|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
14
|
13
|
—
|
—
|
$3,200,000.00
|
$4,974,693.88
|
$3,333,044.90
|
2025-11-19
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
13
|
12
|
—
|
—
|
$3,248,445.72
|
$4,872,668.57
|
$3,280,930.17
|
2025-11-19
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
9
|
9
|
—
|
—
|
$4,505,000.00
|
$4,640,150.00
|
$4,505,000.00
|
2025-11-19
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
13
|
12
|
—
|
—
|
$2,945,740.00
|
$4,418,610.00
|
$2,975,197.40
|
2025-11-19
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
10
|
10
|
—
|
—
|
$3,500,000.00
|
$3,795,824.67
|
$3,685,266.67
|
2025-11-19
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
14
|
13
|
—
|
—
|
$2,322,044.36
|
$3,682,665.91
|
$2,467,386.16
|
2025-11-19
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
13
|
12
|
—
|
—
|
$2,332,000.00
|
$3,498,000.00
|
$2,355,320.00
|
2025-11-19
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
13
|
12
|
—
|
—
|
$770,620.00
|
$1,155,930.00
|
$778,326.20
|
2025-11-19
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
13
|
12
|
—
|
—
|
$591,726.20
|
$887,589.30
|
$597,643.46
|
2025-11-19
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
13
|
—
|
—
|
$507,495.55
|
$848,803.42
|
$568,698.29
|
2025-11-19
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
14
|
13
|
—
|
—
|
$474,060.62
|
$843,807.28
|
$565,350.88
|
2025-11-19
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
14
|
13
|
—
|
—
|
$484,690.30
|
$835,976.90
|
$560,104.52
|
2025-11-19
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
13
|
12
|
—
|
—
|
$533,230.17
|
$799,845.26
|
$538,562.47
|
2025-11-19
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
14
|
13
|
—
|
—
|
$449,440.00
|
$733,956.91
|
$491,751.13
|
2025-11-19
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
13
|
12
|
—
|
—
|
$277,573.56
|
$555,147.12
|
$280,349.30
|
2025-11-19
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
13
|
12
|
—
|
—
|
$278,250.00
|
$417,375.00
|
$281,032.50
|
2025-11-19
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
13
|
12
|
—
|
—
|
$208,011.45
|
$416,022.90
|
$210,091.56
|
2025-11-19
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
13
|
12
|
—
|
—
|
$257,500.00
|
$386,250.00
|
$260,075.00
|
2025-11-19
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
13
|
12
|
—
|
—
|
$175,611.78
|
$351,223.56
|
$177,367.90
|
2025-11-19
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
13
|
12
|
—
|
—
|
$158,913.08
|
$317,826.16
|
$160,502.21
|
2025-11-19
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
13
|
12
|
—
|
—
|
$205,640.00
|
$308,460.00
|
$207,696.40
|
2025-11-19
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
4
|
—
|
—
|
$252,058.47
|
$288,066.83
|
$252,058.47
|
2025-11-19
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
4
|
—
|
—
|
$240,735.23
|
$275,125.98
|
$240,735.23
|
2025-11-19
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$217,002.95
|
$248,003.38
|
$217,002.95
|
2025-11-19
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
4
|
—
|
—
|
$190,633.76
|
$217,867.15
|
$190,633.76
|
2025-11-19
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
13
|
12
|
—
|
—
|
$105,697.63
|
$211,395.26
|
$106,754.61
|
2025-11-19
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
4
|
—
|
—
|
$184,584.36
|
$210,953.56
|
$184,584.36
|
2025-11-19
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
4
|
—
|
—
|
$181,637.21
|
$207,585.38
|
$181,637.21
|
2025-11-19
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
4
|
—
|
—
|
$181,482.09
|
$207,408.11
|
$181,482.09
|
2025-11-19
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension
|
63
|
24
|
$240,050.00
|
$120,025.00
50% off
|
$40,592.46
|
$204,042.50
|
$131,655.42
|
2025-11-19
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
4
|
—
|
—
|
$177,914.50
|
$203,330.86
|
$177,914.50
|
2025-11-19
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
13
|
12
|
—
|
—
|
$98,203.91
|
$196,407.82
|
$99,185.95
|
2025-11-19
|
|
7
|
MS_DRG
|
Lung Transplant
|
13
|
12
|
—
|
—
|
$97,963.40
|
$195,926.80
|
$98,943.03
|
2025-11-19
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
13
|
12
|
—
|
—
|
$83,029.18
|
$166,058.36
|
$83,859.47
|
2025-11-19
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
13
|
12
|
—
|
—
|
$82,112.32
|
$164,224.64
|
$82,933.44
|
2025-11-19
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
13
|
12
|
—
|
—
|
$109,316.28
|
$163,974.42
|
$109,316.28
|
2025-11-19
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
4
|
—
|
—
|
$143,091.66
|
$163,533.32
|
$143,091.66
|
2025-11-19
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
4
|
—
|
—
|
$140,609.85
|
$160,696.97
|
$140,609.85
|
2025-11-19
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
13
|
12
|
—
|
—
|
$80,330.36
|
$160,660.72
|
$81,133.66
|
2025-11-19
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
13
|
12
|
—
|
—
|
$79,932.44
|
$159,864.88
|
$80,731.76
|
2025-11-19
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
12
|
—
|
—
|
$79,062.21
|
$158,124.42
|
$79,852.83
|
2025-11-19
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
4
|
—
|
—
|
$133,164.43
|
$152,187.92
|
$133,164.43
|
2025-11-19
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
4
|
—
|
—
|
$130,372.40
|
$148,997.03
|
$130,372.40
|
2025-11-19
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
12
|
—
|
—
|
$73,054.57
|
$146,109.14
|
$73,785.12
|
2025-11-19
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
4
|
—
|
—
|
$127,192.58
|
$145,362.95
|
$127,192.58
|
2025-11-19
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$125,951.68
|
$143,944.78
|
$125,951.68
|
2025-11-19
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
4
|
—
|
—
|
$124,555.66
|
$142,349.33
|
$124,555.66
|
2025-11-19
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$124,167.88
|
$141,906.14
|
$124,167.88
|
2025-11-19
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
4
|
—
|
—
|
$123,547.43
|
$141,197.06
|
$123,547.43
|
2025-11-19
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
13
|
12
|
—
|
—
|
$93,216.70
|
$139,825.05
|
$93,216.70
|
2025-11-19
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
13
|
12
|
—
|
—
|
$69,853.59
|
$139,707.18
|
$70,552.13
|
2025-11-19
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
4
|
—
|
—
|
$121,530.96
|
$138,892.52
|
$121,530.96
|
2025-11-19
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
4
|
—
|
—
|
$116,102.01
|
$132,688.01
|
$116,102.01
|
2025-11-19
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$114,628.44
|
$131,003.93
|
$114,628.44
|
2025-11-19
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
13
|
12
|
—
|
—
|
$64,474.91
|
$128,949.82
|
$65,119.66
|
2025-11-19
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
12
|
—
|
—
|
$64,440.65
|
$128,881.30
|
$65,085.06
|
2025-11-19
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
13
|
12
|
—
|
—
|
$63,503.40
|
$127,006.80
|
$64,138.43
|
2025-11-19
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
4
|
—
|
—
|
$110,285.28
|
$126,040.32
|
$110,285.28
|
2025-11-19
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
4
|
—
|
—
|
$107,958.59
|
$123,381.24
|
$107,958.59
|
2025-11-19
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
13
|
12
|
—
|
—
|
$61,466.34
|
$122,932.68
|
$62,081.00
|
2025-11-19
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
13
|
12
|
—
|
—
|
$60,824.26
|
$121,648.52
|
$61,432.50
|
2025-11-19
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
13
|
12
|
—
|
—
|
$60,491.17
|
$120,982.34
|
$61,096.08
|
2025-11-19
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
13
|
12
|
—
|
—
|
$59,682.92
|
$119,365.84
|
$60,279.75
|
2025-11-19
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
4
|
—
|
—
|
$103,537.86
|
$118,328.99
|
$103,537.86
|
2025-11-19
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
12
|
—
|
—
|
$59,107.90
|
$118,215.80
|
$59,698.98
|
2025-11-19
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$102,839.86
|
$117,531.26
|
$102,839.86
|
2025-11-19
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
15
|
12
|
—
|
—
|
$4,115.00
|
$115,254.21
|
$57,627.10
|
2025-11-19
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
|
63
|
24
|
$135,076.60
|
$67,538.30
50% off
|
$326.65
|
$114,815.11
|
$74,082.76
|
2025-11-19
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
13
|
12
|
—
|
—
|
$57,116.04
|
$114,232.08
|
$57,687.20
|
2025-11-19
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$98,341.58
|
$112,390.38
|
$98,341.58
|
2025-11-19
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
4
|
—
|
—
|
$95,859.77
|
$109,554.02
|
$95,859.77
|
2025-11-19
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
12
|
—
|
—
|
$54,481.34
|
$108,962.68
|
$55,026.15
|
2025-11-19
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
13
|
12
|
—
|
—
|
$54,221.15
|
$108,442.30
|
$54,763.36
|
2025-11-19
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$94,541.32
|
$108,047.22
|
$94,541.32
|
2025-11-19
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$94,541.32
|
$108,047.22
|
$94,541.32
|
2025-11-19
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$94,541.32
|
$108,047.22
|
$94,541.32
|
2025-11-19
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
13
|
12
|
—
|
—
|
$53,415.82
|
$106,831.64
|
$53,949.98
|
2025-11-19
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
4
|
—
|
—
|
$93,222.85
|
$106,540.40
|
$93,222.85
|
2025-11-19
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
13
|
12
|
—
|
—
|
$52,481.47
|
$104,962.94
|
$53,006.28
|
2025-11-19
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
13
|
12
|
—
|
—
|
$51,580.65
|
$103,161.30
|
$52,096.46
|
2025-11-19
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
13
|
12
|
—
|
—
|
$51,392.59
|
$102,785.18
|
$51,906.52
|
2025-11-19
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
13
|
12
|
—
|
—
|
$51,310.25
|
$102,620.50
|
$51,823.35
|
2025-11-19
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
4
|
—
|
—
|
$89,500.14
|
$102,285.88
|
$89,500.14
|
2025-11-19
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$89,189.92
|
$101,931.34
|
$89,189.92
|
2025-11-19
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
13
|
12
|
—
|
—
|
$67,452.66
|
$101,178.99
|
$67,452.66
|
2025-11-19
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
13
|
12
|
—
|
—
|
$49,849.71
|
$99,699.42
|
$50,348.21
|
2025-11-19
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
12
|
—
|
—
|
$49,781.93
|
$99,563.86
|
$50,279.75
|
2025-11-19
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$86,475.45
|
$98,829.08
|
$86,475.45
|
2025-11-19
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
4
|
—
|
—
|
$85,854.99
|
$98,119.99
|
$85,854.99
|
2025-11-19
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
13
|
12
|
—
|
—
|
$48,808.21
|
$97,616.42
|
$49,296.29
|
2025-11-19
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
13
|
12
|
—
|
—
|
$47,861.48
|
$95,722.96
|
$48,340.09
|
2025-11-19
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
13
|
12
|
—
|
—
|
$47,803.17
|
$95,606.34
|
$48,281.20
|
2025-11-19
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
13
|
12
|
—
|
—
|
$47,597.65
|
$95,195.30
|
$48,073.63
|
2025-11-19
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
13
|
12
|
—
|
—
|
$47,440.95
|
$94,881.90
|
$47,915.36
|
2025-11-19
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
13
|
12
|
—
|
—
|
$47,236.89
|
$94,473.78
|
$47,709.26
|
2025-11-19
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
63
|
24
|
$111,115.60
|
$55,557.80
50% off
|
$200.49
|
$94,448.26
|
$60,941.35
|
2025-11-19
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
13
|
12
|
—
|
—
|
$47,024.06
|
$94,048.12
|
$47,494.30
|
2025-11-19
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
4
|
—
|
—
|
$81,977.18
|
$93,688.20
|
$81,977.18
|
2025-11-19
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
13
|
12
|
—
|
—
|
$46,706.30
|
$93,412.60
|
$47,173.36
|
2025-11-19
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
13
|
12
|
—
|
—
|
$46,706.30
|
$93,412.60
|
$47,173.36
|
2025-11-19
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
4
|
—
|
—
|
$81,511.84
|
$93,156.38
|
$81,511.84
|
2025-11-19
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
13
|
12
|
—
|
—
|
$46,377.61
|
$92,755.22
|
$46,841.39
|
2025-11-19
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
4
|
—
|
—
|
$81,046.50
|
$92,624.57
|
$81,046.50
|
2025-11-19
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
12
|
—
|
—
|
$46,075.15
|
$92,150.30
|
$46,535.90
|
2025-11-19
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
13
|
12
|
—
|
—
|
$46,042.36
|
$92,084.72
|
$46,502.78
|
2025-11-19
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
13
|
12
|
—
|
—
|
$45,600.68
|
$91,201.36
|
$46,056.69
|
2025-11-19
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
4
|
—
|
—
|
$79,728.03
|
$91,117.75
|
$79,728.03
|
2025-11-19
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
4
|
4
|
—
|
—
|
$79,107.58
|
$90,408.66
|
$79,107.58
|
2025-11-19
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
13
|
12
|
—
|
—
|
$45,149.55
|
$90,299.10
|
$45,601.05
|
2025-11-19
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
12
|
—
|
—
|
$44,545.35
|
$89,090.70
|
$44,990.80
|
2025-11-19
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
13
|
12
|
—
|
—
|
$44,295.37
|
$88,590.74
|
$44,738.32
|
2025-11-19
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
13
|
12
|
—
|
—
|
$43,847.59
|
$87,695.17
|
$44,286.06
|
2025-11-19
|
|
0266T
|
CPT
|
Apc
|
15
|
12
|
—
|
—
|
$4,115.00
|
$87,695.17
|
$43,847.59
|
2025-11-19
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$76,393.11
|
$87,306.41
|
$76,393.11
|
2025-11-19
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
13
|
12
|
—
|
—
|
$43,344.27
|
$86,688.54
|
$43,777.71
|
2025-11-19
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
13
|
12
|
—
|
—
|
$42,999.52
|
$85,999.04
|
$43,429.52
|
2025-11-19
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
13
|
12
|
—
|
—
|
$42,999.52
|
$85,999.04
|
$43,429.52
|
2025-11-19
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
12
|
—
|
—
|
$42,830.44
|
$85,660.88
|
$43,258.74
|
2025-11-19
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
13
|
12
|
—
|
—
|
$56,824.55
|
$85,236.82
|
$57,392.79
|
2025-11-19
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
13
|
12
|
—
|
—
|
$42,585.57
|
$85,171.14
|
$43,011.43
|
2025-11-19
|
|
J9118
|
HCPCS
|
Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution
|
63
|
24
|
$100,182.50
|
$50,091.25
50% off
|
$72.88
|
$85,155.13
|
$54,945.10
|
2025-11-19
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
4
|
—
|
—
|
$74,221.53
|
$84,824.60
|
$74,221.53
|
2025-11-19
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
13
|
12
|
—
|
—
|
$42,371.30
|
$84,742.60
|
$42,795.01
|
2025-11-19
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
13
|
12
|
—
|
—
|
$42,280.92
|
$84,561.84
|
$42,703.73
|
2025-11-19
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
13
|
12
|
—
|
—
|
$42,079.03
|
$84,158.06
|
$42,499.82
|
2025-11-19
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
13
|
12
|
—
|
—
|
$42,041.87
|
$84,083.74
|
$42,462.29
|
2025-11-19
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
13
|
12
|
—
|
—
|
$42,037.49
|
$84,074.98
|
$42,457.86
|
2025-11-19
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$73,523.52
|
$84,026.88
|
$73,523.52
|
2025-11-19
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
4
|
—
|
—
|
$72,825.51
|
$83,229.16
|
$72,825.51
|
2025-11-19
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
13
|
12
|
—
|
—
|
$41,490.13
|
$82,980.26
|
$41,905.03
|
2025-11-19
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
14
|
13
|
—
|
—
|
$55,272.32
|
$82,908.49
|
$55,639.31
|
2025-11-19
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
12
|
—
|
—
|
$41,318.89
|
$82,637.78
|
$41,732.08
|
2025-11-19
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
13
|
12
|
—
|
—
|
$40,250.42
|
$80,500.84
|
$40,652.92
|
2025-11-19
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
13
|
12
|
—
|
—
|
$40,125.79
|
$80,251.58
|
$40,527.05
|
2025-11-19
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
13
|
12
|
—
|
—
|
$39,845.92
|
$79,691.84
|
$40,244.38
|
2025-11-19
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
13
|
12
|
—
|
—
|
$39,732.23
|
$79,464.46
|
$40,129.55
|
2025-11-19
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$69,102.80
|
$78,974.63
|
$69,102.80
|
2025-11-19
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
13
|
12
|
—
|
—
|
$39,425.40
|
$78,850.80
|
$39,819.65
|
2025-11-19
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$68,792.58
|
$78,620.09
|
$68,792.58
|
2025-11-19
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
13
|
12
|
—
|
—
|
$39,208.95
|
$78,417.90
|
$39,601.04
|
2025-11-19
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
13
|
12
|
—
|
—
|
$39,180.52
|
$78,361.04
|
$39,572.33
|
2025-11-19
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
13
|
12
|
—
|
—
|
$39,165.94
|
$78,331.88
|
$39,557.60
|
2025-11-19
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
4
|
—
|
—
|
$68,404.79
|
$78,176.90
|
$68,404.79
|
2025-11-19
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
4
|
—
|
—
|
$68,404.79
|
$78,176.90
|
$68,404.79
|
2025-11-19
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
13
|
12
|
—
|
—
|
$39,034.74
|
$78,069.48
|
$39,425.09
|
2025-11-19
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
63
|
24
|
$91,682.00
|
$45,841.00
50% off
|
$2,580.14
|
$77,929.70
|
$50,283.00
|
2025-11-19
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
4
|
—
|
—
|
$67,706.78
|
$77,379.18
|
$67,706.78
|
2025-11-19
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
13
|
12
|
—
|
—
|
$38,331.43
|
$76,662.86
|
$38,714.74
|
2025-11-19
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
4
|
—
|
—
|
$66,776.10
|
$76,315.55
|
$66,776.10
|
2025-11-19
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
13
|
12
|
—
|
—
|
$38,116.46
|
$76,232.92
|
$38,497.62
|
2025-11-19
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
4
|
—
|
—
|
$66,620.99
|
$76,138.27
|
$66,620.99
|
2025-11-19
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
13
|
12
|
—
|
—
|
$38,057.41
|
$76,114.82
|
$38,437.98
|
2025-11-19
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
63
|
24
|
$88,490.00
|
$44,245.00
50% off
|
$300.59
|
$75,216.50
|
$48,532.34
|
2025-11-19
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
13
|
12
|
—
|
—
|
$37,520.27
|
$75,040.54
|
$37,895.47
|
2025-11-19
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
13
|
12
|
—
|
—
|
$37,369.41
|
$74,738.82
|
$37,743.10
|
2025-11-19
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
13
|
12
|
—
|
—
|
$37,362.84
|
$74,725.68
|
$37,736.47
|
2025-11-19
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
4
|
4
|
—
|
—
|
$65,147.42
|
$74,454.19
|
$65,147.42
|
2025-11-19
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
4
|
—
|
—
|
$64,914.75
|
$74,188.28
|
$64,914.75
|
2025-11-19
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
13
|
12
|
—
|
—
|
$37,004.26
|
$74,008.52
|
$37,374.30
|
2025-11-19
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
13
|
12
|
—
|
—
|
$36,820.60
|
$73,641.20
|
$37,188.81
|
2025-11-19
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
13
|
12
|
—
|
—
|
$36,619.44
|
$73,238.88
|
$36,985.63
|
2025-11-19
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
13
|
12
|
—
|
—
|
$48,632.79
|
$72,949.19
|
$48,632.79
|
2025-11-19
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
13
|
12
|
—
|
—
|
$36,308.24
|
$72,616.48
|
$36,671.32
|
2025-11-19
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
13
|
12
|
—
|
—
|
$36,294.39
|
$72,588.78
|
$36,657.33
|
2025-11-19
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
12
|
—
|
—
|
$36,187.27
|
$72,374.54
|
$36,549.14
|
2025-11-19
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
13
|
12
|
—
|
—
|
$36,182.15
|
$72,364.30
|
$36,543.97
|
2025-11-19
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$63,286.06
|
$72,326.93
|
$63,286.06
|
2025-11-19
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$62,975.84
|
$71,972.39
|
$62,975.84
|
2025-11-19
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
13
|
12
|
—
|
—
|
$35,596.91
|
$71,193.82
|
$35,952.88
|
2025-11-19
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
13
|
12
|
—
|
—
|
$35,400.84
|
$70,801.68
|
$35,754.85
|
2025-11-19
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
13
|
12
|
—
|
—
|
$35,310.50
|
$70,621.00
|
$35,663.61
|
2025-11-19
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$61,347.15
|
$70,111.03
|
$61,347.15
|
2025-11-19
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$61,347.15
|
$70,111.03
|
$61,347.15
|
2025-11-19
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
13
|
12
|
—
|
—
|
$35,005.85
|
$70,011.70
|
$35,355.91
|
2025-11-19
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$61,114.48
|
$69,845.12
|
$61,114.48
|
2025-11-19
|
|
J9274
|
HCPCS
|
Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution
|
63
|
24
|
$81,970.00
|
$40,985.00
50% off
|
$208.93
|
$69,674.50
|
$44,956.44
|
2025-11-19
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
13
|
12
|
—
|
—
|
$34,731.08
|
$69,462.16
|
$35,078.39
|
2025-11-19
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
13
|
12
|
—
|
—
|
$34,250.79
|
$68,501.58
|
$34,593.30
|
2025-11-19
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
4
|
—
|
—
|
$59,873.58
|
$68,426.95
|
$59,873.58
|
2025-11-19
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
12
|
—
|
—
|
$34,185.92
|
$68,371.84
|
$34,527.78
|
2025-11-19
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
15
|
12
|
—
|
—
|
$4,115.00
|
$68,207.57
|
$34,103.79
|
2025-11-19
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
13
|
12
|
—
|
—
|
$33,804.75
|
$67,609.50
|
$34,142.80
|
2025-11-19
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
14
|
13
|
—
|
—
|
$44,578.75
|
$67,530.98
|
$45,245.76
|
2025-11-19
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
13
|
12
|
—
|
—
|
$33,758.84
|
$67,517.68
|
$34,096.43
|
2025-11-19
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$58,710.24
|
$67,097.41
|
$58,710.24
|
2025-11-19
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$58,477.57
|
$66,831.50
|
$58,477.57
|
2025-11-19
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
4
|
—
|
—
|
$56,693.76
|
$64,792.87
|
$56,693.76
|
2025-11-19
|
|
93656
|
CPT
|
Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein
|
67
|
24
|
$75,567.00
|
$37,783.50
50% off
|
$4,115.00
|
$64,231.95
|
$41,444.72
|
2025-11-19
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
4
|
—
|
—
|
$56,150.87
|
$64,172.42
|
$56,150.87
|
2025-11-19
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$55,840.65
|
$63,817.88
|
$55,840.65
|
2025-11-19
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Injection Solution
|
63
|
24
|
$74,455.55
|
$37,227.78
50% off
|
$12,590.43
|
$63,287.22
|
$40,835.14
|
2025-11-19
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
4
|
—
|
—
|
$55,375.31
|
$63,286.07
|
$55,375.31
|
2025-11-19
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
4
|
—
|
—
|
$54,754.85
|
$62,576.98
|
$54,754.85
|
2025-11-19
|
|
33270
|
CPT
|
Hc Ep Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd
|
87
|
24
|
$62,030.00
|
$31,015.00
50% off
|
$4,115.00
|
$62,480.32
|
$34,020.36
|
2025-11-19
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$54,056.85
|
$61,779.25
|
$54,056.85
|
2025-11-19
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
4
|
—
|
—
|
$53,901.74
|
$61,601.99
|
$53,901.74
|
2025-11-19
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$53,901.74
|
$61,601.99
|
$53,901.74
|
2025-11-19
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
4
|
—
|
—
|
$53,901.74
|
$61,601.99
|
$53,901.74
|
2025-11-19
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
4
|
—
|
—
|
$53,746.62
|
$61,424.71
|
$53,746.62
|
2025-11-19
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
4
|
—
|
—
|
$53,746.62
|
$61,424.71
|
$53,746.62
|
2025-11-19
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
4
|
—
|
—
|
$53,746.62
|
$61,424.71
|
$53,746.62
|
2025-11-19
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$53,513.95
|
$61,158.80
|
$53,513.95
|
2025-11-19
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$53,358.84
|
$60,981.53
|
$53,358.84
|
2025-11-19
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
4
|
—
|
—
|
$53,126.17
|
$60,715.62
|
$53,126.17
|
2025-11-19
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
4
|
—
|
—
|
$52,815.95
|
$60,361.08
|
$52,815.95
|
2025-11-19
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
4
|
—
|
—
|
$52,505.72
|
$60,006.54
|
$52,505.72
|
2025-11-19
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$52,428.16
|
$59,917.90
|
$52,428.16
|
2025-11-19
|
|
93654
|
CPT
|
Hc Ep Ephys Eval W/ablation Ventricular Tachycardia
|
67
|
24
|
$70,426.00
|
$35,213.00
50% off
|
$11,909.04
|
$59,862.10
|
$38,625.14
|
2025-11-19
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
4
|
—
|
—
|
$52,350.61
|
$59,829.26
|
$52,350.61
|
2025-11-19
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
4
|
4
|
—
|
—
|
$52,195.49
|
$59,651.99
|
$52,195.49
|
2025-11-19
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
4
|
—
|
—
|
$52,040.38
|
$59,474.72
|
$52,040.38
|
2025-11-19
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$51,575.04
|
$58,942.91
|
$51,575.04
|
2025-11-19
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
13
|
12
|
—
|
—
|
$39,208.42
|
$58,812.63
|
$39,208.42
|
2025-11-19
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
4
|
—
|
—
|
$51,342.38
|
$58,677.00
|
$51,342.38
|
2025-11-19
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
4
|
—
|
—
|
$50,721.92
|
$57,967.91
|
$50,721.92
|
2025-11-19
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
13
|
12
|
—
|
—
|
$38,606.32
|
$57,909.48
|
$38,606.32
|
2025-11-19
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
4
|
—
|
—
|
$50,566.80
|
$57,790.63
|
$50,566.80
|
2025-11-19
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
4
|
—
|
—
|
$50,411.70
|
$57,613.37
|
$50,411.70
|
2025-11-19
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$50,101.46
|
$57,258.82
|
$50,101.46
|
2025-11-19
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
4
|
—
|
—
|
$50,023.91
|
$57,170.18
|
$50,023.91
|
2025-11-19
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
4
|
—
|
—
|
$49,868.79
|
$56,992.91
|
$49,868.79
|
2025-11-19
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$49,403.46
|
$56,461.09
|
$49,403.46
|
2025-11-19
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
4
|
—
|
—
|
$49,093.23
|
$56,106.55
|
$49,093.23
|
2025-11-19
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$49,015.68
|
$56,017.92
|
$49,015.68
|
2025-11-19
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
4
|
—
|
—
|
$49,015.68
|
$56,017.92
|
$49,015.68
|
2025-11-19
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
4
|
—
|
—
|
$48,860.56
|
$55,840.64
|
$48,860.56
|
2025-11-19
|
|
893
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
4
|
—
|
—
|
$48,783.01
|
$55,752.01
|
$48,783.01
|
2025-11-19
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
4
|
—
|
—
|
$48,783.01
|
$55,752.01
|
$48,783.01
|
2025-11-19
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
4
|
—
|
—
|
$48,240.12
|
$55,131.56
|
$48,240.12
|
2025-11-19
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
4
|
—
|
—
|
$47,929.89
|
$54,777.01
|
$47,929.89
|
2025-11-19
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
4
|
—
|
—
|
$47,929.89
|
$54,777.01
|
$47,929.89
|
2025-11-19
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$47,774.78
|
$54,599.75
|
$47,774.78
|
2025-11-19
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$47,697.22
|
$54,511.10
|
$47,697.22
|
2025-11-19
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$47,542.11
|
$54,333.84
|
$47,542.11
|
2025-11-19
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$47,542.11
|
$54,333.84
|
$47,542.11
|
2025-11-19
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
4
|
—
|
—
|
$47,464.55
|
$54,245.20
|
$47,464.55
|
2025-11-19
|
|
93653
|
CPT
|
Hc Ep Ephys Eval W/ablation Supravent Arrhythmia
|
67
|
24
|
$63,743.00
|
$31,871.50
50% off
|
$10,778.94
|
$54,181.55
|
$34,959.85
|
2025-11-19
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$46,921.65
|
$53,624.75
|
$46,921.65
|
2025-11-19
|
|
1302
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
4
|
—
|
—
|
$46,456.32
|
$53,092.93
|
$46,456.32
|
2025-11-19
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
4
|
—
|
—
|
$46,223.65
|
$52,827.02
|
$46,223.65
|
2025-11-19
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
13
|
12
|
—
|
—
|
$34,284.44
|
$51,426.66
|
$34,284.44
|
2025-11-19
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
4
|
4
|
—
|
—
|
$44,982.75
|
$51,408.85
|
$44,982.75
|
2025-11-19
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
4
|
—
|
—
|
$44,905.18
|
$51,320.21
|
$44,905.18
|
2025-11-19
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
4
|
4
|
—
|
—
|
$44,284.74
|
$50,611.13
|
$44,284.74
|
2025-11-19
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$43,586.73
|
$49,813.40
|
$43,586.73
|
2025-11-19
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$43,586.73
|
$49,813.40
|
$43,586.73
|
2025-11-19
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
4
|
—
|
—
|
$43,509.17
|
$49,724.76
|
$43,509.17
|
2025-11-19
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$43,043.83
|
$49,192.94
|
$43,043.83
|
2025-11-19
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
4
|
—
|
—
|
$42,811.16
|
$48,927.04
|
$42,811.16
|
2025-11-19
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
4
|
—
|
—
|
$42,733.60
|
$48,838.40
|
$42,733.60
|
2025-11-19
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
4
|
—
|
—
|
$42,268.26
|
$48,306.59
|
$42,268.26
|
2025-11-19
|
|
7594
|
APR_DRG
|
Eating Disorders
|
4
|
4
|
—
|
—
|
$42,035.60
|
$48,040.68
|
$42,035.60
|
2025-11-19
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
4
|
—
|
—
|
$41,182.48
|
$47,065.69
|
$41,182.48
|
2025-11-19
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
4
|
—
|
—
|
$41,104.92
|
$46,977.05
|
$41,104.92
|
2025-11-19
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
4
|
—
|
—
|
$40,794.69
|
$46,622.51
|
$40,794.69
|
2025-11-19
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$40,639.58
|
$46,445.23
|
$40,639.58
|
2025-11-19
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
4
|
—
|
—
|
$40,639.58
|
$46,445.23
|
$40,639.58
|
2025-11-19
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$40,639.58
|
$46,445.23
|
$40,639.58
|
2025-11-19
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$40,562.03
|
$46,356.60
|
$40,562.03
|
2025-11-19
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
4
|
—
|
—
|
$40,251.80
|
$46,002.06
|
$40,251.80
|
2025-11-19
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
4
|
—
|
—
|
$40,019.13
|
$45,736.15
|
$40,019.13
|
2025-11-19
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
4
|
4
|
—
|
—
|
$40,019.13
|
$45,736.15
|
$40,019.13
|
2025-11-19
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
4
|
—
|
—
|
$39,941.57
|
$45,647.51
|
$39,941.57
|
2025-11-19
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
4
|
—
|
—
|
$39,864.02
|
$45,558.88
|
$39,864.02
|
2025-11-19
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
4
|
—
|
—
|
$39,321.12
|
$44,938.43
|
$39,321.12
|
2025-11-19
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
4
|
—
|
—
|
$39,321.12
|
$44,938.43
|
$39,321.12
|
2025-11-19
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
4
|
—
|
—
|
$39,166.01
|
$44,761.15
|
$39,166.01
|
2025-11-19
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
4
|
—
|
—
|
$39,088.46
|
$44,672.52
|
$39,088.46
|
2025-11-19
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
4
|
—
|
—
|
$38,933.34
|
$44,495.24
|
$38,933.34
|
2025-11-19
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
4
|
—
|
—
|
$38,855.79
|
$44,406.61
|
$38,855.79
|
2025-11-19
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
4
|
—
|
—
|
$38,778.22
|
$44,317.97
|
$38,778.22
|
2025-11-19
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
4
|
—
|
—
|
$38,623.12
|
$44,140.70
|
$38,623.12
|
2025-11-19
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
4
|
—
|
—
|
$38,545.55
|
$44,052.06
|
$38,545.55
|
2025-11-19
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
4
|
—
|
—
|
$38,545.55
|
$44,052.06
|
$38,545.55
|
2025-11-19
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
4
|
—
|
—
|
$38,390.45
|
$43,874.80
|
$38,390.45
|
2025-11-19
|
|
303
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
4
|
—
|
—
|
$38,312.88
|
$43,786.15
|
$38,312.88
|
2025-11-19
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$38,235.33
|
$43,697.52
|
$38,235.33
|
2025-11-19
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
4
|
4
|
—
|
—
|
$38,235.33
|
$43,697.52
|
$38,235.33
|
2025-11-19
|
|
1693
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
4
|
—
|
—
|
$38,080.21
|
$43,520.24
|
$38,080.21
|
2025-11-19
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
4
|
—
|
—
|
$38,080.21
|
$43,520.24
|
$38,080.21
|
2025-11-19
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
4
|
4
|
—
|
—
|
$37,925.11
|
$43,342.98
|
$37,925.11
|
2025-11-19
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$37,769.99
|
$43,165.70
|
$37,769.99
|
2025-11-19
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
4
|
4
|
—
|
—
|
$37,692.44
|
$43,077.07
|
$37,692.44
|
2025-11-19
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
4
|
—
|
—
|
$37,149.54
|
$42,456.61
|
$37,149.54
|
2025-11-19
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
4
|
—
|
—
|
$36,916.88
|
$42,190.72
|
$36,916.88
|
2025-11-19
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$36,761.76
|
$42,013.44
|
$36,761.76
|
2025-11-19
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
4
|
4
|
—
|
—
|
$36,063.75
|
$41,215.72
|
$36,063.75
|
2025-11-19
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
4
|
—
|
—
|
$36,063.75
|
$41,215.72
|
$36,063.75
|
2025-11-19
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
4
|
4
|
—
|
—
|
$35,908.64
|
$41,038.44
|
$35,908.64
|
2025-11-19
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
4
|
—
|
—
|
$35,675.97
|
$40,772.53
|
$35,675.97
|
2025-11-19
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
4
|
—
|
—
|
$35,365.74
|
$40,417.99
|
$35,365.74
|
2025-11-19
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
4
|
—
|
—
|
$35,288.19
|
$40,329.36
|
$35,288.19
|
2025-11-19
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$35,288.19
|
$40,329.36
|
$35,288.19
|
2025-11-19
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
4
|
—
|
—
|
$35,055.52
|
$40,063.45
|
$35,055.52
|
2025-11-19
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$34,900.40
|
$39,886.18
|
$34,900.40
|
2025-11-19
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
4
|
—
|
—
|
$34,822.85
|
$39,797.54
|
$34,822.85
|
2025-11-19
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
4
|
—
|
—
|
$34,590.18
|
$39,531.64
|
$34,590.18
|
2025-11-19
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
4
|
—
|
—
|
$34,590.18
|
$39,531.64
|
$34,590.18
|
2025-11-19
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
4
|
4
|
—
|
—
|
$34,202.40
|
$39,088.45
|
$34,202.40
|
2025-11-19
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
4
|
—
|
—
|
$34,124.84
|
$38,999.82
|
$34,124.84
|
2025-11-19
|