|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,685,266.67
|
$4,111,590.00
|
$3,795,824.67
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
5
|
5
|
—
|
—
|
$3,316,462.59
|
$3,759,168.00
|
$3,415,956.47
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
5
|
5
|
—
|
—
|
$3,248,445.72
|
$3,641,694.00
|
$3,345,899.09
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
5
|
5
|
—
|
—
|
$2,945,740.00
|
$3,289,272.00
|
$3,034,112.20
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
5
|
5
|
—
|
—
|
$2,455,110.60
|
$2,809,632.34
|
$2,528,763.92
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
5
|
—
|
—
|
$2,332,000.00
|
$2,584,428.00
|
$2,401,960.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
5
|
5
|
—
|
—
|
$591,726.20
|
$679,381.02
|
$609,477.99
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
19
|
7
|
—
|
—
|
$322,689.65
|
$1,139,016.61
|
$605,550.39
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
5
|
5
|
—
|
—
|
$565,868.94
|
$650,076.25
|
$582,845.01
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
5
|
5
|
—
|
—
|
$562,538.19
|
$636,281.08
|
$579,414.33
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
5
|
5
|
—
|
—
|
$557,317.93
|
$635,840.30
|
$574,037.47
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
5
|
5
|
—
|
—
|
$533,230.17
|
$626,226.26
|
$549,227.08
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
5
|
5
|
—
|
—
|
$489,304.61
|
$575,293.67
|
$503,983.75
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
22
|
7
|
—
|
—
|
$211,386.36
|
$850,751.18
|
$378,235.10
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
22
|
7
|
—
|
—
|
$161,467.33
|
$647,287.83
|
$304,808.02
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
22
|
7
|
—
|
—
|
$162,387.34
|
$716,534.60
|
$285,942.77
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
22
|
7
|
—
|
—
|
$88,825.65
|
$332,844.20
|
$242,956.84
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
7
|
—
|
—
|
$93,863.30
|
$395,705.74
|
$210,374.25
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
22
|
7
|
—
|
—
|
$107,325.66
|
$426,761.98
|
$188,259.43
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
22
|
7
|
—
|
—
|
$78,731.27
|
$347,817.44
|
$183,540.47
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
19
|
7
|
—
|
—
|
$85,465.02
|
$329,020.31
|
$174,921.40
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
7
|
—
|
—
|
$86,545.09
|
$316,591.17
|
$168,313.53
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
22
|
7
|
—
|
—
|
$81,326.82
|
$321,635.32
|
$166,642.27
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
22
|
7
|
—
|
—
|
$100,708.65
|
$394,708.99
|
$157,513.93
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
7
|
—
|
—
|
$77,452.21
|
$316,831.61
|
$148,626.10
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
19
|
7
|
—
|
—
|
$69,204.45
|
$278,222.43
|
$147,915.06
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
19
|
7
|
—
|
—
|
$71,775.04
|
$251,905.28
|
$133,923.72
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
3
|
1
|
—
|
—
|
$128,939.87
|
$144,883.46
|
$128,939.87
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
19
|
7
|
—
|
—
|
$58,007.97
|
$239,421.77
|
$127,286.95
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
22
|
7
|
—
|
—
|
$63,398.79
|
$264,633.71
|
$123,651.62
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$122,701.86
|
$137,874.11
|
$122,701.86
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
22
|
7
|
—
|
—
|
$67,518.63
|
$278,189.60
|
$118,529.68
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
7
|
—
|
—
|
$62,000.05
|
$254,012.91
|
$117,034.12
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
7
|
—
|
—
|
$53,901.34
|
$212,002.45
|
$115,940.82
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
7
|
—
|
—
|
$58,624.73
|
$214,412.47
|
$113,990.92
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
19
|
7
|
—
|
—
|
$57,977.13
|
$213,439.89
|
$113,473.86
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
7
|
—
|
—
|
$67,324.06
|
$255,789.57
|
$112,158.17
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$111,911.12
|
$125,749.08
|
$111,911.12
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
19
|
7
|
—
|
—
|
$54,681.85
|
$202,496.81
|
$107,656.04
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
19
|
7
|
—
|
—
|
$56,123.17
|
$218,890.38
|
$107,061.90
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
22
|
7
|
—
|
—
|
$39,669.50
|
$146,458.45
|
$106,906.12
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
22
|
7
|
—
|
—
|
$61,757.02
|
$256,599.98
|
$105,268.04
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$105,229.60
|
$118,241.39
|
$105,229.60
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
7
|
—
|
—
|
$53,901.34
|
$195,314.49
|
$104,902.33
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
22
|
7
|
—
|
—
|
$41,948.59
|
$163,593.24
|
$103,074.82
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
22
|
7
|
—
|
—
|
$44,492.01
|
$181,466.40
|
$102,495.22
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
3
|
1
|
—
|
—
|
$100,643.23
|
$113,087.90
|
$100,643.23
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
19
|
7
|
—
|
—
|
$49,725.70
|
$187,086.49
|
$99,463.25
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
19
|
7
|
—
|
—
|
$54,717.82
|
$186,844.85
|
$99,334.79
|
2026-04-01
|
|
9
|
MS_DRG
|
Bone Marrow Transplant
|
3
|
1
|
—
|
—
|
$99,162.87
|
$111,424.49
|
$99,162.87
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
22
|
7
|
—
|
—
|
$61,571.26
|
$225,437.10
|
$97,406.44
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
19
|
7
|
—
|
—
|
$45,508.94
|
$182,299.08
|
$96,918.06
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
19
|
7
|
—
|
—
|
$49,161.07
|
$182,299.08
|
$96,918.06
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
22
|
7
|
—
|
—
|
$50,136.88
|
$200,541.17
|
$96,411.32
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$96,278.61
|
$108,183.59
|
$96,278.61
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
19
|
7
|
—
|
—
|
$50,620.01
|
$180,936.86
|
$96,193.84
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
22
|
7
|
—
|
—
|
$58,309.74
|
$240,808.16
|
$96,097.74
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
22
|
7
|
—
|
—
|
$56,372.07
|
$210,117.40
|
$93,843.91
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
3
|
1
|
—
|
—
|
$90,416.80
|
$101,596.96
|
$90,416.80
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
6
|
5
|
—
|
—
|
$88,730.20
|
$93,610.36
|
$89,617.50
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
7
|
—
|
—
|
$46,901.80
|
$166,281.65
|
$88,402.50
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
7
|
—
|
—
|
$49,406.30
|
$173,343.45
|
$87,866.55
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
19
|
7
|
—
|
—
|
$47,967.19
|
$165,221.47
|
$87,838.87
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
7
|
—
|
—
|
$44,778.36
|
$173,882.45
|
$87,595.25
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
22
|
7
|
—
|
—
|
$55,045.30
|
$206,233.10
|
$87,395.02
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
3
|
1
|
—
|
—
|
$87,205.27
|
$97,988.32
|
$87,205.27
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
22
|
7
|
—
|
—
|
$52,869.00
|
$195,353.45
|
$85,271.90
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$50,567.88
|
$191,010.05
|
$84,495.58
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
22
|
7
|
—
|
—
|
$48,712.44
|
$193,170.63
|
$83,435.04
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
22
|
7
|
—
|
—
|
$46,774.04
|
$164,336.48
|
$83,236.47
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
19
|
7
|
—
|
—
|
$44,754.87
|
$155,543.96
|
$82,693.88
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
19
|
7
|
—
|
—
|
$44,363.52
|
$168,514.60
|
$82,422.50
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
22
|
7
|
—
|
—
|
$58,287.72
|
$201,720.55
|
$80,499.30
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
7
|
—
|
—
|
$46,492.09
|
$151,109.94
|
$80,336.57
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
22
|
7
|
—
|
—
|
$42,242.29
|
$153,399.44
|
$80,278.70
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
7
|
—
|
—
|
$42,629.97
|
$150,769.48
|
$80,231.67
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
22
|
7
|
—
|
—
|
$45,732.15
|
$174,657.26
|
$79,919.40
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$41,883.98
|
$151,067.66
|
$79,796.50
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
22
|
7
|
—
|
—
|
$45,789.42
|
$163,961.94
|
$78,388.11
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
7
|
—
|
—
|
$49,262.39
|
$179,565.57
|
$78,293.99
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
22
|
7
|
—
|
—
|
$28,952.47
|
$115,906.32
|
$77,836.49
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
1
|
—
|
—
|
$77,093.54
|
$86,626.26
|
$77,093.54
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
22
|
7
|
—
|
—
|
$47,696.98
|
$187,290.61
|
$76,800.76
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
22
|
7
|
—
|
—
|
$40,897.89
|
$151,227.74
|
$76,740.69
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$48,684.54
|
$175,847.40
|
$75,773.21
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
7
|
—
|
—
|
$36,259.67
|
$130,413.84
|
$75,604.00
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
19
|
7
|
—
|
—
|
$40,578.49
|
$142,093.91
|
$75,543.26
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
22
|
7
|
—
|
—
|
$49,738.18
|
$199,582.51
|
$75,153.21
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
22
|
7
|
—
|
—
|
$43,776.86
|
$168,365.76
|
$74,829.07
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
19
|
7
|
—
|
—
|
$39,533.66
|
$140,517.24
|
$74,705.03
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
3
|
1
|
—
|
—
|
$74,444.79
|
$83,649.99
|
$74,444.79
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
22
|
7
|
—
|
—
|
$42,029.75
|
$185,993.09
|
$74,223.04
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
19
|
7
|
—
|
—
|
$40,142.35
|
$139,151.99
|
$73,979.21
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
22
|
7
|
—
|
—
|
$46,174.90
|
$185,355.77
|
$73,968.71
|
2026-04-01
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
3
|
1
|
—
|
—
|
$73,172.42
|
$82,220.28
|
$73,172.42
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
22
|
7
|
—
|
—
|
$40,071.86
|
$143,601.11
|
$72,709.99
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
22
|
7
|
—
|
—
|
$39,372.13
|
$138,689.86
|
$71,321.12
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
19
|
7
|
—
|
—
|
$38,391.18
|
$132,673.13
|
$70,534.77
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
22
|
7
|
—
|
—
|
$45,669.00
|
$162,971.24
|
$70,057.17
|
2026-04-01
|
|
237
|
MS_DRG
|
Major Cardiovasc Procedures W Mcc
|
3
|
1
|
—
|
—
|
$68,748.15
|
$77,248.95
|
$68,748.15
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
22
|
7
|
—
|
—
|
$36,562.91
|
$124,125.27
|
$68,491.23
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
22
|
7
|
—
|
—
|
$28,747.62
|
$101,976.15
|
$68,481.74
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
19
|
7
|
—
|
—
|
$37,396.28
|
$128,646.88
|
$68,394.23
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
22
|
7
|
—
|
—
|
$39,006.47
|
$146,819.92
|
$68,297.79
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
19
|
7
|
—
|
—
|
$36,940.31
|
$127,734.70
|
$67,909.28
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
19
|
7
|
—
|
—
|
$36,631.20
|
$136,589.80
|
$66,807.70
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
22
|
7
|
—
|
—
|
$45,931.86
|
$166,937.09
|
$66,618.49
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
22
|
7
|
—
|
—
|
$41,759.89
|
$165,352.98
|
$66,024.19
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
22
|
7
|
—
|
—
|
$38,529.95
|
$139,209.38
|
$65,687.98
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
19
|
7
|
—
|
—
|
$36,760.42
|
$123,330.89
|
$65,568.03
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
5
|
5
|
—
|
—
|
$63,342.28
|
$74,514.99
|
$65,242.55
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
22
|
7
|
—
|
—
|
$37,874.64
|
$162,950.10
|
$65,027.43
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
8
|
—
|
—
|
$5,560.85
|
$163,125.28
|
$64,686.18
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
22
|
7
|
—
|
—
|
$39,969.07
|
$144,232.39
|
$64,637.59
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
22
|
7
|
—
|
—
|
$38,875.78
|
$143,607.15
|
$64,276.15
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$39,021.16
|
$136,261.43
|
$63,747.48
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
6
|
5
|
—
|
—
|
$31,386.38
|
$66,245.92
|
$63,722.26
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
19
|
7
|
—
|
—
|
$35,142.88
|
$118,679.40
|
$63,095.09
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$36,115.76
|
$122,844.60
|
$62,929.53
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
22
|
7
|
—
|
—
|
$43,842.94
|
$153,870.63
|
$62,916.55
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
19
|
7
|
—
|
—
|
$35,913.84
|
$128,368.94
|
$62,786.78
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
22
|
7
|
—
|
—
|
$41,077.04
|
$146,703.11
|
$60,814.38
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
22
|
7
|
—
|
—
|
$36,378.62
|
$134,994.22
|
$60,580.97
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
22
|
7
|
—
|
—
|
$34,345.49
|
$124,803.50
|
$60,325.97
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
22
|
7
|
—
|
—
|
$39,286.22
|
$141,332.76
|
$60,079.81
|
2026-04-01
|
|
5092
|
OTHER
|
Level 2 Breast/Lymphatic Surgery And Related Procedures
|
1
|
1
|
—
|
—
|
$59,076.60
|
$59,076.60
|
$59,076.60
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
22
|
7
|
—
|
—
|
$31,802.81
|
$105,748.87
|
$58,939.22
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
22
|
7
|
—
|
—
|
$39,121.75
|
$160,428.34
|
$58,899.43
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
19
|
7
|
—
|
—
|
$33,063.50
|
$108,246.78
|
$57,548.66
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
19
|
7
|
—
|
—
|
$32,189.02
|
$117,104.64
|
$57,277.28
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
5
|
5
|
—
|
—
|
$55,272.32
|
$65,721.97
|
$56,930.49
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
22
|
7
|
—
|
—
|
$32,207.38
|
$104,764.20
|
$56,796.67
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
22
|
7
|
—
|
—
|
$33,252.21
|
$115,447.53
|
$56,597.67
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$25,487.91
|
$79,851.56
|
$56,565.75
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
22
|
7
|
—
|
—
|
$24,987.56
|
$80,138.50
|
$56,353.18
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$37,876.47
|
$128,834.15
|
$56,239.22
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
19
|
7
|
—
|
—
|
$32,832.22
|
$104,875.96
|
$55,756.59
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
22
|
7
|
—
|
—
|
$31,841.72
|
$109,457.98
|
$55,694.64
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
19
|
7
|
—
|
—
|
$31,734.52
|
$113,082.86
|
$55,310.18
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
22
|
7
|
—
|
—
|
$30,639.03
|
$106,597.62
|
$54,984.76
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
22
|
7
|
—
|
—
|
$36,237.64
|
$125,970.76
|
$54,926.55
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
22
|
7
|
—
|
—
|
$38,520.40
|
$137,571.45
|
$54,416.41
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
22
|
7
|
—
|
—
|
$36,578.33
|
$123,941.02
|
$54,073.47
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
22
|
7
|
—
|
—
|
$37,142.96
|
$135,448.93
|
$54,052.71
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
22
|
7
|
—
|
—
|
$23,605.99
|
$73,955.64
|
$53,983.31
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
22
|
7
|
—
|
—
|
$35,425.57
|
$122,633.17
|
$53,471.65
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
22
|
7
|
—
|
—
|
$36,435.89
|
$133,811.84
|
$53,399.41
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
3
|
1
|
—
|
—
|
$53,326.69
|
$59,920.61
|
$53,326.69
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$33,066.44
|
$116,317.41
|
$53,062.55
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
19
|
7
|
—
|
—
|
$31,831.69
|
$99,726.10
|
$53,018.70
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
22
|
7
|
—
|
—
|
$33,973.23
|
$123,831.70
|
$52,856.32
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
22
|
7
|
—
|
—
|
$31,868.16
|
$118,924.06
|
$52,701.26
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
22
|
7
|
—
|
—
|
$26,381.63
|
$82,651.51
|
$52,191.95
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
22
|
7
|
—
|
—
|
$34,215.53
|
$130,685.68
|
$52,151.88
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
22
|
7
|
—
|
—
|
$29,065.55
|
$111,362.51
|
$52,151.25
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
22
|
7
|
—
|
—
|
$33,812.43
|
$120,319.51
|
$52,069.73
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
22
|
7
|
—
|
—
|
$31,228.63
|
$116,737.26
|
$51,673.24
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$32,986.41
|
$119,195.90
|
$51,464.71
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
7
|
—
|
—
|
$30,891.69
|
$96,781.16
|
$51,453.04
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
19
|
7
|
—
|
—
|
$28,758.63
|
$96,503.28
|
$51,305.31
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
22
|
7
|
—
|
—
|
$31,463.59
|
$110,197.99
|
$51,149.65
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
22
|
7
|
—
|
—
|
$26,917.15
|
$84,820.19
|
$50,694.77
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
22
|
7
|
—
|
—
|
$36,472.60
|
$126,556.73
|
$50,504.17
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
22
|
7
|
—
|
—
|
$23,409.31
|
$73,339.47
|
$50,376.67
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
22
|
7
|
—
|
—
|
$31,780.78
|
$105,824.38
|
$50,245.17
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
19
|
7
|
—
|
—
|
$29,791.71
|
$102,458.77
|
$50,113.81
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
19
|
7
|
—
|
—
|
$29,341.62
|
$93,204.95
|
$49,551.78
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
19
|
7
|
—
|
—
|
$27,476.64
|
$92,679.40
|
$49,272.37
|
2026-04-01
|
|
238
|
MS_DRG
|
Major Cardiovasc Procedures Without Mcc
|
3
|
1
|
—
|
—
|
$48,770.91
|
$54,801.49
|
$48,770.91
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
22
|
7
|
—
|
—
|
$26,176.30
|
$85,233.99
|
$48,723.50
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
22
|
7
|
—
|
—
|
$28,451.72
|
$100,410.12
|
$48,705.07
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
19
|
7
|
—
|
—
|
$27,217.46
|
$90,927.54
|
$48,341.00
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
22
|
7
|
—
|
—
|
$29,335.01
|
$92,763.97
|
$48,098.25
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
6
|
5
|
—
|
—
|
$47,525.17
|
$50,139.05
|
$48,000.42
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
22
|
7
|
—
|
—
|
$31,929.10
|
$120,234.93
|
$47,981.37
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
22
|
7
|
—
|
—
|
$29,317.39
|
$97,367.13
|
$47,679.49
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
22
|
7
|
—
|
—
|
$25,153.50
|
$86,493.52
|
$47,397.59
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
22
|
7
|
—
|
—
|
$31,755.82
|
$113,085.54
|
$47,300.32
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
22
|
7
|
—
|
—
|
$34,559.13
|
$108,270.94
|
$46,870.42
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
22
|
7
|
—
|
—
|
$34,042.99
|
$127,663.07
|
$46,870.04
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
22
|
7
|
—
|
—
|
$30,795.43
|
$105,806.26
|
$46,831.08
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
19
|
7
|
—
|
—
|
$26,696.88
|
$88,033.95
|
$46,802.65
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
22
|
7
|
—
|
—
|
$32,592.12
|
$116,616.44
|
$46,537.36
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
5
|
5
|
—
|
—
|
$45,020.65
|
$53,521.61
|
$46,371.27
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
22
|
7
|
—
|
—
|
$26,552.23
|
$95,603.67
|
$46,306.95
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
22
|
7
|
—
|
—
|
$30,672.07
|
$110,197.02
|
$46,045.89
|
2026-04-01
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$21,687.13
|
$68,959.83
|
$46,038.05
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
19
|
7
|
—
|
—
|
$27,592.54
|
$86,445.19
|
$45,958.00
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
22
|
7
|
—
|
—
|
$32,142.03
|
$108,276.98
|
$45,776.21
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
19
|
7
|
—
|
—
|
$25,599.92
|
$85,983.06
|
$45,712.31
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
7
|
—
|
—
|
$28,427.45
|
$89,060.90
|
$45,712.29
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
22
|
7
|
—
|
—
|
$31,235.24
|
$112,616.66
|
$45,562.52
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
22
|
7
|
—
|
—
|
$31,516.45
|
$103,447.29
|
$45,493.49
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
22
|
7
|
—
|
—
|
$30,987.80
|
$103,867.13
|
$44,750.44
|
2026-04-01
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
22
|
7
|
—
|
—
|
$19,552.91
|
$61,257.69
|
$44,714.54
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
6
|
5
|
—
|
—
|
$31,386.38
|
$46,388.68
|
$44,621.49
|
2026-04-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
6
|
5
|
—
|
—
|
$31,386.38
|
$46,388.68
|
$44,621.49
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
6
|
5
|
—
|
—
|
$31,386.38
|
$46,388.68
|
$44,621.49
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
23
|
7
|
—
|
—
|
$32,536.68
|
$118,685.44
|
$44,598.69
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
22
|
7
|
—
|
—
|
$32,244.09
|
$106,328.80
|
$44,591.53
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
22
|
7
|
—
|
—
|
$25,492.72
|
$82,497.47
|
$44,568.39
|
2026-04-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
22
|
7
|
—
|
—
|
$20,210.43
|
$63,317.63
|
$44,542.39
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
22
|
7
|
—
|
—
|
$26,250.46
|
$88,003.74
|
$44,510.63
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
3
|
1
|
—
|
—
|
$44,420.05
|
$49,912.65
|
$44,420.05
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
22
|
7
|
—
|
—
|
$22,788.43
|
$71,394.31
|
$44,250.30
|
2026-04-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$19,264.65
|
$67,517.65
|
$44,055.32
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
22
|
7
|
—
|
—
|
$27,893.69
|
$98,723.31
|
$43,757.83
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
22
|
7
|
—
|
—
|
$28,999.46
|
$98,397.10
|
$43,636.54
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
22
|
7
|
—
|
—
|
$30,150.76
|
$114,740.82
|
$43,634.75
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
22
|
7
|
—
|
—
|
$26,285.22
|
$82,349.47
|
$43,013.72
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
22
|
7
|
—
|
—
|
$24,279.01
|
$78,054.39
|
$43,002.39
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
22
|
7
|
—
|
—
|
$24,154.92
|
$76,018.61
|
$42,944.27
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
22
|
7
|
—
|
—
|
$32,581.11
|
$107,256.07
|
$42,801.98
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
23
|
7
|
—
|
—
|
$25,290.27
|
$110,453.86
|
$42,123.35
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
22
|
7
|
—
|
—
|
$30,856.69
|
$104,649.43
|
$41,761.76
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$25,546.72
|
$80,035.80
|
$41,737.28
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
3
|
1
|
—
|
—
|
$41,679.54
|
$46,833.27
|
$41,679.54
|
2026-04-01
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
3
|
1
|
—
|
—
|
$41,622.96
|
$46,769.69
|
$41,622.96
|
2026-04-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$20,026.29
|
$62,740.73
|
$41,405.80
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
22
|
7
|
—
|
—
|
$28,539.83
|
$103,704.03
|
$41,384.49
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
22
|
7
|
—
|
—
|
$25,866.45
|
$81,648.72
|
$41,233.92
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
22
|
7
|
—
|
—
|
$29,022.23
|
$93,398.26
|
$41,081.60
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
22
|
7
|
—
|
—
|
$29,506.09
|
$111,848.41
|
$41,063.87
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
22
|
7
|
—
|
—
|
$28,824.71
|
$93,138.50
|
$41,057.67
|
2026-04-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$21,520.64
|
$67,422.42
|
$41,057.12
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
22
|
7
|
—
|
—
|
$24,586.66
|
$81,382.92
|
$40,849.57
|
2026-04-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
19
|
7
|
—
|
—
|
$22,375.12
|
$76,571.35
|
$40,708.64
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
22
|
7
|
—
|
—
|
$29,401.10
|
$98,439.39
|
$40,629.68
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
22
|
7
|
—
|
—
|
$29,794.65
|
$109,021.67
|
$40,624.78
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$29,271.14
|
$96,056.26
|
$40,504.46
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
23
|
7
|
—
|
—
|
$1,800.50
|
$95,702.86
|
$40,420.55
|
2026-04-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
22
|
7
|
—
|
—
|
$20,549.79
|
$64,380.83
|
$40,345.99
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
22
|
7
|
—
|
—
|
$27,254.17
|
$87,502.35
|
$40,302.33
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
19
|
7
|
—
|
—
|
$24,121.78
|
$82,142.99
|
$40,177.12
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
19
|
7
|
—
|
—
|
$23,207.02
|
$74,834.59
|
$39,785.30
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
22
|
7
|
—
|
—
|
$20,488.09
|
$64,187.52
|
$39,436.06
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
22
|
7
|
—
|
—
|
$27,005.99
|
$88,831.35
|
$39,403.17
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
22
|
7
|
—
|
—
|
$23,109.48
|
$72,400.11
|
$39,270.89
|
2026-04-01
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
22
|
7
|
—
|
—
|
$20,591.25
|
$64,510.71
|
$39,189.84
|
2026-04-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
22
|
7
|
—
|
—
|
$21,268.61
|
$73,958.24
|
$38,971.15
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
22
|
7
|
—
|
—
|
$30,598.61
|
$95,862.95
|
$38,864.67
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
22
|
7
|
—
|
—
|
$29,374.66
|
$96,334.14
|
$38,776.87
|
2026-04-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
16
|
5
|
—
|
—
|
$16,469.03
|
$53,054.15
|
$38,726.43
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
3
|
1
|
—
|
—
|
$38,507.77
|
$43,269.31
|
$38,507.77
|
2026-04-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
22
|
7
|
—
|
—
|
$21,203.45
|
$66,428.69
|
$38,483.31
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$21,710.57
|
$68,017.45
|
$38,149.92
|
2026-04-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$21,006.77
|
$65,812.52
|
$38,108.63
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
23
|
7
|
—
|
—
|
$26,812.89
|
$90,190.55
|
$38,092.40
|
2026-04-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
22
|
7
|
—
|
—
|
$21,647.48
|
$75,928.09
|
$38,033.69
|
2026-04-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
22
|
7
|
—
|
—
|
$20,365.65
|
$63,803.92
|
$37,889.94
|
2026-04-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$21,620.31
|
$67,963.08
|
$37,819.59
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
22
|
7
|
—
|
—
|
$28,101.48
|
$94,219.82
|
$37,599.69
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$23,790.13
|
$81,013.60
|
$37,597.35
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
22
|
7
|
—
|
—
|
$27,046.86
|
$92,103.89
|
$37,592.26
|
2026-04-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
22
|
7
|
—
|
—
|
$22,592.45
|
$71,273.49
|
$37,473.50
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
22
|
7
|
—
|
—
|
$25,695.37
|
$82,053.46
|
$37,324.19
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$23,109.48
|
$72,400.11
|
$37,201.02
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
19
|
7
|
—
|
—
|
$22,315.06
|
$69,911.27
|
$37,167.85
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
22
|
7
|
—
|
—
|
$24,475.05
|
$78,181.25
|
$37,044.89
|
2026-04-01
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
22
|
7
|
—
|
—
|
$17,615.07
|
$55,186.59
|
$36,934.12
|
2026-04-01
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$17,969.86
|
$56,298.11
|
$36,865.31
|
2026-04-01
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$16,082.15
|
$51,100.06
|
$36,777.43
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
22
|
7
|
—
|
—
|
$24,612.51
|
$83,814.08
|
$36,595.08
|
2026-04-01
|
|
C9606
|
HCPCS
|
Perc D-e Cor Revasc W Ami S
|
2
|
1
|
—
|
—
|
$36,448.92
|
$36,448.92
|
$36,448.92
|
2026-04-01
|
|
92941
|
HCPCS
|
Prq Card Revasc Mi 1 Vsl
|
2
|
1
|
—
|
—
|
$36,448.92
|
$36,448.92
|
$36,448.92
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
23
|
7
|
—
|
—
|
$25,804.77
|
$81,071.82
|
$36,192.92
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
22
|
7
|
—
|
—
|
$21,766.43
|
$74,151.94
|
$36,176.21
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
22
|
7
|
—
|
—
|
$26,930.37
|
$88,583.67
|
$36,097.93
|
2026-04-01
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$15,671.45
|
$57,844.78
|
$35,838.21
|
2026-04-01
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
7
|
—
|
—
|
$16,735.81
|
$52,431.94
|
$35,811.62
|
2026-04-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
22
|
7
|
—
|
—
|
$20,445.67
|
$64,054.62
|
$35,758.09
|
2026-04-01
|
|
801
|
MS_DRG
|
Splenic Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$15,827.63
|
$49,586.68
|
$35,559.28
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
22
|
7
|
—
|
—
|
$26,316.19
|
$88,079.25
|
$35,149.21
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
22
|
7
|
—
|
—
|
$25,223.75
|
$85,895.56
|
$35,148.84
|
2026-04-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
22
|
7
|
—
|
—
|
$21,715.77
|
$68,829.95
|
$35,101.96
|
2026-04-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
22
|
7
|
—
|
—
|
$19,069.90
|
$59,744.44
|
$34,790.05
|
2026-04-01
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
22
|
7
|
—
|
—
|
$15,200.00
|
$47,620.37
|
$34,760.09
|
2026-04-01
|
|
0686T
|
OTHER
|
Histotripsy Mal Hepatcel Tis
|
6
|
5
|
—
|
—
|
$23,309.97
|
$36,080.20
|
$34,705.71
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
22
|
7
|
—
|
—
|
$22,911.84
|
$71,780.92
|
$34,687.06
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
22
|
7
|
—
|
—
|
$24,358.69
|
$86,593.20
|
$34,556.18
|
2026-04-01
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
19
|
7
|
—
|
—
|
$20,711.76
|
$64,888.26
|
$34,497.40
|
2026-04-01
|
|
421
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Cc
|
22
|
7
|
—
|
—
|
$15,787.14
|
$49,459.82
|
$34,496.42
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
22
|
7
|
—
|
—
|
$25,410.85
|
$86,324.38
|
$34,448.90
|
2026-04-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$20,589.32
|
$64,504.67
|
$34,322.08
|
2026-04-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
22
|
7
|
—
|
—
|
$22,254.32
|
$69,720.98
|
$34,139.82
|
2026-04-01
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
16
|
5
|
—
|
—
|
$14,906.91
|
$46,702.15
|
$34,089.85
|
2026-04-01
|
|
425
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$14,902.09
|
$46,687.05
|
$34,078.82
|
2026-04-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
22
|
7
|
—
|
—
|
$20,672.23
|
$64,764.42
|
$34,015.90
|
2026-04-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
19
|
7
|
—
|
—
|
$20,325.16
|
$63,677.06
|
$33,853.48
|
2026-04-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
22
|
7
|
—
|
—
|
$18,628.34
|
$58,361.08
|
$33,753.18
|
2026-04-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
22
|
7
|
—
|
—
|
$20,796.60
|
$65,154.06
|
$33,612.51
|
2026-04-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
22
|
7
|
—
|
—
|
$19,445.90
|
$60,922.42
|
$33,438.14
|
2026-04-01
|
|
241
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…
|
22
|
7
|
—
|
—
|
$14,555.98
|
$49,568.14
|
$33,287.32
|
2026-04-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
22
|
7
|
—
|
—
|
$20,912.29
|
$65,516.52
|
$33,143.03
|
2026-04-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
22
|
7
|
—
|
—
|
$17,399.11
|
$59,249.98
|
$32,676.55
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
3
|
1
|
—
|
—
|
$32,505.27
|
$36,524.59
|
$32,505.27
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
22
|
7
|
—
|
—
|
$22,904.33
|
$88,049.27
|
$32,326.28
|
2026-04-01
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc
|
22
|
7
|
—
|
—
|
$20,272.13
|
$63,510.94
|
$32,317.04
|
2026-04-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
22
|
7
|
—
|
—
|
$23,605.71
|
$73,994.91
|
$32,263.60
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
22
|
7
|
—
|
—
|
$22,544.51
|
$70,630.13
|
$32,210.68
|
2026-04-01
|