|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
18
|
6
|
—
|
—
|
$4,250,000.00
|
$4,730,250.00
|
$4,505,000.00
|
2025-12-31
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
24
|
7
|
—
|
—
|
$35,448.00
|
$3,869,530.00
|
$3,685,266.67
|
2025-12-31
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
6
|
2
|
—
|
—
|
$3,500,000.00
|
$3,710,000.00
|
$3,500,000.00
|
2025-12-31
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
18
|
6
|
—
|
—
|
$3,200,000.00
|
$3,482,285.72
|
$3,324,571.90
|
2025-12-31
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
18
|
6
|
—
|
—
|
$3,100,000.00
|
$3,410,868.01
|
$3,261,355.00
|
2025-12-31
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
18
|
6
|
—
|
—
|
$2,800,000.00
|
$3,093,027.00
|
$2,950,686.67
|
2025-12-31
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
18
|
6
|
—
|
—
|
$2,391,705.69
|
$2,577,866.14
|
$2,504,212.82
|
2025-12-31
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
18
|
6
|
—
|
—
|
$2,200,000.00
|
$2,448,600.00
|
$2,332,000.00
|
2025-12-31
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
18
|
6
|
—
|
—
|
$727,000.00
|
$809,151.00
|
$770,620.00
|
2025-12-31
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
14
|
6
|
—
|
—
|
$578,324.58
|
$621,312.51
|
$603,560.72
|
2025-12-31
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
6
|
—
|
—
|
$553,378.83
|
$594,162.40
|
$577,186.33
|
2025-12-31
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
14
|
6
|
—
|
—
|
$541,635.66
|
$590,665.10
|
$573,788.95
|
2025-12-31
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
14
|
6
|
—
|
—
|
$541,260.45
|
$585,183.83
|
$568,464.29
|
2025-12-31
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
14
|
6
|
—
|
—
|
$533,076.48
|
$559,891.68
|
$543,894.77
|
2025-12-31
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$516,585.46
|
$568,336.97
|
$542,461.21
|
2025-12-31
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
14
|
6
|
—
|
—
|
$489,304.61
|
$513,769.84
|
$499,090.70
|
2025-12-31
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$449,879.62
|
$494,948.54
|
$472,414.08
|
2025-12-31
|
|
5894
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
1
|
—
|
—
|
$426,042.19
|
$468,723.08
|
$447,382.64
|
2025-12-31
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$415,021.98
|
$456,598.87
|
$435,810.42
|
2025-12-31
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$413,236.63
|
$454,634.66
|
$433,935.65
|
2025-12-31
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
1
|
—
|
—
|
$387,310.44
|
$426,111.19
|
$406,710.82
|
2025-12-31
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
1
|
—
|
—
|
$352,100.40
|
$387,373.81
|
$369,737.10
|
2025-12-31
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$310,272.87
|
$341,356.00
|
$325,814.43
|
2025-12-31
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$304,021.79
|
$334,478.68
|
$319,250.23
|
2025-12-31
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$282,310.45
|
$310,592.30
|
$296,451.38
|
2025-12-31
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$278,330.15
|
$306,213.25
|
$292,271.70
|
2025-12-31
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
14
|
6
|
—
|
—
|
$270,375.00
|
$292,162.50
|
$283,815.00
|
2025-12-31
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$261,049.53
|
$287,201.46
|
$274,125.49
|
2025-12-31
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
1
|
—
|
—
|
$259,910.63
|
$285,948.47
|
$272,929.55
|
2025-12-31
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
24
|
8
|
—
|
—
|
$256,988.59
|
$620,251.11
|
$265,983.19
|
2025-12-31
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
16
|
6
|
—
|
—
|
$250,000.00
|
$270,375.00
|
$260,075.00
|
2025-12-31
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$234,623.91
|
$258,128.53
|
$246,376.22
|
2025-12-31
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
1
|
—
|
—
|
$228,619.04
|
$251,522.09
|
$240,070.57
|
2025-12-31
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
4
|
1
|
—
|
—
|
$228,586.37
|
$251,486.14
|
$240,036.26
|
2025-12-31
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$228,384.50
|
$251,264.05
|
$239,824.27
|
2025-12-31
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
1
|
—
|
—
|
$227,226.93
|
$249,990.52
|
$238,608.72
|
2025-12-31
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$222,897.73
|
$245,227.62
|
$234,062.67
|
2025-12-31
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$216,091.20
|
$237,739.21
|
$226,915.21
|
2025-12-31
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$215,966.35
|
$237,601.85
|
$226,784.10
|
2025-12-31
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$213,955.78
|
$235,389.86
|
$224,672.82
|
2025-12-31
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$208,577.54
|
$229,472.83
|
$219,025.18
|
2025-12-31
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$206,759.51
|
$227,472.67
|
$217,116.09
|
2025-12-31
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
1
|
—
|
—
|
$205,414.07
|
$225,992.44
|
$215,703.26
|
2025-12-31
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
1
|
—
|
—
|
$201,574.97
|
$221,768.74
|
$211,671.85
|
2025-12-31
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
16
|
6
|
—
|
—
|
$205,640.00
|
$215,922.00
|
$207,696.40
|
2025-12-31
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$194,601.57
|
$214,096.75
|
$204,349.16
|
2025-12-31
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$190,008.66
|
$209,043.72
|
$199,526.19
|
2025-12-31
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$187,804.38
|
$206,618.62
|
$197,211.50
|
2025-12-31
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
20
|
7
|
—
|
—
|
$191,984.71
|
$444,147.25
|
$195,824.40
|
2025-12-31
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$182,279.11
|
$200,539.83
|
$191,409.47
|
2025-12-31
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
1
|
—
|
—
|
$178,407.34
|
$196,280.18
|
$187,343.76
|
2025-12-31
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
1
|
—
|
—
|
$168,573.87
|
$185,461.59
|
$177,017.73
|
2025-12-31
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$159,994.82
|
$176,023.10
|
$168,008.96
|
2025-12-31
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
24
|
8
|
—
|
—
|
$161,708.13
|
$390,161.77
|
$167,367.92
|
2025-12-31
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
1
|
—
|
—
|
$159,376.36
|
$175,342.68
|
$167,359.52
|
2025-12-31
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$153,692.39
|
$169,089.29
|
$161,390.84
|
2025-12-31
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$149,526.56
|
$164,506.13
|
$157,016.35
|
2025-12-31
|
|
0100TT
|
OTHER
|
Prosth Retina Receive&gen
|
2
|
1
|
—
|
—
|
$152,500.50
|
$152,500.50
|
$152,500.50
|
2025-12-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
24
|
8
|
—
|
—
|
$113,226.71
|
$352,479.10
|
$147,564.70
|
2025-12-31
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$140,501.76
|
$154,577.22
|
$147,539.49
|
2025-12-31
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$139,404.87
|
$153,370.45
|
$146,387.66
|
2025-12-31
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$139,026.79
|
$152,954.49
|
$145,990.64
|
2025-12-31
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
6
|
2
|
—
|
—
|
$16,063.46
|
$144,571.14
|
$144,571.14
|
2025-12-31
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$136,955.55
|
$150,675.75
|
$143,815.65
|
2025-12-31
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$133,804.92
|
$147,209.49
|
$140,507.21
|
2025-12-31
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$133,713.90
|
$147,109.35
|
$140,411.62
|
2025-12-31
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$128,987.95
|
$141,909.96
|
$135,448.95
|
2025-12-31
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
1
|
—
|
—
|
$127,578.34
|
$140,359.13
|
$133,968.73
|
2025-12-31
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$126,388.10
|
$139,049.66
|
$132,718.88
|
2025-12-31
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
4
|
1
|
—
|
—
|
$122,655.19
|
$134,942.78
|
$128,798.99
|
2025-12-31
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$120,485.92
|
$132,556.20
|
$126,521.06
|
2025-12-31
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$120,417.07
|
$132,480.45
|
$126,448.76
|
2025-12-31
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$118,378.50
|
$130,237.65
|
$124,308.07
|
2025-12-31
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$117,335.29
|
$129,089.94
|
$123,212.61
|
2025-12-31
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$116,633.98
|
$128,318.37
|
$122,476.17
|
2025-12-31
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
1
|
—
|
—
|
$115,213.87
|
$126,755.99
|
$120,984.93
|
2025-12-31
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$113,902.27
|
$125,313.00
|
$119,607.64
|
2025-12-31
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
1
|
—
|
—
|
$113,144.95
|
$124,479.81
|
$118,812.38
|
2025-12-31
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
1
|
—
|
—
|
$110,873.00
|
$121,980.25
|
$116,426.62
|
2025-12-31
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$109,399.20
|
$120,358.81
|
$114,879.01
|
2025-12-31
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$108,833.26
|
$119,736.17
|
$114,284.71
|
2025-12-31
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$108,196.13
|
$119,035.21
|
$113,615.67
|
2025-12-31
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
1
|
—
|
—
|
$107,867.06
|
$118,673.18
|
$113,270.12
|
2025-12-31
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
1
|
—
|
—
|
$107,364.13
|
$118,119.87
|
$112,742.00
|
2025-12-31
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$107,087.57
|
$117,815.60
|
$112,451.59
|
2025-12-31
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
1
|
—
|
—
|
$106,388.60
|
$117,046.61
|
$111,717.61
|
2025-12-31
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
1
|
—
|
—
|
$103,883.27
|
$114,290.29
|
$109,086.78
|
2025-12-31
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$103,733.90
|
$114,125.96
|
$108,929.93
|
2025-12-31
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$103,714.07
|
$114,104.14
|
$108,909.11
|
2025-12-31
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$102,583.34
|
$112,860.14
|
$107,721.74
|
2025-12-31
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
1
|
—
|
—
|
$102,188.93
|
$112,426.21
|
$107,307.57
|
2025-12-31
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$100,831.82
|
$110,933.15
|
$105,882.49
|
2025-12-31
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$100,645.12
|
$110,727.75
|
$105,686.43
|
2025-12-31
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
4
|
1
|
—
|
—
|
$100,127.02
|
$110,157.74
|
$105,142.38
|
2025-12-31
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
1
|
—
|
—
|
$99,977.65
|
$109,993.41
|
$104,985.53
|
2025-12-31
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
1
|
—
|
—
|
$99,786.28
|
$109,782.87
|
$104,784.57
|
2025-12-31
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
1
|
—
|
—
|
$97,684.69
|
$107,470.74
|
$102,577.71
|
2025-12-31
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$97,238.94
|
$106,980.33
|
$102,109.64
|
2025-12-31
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$97,047.57
|
$106,769.79
|
$101,908.68
|
2025-12-31
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
4
|
1
|
—
|
—
|
$96,454.78
|
$106,117.62
|
$101,286.20
|
2025-12-31
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$96,011.36
|
$105,629.78
|
$100,820.57
|
2025-12-31
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$95,347.39
|
$104,899.29
|
$100,123.34
|
2025-12-31
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
1
|
—
|
—
|
$94,431.38
|
$103,891.51
|
$99,161.45
|
2025-12-31
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$94,343.86
|
$103,795.23
|
$99,069.54
|
2025-12-31
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
1
|
—
|
—
|
$93,236.47
|
$102,576.90
|
$97,906.68
|
2025-12-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
24
|
8
|
—
|
—
|
$92,350.07
|
$232,391.87
|
$97,339.05
|
2025-12-31
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
1
|
—
|
—
|
$92,155.92
|
$101,388.10
|
$96,772.01
|
2025-12-31
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$91,957.55
|
$101,169.85
|
$96,563.70
|
2025-12-31
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
1
|
—
|
—
|
$91,821.02
|
$101,019.65
|
$96,420.33
|
2025-12-31
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$91,749.84
|
$100,941.34
|
$96,345.59
|
2025-12-31
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
1
|
—
|
—
|
$91,432.44
|
$100,592.14
|
$96,012.29
|
2025-12-31
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
1
|
—
|
—
|
$90,318.06
|
$99,366.12
|
$94,842.09
|
2025-12-31
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
1
|
—
|
—
|
$88,224.64
|
$97,062.98
|
$92,643.81
|
2025-12-31
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
4
|
1
|
—
|
—
|
$88,102.11
|
$96,928.18
|
$92,515.14
|
2025-12-31
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$87,913.07
|
$96,720.20
|
$92,316.64
|
2025-12-31
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
1
|
—
|
—
|
$87,794.05
|
$96,589.26
|
$92,191.65
|
2025-12-31
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
6
|
2
|
—
|
—
|
$91,352.37
|
$93,216.70
|
$91,352.37
|
2025-12-31
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
4
|
1
|
—
|
—
|
$86,981.89
|
$95,695.73
|
$91,338.81
|
2025-12-31
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
22
|
7
|
—
|
—
|
$89,372.63
|
$215,481.37
|
$91,160.08
|
2025-12-31
|
|
7
|
MS_DRG
|
Lung Transplant
|
20
|
7
|
—
|
—
|
$89,147.88
|
$137,239.81
|
$90,930.84
|
2025-12-31
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$85,986.52
|
$94,600.65
|
$90,293.58
|
2025-12-31
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
6
|
2
|
—
|
—
|
$89,999.95
|
$108,193.04
|
$89,999.95
|
2025-12-31
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
1
|
—
|
—
|
$84,858.13
|
$93,359.21
|
$89,108.67
|
2025-12-31
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
4
|
1
|
—
|
—
|
$83,511.53
|
$91,877.71
|
$87,694.62
|
2025-12-31
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$83,072.77
|
$91,395.00
|
$87,233.89
|
2025-12-31
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
1
|
—
|
—
|
$82,597.84
|
$90,872.49
|
$86,735.17
|
2025-12-31
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
1
|
—
|
—
|
$82,261.78
|
$90,502.76
|
$86,382.27
|
2025-12-31
|
|
B0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
8
|
4
|
—
|
—
|
$84,535.58
|
$88,762.36
|
$85,803.61
|
2025-12-31
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
1
|
—
|
—
|
$80,777.48
|
$88,869.77
|
$84,823.62
|
2025-12-31
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
1
|
—
|
—
|
$80,621.12
|
$88,697.74
|
$84,659.43
|
2025-12-31
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
1
|
—
|
—
|
$79,912.81
|
$87,918.47
|
$83,915.64
|
2025-12-31
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
1
|
—
|
—
|
$79,376.03
|
$87,327.92
|
$83,351.98
|
2025-12-31
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
1
|
—
|
—
|
$79,181.16
|
$87,113.53
|
$83,147.35
|
2025-12-31
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
1
|
—
|
—
|
$78,859.10
|
$86,759.20
|
$82,809.15
|
2025-12-31
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$78,680.56
|
$86,562.78
|
$82,621.67
|
2025-12-31
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
1
|
—
|
—
|
$78,360.83
|
$86,211.02
|
$82,285.93
|
2025-12-31
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
1
|
—
|
—
|
$77,822.89
|
$85,619.18
|
$81,721.04
|
2025-12-31
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$77,595.34
|
$85,368.84
|
$81,482.09
|
2025-12-31
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
1
|
—
|
—
|
$77,462.32
|
$85,222.49
|
$81,342.40
|
2025-12-31
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
4
|
1
|
—
|
—
|
$77,458.82
|
$85,218.64
|
$81,338.73
|
2025-12-31
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$77,454.15
|
$85,213.50
|
$81,333.82
|
2025-12-31
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
4
|
1
|
—
|
—
|
$77,391.14
|
$85,144.18
|
$81,267.66
|
2025-12-31
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$76,646.65
|
$84,325.11
|
$80,485.88
|
2025-12-31
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$76,618.65
|
$84,294.30
|
$80,456.48
|
2025-12-31
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$76,494.96
|
$84,158.22
|
$80,326.59
|
2025-12-31
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
1
|
—
|
—
|
$76,316.42
|
$83,961.80
|
$80,139.11
|
2025-12-31
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$75,864.83
|
$83,464.97
|
$79,664.90
|
2025-12-31
|
|
B1904
|
HCPCS
|
Guillain-barr? M <38.50
|
8
|
4
|
—
|
—
|
$78,143.44
|
$82,050.61
|
$79,315.59
|
2025-12-31
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
1
|
—
|
—
|
$75,486.76
|
$83,049.02
|
$79,267.89
|
2025-12-31
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
4
|
1
|
—
|
—
|
$75,261.54
|
$82,801.24
|
$79,031.39
|
2025-12-31
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
4
|
1
|
—
|
—
|
$74,492.56
|
$81,955.22
|
$78,223.89
|
2025-12-31
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$73,654.72
|
$81,033.45
|
$77,344.08
|
2025-12-31
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
1
|
—
|
—
|
$73,525.20
|
$80,890.95
|
$77,208.07
|
2025-12-31
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
1
|
—
|
—
|
$73,324.49
|
$80,670.14
|
$76,997.32
|
2025-12-31
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
1
|
—
|
—
|
$73,324.49
|
$80,670.14
|
$76,997.32
|
2025-12-31
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
1
|
—
|
—
|
$73,291.82
|
$80,634.19
|
$76,963.01
|
2025-12-31
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
1
|
—
|
—
|
$73,079.44
|
$80,400.54
|
$76,739.99
|
2025-12-31
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
20
|
7
|
—
|
—
|
$75,192.26
|
$141,349.04
|
$76,696.11
|
2025-12-31
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$72,717.70
|
$80,002.56
|
$76,360.13
|
2025-12-31
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$72,618.52
|
$79,893.44
|
$76,255.98
|
2025-12-31
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
4
|
1
|
—
|
—
|
$72,362.96
|
$79,612.28
|
$75,987.62
|
2025-12-31
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
4
|
1
|
—
|
—
|
$72,159.92
|
$79,388.90
|
$75,774.41
|
2025-12-31
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
4
|
1
|
—
|
—
|
$72,098.08
|
$79,320.86
|
$75,709.47
|
2025-12-31
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$72,084.08
|
$79,305.46
|
$75,694.77
|
2025-12-31
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
1
|
—
|
—
|
$72,037.40
|
$79,254.10
|
$75,645.75
|
2025-12-31
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
1
|
—
|
—
|
$71,808.69
|
$79,002.48
|
$75,405.58
|
2025-12-31
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve?procedures
|
24
|
8
|
—
|
—
|
$55,020.09
|
$179,168.71
|
$75,078.83
|
2025-12-31
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
1
|
—
|
—
|
$71,313.92
|
$78,458.15
|
$74,886.04
|
2025-12-31
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
24
|
8
|
—
|
—
|
$72,298.43
|
$174,249.50
|
$74,348.07
|
2025-12-31
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
1
|
—
|
—
|
$70,773.65
|
$77,863.75
|
$74,318.70
|
2025-12-31
|
|
3234
|
APR_DRG
|
Non-elective Or Complex Hip Joint Replacement
|
4
|
1
|
—
|
—
|
$70,655.79
|
$77,734.09
|
$74,194.94
|
2025-12-31
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
20
|
7
|
—
|
—
|
$72,670.29
|
$162,927.11
|
$74,123.70
|
2025-12-31
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
4
|
1
|
—
|
—
|
$70,186.70
|
$77,218.00
|
$73,702.35
|
2025-12-31
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
1
|
—
|
—
|
$70,126.02
|
$77,151.24
|
$73,638.63
|
2025-12-31
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
1
|
—
|
—
|
$69,316.19
|
$76,260.28
|
$72,788.24
|
2025-12-31
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
1
|
—
|
—
|
$68,924.11
|
$75,828.93
|
$72,376.52
|
2025-12-31
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
1
|
—
|
—
|
$68,716.40
|
$75,600.41
|
$72,158.40
|
2025-12-31
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
8
|
—
|
—
|
$23,466.30
|
$172,285.76
|
$71,485.24
|
2025-12-31
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
4
|
1
|
—
|
—
|
$68,010.43
|
$74,823.71
|
$71,417.07
|
2025-12-31
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
1
|
—
|
—
|
$67,334.79
|
$74,080.39
|
$70,707.59
|
2025-12-31
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
1
|
—
|
—
|
$67,293.95
|
$74,035.46
|
$70,664.71
|
2025-12-31
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
4
|
1
|
—
|
—
|
$67,250.78
|
$73,987.96
|
$70,619.37
|
2025-12-31
|
|
293
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
1
|
—
|
—
|
$67,241.44
|
$73,977.69
|
$70,609.57
|
2025-12-31
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$67,129.42
|
$73,854.44
|
$70,491.93
|
2025-12-31
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$66,667.33
|
$73,346.06
|
$70,006.70
|
2025-12-31
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
4
|
1
|
—
|
—
|
$65,598.45
|
$72,170.10
|
$68,884.27
|
2025-12-31
|
|
C0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
8
|
4
|
—
|
—
|
$67,650.44
|
$71,032.96
|
$68,665.20
|
2025-12-31
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
4
|
1
|
—
|
—
|
$65,096.68
|
$71,618.06
|
$68,357.37
|
2025-12-31
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
8
|
—
|
—
|
$65,871.26
|
$158,728.75
|
$68,176.76
|
2025-12-31
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
1
|
—
|
—
|
$64,853.96
|
$71,351.03
|
$68,102.49
|
2025-12-31
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
4
|
1
|
—
|
—
|
$64,444.38
|
$70,900.42
|
$67,672.40
|
2025-12-31
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
1
|
—
|
—
|
$64,436.21
|
$70,891.43
|
$67,663.82
|
2025-12-31
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
4
|
1
|
—
|
—
|
$64,124.65
|
$70,548.66
|
$67,336.65
|
2025-12-31
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
1
|
—
|
—
|
$64,080.31
|
$70,499.87
|
$67,290.09
|
2025-12-31
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
1
|
—
|
—
|
$63,860.93
|
$70,258.52
|
$67,059.73
|
2025-12-31
|
|
D0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
8
|
4
|
—
|
—
|
$65,893.97
|
$69,188.67
|
$66,882.38
|
2025-12-31
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
4
|
1
|
—
|
—
|
$63,676.56
|
$70,055.68
|
$66,866.12
|
2025-12-31
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
1
|
—
|
—
|
$63,670.73
|
$70,049.26
|
$66,859.99
|
2025-12-31
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
1
|
—
|
—
|
$62,990.42
|
$69,300.80
|
$66,145.61
|
2025-12-31
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
1
|
—
|
—
|
$62,982.26
|
$69,291.82
|
$66,137.04
|
2025-12-31
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
6
|
2
|
—
|
—
|
$66,103.61
|
$67,452.66
|
$66,103.61
|
2025-12-31
|
|
B1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
8
|
4
|
—
|
—
|
$64,837.16
|
$68,079.02
|
$65,809.71
|
2025-12-31
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
4
|
1
|
—
|
—
|
$62,406.97
|
$68,658.90
|
$65,532.93
|
2025-12-31
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
4
|
1
|
—
|
—
|
$62,403.47
|
$68,655.05
|
$65,529.26
|
2025-12-31
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
4
|
1
|
—
|
—
|
$62,374.30
|
$68,622.96
|
$65,498.63
|
2025-12-31
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
1
|
—
|
—
|
$62,115.25
|
$68,337.95
|
$65,226.60
|
2025-12-31
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
24
|
8
|
—
|
—
|
$62,880.04
|
$151,505.36
|
$65,080.84
|
2025-12-31
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
4
|
1
|
—
|
—
|
$61,941.38
|
$68,146.67
|
$65,044.02
|
2025-12-31
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
4
|
1
|
—
|
—
|
$61,629.82
|
$67,803.89
|
$64,716.85
|
2025-12-31
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
1
|
—
|
—
|
$61,291.42
|
$67,431.59
|
$64,361.50
|
2025-12-31
|
|
3104
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
4
|
1
|
—
|
—
|
$61,255.24
|
$67,391.79
|
$64,323.51
|
2025-12-31
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
1
|
—
|
—
|
$60,842.16
|
$66,937.33
|
$63,889.75
|
2025-12-31
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$60,833.99
|
$66,928.34
|
$63,881.16
|
2025-12-31
|
|
6112
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
1
|
—
|
—
|
$60,728.97
|
$66,812.80
|
$63,770.89
|
2025-12-31
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
1
|
—
|
—
|
$60,651.96
|
$66,728.07
|
$63,690.01
|
2025-12-31
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
26
|
8
|
—
|
—
|
$139.12
|
$69,317.97
|
$63,431.05
|
2025-12-31
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
1
|
—
|
—
|
$60,354.40
|
$66,400.70
|
$63,377.55
|
2025-12-31
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
1
|
—
|
—
|
$60,321.72
|
$66,364.75
|
$63,343.24
|
2025-12-31
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$60,245.88
|
$66,281.31
|
$63,263.60
|
2025-12-31
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$60,150.19
|
$66,176.03
|
$63,163.11
|
2025-12-31
|
|
250-69930
|
EAPG
|
Cochlear Device Implantation
|
4
|
1
|
—
|
—
|
$60,006.08
|
$66,006.68
|
$63,006.38
|
2025-12-31
|
|
250-0952T
|
EAPG
|
Cochlear Device Implantation
|
4
|
1
|
—
|
—
|
$60,006.08
|
$66,006.68
|
$63,006.38
|
2025-12-31
|
|
250-S2235
|
EAPG
|
Cochlear Device Implantation
|
4
|
1
|
—
|
—
|
$60,006.08
|
$66,006.68
|
$63,006.38
|
2025-12-31
|
|
250-0951T
|
EAPG
|
Cochlear Device Implantation
|
4
|
1
|
—
|
—
|
$60,006.08
|
$66,006.68
|
$63,006.38
|
2025-12-31
|
|
B0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
8
|
4
|
—
|
—
|
$61,778.46
|
$64,867.38
|
$62,705.13
|
2025-12-31
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
4
|
1
|
—
|
—
|
$59,668.26
|
$65,645.82
|
$62,657.04
|
2025-12-31
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$59,248.18
|
$65,183.66
|
$62,215.92
|
2025-12-31
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
1
|
—
|
—
|
$59,099.98
|
$65,020.61
|
$62,060.29
|
2025-12-31
|
|
J1300
|
HCPCS
|
Soliris 300 Mg/30ml IV Soln
|
28
|
9
|
$88,592.10
|
$66,444.08
25% off
|
$35,436.84
|
$84,162.50
|
$62,014.47
|
2025-12-31
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
1
|
—
|
—
|
$58,858.43
|
$64,754.87
|
$61,806.65
|
2025-12-31
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
1
|
—
|
—
|
$58,762.75
|
$64,649.60
|
$61,706.18
|
2025-12-31
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
4
|
1
|
—
|
—
|
$58,559.70
|
$64,426.21
|
$61,492.96
|
2025-12-31
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$58,356.66
|
$64,202.83
|
$61,279.75
|
2025-12-31
|
|
3060-33979
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-0451T
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-0454T
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33976
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33991
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33982
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33990
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-0452T
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-0453T
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33983
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-0459T
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33995
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33981
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
3060-33975
|
EAPG
|
Ventricular Assist Device Procedures
|
4
|
1
|
—
|
—
|
$57,974.96
|
$63,772.45
|
$60,873.71
|
2025-12-31
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
1
|
—
|
—
|
$57,966.92
|
$63,774.04
|
$60,870.48
|
2025-12-31
|
|
7907
|
OTHER
|
Level 3: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
6
|
3
|
—
|
—
|
$60,085.90
|
$60,686.76
|
$60,686.76
|
2025-12-31
|
|
B0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
8
|
4
|
—
|
—
|
$59,785.73
|
$62,775.02
|
$60,682.51
|
2025-12-31
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
1
|
—
|
—
|
$57,619.18
|
$63,391.47
|
$60,505.32
|
2025-12-31
|
|
A0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
8
|
4
|
—
|
—
|
$59,463.37
|
$62,436.54
|
$60,355.32
|
2025-12-31
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
4
|
1
|
—
|
—
|
$57,080.08
|
$62,798.36
|
$59,939.22
|
2025-12-31
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
8
|
—
|
—
|
$57,821.79
|
$139,290.39
|
$59,845.56
|
2025-12-31
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
4
|
1
|
—
|
—
|
$56,919.04
|
$62,621.19
|
$59,770.12
|
2025-12-31
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
4
|
1
|
—
|
—
|
$56,651.82
|
$62,327.20
|
$59,489.51
|
2025-12-31
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
1
|
—
|
—
|
$56,447.62
|
$62,102.54
|
$59,275.08
|
2025-12-31
|
|
38240J1
|
OTHER
|
Transplt Allo Hct/donor
|
2
|
1
|
—
|
—
|
$59,142.33
|
$59,142.33
|
$59,142.33
|
2025-12-31
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
4
|
1
|
—
|
—
|
$56,276.08
|
$61,913.82
|
$59,094.95
|
2025-12-31
|
|
6504
|
APR_DRG
|
Splenic Procedures
|
4
|
1
|
—
|
—
|
$56,250.41
|
$61,885.57
|
$59,067.99
|
2025-12-31
|
|
233
|
APR_DRG
|
Spinal Procedures
|
4
|
1
|
—
|
—
|
$56,227.07
|
$61,859.90
|
$59,043.49
|
2025-12-31
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
4
|
1
|
—
|
—
|
$56,096.38
|
$61,716.11
|
$58,906.24
|
2025-12-31
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
4
|
1
|
—
|
—
|
$55,854.83
|
$61,450.37
|
$58,652.60
|
2025-12-31
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
4
|
1
|
—
|
—
|
$55,805.82
|
$61,396.45
|
$58,601.13
|
2025-12-31
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
1
|
—
|
—
|
$55,761.48
|
$61,347.66
|
$58,554.57
|
2025-12-31
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
24
|
8
|
—
|
—
|
$53,371.31
|
$139,367.69
|
$58,432.34
|
2025-12-31
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
4
|
1
|
—
|
—
|
$55,517.60
|
$61,079.35
|
$58,298.47
|
2025-12-31
|
|
444
|
APR_DRG
|
Intracranial Hemorrhage
|
4
|
1
|
—
|
—
|
$55,314.56
|
$60,855.97
|
$58,085.26
|
2025-12-31
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
1
|
—
|
—
|
$55,293.55
|
$60,832.86
|
$58,063.21
|
2025-12-31
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures
|
4
|
1
|
—
|
—
|
$55,272.55
|
$60,809.75
|
$58,041.15
|
2025-12-31
|
|
1832
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$55,243.37
|
$60,777.65
|
$58,010.51
|
2025-12-31
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
18
|
6
|
—
|
—
|
$56,824.55
|
$67,806.71
|
$57,961.04
|
2025-12-31
|
|
B0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
8
|
4
|
—
|
—
|
$56,923.00
|
$59,769.15
|
$57,776.85
|
2025-12-31
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
24
|
8
|
—
|
—
|
$53,846.11
|
$137,175.35
|
$57,515.41
|
2025-12-31
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
1
|
—
|
—
|
$54,749.78
|
$60,234.61
|
$57,492.19
|
2025-12-31
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
10
|
4
|
—
|
—
|
$56,889.99
|
$69,772.00
|
$57,458.89
|
2025-12-31
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
4
|
1
|
—
|
—
|
$54,642.42
|
$60,116.50
|
$57,379.46
|
2025-12-31
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedures
|
4
|
1
|
—
|
—
|
$54,438.21
|
$59,891.83
|
$57,165.02
|
2025-12-31
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
1
|
—
|
—
|
$54,389.20
|
$59,837.91
|
$57,113.56
|
2025-12-31
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
4
|
1
|
—
|
—
|
$54,327.36
|
$59,769.87
|
$57,048.62
|
2025-12-31
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
1
|
—
|
—
|
$54,266.68
|
$59,703.11
|
$56,984.90
|
2025-12-31
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
8
|
—
|
—
|
$55,042.38
|
$150,497.75
|
$56,968.87
|
2025-12-31
|
|
1831
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
1
|
—
|
—
|
$54,067.14
|
$59,483.58
|
$56,775.36
|
2025-12-31
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
4
|
1
|
—
|
—
|
$53,980.79
|
$59,388.58
|
$56,684.68
|
2025-12-31
|
|
8503
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
4
|
1
|
—
|
—
|
$53,722.90
|
$59,104.86
|
$56,413.88
|
2025-12-31
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
1
|
—
|
—
|
$53,701.90
|
$59,081.75
|
$56,391.82
|
2025-12-31
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
18
|
6
|
—
|
—
|
$55,272.32
|
$58,035.94
|
$56,377.77
|
2025-12-31
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
4
|
1
|
—
|
—
|
$53,530.37
|
$58,893.04
|
$56,211.71
|
2025-12-31
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
4
|
1
|
—
|
—
|
$53,484.86
|
$58,842.97
|
$56,163.92
|
2025-12-31
|
|
3224
|
APR_DRG
|
Shoulder And Elbow Joint Replacement
|
4
|
1
|
—
|
—
|
$53,470.85
|
$58,827.56
|
$56,149.21
|
2025-12-31
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
4
|
1
|
—
|
—
|
$53,355.33
|
$58,700.47
|
$56,027.90
|
2025-12-31
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
24
|
8
|
—
|
—
|
$54,131.12
|
$130,377.92
|
$56,025.71
|
2025-12-31
|
|
3244
|
APR_DRG
|
Elective Hip Joint Replacement
|
4
|
1
|
—
|
—
|
$53,257.31
|
$58,592.63
|
$55,924.97
|
2025-12-31
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
1
|
—
|
—
|
$53,201.30
|
$58,531.00
|
$55,866.15
|
2025-12-31
|
|
C1904
|
HCPCS
|
Guillain-barr? M <38.50
|
8
|
4
|
—
|
—
|
$54,809.38
|
$57,549.85
|
$55,631.52
|
2025-12-31
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
24
|
7
|
—
|
—
|
$454.60
|
$58,310.14
|
$55,533.47
|
2025-12-31
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
22
|
7
|
—
|
—
|
$54,442.37
|
$131,129.54
|
$55,531.22
|
2025-12-31
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
1
|
—
|
—
|
$52,875.73
|
$58,172.82
|
$55,524.28
|
2025-12-31
|
|
7524
|
APR_DRG
|
Disorders Of Personality And Impulse Control
|
4
|
1
|
—
|
—
|
$52,651.69
|
$57,926.33
|
$55,289.01
|
2025-12-31
|
|
7754
|
APR_DRG
|
Alcohol Abuse And Dependence
|
4
|
1
|
—
|
—
|
$52,435.81
|
$57,688.83
|
$55,062.32
|
2025-12-31
|