|
52545092
|
CDM
|
Carmustine Wafer
|
37
|
17
|
$113,749.00
|
$32,475.34
71% off
|
$32,475.34
|
$108,061.55
|
$96,686.65
|
2026-03-25
|
|
52738085
|
CDM
|
Cochlear Device
|
37
|
17
|
$114,882.00
|
$32,798.81
71% off
|
$32,798.81
|
$109,137.90
|
$97,649.70
|
2026-03-25
|
|
52738135
|
CDM
|
Cochlear Device
|
37
|
17
|
$117,220.00
|
$33,466.31
71% off
|
$33,466.31
|
$111,359.00
|
$99,637.00
|
2026-03-25
|
|
52738143
|
CDM
|
Cochlear Device
|
37
|
17
|
$122,280.00
|
$34,910.94
71% off
|
$34,910.94
|
$116,166.00
|
$103,938.00
|
2026-03-25
|
|
55729362
|
CDM
|
Berlin Heart
|
44
|
19
|
$122,434.00
|
$34,954.91
71% off
|
$524.16
|
$116,312.30
|
$93,111.05
|
2026-03-25
|
|
55737894
|
CDM
|
Cochlear System
|
44
|
19
|
$122,652.00
|
$35,017.15
71% off
|
$524.16
|
$116,519.40
|
$93,276.85
|
2026-03-25
|
|
53403796
|
CDM
|
Lu-177 Psma Pluvicto 200 Mci
|
37
|
17
|
$122,902.00
|
$35,088.52
71% off
|
$35,088.52
|
$116,756.90
|
$104,466.70
|
2026-03-25
|
|
52794609
|
CDM
|
Aicd Single Chamber
|
44
|
19
|
$124,112.00
|
$35,433.98
71% off
|
$82.84
|
$117,906.40
|
$94,387.18
|
2026-03-25
|
|
55718399
|
CDM
|
Generator Neuro Rechg Bat Sy
|
44
|
19
|
$125,124.00
|
$35,722.90
71% off
|
$524.16
|
$118,867.80
|
$95,156.80
|
2026-03-25
|
|
52550092
|
CDM
|
Histrelin Inj 50 Mg (Supprelin La)
|
44
|
19
|
$125,577.35
|
$35,852.33
71% off
|
$35,852.33
|
$124,713.11
|
$95,501.58
|
2026-03-25
|
|
58100066
|
CDM
|
Pancreas Acq-combined W/kidney
|
37
|
17
|
$125,917.00
|
$35,949.30
71% off
|
$35,949.30
|
$119,621.15
|
$107,029.45
|
2026-03-25
|
|
50743699
|
CDM
|
Generator Neuro Non-recharg
|
44
|
19
|
$126,739.00
|
$36,183.98
71% off
|
$524.16
|
$120,402.05
|
$96,385.01
|
2026-03-25
|
|
55751507
|
CDM
|
Device Ventricular Assist
|
44
|
19
|
$127,767.00
|
$36,477.48
71% off
|
$121.68
|
$121,378.65
|
$97,166.80
|
2026-03-25
|
|
55748008
|
CDM
|
System Circulatory Assist
|
44
|
19
|
$130,130.00
|
$37,152.12
71% off
|
$524.16
|
$123,623.50
|
$98,963.86
|
2026-03-25
|
|
52794377
|
CDM
|
Aicd Single Chamber
|
44
|
19
|
$131,301.00
|
$37,486.44
71% off
|
$82.84
|
$124,735.95
|
$99,854.41
|
2026-03-25
|
|
55737332
|
CDM
|
Anchor/screw Bn/bntis/bn
|
44
|
19
|
$131,399.00
|
$37,514.41
71% off
|
$524.16
|
$124,829.05
|
$99,928.94
|
2026-03-25
|
|
52730017
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$134,984.00
|
$38,537.93
71% off
|
$82.84
|
$128,234.80
|
$102,655.33
|
2026-03-25
|
|
52799913
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$135,516.00
|
$38,689.82
71% off
|
$82.84
|
$128,740.20
|
$103,059.92
|
2026-03-25
|
|
52794617
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$135,882.00
|
$38,794.31
71% off
|
$82.84
|
$129,087.90
|
$103,338.26
|
2026-03-25
|
|
55747794
|
CDM
|
Gammatile Therapy Device
|
44
|
19
|
$135,915.00
|
$38,803.73
71% off
|
$524.16
|
$129,119.25
|
$103,363.36
|
2026-03-25
|
|
52534120
|
CDM
|
Sod Benzo-sod Phenylac Inj 100mg/mL
|
37
|
17
|
$136,187.30
|
$38,881.47
71% off
|
$38,881.47
|
$129,377.94
|
$115,759.21
|
2026-03-25
|
|
58100041
|
CDM
|
Kidney Acquisition-cadaveric
|
37
|
17
|
$137,181.00
|
$39,165.18
71% off
|
$39,165.18
|
$130,321.95
|
$116,603.85
|
2026-03-25
|
|
55700736
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$137,666.00
|
$39,303.64
71% off
|
$82.84
|
$130,782.70
|
$104,694.99
|
2026-03-25
|
|
55720247
|
CDM
|
Pmkr Other Than Sing/dual
|
44
|
19
|
$137,883.00
|
$39,365.60
71% off
|
$82.84
|
$130,988.85
|
$104,860.02
|
2026-03-25
|
|
55737936
|
CDM
|
Aicd Single Chamber
|
44
|
19
|
$137,983.00
|
$39,394.15
71% off
|
$82.84
|
$131,083.85
|
$104,936.07
|
2026-03-25
|
|
55729305
|
CDM
|
Generator Neuro Non-recharg
|
44
|
19
|
$138,541.00
|
$39,553.46
71% off
|
$524.16
|
$131,613.95
|
$105,360.43
|
2026-03-25
|
|
50736800
|
CDM
|
Aicd Single Chamber
|
44
|
19
|
$138,633.00
|
$39,579.72
71% off
|
$82.84
|
$131,701.35
|
$105,430.39
|
2026-03-25
|
|
52749710
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$139,326.00
|
$39,777.57
71% off
|
$82.84
|
$132,359.70
|
$105,957.43
|
2026-03-25
|
|
55737928
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$143,732.00
|
$41,035.49
71% off
|
$82.84
|
$136,545.40
|
$109,308.18
|
2026-03-25
|
|
58100017
|
CDM
|
Lung Acquisition-single
|
37
|
17
|
$146,611.00
|
$41,857.44
71% off
|
$41,857.44
|
$139,280.45
|
$124,619.35
|
2026-03-25
|
|
50755347
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$146,622.00
|
$41,860.58
71% off
|
$82.84
|
$139,290.90
|
$111,506.03
|
2026-03-25
|
|
50751544
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$146,622.00
|
$41,860.58
71% off
|
$82.84
|
$139,290.90
|
$111,506.03
|
2026-03-25
|
|
52794633
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$148,184.00
|
$42,306.53
71% off
|
$82.84
|
$140,774.80
|
$112,693.93
|
2026-03-25
|
|
55748990
|
CDM
|
Cultured Chondrocyter Implnt
|
36
|
16
|
$148,357.00
|
$42,355.92
71% off
|
$42,355.92
|
$166,828.75
|
$131,592.66
|
2026-03-25
|
|
57601171
|
CDM
|
Intestine Acquisition
|
37
|
17
|
$149,697.00
|
$42,738.49
71% off
|
$42,738.49
|
$142,212.15
|
$127,242.45
|
2026-03-25
|
|
52798253
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$150,270.00
|
$42,902.09
71% off
|
$82.84
|
$142,756.50
|
$114,280.33
|
2026-03-25
|
|
55747802
|
CDM
|
Gammatile Therapy Device
|
44
|
19
|
$150,373.00
|
$42,931.49
71% off
|
$524.16
|
$142,854.35
|
$114,358.66
|
2026-03-25
|
|
50736792
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$150,462.00
|
$42,956.90
71% off
|
$82.84
|
$142,938.90
|
$114,426.35
|
2026-03-25
|
|
56208754
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$151,037.00
|
$43,121.06
71% off
|
$82.84
|
$143,485.15
|
$114,863.64
|
2026-03-25
|
|
58100074
|
CDM
|
Pancreas Acquisition
|
37
|
17
|
$152,460.00
|
$43,527.33
71% off
|
$43,527.33
|
$144,837.00
|
$129,591.00
|
2026-03-25
|
|
50751577
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$153,226.00
|
$43,746.02
71% off
|
$82.84
|
$145,564.70
|
$116,528.38
|
2026-03-25
|
|
56300825
|
CDM
|
Y-90 Zevalin, Per Dose
|
44
|
19
|
$153,485.10
|
$43,820.00
71% off
|
$43,820.00
|
$169,868.49
|
$130,664.64
|
2026-03-25
|
|
58142134
|
CDM
|
Liver Acquistion Domino
|
37
|
17
|
$154,411.00
|
$44,084.34
71% off
|
$44,084.34
|
$146,690.45
|
$131,249.35
|
2026-03-25
|
|
58100058
|
CDM
|
Liver Acquisition Cadaveric
|
37
|
17
|
$154,411.00
|
$44,084.34
71% off
|
$44,084.34
|
$146,690.45
|
$131,249.35
|
2026-03-25
|
|
58142126
|
CDM
|
Liver Acquisition Living Donor
|
37
|
17
|
$154,411.00
|
$44,084.34
71% off
|
$44,084.34
|
$146,690.45
|
$131,249.35
|
2026-03-25
|
|
52799780
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$155,189.00
|
$44,306.46
71% off
|
$82.84
|
$147,429.55
|
$118,021.24
|
2026-03-25
|
|
53300687
|
CDM
|
Srs,(cerebral)1 Ses Multi Co60
|
44
|
19
|
$157,077.00
|
$44,845.48
71% off
|
$29,078.36
|
$149,223.15
|
$119,457.06
|
2026-03-25
|
|
55700744
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$157,265.00
|
$44,899.16
71% off
|
$82.84
|
$149,401.75
|
$119,600.04
|
2026-03-25
|
|
58100033
|
CDM
|
Heart Acquisition
|
37
|
17
|
$157,985.00
|
$45,104.72
71% off
|
$45,104.72
|
$150,085.75
|
$134,287.25
|
2026-03-25
|
|
55704142
|
CDM
|
Generator Neuro Non-recharg
|
44
|
19
|
$158,625.00
|
$45,287.44
71% off
|
$524.16
|
$150,693.75
|
$120,634.32
|
2026-03-25
|
|
50738376
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$160,522.00
|
$45,829.03
71% off
|
$82.84
|
$152,495.90
|
$122,076.98
|
2026-03-25
|
|
52799947
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$164,467.00
|
$46,955.33
71% off
|
$82.84
|
$156,243.65
|
$125,077.15
|
2026-03-25
|
|
55747810
|
CDM
|
Gammatile Therapy Device
|
44
|
19
|
$164,831.00
|
$47,059.25
71% off
|
$524.16
|
$156,589.45
|
$125,353.97
|
2026-03-25
|
|
52797305
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$167,818.00
|
$47,912.04
71% off
|
$82.84
|
$159,427.10
|
$127,625.59
|
2026-03-25
|
|
50721950
|
CDM
|
Bmt Allogeneic Unrelated
|
37
|
17
|
$172,363.00
|
$49,209.64
71% off
|
$49,209.64
|
$163,744.85
|
$146,508.55
|
2026-03-25
|
|
56209950
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$175,116.00
|
$49,995.62
71% off
|
$82.84
|
$166,360.20
|
$133,175.72
|
2026-03-25
|
|
52797313
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$175,811.00
|
$50,194.04
71% off
|
$82.84
|
$167,020.45
|
$133,704.26
|
2026-03-25
|
|
52596475
|
CDM
|
Botulism Immune Globulin Inj 50 mg/mL (iv)
|
37
|
17
|
$178,162.85
|
$50,865.49
71% off
|
$50,865.49
|
$169,254.71
|
$151,438.42
|
2026-03-25
|
|
55700751
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$180,610.00
|
$51,564.16
71% off
|
$82.84
|
$171,579.50
|
$137,353.90
|
2026-03-25
|
|
52797297
|
CDM
|
Aicd Dual Chamber
|
44
|
19
|
$181,549.00
|
$51,832.24
71% off
|
$82.84
|
$172,471.55
|
$138,068.02
|
2026-03-25
|
|
56507742
|
CDM
|
Nadofaragene Firadenovec Inj
|
44
|
19
|
$182,700.00
|
$52,160.85
71% off
|
$52,160.85
|
$174,225.62
|
$138,943.35
|
2026-03-25
|
|
52799806
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$189,768.00
|
$54,178.76
71% off
|
$82.84
|
$180,279.60
|
$144,318.57
|
2026-03-25
|
|
55747828
|
CDM
|
Gammatile Therapy Device
|
44
|
19
|
$193,750.00
|
$55,315.63
71% off
|
$524.16
|
$184,062.50
|
$147,346.88
|
2026-03-25
|
|
50730332
|
CDM
|
Aicd Other Than Sing/dual
|
44
|
19
|
$195,559.00
|
$55,832.09
71% off
|
$82.84
|
$185,781.05
|
$148,722.62
|
2026-03-25
|
|
52573912
|
CDM
|
Sipuleucel-t 250 Ml
|
44
|
19
|
$196,489.65
|
$56,097.80
71% off
|
$56,097.80
|
$186,665.17
|
$134,789.65
|
2026-03-25
|
|
58100025
|
CDM
|
Kidney Acquisition-lrd
|
37
|
17
|
$204,309.00
|
$58,330.22
71% off
|
$58,330.22
|
$194,093.55
|
$173,662.65
|
2026-03-25
|
|
52760881
|
CDM
|
Lung Acquisition-double
|
37
|
17
|
$210,810.00
|
$60,186.26
71% off
|
$60,186.26
|
$200,269.50
|
$179,188.50
|
2026-03-25
|
|
56329485
|
CDM
|
Gemcitabine Ives Sys 225mg
|
45
|
19
|
$216,315.00
|
$61,757.93
71% off
|
$37.28
|
$205,499.25
|
$155,963.12
|
2026-03-25
|
|
55747836
|
CDM
|
Gammatile Therapy Device
|
44
|
19
|
$222,668.00
|
$63,571.71
71% off
|
$524.16
|
$211,534.60
|
$169,339.02
|
2026-03-25
|
|
55747844
|
CDM
|
Gammatile Therapy Device
|
44
|
19
|
$266,044.00
|
$75,955.56
71% off
|
$524.16
|
$252,741.80
|
$202,326.46
|
2026-03-25
|
|
55727275
|
CDM
|
Implant Hvad Pump
|
44
|
19
|
$273,585.00
|
$78,108.52
71% off
|
$524.16
|
$259,905.75
|
$208,061.40
|
2026-03-25
|
|
55729339
|
CDM
|
Heartmate
|
44
|
19
|
$276,183.00
|
$78,850.25
71% off
|
$524.16
|
$262,373.85
|
$210,037.17
|
2026-03-25
|
|
52780152
|
CDM
|
Heartmate
|
44
|
19
|
$428,478.00
|
$122,330.47
71% off
|
$524.16
|
$407,054.10
|
$325,857.52
|
2026-03-25
|
|
52596608
|
CDM
|
Brexucabtagene Autoleucel Inj (iv)
|
36
|
19
|
$693,000.00
|
$197,851.50
71% off
|
$0.03
|
$658,350.00
|
$491,856.75
|
2026-03-25
|
|
52590668
|
CDM
|
Axicabtagene Ciloleucel Inj (iv)
|
36
|
19
|
$755,370.00
|
$215,658.14
71% off
|
$0.03
|
$717,601.50
|
$536,123.86
|
2026-03-25
|
|
52594413
|
CDM
|
Tisagenlecleucel Inj (iv)(dlbcl)
|
29
|
16
|
$784,727.70
|
$224,039.76
71% off
|
$0.03
|
$745,491.32
|
$627,782.16
|
2026-03-25
|
|
52598240
|
CDM
|
Idecabtagene Vicleucel Inj
|
36
|
19
|
$792,468.65
|
$226,249.80
71% off
|
$0.03
|
$752,845.22
|
$571,369.89
|
2026-03-25
|
|
52597630
|
CDM
|
Lisocabtagene Maraleucel Inj
|
36
|
19
|
$797,025.60
|
$227,550.81
71% off
|
$0.03
|
$757,174.32
|
$585,813.82
|
2026-03-25
|
|
52599552
|
CDM
|
Ciltacabtagene Autoleucel Inj
|
36
|
19
|
$832,965.70
|
$237,811.71
71% off
|
$0.03
|
$791,317.42
|
$591,197.41
|
2026-03-25
|
|
52590841
|
CDM
|
Tisagenlecleucel Inj (iv)(all)
|
29
|
16
|
$912,121.10
|
$260,410.57
71% off
|
$0.03
|
$866,515.05
|
$729,696.88
|
2026-03-25
|
|
56504582
|
CDM
|
Obecabtagene Autoleucel Inj
|
40
|
19
|
$945,000.00
|
$269,797.50
71% off
|
$269,797.50
|
$897,750.00
|
$680,872.50
|
2026-03-25
|
|
56507262
|
CDM
|
Lifileucel Inj
|
37
|
17
|
$1,614,525.00
|
$460,946.89
71% off
|
$460,946.89
|
$1,533,798.75
|
$1,372,346.25
|
2026-03-25
|
|
56504608
|
CDM
|
Afamitresgene Autoleucel Inj
|
40
|
19
|
$1,817,500.00
|
$518,896.25
71% off
|
$518,896.25
|
$1,726,625.00
|
$1,309,508.75
|
2026-03-25
|
|
56507668
|
CDM
|
Exagamglogene Autotemcel Inj
|
33
|
16
|
$3,448,500.00
|
$984,546.75
71% off
|
$984,546.75
|
$3,276,075.00
|
$2,931,225.00
|
2026-03-25
|
|
56501190
|
CDM
|
Betibeglogene Autotemcel Inj
|
29
|
16
|
$4,564,560.00
|
$1,303,181.88
71% off
|
$0.03
|
$4,336,332.00
|
$3,651,648.00
|
2026-03-25
|
|
56508781
|
CDM
|
Lovotibeglogene Autotemcel Inj
|
29
|
16
|
$4,650,000.00
|
$1,327,575.00
71% off
|
$0.03
|
$4,417,500.00
|
$3,720,000.00
|
2026-03-25
|
|
56552177
|
CDM
|
Delandistrogene Moxeparvovec Inj
|
36
|
19
|
—
|
$1,489,350.72
|
$0.03
|
$4,955,808.00
|
$3,702,510.24
|
2026-03-25
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
3
|
—
|
—
|
$643,553.27
|
$1,181,351.86
|
$886,996.30
|
2026-03-25
|
|
0114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$647,979.12
|
$647,979.12
|
$647,979.12
|
2026-03-25
|
|
5834
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$588,944.20
|
$588,944.20
|
$588,944.20
|
2026-03-25
|
|
5833
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$588,944.20
|
$588,944.20
|
$588,944.20
|
2026-03-25
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
6
|
3
|
—
|
—
|
$417,640.18
|
$766,649.83
|
$575,624.92
|
2026-03-25
|
|
5831
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$558,502.30
|
$558,502.30
|
$558,502.30
|
2026-03-25
|
|
5832
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$558,502.30
|
$558,502.30
|
$558,502.30
|
2026-03-25
|
|
0024
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$537,458.68
|
$537,458.68
|
$537,458.68
|
2026-03-25
|
|
5884
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$503,124.62
|
$503,124.62
|
$503,124.62
|
2026-03-25
|
|
1614
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$469,930.95
|
$469,930.95
|
$469,930.95
|
2026-03-25
|
|
6314
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$469,136.53
|
$469,136.53
|
$469,136.53
|
2026-03-25
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
6
|
3
|
—
|
—
|
$318,186.50
|
$584,085.63
|
$438,549.95
|
2026-03-25
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
6
|
3
|
—
|
—
|
$316,319.16
|
$580,657.80
|
$435,976.22
|
2026-03-25
|
|
5883
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$396,403.43
|
$396,403.43
|
$396,403.43
|
2026-03-25
|
|
0044
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$393,435.20
|
$393,435.20
|
$393,435.20
|
2026-03-25
|
|
0113
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$378,177.99
|
$378,177.99
|
$378,177.99
|
2026-03-25
|
|
0074
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$333,375.47
|
$333,375.47
|
$333,375.47
|
2026-03-25
|
|
5914
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$332,614.53
|
$332,614.53
|
$332,614.53
|
2026-03-25
|
|
0014
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$328,688.97
|
$328,688.97
|
$328,688.97
|
2026-03-25
|
|
5934
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$317,330.38
|
$317,330.38
|
$317,330.38
|
2026-03-25
|
|
0112
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$304,837.81
|
$304,837.81
|
$304,837.81
|
2026-03-25
|
|
1613
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$303,870.59
|
$303,870.59
|
$303,870.59
|
2026-03-25
|
|
1612
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$303,851.24
|
$303,851.24
|
$303,851.24
|
2026-03-25
|
|
1611
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$302,838.59
|
$302,838.59
|
$302,838.59
|
2026-03-25
|
|
0023
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$295,712.02
|
$295,712.02
|
$295,712.02
|
2026-03-25
|
|
5881
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$294,207.35
|
$294,207.35
|
$294,207.35
|
2026-03-25
|
|
5882
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$294,207.35
|
$294,207.35
|
$294,207.35
|
2026-03-25
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
6
|
3
|
—
|
—
|
$206,427.41
|
$378,932.75
|
$284,514.68
|
2026-03-25
|
|
7
|
MS_DRG
|
Lung Transplant
|
6
|
3
|
—
|
—
|
$192,996.83
|
$354,278.62
|
$266,003.58
|
2026-03-25
|
|
6094
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$250,369.68
|
$250,369.68
|
$250,369.68
|
2026-03-25
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
3
|
—
|
—
|
$179,102.76
|
$328,773.69
|
$246,853.67
|
2026-03-25
|
|
6024
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$245,243.37
|
$245,243.37
|
$245,243.37
|
2026-03-25
|
|
0022
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$243,586.70
|
$243,586.70
|
$243,586.70
|
2026-03-25
|
|
1604
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$242,358.25
|
$242,358.25
|
$242,358.25
|
2026-03-25
|
|
6304
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$235,523.02
|
$235,523.02
|
$235,523.02
|
2026-03-25
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
6
|
3
|
—
|
—
|
$168,877.82
|
$310,004.05
|
$232,760.84
|
2026-03-25
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
6
|
3
|
—
|
—
|
$168,684.08
|
$309,648.41
|
$232,493.81
|
2026-03-25
|
|
0054
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$228,748.68
|
$228,748.68
|
$228,748.68
|
2026-03-25
|
|
0094
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$227,390.60
|
$227,390.60
|
$227,390.60
|
2026-03-25
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
3
|
—
|
—
|
$164,248.94
|
$301,506.97
|
$226,380.96
|
2026-03-25
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
6
|
3
|
—
|
—
|
$162,056.71
|
$297,482.75
|
$223,359.45
|
2026-03-25
|
|
0073
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$220,943.88
|
$220,943.88
|
$220,943.88
|
2026-03-25
|
|
6074
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$219,132.78
|
$219,132.78
|
$219,132.78
|
2026-03-25
|
|
0021
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$217,018.03
|
$217,018.03
|
$217,018.03
|
2026-03-25
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
6
|
3
|
—
|
—
|
$153,657.38
|
$282,064.35
|
$211,782.83
|
2026-03-25
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
6
|
3
|
—
|
—
|
$148,389.17
|
$272,393.65
|
$204,521.76
|
2026-03-25
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
3
|
—
|
—
|
$145,793.07
|
$267,628.06
|
$200,943.60
|
2026-03-25
|
|
0043
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$199,957.70
|
$199,957.70
|
$199,957.70
|
2026-03-25
|
|
0072
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$198,437.33
|
$198,437.33
|
$198,437.33
|
2026-03-25
|
|
5933
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$191,842.30
|
$191,842.30
|
$191,842.30
|
2026-03-25
|
|
8504
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$186,758.52
|
$186,758.52
|
$186,758.52
|
2026-03-25
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
6
|
3
|
—
|
—
|
$134,270.07
|
$246,475.63
|
$185,061.69
|
2026-03-25
|
|
1624
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$181,159.91
|
$181,159.91
|
$181,159.91
|
2026-03-25
|
|
0013
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$180,772.13
|
$180,772.13
|
$180,772.13
|
2026-03-25
|
|
8514
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$180,152.55
|
$180,152.55
|
$180,152.55
|
2026-03-25
|
|
3034
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$180,120.92
|
$180,120.92
|
$180,120.92
|
2026-03-25
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
6
|
3
|
—
|
—
|
$129,052.53
|
$236,897.94
|
$177,870.46
|
2026-03-25
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
6
|
3
|
—
|
—
|
$125,630.80
|
$230,616.77
|
$173,154.36
|
2026-03-25
|
|
6023
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$172,990.93
|
$172,990.93
|
$172,990.93
|
2026-03-25
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
3
|
—
|
—
|
$125,235.87
|
$229,891.81
|
$172,610.04
|
2026-03-25
|
|
0062
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$171,455.28
|
$171,455.28
|
$171,455.28
|
2026-03-25
|
|
0064
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$171,455.28
|
$171,455.28
|
$171,455.28
|
2026-03-25
|
|
0063
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$171,455.28
|
$171,455.28
|
$171,455.28
|
2026-03-25
|
|
6334
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$169,641.18
|
$169,641.18
|
$169,641.18
|
2026-03-25
|
|
5932
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$167,555.65
|
$167,555.65
|
$167,555.65
|
2026-03-25
|
|
0053
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$166,227.07
|
$166,227.07
|
$166,227.07
|
2026-03-25
|
|
0084
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$166,222.61
|
$166,222.61
|
$166,222.61
|
2026-03-25
|
|
0083
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$166,061.36
|
$166,061.36
|
$166,061.36
|
2026-03-25
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
6
|
3
|
—
|
—
|
$117,268.73
|
$215,266.76
|
$161,629.08
|
2026-03-25
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
3
|
—
|
—
|
$114,429.70
|
$210,055.25
|
$157,716.12
|
2026-03-25
|
|
6093
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$157,422.04
|
$157,422.04
|
$157,422.04
|
2026-03-25
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
6
|
3
|
—
|
—
|
$113,936.42
|
$209,149.74
|
$157,036.23
|
2026-03-25
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
6
|
3
|
—
|
—
|
$113,559.37
|
$208,457.60
|
$156,516.55
|
2026-03-25
|
|
6124
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$153,859.46
|
$153,859.46
|
$153,859.46
|
2026-03-25
|
|
6114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$152,229.56
|
$152,229.56
|
$152,229.56
|
2026-03-25
|
|
6092
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$151,921.76
|
$151,921.76
|
$151,921.76
|
2026-03-25
|
|
6091
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$150,780.11
|
$150,780.11
|
$150,780.11
|
2026-03-25
|
|
8634
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$150,117.29
|
$150,117.29
|
$150,117.29
|
2026-03-25
|
|
6214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$149,016.91
|
$149,016.91
|
$149,016.91
|
2026-03-25
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
3
|
—
|
—
|
$107,578.80
|
$197,479.24
|
$148,273.65
|
2026-03-25
|
|
5913
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$147,993.49
|
$147,993.49
|
$147,993.49
|
2026-03-25
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
6
|
3
|
—
|
—
|
$106,939.46
|
$196,305.62
|
$147,392.46
|
2026-03-25
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
6
|
3
|
—
|
—
|
$106,894.75
|
$196,223.55
|
$147,330.85
|
2026-03-25
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
6
|
3
|
—
|
—
|
$106,326.94
|
$195,181.25
|
$146,548.25
|
2026-03-25
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
6
|
3
|
—
|
—
|
$106,264.35
|
$195,066.35
|
$146,461.98
|
2026-03-25
|
|
0914
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$143,859.47
|
$143,859.47
|
$143,859.47
|
2026-03-25
|
|
3033
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$142,378.87
|
$142,378.87
|
$142,378.87
|
2026-03-25
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
6
|
3
|
—
|
—
|
$103,006.56
|
$189,086.11
|
$141,971.83
|
2026-03-25
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
6
|
3
|
—
|
—
|
$102,501.34
|
$188,158.71
|
$141,275.51
|
2026-03-25
|
|
9504
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$141,031.91
|
$141,031.91
|
$141,031.91
|
2026-03-25
|
|
4404
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$140,057.84
|
$140,057.84
|
$140,057.84
|
2026-03-25
|
|
4403
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$138,967.79
|
$138,967.79
|
$138,967.79
|
2026-03-25
|
|
4402
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$138,883.94
|
$138,883.94
|
$138,883.94
|
2026-03-25
|
|
4401
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$138,825.89
|
$138,825.89
|
$138,825.89
|
2026-03-25
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
3
|
—
|
—
|
$100,313.58
|
$184,142.70
|
$138,260.16
|
2026-03-25
|
|
0214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$138,009.22
|
$138,009.22
|
$138,009.22
|
2026-03-25
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
6
|
3
|
—
|
—
|
$99,648.91
|
$182,922.58
|
$137,344.05
|
2026-03-25
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
6
|
3
|
—
|
—
|
$99,575.88
|
$182,788.53
|
$137,243.40
|
2026-03-25
|
|
6022
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$135,568.66
|
$135,568.66
|
$135,568.66
|
2026-03-25
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
3
|
—
|
—
|
$97,991.70
|
$179,880.48
|
$135,059.95
|
2026-03-25
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
3
|
—
|
—
|
$97,991.70
|
$179,880.48
|
$135,059.95
|
2026-03-25
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
6
|
3
|
—
|
—
|
$97,635.51
|
$179,226.65
|
$134,569.03
|
2026-03-25
|
|
6073
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$134,562.75
|
$134,562.75
|
$134,562.75
|
2026-03-25
|
|
5893
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$134,367.74
|
$134,367.74
|
$134,367.74
|
2026-03-25
|
|
5894
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$134,367.74
|
$134,367.74
|
$134,367.74
|
2026-03-25
|
|
1634
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$133,236.70
|
$133,236.70
|
$133,236.70
|
2026-03-25
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
6
|
3
|
—
|
—
|
$95,896.33
|
$176,034.09
|
$132,171.96
|
2026-03-25
|
|
9124
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$132,125.87
|
$132,125.87
|
$132,125.87
|
2026-03-25
|
|
1674
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$131,273.94
|
$131,273.94
|
$131,273.94
|
2026-03-25
|
|
9114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$131,271.86
|
$131,271.86
|
$131,271.86
|
2026-03-25
|
|
3004
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$129,752.55
|
$129,752.55
|
$129,752.55
|
2026-03-25
|
|
5892
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$127,924.41
|
$127,924.41
|
$127,924.41
|
2026-03-25
|
|
5891
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$127,924.41
|
$127,924.41
|
$127,924.41
|
2026-03-25
|
|
9104
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$127,441.76
|
$127,441.76
|
$127,441.76
|
2026-03-25
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
6
|
3
|
—
|
—
|
$91,331.55
|
$167,654.64
|
$125,880.40
|
2026-03-25
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$91,225.73
|
$167,460.40
|
$125,734.57
|
2026-03-25
|
|
1654
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$125,385.71
|
$125,385.71
|
$125,385.71
|
2026-03-25
|
|
0224
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$124,923.91
|
$124,923.91
|
$124,923.91
|
2026-03-25
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
6
|
3
|
—
|
—
|
$90,350.93
|
$165,854.55
|
$124,528.83
|
2026-03-25
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
6
|
3
|
—
|
—
|
$89,541.69
|
$164,369.06
|
$123,413.49
|
2026-03-25
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
6
|
3
|
—
|
—
|
$89,516.36
|
$164,322.56
|
$123,378.57
|
2026-03-25
|
|
0071
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$122,893.92
|
$122,893.92
|
$122,893.92
|
2026-03-25
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
3
|
—
|
—
|
$88,868.08
|
$163,132.53
|
$122,485.05
|
2026-03-25
|
|
0111
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$122,184.42
|
$122,184.42
|
$122,184.42
|
2026-03-25
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
6
|
3
|
—
|
—
|
$88,575.98
|
$162,596.33
|
$122,082.46
|
2026-03-25
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
6
|
3
|
—
|
—
|
$88,370.32
|
$162,218.80
|
$121,799.01
|
2026-03-25
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
6
|
3
|
—
|
—
|
$87,459.75
|
$160,547.29
|
$120,543.98
|
2026-03-25
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$87,403.11
|
$160,443.33
|
$120,465.92
|
2026-03-25
|
|
0012
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$120,077.11
|
$120,077.11
|
$120,077.11
|
2026-03-25
|
|
0093
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$119,929.30
|
$119,929.30
|
$119,929.30
|
2026-03-25
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
6
|
3
|
—
|
—
|
$85,947.09
|
$157,770.55
|
$118,459.12
|
2026-03-25
|
|
1784
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$118,390.37
|
$118,390.37
|
$118,390.37
|
2026-03-25
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
6
|
3
|
—
|
—
|
$85,398.66
|
$156,763.82
|
$117,703.23
|
2026-03-25
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
6
|
3
|
—
|
—
|
$85,049.93
|
$156,123.66
|
$117,222.58
|
2026-03-25
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
6
|
3
|
—
|
—
|
$84,939.65
|
$155,921.22
|
$117,070.58
|
2026-03-25
|
|
6814
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$116,133.18
|
$116,133.18
|
$116,133.18
|
2026-03-25
|
|
6034
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$115,963.34
|
$115,963.34
|
$115,963.34
|
2026-03-25
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
3
|
—
|
—
|
$83,784.67
|
$153,801.05
|
$115,478.69
|
2026-03-25
|
|
6033
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$115,169.99
|
$115,169.99
|
$115,169.99
|
2026-03-25
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
6
|
3
|
—
|
—
|
$83,525.35
|
$153,325.04
|
$115,121.29
|
2026-03-25
|
|
2994
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$115,017.12
|
$115,017.12
|
$115,017.12
|
2026-03-25
|
|
2993
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$114,901.02
|
$114,901.02
|
$114,901.02
|
2026-03-25
|
|
0042
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$114,623.02
|
$114,623.02
|
$114,623.02
|
2026-03-25
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
6
|
3
|
—
|
—
|
$82,953.08
|
$152,274.53
|
$114,332.53
|
2026-03-25
|
|
8633
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$113,807.97
|
$113,807.97
|
$113,807.97
|
2026-03-25
|
|
1834
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$113,743.82
|
$113,743.82
|
$113,743.82
|
2026-03-25
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
6
|
3
|
—
|
—
|
$82,309.27
|
$151,092.71
|
$113,445.18
|
2026-03-25
|
|
5931
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$112,777.42
|
$112,777.42
|
$112,777.42
|
2026-03-25
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
6
|
3
|
—
|
—
|
$81,815.98
|
$150,187.19
|
$112,765.29
|
2026-03-25
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
6
|
3
|
—
|
—
|
$81,526.86
|
$149,656.47
|
$112,366.80
|
2026-03-25
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
6
|
3
|
—
|
—
|
$81,410.62
|
$149,443.08
|
$112,206.59
|
2026-03-25
|
|
5912
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$112,195.05
|
$112,195.05
|
$112,195.05
|
2026-03-25
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
6
|
3
|
—
|
—
|
$81,282.45
|
$149,207.81
|
$112,029.94
|
2026-03-25
|
|
6344
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$111,911.47
|
$111,911.47
|
$111,911.47
|
2026-03-25
|
|
0204
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$111,739.26
|
$111,739.26
|
$111,739.26
|
2026-03-25
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
6
|
3
|
—
|
—
|
$80,957.57
|
$148,611.43
|
$111,582.16
|
2026-03-25
|
|
6954
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$111,363.86
|
$111,363.86
|
$111,363.86
|
2026-03-25
|
|
6804
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$111,276.39
|
$111,276.39
|
$111,276.39
|
2026-03-25
|
|
3044
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$111,053.89
|
$111,053.89
|
$111,053.89
|
2026-03-25
|
|
2604
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$110,819.19
|
$110,819.19
|
$110,819.19
|
2026-03-25
|
|
6123
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$109,899.76
|
$109,899.76
|
$109,899.76
|
2026-03-25
|
|
5911
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$109,627.95
|
$109,627.95
|
$109,627.95
|
2026-03-25
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
3
|
—
|
—
|
$79,474.72
|
$145,889.41
|
$109,538.38
|
2026-03-25
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
6
|
3
|
—
|
—
|
$79,427.03
|
$145,801.87
|
$109,472.65
|
2026-03-25
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
6
|
3
|
—
|
—
|
$78,893.50
|
$144,822.49
|
$108,737.30
|
2026-03-25
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
6
|
3
|
—
|
—
|
$78,632.70
|
$144,343.74
|
$108,377.84
|
2026-03-25
|
|
2004
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$107,954.58
|
$107,954.58
|
$107,954.58
|
2026-03-25
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
6
|
3
|
—
|
—
|
$77,576.08
|
$142,404.13
|
$106,921.52
|
2026-03-25
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
6
|
3
|
—
|
—
|
$77,441.95
|
$142,157.91
|
$106,736.65
|
2026-03-25
|
|
6072
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$104,674.53
|
$104,674.53
|
$104,674.53
|
2026-03-25
|
|
1694
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$104,651.81
|
$104,651.81
|
$104,651.81
|
2026-03-25
|
|
1814
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$103,777.96
|
$103,777.96
|
$103,777.96
|
2026-03-25
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
3
|
—
|
—
|
$75,114.10
|
$137,884.75
|
$103,528.23
|
2026-03-25
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
6
|
3
|
—
|
—
|
$74,327.22
|
$136,440.30
|
$102,443.69
|
2026-03-25
|
|
1304
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$102,054.57
|
$102,054.57
|
$102,054.57
|
2026-03-25
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
6
|
3
|
—
|
—
|
$73,731.10
|
$135,346.02
|
$101,622.07
|
2026-03-25
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$73,599.96
|
$135,105.28
|
$101,441.32
|
2026-03-25
|
|
7104
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$101,277.72
|
$101,277.72
|
$101,277.72
|
2026-03-25
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
6
|
3
|
—
|
—
|
$73,348.10
|
$134,642.95
|
$101,094.18
|
2026-03-25
|
|
3032
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$101,038.94
|
$101,038.94
|
$101,038.94
|
2026-03-25
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
6
|
3
|
—
|
—
|
$73,042.58
|
$134,082.13
|
$100,673.10
|
2026-03-25
|
|
2304
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$100,576.91
|
$100,576.91
|
$100,576.91
|
2026-03-25
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
6
|
3
|
—
|
—
|
$71,962.12
|
$132,098.75
|
$99,183.91
|
2026-03-25
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
6
|
3
|
—
|
—
|
$71,598.48
|
$131,431.24
|
$98,682.73
|
2026-03-25
|
|
6224
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$98,064.99
|
$98,064.99
|
$98,064.99
|
2026-03-25
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
6
|
3
|
—
|
—
|
$70,950.20
|
$130,241.21
|
$97,789.21
|
2026-03-25
|
|
1664
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$97,549.52
|
$97,549.52
|
$97,549.52
|
2026-03-25
|
|
6084
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$97,374.00
|
$97,374.00
|
$97,374.00
|
2026-03-25
|
|
2204
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$97,069.40
|
$97,069.40
|
$97,069.40
|
2026-03-25
|
|
3214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$97,040.10
|
$97,040.10
|
$97,040.10
|
2026-03-25
|
|
6083
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$96,948.30
|
$96,948.30
|
$96,948.30
|
2026-03-25
|
|
3213
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$96,872.40
|
$96,872.40
|
$96,872.40
|
2026-03-25
|
|
6302
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$96,758.04
|
$96,758.04
|
$96,758.04
|
2026-03-25
|
|
6303
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$96,758.04
|
$96,758.04
|
$96,758.04
|
2026-03-25
|
|
6301
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$96,758.04
|
$96,758.04
|
$96,758.04
|
2026-03-25
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
6
|
3
|
—
|
—
|
$70,064.96
|
$128,616.20
|
$96,569.10
|
2026-03-25
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
6
|
3
|
—
|
—
|
$69,921.90
|
$128,353.57
|
$96,371.92
|
2026-03-25
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
6
|
3
|
—
|
—
|
$69,713.25
|
$127,970.57
|
$96,084.35
|
2026-03-25
|
|
6904
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$95,802.54
|
$95,802.54
|
$95,802.54
|
2026-03-25
|
|
6903
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$95,802.54
|
$95,802.54
|
$95,802.54
|
2026-03-25
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
6
|
3
|
—
|
—
|
$69,105.21
|
$126,854.41
|
$95,246.30
|
2026-03-25
|
|
6113
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$94,985.80
|
$94,985.80
|
$94,985.80
|
2026-03-25
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
6
|
3
|
—
|
—
|
$68,829.51
|
$126,348.30
|
$94,866.30
|
2026-03-25
|
|
3043
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$94,520.97
|
$94,520.97
|
$94,520.97
|
2026-03-25
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
6
|
3
|
—
|
—
|
$68,501.64
|
$125,746.45
|
$94,414.41
|
2026-03-25
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
6
|
3
|
—
|
—
|
$68,327.27
|
$125,426.37
|
$94,174.08
|
2026-03-25
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
6
|
3
|
—
|
—
|
$67,993.45
|
$124,813.58
|
$93,713.98
|
2026-03-25
|
|
6021
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$93,687.08
|
$93,687.08
|
$93,687.08
|
2026-03-25
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
6
|
3
|
—
|
—
|
$67,789.28
|
$124,438.79
|
$93,432.57
|
2026-03-25
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
6
|
3
|
—
|
—
|
$67,759.47
|
$124,384.07
|
$93,391.49
|
2026-03-25
|
|
7114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$93,332.37
|
$93,332.37
|
$93,332.37
|
2026-03-25
|
|
9514
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$93,047.62
|
$93,047.62
|
$93,047.62
|
2026-03-25
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
6
|
3
|
—
|
—
|
$67,494.20
|
$123,897.12
|
$93,025.87
|
2026-03-25
|