|
56552177
|
CDM
|
Delandistrogene Moxeparvovec Inj
|
32
|
18
|
—
|
$1,964,586.62
|
$0.03
|
$4,799,308.80
|
$3,360,000.00
|
2026-03-25
|
|
56508781
|
CDM
|
Lovotibeglogene Autotemcel Inj
|
25
|
15
|
$4,650,000.00
|
$1,751,190.00
62% off
|
$0.03
|
$4,278,000.00
|
$3,352,650.00
|
2026-03-25
|
|
56501190
|
CDM
|
Betibeglogene Autotemcel Inj
|
25
|
15
|
$4,564,560.00
|
$1,719,013.30
62% off
|
$0.03
|
$4,199,395.20
|
$3,291,047.76
|
2026-03-25
|
|
56507668
|
CDM
|
Exagamglogene Autotemcel Inj
|
34
|
16
|
$3,448,500.00
|
$1,298,705.10
62% off
|
$1,298,705.10
|
$3,172,620.00
|
$2,484,644.25
|
2026-03-25
|
|
56507262
|
CDM
|
Lifileucel Inj
|
33
|
16
|
$1,614,525.00
|
$608,030.12
62% off
|
$608,030.12
|
$1,485,363.00
|
$1,217,351.85
|
2026-03-25
|
|
56504608
|
CDM
|
Afamitresgene Autoleucel Inj
|
41
|
19
|
$1,817,500.00
|
$684,470.50
62% off
|
$684,470.50
|
$1,672,100.00
|
$1,123,215.00
|
2026-03-25
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
3
|
—
|
—
|
$533,307.58
|
$888,745.21
|
$748,789.75
|
2026-03-25
|
|
52590841
|
CDM
|
Tisagenlecleucel Inj (iv)(all)
|
25
|
15
|
$912,121.10
|
$343,504.81
62% off
|
$0.03
|
$839,151.41
|
$657,639.31
|
2026-03-25
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
4
|
—
|
—
|
$647,979.12
|
$647,979.12
|
$647,979.12
|
2026-03-25
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
7
|
4
|
—
|
—
|
$588,944.20
|
$588,944.20
|
$588,944.20
|
2026-03-25
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
7
|
4
|
—
|
—
|
$588,944.20
|
$588,944.20
|
$588,944.20
|
2026-03-25
|
|
52597630
|
CDM
|
Lisocabtagene Maraleucel Inj
|
32
|
18
|
$797,025.60
|
$300,159.84
62% off
|
$0.03
|
$733,263.55
|
$585,813.82
|
2026-03-25
|
|
56504582
|
CDM
|
Obecabtagene Autoleucel Inj
|
41
|
19
|
$945,000.00
|
$355,887.00
62% off
|
$355,887.00
|
$869,400.00
|
$584,010.00
|
2026-03-25
|
|
52599552
|
CDM
|
Ciltacabtagene Autoleucel Inj
|
32
|
18
|
$832,965.70
|
$313,694.88
62% off
|
$0.03
|
$766,328.44
|
$583,075.96
|
2026-03-25
|
|
52598240
|
CDM
|
Idecabtagene Vicleucel Inj
|
32
|
18
|
$792,468.65
|
$298,443.69
62% off
|
$0.03
|
$729,071.16
|
$571,369.89
|
2026-03-25
|
|
52594413
|
CDM
|
Tisagenlecleucel Inj (iv)(dlbcl)
|
25
|
15
|
$784,727.70
|
$295,528.45
62% off
|
$0.03
|
$721,949.48
|
$565,788.67
|
2026-03-25
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
7
|
4
|
—
|
—
|
$558,502.30
|
$558,502.30
|
$558,502.30
|
2026-03-25
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
7
|
4
|
—
|
—
|
$558,502.30
|
$558,502.30
|
$558,502.30
|
2026-03-25
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
7
|
4
|
—
|
—
|
$537,458.68
|
$537,458.68
|
$537,458.68
|
2026-03-25
|
|
52590668
|
CDM
|
Axicabtagene Ciloleucel Inj (iv)
|
32
|
18
|
$755,370.00
|
$284,472.34
62% off
|
$0.03
|
$694,940.40
|
$528,759.00
|
2026-03-25
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
7
|
4
|
—
|
—
|
$503,124.62
|
$503,124.62
|
$503,124.62
|
2026-03-25
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
6
|
3
|
—
|
—
|
$346,095.17
|
$576,759.89
|
$485,934.43
|
2026-03-25
|
|
52596608
|
CDM
|
Brexucabtagene Autoleucel Inj (iv)
|
32
|
18
|
$693,000.00
|
$260,983.80
62% off
|
$0.03
|
$637,560.00
|
$485,100.00
|
2026-03-25
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
7
|
4
|
—
|
—
|
$469,930.95
|
$469,930.95
|
$469,930.95
|
2026-03-25
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
7
|
4
|
—
|
—
|
$469,136.53
|
$469,136.53
|
$469,136.53
|
2026-03-25
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
7
|
4
|
—
|
—
|
$396,403.43
|
$396,403.43
|
$396,403.43
|
2026-03-25
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
7
|
4
|
—
|
—
|
$393,435.20
|
$393,435.20
|
$393,435.20
|
2026-03-25
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
4
|
—
|
—
|
$378,177.99
|
$378,177.99
|
$378,177.99
|
2026-03-25
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
6
|
3
|
—
|
—
|
$263,678.68
|
$439,414.64
|
$370,217.67
|
2026-03-25
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
6
|
3
|
—
|
—
|
$262,131.22
|
$436,835.84
|
$368,044.97
|
2026-03-25
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
4
|
—
|
—
|
$333,375.47
|
$333,375.47
|
$333,375.47
|
2026-03-25
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
7
|
4
|
—
|
—
|
$332,614.53
|
$332,614.53
|
$332,614.53
|
2026-03-25
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
7
|
4
|
—
|
—
|
$328,688.97
|
$328,688.97
|
$328,688.97
|
2026-03-25
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
7
|
4
|
—
|
—
|
$317,330.38
|
$317,330.38
|
$317,330.38
|
2026-03-25
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
4
|
—
|
—
|
$304,837.81
|
$304,837.81
|
$304,837.81
|
2026-03-25
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
7
|
4
|
—
|
—
|
$303,870.59
|
$303,870.59
|
$303,870.59
|
2026-03-25
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
7
|
4
|
—
|
—
|
$303,851.24
|
$303,851.24
|
$303,851.24
|
2026-03-25
|
|
1611
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
7
|
4
|
—
|
—
|
$302,838.59
|
$302,838.59
|
$302,838.59
|
2026-03-25
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
7
|
4
|
—
|
—
|
$295,712.02
|
$295,712.02
|
$295,712.02
|
2026-03-25
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
7
|
4
|
—
|
—
|
$294,207.35
|
$294,207.35
|
$294,207.35
|
2026-03-25
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
7
|
4
|
—
|
—
|
$294,207.35
|
$294,207.35
|
$294,207.35
|
2026-03-25
|
|
52780152
|
CDM
|
Heartmate
|
45
|
19
|
$428,478.00
|
$161,364.81
62% off
|
$524.16
|
$394,199.76
|
$265,656.36
|
2026-03-25
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
7
|
4
|
—
|
—
|
$250,369.68
|
$250,369.68
|
$250,369.68
|
2026-03-25
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$245,243.37
|
$245,243.37
|
$245,243.37
|
2026-03-25
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
7
|
4
|
—
|
—
|
$243,586.70
|
$243,586.70
|
$243,586.70
|
2026-03-25
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
7
|
4
|
—
|
—
|
$242,358.25
|
$242,358.25
|
$242,358.25
|
2026-03-25
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
6
|
3
|
—
|
—
|
$171,064.79
|
$285,075.66
|
$240,183.27
|
2026-03-25
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
7
|
4
|
—
|
—
|
$235,523.02
|
$235,523.02
|
$235,523.02
|
2026-03-25
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
7
|
4
|
—
|
—
|
$228,748.68
|
$228,748.68
|
$228,748.68
|
2026-03-25
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
4
|
—
|
—
|
$227,390.60
|
$227,390.60
|
$227,390.60
|
2026-03-25
|
|
7
|
MS_DRG
|
Lung Transplant
|
6
|
3
|
—
|
—
|
$159,934.97
|
$266,528.07
|
$224,556.47
|
2026-03-25
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
4
|
—
|
—
|
$220,943.88
|
$220,943.88
|
$220,943.88
|
2026-03-25
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$219,132.78
|
$219,132.78
|
$219,132.78
|
2026-03-25
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
7
|
4
|
—
|
—
|
$217,018.03
|
$217,018.03
|
$217,018.03
|
2026-03-25
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$148,421.07
|
$247,340.40
|
$208,390.39
|
2026-03-25
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
7
|
4
|
—
|
—
|
$199,957.70
|
$199,957.70
|
$199,957.70
|
2026-03-25
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
4
|
—
|
—
|
$198,437.33
|
$198,437.33
|
$198,437.33
|
2026-03-25
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
6
|
3
|
—
|
—
|
$139,947.73
|
$233,219.78
|
$196,493.41
|
2026-03-25
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
6
|
3
|
—
|
—
|
$139,787.18
|
$232,952.22
|
$196,267.99
|
2026-03-25
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
7
|
4
|
—
|
—
|
$191,842.30
|
$191,842.30
|
$191,842.30
|
2026-03-25
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
3
|
—
|
—
|
$136,111.82
|
$226,827.32
|
$191,107.61
|
2026-03-25
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
6
|
3
|
—
|
—
|
$134,295.14
|
$223,799.85
|
$188,556.89
|
2026-03-25
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
7
|
4
|
—
|
—
|
$186,758.52
|
$186,758.52
|
$186,758.52
|
2026-03-25
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
7
|
4
|
—
|
—
|
$181,159.91
|
$181,159.91
|
$181,159.91
|
2026-03-25
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
7
|
4
|
—
|
—
|
$180,772.13
|
$180,772.13
|
$180,772.13
|
2026-03-25
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
7
|
4
|
—
|
—
|
$180,152.55
|
$180,152.55
|
$180,152.55
|
2026-03-25
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
7
|
4
|
—
|
—
|
$180,120.92
|
$180,120.92
|
$180,120.92
|
2026-03-25
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$127,334.68
|
$212,200.40
|
$178,784.07
|
2026-03-25
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$172,990.93
|
$172,990.93
|
$172,990.93
|
2026-03-25
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
6
|
3
|
—
|
—
|
$122,968.95
|
$204,925.02
|
$172,654.38
|
2026-03-25
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
7
|
4
|
—
|
—
|
$171,455.28
|
$171,455.28
|
$171,455.28
|
2026-03-25
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
7
|
4
|
—
|
—
|
$171,455.28
|
$171,455.28
|
$171,455.28
|
2026-03-25
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
7
|
4
|
—
|
—
|
$171,455.28
|
$171,455.28
|
$171,455.28
|
2026-03-25
|
|
55729339
|
CDM
|
Heartmate
|
45
|
19
|
$276,183.00
|
$104,010.52
62% off
|
$524.16
|
$254,088.36
|
$171,233.46
|
2026-03-25
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
7
|
4
|
—
|
—
|
$169,641.18
|
$169,641.18
|
$169,641.18
|
2026-03-25
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
3
|
—
|
—
|
$120,817.58
|
$201,339.81
|
$169,633.75
|
2026-03-25
|
|
55727275
|
CDM
|
Implant Hvad Pump
|
45
|
19
|
$273,585.00
|
$103,032.11
62% off
|
$524.16
|
$251,698.20
|
$169,622.70
|
2026-03-25
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
7
|
4
|
—
|
—
|
$167,555.65
|
$167,555.65
|
$167,555.65
|
2026-03-25
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
7
|
4
|
—
|
—
|
$166,227.07
|
$166,227.07
|
$166,227.07
|
2026-03-25
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
7
|
4
|
—
|
—
|
$166,222.61
|
$166,222.61
|
$166,222.61
|
2026-03-25
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
7
|
4
|
—
|
—
|
$166,061.36
|
$166,061.36
|
$166,061.36
|
2026-03-25
|
|
55747844
|
CDM
|
Gammatile Therapy Device
|
45
|
19
|
$266,044.00
|
$100,192.17
62% off
|
$524.16
|
$244,760.48
|
$164,947.28
|
2026-03-25
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
7
|
4
|
—
|
—
|
$157,422.04
|
$157,422.04
|
$157,422.04
|
2026-03-25
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
6
|
3
|
—
|
—
|
$111,268.56
|
$185,426.58
|
$156,226.46
|
2026-03-25
|
|
56329485
|
CDM
|
Gemcitabine Ives Sys 225mg
|
41
|
18
|
$216,315.00
|
$81,464.23
62% off
|
$37.28
|
$199,009.80
|
$155,746.80
|
2026-03-25
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
7
|
4
|
—
|
—
|
$153,859.46
|
$153,859.46
|
$153,859.46
|
2026-03-25
|
|
52760881
|
CDM
|
Lung Acquisition-double
|
38
|
17
|
$210,810.00
|
$79,391.05
62% off
|
$79,391.05
|
$193,945.20
|
$152,942.65
|
2026-03-25
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
7
|
4
|
—
|
—
|
$152,229.56
|
$152,229.56
|
$152,229.56
|
2026-03-25
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
7
|
4
|
—
|
—
|
$151,921.76
|
$151,921.76
|
$151,921.76
|
2026-03-25
|
|
6091
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
7
|
4
|
—
|
—
|
$150,780.11
|
$150,780.11
|
$150,780.11
|
2026-03-25
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
6
|
3
|
—
|
—
|
$106,944.83
|
$178,221.17
|
$150,155.73
|
2026-03-25
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
7
|
4
|
—
|
—
|
$150,117.29
|
$150,117.29
|
$150,117.29
|
2026-03-25
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
7
|
4
|
—
|
—
|
$149,016.91
|
$149,016.91
|
$149,016.91
|
2026-03-25
|
|
58100025
|
CDM
|
Kidney Acquisition-lrd
|
38
|
17
|
$204,309.00
|
$76,942.77
62% off
|
$76,942.77
|
$187,964.28
|
$148,226.18
|
2026-03-25
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
7
|
4
|
—
|
—
|
$147,993.49
|
$147,993.49
|
$147,993.49
|
2026-03-25
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
6
|
3
|
—
|
—
|
$104,109.27
|
$173,495.77
|
$146,174.47
|
2026-03-25
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
3
|
—
|
—
|
$103,781.99
|
$172,950.38
|
$145,714.95
|
2026-03-25
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
7
|
4
|
—
|
—
|
$143,859.47
|
$143,859.47
|
$143,859.47
|
2026-03-25
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
7
|
4
|
—
|
—
|
$142,378.87
|
$142,378.87
|
$142,378.87
|
2026-03-25
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
7
|
4
|
—
|
—
|
$141,031.91
|
$141,031.91
|
$141,031.91
|
2026-03-25
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
7
|
4
|
—
|
—
|
$140,057.84
|
$140,057.84
|
$140,057.84
|
2026-03-25
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
7
|
4
|
—
|
—
|
$138,967.79
|
$138,967.79
|
$138,967.79
|
2026-03-25
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
7
|
4
|
—
|
—
|
$138,883.94
|
$138,883.94
|
$138,883.94
|
2026-03-25
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
7
|
4
|
—
|
—
|
$138,825.89
|
$138,825.89
|
$138,825.89
|
2026-03-25
|
|
55747836
|
CDM
|
Gammatile Therapy Device
|
45
|
19
|
$222,668.00
|
$83,856.77
62% off
|
$524.16
|
$204,854.56
|
$138,054.16
|
2026-03-25
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
7
|
4
|
—
|
—
|
$138,009.22
|
$138,009.22
|
$138,009.22
|
2026-03-25
|
|
52573912
|
CDM
|
Sipuleucel-t 250 Ml
|
45
|
19
|
$196,489.65
|
$73,998.00
62% off
|
$65,732.65
|
$180,770.48
|
$137,542.76
|
2026-03-25
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
6
|
3
|
—
|
—
|
$97,179.68
|
$161,947.77
|
$136,444.99
|
2026-03-25
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$135,568.66
|
$135,568.66
|
$135,568.66
|
2026-03-25
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$134,562.75
|
$134,562.75
|
$134,562.75
|
2026-03-25
|
|
5894
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
7
|
4
|
—
|
—
|
$134,367.74
|
$134,367.74
|
$134,367.74
|
2026-03-25
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
7
|
4
|
—
|
—
|
$134,367.74
|
$134,367.74
|
$134,367.74
|
2026-03-25
|
|
52596475
|
CDM
|
Botulism Immune Globulin Inj 50 mg/mL (iv)
|
33
|
16
|
$178,162.85
|
$67,096.13
62% off
|
$67,096.13
|
$163,909.82
|
$134,334.79
|
2026-03-25
|
|
55748990
|
CDM
|
Cultured Chondrocyter Implnt
|
37
|
16
|
$148,357.00
|
$55,871.25
62% off
|
$55,871.25
|
$170,165.33
|
$133,521.30
|
2026-03-25
|
|
56507742
|
CDM
|
Nadofaragene Firadenovec Inj
|
45
|
19
|
$182,700.00
|
$68,804.82
62% off
|
$63,945.00
|
$174,225.62
|
$133,371.00
|
2026-03-25
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
7
|
4
|
—
|
—
|
$133,236.70
|
$133,236.70
|
$133,236.70
|
2026-03-25
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
3
|
—
|
—
|
$94,827.01
|
$158,027.09
|
$133,141.73
|
2026-03-25
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
6
|
3
|
—
|
—
|
$94,418.22
|
$157,345.86
|
$132,567.77
|
2026-03-25
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
6
|
3
|
—
|
—
|
$94,105.77
|
$156,825.16
|
$132,129.07
|
2026-03-25
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
7
|
4
|
—
|
—
|
$132,125.87
|
$132,125.87
|
$132,125.87
|
2026-03-25
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
7
|
4
|
—
|
—
|
$131,273.94
|
$131,273.94
|
$131,273.94
|
2026-03-25
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
7
|
4
|
—
|
—
|
$131,271.86
|
$131,271.86
|
$131,271.86
|
2026-03-25
|
|
56300825
|
CDM
|
Y-90 Zevalin, Per Dose
|
45
|
19
|
$153,485.10
|
$57,802.49
62% off
|
$48,770.67
|
$173,265.87
|
$130,462.34
|
2026-03-25
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
4
|
—
|
—
|
$129,752.55
|
$129,752.55
|
$129,752.55
|
2026-03-25
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
7
|
4
|
—
|
—
|
$127,924.41
|
$127,924.41
|
$127,924.41
|
2026-03-25
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
7
|
4
|
—
|
—
|
$127,924.41
|
$127,924.41
|
$127,924.41
|
2026-03-25
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
7
|
4
|
—
|
—
|
$127,441.76
|
$127,441.76
|
$127,441.76
|
2026-03-25
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
7
|
4
|
—
|
—
|
$125,385.71
|
$125,385.71
|
$125,385.71
|
2026-03-25
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
3
|
—
|
—
|
$89,149.71
|
$148,566.01
|
$125,170.52
|
2026-03-25
|
|
50721950
|
CDM
|
Bmt Allogeneic Unrelated
|
38
|
17
|
$172,363.00
|
$64,911.91
62% off
|
$64,911.91
|
$158,573.96
|
$125,049.36
|
2026-03-25
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
7
|
4
|
—
|
—
|
$124,923.91
|
$124,923.91
|
$124,923.91
|
2026-03-25
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$88,619.90
|
$147,683.08
|
$124,426.63
|
2026-03-25
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
6
|
3
|
—
|
—
|
$88,582.85
|
$147,621.34
|
$124,374.62
|
2026-03-25
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
6
|
3
|
—
|
—
|
$88,112.31
|
$146,837.20
|
$123,713.96
|
2026-03-25
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
6
|
3
|
—
|
—
|
$88,060.44
|
$146,750.76
|
$123,641.14
|
2026-03-25
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
4
|
—
|
—
|
$122,893.92
|
$122,893.92
|
$122,893.92
|
2026-03-25
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
4
|
—
|
—
|
$122,184.42
|
$122,184.42
|
$122,184.42
|
2026-03-25
|
|
50730332
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$195,559.00
|
$73,647.52
62% off
|
$82.84
|
$179,914.28
|
$121,246.58
|
2026-03-25
|
|
55747828
|
CDM
|
Gammatile Therapy Device
|
45
|
19
|
$193,750.00
|
$72,966.25
62% off
|
$524.16
|
$178,250.00
|
$120,125.00
|
2026-03-25
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
7
|
4
|
—
|
—
|
$120,077.11
|
$120,077.11
|
$120,077.11
|
2026-03-25
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
4
|
—
|
—
|
$119,929.30
|
$119,929.30
|
$119,929.30
|
2026-03-25
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
6
|
3
|
—
|
—
|
$85,360.73
|
$142,251.76
|
$119,850.61
|
2026-03-25
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
6
|
3
|
—
|
—
|
$84,942.07
|
$141,554.06
|
$119,262.79
|
2026-03-25
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
7
|
4
|
—
|
—
|
$118,390.37
|
$118,390.37
|
$118,390.37
|
2026-03-25
|
|
52799806
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$189,768.00
|
$71,466.63
62% off
|
$82.84
|
$174,586.56
|
$117,656.16
|
2026-03-25
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$83,129.09
|
$138,532.77
|
$116,717.27
|
2026-03-25
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
7
|
4
|
—
|
—
|
$116,133.18
|
$116,133.18
|
$116,133.18
|
2026-03-25
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
7
|
4
|
—
|
—
|
$115,963.34
|
$115,963.34
|
$115,963.34
|
2026-03-25
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
6
|
3
|
—
|
—
|
$82,578.28
|
$137,614.86
|
$115,943.91
|
2026-03-25
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
6
|
3
|
—
|
—
|
$82,517.76
|
$137,514.01
|
$115,858.95
|
2026-03-25
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
7
|
4
|
—
|
—
|
$115,169.99
|
$115,169.99
|
$115,169.99
|
2026-03-25
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
4
|
—
|
—
|
$115,017.12
|
$115,017.12
|
$115,017.12
|
2026-03-25
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
4
|
—
|
—
|
$114,901.02
|
$114,901.02
|
$114,901.02
|
2026-03-25
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
7
|
4
|
—
|
—
|
$114,623.02
|
$114,623.02
|
$114,623.02
|
2026-03-25
|
|
58100033
|
CDM
|
Heart Acquisition
|
38
|
17
|
$157,985.00
|
$59,497.15
62% off
|
$59,497.15
|
$145,346.20
|
$114,618.12
|
2026-03-25
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
3
|
—
|
—
|
$81,204.96
|
$135,326.25
|
$114,015.70
|
2026-03-25
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
3
|
—
|
—
|
$81,204.96
|
$135,326.25
|
$114,015.70
|
2026-03-25
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
7
|
4
|
—
|
—
|
$113,807.97
|
$113,807.97
|
$113,807.97
|
2026-03-25
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
7
|
4
|
—
|
—
|
$113,743.82
|
$113,743.82
|
$113,743.82
|
2026-03-25
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
6
|
3
|
—
|
—
|
$80,909.79
|
$134,834.36
|
$113,601.27
|
2026-03-25
|
|
5931
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
7
|
4
|
—
|
—
|
$112,777.42
|
$112,777.42
|
$112,777.42
|
2026-03-25
|
|
52797297
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$181,549.00
|
$68,371.35
62% off
|
$82.84
|
$167,025.08
|
$112,560.38
|
2026-03-25
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
7
|
4
|
—
|
—
|
$112,195.05
|
$112,195.05
|
$112,195.05
|
2026-03-25
|
|
58142134
|
CDM
|
Liver Acquistion Domino
|
38
|
17
|
$154,411.00
|
$58,151.18
62% off
|
$58,151.18
|
$142,058.12
|
$112,025.18
|
2026-03-25
|
|
58100058
|
CDM
|
Liver Acquisition Cadaveric
|
38
|
17
|
$154,411.00
|
$58,151.18
62% off
|
$58,151.18
|
$142,058.12
|
$112,025.18
|
2026-03-25
|
|
58142126
|
CDM
|
Liver Acquisition Living Donor
|
38
|
17
|
$154,411.00
|
$58,151.18
62% off
|
$58,151.18
|
$142,058.12
|
$112,025.18
|
2026-03-25
|
|
55700751
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$180,610.00
|
$68,017.73
62% off
|
$82.84
|
$166,161.20
|
$111,978.20
|
2026-03-25
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
7
|
4
|
—
|
—
|
$111,911.47
|
$111,911.47
|
$111,911.47
|
2026-03-25
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
7
|
4
|
—
|
—
|
$111,739.26
|
$111,739.26
|
$111,739.26
|
2026-03-25
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
6
|
3
|
—
|
—
|
$79,468.55
|
$132,432.56
|
$111,577.70
|
2026-03-25
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
7
|
4
|
—
|
—
|
$111,363.86
|
$111,363.86
|
$111,363.86
|
2026-03-25
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
7
|
4
|
—
|
—
|
$111,276.39
|
$111,276.39
|
$111,276.39
|
2026-03-25
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
7
|
4
|
—
|
—
|
$111,053.89
|
$111,053.89
|
$111,053.89
|
2026-03-25
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
7
|
4
|
—
|
—
|
$110,819.19
|
$110,819.19
|
$110,819.19
|
2026-03-25
|
|
58100074
|
CDM
|
Pancreas Acquisition
|
38
|
17
|
$152,460.00
|
$57,416.44
62% off
|
$57,416.44
|
$140,263.20
|
$110,609.73
|
2026-03-25
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
7
|
4
|
—
|
—
|
$109,899.76
|
$109,899.76
|
$109,899.76
|
2026-03-25
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
7
|
4
|
—
|
—
|
$109,627.95
|
$109,627.95
|
$109,627.95
|
2026-03-25
|
|
52797313
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$175,811.00
|
$66,210.42
62% off
|
$82.84
|
$161,746.12
|
$109,002.82
|
2026-03-25
|
|
57601171
|
CDM
|
Intestine Acquisition
|
38
|
17
|
$149,697.00
|
$56,375.89
62% off
|
$56,375.89
|
$137,721.24
|
$108,605.17
|
2026-03-25
|
|
56209950
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$175,116.00
|
$65,948.69
62% off
|
$82.84
|
$161,106.72
|
$108,571.92
|
2026-03-25
|
|
2004
|
APR_DRG
|
Cardiac Structural & Valvular Disorders
|
7
|
4
|
—
|
—
|
$107,954.58
|
$107,954.58
|
$107,954.58
|
2026-03-25
|
|
58100017
|
CDM
|
Lung Acquisition-single
|
38
|
17
|
$146,611.00
|
$55,213.70
62% off
|
$55,213.70
|
$134,882.12
|
$106,366.28
|
2026-03-25
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
6
|
3
|
—
|
—
|
$75,685.74
|
$126,128.60
|
$106,266.46
|
2026-03-25
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$75,598.06
|
$125,982.48
|
$106,143.34
|
2026-03-25
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
6
|
3
|
—
|
—
|
$74,873.11
|
$124,774.37
|
$105,125.48
|
2026-03-25
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$104,674.53
|
$104,674.53
|
$104,674.53
|
2026-03-25
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
7
|
4
|
—
|
—
|
$104,651.81
|
$104,651.81
|
$104,651.81
|
2026-03-25
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
6
|
3
|
—
|
—
|
$74,202.51
|
$123,656.82
|
$104,183.92
|
2026-03-25
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
6
|
3
|
—
|
—
|
$74,181.51
|
$123,621.83
|
$104,154.45
|
2026-03-25
|
|
52797305
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$167,818.00
|
$63,200.26
62% off
|
$82.84
|
$154,392.56
|
$104,047.16
|
2026-03-25
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
7
|
4
|
—
|
—
|
$103,777.96
|
$103,777.96
|
$103,777.96
|
2026-03-25
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
3
|
—
|
—
|
$73,644.29
|
$122,726.56
|
$103,400.15
|
2026-03-25
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
6
|
3
|
—
|
—
|
$73,402.23
|
$122,323.17
|
$103,060.29
|
2026-03-25
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
6
|
3
|
—
|
—
|
$73,231.80
|
$122,039.16
|
$102,821.00
|
2026-03-25
|
|
52534120
|
CDM
|
Sod Benzo-sod Phenylac Inj 100mg/mL
|
33
|
16
|
$136,187.30
|
$51,288.14
62% off
|
$51,288.14
|
$125,292.32
|
$102,685.22
|
2026-03-25
|
|
55747810
|
CDM
|
Gammatile Therapy Device
|
45
|
19
|
$164,831.00
|
$62,075.35
62% off
|
$524.16
|
$151,644.52
|
$102,195.22
|
2026-03-25
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
7
|
4
|
—
|
—
|
$102,054.57
|
$102,054.57
|
$102,054.57
|
2026-03-25
|
|
52799947
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$164,467.00
|
$61,938.27
62% off
|
$82.84
|
$151,309.64
|
$101,969.54
|
2026-03-25
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
6
|
3
|
—
|
—
|
$72,477.21
|
$120,781.66
|
$101,761.52
|
2026-03-25
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$72,430.28
|
$120,703.45
|
$101,695.63
|
2026-03-25
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
7
|
4
|
—
|
—
|
$101,277.72
|
$101,277.72
|
$101,277.72
|
2026-03-25
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
7
|
4
|
—
|
—
|
$101,038.94
|
$101,038.94
|
$101,038.94
|
2026-03-25
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
7
|
4
|
—
|
—
|
$100,576.91
|
$100,576.91
|
$100,576.91
|
2026-03-25
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
6
|
3
|
—
|
—
|
$71,223.69
|
$118,692.69
|
$100,001.52
|
2026-03-25
|
|
58100041
|
CDM
|
Kidney Acquisition-cadaveric
|
38
|
17
|
$137,181.00
|
$51,662.36
62% off
|
$51,662.36
|
$126,206.52
|
$99,524.82
|
2026-03-25
|
|
50738376
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$160,522.00
|
$60,452.59
62% off
|
$82.84
|
$147,680.24
|
$99,523.64
|
2026-03-25
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
6
|
3
|
—
|
—
|
$70,769.21
|
$117,935.30
|
$99,363.40
|
2026-03-25
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
6
|
3
|
—
|
—
|
$70,480.22
|
$117,453.71
|
$98,957.64
|
2026-03-25
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
6
|
3
|
—
|
—
|
$70,388.83
|
$117,301.41
|
$98,829.33
|
2026-03-25
|
|
55704142
|
CDM
|
Generator Neuro Non-recharg
|
45
|
19
|
$158,625.00
|
$59,738.18
62% off
|
$524.16
|
$145,935.00
|
$98,347.50
|
2026-03-25
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
7
|
4
|
—
|
—
|
$98,064.99
|
$98,064.99
|
$98,064.99
|
2026-03-25
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
7
|
4
|
—
|
—
|
$97,549.52
|
$97,549.52
|
$97,549.52
|
2026-03-25
|
|
55700744
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$157,265.00
|
$59,226.00
62% off
|
$82.84
|
$144,683.80
|
$97,504.30
|
2026-03-25
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
3
|
—
|
—
|
$69,431.70
|
$115,706.38
|
$97,485.48
|
2026-03-25
|
|
53300687
|
CDM
|
Srs,(cerebral)1 Ses Multi Co60
|
45
|
19
|
$157,077.00
|
$59,155.20
62% off
|
$29,078.36
|
$144,510.84
|
$97,387.74
|
2026-03-25
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
7
|
4
|
—
|
—
|
$97,374.00
|
$97,374.00
|
$97,374.00
|
2026-03-25
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
6
|
3
|
—
|
—
|
$69,216.81
|
$115,348.27
|
$97,183.76
|
2026-03-25
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
7
|
4
|
—
|
—
|
$97,069.40
|
$97,069.40
|
$97,069.40
|
2026-03-25
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
7
|
4
|
—
|
—
|
$97,040.10
|
$97,040.10
|
$97,040.10
|
2026-03-25
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
7
|
4
|
—
|
—
|
$96,948.30
|
$96,948.30
|
$96,948.30
|
2026-03-25
|
|
3213
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
7
|
4
|
—
|
—
|
$96,872.40
|
$96,872.40
|
$96,872.40
|
2026-03-25
|
|
6301
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
7
|
4
|
—
|
—
|
$96,758.04
|
$96,758.04
|
$96,758.04
|
2026-03-25
|
|
6302
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
7
|
4
|
—
|
—
|
$96,758.04
|
$96,758.04
|
$96,758.04
|
2026-03-25
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
7
|
4
|
—
|
—
|
$96,758.04
|
$96,758.04
|
$96,758.04
|
2026-03-25
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
6
|
3
|
—
|
—
|
$68,742.57
|
$114,557.96
|
$96,517.91
|
2026-03-25
|
|
52799780
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$155,189.00
|
$58,444.18
62% off
|
$82.84
|
$142,773.88
|
$96,217.18
|
2026-03-25
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
7
|
4
|
—
|
—
|
$95,802.54
|
$95,802.54
|
$95,802.54
|
2026-03-25
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
7
|
4
|
—
|
—
|
$95,802.54
|
$95,802.54
|
$95,802.54
|
2026-03-25
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
6
|
3
|
—
|
—
|
$68,209.05
|
$113,668.86
|
$95,768.82
|
2026-03-25
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
6
|
3
|
—
|
—
|
$67,800.27
|
$112,987.63
|
$95,194.87
|
2026-03-25
|
|
50751577
|
CDM
|
Aicd Other Than Sing/dual
|
45
|
19
|
$153,226.00
|
$57,704.91
62% off
|
$82.84
|
$140,967.92
|
$95,000.12
|
2026-03-25
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
7
|
4
|
—
|
—
|
$94,985.80
|
$94,985.80
|
$94,985.80
|
2026-03-25
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
6
|
3
|
—
|
—
|
$67,560.68
|
$112,588.36
|
$94,858.47
|
2026-03-25
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
6
|
3
|
—
|
—
|
$67,464.35
|
$112,427.83
|
$94,723.22
|
2026-03-25
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
6
|
3
|
—
|
—
|
$67,358.14
|
$112,250.83
|
$94,574.10
|
2026-03-25
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
7
|
4
|
—
|
—
|
$94,520.97
|
$94,520.97
|
$94,520.97
|
2026-03-25
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
6
|
3
|
—
|
—
|
$67,088.91
|
$111,802.17
|
$94,196.08
|
2026-03-25
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
7
|
4
|
—
|
—
|
$93,687.08
|
$93,687.08
|
$93,687.08
|
2026-03-25
|
|
56208754
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$151,037.00
|
$56,880.53
62% off
|
$82.84
|
$138,954.04
|
$93,642.94
|
2026-03-25
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
7
|
4
|
—
|
—
|
$93,332.37
|
$93,332.37
|
$93,332.37
|
2026-03-25
|
|
50736792
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$150,462.00
|
$56,663.99
62% off
|
$82.84
|
$138,425.04
|
$93,286.44
|
2026-03-25
|
|
55747802
|
CDM
|
Gammatile Therapy Device
|
45
|
19
|
$150,373.00
|
$56,630.47
62% off
|
$524.16
|
$138,343.16
|
$93,231.26
|
2026-03-25
|
|
52798253
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$150,270.00
|
$56,591.68
62% off
|
$82.84
|
$138,248.40
|
$93,167.40
|
2026-03-25
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
7
|
4
|
—
|
—
|
$93,047.62
|
$93,047.62
|
$93,047.62
|
2026-03-25
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
3
|
—
|
—
|
$65,860.08
|
$109,754.36
|
$92,470.75
|
2026-03-25
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
6
|
3
|
—
|
—
|
$65,820.56
|
$109,688.50
|
$92,415.27
|
2026-03-25
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
7
|
4
|
—
|
—
|
$92,323.37
|
$92,323.37
|
$92,323.37
|
2026-03-25
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
7
|
4
|
—
|
—
|
$92,232.30
|
$92,232.30
|
$92,232.30
|
2026-03-25
|
|
52794633
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$148,184.00
|
$55,806.09
62% off
|
$82.84
|
$136,329.28
|
$91,874.08
|
2026-03-25
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
6
|
3
|
—
|
—
|
$65,378.43
|
$108,951.70
|
$91,794.49
|
2026-03-25
|
|
52550092
|
CDM
|
Histrelin Inj 50 Mg (Supprelin La)
|
45
|
19
|
$125,577.35
|
$47,292.43
62% off
|
$47,292.43
|
$124,713.11
|
$91,671.47
|
2026-03-25
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
6
|
3
|
—
|
—
|
$65,162.31
|
$108,591.53
|
$91,491.04
|
2026-03-25
|
|
58100066
|
CDM
|
Pancreas Acq-combined W/kidney
|
38
|
17
|
$125,917.00
|
$47,420.34
62% off
|
$47,420.34
|
$115,843.64
|
$91,352.79
|
2026-03-25
|
|
50755347
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$146,622.00
|
$55,217.85
62% off
|
$82.84
|
$134,892.24
|
$90,905.64
|
2026-03-25
|
|
50751544
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$146,622.00
|
$55,217.85
62% off
|
$82.84
|
$134,892.24
|
$90,905.64
|
2026-03-25
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
7
|
4
|
—
|
—
|
$90,448.37
|
$90,448.37
|
$90,448.37
|
2026-03-25
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
7
|
4
|
—
|
—
|
$90,339.64
|
$90,339.64
|
$90,339.64
|
2026-03-25
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
6
|
3
|
—
|
—
|
$64,286.69
|
$107,132.34
|
$90,261.64
|
2026-03-25
|
|
2992
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
4
|
—
|
—
|
$90,231.60
|
$90,231.60
|
$90,231.60
|
2026-03-25
|
|
234
|
APR_DRG
|
Spinal Procedures
|
7
|
4
|
—
|
—
|
$90,204.57
|
$90,204.57
|
$90,204.57
|
2026-03-25
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
6
|
3
|
—
|
—
|
$64,175.54
|
$106,947.11
|
$90,105.57
|
2026-03-25
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
7
|
4
|
—
|
—
|
$89,298.56
|
$89,298.56
|
$89,298.56
|
2026-03-25
|
|
55737928
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$143,732.00
|
$54,129.47
62% off
|
$82.84
|
$132,233.44
|
$89,113.84
|
2026-03-25
|
|
52738143
|
CDM
|
Cochlear Device
|
38
|
17
|
$122,280.00
|
$46,050.65
62% off
|
$46,050.65
|
$112,497.60
|
$88,714.14
|
2026-03-25
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
4
|
—
|
—
|
$88,620.13
|
$88,620.13
|
$88,620.13
|
2026-03-25
|
|
53403796
|
CDM
|
Lu-177 Psma Pluvicto 200 Mci
|
38
|
17
|
$122,902.00
|
$46,284.89
62% off
|
$46,284.89
|
$113,069.84
|
$88,550.89
|
2026-03-25
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
7
|
4
|
—
|
—
|
$88,491.13
|
$88,491.13
|
$88,491.13
|
2026-03-25
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
7
|
4
|
—
|
—
|
$87,793.50
|
$87,793.50
|
$87,793.50
|
2026-03-25
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
7
|
4
|
—
|
—
|
$87,568.42
|
$87,568.42
|
$87,568.42
|
2026-03-25
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
3
|
—
|
—
|
$62,246.47
|
$103,732.36
|
$87,397.07
|
2026-03-25
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
6
|
3
|
—
|
—
|
$61,594.39
|
$102,645.68
|
$86,481.52
|
2026-03-25
|
|
52749710
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$139,326.00
|
$52,470.17
62% off
|
$82.84
|
$128,179.92
|
$86,382.12
|
2026-03-25
|
|
50736800
|
CDM
|
Aicd Single Chamber
|
45
|
19
|
$138,633.00
|
$52,209.19
62% off
|
$82.84
|
$127,542.36
|
$85,952.46
|
2026-03-25
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
7
|
4
|
—
|
—
|
$85,912.30
|
$85,912.30
|
$85,912.30
|
2026-03-25
|
|
55729305
|
CDM
|
Generator Neuro Non-recharg
|
45
|
19
|
$138,541.00
|
$52,174.54
62% off
|
$524.16
|
$127,457.72
|
$85,895.42
|
2026-03-25
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
6
|
3
|
—
|
—
|
$61,100.39
|
$101,822.44
|
$85,787.92
|
2026-03-25
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
7
|
4
|
—
|
—
|
$85,673.79
|
$85,673.79
|
$85,673.79
|
2026-03-25
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$60,991.71
|
$101,641.33
|
$85,635.33
|
2026-03-25
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
7
|
4
|
—
|
—
|
$85,568.88
|
$85,568.88
|
$85,568.88
|
2026-03-25
|
|
55737936
|
CDM
|
Aicd Single Chamber
|
45
|
19
|
$137,983.00
|
$51,964.40
62% off
|
$82.84
|
$126,944.36
|
$85,549.46
|
2026-03-25
|
|
55720247
|
CDM
|
Pmkr Other Than Sing/dual
|
45
|
19
|
$137,883.00
|
$51,926.74
62% off
|
$82.84
|
$126,852.36
|
$85,487.46
|
2026-03-25
|
|
55700736
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$137,666.00
|
$51,845.02
62% off
|
$82.84
|
$126,652.72
|
$85,352.92
|
2026-03-25
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
6
|
3
|
—
|
—
|
$60,783.00
|
$101,293.51
|
$85,342.27
|
2026-03-25
|
|
52738135
|
CDM
|
Cochlear Device
|
38
|
17
|
$117,220.00
|
$44,145.05
62% off
|
$44,145.05
|
$107,842.40
|
$85,043.11
|
2026-03-25
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
6
|
3
|
—
|
—
|
$60,529.82
|
$100,871.60
|
$84,986.81
|
2026-03-25
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
7
|
4
|
—
|
—
|
$84,403.30
|
$84,403.30
|
$84,403.30
|
2026-03-25
|
|
55747794
|
CDM
|
Gammatile Therapy Device
|
45
|
19
|
$135,915.00
|
$51,185.59
62% off
|
$524.16
|
$125,041.80
|
$84,267.30
|
2026-03-25
|
|
52794617
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$135,882.00
|
$51,173.16
62% off
|
$82.84
|
$125,011.44
|
$84,246.84
|
2026-03-25
|
|
52799913
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$135,516.00
|
$51,035.33
62% off
|
$82.84
|
$124,674.72
|
$84,019.92
|
2026-03-25
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
6
|
3
|
—
|
—
|
$59,634.45
|
$99,379.47
|
$83,729.66
|
2026-03-25
|
|
52730017
|
CDM
|
Aicd Dual Chamber
|
45
|
19
|
$134,984.00
|
$50,834.97
62% off
|
$82.84
|
$124,185.28
|
$83,690.08
|
2026-03-25
|
|
52738085
|
CDM
|
Cochlear Device
|
38
|
17
|
$114,882.00
|
$43,264.56
62% off
|
$43,264.56
|
$105,691.44
|
$83,346.89
|
2026-03-25
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
6
|
3
|
—
|
—
|
$59,333.11
|
$98,877.30
|
$83,306.57
|
2026-03-25
|
|
7924
|
APR_DRG
|
Extensive Or Procedures For Other Complications Of Treatment
|
7
|
4
|
—
|
—
|
$83,239.52
|
$83,239.52
|
$83,239.52
|
2026-03-25
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
6
|
3
|
—
|
—
|
$58,795.88
|
$97,982.02
|
$82,552.27
|
2026-03-25
|
|
52545092
|
CDM
|
Carmustine Wafer
|
38
|
17
|
$113,749.00
|
$42,837.87
62% off
|
$42,837.87
|
$104,649.08
|
$82,524.90
|
2026-03-25
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
7
|
4
|
—
|
—
|
$81,963.38
|
$81,963.38
|
$81,963.38
|
2026-03-25
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
6
|
3
|
—
|
—
|
$58,062.29
|
$96,759.51
|
$81,522.27
|
2026-03-25
|
|
55737332
|
CDM
|
Anchor/screw Bn/bntis/bn
|
45
|
19
|
$131,399.00
|
$49,484.86
62% off
|
$524.16
|
$120,887.08
|
$81,467.38
|
2026-03-25
|
|
52794377
|
CDM
|
Aicd Single Chamber
|
45
|
19
|
$131,301.00
|
$49,447.96
62% off
|
$82.84
|
$120,796.92
|
$81,406.62
|
2026-03-25
|