|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel (cd8) 70000000 Cells IV Susp
|
33
|
13
|
$2,656,772.92
|
$1,195,547.82
55% off
|
$531,350.40
|
$1,591,406.98
|
$868,160.05
|
2026-03-27
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 460000000 Cells IV Susp
|
27
|
13
|
$2,641,583.38
|
$1,188,712.53
55% off
|
$528,316.68
|
$1,582,308.44
|
$807,921.53
|
2026-03-27
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel 410000000 Cells IV Susp
|
34
|
13
|
$2,625,021.00
|
$1,181,259.45
55% off
|
$262,500.00
|
$1,572,387.58
|
$631,217.60
|
2026-03-27
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
11
|
10
|
—
|
—
|
$285,501.36
|
$1,178,959.83
|
$532,150.42
|
2026-03-27
|
|
Q2042
|
HCPCS
|
Hc Kymriah Car-t Cell-dlbcl
|
27
|
13
|
$839,250.00
|
$377,662.50
55% off
|
$167,850.00
|
$839,250.00
|
$506,423.74
|
2026-03-27
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
11
|
10
|
—
|
—
|
$213,245.58
|
$880,584.16
|
$397,471.73
|
2026-03-27
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
11
|
10
|
—
|
—
|
$179,591.32
|
$741,611.02
|
$330,748.12
|
2026-03-27
|
|
51720
|
CPT
|
Hc Chmo-blader Instiltn
|
27
|
13
|
$710.00
|
$319.50
55% off
|
$142.00
|
$710.00
|
$315,710.00
|
2026-03-27
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
11
|
10
|
—
|
—
|
$162,246.00
|
$669,984.61
|
$302,412.87
|
2026-03-27
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
11
|
10
|
—
|
—
|
$106,969.89
|
$441,725.42
|
$199,382.88
|
2026-03-27
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$193,610.54
|
$193,610.54
|
$193,610.54
|
2026-03-27
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
10
|
—
|
—
|
$99,186.00
|
$409,582.31
|
$184,874.30
|
2026-03-27
|
|
7
|
MS_DRG
|
Lung Transplant
|
11
|
10
|
—
|
—
|
$98,936.17
|
$408,550.68
|
$184,408.61
|
2026-03-27
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$158,813.15
|
$158,813.15
|
$158,813.15
|
2026-03-27
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
11
|
10
|
—
|
—
|
$82,471.29
|
$340,559.98
|
$153,719.47
|
2026-03-27
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
11
|
10
|
—
|
—
|
$83,423.65
|
$344,492.68
|
$153,707.39
|
2026-03-27
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$153,343.24
|
$153,343.24
|
$153,343.24
|
2026-03-27
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$151,844.23
|
$151,844.23
|
$151,844.23
|
2026-03-27
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
11
|
10
|
—
|
—
|
$80,620.32
|
$332,916.54
|
$150,269.41
|
2026-03-27
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
11
|
10
|
—
|
—
|
$80,206.98
|
$331,209.66
|
$149,499.21
|
2026-03-27
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
10
|
—
|
—
|
$79,303.07
|
$327,477.03
|
$147,821.87
|
2026-03-27
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
2
|
2
|
—
|
—
|
$146,534.22
|
$146,534.22
|
$146,534.22
|
2026-03-27
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
10
|
—
|
—
|
$73,062.78
|
$301,708.15
|
$136,182.84
|
2026-03-27
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
11
|
10
|
—
|
—
|
$69,737.86
|
$287,978.09
|
$129,985.52
|
2026-03-27
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
11
|
10
|
—
|
—
|
$64,150.90
|
$264,907.08
|
$119,571.92
|
2026-03-27
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
10
|
—
|
—
|
$64,115.32
|
$264,760.15
|
$119,505.53
|
2026-03-27
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
11
|
10
|
—
|
—
|
$63,141.76
|
$260,739.92
|
$117,690.83
|
2026-03-27
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$116,328.29
|
$116,328.29
|
$116,328.29
|
2026-03-27
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$115,272.48
|
$115,272.48
|
$115,272.48
|
2026-03-27
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
11
|
10
|
—
|
—
|
$61,025.83
|
$252,002.32
|
$113,746.90
|
2026-03-27
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$113,075.94
|
$113,075.94
|
$113,075.94
|
2026-03-27
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
11
|
10
|
—
|
—
|
$60,358.88
|
$249,248.18
|
$112,503.97
|
2026-03-27
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
11
|
10
|
—
|
—
|
$60,012.91
|
$247,819.53
|
$111,858.95
|
2026-03-27
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
11
|
10
|
—
|
—
|
$59,173.35
|
$244,352.62
|
$110,294.06
|
2026-03-27
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
10
|
—
|
—
|
$58,576.05
|
$241,886.09
|
$109,180.86
|
2026-03-27
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
2
|
—
|
—
|
$107,081.10
|
$107,081.10
|
$107,081.10
|
2026-03-27
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
11
|
10
|
—
|
—
|
$56,507.05
|
$233,342.31
|
$105,324.37
|
2026-03-27
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$103,576.40
|
$103,576.40
|
$103,576.40
|
2026-03-27
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$102,313.47
|
$102,313.47
|
$102,313.47
|
2026-03-27
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
10
|
—
|
—
|
$53,770.35
|
$222,041.27
|
$100,219.47
|
2026-03-27
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$100,184.79
|
$100,184.79
|
$100,184.79
|
2026-03-27
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$100,020.12
|
$100,020.12
|
$100,020.12
|
2026-03-27
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
2
|
—
|
—
|
$99,891.57
|
$99,891.57
|
$99,891.57
|
2026-03-27
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
11
|
10
|
—
|
—
|
$53,500.09
|
$220,925.23
|
$99,719.59
|
2026-03-27
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$99,382.11
|
$99,382.11
|
$99,382.11
|
2026-03-27
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
11
|
10
|
—
|
—
|
$52,663.56
|
$217,470.83
|
$98,160.99
|
2026-03-27
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
2
|
2
|
—
|
—
|
$97,718.05
|
$97,718.05
|
$97,718.05
|
2026-03-27
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
10
|
—
|
—
|
$51,693.03
|
$213,463.11
|
$96,351.50
|
2026-03-27
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$96,065.49
|
$96,065.49
|
$96,065.49
|
2026-03-27
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
2
|
—
|
—
|
$95,411.21
|
$95,411.21
|
$95,411.21
|
2026-03-27
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
2
|
—
|
—
|
$95,153.31
|
$95,153.31
|
$95,153.31
|
2026-03-27
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
11
|
10
|
—
|
—
|
$50,757.33
|
$209,599.18
|
$94,607.37
|
2026-03-27
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
11
|
10
|
—
|
—
|
$50,562.01
|
$208,792.63
|
$94,243.41
|
2026-03-27
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
11
|
10
|
—
|
—
|
$50,476.47
|
$208,439.38
|
$94,083.92
|
2026-03-27
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$93,673.74
|
$93,673.74
|
$93,673.74
|
2026-03-27
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$93,401.55
|
$93,401.55
|
$93,401.55
|
2026-03-27
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$93,157.54
|
$93,157.54
|
$93,157.54
|
2026-03-27
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
11
|
10
|
—
|
—
|
$48,959.36
|
$202,174.57
|
$91,257.16
|
2026-03-27
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
10
|
—
|
—
|
$48,888.95
|
$201,883.83
|
$91,124.76
|
2026-03-27
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
2
|
2
|
—
|
—
|
$90,614.62
|
$90,614.62
|
$90,614.62
|
2026-03-27
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$47,877.54
|
$197,707.29
|
$89,239.77
|
2026-03-27
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
2
|
2
|
—
|
—
|
$88,731.14
|
$88,731.14
|
$88,731.14
|
2026-03-27
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
11
|
10
|
—
|
—
|
$46,894.15
|
$193,646.42
|
$87,406.72
|
2026-03-27
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
11
|
10
|
—
|
—
|
$46,833.58
|
$193,396.33
|
$87,293.87
|
2026-03-27
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
11
|
10
|
—
|
—
|
$46,620.10
|
$192,514.75
|
$86,895.97
|
2026-03-27
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
11
|
10
|
—
|
—
|
$46,457.34
|
$191,842.63
|
$86,431.11
|
2026-03-27
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
11
|
10
|
—
|
—
|
$46,245.36
|
$190,967.31
|
$86,197.45
|
2026-03-27
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
11
|
10
|
—
|
—
|
$46,024.31
|
$190,054.47
|
$85,785.46
|
2026-03-27
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
11
|
10
|
—
|
—
|
$45,694.24
|
$188,691.47
|
$85,170.20
|
2026-03-27
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
11
|
10
|
—
|
—
|
$45,694.24
|
$188,691.47
|
$85,170.20
|
2026-03-27
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
11
|
10
|
—
|
—
|
$45,352.81
|
$187,281.57
|
$84,533.80
|
2026-03-27
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
10
|
—
|
—
|
$45,038.64
|
$185,984.22
|
$83,948.41
|
2026-03-27
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$83,258.05
|
$83,258.05
|
$83,258.05
|
2026-03-27
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
11
|
10
|
—
|
—
|
$44,545.81
|
$183,949.09
|
$83,029.66
|
2026-03-27
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
2
|
2
|
—
|
—
|
$82,724.79
|
$82,724.79
|
$82,724.79
|
2026-03-27
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$44,077.20
|
$182,014.01
|
$82,156.16
|
2026-03-27
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
11
|
10
|
—
|
—
|
$44,822.83
|
$185,843.54
|
$81,381.78
|
2026-03-27
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
10
|
—
|
—
|
$43,449.61
|
$179,422.43
|
$80,986.38
|
2026-03-27
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
11
|
10
|
—
|
—
|
$43,189.95
|
$178,350.15
|
$80,502.44
|
2026-03-27
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
11
|
10
|
—
|
—
|
$42,202.01
|
$174,270.53
|
$78,660.94
|
2026-03-27
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
11
|
10
|
—
|
—
|
$41,843.93
|
$172,791.85
|
$77,993.48
|
2026-03-27
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
11
|
10
|
—
|
—
|
$41,843.93
|
$172,791.85
|
$77,787.30
|
2026-03-27
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
10
|
—
|
—
|
$41,668.29
|
$172,066.59
|
$77,667.78
|
2026-03-27
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
11
|
10
|
—
|
—
|
$41,413.93
|
$171,016.20
|
$77,192.03
|
2026-03-27
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
11
|
10
|
—
|
—
|
$41,191.36
|
$170,097.11
|
$76,777.25
|
2026-03-27
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
11
|
10
|
—
|
—
|
$41,097.48
|
$169,709.47
|
$76,602.27
|
2026-03-27
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
11
|
10
|
—
|
—
|
$40,887.78
|
$168,843.52
|
$76,211.42
|
2026-03-27
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
11
|
10
|
—
|
—
|
$40,849.18
|
$168,684.09
|
$76,139.47
|
2026-03-27
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
11
|
10
|
—
|
—
|
$40,844.63
|
$168,665.33
|
$76,130.93
|
2026-03-27
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
11
|
10
|
—
|
—
|
$40,276.10
|
$166,317.59
|
$75,071.33
|
2026-03-27
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
10
|
—
|
—
|
$40,098.19
|
$165,582.95
|
$74,739.64
|
2026-03-27
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$74,243.77
|
$74,243.77
|
$74,243.77
|
2026-03-27
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
11
|
10
|
—
|
—
|
$38,988.37
|
$161,000.01
|
$72,670.96
|
2026-03-27
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
11
|
10
|
—
|
—
|
$38,858.91
|
$160,465.43
|
$72,429.86
|
2026-03-27
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
11
|
10
|
—
|
—
|
$38,568.21
|
$159,264.99
|
$71,887.95
|
2026-03-27
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
11
|
10
|
—
|
—
|
$38,450.11
|
$158,777.31
|
$71,667.82
|
2026-03-27
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
11
|
10
|
—
|
—
|
$38,131.40
|
$157,461.20
|
$71,073.62
|
2026-03-27
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
11
|
10
|
—
|
—
|
$37,906.56
|
$156,532.73
|
$70,654.58
|
2026-03-27
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
11
|
10
|
—
|
—
|
$37,877.03
|
$156,410.81
|
$70,599.50
|
2026-03-27
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$37,861.89
|
$156,348.29
|
$70,571.94
|
2026-03-27
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
11
|
10
|
—
|
—
|
$37,725.62
|
$155,785.58
|
$70,317.32
|
2026-03-27
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
11
|
10
|
—
|
—
|
$36,995.08
|
$152,768.84
|
$68,955.70
|
2026-03-27
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
11
|
10
|
—
|
—
|
$36,771.75
|
$151,846.63
|
$68,539.44
|
2026-03-27
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
11
|
10
|
—
|
—
|
$36,710.43
|
$151,593.41
|
$68,425.19
|
2026-03-27
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
11
|
10
|
—
|
—
|
$36,152.49
|
$149,289.44
|
$67,385.24
|
2026-03-27
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
2
|
2
|
—
|
—
|
$67,245.88
|
$67,245.88
|
$67,245.88
|
2026-03-27
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
11
|
10
|
—
|
—
|
$35,995.79
|
$148,642.32
|
$67,093.15
|
2026-03-27
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
10
|
—
|
—
|
$35,988.97
|
$148,614.19
|
$67,081.17
|
2026-03-27
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$66,606.28
|
$66,606.28
|
$66,606.28
|
2026-03-27
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
11
|
10
|
—
|
—
|
$35,616.51
|
$147,076.12
|
$66,386.19
|
2026-03-27
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
11
|
10
|
—
|
—
|
$35,425.73
|
$146,288.33
|
$66,030.57
|
2026-03-27
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$65,945.26
|
$65,945.26
|
$65,945.26
|
2026-03-27
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
11
|
10
|
—
|
—
|
$35,216.79
|
$145,425.51
|
$65,641.84
|
2026-03-27
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
2
|
—
|
—
|
$65,116.00
|
$65,116.00
|
$65,116.00
|
2026-03-27
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
11
|
10
|
—
|
—
|
$34,893.53
|
$144,090.64
|
$65,038.66
|
2026-03-27
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
11
|
10
|
—
|
—
|
$34,879.15
|
$144,031.25
|
$65,011.77
|
2026-03-27
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
10
|
—
|
—
|
$34,767.86
|
$143,571.70
|
$64,804.33
|
2026-03-27
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
11
|
10
|
—
|
—
|
$34,762.57
|
$143,549.82
|
$64,794.60
|
2026-03-27
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
2
|
2
|
—
|
—
|
$64,251.83
|
$64,251.83
|
$64,251.83
|
2026-03-27
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$34,154.66
|
$141,039.52
|
$63,661.45
|
2026-03-27
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
11
|
10
|
—
|
—
|
$33,951.02
|
$140,198.58
|
$63,281.83
|
2026-03-27
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
11
|
10
|
—
|
—
|
$33,857.14
|
$139,810.94
|
$63,106.84
|
2026-03-27
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$62,707.99
|
$62,707.99
|
$62,707.99
|
2026-03-27
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
11
|
10
|
—
|
—
|
$33,540.70
|
$138,504.21
|
$62,517.00
|
2026-03-27
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
11
|
10
|
—
|
—
|
$33,255.30
|
$137,325.65
|
$61,985.11
|
2026-03-27
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
11
|
10
|
—
|
—
|
$32,756.41
|
$135,265.51
|
$61,055.32
|
2026-03-27
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
10
|
—
|
—
|
$32,689.03
|
$134,987.29
|
$60,929.58
|
2026-03-27
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$60,556.29
|
$60,556.29
|
$60,556.29
|
2026-03-27
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$32,293.10
|
$133,352.31
|
$60,191.56
|
2026-03-27
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
11
|
10
|
—
|
—
|
$32,245.40
|
$133,155.36
|
$60,102.81
|
2026-03-27
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
11
|
10
|
—
|
—
|
$32,016.78
|
$132,211.26
|
$59,676.63
|
2026-03-27
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
11
|
10
|
—
|
—
|
$31,724.56
|
$131,004.57
|
$59,131.85
|
2026-03-27
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
11
|
10
|
—
|
—
|
$31,716.99
|
$130,973.31
|
$59,118.58
|
2026-03-27
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
11
|
10
|
—
|
—
|
$31,498.20
|
$130,069.85
|
$58,709.94
|
2026-03-27
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$58,596.63
|
$58,596.63
|
$58,596.63
|
2026-03-27
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$58,543.06
|
$58,543.06
|
$58,543.06
|
2026-03-27
|
|
A9543
|
HCPCS
|
Hc Provsn,ther Radiorx_zeval
|
27
|
13
|
$92,587.00
|
$41,664.15
55% off
|
$18,517.40
|
$92,587.00
|
$58,528.51
|
2026-03-27
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
2
|
2
|
—
|
—
|
$58,167.72
|
$58,167.72
|
$58,167.72
|
2026-03-27
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
11
|
10
|
—
|
—
|
$31,130.28
|
$128,550.54
|
$58,024.21
|
2026-03-27
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
11
|
10
|
—
|
—
|
$31,112.87
|
$128,478.64
|
$57,991.76
|
2026-03-27
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
11
|
10
|
—
|
—
|
$31,066.69
|
$128,287.94
|
$57,905.70
|
2026-03-27
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
2
|
—
|
—
|
$57,893.55
|
$57,893.55
|
$57,893.55
|
2026-03-27
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
2
|
2
|
—
|
—
|
$57,647.55
|
$57,647.55
|
$57,647.55
|
2026-03-27
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
11
|
10
|
—
|
—
|
$30,913.77
|
$127,656.46
|
$57,620.66
|
2026-03-27
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$30,791.89
|
$127,153.15
|
$57,393.48
|
2026-03-27
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
11
|
10
|
—
|
—
|
$31,444.89
|
$130,376.21
|
$57,092.37
|
2026-03-27
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$57,025.80
|
$57,025.80
|
$57,025.80
|
2026-03-27
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$56,613.95
|
$56,613.95
|
$56,613.95
|
2026-03-27
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
11
|
10
|
—
|
—
|
$30,158.24
|
$124,536.56
|
$56,212.48
|
2026-03-27
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
11
|
10
|
—
|
—
|
$30,137.05
|
$124,449.02
|
$56,172.98
|
2026-03-27
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp
|
27
|
13
|
$78,750.00
|
$35,437.50
55% off
|
$15,750.00
|
$78,750.00
|
$55,926.52
|
2026-03-27
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
2
|
2
|
—
|
—
|
$55,697.01
|
$55,697.01
|
$55,697.01
|
2026-03-27
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$29,870.57
|
$123,348.62
|
$55,677.14
|
2026-03-27
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
11
|
10
|
—
|
—
|
$30,610.99
|
$126,918.69
|
$55,578.31
|
2026-03-27
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
11
|
10
|
—
|
—
|
$29,809.25
|
$123,095.40
|
$55,561.90
|
2026-03-27
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
11
|
10
|
—
|
—
|
$29,748.68
|
$122,845.31
|
$55,449.14
|
2026-03-27
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
11
|
10
|
—
|
—
|
$29,616.96
|
$122,301.36
|
$55,222.60
|
2026-03-27
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
11
|
10
|
—
|
—
|
$29,602.57
|
$122,241.96
|
$55,176.70
|
2026-03-27
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$55,037.97
|
$55,037.97
|
$55,037.97
|
2026-03-27
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
11
|
10
|
—
|
—
|
$29,439.05
|
$121,566.71
|
$54,871.99
|
2026-03-27
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
11
|
10
|
—
|
—
|
$29,259.63
|
$120,825.81
|
$54,537.71
|
2026-03-27
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
11
|
10
|
—
|
—
|
$29,230.11
|
$120,703.89
|
$54,482.54
|
2026-03-27
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$29,148.35
|
$120,366.27
|
$54,331.09
|
2026-03-27
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$54,155.55
|
$54,155.55
|
$54,155.55
|
2026-03-27
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
2
|
2
|
—
|
—
|
$54,115.87
|
$54,115.87
|
$54,115.87
|
2026-03-27
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
11
|
10
|
—
|
—
|
$28,937.14
|
$119,494.07
|
$53,936.46
|
2026-03-27
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
11
|
10
|
—
|
—
|
$28,780.43
|
$118,846.96
|
$53,644.28
|
2026-03-27
|
|
79101
|
CPT
|
Hc Radioph Rx By IV Admin
|
27
|
13
|
$900.00
|
$405.00
55% off
|
$180.00
|
$619.00
|
$53,415.33
|
2026-03-27
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
11
|
10
|
—
|
—
|
$28,556.34
|
$117,921.62
|
$53,226.53
|
2026-03-27
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
11
|
10
|
—
|
—
|
$28,328.47
|
$116,980.65
|
$52,804.38
|
2026-03-27
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
2
|
2
|
—
|
—
|
$52,791.84
|
$52,791.84
|
$52,791.84
|
2026-03-27
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$51,529.70
|
$51,529.70
|
$51,529.70
|
2026-03-27
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
11
|
10
|
—
|
—
|
$27,622.15
|
$114,063.94
|
$51,485.27
|
2026-03-27
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$51,185.70
|
$51,185.70
|
$51,185.70
|
2026-03-27
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
11
|
10
|
—
|
—
|
$27,430.62
|
$113,273.03
|
$51,129.18
|
2026-03-27
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
11
|
10
|
—
|
—
|
$27,138.41
|
$112,066.33
|
$50,583.77
|
2026-03-27
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
11
|
10
|
—
|
—
|
$27,136.89
|
$112,060.08
|
$50,581.35
|
2026-03-27
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
11
|
10
|
—
|
—
|
$27,132.35
|
$112,041.32
|
$50,572.46
|
2026-03-27
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
2
|
2
|
—
|
—
|
$50,495.32
|
$50,495.32
|
$50,495.32
|
2026-03-27
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
11
|
10
|
—
|
—
|
$27,005.17
|
$111,516.13
|
$50,335.26
|
2026-03-27
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
11
|
10
|
—
|
—
|
$26,884.04
|
$111,015.95
|
$50,109.65
|
2026-03-27
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
11
|
10
|
—
|
—
|
$26,719.76
|
$110,337.57
|
$49,803.27
|
2026-03-27
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
11
|
10
|
—
|
—
|
$26,652.39
|
$110,059.34
|
$49,677.72
|
2026-03-27
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
2
|
2
|
—
|
—
|
$49,512.51
|
$49,512.51
|
$49,512.51
|
2026-03-27
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
11
|
10
|
—
|
—
|
$26,525.20
|
$109,534.15
|
$49,440.79
|
2026-03-27
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
10
|
—
|
—
|
$26,516.88
|
$109,499.76
|
$49,425.86
|
2026-03-27
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
11
|
10
|
—
|
—
|
$26,506.28
|
$109,455.99
|
$49,405.47
|
2026-03-27
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
11
|
10
|
—
|
—
|
$26,459.34
|
$109,262.17
|
$49,318.02
|
2026-03-27
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
2
|
—
|
—
|
$49,169.30
|
$49,169.30
|
$49,169.30
|
2026-03-27
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
11
|
10
|
—
|
—
|
$26,288.25
|
$108,555.66
|
$48,999.04
|
2026-03-27
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
11
|
10
|
—
|
—
|
$26,726.58
|
$110,365.71
|
$48,965.89
|
2026-03-27
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
11
|
10
|
—
|
—
|
$26,259.48
|
$108,436.87
|
$48,945.53
|
2026-03-27
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
11
|
10
|
—
|
—
|
$26,230.71
|
$108,318.08
|
$48,891.84
|
2026-03-27
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
11
|
10
|
—
|
—
|
$26,075.52
|
$107,677.21
|
$48,602.80
|
2026-03-27
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$48,595.57
|
$48,595.57
|
$48,595.57
|
2026-03-27
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
11
|
10
|
—
|
—
|
$26,034.64
|
$107,508.40
|
$48,526.40
|
2026-03-27
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
11
|
10
|
—
|
—
|
$25,993.76
|
$107,339.59
|
$48,450.18
|
2026-03-27
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
11
|
10
|
—
|
—
|
$25,969.53
|
$107,239.55
|
$48,405.02
|
2026-03-27
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
11
|
10
|
—
|
—
|
$25,930.17
|
$107,076.99
|
$48,331.58
|
2026-03-27
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
11
|
10
|
—
|
—
|
$25,786.33
|
$106,483.02
|
$48,064.50
|
2026-03-27
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
11
|
10
|
—
|
—
|
$25,678.83
|
$106,039.11
|
$47,863.39
|
2026-03-27
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
11
|
10
|
—
|
—
|
$25,411.60
|
$104,935.58
|
$47,365.07
|
2026-03-27
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$47,122.75
|
$47,122.75
|
$47,122.75
|
2026-03-27
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
11
|
10
|
—
|
—
|
$25,140.57
|
$103,816.41
|
$46,859.97
|
2026-03-27
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$24,996.74
|
$103,222.45
|
$46,591.81
|
2026-03-27
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
2
|
2
|
—
|
—
|
$46,351.42
|
$46,351.42
|
$46,351.42
|
2026-03-27
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
2
|
2
|
—
|
—
|
$46,177.24
|
$46,177.24
|
$46,177.24
|
2026-03-27
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
11
|
10
|
—
|
—
|
$24,745.40
|
$102,184.56
|
$46,123.34
|
2026-03-27
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
11
|
10
|
—
|
—
|
$24,674.99
|
$101,893.83
|
$45,992.04
|
2026-03-27
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
11
|
10
|
—
|
—
|
$24,664.40
|
$101,850.06
|
$45,972.29
|
2026-03-27
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
11
|
10
|
—
|
—
|
$24,371.42
|
$100,640.24
|
$45,431.30
|
2026-03-27
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$45,388.85
|
$45,388.85
|
$45,388.85
|
2026-03-27
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
11
|
10
|
—
|
—
|
$24,258.62
|
$100,174.45
|
$45,216.08
|
2026-03-27
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
11
|
10
|
—
|
—
|
$24,188.22
|
$99,883.71
|
$45,084.97
|
2026-03-27
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
11
|
10
|
—
|
—
|
$24,142.04
|
$99,693.02
|
$44,999.37
|
2026-03-27
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
11
|
10
|
—
|
—
|
$24,076.93
|
$99,424.17
|
$44,877.35
|
2026-03-27
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
11
|
10
|
—
|
—
|
$24,028.48
|
$99,224.10
|
$44,787.03
|
2026-03-27
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
2
|
2
|
—
|
—
|
$44,767.50
|
$44,767.50
|
$44,767.50
|
2026-03-27
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
11
|
10
|
—
|
—
|
$23,988.36
|
$99,058.41
|
$44,712.29
|
2026-03-27
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$44,670.29
|
$44,670.29
|
$44,670.29
|
2026-03-27
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
2
|
2
|
—
|
—
|
$44,436.20
|
$44,436.20
|
$44,436.20
|
2026-03-27
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$44,362.79
|
$44,362.79
|
$44,362.79
|
2026-03-27
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$44,283.83
|
$44,283.83
|
$44,283.83
|
2026-03-27
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
11
|
10
|
—
|
—
|
$23,627.25
|
$97,567.24
|
$44,039.18
|
2026-03-27
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
11
|
10
|
—
|
—
|
$23,616.65
|
$97,523.47
|
$44,019.43
|
2026-03-27
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
2
|
2
|
—
|
—
|
$43,835.08
|
$43,835.08
|
$43,835.08
|
2026-03-27
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
11
|
10
|
—
|
—
|
$23,515.96
|
$97,107.69
|
$43,831.74
|
2026-03-27
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
2
|
2
|
—
|
—
|
$43,679.15
|
$43,679.15
|
$43,679.15
|
2026-03-27
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
11
|
10
|
—
|
—
|
$23,410.74
|
$96,673.16
|
$43,635.63
|
2026-03-27
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
11
|
10
|
—
|
—
|
$23,362.29
|
$96,473.08
|
$43,545.31
|
2026-03-27
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
11
|
10
|
—
|
—
|
$23,345.63
|
$96,404.31
|
$43,514.33
|
2026-03-27
|
|
652
|
MS_DRG
|
Kidney Transplant
|
11
|
10
|
—
|
—
|
$23,251.76
|
$96,016.66
|
$43,339.36
|
2026-03-27
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
2
|
2
|
—
|
—
|
$43,335.15
|
$43,335.15
|
$43,335.15
|
2026-03-27
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
11
|
10
|
—
|
—
|
$23,230.56
|
$95,929.13
|
$43,299.85
|
2026-03-27
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
11
|
10
|
—
|
—
|
$23,154.86
|
$95,616.52
|
$43,158.72
|
2026-03-27
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
2
|
2
|
—
|
—
|
$42,935.60
|
$42,935.60
|
$42,935.60
|
2026-03-27
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
2
|
2
|
—
|
—
|
$42,484.07
|
$42,484.07
|
$42,484.07
|
2026-03-27
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$42,476.93
|
$42,476.93
|
$42,476.93
|
2026-03-27
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
11
|
10
|
—
|
—
|
$22,788.45
|
$94,103.46
|
$42,476.23
|
2026-03-27
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
11
|
10
|
—
|
—
|
$22,606.76
|
$93,353.18
|
$42,137.13
|
2026-03-27
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$41,962.71
|
$41,962.71
|
$41,962.71
|
2026-03-27
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
2
|
2
|
—
|
—
|
$41,702.43
|
$41,702.43
|
$41,702.43
|
2026-03-27
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
11
|
10
|
—
|
—
|
$22,322.11
|
$92,177.75
|
$41,606.72
|
2026-03-27
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
2
|
2
|
—
|
—
|
$41,529.44
|
$41,529.44
|
$41,529.44
|
2026-03-27
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
11
|
10
|
—
|
—
|
$22,264.58
|
$91,940.16
|
$41,499.53
|
2026-03-27
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
2
|
2
|
—
|
—
|
$41,475.87
|
$41,475.87
|
$41,475.87
|
2026-03-27
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
2
|
2
|
—
|
—
|
$41,439.37
|
$41,439.37
|
$41,439.37
|
2026-03-27
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
11
|
10
|
—
|
—
|
$22,204.01
|
$91,690.07
|
$41,386.40
|
2026-03-27
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
11
|
10
|
—
|
—
|
$22,077.59
|
$91,168.00
|
$41,150.78
|
2026-03-27
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
11
|
10
|
—
|
—
|
$22,065.47
|
$91,117.98
|
$41,128.33
|
2026-03-27
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
11
|
10
|
—
|
—
|
$22,058.66
|
$91,089.85
|
$41,115.45
|
2026-03-27
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
11
|
10
|
—
|
—
|
$22,046.55
|
$91,039.83
|
$41,092.92
|
2026-03-27
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
11
|
10
|
—
|
—
|
$21,932.99
|
$90,570.90
|
$40,881.21
|
2026-03-27
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
2
|
2
|
—
|
—
|
$40,656.93
|
$40,656.93
|
$40,656.93
|
2026-03-27
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
2
|
2
|
—
|
—
|
$40,516.08
|
$40,516.08
|
$40,516.08
|
2026-03-27
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
11
|
10
|
—
|
—
|
$21,705.12
|
$89,629.93
|
$40,456.52
|
2026-03-27
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
11
|
10
|
—
|
—
|
$21,680.14
|
$89,526.77
|
$40,409.97
|
2026-03-27
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
11
|
10
|
—
|
—
|
$21,667.27
|
$89,473.63
|
$40,386.04
|
2026-03-27
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
11
|
10
|
—
|
—
|
$21,636.99
|
$89,348.58
|
$40,329.66
|
2026-03-27
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$40,299.44
|
$40,299.44
|
$40,299.44
|
2026-03-27
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
11
|
10
|
—
|
—
|
$21,551.44
|
$88,995.32
|
$40,170.17
|
2026-03-27
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
11
|
10
|
—
|
—
|
$21,364.45
|
$88,223.16
|
$39,821.51
|
2026-03-27
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
2
|
2
|
—
|
—
|
$39,757.05
|
$39,757.05
|
$39,757.05
|
2026-03-27
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
2
|
2
|
—
|
—
|
$39,691.58
|
$39,691.58
|
$39,691.58
|
2026-03-27
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$39,643.97
|
$39,643.97
|
$39,643.97
|
2026-03-27
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
11
|
10
|
—
|
—
|
$21,260.74
|
$87,794.88
|
$39,628.18
|
2026-03-27
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
11
|
10
|
—
|
—
|
$21,238.79
|
$87,704.22
|
$39,587.38
|
2026-03-27
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
2
|
2
|
—
|
—
|
$39,470.98
|
$39,470.98
|
$39,470.98
|
2026-03-27
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$39,431.30
|
$39,431.30
|
$39,431.30
|
2026-03-27
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
2
|
2
|
—
|
—
|
$39,297.59
|
$39,297.59
|
$39,297.59
|
2026-03-27
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
2
|
2
|
—
|
—
|
$39,264.26
|
$39,264.26
|
$39,264.26
|
2026-03-27
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
10
|
9
|
—
|
—
|
$20,640.72
|
$85,234.56
|
$39,001.35
|
2026-03-27
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
11
|
10
|
—
|
—
|
$20,715.67
|
$85,544.05
|
$38,587.06
|
2026-03-27
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
11
|
10
|
—
|
—
|
$20,678.57
|
$85,390.87
|
$38,543.06
|
2026-03-27
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$38,517.53
|
$38,517.53
|
$38,517.53
|
2026-03-27
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
11
|
10
|
—
|
—
|
$20,566.53
|
$84,928.20
|
$38,334.33
|
2026-03-27
|
|
37243
|
CPT
|
Hc Vasc Embol/occlude Organ
|
27
|
13
|
$25,685.00
|
$11,558.25
55% off
|
$2,900.00
|
$25,685.00
|
$38,314.00
|
2026-03-27
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
11
|
10
|
—
|
—
|
$20,465.85
|
$84,512.42
|
$38,146.56
|
2026-03-27
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
11
|
10
|
—
|
—
|
$20,398.47
|
$84,234.19
|
$38,021.10
|
2026-03-27
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
11
|
10
|
—
|
—
|
$20,317.47
|
$83,899.69
|
$37,870.59
|
2026-03-27
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
2
|
2
|
—
|
—
|
$37,867.22
|
$37,867.22
|
$37,867.22
|
2026-03-27
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
11
|
10
|
—
|
—
|
$20,304.60
|
$83,846.55
|
$37,846.03
|
2026-03-27
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
2
|
2
|
—
|
—
|
$37,713.27
|
$37,713.27
|
$37,713.27
|
2026-03-27
|
|
849
|
MS_DRG
|
Radiotherapy
|
11
|
10
|
—
|
—
|
$20,221.32
|
$83,502.67
|
$37,690.80
|
2026-03-27
|
|
234
|
APR_DRG
|
Spinal Procedures
|
2
|
2
|
—
|
—
|
$37,616.46
|
$37,616.46
|
$37,616.46
|
2026-03-27
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
11
|
10
|
—
|
—
|
$20,158.49
|
$83,243.20
|
$37,573.68
|
2026-03-27
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
11
|
10
|
—
|
—
|
$20,086.57
|
$82,946.22
|
$37,439.78
|
2026-03-27
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
11
|
10
|
—
|
—
|
$20,061.59
|
$82,843.05
|
$37,393.05
|
2026-03-27
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
11
|
10
|
—
|
—
|
$20,035.85
|
$82,736.77
|
$37,345.20
|
2026-03-27
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
11
|
10
|
—
|
—
|
$20,015.41
|
$82,652.36
|
$37,307.00
|
2026-03-27
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
2
|
2
|
—
|
—
|
$37,101.05
|
$37,101.05
|
$37,101.05
|
2026-03-27
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
2
|
2
|
—
|
—
|
$37,094.31
|
$37,094.31
|
$37,094.31
|
2026-03-27
|
|
120
|
EAPG
|
Car T-cell Immunotherapy
|
2
|
2
|
—
|
—
|
$37,060.40
|
$37,060.40
|
$37,060.40
|
2026-03-27
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
11
|
10
|
—
|
—
|
$19,859.46
|
$82,008.37
|
$37,016.48
|
2026-03-27
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
11
|
10
|
—
|
—
|
$19,807.98
|
$81,795.79
|
$36,920.41
|
2026-03-27
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
2
|
2
|
—
|
—
|
$36,640.40
|
$36,640.40
|
$36,640.40
|
2026-03-27
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
2
|
2
|
—
|
—
|
$36,629.29
|
$36,629.29
|
$36,629.29
|
2026-03-27
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
11
|
10
|
—
|
—
|
$19,596.76
|
$80,923.60
|
$36,526.68
|
2026-03-27
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
11
|
10
|
—
|
—
|
$19,564.21
|
$80,789.17
|
$36,466.13
|
2026-03-27
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$36,278.54
|
$36,278.54
|
$36,278.54
|
2026-03-27
|