|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp
|
84
|
51
|
$1,617,961.97
|
$485,388.59
70% off
|
$104,279.27
|
$1,375,267.67
|
$660,128.48
|
2026-09-21
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 100000000 Cells IV Susp
|
84
|
51
|
$1,610,400.28
|
$483,120.08
70% off
|
$104,279.27
|
$1,368,840.24
|
$657,043.31
|
2026-09-21
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 460000000 Cells IV Susp
|
84
|
51
|
$1,578,069.22
|
$473,420.77
70% off
|
$104,279.27
|
$1,341,358.84
|
$643,852.24
|
2026-09-21
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 250000000 Cells IV Susp
|
147
|
51
|
$1,687,496.75
|
$506,249.02
70% off
|
$104,279.27
|
$1,434,372.24
|
$621,312.51
|
2026-09-21
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel 200000000 Cells IV Susp
|
84
|
51
|
$1,460,382.00
|
$438,114.60
70% off
|
$104,279.27
|
$1,241,324.70
|
$595,835.86
|
2026-09-21
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 100000000 Cells IV Susp
|
84
|
51
|
$1,339,800.00
|
$401,940.00
70% off
|
$104,279.27
|
$1,138,830.00
|
$546,638.40
|
2026-09-21
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
14
|
13
|
$1,737,953.70
|
$521,386.11
70% off
|
$541,227.25
|
$568,288.61
|
$541,227.25
|
2026-09-21
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
18
|
14
|
$319,797.55
|
$95,939.26
70% off
|
$352,052.99
|
$613,938.32
|
$352,052.99
|
2026-09-21
|
|
588
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure,extreme
|
12
|
6
|
$1,586,744.08
|
—
|
$250,516.42
|
$388,856.93
|
$319,686.67
|
2026-09-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
18
|
14
|
$981,095.73
|
$294,328.72
70% off
|
$267,209.17
|
$376,829.52
|
$267,209.17
|
2026-09-21
|
|
591
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme
|
6
|
6
|
$1,339,892.95
|
—
|
$244,901.12
|
$244,901.12
|
$244,901.12
|
2026-09-21
|
|
609
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme
|
6
|
6
|
$1,369,452.13
|
—
|
$243,338.94
|
$243,338.94
|
$243,338.94
|
2026-09-21
|
|
631
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme
|
6
|
6
|
$840,330.93
|
—
|
$233,616.10
|
$233,616.10
|
$233,616.10
|
2026-09-21
|
|
4
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme
|
12
|
6
|
$879,935.71
|
—
|
$159,437.74
|
$232,984.63
|
$196,211.18
|
2026-09-21
|
|
593
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure,extreme
|
12
|
6
|
$840,110.65
|
—
|
$129,261.79
|
$253,608.73
|
$191,435.26
|
2026-09-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
15
|
14
|
$645,892.56
|
$193,767.77
70% off
|
$175,188.41
|
$254,016.82
|
$175,188.41
|
2026-09-21
|
|
602
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
6
|
$655,089.25
|
—
|
$143,343.77
|
$181,787.23
|
$162,565.50
|
2026-09-21
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
14
|
$380,062.05
|
$114,018.61
70% off
|
$2,797.75
|
$159,922.80
|
$152,307.43
|
2026-09-21
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
21
|
14
|
$512,882.63
|
$153,864.79
70% off
|
$36,141.00
|
$266,966.68
|
$143,745.27
|
2026-09-21
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
14
|
$432,643.45
|
$129,793.03
70% off
|
$136,931.93
|
$146,862.64
|
$139,869.18
|
2026-09-21
|
|
7
|
APR_DRG
|
Allogeneic Bone Marrow Transplant,major
|
6
|
6
|
$1,702,308.30
|
—
|
$138,620.31
|
$138,620.31
|
$138,620.31
|
2026-09-21
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
15
|
14
|
$483,972.45
|
$145,191.73
70% off
|
$135,134.76
|
$144,935.13
|
$138,033.46
|
2026-09-21
|
|
5
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme
|
12
|
6
|
$570,361.09
|
—
|
$113,065.81
|
$153,541.67
|
$133,303.74
|
2026-09-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
41
|
20
|
$398,665.78
|
$119,599.73
70% off
|
$13,052.96
|
$240,832.99
|
$126,588.58
|
2026-09-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
18
|
$382,275.65
|
$114,682.69
70% off
|
$45,500.00
|
$225,804.69
|
$124,414.65
|
2026-09-21
|
|
11
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies,major
|
6
|
6
|
$1,862,387.14
|
—
|
$120,391.94
|
$120,391.94
|
$120,391.94
|
2026-09-21
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
15
|
14
|
$415,270.01
|
$124,581.00
70% off
|
$112,355.50
|
$120,503.86
|
$114,765.58
|
2026-09-21
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
15
|
14
|
$107,101.56
|
$32,130.47
70% off
|
$108,078.21
|
$115,916.37
|
$110,396.54
|
2026-09-21
|
|
607
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
6
|
$304,860.30
|
—
|
$34,814.89
|
$139,628.73
|
$108,623.11
|
2026-09-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
21
|
14
|
$631,686.43
|
$189,505.93
70% off
|
$45,500.00
|
$112,907.81
|
$107,531.25
|
2026-09-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
18
|
$437,720.31
|
$131,316.09
70% off
|
$63,246.00
|
$126,834.72
|
$107,200.55
|
2026-09-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
18
|
14
|
$514,287.52
|
$154,286.26
70% off
|
$100,529.05
|
$181,653.26
|
$100,529.05
|
2026-09-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
18
|
$386,849.44
|
$116,054.83
70% off
|
$43,604.00
|
$144,172.80
|
$98,151.74
|
2026-09-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
18
|
$323,640.59
|
$97,092.18
70% off
|
$44,551.00
|
$137,703.54
|
$97,738.65
|
2026-09-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
37
|
19
|
$449,849.22
|
$134,954.77
70% off
|
$51,808.94
|
$237,107.04
|
$97,422.92
|
2026-09-21
|
|
178
|
APR_DRG
|
External Heart Assist Devices,major
|
6
|
6
|
$243,807.93
|
—
|
$92,718.59
|
$92,718.59
|
$92,718.59
|
2026-09-21
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
14
|
$338,507.89
|
$101,552.37
70% off
|
$90,474.22
|
$97,035.68
|
$92,414.93
|
2026-09-21
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
15
|
14
|
$329,009.25
|
$98,702.77
70% off
|
$89,396.65
|
$95,879.96
|
$91,314.25
|
2026-09-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
34
|
19
|
$274,228.02
|
$82,268.41
70% off
|
$48,285.00
|
$251,667.45
|
$88,586.26
|
2026-09-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
15
|
14
|
$276,915.14
|
$83,074.54
70% off
|
$86,311.78
|
$92,571.37
|
$88,163.21
|
2026-09-21
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
22
|
18
|
$933,637.47
|
$280,091.24
70% off
|
$84,518.25
|
$117,747.13
|
$86,331.21
|
2026-09-21
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
15
|
14
|
$190,265.60
|
$57,079.68
70% off
|
$83,973.36
|
$90,063.36
|
$85,774.63
|
2026-09-21
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
15
|
14
|
$388,635.29
|
$116,590.59
70% off
|
$83,913.52
|
$89,999.18
|
$85,713.50
|
2026-09-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
18
|
$203,814.04
|
$61,144.21
70% off
|
$45,500.00
|
$99,220.03
|
$84,386.93
|
2026-09-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
18
|
$233,143.05
|
$69,942.91
70% off
|
$45,500.00
|
$115,829.40
|
$84,386.93
|
2026-09-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
33
|
19
|
$158,425.98
|
$47,527.79
70% off
|
$51,292.81
|
$337,961.13
|
$84,088.68
|
2026-09-21
|
|
163
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major
|
6
|
6
|
$382,486.31
|
—
|
$83,995.44
|
$83,995.44
|
$83,995.44
|
2026-09-21
|
|
20
|
APR_DRG
|
Open Craniotomy For Trauma,extreme
|
6
|
6
|
$63,211.91
|
—
|
$83,808.91
|
$83,808.91
|
$83,808.91
|
2026-09-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
34
|
19
|
$209,455.90
|
$62,836.77
70% off
|
$44,888.78
|
$188,316.03
|
$82,632.32
|
2026-09-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
18
|
14
|
$264,157.40
|
$79,247.22
70% off
|
$77,154.86
|
$82,750.36
|
$78,809.87
|
2026-09-21
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
22
|
18
|
$273,124.62
|
$81,937.39
70% off
|
$77,068.12
|
$114,941.38
|
$78,721.27
|
2026-09-21
|
|
165
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis,major
|
12
|
6
|
$264,720.47
|
—
|
$70,875.25
|
$85,216.62
|
$78,045.93
|
2026-09-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
21
|
14
|
$352,584.28
|
$105,775.28
70% off
|
$45,500.00
|
$81,888.17
|
$77,988.73
|
2026-09-21
|
|
303
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back,major
|
18
|
6
|
$395,380.41
|
—
|
$64,924.77
|
$107,331.01
|
$77,980.84
|
2026-09-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
30
|
16
|
$256,919.98
|
$117,130.87
54% off
|
$42,197.75
|
$96,932.10
|
$77,311.10
|
2026-09-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
15
|
14
|
$278,693.24
|
$83,607.97
70% off
|
$75,666.78
|
$81,154.36
|
$77,289.87
|
2026-09-21
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
18
|
$337,897.25
|
$101,369.17
70% off
|
$59,375.00
|
$80,584.38
|
$76,747.03
|
2026-09-21
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
18
|
$188,683.41
|
$56,605.02
70% off
|
$74,895.87
|
$95,454.21
|
$76,502.42
|
2026-09-21
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
16
|
14
|
$158,811.87
|
$47,643.56
70% off
|
$5,056.97
|
$80,146.72
|
$76,330.21
|
2026-09-21
|
|
0812
|
RC
|
Cadaver Donor-kidney
|
114
|
37
|
$160,801.00
|
$48,240.30
70% off
|
$44,417.34
|
$158,953.40
|
$76,297.63
|
2026-09-21
|
|
0811
|
RC
|
Hc Living Donor - Kidney Acquisition
|
114
|
37
|
$160,801.00
|
$48,240.30
70% off
|
$44,417.34
|
$158,953.40
|
$76,297.63
|
2026-09-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
28
|
18
|
$317,529.86
|
$95,258.96
70% off
|
$36,141.00
|
$119,867.19
|
$75,567.72
|
2026-09-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
22
|
18
|
$651,256.81
|
$195,377.04
70% off
|
$73,934.36
|
$199,852.28
|
$75,520.29
|
2026-09-21
|
|
8
|
APR_DRG
|
Autologous Bone Marrow Transplant,extreme
|
18
|
6
|
$169,645.44
|
—
|
$62,687.40
|
$118,987.14
|
$74,924.49
|
2026-09-21
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
15
|
14
|
$317,056.88
|
$95,117.06
70% off
|
$72,740.72
|
$78,016.09
|
$74,301.04
|
2026-09-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
14
|
11
|
$281,608.13
|
$84,482.44
70% off
|
$73,841.82
|
$121,772.58
|
$73,841.82
|
2026-09-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
33
|
19
|
$190,067.32
|
$57,020.20
70% off
|
$37,488.29
|
$109,017.87
|
$73,457.45
|
2026-09-21
|
|
652
|
MS_DRG
|
Kidney Transplant
|
40
|
34
|
$322,506.00
|
$225,754.20
30% off
|
$35,676.83
|
$115,760.88
|
$73,065.63
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
14
|
$197,828.85
|
$59,348.65
70% off
|
$70,967.98
|
$76,114.79
|
$72,490.28
|
2026-09-21
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
19
|
18
|
$357,050.35
|
$107,115.10
70% off
|
$69,354.08
|
$163,643.17
|
$70,841.76
|
2026-09-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
19
|
18
|
$154,631.52
|
$46,389.46
70% off
|
$69,117.07
|
$124,992.16
|
$70,599.66
|
2026-09-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
18
|
$266,257.63
|
$79,877.29
70% off
|
$44,551.00
|
$89,262.76
|
$70,502.31
|
2026-09-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
15
|
14
|
$267,258.93
|
$80,177.68
70% off
|
$70,394.99
|
$98,153.39
|
$70,394.99
|
2026-09-21
|
|
130
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme
|
12
|
6
|
$213,656.31
|
—
|
$61,117.44
|
$79,167.05
|
$70,142.24
|
2026-09-21
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
14
|
13
|
$114,466.07
|
$34,339.82
70% off
|
$70,122.95
|
$73,629.10
|
$70,122.95
|
2026-09-21
|
|
183
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures,extreme
|
24
|
6
|
$170,720.15
|
—
|
$62,724.31
|
$106,949.21
|
$69,825.05
|
2026-09-21
|
|
611
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme
|
18
|
6
|
$334,728.36
|
—
|
$39,585.95
|
$106,106.91
|
$69,110.99
|
2026-09-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
18
|
$229,910.25
|
$68,973.07
70% off
|
$43,604.00
|
$93,054.50
|
$68,881.24
|
2026-09-21
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
15
|
14
|
$253,606.89
|
$76,082.07
70% off
|
$67,395.64
|
$72,283.38
|
$68,841.31
|
2026-09-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
18
|
14
|
$386,007.71
|
$115,802.31
70% off
|
$68,394.55
|
$143,247.50
|
$68,394.55
|
2026-09-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
33
|
15
|
$172,087.87
|
$51,626.36
70% off
|
$35,628.11
|
$176,007.09
|
$68,176.16
|
2026-09-21
|
|
179
|
APR_DRG
|
Defibrillator Implants,major
|
12
|
6
|
$255,073.03
|
—
|
$60,661.81
|
$74,453.31
|
$67,557.56
|
2026-09-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
37
|
19
|
$322,902.20
|
$96,870.66
70% off
|
$42,433.89
|
$74,726.21
|
$67,291.37
|
2026-09-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
19
|
18
|
$182,594.26
|
$54,778.28
70% off
|
$65,768.30
|
$115,635.96
|
$67,179.06
|
2026-09-21
|
|
166
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis,major
|
12
|
6
|
$235,409.04
|
—
|
$59,660.18
|
$70,848.05
|
$65,254.12
|
2026-09-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
18
|
$119,837.36
|
$35,951.21
70% off
|
$43,604.00
|
$71,178.52
|
$65,229.77
|
2026-09-21
|
|
613
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,majo…
|
6
|
6
|
$194,645.42
|
—
|
$64,915.06
|
$64,915.06
|
$64,915.06
|
2026-09-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
22
|
18
|
$222,619.93
|
$66,785.98
70% off
|
$63,214.86
|
$118,797.44
|
$64,570.85
|
2026-09-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
40
|
19
|
$211,181.39
|
$63,354.42
70% off
|
$34,589.04
|
$190,774.58
|
$64,071.67
|
2026-09-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
19
|
18
|
$231,761.59
|
$69,528.48
70% off
|
$62,618.65
|
$133,316.44
|
$63,961.85
|
2026-09-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
22
|
18
|
$126,756.16
|
$38,026.85
70% off
|
$62,412.18
|
$110,856.02
|
$63,750.95
|
2026-09-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
34
|
19
|
$122,764.83
|
$36,829.45
70% off
|
$37,448.73
|
$117,877.82
|
$63,495.13
|
2026-09-21
|
|
612
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
24
|
6
|
$211,107.85
|
—
|
$36,119.62
|
$101,465.06
|
$63,308.68
|
2026-09-21
|
|
304
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,extreme
|
24
|
6
|
$275,797.30
|
—
|
$43,880.98
|
$108,802.84
|
$62,829.24
|
2026-09-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
25
|
18
|
$222,273.18
|
$66,681.95
70% off
|
$34,849.00
|
$89,780.98
|
$62,590.36
|
2026-09-21
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
15
|
14
|
$101,749.30
|
$30,524.79
70% off
|
$60,977.88
|
$65,400.17
|
$62,285.88
|
2026-09-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
18
|
14
|
$164,777.63
|
$49,433.29
70% off
|
$58,060.00
|
$64,830.18
|
$61,743.03
|
2026-09-21
|
|
91
|
APR_DRG
|
Other Major Head And Neck Procedures,extreme
|
18
|
6
|
$274,402.61
|
—
|
$34,468.06
|
$96,139.26
|
$61,363.23
|
2026-09-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
19
|
18
|
$213,510.72
|
$64,053.22
70% off
|
$59,603.43
|
$132,334.50
|
$60,881.95
|
2026-09-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
19
|
18
|
$84,370.51
|
$25,311.15
70% off
|
$59,432.38
|
$113,722.35
|
$60,707.23
|
2026-09-21
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
15
|
14
|
$248,973.35
|
$74,692.00
70% off
|
$58,707.88
|
$62,965.55
|
$59,967.19
|
2026-09-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
22
|
18
|
$184,572.61
|
$55,371.78
70% off
|
$58,439.09
|
$95,851.59
|
$59,692.64
|
2026-09-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
15
|
14
|
$191,962.19
|
$57,588.66
70% off
|
$58,296.15
|
$114,105.81
|
$59,546.63
|
2026-09-21
|
|
J9226
|
HCPCS
|
Histrelin Acetate (cpp) 50 Mg Sc Kit
|
84
|
51
|
$145,526.70
|
$43,658.01
70% off
|
$43,221.43
|
$123,697.70
|
$59,374.89
|
2026-09-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
22
|
18
|
$179,408.95
|
$53,822.68
70% off
|
$38,769.06
|
$62,230.46
|
$59,267.10
|
2026-09-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
37
|
19
|
$145,524.37
|
$43,657.31
70% off
|
$31,314.97
|
$115,552.13
|
$59,096.14
|
2026-09-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
18
|
14
|
$262,780.22
|
$78,834.07
70% off
|
$59,071.18
|
$123,328.81
|
$59,071.18
|
2026-09-21
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
37
|
19
|
$119,302.04
|
$35,790.61
70% off
|
$34,529.45
|
$87,212.32
|
$58,849.04
|
2026-09-21
|
|
167
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures,major
|
12
|
6
|
$124,660.67
|
—
|
$46,822.70
|
$70,688.72
|
$58,755.71
|
2026-09-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
22
|
18
|
$187,433.21
|
$56,229.96
70% off
|
$57,037.76
|
$112,470.90
|
$58,261.25
|
2026-09-21
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
33
|
16
|
$176,304.33
|
$52,891.30
70% off
|
$29,086.92
|
$142,076.35
|
$58,245.03
|
2026-09-21
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
26
|
15
|
$188,986.07
|
$56,695.82
70% off
|
$30,490.39
|
$122,268.78
|
$58,025.39
|
2026-09-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
19
|
18
|
$128,331.29
|
$38,499.39
70% off
|
$56,252.52
|
$128,056.16
|
$57,459.16
|
2026-09-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
37
|
19
|
$291,724.84
|
$87,517.45
70% off
|
$28,972.88
|
$83,105.53
|
$57,150.59
|
2026-09-21
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
15
|
14
|
$198,124.01
|
$59,437.20
70% off
|
$55,151.41
|
$59,151.15
|
$56,334.43
|
2026-09-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
22
|
18
|
$231,669.76
|
$69,500.93
70% off
|
$54,729.92
|
$105,585.75
|
$55,903.90
|
2026-09-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
15
|
14
|
$166,485.14
|
$49,945.54
70% off
|
$54,392.71
|
$58,337.43
|
$55,559.46
|
2026-09-21
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
15
|
14
|
$234,757.07
|
$70,427.12
70% off
|
$54,093.38
|
$58,016.40
|
$55,253.71
|
2026-09-21
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
18
|
14
|
$140,302.28
|
$42,090.68
70% off
|
$33,171.00
|
$57,785.79
|
$55,034.09
|
2026-09-21
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
18
|
14
|
$310,960.97
|
$93,288.29
70% off
|
$54,944.24
|
$63,001.08
|
$54,944.24
|
2026-09-21
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
37
|
19
|
$247,115.98
|
$74,134.79
70% off
|
$28,526.08
|
$84,678.02
|
$54,918.04
|
2026-09-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
37
|
19
|
$126,085.17
|
$37,825.55
70% off
|
$30,048.86
|
$88,334.83
|
$54,764.51
|
2026-09-21
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
37
|
19
|
$211,892.86
|
$63,567.86
70% off
|
$30,752.06
|
$278,856.05
|
$54,702.14
|
2026-09-21
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
28
|
18
|
$220,665.63
|
$66,199.69
70% off
|
$36,141.00
|
$68,390.55
|
$54,604.78
|
2026-09-21
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
18
|
$166,818.01
|
$50,045.40
70% off
|
$47,147.72
|
$57,122.75
|
$54,402.62
|
2026-09-21
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
8
|
8
|
$391,120.00
|
$273,784.00
30% off
|
$43,340.81
|
$133,973.42
|
$54,375.05
|
2026-07-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
24
|
19
|
$67,163.37
|
$20,149.01
70% off
|
$2,385.00
|
$57,083.46
|
$54,365.20
|
2026-09-21
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
37
|
19
|
$246,250.96
|
$73,875.29
70% off
|
$28,231.79
|
$124,034.29
|
$54,158.04
|
2026-09-21
|
|
912
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma,major
|
6
|
6
|
$276,372.16
|
—
|
$53,116.12
|
$53,116.12
|
$53,116.12
|
2026-09-21
|
|
169
|
APR_DRG
|
Major Abdominal Vascular Procedures,extreme
|
24
|
6
|
$189,090.42
|
—
|
$45,182.80
|
$97,345.87
|
$52,814.47
|
2026-09-21
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
15
|
14
|
$186,577.12
|
$55,973.14
70% off
|
$51,401.92
|
$55,129.74
|
$52,504.51
|
2026-09-21
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
34
|
19
|
$80,349.03
|
$24,104.71
70% off
|
$24,882.06
|
$59,476.98
|
$52,050.25
|
2026-09-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
14
|
$180,175.65
|
$54,052.69
70% off
|
$51,149.24
|
$84,177.52
|
$51,149.24
|
2026-09-21
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
30
|
15
|
$155,963.06
|
$46,788.92
70% off
|
$27,141.36
|
$56,505.58
|
$50,822.63
|
2026-09-21
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
37
|
19
|
$144,228.11
|
$43,268.43
70% off
|
$28,179.73
|
$111,818.66
|
$50,771.19
|
2026-09-21
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
14
|
13
|
$257,044.94
|
$77,113.48
70% off
|
$50,635.09
|
$53,166.84
|
$50,635.09
|
2026-09-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
18
|
14
|
$312,787.04
|
$93,836.11
70% off
|
$50,516.53
|
$103,175.35
|
$50,516.53
|
2026-09-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
34
|
19
|
$167,626.53
|
$50,287.96
70% off
|
$27,650.83
|
$198,635.91
|
$50,243.23
|
2026-09-21
|
|
447
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme
|
12
|
6
|
$100,894.85
|
—
|
$32,902.97
|
$67,077.63
|
$49,990.30
|
2026-09-21
|
|
177
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme
|
6
|
6
|
$451,717.76
|
—
|
$49,806.20
|
$49,806.20
|
$49,806.20
|
2026-09-21
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
22
|
18
|
$122,775.66
|
$36,832.70
70% off
|
$48,255.93
|
$84,350.56
|
$49,291.04
|
2026-09-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
15
|
14
|
$122,805.91
|
$36,841.77
70% off
|
$48,055.58
|
$51,540.71
|
$49,086.39
|
2026-09-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
34
|
20
|
$115,218.90
|
$34,565.67
70% off
|
$21,289.26
|
$99,789.35
|
$48,975.31
|
2026-09-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
18
|
14
|
$154,574.93
|
$46,372.48
70% off
|
$18,432.00
|
$51,418.84
|
$48,970.32
|
2026-09-21
|
|
603
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,moder…
|
6
|
6
|
$595,573.20
|
—
|
$48,946.42
|
$48,946.42
|
$48,946.42
|
2026-09-21
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
15
|
14
|
$86,939.68
|
$26,081.90
70% off
|
$47,557.11
|
$51,006.09
|
$48,577.23
|
2026-09-21
|
|
21
|
APR_DRG
|
Open Craniotomy Except Trauma,extreme
|
24
|
6
|
$225,381.32
|
—
|
$30,573.29
|
$90,842.61
|
$48,571.41
|
2026-09-21
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
34
|
19
|
$88,840.43
|
$26,652.13
70% off
|
$26,799.86
|
$131,124.78
|
$48,169.16
|
2026-09-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
25
|
18
|
$152,550.01
|
$45,765.00
70% off
|
$25,452.00
|
$50,557.95
|
$48,150.43
|
2026-09-21
|
|
176
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,majo…
|
6
|
6
|
$241,228.94
|
—
|
$47,739.80
|
$47,739.80
|
$47,739.80
|
2026-09-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
34
|
19
|
$114,994.53
|
$34,498.36
70% off
|
$22,030.71
|
$72,226.55
|
$47,612.59
|
2026-09-21
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
19
|
18
|
$160,829.77
|
$48,248.93
70% off
|
$46,578.49
|
$58,490.03
|
$47,577.62
|
2026-09-21
|
|
614
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…
|
24
|
6
|
$153,721.17
|
—
|
$13,880.88
|
$79,999.63
|
$47,544.54
|
2026-09-21
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
37
|
19
|
$279,412.57
|
$83,823.77
70% off
|
$24,076.22
|
$104,941.60
|
$47,515.23
|
2026-09-21
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
22
|
18
|
$451,717.76
|
$135,515.33
70% off
|
$46,486.88
|
$81,995.27
|
$47,484.04
|
2026-09-21
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
30
|
16
|
$265,364.82
|
$142,678.41
46% off
|
$24,880.68
|
$259,740.52
|
$47,404.16
|
2026-09-21
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
14
|
$119,292.95
|
$35,787.88
70% off
|
$46,342.70
|
$49,703.61
|
$47,336.77
|
2026-09-21
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
34
|
19
|
$221,471.12
|
$66,441.34
70% off
|
$27,631.39
|
$50,593.94
|
$47,042.28
|
2026-09-21
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
34
|
19
|
$142,572.51
|
$42,771.75
70% off
|
$27,330.85
|
$135,517.96
|
$46,938.68
|
2026-09-21
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
34
|
19
|
$129,605.40
|
$38,881.62
70% off
|
$25,149.99
|
$77,620.76
|
$46,893.77
|
2026-09-21
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
19
|
18
|
$102,280.62
|
$30,684.19
70% off
|
$45,844.23
|
$67,044.31
|
$46,827.61
|
2026-09-21
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
22
|
18
|
$109,698.13
|
$32,909.44
70% off
|
$45,807.60
|
$65,804.05
|
$46,790.19
|
2026-09-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
19
|
18
|
$141,079.92
|
$42,323.98
70% off
|
$45,766.04
|
$101,416.44
|
$46,747.74
|
2026-09-21
|
|
30
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures,extreme
|
24
|
6
|
$219,441.27
|
—
|
$29,242.33
|
$70,878.16
|
$46,435.07
|
2026-09-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
15
|
14
|
$56,710.08
|
$17,013.02
70% off
|
$46,251.07
|
$75,507.87
|
$46,251.07
|
2026-09-21
|
|
441
|
APR_DRG
|
Major Bladder Procedures,major
|
6
|
6
|
$95,332.60
|
—
|
$46,099.90
|
$46,099.90
|
$46,099.90
|
2026-09-21
|
|
89
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures,extreme
|
24
|
6
|
$234,966.28
|
—
|
$24,275.02
|
$85,464.35
|
$45,922.12
|
2026-09-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
40
|
19
|
$123,891.14
|
$37,167.34
70% off
|
$20,006.00
|
$81,809.56
|
$45,862.96
|
2026-09-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
22
|
18
|
$138,869.98
|
$41,660.99
70% off
|
$44,888.84
|
$85,034.92
|
$45,851.73
|
2026-09-21
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
19
|
18
|
$89,003.34
|
$26,701.00
70% off
|
$44,488.10
|
$81,725.41
|
$45,442.39
|
2026-09-21
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
34
|
19
|
$82,231.76
|
$24,669.53
70% off
|
$24,049.84
|
$136,511.08
|
$45,172.71
|
2026-09-21
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
34
|
19
|
$161,991.55
|
$48,597.46
70% off
|
$24,312.21
|
$93,678.30
|
$45,115.42
|
2026-09-21
|
|
23
|
APR_DRG
|
Spinal Procedures,extreme
|
24
|
6
|
$211,190.93
|
—
|
$24,506.24
|
$92,104.60
|
$45,096.82
|
2026-09-21
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
33
|
16
|
$166,548.55
|
$49,964.56
70% off
|
$23,298.82
|
$50,521.96
|
$44,905.78
|
2026-09-21
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
19
|
18
|
$91,198.29
|
$27,359.49
70% off
|
$43,907.79
|
$116,364.79
|
$44,849.63
|
2026-09-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
30
|
15
|
$151,305.32
|
$45,391.60
70% off
|
$23,907.55
|
$49,047.14
|
$44,526.10
|
2026-09-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
35
|
20
|
$106,085.48
|
$31,825.64
70% off
|
$15,487.10
|
$116,563.10
|
$44,019.74
|
2026-09-21
|
|
325
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement,extreme
|
24
|
6
|
$188,326.08
|
—
|
$32,523.11
|
$69,563.72
|
$43,915.96
|
2026-09-21
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
18
|
14
|
$123,764.67
|
$37,129.40
70% off
|
$43,414.49
|
$79,470.56
|
$43,414.49
|
2026-09-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
19
|
18
|
$189,760.69
|
$56,928.21
70% off
|
$42,022.64
|
$60,165.68
|
$42,924.05
|
2026-09-21
|
|
444
|
APR_DRG
|
Renal Dialysis Access Procedures,extreme
|
12
|
6
|
$84,098.70
|
—
|
$31,564.23
|
$53,938.98
|
$42,751.61
|
2026-09-21
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
19
|
18
|
$103,884.96
|
$31,165.49
70% off
|
$41,847.93
|
$79,772.94
|
$42,745.59
|
2026-09-21
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
19
|
18
|
$48,465.09
|
$14,539.53
70% off
|
$41,803.96
|
$70,200.92
|
$42,700.67
|
2026-09-21
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
15
|
14
|
$170,059.11
|
$51,017.73
70% off
|
$41,748.99
|
$44,776.75
|
$42,644.52
|
2026-09-21
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
19
|
18
|
$83,631.30
|
$25,089.39
70% off
|
$41,708.66
|
$61,977.30
|
$42,603.33
|
2026-09-21
|
|
181
|
APR_DRG
|
Lower Vascular Procedures,extreme
|
24
|
6
|
$145,536.27
|
—
|
$24,037.00
|
$80,486.36
|
$42,420.81
|
2026-09-21
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
15
|
14
|
$140,113.96
|
$42,034.19
70% off
|
$41,504.63
|
$44,514.67
|
$42,394.92
|
2026-09-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
37
|
19
|
$122,864.50
|
$36,859.35
70% off
|
$23,543.84
|
$65,532.78
|
$42,175.30
|
2026-09-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
34
|
19
|
$202,857.88
|
$60,857.36
70% off
|
$21,464.32
|
$116,689.57
|
$42,101.67
|
2026-09-21
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
19
|
18
|
$142,411.06
|
$42,723.32
70% off
|
$41,179.64
|
$89,974.24
|
$42,062.96
|
2026-09-21
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
15
|
14
|
$153,713.69
|
$46,114.11
70% off
|
$41,983.11
|
$83,764.12
|
$41,983.11
|
2026-09-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
37
|
19
|
$107,807.62
|
$32,342.29
70% off
|
$21,993.92
|
$57,180.56
|
$41,825.86
|
2026-09-21
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
22
|
18
|
$167,584.79
|
$50,275.44
70% off
|
$40,888.88
|
$55,336.10
|
$41,765.97
|
2026-09-21
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
15
|
14
|
$177,100.99
|
$53,130.30
70% off
|
$40,778.92
|
$43,736.33
|
$41,653.65
|
2026-09-21
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
37
|
19
|
$121,103.67
|
$36,331.10
70% off
|
$21,560.80
|
$93,381.45
|
$41,634.93
|
2026-09-21
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
18
|
14
|
$282,441.34
|
$84,732.40
70% off
|
$17,553.00
|
$43,619.73
|
$41,542.60
|
2026-09-21
|
|
0819
|
RC
|
Hc Cancel Unrel Sct - After Coll
|
279
|
37
|
$87,048.00
|
$26,114.40
70% off
|
$2,385.00
|
$190,811.40
|
$41,434.03
|
2026-09-21
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
40
|
19
|
$200,066.53
|
$60,019.96
70% off
|
$22,588.00
|
$48,657.98
|
$41,259.49
|
2026-09-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
37
|
19
|
$156,043.62
|
$46,813.09
70% off
|
$20,466.21
|
$45,425.09
|
$41,200.64
|
2026-09-21
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
18
|
14
|
$172,767.91
|
$51,830.37
70% off
|
$41,132.01
|
$69,819.79
|
$41,132.01
|
2026-09-21
|
|
260
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures,extreme
|
24
|
6
|
$118,700.71
|
—
|
$27,341.09
|
$89,687.49
|
$41,081.10
|
2026-09-21
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
30
|
15
|
$121,570.27
|
$36,471.08
70% off
|
$20,359.00
|
$45,579.98
|
$40,952.64
|
2026-09-21
|
|
681
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme
|
18
|
6
|
$180,646.96
|
—
|
$23,742.64
|
$86,708.85
|
$40,753.71
|
2026-09-21
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
19
|
18
|
$117,260.32
|
$35,178.10
70% off
|
$33,287.04
|
$42,563.58
|
$40,536.74
|
2026-09-21
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
22
|
18
|
$107,249.28
|
$32,174.78
70% off
|
$28,735.43
|
$42,509.86
|
$40,485.58
|
2026-09-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
25
|
18
|
$142,411.90
|
$42,723.57
70% off
|
$22,588.00
|
$64,505.18
|
$40,183.57
|
2026-09-21
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
22
|
18
|
$95,676.73
|
$28,703.02
70% off
|
$39,184.55
|
$44,378.32
|
$40,025.08
|
2026-09-21
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
19
|
18
|
$66,738.78
|
$20,021.63
70% off
|
$39,179.68
|
$67,065.51
|
$40,020.10
|
2026-09-21
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
22
|
18
|
$114,217.29
|
$34,265.19
70% off
|
$36,763.34
|
$41,977.85
|
$39,978.90
|
2026-09-21
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1000 Mcg/ml IV Soln
|
84
|
51
|
$97,894.29
|
$29,368.29
70% off
|
$349.43
|
$83,210.15
|
$39,940.87
|
2026-09-21
|
|
220
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures,extreme
|
24
|
6
|
$130,775.36
|
—
|
$22,044.44
|
$86,045.31
|
$39,905.58
|
2026-09-21
|
|
175
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami,extreme
|
24
|
6
|
$131,525.85
|
—
|
$31,460.28
|
$64,220.43
|
$39,722.45
|
2026-09-21
|
|
321
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,extr…
|
24
|
6
|
$130,687.71
|
—
|
$27,350.81
|
$71,399.86
|
$39,422.74
|
2026-09-21
|
|
27
|
APR_DRG
|
Other Open Craniotomy,extreme
|
24
|
6
|
$90,729.15
|
—
|
$25,675.93
|
$80,072.50
|
$39,226.50
|
2026-09-21
|
|
323
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement,extreme
|
18
|
6
|
$208,640.21
|
—
|
$29,390.97
|
$54,559.78
|
$39,117.69
|
2026-09-21
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
25
|
18
|
$128,106.69
|
$38,432.01
70% off
|
$28,396.00
|
$41,051.44
|
$39,096.61
|
2026-09-21
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
30
|
15
|
$131,746.26
|
$56,527.88
57% off
|
$20,893.77
|
$85,020.03
|
$39,034.24
|
2026-09-21
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
30
|
18
|
$233,202.70
|
$135,638.98
42% off
|
$20,242.01
|
$326,035.04
|
$38,770.91
|
2026-09-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
22
|
18
|
$137,375.40
|
$41,212.62
70% off
|
$37,862.65
|
$60,760.24
|
$38,674.82
|
2026-09-21
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
22
|
18
|
$305,012.95
|
$91,503.88
70% off
|
$37,736.80
|
$57,322.25
|
$38,546.27
|
2026-09-21
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
22
|
18
|
$98,946.80
|
$29,684.04
70% off
|
$37,714.83
|
$66,135.09
|
$38,523.83
|
2026-09-21
|
|
950
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme
|
24
|
6
|
$146,311.89
|
—
|
$22,536.02
|
$84,622.06
|
$38,507.10
|
2026-09-21
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
19
|
18
|
$88,517.91
|
$26,555.37
70% off
|
$37,541.33
|
$86,843.92
|
$38,346.61
|
2026-09-21
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
15
|
14
|
$220,684.14
|
$66,205.24
70% off
|
$38,294.19
|
$46,563.30
|
$38,294.19
|
2026-09-21
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
15
|
14
|
$102,440.41
|
$30,732.12
70% off
|
$37,348.29
|
$40,056.90
|
$38,149.43
|
2026-09-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
19
|
18
|
$98,693.10
|
$29,607.93
70% off
|
$37,107.60
|
$61,515.68
|
$37,903.57
|
2026-09-21
|
|
174
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami,extreme
|
24
|
6
|
$112,081.46
|
—
|
$31,241.69
|
$58,119.37
|
$37,744.46
|
2026-09-21
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
43
|
19
|
$54,970.76
|
$16,491.23
70% off
|
$18,924.61
|
$94,129.24
|
$37,558.43
|
2026-09-21
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
37
|
19
|
$263,207.40
|
$78,962.22
70% off
|
$20,224.66
|
$44,970.44
|
$37,390.68
|
2026-09-21
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
22
|
18
|
$95,332.60
|
$28,599.78
70% off
|
$36,482.08
|
$56,007.61
|
$37,264.64
|
2026-09-21
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
19
|
18
|
$97,088.82
|
$29,126.65
70% off
|
$36,381.89
|
$45,916.63
|
$37,162.30
|
2026-09-21
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
22
|
18
|
$117,753.63
|
$35,326.09
70% off
|
$32,530.91
|
$38,768.84
|
$36,922.70
|
2026-09-21
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
14
|
13
|
$115,779.01
|
$34,733.70
70% off
|
$36,738.00
|
$38,574.90
|
$36,738.00
|
2026-09-21
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
35
|
19
|
$101,447.51
|
$30,434.25
70% off
|
$18,628.23
|
$106,224.51
|
$36,633.19
|
2026-09-21
|
|
690
|
APR_DRG
|
Acute Leukemia,extreme
|
24
|
6
|
$230,104.07
|
—
|
$13,216.37
|
$82,998.67
|
$36,630.64
|
2026-09-21
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
34
|
19
|
$101,467.38
|
$30,440.21
70% off
|
$18,856.59
|
$72,298.15
|
$36,447.24
|
2026-09-21
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
19
|
18
|
$91,057.84
|
$27,317.35
70% off
|
$35,344.64
|
$61,352.33
|
$36,102.80
|
2026-09-21
|
|
J9118
|
HCPCS
|
Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln
|
84
|
51
|
$88,415.03
|
$26,524.51
70% off
|
$80.35
|
$75,152.78
|
$36,073.33
|
2026-09-21
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
33
|
19
|
$128,094.49
|
$38,428.35
70% off
|
$18,161.10
|
$80,748.54
|
$35,992.98
|
2026-09-21
|
|
193
|
APR_DRG
|
Acute And Subacute Endocarditis,extreme
|
6
|
6
|
$392,348.38
|
—
|
$35,755.31
|
$35,755.31
|
$35,755.31
|
2026-09-21
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
25
|
18
|
$404,428.37
|
$121,328.51
70% off
|
$33,404.99
|
$44,112.00
|
$35,526.25
|
2026-09-21
|
|
850
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
18
|
6
|
$206,514.21
|
—
|
$26,141.28
|
$43,464.21
|
$35,455.11
|
2026-09-21
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
15
|
14
|
$68,440.82
|
$20,532.25
70% off
|
$34,504.10
|
$37,006.44
|
$35,244.23
|
2026-09-21
|
|
120
|
APR_DRG
|
Major Respiratory And Chest Procedures,major
|
18
|
6
|
$211,868.33
|
—
|
$28,679.83
|
$47,824.33
|
$35,214.18
|
2026-09-21
|
|
231
|
APR_DRG
|
Major Large Bowel Procedures,extreme
|
24
|
6
|
$134,356.81
|
—
|
$23,579.42
|
$67,856.78
|
$35,169.98
|
2026-09-21
|
|
230
|
APR_DRG
|
Major Small Bowel Procedures,extreme
|
24
|
6
|
$135,231.18
|
—
|
$20,642.56
|
$77,121.06
|
$35,110.71
|
2026-09-21
|
|
711
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,extreme
|
18
|
6
|
$121,167.04
|
—
|
$21,218.66
|
$65,841.88
|
$35,062.62
|
2026-09-21
|
|
29
|
APR_DRG
|
Other Percutaneous Intracranial Procedures,extreme
|
24
|
6
|
$193,354.23
|
—
|
$29,090.78
|
$64,917.00
|
$34,924.18
|
2026-09-21
|
|
182
|
APR_DRG
|
Other Upper Vascular Procedures,extreme
|
24
|
6
|
$95,074.58
|
—
|
$29,049.00
|
$68,381.39
|
$34,860.55
|
2026-09-21
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
33
|
19
|
$108,941.13
|
$32,682.34
70% off
|
$17,720.35
|
$48,403.60
|
$34,722.59
|
2026-09-21
|
|
621
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly,extreme
|
24
|
6
|
$178,008.24
|
—
|
$6,343.93
|
$83,242.52
|
$34,705.11
|
2026-09-21
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
15
|
14
|
$33,784.62
|
$10,135.39
70% off
|
$33,955.53
|
$36,418.08
|
$34,683.89
|
2026-09-21
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
19
|
18
|
$83,017.15
|
$24,905.14
70% off
|
$33,837.03
|
$88,131.21
|
$34,562.85
|
2026-09-21
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
15
|
14
|
$39,438.63
|
$11,831.59
70% off
|
$34,517.93
|
$36,243.83
|
$34,517.93
|
2026-09-21
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
15
|
14
|
$59,929.80
|
$17,978.94
70% off
|
$34,517.93
|
$53,105.80
|
$34,517.93
|
2026-09-21
|
|
309
|
APR_DRG
|
Other Significant Hip And Femur Surgery,major
|
12
|
6
|
$247,161.38
|
—
|
$28,309.68
|
$40,262.12
|
$34,285.90
|
2026-09-21
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
33
|
15
|
$98,857.25
|
$29,657.17
70% off
|
$17,367.75
|
$49,420.22
|
$34,190.96
|
2026-09-21
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
37
|
19
|
$184,828.48
|
$55,448.54
70% off
|
$18,482.47
|
$37,550.00
|
$34,136.36
|
2026-09-21
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
19
|
18
|
$126,289.24
|
$37,886.77
70% off
|
$33,325.11
|
$91,162.85
|
$34,039.95
|
2026-09-21
|
|
121
|
APR_DRG
|
Other Respiratory And Chest Procedures,extreme
|
24
|
6
|
$146,915.86
|
—
|
$20,887.38
|
$68,208.46
|
$34,038.65
|
2026-09-21
|
|
849
|
MS_DRG
|
Radiotherapy
|
34
|
19
|
$34,815.41
|
$10,444.62
70% off
|
$14,430.26
|
$37,951.18
|
$33,962.08
|
2026-09-21
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
18
|
15
|
$122,233.27
|
$36,669.98
70% off
|
$32,318.41
|
$62,275.63
|
$33,836.94
|
2026-09-21
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
22
|
18
|
$131,076.21
|
$39,322.86
70% off
|
$33,118.64
|
$50,204.24
|
$33,829.05
|
2026-09-21
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
18
|
14
|
$136,860.93
|
$41,058.28
70% off
|
$33,815.32
|
$45,748.49
|
$33,815.32
|
2026-09-21
|
|
622
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
6
|
$140,929.54
|
—
|
$22,558.37
|
$38,264.71
|
$33,740.40
|
2026-09-21
|
|
792
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment,extreme
|
24
|
6
|
$105,464.66
|
—
|
$21,393.53
|
$75,686.15
|
$33,690.37
|
2026-09-21
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
34
|
19
|
$52,110.35
|
$15,633.10
70% off
|
$14,510.14
|
$39,713.68
|
$33,435.13
|
2026-09-21
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
22
|
18
|
$192,083.50
|
$57,625.05
70% off
|
$32,726.46
|
$78,528.15
|
$33,428.46
|
2026-09-21
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
37
|
19
|
$169,557.36
|
$50,867.21
70% off
|
$18,208.30
|
$38,455.66
|
$33,383.53
|
2026-09-21
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Ij Soln
|
83
|
51
|
$81,652.14
|
$24,495.64
70% off
|
$24,250.69
|
$69,404.32
|
$33,314.07
|
2026-09-21
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
19
|
18
|
$85,056.47
|
$25,516.94
70% off
|
$32,601.85
|
$68,049.57
|
$33,301.17
|
2026-09-21
|
|
313
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot,extreme
|
24
|
6
|
$187,469.30
|
—
|
$20,451.17
|
$61,166.99
|
$33,103.10
|
2026-09-21
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
22
|
18
|
$82,119.67
|
$24,635.90
70% off
|
$32,326.95
|
$48,172.31
|
$33,020.38
|
2026-09-21
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
15
|
14
|
$62,102.37
|
$18,630.71
70% off
|
$32,276.87
|
$34,617.68
|
$32,969.22
|
2026-09-21
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
37
|
19
|
$101,462.20
|
$30,438.66
70% off
|
$17,967.45
|
$36,091.83
|
$32,963.55
|
2026-09-21
|
|
0620T
|
CPT
|
Hc Endovascular Venous Arterialization Tibl/Prnl Vn
|
81
|
51
|
$91,213.05
|
$27,363.91
70% off
|
$5,138.00
|
$77,531.09
|
$32,960.29
|
2026-09-21
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
22
|
18
|
$70,001.37
|
$21,000.41
70% off
|
$32,143.70
|
$63,282.49
|
$32,833.20
|
2026-09-21
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
25
|
18
|
$87,711.86
|
$26,313.56
70% off
|
$20,653.00
|
$34,436.85
|
$32,797.00
|
2026-09-21
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
15
|
14
|
$197,875.17
|
$59,362.55
70% off
|
$31,778.39
|
$34,083.05
|
$32,460.05
|
2026-09-21
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
27
|
15
|
$63,448.87
|
$19,034.66
70% off
|
$16,067.01
|
$33,965.13
|
$32,347.74
|
2026-09-21
|
|
680
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major
|
18
|
6
|
$115,648.90
|
—
|
$24,460.58
|
$53,078.23
|
$32,273.43
|
2026-09-21
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
22
|
18
|
$112,709.61
|
$33,812.88
70% off
|
$31,569.48
|
$49,561.01
|
$32,246.66
|
2026-09-21
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
15
|
14
|
$105,893.11
|
$31,767.93
70% off
|
$31,541.38
|
$33,828.86
|
$32,217.96
|
2026-09-21
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
14
|
13
|
$164,681.50
|
$49,404.45
70% off
|
$32,163.05
|
$33,771.20
|
$32,163.05
|
2026-09-21
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
19
|
18
|
$93,717.27
|
$28,115.18
70% off
|
$31,437.54
|
$37,718.73
|
$32,111.89
|
2026-09-21
|
|
49
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System,extreme
|
18
|
6
|
$56,710.08
|
—
|
$28,810.98
|
$53,723.31
|
$32,096.62
|
2026-09-21
|
|
131
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease,extreme
|
12
|
6
|
$95,682.17
|
—
|
$23,311.29
|
$40,306.81
|
$31,809.05
|
2026-09-21
|
|
C1767
|
HCPCS
|
Generator 7 Series Infinity
|
1,462
|
44
|
$74,375.00
|
$22,312.50
70% off
|
$329.18
|
$119,365.93
|
$31,751.58
|
2026-09-21
|
|
C1822
|
HCPCS
|
Kit Ipg Spinal Cord Stimulator
|
283
|
42
|
$77,577.50
|
$23,273.25
70% off
|
$1,155.00
|
$76,921.60
|
$31,651.62
|
2026-09-21
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
37
|
19
|
$143,511.52
|
$43,053.46
70% off
|
$14,751.69
|
$58,732.07
|
$31,560.28
|
2026-09-21
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
34
|
19
|
$82,642.38
|
$24,792.71
70% off
|
$16,022.58
|
$64,528.25
|
$31,515.38
|
2026-09-21
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
34
|
19
|
$46,028.37
|
$13,808.51
70% off
|
$14,655.21
|
$56,186.57
|
$31,494.16
|
2026-09-21
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
34
|
19
|
$73,099.11
|
$21,929.73
70% off
|
$14,875.46
|
$78,591.26
|
$31,351.88
|
2026-09-21
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
34
|
19
|
$91,587.94
|
$27,476.38
70% off
|
$15,663.04
|
$135,155.68
|
$31,338.81
|
2026-09-21
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
39
|
20
|
$83,200.78
|
$24,960.23
70% off
|
$2,385.00
|
$41,311.47
|
$31,282.40
|
2026-09-21
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
22
|
18
|
$105,201.52
|
$31,560.46
70% off
|
$30,518.78
|
$48,950.81
|
$31,173.42
|
2026-09-21
|
|
C1826
|
HCPCS
|
Evoke 2x60cm Trialing System
|
339
|
42
|
$76,230.00
|
$22,869.00
70% off
|
$259.88
|
$74,375.00
|
$31,101.84
|
2026-09-21
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
19
|
18
|
$84,801.72
|
$25,440.52
70% off
|
$30,328.21
|
$53,072.18
|
$30,978.76
|
2026-09-21
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
22
|
18
|
$105,264.65
|
$31,579.39
70% off
|
$29,390.17
|
$33,266.47
|
$30,971.19
|
2026-09-21
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
26
|
15
|
$91,636.24
|
$64,145.37
30% off
|
$15,057.09
|
$90,718.40
|
$30,970.00
|
2026-09-21
|