|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
40
|
17
|
—
|
—
|
$234,161.40
|
$1,207,038.56
|
$665,001.50
|
2026-02-28
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
109
|
20
|
$596,755.00
|
$286,442.40
52% off
|
$101,448.35
|
$584,819.90
|
$507,241.75
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
40
|
17
|
—
|
—
|
$184,022.28
|
$948,582.96
|
$496,700.50
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$371,506.00
|
$764,779.00
|
$472,545.12
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
40
|
17
|
—
|
—
|
$131,924.76
|
$680,037.28
|
$418,311.50
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$286,233.00
|
$649,473.00
|
$386,668.88
|
2026-02-28
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$254,507.00
|
$670,064.00
|
$378,527.50
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
40
|
17
|
—
|
—
|
$97,079.52
|
$506,686.00
|
$377,910.00
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$322,101.00
|
$429,468.00
|
$326,326.00
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$216,261.00
|
$579,363.00
|
$325,391.62
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$180,767.00
|
$566,740.00
|
$302,911.00
|
2026-02-28
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$156,620.00
|
$584,358.00
|
$297,444.25
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$224,625.00
|
$413,363.00
|
$267,323.62
|
2026-02-28
|
|
224
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$50,552.22
|
$260,580.32
|
$255,569.16
|
2026-02-28
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$176,653.00
|
$438,402.00
|
$252,727.25
|
2026-02-28
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$138,093.00
|
$488,132.00
|
$252,096.00
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
40
|
17
|
—
|
—
|
$63,636.78
|
$334,061.00
|
$249,158.50
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
3
|
—
|
—
|
$215,384.00
|
$371,145.00
|
$246,871.38
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$165,599.00
|
$426,417.00
|
$242,705.88
|
2026-02-28
|
|
222
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$46,663.98
|
$240,537.44
|
$235,911.72
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
40
|
17
|
—
|
—
|
$87,839.34
|
$452,785.84
|
$231,028.00
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
40
|
17
|
—
|
—
|
$96,596.04
|
$497,927.04
|
$230,446.50
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$194,622.75
|
$259,497.00
|
$230,353.00
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$130,511.00
|
$421,104.00
|
$223,169.50
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$196,083.00
|
$329,254.00
|
$221,511.75
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$166,902.00
|
$368,042.00
|
$221,466.75
|
2026-02-28
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$72,811.00
|
$452,230.00
|
$205,991.75
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$176,171.00
|
$312,770.00
|
$205,374.25
|
2026-02-28
|
|
453
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$40,574.58
|
$209,151.28
|
$205,129.14
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$148,833.00
|
$341,114.00
|
$202,334.25
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
40
|
17
|
—
|
—
|
$91,476.66
|
$471,534.96
|
$194,314.00
|
2026-02-28
|
|
226
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$37,490.10
|
$193,252.80
|
$189,536.40
|
2026-02-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$81,249.00
|
$395,336.00
|
$188,875.50
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$147,940.00
|
$304,274.00
|
$188,072.75
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
4
|
3
|
—
|
—
|
$113,103.00
|
$349,979.00
|
$187,793.62
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
40
|
17
|
—
|
—
|
$90,998.05
|
$521,683.76
|
$187,784.00
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$176,541.75
|
$235,389.00
|
$187,700.00
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$95,783.00
|
$371,663.00
|
$187,265.12
|
2026-02-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$120,235.00
|
$338,013.00
|
$186,872.38
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
40
|
17
|
—
|
—
|
$51,613.02
|
$266,052.80
|
$186,821.50
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
25
|
16
|
—
|
—
|
$93,055.77
|
$257,554.00
|
$183,126.00
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
3
|
—
|
—
|
$177,446.00
|
$238,560.00
|
$178,183.00
|
2026-02-28
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$88,744.00
|
$356,265.00
|
$177,971.38
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
3
|
—
|
—
|
$117,634.00
|
$314,972.00
|
$176,931.50
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
25
|
16
|
—
|
—
|
$89,533.66
|
$247,659.00
|
$176,091.00
|
2026-02-28
|
|
J2351
|
HCPCS
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln
|
109
|
20
|
$206,409.59
|
$99,076.61
52% off
|
$35,089.64
|
$202,281.40
|
$175,448.16
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
4
|
3
|
—
|
—
|
$109,011.00
|
$318,164.00
|
$173,817.00
|
2026-02-28
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$89,525.00
|
$342,536.00
|
$173,213.50
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$153,875.00
|
$250,577.00
|
$170,903.88
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
17
|
—
|
—
|
$70,044.42
|
$361,058.88
|
$170,181.00
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$120,058.00
|
$285,564.00
|
$167,115.50
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
4
|
3
|
—
|
—
|
$103,782.00
|
$303,013.00
|
$165,520.88
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
4
|
3
|
—
|
—
|
$141,279.00
|
$249,735.00
|
$164,290.12
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$123,752.00
|
$270,693.00
|
$163,385.88
|
2026-02-28
|
|
225
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$31,643.46
|
$163,111.52
|
$159,974.76
|
2026-02-28
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$67,252.00
|
$334,496.00
|
$159,062.00
|
2026-02-28
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$109,447.00
|
$269,462.00
|
$155,771.75
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$96,960.00
|
$284,488.00
|
$155,163.00
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$113,875.00
|
$261,468.00
|
$154,988.00
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
25
|
16
|
—
|
—
|
$78,900.00
|
$217,788.00
|
$154,852.00
|
2026-02-28
|
|
C9293
|
HCPCS
|
Glucarpidase 1000 Unit Intravenous Solution
|
115
|
20
|
$205,870.00
|
$98,817.60
52% off
|
$384.80
|
$201,752.60
|
$154,402.50
|
2026-02-28
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$71,074.00
|
$312,471.00
|
$152,713.62
|
2026-02-28
|
|
459
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$29,667.72
|
$152,928.88
|
$149,987.94
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
40
|
17
|
—
|
—
|
$39,893.22
|
$205,640.24
|
$149,422.50
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
40
|
17
|
—
|
—
|
$45,375.72
|
$233,901.20
|
$149,340.00
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
4
|
3
|
—
|
—
|
$114,071.00
|
$241,578.00
|
$147,627.25
|
2026-02-28
|
|
223
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$29,118.96
|
$150,100.08
|
$147,213.54
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$122,031.00
|
$162,708.00
|
$142,369.50
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
40
|
17
|
—
|
—
|
$53,496.96
|
$275,764.32
|
$142,143.50
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
25
|
16
|
—
|
—
|
$71,567.11
|
$197,188.00
|
$140,205.00
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
40
|
17
|
—
|
—
|
$41,789.40
|
$215,413.12
|
$139,785.00
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
40
|
17
|
—
|
—
|
$33,933.36
|
$184,795.00
|
$137,829.00
|
2026-02-28
|
|
454
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$27,254.40
|
$140,489.44
|
$137,787.72
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
4
|
3
|
—
|
—
|
$54,830.00
|
$294,227.00
|
$137,750.12
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$66,347.00
|
$277,273.00
|
$137,150.88
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
17
|
—
|
—
|
$36,789.36
|
$189,638.80
|
$136,438.00
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$100,591.00
|
$225,450.00
|
$134,839.25
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$92,261.00
|
$232,376.00
|
$133,271.50
|
2026-02-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
40
|
17
|
—
|
—
|
$37,121.88
|
$191,352.72
|
$131,618.50
|
2026-02-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$76,890.00
|
$248,148.00
|
$131,500.50
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$91,959.00
|
$227,750.00
|
$131,385.75
|
2026-02-28
|
|
227
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$25,917.18
|
$133,597.36
|
$131,028.18
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$96,446.00
|
$217,947.00
|
$129,953.12
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
4
|
3
|
—
|
—
|
$97,663.00
|
$208,945.00
|
$127,185.88
|
2026-02-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$50,287.00
|
$264,222.00
|
$124,226.75
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
40
|
17
|
—
|
—
|
$39,357.72
|
$202,876.96
|
$122,666.00
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$85,355.00
|
$213,143.00
|
$122,606.12
|
2026-02-28
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
4
|
3
|
—
|
—
|
$95,323.00
|
$198,785.00
|
$122,205.88
|
2026-02-28
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$58,530.00
|
$247,159.00
|
$121,949.62
|
2026-02-28
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
4
|
3
|
—
|
—
|
$71,236.00
|
$229,734.00
|
$121,768.25
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$62,955.00
|
$238,094.00
|
$120,762.75
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
40
|
17
|
—
|
—
|
$34,874.82
|
$179,769.20
|
$120,405.50
|
2026-02-28
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
4
|
3
|
—
|
—
|
$70,006.00
|
$227,342.00
|
$120,256.25
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
3
|
—
|
—
|
$74,184.00
|
$220,132.00
|
$119,641.50
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
25
|
16
|
—
|
—
|
$61,148.89
|
$167,922.00
|
$119,396.00
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
25
|
16
|
—
|
—
|
$60,848.44
|
$167,078.00
|
$118,796.00
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
40
|
17
|
—
|
—
|
$32,732.82
|
$168,726.48
|
$117,572.00
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$74,126.00
|
$211,509.00
|
$116,378.88
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
4
|
3
|
—
|
—
|
$76,177.00
|
$207,151.00
|
$115,770.12
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
40
|
17
|
—
|
—
|
$22,692.96
|
$188,498.00
|
$114,728.58
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
40
|
17
|
—
|
—
|
$34,410.72
|
$177,377.20
|
$114,038.00
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
17
|
—
|
—
|
$36,204.90
|
$186,625.92
|
$113,874.00
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
25
|
16
|
—
|
—
|
$57,799.31
|
$158,513.00
|
$112,706.00
|
2026-02-28
|
|
455
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$22,279.86
|
$114,847.20
|
$112,638.60
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$98,411.00
|
$169,135.00
|
$112,631.12
|
2026-02-28
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$47,927.00
|
$235,721.00
|
$112,358.88
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$36,303.84
|
$187,136.56
|
$111,518.50
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$77,630.00
|
$192,163.00
|
$110,876.12
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
4
|
3
|
—
|
—
|
$54,725.00
|
$216,895.00
|
$108,698.12
|
2026-02-28
|
|
J1747
|
HCPCS
|
Spesolimab-sbzo 60 Mg/ml Intravenous Solution
|
109
|
20
|
$127,832.52
|
$61,359.61
52% off
|
$21,731.53
|
$125,275.87
|
$108,657.65
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
40
|
17
|
—
|
—
|
$34,735.08
|
$179,048.48
|
$108,589.50
|
2026-02-28
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$67,166.00
|
$199,425.00
|
$108,367.38
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
40
|
17
|
—
|
—
|
$38,106.18
|
$196,424.80
|
$108,210.50
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
40
|
17
|
—
|
—
|
$38,879.34
|
$200,413.20
|
$107,717.00
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$81,547.00
|
$177,925.00
|
$107,495.38
|
2026-02-28
|
|
A9513
|
HCPCS
|
Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution
|
139
|
21
|
$237,500.00
|
$114,000.00
52% off
|
$131.99
|
$232,750.00
|
$107,231.25
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
40
|
17
|
—
|
—
|
$23,216.22
|
$143,732.00
|
$107,201.50
|
2026-02-28
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$54,753.00
|
$211,139.00
|
$106,553.62
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
40
|
17
|
—
|
—
|
$40,567.44
|
$209,115.92
|
$106,432.50
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
40
|
17
|
—
|
—
|
$24,745.20
|
$142,701.00
|
$106,432.50
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$87,870.00
|
$164,836.00
|
$105,748.50
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
40
|
17
|
—
|
—
|
$38,879.34
|
$200,410.08
|
$105,637.50
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
17
|
—
|
—
|
$32,885.82
|
$169,515.84
|
$104,906.00
|
2026-02-28
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$42,771.00
|
$220,756.00
|
$104,169.00
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
25
|
16
|
—
|
—
|
$53,504.61
|
$146,448.00
|
$104,128.00
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$69,517.00
|
$184,879.00
|
$104,088.12
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
25
|
16
|
—
|
—
|
$53,437.28
|
$146,259.00
|
$103,993.00
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$68,242.00
|
$185,859.00
|
$103,818.12
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
40
|
17
|
—
|
—
|
$28,051.02
|
$144,594.32
|
$103,758.00
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
40
|
17
|
—
|
—
|
$20,373.48
|
$157,903.00
|
$103,000.62
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$35,676.54
|
$183,901.12
|
$102,666.50
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
4
|
3
|
—
|
—
|
$72,485.00
|
$175,759.00
|
$102,152.12
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
40
|
17
|
—
|
—
|
$33,524.34
|
$172,809.52
|
$101,205.00
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
40
|
17
|
—
|
—
|
$33,676.32
|
$173,591.60
|
$100,600.00
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$72,023.00
|
$169,389.00
|
$99,532.38
|
2026-02-28
|
|
460
|
MS_DRG
|
No Active Code Description
|
16
|
5
|
—
|
—
|
$19,687.02
|
$104,546.00
|
$99,531.60
|
2026-02-28
|
|
J1823
|
HCPCS
|
Inebilizumab-cdon 10 Mg/ml Intravenous Solution
|
138
|
21
|
$218,333.00
|
$104,799.84
52% off
|
$410.82
|
$213,966.34
|
$98,577.35
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
40
|
17
|
—
|
—
|
$21,088.50
|
$131,795.00
|
$98,298.50
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$74,163.00
|
$163,028.00
|
$98,217.00
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
40
|
17
|
—
|
—
|
$39,064.98
|
$201,366.88
|
$97,464.50
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
40
|
17
|
—
|
—
|
$42,130.08
|
$217,168.64
|
$97,464.50
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$94,971.00
|
$129,923.00
|
$96,206.62
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
40
|
17
|
—
|
—
|
$47,164.81
|
$444,021.76
|
$95,944.50
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
40
|
17
|
—
|
—
|
$25,663.20
|
$132,288.00
|
$95,726.00
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
17
|
—
|
—
|
$21,013.02
|
$127,690.00
|
$95,237.50
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
40
|
17
|
—
|
—
|
$22,127.88
|
$127,570.00
|
$95,147.50
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
40
|
17
|
—
|
—
|
$31,741.38
|
$163,619.04
|
$95,137.00
|
2026-02-28
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$51,198.00
|
$185,423.00
|
$95,132.62
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
3
|
—
|
—
|
$61,218.00
|
$169,041.00
|
$93,999.38
|
2026-02-28
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$38,787.00
|
$198,724.00
|
$93,915.00
|
2026-02-28
|
|
248
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$18,570.12
|
$95,725.76
|
$93,884.88
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
40
|
17
|
—
|
—
|
$29,871.72
|
$153,982.40
|
$93,813.00
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
17
|
—
|
—
|
$29,660.58
|
$152,893.52
|
$93,398.50
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$57,686.00
|
$170,314.00
|
$92,710.75
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
25
|
16
|
—
|
—
|
$47,695.02
|
$130,128.00
|
$92,524.00
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
25
|
16
|
—
|
—
|
$47,412.24
|
$129,334.00
|
$91,959.00
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$66,052.00
|
$156,880.00
|
$91,856.00
|
2026-02-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
4
|
3
|
—
|
—
|
$46,669.00
|
$182,638.00
|
$91,823.75
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$65,130.00
|
$156,098.00
|
$91,101.75
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$54,107.00
|
$170,409.00
|
$90,956.88
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$74,241.00
|
$142,687.00
|
$90,628.12
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
40
|
17
|
—
|
—
|
$29,772.78
|
$153,471.76
|
$90,512.00
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
4
|
3
|
—
|
—
|
$85,689.00
|
$126,935.00
|
$90,445.12
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
40
|
17
|
—
|
—
|
$21,742.32
|
$120,447.00
|
$89,834.50
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$64,749.00
|
$153,092.00
|
$89,784.00
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
40
|
17
|
—
|
—
|
$21,029.34
|
$120,078.00
|
$89,559.50
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$69,846.00
|
$145,695.00
|
$89,558.62
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$67,384.00
|
$148,716.00
|
$89,460.50
|
2026-02-28
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
3
|
—
|
—
|
$39,907.00
|
$185,235.00
|
$89,416.62
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
4
|
3
|
—
|
—
|
$58,513.00
|
$159,646.00
|
$89,123.75
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
4
|
3
|
—
|
—
|
$66,749.00
|
$148,405.00
|
$89,026.38
|
2026-02-28
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
4
|
3
|
—
|
—
|
$25,662.00
|
$202,905.00
|
$88,920.38
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
40
|
17
|
—
|
—
|
$28,195.86
|
$145,341.04
|
$88,817.50
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
4
|
3
|
—
|
—
|
$52,640.00
|
$166,190.00
|
$88,641.25
|
2026-02-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
40
|
17
|
—
|
—
|
$19,283.10
|
$118,380.00
|
$88,293.50
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$23,049.96
|
$118,816.88
|
$88,189.50
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
4
|
3
|
—
|
—
|
$72,001.00
|
$139,130.00
|
$88,174.25
|
2026-02-28
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
4
|
3
|
—
|
—
|
$40,518.00
|
$180,312.00
|
$87,876.00
|
2026-02-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
40
|
17
|
—
|
—
|
$33,147.96
|
$170,866.80
|
$87,872.00
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$64,344.00
|
$146,263.00
|
$87,020.62
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
25
|
16
|
—
|
—
|
$44,715.74
|
$121,759.00
|
$86,573.00
|
2026-02-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
40
|
17
|
—
|
—
|
$28,196.88
|
$145,345.20
|
$86,170.50
|
2026-02-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
40
|
17
|
—
|
—
|
$25,581.60
|
$131,867.84
|
$85,650.50
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
3
|
—
|
—
|
$56,450.00
|
$153,061.00
|
$85,622.88
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
40
|
17
|
—
|
—
|
$42,183.35
|
$293,453.68
|
$85,507.00
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$51,773.00
|
$157,861.00
|
$85,084.38
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$56,294.00
|
$149,751.00
|
$84,303.62
|
2026-02-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
40
|
17
|
—
|
—
|
$31,595.52
|
$162,866.08
|
$84,208.00
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
4
|
3
|
—
|
—
|
$61,321.00
|
$142,722.00
|
$84,181.25
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
25
|
16
|
—
|
—
|
$43,480.27
|
$118,288.00
|
$84,105.00
|
2026-02-28
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
40
|
17
|
—
|
—
|
$21,016.08
|
$112,413.00
|
$83,843.00
|
2026-02-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
17
|
—
|
—
|
$26,008.98
|
$134,069.52
|
$83,827.00
|
2026-02-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
40
|
17
|
—
|
—
|
$32,689.98
|
$168,510.16
|
$82,959.50
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
4
|
3
|
—
|
—
|
$70,380.00
|
$126,297.00
|
$82,551.38
|
2026-02-28
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
40
|
17
|
—
|
—
|
$26,129.34
|
$134,689.36
|
$82,515.00
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
3
|
—
|
—
|
$60,072.00
|
$139,765.00
|
$82,447.88
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$68,168.00
|
$128,675.00
|
$82,337.12
|
2026-02-28
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$53,119.00
|
$146,192.00
|
$81,381.50
|
2026-02-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
4
|
3
|
—
|
—
|
$43,332.00
|
$159,236.00
|
$81,379.50
|
2026-02-28
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
40
|
17
|
—
|
—
|
$25,560.18
|
$131,757.60
|
$81,275.50
|
2026-02-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
40
|
17
|
—
|
—
|
$40,147.52
|
$313,622.40
|
$81,242.00
|
2026-02-28
|
|
246
|
MS_DRG
|
No Active Code Description
|
15
|
4
|
—
|
—
|
$16,066.02
|
$82,815.20
|
$81,222.60
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
4
|
3
|
—
|
—
|
$53,125.00
|
$145,201.00
|
$81,012.88
|
2026-02-28
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
17
|
—
|
—
|
$25,325.58
|
$130,549.12
|
$80,982.50
|
2026-02-28
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
40
|
17
|
—
|
—
|
$21,162.96
|
$109,086.64
|
$80,970.00
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
4
|
3
|
—
|
—
|
$57,143.00
|
$139,443.00
|
$80,862.62
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
3
|
—
|
—
|
$48,122.00
|
$150,858.00
|
$80,632.75
|
2026-02-28
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$34,181.00
|
$168,172.00
|
$80,155.00
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$68,134.00
|
$122,300.00
|
$79,929.50
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
3
|
—
|
—
|
$56,303.00
|
$137,632.00
|
$79,763.50
|
2026-02-28
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
40
|
17
|
—
|
—
|
$23,627.28
|
$121,791.28
|
$78,861.50
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
4
|
3
|
—
|
—
|
$64,693.00
|
$123,915.00
|
$78,814.62
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
3
|
—
|
—
|
$55,064.00
|
$136,700.00
|
$78,794.50
|
2026-02-28
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$16,004.82
|
$106,663.00
|
$78,773.50
|
2026-02-28
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
25
|
16
|
—
|
—
|
$40,522.87
|
$109,980.00
|
$78,198.00
|
2026-02-28
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
40
|
17
|
—
|
—
|
$26,736.24
|
$137,818.72
|
$78,124.50
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$51,668.00
|
$138,958.00
|
$77,943.25
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
4
|
3
|
—
|
—
|
$50,332.00
|
$139,695.00
|
$77,551.62
|
2026-02-28
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$70,860.00
|
$112,234.00
|
$77,517.75
|
2026-02-28
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
40
|
17
|
—
|
—
|
$27,072.84
|
$139,551.36
|
$77,459.50
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
4
|
3
|
—
|
—
|
$49,155.00
|
$140,191.00
|
$77,149.12
|
2026-02-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
4
|
3
|
—
|
—
|
$52,280.00
|
$135,540.00
|
$76,967.50
|
2026-02-28
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
4
|
3
|
—
|
—
|
$44,284.00
|
$145,799.00
|
$76,816.62
|
2026-02-28
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
40
|
17
|
—
|
—
|
$15,473.40
|
$106,027.00
|
$76,692.00
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
4
|
3
|
—
|
—
|
$68,614.00
|
$112,606.00
|
$76,534.25
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$57,390.00
|
$127,051.00
|
$76,339.12
|
2026-02-28
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
40
|
17
|
—
|
—
|
$32,954.16
|
$221,666.00
|
$76,140.50
|
2026-02-28
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$20,038.92
|
$103,296.96
|
$75,218.50
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$60,418.00
|
$119,913.00
|
$75,176.38
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
4
|
3
|
—
|
—
|
$63,253.00
|
$115,859.00
|
$75,073.62
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
3
|
—
|
—
|
$48,769.00
|
$133,875.00
|
$74,587.62
|
2026-02-28
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
40
|
17
|
—
|
—
|
$20,033.82
|
$103,270.96
|
$74,575.00
|
2026-02-28
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$46,554.00
|
$136,705.00
|
$74,541.38
|
2026-02-28
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
40
|
17
|
—
|
—
|
$15,986.46
|
$99,051.00
|
$73,876.50
|
2026-02-28
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
40
|
17
|
—
|
—
|
$18,622.14
|
$98,367.00
|
$73,367.00
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
4
|
3
|
—
|
—
|
$60,662.00
|
$114,647.00
|
$73,323.62
|
2026-02-28
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$45,729.00
|
$134,356.00
|
$73,248.00
|
2026-02-28
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
40
|
17
|
—
|
—
|
$14,839.98
|
$99,074.00
|
$73,106.50
|
2026-02-28
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
4
|
3
|
—
|
—
|
$42,965.00
|
$136,969.00
|
$72,845.88
|
2026-02-28
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
40
|
17
|
—
|
—
|
$23,183.58
|
$119,505.36
|
$72,510.00
|
2026-02-28
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
40
|
17
|
—
|
—
|
$20,449.98
|
$105,411.28
|
$72,469.50
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
3
|
—
|
—
|
$48,599.00
|
$128,404.00
|
$72,451.00
|
2026-02-28
|
|
12
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
40
|
17
|
—
|
—
|
$16,363.86
|
$97,020.00
|
$72,362.00
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
4
|
3
|
—
|
—
|
$61,991.00
|
$110,064.00
|
$72,269.50
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
4
|
3
|
—
|
—
|
$49,809.00
|
$125,893.00
|
$72,114.38
|
2026-02-28
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$22,119.72
|
$114,023.52
|
$71,722.00
|
2026-02-28
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
25
|
16
|
—
|
—
|
$37,219.58
|
$100,701.00
|
$71,601.00
|
2026-02-28
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
40
|
17
|
—
|
—
|
$14,161.68
|
$102,297.00
|
$71,596.86
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
4
|
3
|
—
|
—
|
$54,307.00
|
$115,716.00
|
$70,547.00
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
4
|
3
|
—
|
—
|
$47,475.00
|
$124,377.00
|
$70,378.88
|
2026-02-28
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
40
|
17
|
—
|
—
|
$18,171.30
|
$94,183.00
|
$70,245.50
|
2026-02-28
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
40
|
17
|
—
|
—
|
$23,973.06
|
$123,575.92
|
$70,196.50
|
2026-02-28
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
4
|
3
|
—
|
—
|
$50,176.00
|
$119,150.00
|
$69,769.25
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
4
|
3
|
—
|
—
|
$52,642.00
|
$115,567.00
|
$69,658.62
|
2026-02-28
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
40
|
17
|
—
|
—
|
$26,711.76
|
$137,689.76
|
$69,433.00
|
2026-02-28
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
4
|
3
|
—
|
—
|
$44,131.00
|
$126,022.00
|
$69,323.75
|
2026-02-28
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
40
|
17
|
—
|
—
|
$15,965.04
|
$92,447.00
|
$68,951.50
|
2026-02-28
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
25
|
16
|
—
|
—
|
$35,739.20
|
$96,542.00
|
$68,644.00
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
4
|
3
|
—
|
—
|
$44,903.00
|
$122,995.00
|
$68,574.62
|
2026-02-28
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
40
|
17
|
—
|
—
|
$15,377.52
|
$91,937.00
|
$68,570.50
|
2026-02-28
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
4
|
3
|
—
|
—
|
$43,202.00
|
$124,671.00
|
$68,352.62
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
4
|
3
|
—
|
—
|
$44,327.00
|
$122,498.00
|
$68,100.25
|
2026-02-28
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
40
|
17
|
—
|
—
|
$17,232.90
|
$91,284.00
|
$68,084.00
|
2026-02-28
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
4
|
3
|
—
|
—
|
$46,047.00
|
$119,781.00
|
$67,941.38
|
2026-02-28
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$19,496.28
|
$100,497.28
|
$67,894.00
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
4
|
3
|
—
|
—
|
$44,847.00
|
$120,742.00
|
$67,701.75
|
2026-02-28
|
|
956
|
MS_DRG
|
Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma
|
40
|
17
|
—
|
—
|
$30,487.80
|
$157,153.36
|
$67,401.50
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
4
|
3
|
—
|
—
|
$46,829.00
|
$117,095.00
|
$67,325.12
|
2026-02-28
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$40,056.00
|
$125,596.00
|
$67,126.50
|
2026-02-28
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
40
|
17
|
—
|
—
|
$21,490.38
|
$110,777.68
|
$67,036.50
|
2026-02-28
|
|
J9334
|
HCPCS
|
Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11200 Unit/5.6 Ml Subcut Soln
|
109
|
20
|
$78,865.00
|
$37,855.20
52% off
|
$13,407.05
|
$77,287.70
|
$67,035.25
|
2026-02-28
|
|
40
|
MS_DRG
|
Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc
|
40
|
17
|
—
|
—
|
$17,078.88
|
$89,180.00
|
$66,515.00
|
2026-02-28
|
|
6914
|
APR_DRG
|
Lymphoma Myeloma And Non-acute Leukemia
|
4
|
3
|
—
|
—
|
$36,789.00
|
$128,310.00
|
$66,510.75
|
2026-02-28
|
|
628
|
MS_DRG
|
Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc
|
40
|
17
|
—
|
—
|
$13,140.66
|
$93,284.00
|
$66,434.64
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$52,431.00
|
$106,634.00
|
$66,203.25
|
2026-02-28
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord…
|
40
|
17
|
—
|
—
|
$22,662.36
|
$116,819.04
|
$65,984.00
|
2026-02-28
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
25
|
16
|
—
|
—
|
$34,297.53
|
$92,492.00
|
$65,764.00
|
2026-02-28
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
40
|
17
|
—
|
—
|
$13,035.60
|
$91,376.00
|
$65,743.50
|
2026-02-28
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
4
|
3
|
—
|
—
|
$41,533.00
|
$119,459.00
|
$65,563.62
|
2026-02-28
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
4
|
3
|
—
|
—
|
$54,877.00
|
$101,196.00
|
$65,387.00
|
2026-02-28
|
|
0120
|
EAPG
|
Immunotherapy
|
9
|
8
|
—
|
—
|
$65,239.56
|
$65,239.56
|
$65,239.56
|
2026-02-28
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
4
|
3
|
—
|
—
|
$30,860.00
|
$130,518.00
|
$64,374.25
|
2026-02-28
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
40
|
17
|
—
|
—
|
$22,151.34
|
$114,184.72
|
$64,338.50
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
3
|
—
|
—
|
$53,621.00
|
$99,993.00
|
$64,307.88
|
2026-02-28
|
|
4044
|
APR_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures
|
4
|
3
|
—
|
—
|
$50,390.00
|
$103,724.00
|
$64,091.50
|
2026-02-28
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
4
|
3
|
—
|
—
|
$46,561.00
|
$108,517.00
|
$63,974.38
|
2026-02-28
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
40
|
17
|
—
|
—
|
$17,735.76
|
$91,423.28
|
$63,893.00
|
2026-02-28
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
40
|
17
|
—
|
—
|
$23,264.16
|
$119,922.40
|
$63,212.00
|
2026-02-28
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
40
|
17
|
—
|
—
|
$13,129.44
|
$84,747.00
|
$63,208.50
|
2026-02-28
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
4
|
3
|
—
|
—
|
$42,546.00
|
$111,398.00
|
$63,047.25
|
2026-02-28
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
4
|
3
|
—
|
—
|
$41,947.00
|
$112,178.00
|
$63,040.25
|
2026-02-28
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$39,173.00
|
$115,829.00
|
$63,022.38
|
2026-02-28
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
3
|
—
|
—
|
$38,275.00
|
$116,865.00
|
$62,961.88
|
2026-02-28
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
40
|
17
|
—
|
—
|
$18,969.96
|
$97,784.96
|
$62,901.50
|
2026-02-28
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc
|
40
|
17
|
—
|
—
|
$22,698.06
|
$117,004.16
|
$62,619.50
|
2026-02-28
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
4
|
3
|
—
|
—
|
$41,234.00
|
$111,372.00
|
$62,381.50
|
2026-02-28
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
4
|
3
|
—
|
—
|
$35,944.00
|
$118,275.00
|
$62,325.12
|
2026-02-28
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
4
|
3
|
—
|
—
|
$43,775.00
|
$107,733.00
|
$62,287.38
|
2026-02-28
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
40
|
17
|
—
|
—
|
$30,483.72
|
$157,137.76
|
$62,252.50
|
2026-02-28
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
40
|
17
|
—
|
—
|
$22,043.22
|
$113,629.36
|
$62,236.50
|
2026-02-28
|