|
$64,041.61
|
$96,061.24
|
$73,857.46
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
5
|
3
|
—
|
—
|
$63,799.19
|
$95,697.61
|
$73,577.87
|
2026-04-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
5
|
3
|
—
|
—
|
$63,654.82
|
$95,481.06
|
$73,411.38
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
7
|
4
|
—
|
—
|
$63,344.29
|
$125,877.61
|
$73,202.09
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
7
|
4
|
—
|
—
|
$12,581.05
|
$105,528.04
|
$73,170.72
|
2026-04-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
5
|
3
|
—
|
—
|
$63,387.88
|
$95,080.65
|
$73,103.52
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
12
|
7
|
—
|
—
|
$15,485.47
|
$108,217.99
|
$73,013.15
|
2026-04-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
7
|
5
|
—
|
—
|
$30,468.85
|
$94,917.22
|
$72,977.86
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
6
|
4
|
—
|
—
|
$19,790.86
|
$99,746.64
|
$72,926.51
|
2026-04-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
5
|
3
|
—
|
—
|
$62,529.85
|
$93,793.62
|
$72,113.98
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
6
|
4
|
—
|
—
|
$25,952.17
|
$98,275.75
|
$71,851.12
|
2026-04-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
5
|
3
|
—
|
—
|
$62,148.50
|
$93,221.61
|
$71,674.18
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
6
|
4
|
—
|
—
|
$52,425.00
|
$97,850.82
|
$71,540.46
|
2026-04-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
5
|
3
|
—
|
—
|
$61,987.79
|
$92,980.55
|
$71,488.84
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
6
|
4
|
—
|
—
|
$15,370.04
|
$97,503.53
|
$71,286.54
|
2026-04-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
6
|
3
|
—
|
—
|
$61,712.68
|
$92,567.88
|
$71,244.06
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
8
|
5
|
—
|
—
|
$15,654.57
|
$103,619.97
|
$70,464.27
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
11
|
5
|
—
|
—
|
$11,102.21
|
$101,397.30
|
$70,306.56
|
2026-04-01
|