|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
8
|
7
|
—
|
—
|
$0.03
|
$4,790,846.67
|
$3,851,103.67
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
9
|
8
|
—
|
—
|
$0.03
|
$4,974,693.88
|
$3,482,285.72
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
13
|
12
|
—
|
—
|
$0.03
|
$4,812,016.79
|
$2,823,377.20
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
13
|
12
|
—
|
—
|
$0.03
|
$1,159,783.35
|
$680,485.13
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
13
|
12
|
—
|
—
|
$0.03
|
$1,109,103.13
|
$650,749.29
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
13
|
12
|
—
|
—
|
$0.03
|
$1,102,574.84
|
$646,918.91
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
13
|
12
|
—
|
—
|
$0.03
|
$1,092,343.15
|
$640,915.62
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
13
|
12
|
—
|
—
|
$0.03
|
$1,045,131.14
|
$613,214.70
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
13
|
12
|
—
|
—
|
$0.03
|
$959,037.03
|
$562,700.30
|
2026-04-01
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
1
|
1
|
—
|
—
|
$518,663.25
|
$518,663.25
|
$518,663.25
|
2025-08-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
39
|
25
|
—
|
—
|
$174,805.00
|
$1,512,329.86
|
$483,387.93
|
2026-04-01
|
|
9489
|
OTHER
|
Inj, Nusinersen, 0.1mg
|
1
|
1
|
—
|
—
|
$403,215.27
|
$403,215.27
|
$403,215.27
|
2025-08-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
57
|
28
|
—
|
—
|
$173,912.00
|
$859,436.74
|
$341,527.67
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
37
|
23
|
—
|
—
|
$55,474.00
|
$1,129,585.31
|
$279,292.68
|
2026-04-01
|
|
9394
|
OTHER
|
Inj. Inebilizumab-cdon, 1 Mg
|
2
|
2
|
—
|
—
|
$254,240.05
|
$254,240.05
|
$254,240.05
|
2025-08-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
30
|
22
|
—
|
—
|
$186,085.14
|
$951,379.17
|
$213,929.48
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$212,248.61
|
$212,248.61
|
$212,248.61
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$196,519.71
|
$196,519.71
|
$196,519.71
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$177,439.35
|
$177,439.35
|
$177,439.35
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
51
|
27
|
—
|
—
|
$64,306.00
|
$901,707.00
|
$158,966.51
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
9
|
5
|
—
|
—
|
$97,015.83
|
$265,981.76
|
$148,610.08
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$144,667.58
|
$144,667.58
|
$144,667.58
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
38
|
24
|
—
|
—
|
$45.00
|
$580,777.74
|
$141,998.46
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$140,204.50
|
$140,204.50
|
$140,204.50
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$139,178.82
|
$139,178.82
|
$139,178.82
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
11
|
7
|
—
|
—
|
$88,308.11
|
$355,377.59
|
$129,622.61
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
30
|
22
|
—
|
—
|
$114,614.42
|
$524,075.06
|
$127,222.00
|
2026-04-01
|
|
9067
|
OTHER
|
Lutetium Lu 177 Dotatat Ther
|
3
|
3
|
—
|
—
|
$122,845.07
|
$122,845.07
|
$122,845.07
|
2025-08-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$117,940.04
|
$117,940.04
|
$117,940.04
|
2026-04-01
|
|
1311
|
OTHER
|
Canakinumab Injection
|
1
|
1
|
—
|
—
|
$113,854.40
|
$113,854.40
|
$113,854.40
|
2025-08-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
22
|
—
|
—
|
$84,887.00
|
$420,354.09
|
$112,932.60
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
38
|
23
|
—
|
—
|
$71,553.00
|
$424,869.80
|
$109,206.21
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
34
|
22
|
—
|
—
|
$93,784.00
|
$461,391.00
|
$107,904.02
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
42
|
25
|
—
|
—
|
$70,774.00
|
$710,090.00
|
$107,143.31
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
21
|
20
|
—
|
—
|
$89,615.00
|
$251,835.70
|
$105,770.99
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
32
|
23
|
—
|
—
|
$66,506.00
|
$436,856.88
|
$103,737.27
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
30
|
22
|
—
|
—
|
$92,155.54
|
$427,051.45
|
$102,292.65
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
16
|
13
|
—
|
—
|
$63,342.28
|
$188,279.88
|
$101,347.65
|
2026-04-01
|
|
9284
|
OTHER
|
Ipilimumab Injection
|
8
|
7
|
—
|
—
|
$101,319.04
|
$101,319.04
|
$101,319.04
|
2025-08-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
56
|
26
|
—
|
—
|
$51,965.00
|
$307,665.00
|
$100,071.68
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
23
|
—
|
—
|
$36,995.00
|
$387,019.64
|
$93,802.42
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
43
|
25
|
—
|
—
|
$36,995.00
|
$336,391.00
|
$93,453.52
|
2026-04-01
|
|
9054
|
OTHER
|
Lutetium Lu 177 Vipivotide
|
3
|
3
|
—
|
—
|
$91,638.34
|
$91,638.34
|
$91,638.34
|
2025-08-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
32
|
22
|
—
|
—
|
$40,635.00
|
$334,467.36
|
$89,633.70
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
11
|
8
|
—
|
—
|
$59,473.82
|
$245,288.10
|
$89,467.89
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
16
|
13
|
—
|
—
|
$55,272.32
|
$162,769.66
|
$88,435.72
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
56
|
26
|
—
|
—
|
$48,074.00
|
$230,420.00
|
$86,925.96
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
10
|
7
|
—
|
—
|
$47,557.17
|
$184,702.98
|
$85,283.74
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
34
|
23
|
—
|
—
|
$36,995.00
|
$339,817.23
|
$84,532.25
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
45
|
25
|
—
|
—
|
$50.00
|
$290,824.00
|
$84,494.14
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
33
|
22
|
—
|
—
|
$21,267.00
|
$369,409.98
|
$83,576.26
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
64
|
27
|
—
|
—
|
$9,849.00
|
$235,796.00
|
$82,450.17
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
23
|
—
|
—
|
$72,911.00
|
$339,624.73
|
$81,244.80
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
42
|
24
|
—
|
—
|
$52,809.00
|
$244,522.00
|
$80,805.77
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
44
|
25
|
—
|
—
|
$26,520.00
|
$477,650.00
|
$77,134.01
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
24
|
—
|
—
|
$27,716.00
|
$310,284.65
|
$74,643.71
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$73,640.84
|
$73,640.84
|
$73,640.84
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
30
|
22
|
—
|
—
|
$65,484.30
|
$319,733.15
|
$73,589.96
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
23
|
—
|
—
|
$40,918.00
|
$284,118.84
|
$73,344.59
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
30
|
22
|
—
|
—
|
$65,134.62
|
$317,892.38
|
$73,182.01
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
22
|
—
|
—
|
$45,498.00
|
$284,686.26
|
$73,092.72
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
44
|
24
|
—
|
—
|
$52,884.00
|
$242,047.69
|
$72,974.24
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
45
|
26
|
—
|
—
|
$36,995.00
|
$261,007.00
|
$72,888.76
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
30
|
22
|
—
|
—
|
$60,206.68
|
$267,834.56
|
$72,058.07
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
16
|
13
|
—
|
—
|
$45,020.65
|
$135,805.06
|
$72,033.04
|
2026-04-01
|
|
9287
|
OTHER
|
Brentuximab Vedotin Inj
|
3
|
3
|
—
|
—
|
$71,799.85
|
$71,799.85
|
$71,799.85
|
2025-08-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
52
|
26
|
—
|
—
|
$11,586.00
|
$235,963.92
|
$70,512.48
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
24
|
—
|
—
|
$36,995.00
|
$258,967.57
|
$69,432.43
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
47
|
26
|
—
|
—
|
$36,992.15
|
$164,562.75
|
$68,514.81
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
53
|
28
|
—
|
—
|
$209.00
|
$187,206.00
|
$68,484.45
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
41
|
23
|
—
|
—
|
$33,826.00
|
$345,351.00
|
$67,665.74
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
49
|
25
|
—
|
—
|
$47,343.00
|
$216,385.14
|
$67,377.88
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
38
|
23
|
—
|
—
|
$46,548.00
|
$482,219.00
|
$66,137.96
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
23
|
—
|
—
|
$13,128.00
|
$267,381.39
|
$66,098.12
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
33
|
22
|
—
|
—
|
$53,721.00
|
$248,083.34
|
$65,614.68
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
31
|
22
|
—
|
—
|
$13,197.00
|
$268,865.24
|
$65,570.07
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
39
|
24
|
—
|
—
|
$32,669.00
|
$217,700.55
|
$64,907.38
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
31
|
23
|
—
|
—
|
$36,995.00
|
$238,582.71
|
$64,602.35
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
31
|
22
|
—
|
—
|
$55,512.57
|
$246,952.41
|
$64,384.78
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
51
|
25
|
—
|
—
|
$41,441.00
|
$259,498.00
|
$64,121.19
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
37
|
23
|
—
|
—
|
$11,425.00
|
$392,945.00
|
$64,070.00
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$62,621.74
|
$62,621.74
|
$62,621.74
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
35
|
24
|
—
|
—
|
$49,472.88
|
$376,142.00
|
$61,306.60
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
16
|
10
|
—
|
—
|
$53,506.96
|
$146,696.42
|
$61,144.46
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
49
|
24
|
—
|
—
|
$42,498.00
|
$525,872.00
|
$60,726.02
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
39
|
24
|
—
|
—
|
$33,384.00
|
$240,239.00
|
$60,533.91
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
31
|
22
|
—
|
—
|
$55,157.00
|
$253,613.69
|
$60,469.28
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
52
|
25
|
—
|
—
|
$32,145.00
|
$202,436.00
|
$60,256.26
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
23
|
—
|
—
|
$49,629.38
|
$220,780.54
|
$60,105.04
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
31
|
23
|
—
|
—
|
$36,995.00
|
$244,967.26
|
$59,934.89
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
33
|
22
|
—
|
—
|
$34,413.38
|
$267,281.00
|
$59,425.09
|
2026-04-01
|
|
0843
|
RC
|
Pegaspargase Injection
|
2
|
2
|
—
|
—
|
$59,153.15
|
$59,153.15
|
$59,153.15
|
2025-08-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
36
|
23
|
—
|
—
|
$20,072.00
|
$249,615.00
|
$58,883.81
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
41
|
23
|
—
|
—
|
$17,669.00
|
$292,353.00
|
$58,850.64
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
25
|
—
|
—
|
$23,721.00
|
$152,451.35
|
$58,711.30
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
39
|
24
|
—
|
—
|
$36,995.00
|
$213,349.27
|
$58,546.38
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
23
|
—
|
—
|
$8,329.00
|
$216,589.67
|
$58,068.92
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
44
|
27
|
—
|
—
|
$36,995.00
|
$237,197.00
|
$58,009.92
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
30
|
22
|
—
|
—
|
$49,048.81
|
$218,197.84
|
$57,850.09
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
53
|
25
|
—
|
—
|
$9,360.00
|
$200,932.00
|
$57,656.30
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
42
|
25
|
—
|
—
|
$38,924.07
|
$190,041.00
|
$57,536.01
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
34
|
23
|
—
|
—
|
$10,773.00
|
$227,053.92
|
$57,244.75
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
30
|
22
|
—
|
—
|
$51,422.94
|
$246,106.22
|
$57,229.36
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
47
|
23
|
—
|
—
|
$20,107.00
|
$233,460.00
|
$56,909.74
|
2026-04-01
|
|
2616
|
OTHER
|
Brachytx, Non-str,yttrium-90
|
4
|
3
|
—
|
—
|
$56,451.04
|
$56,451.04
|
$56,451.04
|
2025-08-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
30
|
22
|
—
|
—
|
$50,651.26
|
$242,047.69
|
$56,329.49
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
45
|
26
|
—
|
—
|
$36,704.00
|
$171,059.60
|
$55,797.64
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
20
|
20
|
—
|
—
|
$52,987.58
|
$132,468.95
|
$55,636.96
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
32
|
22
|
—
|
—
|
$10,843.00
|
$200,636.30
|
$55,415.82
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
64
|
27
|
—
|
—
|
$50.00
|
$179,345.09
|
$54,797.52
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
36
|
23
|
—
|
—
|
$44,743.00
|
$204,301.81
|
$54,080.04
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
34
|
23
|
—
|
—
|
$43,048.43
|
$191,504.62
|
$53,985.36
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
31
|
22
|
—
|
—
|
$45,244.00
|
$206,523.57
|
$53,261.89
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
44
|
24
|
—
|
—
|
$31,263.00
|
$180,921.18
|
$51,682.16
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
9
|
6
|
—
|
—
|
$51,169.79
|
$51,169.79
|
$51,169.79
|
2025-08-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
50
|
28
|
—
|
—
|
$5,224.00
|
$168,035.76
|
$51,167.12
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
35
|
24
|
—
|
—
|
$41,532.11
|
$184,759.13
|
$51,099.00
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
23
|
—
|
—
|
$36,995.00
|
$346,510.00
|
$50,935.95
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
34
|
22
|
—
|
—
|
$42,056.00
|
$194,785.13
|
$50,522.49
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
35
|
22
|
—
|
—
|
$41,901.00
|
$214,067.00
|
$49,956.72
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
36
|
23
|
—
|
—
|
$44,504.00
|
$201,983.80
|
$49,548.50
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
2
|
2
|
—
|
—
|
$15,494.00
|
$83,434.67
|
$49,464.33
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
32
|
22
|
—
|
—
|
$32,076.19
|
$216,357.07
|
$49,361.88
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
2
|
2
|
—
|
—
|
$15,494.00
|
$83,035.48
|
$49,264.74
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
41
|
22
|
—
|
—
|
$16,336.00
|
$184,835.33
|
$48,948.93
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
34
|
23
|
—
|
—
|
$39,598.39
|
$176,156.82
|
$48,741.93
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
30
|
22
|
—
|
—
|
$43,712.83
|
$194,460.29
|
$48,712.07
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
37
|
22
|
—
|
—
|
$16,445.00
|
$200,792.71
|
$48,479.73
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
42
|
23
|
—
|
—
|
$37,462.00
|
$166,848.68
|
$48,082.30
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
45
|
25
|
—
|
—
|
$21,383.00
|
$166,429.00
|
$47,652.61
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
45
|
25
|
—
|
—
|
$34,347.00
|
$643,191.00
|
$47,383.26
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
46
|
23
|
—
|
—
|
$5,720.00
|
$194,229.00
|
$47,184.96
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
44
|
22
|
—
|
—
|
$19,449.00
|
$184,145.54
|
$47,133.49
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
36
|
22
|
—
|
—
|
$34,645.99
|
$299,876.00
|
$46,788.26
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
32
|
22
|
—
|
—
|
$22,939.32
|
$195,968.20
|
$46,277.55
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
38
|
24
|
—
|
—
|
$34,877.00
|
$156,806.64
|
$46,107.32
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
32
|
24
|
—
|
—
|
$40,254.89
|
$190,674.47
|
$45,972.57
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
35
|
24
|
—
|
—
|
$35,959.35
|
$168,047.79
|
$45,531.96
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
16
|
13
|
—
|
—
|
$28,424.06
|
$78,545.80
|
$45,478.49
|
2026-04-01
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
1
|
1
|
—
|
—
|
$45,140.88
|
$45,140.88
|
$45,140.88
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
33
|
23
|
—
|
—
|
$36,381.00
|
$163,106.98
|
$45,110.65
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
7
|
7
|
—
|
—
|
$44,898.23
|
$44,898.23
|
$44,898.23
|
2025-08-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
35
|
23
|
—
|
—
|
$35,155.04
|
$170,810.96
|
$44,138.18
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
48
|
27
|
—
|
—
|
$35,272.00
|
$159,754.28
|
$44,065.72
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
40
|
23
|
—
|
—
|
$33,438.00
|
$182,527.00
|
$43,988.10
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
33
|
22
|
—
|
—
|
$37,263.00
|
$179,842.38
|
$43,824.11
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
37
|
23
|
—
|
—
|
$24,186.00
|
$169,599.82
|
$43,572.84
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
35
|
22
|
—
|
—
|
$36,810.05
|
$163,752.65
|
$43,349.81
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
55
|
27
|
—
|
—
|
$10,577.00
|
$122,654.07
|
$43,148.00
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
36
|
23
|
—
|
—
|
$7,705.00
|
$162,127.00
|
$43,029.56
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
32
|
24
|
—
|
—
|
$36,927.64
|
$177,668.74
|
$42,947.42
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
46
|
24
|
—
|
—
|
$20,718.00
|
$119,750.54
|
$42,721.28
|
2026-04-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
65
|
28
|
—
|
—
|
$15,425.00
|
$362,716.00
|
$42,223.18
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
34
|
22
|
—
|
—
|
$13,370.00
|
$159,641.99
|
$42,152.57
|
2026-04-01
|
|
2033
|
OTHER
|
Cath, Trans Intra Litho/coro
|
1
|
1
|
—
|
—
|
$42,148.70
|
$42,148.70
|
$42,148.70
|
2025-08-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
34
|
23
|
—
|
—
|
$32,890.33
|
$146,315.43
|
$42,045.25
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
43
|
23
|
—
|
—
|
$2,074.00
|
$198,581.00
|
$41,903.46
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
34
|
23
|
—
|
—
|
$34,844.88
|
$157,901.48
|
$41,871.29
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
44
|
24
|
—
|
—
|
$30,258.85
|
$171,076.00
|
$41,815.12
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
18
|
13
|
—
|
—
|
$24,228.42
|
$88,145.27
|
$41,794.02
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
30
|
22
|
—
|
—
|
$37,564.92
|
$173,517.98
|
$41,697.06
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
41
|
24
|
—
|
—
|
$8,728.00
|
$226,395.00
|
$41,694.75
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
43
|
25
|
—
|
—
|
$16,074.00
|
$138,134.22
|
$41,184.69
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
32
|
22
|
—
|
—
|
$32,315.17
|
$143,756.80
|
$41,012.89
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
56
|
26
|
—
|
—
|
$500.00
|
$100,933.75
|
$40,428.63
|
2026-04-01
|
|
342
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Cc
|
1
|
1
|
—
|
—
|
$40,284.16
|
$40,284.16
|
$40,284.16
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
42
|
23
|
—
|
—
|
$7,581.00
|
$154,440.50
|
$40,219.07
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
36
|
24
|
—
|
—
|
$32,316.97
|
$143,764.82
|
$40,098.86
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
32
|
22
|
—
|
—
|
$34,809.00
|
$155,944.40
|
$39,980.53
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
32
|
23
|
—
|
—
|
$31,301.88
|
$139,249.11
|
$39,934.27
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
32
|
24
|
—
|
—
|
$15,187.32
|
$157,584.66
|
$39,927.73
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
33
|
23
|
—
|
—
|
$32,307.96
|
$143,724.72
|
$39,750.08
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
34
|
22
|
—
|
—
|
$15,998.39
|
$283,680.00
|
$39,608.99
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
34
|
23
|
—
|
—
|
$30,712.30
|
$157,605.00
|
$39,260.99
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
35
|
24
|
—
|
—
|
$6,794.00
|
$154,997.95
|
$39,219.39
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
48
|
25
|
—
|
—
|
$6,795.00
|
$306,173.00
|
$39,172.60
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
22
|
—
|
—
|
$3,085.00
|
$140,484.31
|
$38,853.87
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
38
|
24
|
—
|
—
|
$30,683.00
|
$137,352.19
|
$38,795.28
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
39
|
26
|
—
|
—
|
$29,596.00
|
$140,159.47
|
$38,764.03
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
34
|
22
|
—
|
—
|
$35,327.00
|
$158,262.42
|
$38,670.51
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
30
|
22
|
—
|
—
|
$32,155.60
|
$143,046.96
|
$38,622.24
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
31
|
23
|
—
|
—
|
$31,268.53
|
$139,100.72
|
$38,471.21
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
31
|
22
|
—
|
—
|
$31,234.27
|
$138,948.33
|
$38,429.07
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
37
|
24
|
—
|
—
|
$27,400.00
|
$132,411.38
|
$38,124.59
|
2026-04-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
11
|
7
|
—
|
—
|
$15,834.85
|
$70,442.68
|
$37,905.27
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
31
|
22
|
—
|
—
|
$28,611.81
|
$127,282.08
|
$37,775.62
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
33
|
24
|
—
|
—
|
$31,648.92
|
$141,178.11
|
$37,750.12
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
33
|
24
|
—
|
—
|
$28,885.86
|
$128,501.24
|
$37,574.43
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
47
|
24
|
—
|
—
|
$24,715.00
|
$127,815.00
|
$37,304.60
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
33
|
22
|
—
|
—
|
$32,644.00
|
$323,736.00
|
$37,251.25
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
32
|
23
|
—
|
—
|
$16,988.53
|
$140,408.11
|
$37,203.00
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
31
|
22
|
—
|
—
|
$31,584.95
|
$140,508.37
|
$37,175.68
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
33
|
22
|
—
|
—
|
$33,519.00
|
$299,404.00
|
$37,144.73
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
41
|
26
|
—
|
—
|
$28,001.49
|
$124,567.03
|
$37,139.64
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
34
|
23
|
—
|
—
|
$30,893.00
|
$141,535.04
|
$37,096.88
|
2026-04-01
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$36,995.00
|
$36,995.00
|
$36,995.00
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
41
|
25
|
—
|
—
|
$6,280.00
|
$321,998.00
|
$36,748.85
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
36
|
24
|
—
|
—
|
$27,686.87
|
$123,167.40
|
$36,709.18
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
37
|
23
|
—
|
—
|
$16,500.00
|
$136,032.77
|
$36,336.93
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
43
|
24
|
—
|
—
|
$5,323.00
|
$141,118.00
|
$36,257.46
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
39
|
23
|
—
|
—
|
$29,368.17
|
$151,132.64
|
$36,248.87
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
33
|
22
|
—
|
—
|
$30,353.00
|
$137,909.64
|
$36,192.49
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
31
|
22
|
—
|
—
|
$31,466.31
|
$141,583.16
|
$36,186.26
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
37
|
23
|
—
|
—
|
$20,516.00
|
$137,190.00
|
$36,148.63
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
51
|
25
|
—
|
—
|
$11,457.00
|
$121,762.00
|
$36,095.51
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
39
|
25
|
—
|
—
|
$25,572.00
|
$123,664.69
|
$36,016.00
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
48
|
26
|
—
|
—
|
$13,109.00
|
$102,409.57
|
$35,895.19
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
49
|
26
|
—
|
—
|
$25,663.00
|
$114,164.06
|
$35,855.95
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
37
|
24
|
—
|
—
|
$27,876.18
|
$240,421.00
|
$35,741.58
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
20
|
20
|
—
|
—
|
$33,688.63
|
$84,221.58
|
$35,373.06
|
2026-04-01
|
|
9389
|
OTHER
|
Inj. Lurbinectedin, 0.1 Mg
|
2
|
2
|
—
|
—
|
$35,162.35
|
$35,162.35
|
$35,162.35
|
2025-08-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
56
|
26
|
—
|
—
|
$4,654.00
|
$104,711.00
|
$35,102.34
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
50
|
26
|
—
|
—
|
$2,267.00
|
$120,391.00
|
$34,975.65
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
30
|
22
|
—
|
—
|
$24,668.65
|
$109,740.59
|
$34,815.10
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
37
|
24
|
—
|
—
|
$19,942.78
|
$133,173.35
|
$34,713.14
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
30
|
22
|
—
|
—
|
$28,669.50
|
$127,538.74
|
$34,668.78
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
30
|
22
|
—
|
—
|
$30,952.10
|
$137,693.07
|
$34,396.85
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
38
|
24
|
—
|
—
|
$6,205.00
|
$155,996.00
|
$34,348.99
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
2
|
2
|
—
|
—
|
$15,494.00
|
$52,933.25
|
$34,213.62
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
36
|
22
|
—
|
—
|
$6,555.00
|
$123,752.92
|
$34,151.45
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
31
|
23
|
—
|
—
|
$29,060.75
|
$129,279.25
|
$34,121.40
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
31
|
22
|
—
|
—
|
$25,800.93
|
$114,777.65
|
$33,969.36
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
35
|
23
|
—
|
—
|
$23,832.96
|
$119,066.00
|
$33,903.56
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
42
|
25
|
—
|
—
|
$17,500.00
|
$118,250.65
|
$33,768.95
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
30
|
22
|
—
|
—
|
$28,121.39
|
$125,100.42
|
$33,606.49
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
39
|
23
|
—
|
—
|
$25,315.92
|
$186,277.00
|
$33,474.04
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
35
|
22
|
—
|
—
|
$28,802.93
|
$128,132.28
|
$33,428.61
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
30
|
22
|
—
|
—
|
$25,290.68
|
$112,507.76
|
$33,347.59
|
2026-04-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
47
|
24
|
—
|
—
|
$3,066.00
|
$91,389.00
|
$33,333.79
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
41
|
23
|
—
|
—
|
$23,887.95
|
$106,267.58
|
$33,294.01
|
2026-04-01
|
|
340
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$33,262.43
|
$33,262.43
|
$33,262.43
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
42
|
25
|
—
|
—
|
$26,513.12
|
$117,945.86
|
$33,106.41
|
2026-04-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
13
|
10
|
—
|
—
|
$33,078.83
|
$33,078.83
|
$33,078.83
|
2025-08-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
32
|
23
|
—
|
—
|
$26,439.19
|
$117,617.01
|
$33,010.54
|
2026-04-01
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
2
|
2
|
—
|
—
|
$15,494.00
|
$50,360.74
|
$32,927.37
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
36
|
23
|
—
|
—
|
$25,644.00
|
$146,583.00
|
$32,643.25
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
35
|
22
|
—
|
—
|
$21,071.00
|
$109,339.55
|
$32,599.56
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
33
|
22
|
—
|
—
|
$24,177.33
|
$107,554.92
|
$32,576.50
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
46
|
23
|
—
|
—
|
$3,354.00
|
$102,381.50
|
$32,498.10
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
32
|
22
|
—
|
—
|
$26,266.10
|
$116,847.01
|
$32,451.06
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
33
|
22
|
—
|
—
|
$22,879.00
|
$131,079.92
|
$32,356.20
|
2026-04-01
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
2
|
1
|
—
|
—
|
$32,325.76
|
$32,325.76
|
$32,325.76
|
2026-04-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
52
|
26
|
—
|
—
|
$620.00
|
$73,101.57
|
$32,257.38
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
31
|
22
|
—
|
—
|
$25,764.87
|
$114,617.23
|
$32,240.58
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
33
|
22
|
—
|
—
|
$25,845.10
|
$114,974.16
|
$32,236.94
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
32
|
23
|
—
|
—
|
$22,760.17
|
$101,250.57
|
$32,206.89
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
40
|
24
|
—
|
—
|
$24,490.15
|
$108,946.53
|
$32,164.16
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
38
|
24
|
—
|
—
|
$21,331.00
|
$113,169.48
|
$31,893.10
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
31
|
23
|
—
|
—
|
$27,661.63
|
$123,055.11
|
$31,839.10
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
42
|
25
|
—
|
—
|
$18,864.00
|
$101,330.78
|
$31,711.56
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
33
|
23
|
—
|
—
|
$24,622.67
|
$109,536.06
|
$31,575.87
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
31
|
22
|
—
|
—
|
$27,138.76
|
$120,729.08
|
$31,517.75
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
31
|
22
|
—
|
—
|
$26,288.64
|
$116,947.27
|
$31,325.66
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
35
|
23
|
—
|
—
|
$21,215.00
|
$106,780.91
|
$31,032.84
|
2026-04-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
78
|
30
|
—
|
—
|
$13,588.00
|
$85,916.00
|
$31,020.31
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
54
|
25
|
—
|
—
|
$2,652.00
|
$155,704.00
|
$30,973.30
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
36
|
22
|
—
|
—
|
$5,739.00
|
$116,887.12
|
$30,872.29
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
36
|
25
|
—
|
—
|
$23,648.15
|
$105,200.81
|
$30,562.71
|
2026-04-01
|
|
343
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$30,290.74
|
$30,290.74
|
$30,290.74
|
2026-04-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
57
|
26
|
—
|
—
|
$5,274.00
|
$133,515.00
|
$30,237.19
|
2026-04-01
|
|
9236
|
OTHER
|
Eculizumab Injection
|
2
|
2
|
—
|
—
|
$30,228.08
|
$30,228.08
|
$30,228.08
|
2025-08-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
30
|
22
|
—
|
—
|
$23,858.20
|
$106,135.24
|
$30,152.19
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
39
|
22
|
—
|
—
|
$5,435.00
|
$102,189.00
|
$29,977.41
|
2026-04-01
|
|
5471
|
OTHER
|
Implantation Of Drug Infusion Device
|
6
|
5
|
—
|
—
|
$29,850.53
|
$29,850.53
|
$29,850.53
|
2025-08-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
30
|
22
|
—
|
—
|
$24,078.16
|
$107,113.77
|
$29,516.94
|
2026-04-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
45
|
25
|
—
|
—
|
$17,252.00
|
$80,889.77
|
$29,504.23
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
44
|
26
|
—
|
—
|
$9,874.00
|
$95,307.16
|
$29,415.59
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
30
|
22
|
—
|
—
|
$23,585.94
|
$104,924.10
|
$29,299.18
|
2026-04-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
38
|
25
|
—
|
—
|
$13,814.00
|
$101,667.65
|
$29,215.25
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
30
|
22
|
—
|
—
|
$23,918.60
|
$106,403.93
|
$29,090.59
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
41
|
25
|
—
|
—
|
$21,340.31
|
$97,195.00
|
$28,984.00
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
31
|
23
|
—
|
—
|
$13,028.64
|
$114,841.81
|
$28,958.70
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
35
|
23
|
—
|
—
|
$23,334.43
|
$103,805.19
|
$28,953.56
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
32
|
23
|
—
|
—
|
$22,555.53
|
$100,340.21
|
$28,950.51
|
2026-04-01
|
|
9449
|
OTHER
|
Injection, Blinatumomab
|
2
|
2
|
—
|
—
|
$28,648.28
|
$28,648.28
|
$28,648.28
|
2025-08-01
|
|
5194
|
OTHER
|
Level 4 Endovascular Procedures
|
9
|
7
|
—
|
—
|
$28,601.04
|
$28,601.04
|
$28,601.04
|
2025-08-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
40
|
24
|
—
|
—
|
$8,184.00
|
$93,779.19
|
$28,559.70
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
33
|
24
|
—
|
—
|
$22,335.56
|
$99,361.67
|
$28,530.02
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
34
|
23
|
—
|
—
|
$5,463.00
|
$103,363.99
|
$28,442.03
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
34
|
24
|
—
|
—
|
$18,447.00
|
$96,129.29
|
$28,442.03
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
57
|
27
|
—
|
—
|
$11,831.00
|
$107,643.15
|
$28,375.26
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
31
|
22
|
—
|
—
|
$24,290.02
|
$108,056.22
|
$28,255.90
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
41
|
24
|
—
|
—
|
$20,583.92
|
$103,636.76
|
$27,874.45
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
43
|
24
|
—
|
—
|
$9,669.00
|
$90,310.20
|
$27,850.98
|
2026-04-01
|
|
847
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc
|
60
|
30
|
—
|
—
|
$5,939.00
|
$52,016.00
|
$27,821.78
|
2026-04-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc
|
52
|
27
|
—
|
—
|
$4,576.00
|
$80,512.00
|
$27,768.04
|
2026-04-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
52
|
27
|
—
|
—
|
$4,062.00
|
$456,861.00
|
$27,607.43
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
31
|
22
|
—
|
—
|
$10,905.86
|
$97,043.66
|
$27,428.37
|
2026-04-01
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
40
|
27
|
—
|
—
|
$10,688.00
|
$81,334.92
|
$27,405.49
|
2026-04-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
39
|
24
|
—
|
—
|
$4,462.00
|
$90,871.65
|
$27,093.37
|
2026-04-01
|
|
294
|
MS_DRG
|
Deep Vein Thrombophlebitis With Cc/Mcc
|
10
|
6
|
—
|
—
|
$11,069.52
|
$49,243.70
|
$27,005.83
|
2026-04-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
48
|
27
|
—
|
—
|
$13,662.00
|
$73,735.21
|
$26,943.32
|
2026-04-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
41
|
25
|
—
|
—
|
$5,720.00
|
$90,342.28
|
$26,935.53
|
2026-04-01
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/Mcc
|
51
|
26
|
—
|
—
|
$3,671.00
|
$74,749.85
|
$26,934.50
|
2026-04-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
36
|
23
|
—
|
—
|
$10,923.00
|
$86,989.59
|
$26,743.75
|
2026-04-01
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/Mcc
|
35
|
23
|
—
|
—
|
$14,290.00
|
$96,686.73
|
$26,740.74
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
38
|
23
|
—
|
—
|
$7,030.00
|
$97,376.52
|
$26,710.54
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
31
|
22
|
—
|
—
|
$4,836.00
|
$92,824.72
|
$26,639.99
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
51
|
25
|
—
|
—
|
$5,181.00
|
$98,194.64
|
$26,617.31
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
41
|
24
|
—
|
—
|
$17,108.00
|
$90,578.89
|
$26,610.32
|
2026-04-01
|