|
44978
|
CPT
|
Appendectomy
|
4
|
1
|
—
|
—
|
$17,047.80
|
$24,354.00
|
$20,092.05
|
2026-04-01
|
|
44976
|
CPT
|
Appendectomy
|
4
|
1
|
—
|
—
|
$17,047.80
|
$24,354.00
|
$20,092.05
|
2026-04-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
7
|
7
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
7
|
7
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
7
|
7
|
—
|
—
|
$3,321,781.51
|
$3,321,781.51
|
$3,321,781.51
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
7
|
7
|
—
|
—
|
$3,193,000.00
|
$3,193,000.00
|
$3,193,000.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
7
|
7
|
—
|
—
|
$2,968,000.00
|
$2,968,000.00
|
$2,968,000.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
7
|
7
|
—
|
—
|
$2,403,458.75
|
$2,403,458.75
|
$2,403,458.75
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
7
|
7
|
—
|
—
|
$2,332,000.00
|
$2,332,000.00
|
$2,332,000.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
7
|
7
|
—
|
—
|
$565,623.84
|
$565,623.84
|
$565,623.84
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
7
|
7
|
—
|
—
|
$551,318.34
|
$551,318.34
|
$551,318.34
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
7
|
7
|
—
|
—
|
$528,312.43
|
$528,312.43
|
$528,312.43
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
7
|
7
|
—
|
—
|
$516,485.97
|
$516,485.97
|
$516,485.97
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
7
|
7
|
—
|
—
|
$489,517.15
|
$489,517.15
|
$489,517.15
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
7
|
7
|
—
|
—
|
$488,051.51
|
$488,051.51
|
$488,051.51
|
2026-04-01
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
7
|
7
|
—
|
—
|
$63,402.04
|
$63,402.04
|
$63,402.04
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
7
|
7
|
—
|
—
|
$56,824.55
|
$56,824.55
|
$56,824.55
|
2026-04-01
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
7
|
7
|
—
|
—
|
$55,824.45
|
$55,824.45
|
$55,824.45
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
7
|
7
|
—
|
—
|
$55,536.50
|
$55,536.50
|
$55,536.50
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
7
|
7
|
—
|
—
|
$45,261.80
|
$45,261.80
|
$45,261.80
|
2026-04-01
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
7
|
7
|
—
|
—
|
$42,475.97
|
$42,475.97
|
$42,475.97
|
2026-04-01
|
|
0266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
7
|
7
|
—
|
—
|
$42,475.97
|
$42,475.97
|
$42,475.97
|
2026-04-01
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
7
|
7
|
—
|
—
|
$33,036.97
|
$33,036.97
|
$33,036.97
|
2026-04-01
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
33264
|
CPT
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
33231
|
CPT
|
Insrt Pulse Gen W/mult Leads
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
33249
|
CPT
|
Insj/rplcmt Defib W/lead(s)
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
7
|
7
|
—
|
—
|
$30,262.93
|
$30,262.93
|
$30,262.93
|
2026-04-01
|
|
69930
|
CPT
|
Implant Cochlear Device
|
7
|
7
|
—
|
—
|
$30,023.40
|
$30,023.40
|
$30,023.40
|
2026-04-01
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
63685
|
CPT
|
Ins/rplc Spi Npg/rcvr Pocket
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
0674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
0268T
|
CPT
|
Implt/rpl Crtd Sns Dev Gen
|
7
|
7
|
—
|
—
|
$28,764.02
|
$28,764.02
|
$28,764.02
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
7
|
7
|
—
|
—
|
$27,070.53
|
$27,070.53
|
$27,070.53
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
7
|
7
|
—
|
—
|
$25,957.72
|
$25,957.72
|
$25,957.72
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
7
|
7
|
—
|
—
|
$24,228.42
|
$24,228.42
|
$24,228.42
|
2026-04-01
|
|
0515T
|
CPT
|
Insj Wcs Lv Compl Sys
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
33263
|
CPT
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
33262
|
CPT
|
Rmvl& Replc Pulse Gen 1 Lead
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
33240
|
CPT
|
Insrt Pulse Gen W/singl Lead
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
33230
|
CPT
|
Insrt Pulse Gen W/dual Leads
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
0614T
|
CPT
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
0414T
|
CPT
|
Rmvl & Rpl Car Modulj Pls Gn
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
0923T
|
CPT
|
Rmvl&rplcmt Perm Ccm-d Pg
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
0916T
|
CPT
|
Insj Perm Ccm-d Sys Pg Only
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
0409T
|
CPT
|
Insj/rplc Car Modulj Pls Gn
|
7
|
7
|
—
|
—
|
$21,186.96
|
$21,186.96
|
$21,186.96
|
2026-04-01
|
|
0816T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subq
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
64590
|
CPT
|
Ins/rpl Prph Sac/gstr Npg/r
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
64580
|
CPT
|
Opn Impltj Nea Neuromuscular
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
63655
|
CPT
|
Implant Neuroelectrodes
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
61891
|
CPT
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
61885
|
CPT
|
Insrt/redo Neurostim 1 Array
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
0680T
|
CPT
|
Insj/rplcmt Pg Only Isdss
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
0817T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subf
|
7
|
7
|
—
|
—
|
$20,241.36
|
$20,241.36
|
$20,241.36
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
12
|
—
|
—
|
$271,249.49
|
$520,050.46
|
$291,311.95
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
15
|
12
|
—
|
—
|
$176,030.01
|
$189,311.81
|
$184,413.78
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
15
|
12
|
—
|
—
|
$133,324.49
|
$143,565.19
|
$139,764.89
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
15
|
12
|
—
|
—
|
$115,767.91
|
$124,758.39
|
$121,409.37
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
15
|
12
|
—
|
—
|
$87,006.52
|
$93,948.88
|
$91,339.15
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
15
|
12
|
—
|
—
|
$81,345.70
|
$87,884.95
|
$85,420.73
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
15
|
12
|
—
|
—
|
$75,489.53
|
$81,611.75
|
$79,298.06
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
15
|
12
|
—
|
—
|
$71,098.19
|
$136,312.31
|
$76,907.70
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
12
|
—
|
—
|
$69,228.83
|
$132,728.31
|
$74,905.23
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
15
|
12
|
—
|
—
|
$71,179.84
|
$76,995.17
|
$74,792.26
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
15
|
12
|
—
|
—
|
$68,304.84
|
$130,956.79
|
$73,915.43
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
15
|
12
|
—
|
—
|
$64,764.63
|
$70,123.12
|
$68,085.10
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
15
|
12
|
—
|
—
|
$62,544.14
|
$119,912.15
|
$67,744.51
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
12
|
—
|
—
|
$61,449.92
|
$117,814.26
|
$66,572.37
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
15
|
12
|
—
|
—
|
$56,593.12
|
$108,502.61
|
$61,369.72
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
15
|
12
|
—
|
—
|
$54,393.99
|
$104,286.36
|
$59,013.99
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
15
|
12
|
—
|
—
|
$52,951.78
|
$101,521.29
|
$57,469.07
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
12
|
—
|
—
|
$52,785.32
|
$101,202.15
|
$57,290.76
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
15
|
12
|
—
|
—
|
$49,427.27
|
$94,763.96
|
$53,693.58
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
12
|
—
|
—
|
$48,230.66
|
$92,469.77
|
$52,411.76
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
15
|
12
|
—
|
—
|
$48,022.75
|
$92,071.14
|
$52,189.04
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
15
|
12
|
—
|
—
|
$47,863.83
|
$91,766.46
|
$52,018.80
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
12
|
—
|
—
|
$45,343.09
|
$86,933.60
|
$49,318.56
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
15
|
12
|
—
|
—
|
$44,789.07
|
$85,871.41
|
$48,725.09
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
15
|
12
|
—
|
—
|
$45,054.77
|
$49,009.71
|
$47,478.33
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
15
|
12
|
—
|
—
|
$43,415.95
|
$83,238.81
|
$47,254.19
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
15
|
12
|
—
|
—
|
$43,203.01
|
$82,830.55
|
$47,026.08
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
15
|
12
|
—
|
—
|
$42,280.90
|
$81,062.64
|
$46,038.30
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
15
|
12
|
—
|
—
|
$42,000.74
|
$80,525.52
|
$45,738.20
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
15
|
12
|
—
|
—
|
$41,969.96
|
$80,466.51
|
$45,705.23
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
15
|
12
|
—
|
—
|
$41,628.26
|
$79,811.37
|
$45,339.19
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
12
|
—
|
—
|
$41,302.25
|
$79,186.34
|
$44,989.97
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
12
|
—
|
—
|
$41,302.25
|
$79,186.34
|
$44,989.97
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
15
|
12
|
—
|
—
|
$41,152.12
|
$78,898.51
|
$44,829.15
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
15
|
12
|
—
|
—
|
$40,419.08
|
$77,493.09
|
$44,043.91
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
15
|
12
|
—
|
—
|
$38,495.08
|
$73,804.32
|
$41,982.90
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$38,450.48
|
$73,718.82
|
$41,935.12
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
15
|
12
|
—
|
—
|
$38,081.76
|
$73,011.89
|
$41,540.15
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
15
|
12
|
—
|
—
|
$37,740.68
|
$72,357.96
|
$41,174.78
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
15
|
12
|
—
|
—
|
$37,730.00
|
$72,337.48
|
$41,163.34
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
12
|
—
|
—
|
$37,456.76
|
$71,813.61
|
$40,870.64
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
15
|
12
|
—
|
—
|
$36,863.17
|
$70,675.55
|
$40,234.77
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$36,839.30
|
$70,629.79
|
$40,209.21
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
15
|
12
|
—
|
—
|
$36,225.60
|
$69,453.19
|
$39,551.81
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
15
|
12
|
—
|
—
|
$37,333.65
|
$40,738.76
|
$39,405.85
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
15
|
12
|
—
|
—
|
$37,246.96
|
$40,645.90
|
$39,315.21
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
15
|
12
|
—
|
—
|
$35,994.45
|
$69,010.00
|
$39,304.19
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
15
|
12
|
—
|
—
|
$35,847.46
|
$68,728.20
|
$39,146.74
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
15
|
12
|
—
|
—
|
$35,800.98
|
$68,639.08
|
$39,096.95
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
15
|
12
|
—
|
—
|
$35,314.17
|
$67,705.75
|
$38,575.47
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
12
|
—
|
—
|
$34,963.66
|
$67,033.75
|
$38,200.01
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
15
|
12
|
—
|
—
|
$34,484.39
|
$66,114.87
|
$37,686.60
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
15
|
12
|
—
|
—
|
$34,362.53
|
$65,881.23
|
$37,556.07
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
15
|
12
|
—
|
—
|
$34,313.54
|
$65,787.30
|
$37,503.58
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
15
|
12
|
—
|
—
|
$34,259.52
|
$65,683.73
|
$37,445.72
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
15
|
12
|
—
|
—
|
$35,204.87
|
$38,458.39
|
$37,180.19
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
15
|
12
|
—
|
—
|
$33,672.20
|
$64,557.71
|
$36,816.58
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
12
|
—
|
—
|
$33,497.58
|
$64,222.91
|
$36,629.52
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
15
|
12
|
—
|
—
|
$33,477.48
|
$64,184.37
|
$36,607.99
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
15
|
12
|
—
|
—
|
$33,252.60
|
$63,753.23
|
$36,367.10
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
15
|
12
|
—
|
—
|
$33,142.68
|
$63,542.48
|
$36,249.35
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
15
|
12
|
—
|
—
|
$32,697.33
|
$62,688.63
|
$35,772.28
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
15
|
12
|
—
|
—
|
$32,640.79
|
$62,580.25
|
$35,711.72
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
12
|
—
|
—
|
$31,659.63
|
$60,699.13
|
$34,660.69
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
15
|
12
|
—
|
—
|
$31,327.98
|
$60,063.26
|
$34,305.42
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
15
|
12
|
—
|
—
|
$31,076.72
|
$59,581.54
|
$34,036.27
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$31,021.44
|
$59,475.56
|
$33,977.06
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
15
|
12
|
—
|
—
|
$30,915.29
|
$59,272.03
|
$33,863.34
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
15
|
12
|
—
|
—
|
$30,786.52
|
$59,025.15
|
$33,725.40
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
15
|
12
|
—
|
—
|
$30,331.11
|
$58,152.03
|
$33,237.57
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
15
|
12
|
—
|
—
|
$30,177.85
|
$57,858.18
|
$33,073.39
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
15
|
12
|
—
|
—
|
$29,904.60
|
$57,334.31
|
$32,780.69
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
15
|
12
|
—
|
—
|
$29,531.49
|
$56,618.96
|
$32,381.00
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
15
|
12
|
—
|
—
|
$29,471.19
|
$56,503.35
|
$32,316.41
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
15
|
12
|
—
|
—
|
$29,383.25
|
$56,334.75
|
$32,222.20
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
15
|
12
|
—
|
—
|
$30,391.42
|
$33,302.16
|
$32,147.69
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
15
|
12
|
—
|
—
|
$29,010.76
|
$55,620.60
|
$31,823.19
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,872.57
|
$55,355.65
|
$31,675.16
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,799.07
|
$55,214.75
|
$31,596.43
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
15
|
12
|
—
|
—
|
$28,658.37
|
$54,944.98
|
$31,445.71
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,572.31
|
$54,779.99
|
$31,353.52
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,559.75
|
$54,755.91
|
$31,340.07
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,447.94
|
$54,541.54
|
$31,220.30
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,152.09
|
$53,974.32
|
$30,903.37
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,143.92
|
$53,958.66
|
$30,894.62
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
15
|
12
|
—
|
—
|
$29,126.96
|
$31,947.67
|
$30,825.71
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
15
|
12
|
—
|
—
|
$28,033.37
|
$53,746.70
|
$30,776.20
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$27,593.04
|
$52,902.49
|
$30,304.52
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
15
|
12
|
—
|
—
|
$27,182.24
|
$52,114.88
|
$29,864.46
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
15
|
12
|
—
|
—
|
$26,965.53
|
$51,699.39
|
$29,632.32
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
15
|
12
|
—
|
—
|
$26,792.16
|
$51,367.01
|
$29,446.60
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
15
|
12
|
—
|
—
|
$26,638.26
|
$51,071.95
|
$29,281.75
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
15
|
12
|
—
|
—
|
$26,527.71
|
$50,860.00
|
$29,163.32
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
15
|
12
|
—
|
—
|
$26,482.48
|
$50,773.29
|
$29,114.88
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
15
|
12
|
—
|
—
|
$26,469.29
|
$50,748.00
|
$29,100.75
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
15
|
12
|
—
|
—
|
$26,392.03
|
$50,599.87
|
$29,017.98
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
15
|
12
|
—
|
—
|
$26,360.63
|
$50,539.65
|
$28,984.34
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
15
|
12
|
—
|
—
|
$26,311.63
|
$50,445.72
|
$28,931.85
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
12
|
—
|
—
|
$26,209.87
|
$50,250.62
|
$28,822.85
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$26,086.76
|
$50,014.58
|
$28,690.97
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
15
|
12
|
—
|
—
|
$25,914.02
|
$49,683.40
|
$28,505.93
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
15
|
12
|
—
|
—
|
$25,254.47
|
$48,418.88
|
$27,799.41
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
15
|
12
|
—
|
—
|
$26,191.03
|
$28,802.66
|
$27,756.16
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
15
|
12
|
—
|
—
|
$25,025.82
|
$47,980.52
|
$27,554.48
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
15
|
12
|
—
|
—
|
$24,572.30
|
$47,111.01
|
$27,068.67
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
15
|
12
|
—
|
—
|
$25,496.30
|
$28,058.47
|
$27,029.83
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
15
|
12
|
—
|
—
|
$24,313.51
|
$46,614.84
|
$26,791.45
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
15
|
12
|
—
|
—
|
$24,253.84
|
$46,500.43
|
$26,727.52
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
15
|
12
|
—
|
—
|
$24,116.27
|
$46,236.69
|
$26,580.16
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
15
|
12
|
—
|
—
|
$23,637.00
|
$45,317.81
|
$26,066.76
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$23,533.98
|
$45,120.30
|
$25,956.41
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$23,478.08
|
$45,013.12
|
$25,896.52
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
15
|
12
|
—
|
—
|
$23,475.57
|
$45,008.30
|
$25,893.83
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$23,409.61
|
$44,881.85
|
$25,823.18
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
15
|
12
|
—
|
—
|
$24,277.08
|
$26,752.42
|
$25,755.12
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
15
|
12
|
—
|
—
|
$23,277.70
|
$44,628.95
|
$25,681.88
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
15
|
12
|
—
|
—
|
$23,072.30
|
$44,235.14
|
$25,461.85
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
15
|
12
|
—
|
—
|
$23,062.88
|
$44,217.08
|
$25,451.76
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
15
|
12
|
—
|
—
|
$23,974.31
|
$26,428.09
|
$25,438.57
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
15
|
12
|
—
|
—
|
$22,792.15
|
$43,698.03
|
$25,161.75
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
15
|
12
|
—
|
—
|
$22,774.56
|
$43,664.31
|
$25,142.91
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
15
|
12
|
—
|
—
|
$22,743.15
|
$43,604.09
|
$25,109.26
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
15
|
12
|
—
|
—
|
$22,727.45
|
$43,573.98
|
$25,092.44
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
15
|
12
|
—
|
—
|
$22,687.25
|
$43,496.91
|
$25,049.38
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
12
|
—
|
—
|
$22,653.33
|
$43,431.88
|
$25,013.04
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
15
|
12
|
—
|
—
|
$22,452.95
|
$43,047.70
|
$24,798.40
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
15
|
12
|
—
|
—
|
$22,430.34
|
$43,004.35
|
$24,774.17
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
15
|
12
|
—
|
—
|
$22,397.05
|
$42,940.52
|
$24,738.51
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
15
|
12
|
—
|
—
|
$22,378.20
|
$42,904.39
|
$24,718.32
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
15
|
12
|
—
|
—
|
$22,356.85
|
$42,863.45
|
$24,695.45
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
15
|
12
|
—
|
—
|
$22,338.63
|
$42,828.52
|
$24,675.93
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
15
|
12
|
—
|
—
|
$22,152.07
|
$42,470.84
|
$24,476.09
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
15
|
12
|
—
|
—
|
$22,150.19
|
$42,467.23
|
$24,474.07
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
15
|
12
|
—
|
—
|
$22,106.84
|
$42,384.13
|
$24,427.64
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
15
|
12
|
—
|
—
|
$21,911.49
|
$42,009.60
|
$24,218.38
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
15
|
12
|
—
|
—
|
$21,905.84
|
$41,998.76
|
$24,212.32
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
15
|
12
|
—
|
—
|
$21,805.34
|
$41,806.07
|
$24,104.66
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
15
|
12
|
—
|
—
|
$21,699.81
|
$41,603.75
|
$23,991.62
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
15
|
12
|
—
|
—
|
$21,599.31
|
$41,411.06
|
$23,883.96
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
15
|
12
|
—
|
—
|
$21,535.24
|
$41,288.22
|
$23,815.33
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
15
|
12
|
—
|
—
|
$21,429.71
|
$41,085.90
|
$23,702.29
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
15
|
12
|
—
|
—
|
$21,401.44
|
$41,031.71
|
$23,672.01
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
15
|
12
|
—
|
—
|
$20,983.73
|
$40,230.85
|
$23,224.55
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
15
|
12
|
—
|
—
|
$20,749.43
|
$39,781.64
|
$22,973.56
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
15
|
12
|
—
|
—
|
$20,679.08
|
$39,646.76
|
$22,898.20
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
15
|
12
|
—
|
—
|
$20,676.56
|
$39,641.94
|
$22,895.51
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
15
|
12
|
—
|
—
|
$20,432.22
|
$39,173.47
|
$22,633.76
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
15
|
12
|
—
|
—
|
$20,342.39
|
$39,001.26
|
$22,537.54
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
15
|
12
|
—
|
—
|
$20,319.78
|
$38,957.90
|
$22,513.32
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
15
|
12
|
—
|
—
|
$20,291.51
|
$38,903.71
|
$22,483.04
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
15
|
12
|
—
|
—
|
$20,270.78
|
$38,863.97
|
$22,460.83
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
15
|
12
|
—
|
—
|
$20,165.88
|
$38,662.85
|
$22,348.46
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
15
|
12
|
—
|
—
|
$20,055.33
|
$38,450.89
|
$22,230.04
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
15
|
12
|
—
|
—
|
$20,018.27
|
$38,379.84
|
$22,190.34
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
15
|
12
|
—
|
—
|
$19,998.80
|
$38,342.50
|
$22,169.48
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
15
|
12
|
—
|
—
|
$19,879.45
|
$38,113.69
|
$22,041.63
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
15
|
12
|
—
|
—
|
$19,849.30
|
$38,055.88
|
$22,009.34
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
15
|
12
|
—
|
—
|
$19,792.77
|
$37,947.49
|
$21,948.78
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
15
|
12
|
—
|
—
|
$19,783.35
|
$37,929.43
|
$21,938.69
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
15
|
12
|
—
|
—
|
$19,736.86
|
$37,840.31
|
$21,888.89
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
15
|
12
|
—
|
—
|
$19,605.58
|
$37,588.61
|
$21,748.26
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
15
|
12
|
—
|
—
|
$19,564.75
|
$37,510.33
|
$21,704.53
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
15
|
12
|
—
|
—
|
$19,530.20
|
$37,444.10
|
$21,667.52
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
15
|
12
|
—
|
—
|
$20,285.86
|
$22,476.98
|
$21,582.27
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
15
|
12
|
—
|
—
|
$20,231.21
|
$22,418.44
|
$21,525.13
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
15
|
12
|
—
|
—
|
$19,316.01
|
$37,033.43
|
$21,438.07
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
15
|
12
|
—
|
—
|
$19,230.58
|
$36,869.64
|
$21,346.56
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
15
|
12
|
—
|
—
|
$19,204.83
|
$36,820.27
|
$21,318.97
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
15
|
12
|
—
|
—
|
$19,052.82
|
$36,528.83
|
$21,156.13
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
15
|
12
|
—
|
—
|
$18,973.04
|
$36,375.88
|
$21,070.68
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
15
|
12
|
—
|
—
|
$18,970.53
|
$36,371.06
|
$21,067.99
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
15
|
12
|
—
|
—
|
$18,949.80
|
$36,331.32
|
$21,045.78
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
15
|
12
|
—
|
—
|
$18,696.03
|
$35,844.79
|
$20,773.94
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
15
|
12
|
—
|
—
|
$18,505.70
|
$35,479.88
|
$20,570.06
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
15
|
12
|
—
|
—
|
$18,493.14
|
$35,455.80
|
$20,556.60
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
15
|
12
|
—
|
—
|
$18,474.30
|
$35,419.67
|
$20,536.42
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
15
|
12
|
—
|
—
|
$19,283.34
|
$21,403.08
|
$20,534.13
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
15
|
12
|
—
|
—
|
$18,341.76
|
$35,165.56
|
$20,394.44
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
15
|
12
|
—
|
—
|
$18,293.39
|
$35,072.83
|
$20,342.63
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
15
|
12
|
—
|
—
|
$18,228.69
|
$34,948.79
|
$20,273.32
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
15
|
12
|
—
|
—
|
$18,217.39
|
$34,927.11
|
$20,261.21
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
15
|
12
|
—
|
—
|
$18,136.98
|
$34,772.96
|
$20,175.09
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
15
|
12
|
—
|
—
|
$18,128.19
|
$34,756.10
|
$20,165.66
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
15
|
12
|
—
|
—
|
$18,101.81
|
$34,705.52
|
$20,137.40
|
2026-04-01
|
|
3559241
|
LOCAL
|
Cath-impella 5.5 0550-0008
|
21
|
13
|
$189,531.00
|
—
|
$22,743.72
|
$151,624.80
|
$64,793.99
|
2026-04-01
|
|
3602882
|
LOCAL
|
Valve-evolut Fx+ Evfxplus-34
|
21
|
13
|
$134,778.00
|
—
|
$16,173.36
|
$107,822.40
|
$46,075.86
|
2026-04-01
|
|
3825114
|
LOCAL
|
Valve-evolutr Evolutr-34-US
|
17
|
13
|
$109,872.00
|
—
|
$13,184.64
|
$87,897.60
|
$44,837.12
|
2026-04-01
|
|
3058904
|
LOCAL
|
Valve-evolutpro-23-US
|
21
|
13
|
$126,354.00
|
—
|
$15,162.48
|
$101,083.20
|
$43,195.99
|
2026-04-01
|
|
3598802
|
LOCAL
|
Valve-evolut Fx Evolutfx
|
21
|
13
|
$126,354.00
|
—
|
$15,162.48
|
$101,083.20
|
$43,195.99
|
2026-04-01
|
|
3574664
|
LOCAL
|
Valve-evolutr Evolutr-23-US
|
21
|
13
|
$126,354.00
|
—
|
$15,162.48
|
$101,083.20
|
$43,195.99
|
2026-04-01
|
|
3086401
|
LOCAL
|
Valve-evolutpro 26 US
|
21
|
13
|
$126,354.00
|
—
|
$15,162.48
|
$101,083.20
|
$43,195.99
|
2026-04-01
|
|
3601417
|
LOCAL
|
Cath-steerable Guide Mitraclip
|
21
|
13
|
$110,000.00
|
—
|
$13,200.00
|
$88,000.00
|
$37,605.13
|
2026-04-01
|
|
3827720
|
LOCAL
|
Cath-impella Cp 0048-0003
|
17
|
13
|
$91,560.00
|
—
|
$10,987.20
|
$73,248.00
|
$37,364.26
|
2026-04-01
|
|
3059056
|
LOCAL
|
Set-impella Rp Pump 004334
|
21
|
13
|
$105,295.00
|
—
|
$12,635.40
|
$84,236.00
|
$35,996.66
|
2026-04-01
|
|
J2351
|
HCPCS
|
Ocrevus Zunovo 920mg/23ml Vial
|
14
|
13
|
$67,888.00
|
—
|
$44.56
|
$54,310.40
|
$30,341.35
|
2026-04-01
|
|
3827727
|
LOCAL
|
Cath-impella 2.5 005042
|
17
|
13
|
$73,248.00
|
—
|
$8,789.76
|
$58,598.40
|
$29,891.41
|
2026-04-01
|
|
3600542
|
LOCAL
|
Graft-tag Stent 45x45x20/24fr
|
21
|
13
|
$86,629.00
|
—
|
$10,395.48
|
$69,303.20
|
$29,615.41
|
2026-04-01
|
|
3599528
|
LOCAL
|
Stent-thoracic Tag Tgm343420
|
21
|
13
|
$86,629.00
|
—
|
$10,395.48
|
$69,303.20
|
$29,615.41
|
2026-04-01
|
|
3600544
|
LOCAL
|
Graft-tag Stent 40x40x20/22fr
|
21
|
13
|
$86,629.00
|
—
|
$10,395.48
|
$69,303.20
|
$29,615.41
|
2026-04-01
|
|
3600543
|
LOCAL
|
Graft-tag Stent 40x40x10/22fr
|
21
|
13
|
$86,629.00
|
—
|
$10,395.48
|
$69,303.20
|
$29,615.41
|
2026-04-01
|
|
3600540
|
LOCAL
|
Graft-tag Stent 34x34x15/22fr
|
21
|
13
|
$86,629.00
|
—
|
$10,395.48
|
$69,303.20
|
$29,615.41
|
2026-04-01
|
|
3600541
|
LOCAL
|
Graft-tag Stent 45x45x10/24fr
|
21
|
13
|
$86,629.00
|
—
|
$10,395.48
|
$69,303.20
|
$29,615.41
|
2026-04-01
|
|
3550896
|
LOCAL
|
Stent-thoracic Tgmr312610
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3600538
|
LOCAL
|
Graft-tag Stent 21x21x10/18fr
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3599631
|
LOCAL
|
Stent,thoracic Tgmr373715
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3600539
|
LOCAL
|
Graft-tag Stent 34x34x10/22fr
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3598209
|
LOCAL
|
Stent-thoracic Tgmr
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3559465
|
LOCAL
|
Stent-thoracic Tgm262610
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3550613
|
LOCAL
|
Stent-thoracic Tgmr312610
|
21
|
13
|
$84,847.00
|
—
|
$10,181.64
|
$67,877.60
|
$29,006.21
|
2026-04-01
|
|
3549225
|
LOCAL
|
Stent-valiant Thoracic
|
21
|
13
|
$83,464.00
|
—
|
$10,015.68
|
$66,771.20
|
$28,533.41
|
2026-04-01
|
|
3559555
|
LOCAL
|
Stent-thoracic Vnmc3731c207tu
|
21
|
13
|
$83,464.00
|
—
|
$10,015.68
|
$66,771.20
|
$28,533.41
|
2026-04-01
|
|
3549969
|
LOCAL
|
Stent-valiant Thoracic
|
21
|
13
|
$83,464.00
|
—
|
$10,015.68
|
$66,771.20
|
$28,533.41
|
2026-04-01
|
|
3550428
|
LOCAL
|
Stent-thoracic Vnmc3428c207tu
|
21
|
13
|
$83,464.00
|
—
|
$10,015.68
|
$66,771.20
|
$28,533.41
|
2026-04-01
|
|
3549222
|
LOCAL
|
Stent-valiant Thoracic
|
21
|
13
|
$83,464.00
|
—
|
$10,015.68
|
$66,771.20
|
$28,533.41
|
2026-04-01
|
|
C2624
|
HCPCS
|
System-cardiomems Patient
|
21
|
13
|
$80,025.00
|
—
|
$9,603.00
|
$64,020.00
|
$27,357.74
|
2026-04-01
|
|
3549979
|
LOCAL
|
Stent-thoracic Vnmf3131c174tu
|
21
|
13
|
$79,183.00
|
—
|
$9,501.96
|
$63,346.40
|
$27,069.89
|
2026-04-01
|
|
C1882
|
HCPCS
|
Defib-quadra Assura Cd3369-40q
|
404
|
13
|
$71,601.00
|
—
|
$3,123.48
|
$83,471.20
|
$26,436.08
|
2026-04-01
|
|
C1767
|
HCPCS
|
Battery-dbs Ipg 37602
|
252
|
13
|
$75,159.00
|
—
|
$4,831.80
|
$125,302.40
|
$26,046.68
|
2026-04-01
|
|
3598150
|
LOCAL
|
Stent-valiant Vamf4036c150tu
|
21
|
13
|
$74,003.00
|
—
|
$8,880.36
|
$59,202.40
|
$25,299.03
|
2026-04-01
|
|
3549076
|
LOCAL
|
Stent-thoracic Tgu313115
|
21
|
13
|
$73,703.00
|
—
|
$8,844.36
|
$58,962.40
|
$25,196.47
|
2026-04-01
|
|
3549115
|
LOCAL
|
Stent-valiant Thoracic
|
21
|
13
|
$72,761.00
|
—
|
$8,731.32
|
$58,208.80
|
$24,874.43
|
2026-04-01
|
|
3549980
|
LOCAL
|
Stent-thoracic Vnmf3131c97tu
|
21
|
13
|
$72,761.00
|
—
|
$8,731.32
|
$58,208.80
|
$24,874.43
|
2026-04-01
|
|
3549224
|
LOCAL
|
Stent-valiant Thoracic
|
21
|
13
|
$72,761.00
|
—
|
$8,731.32
|
$58,208.80
|
$24,874.43
|
2026-04-01
|
|
3526984
|
LOCAL
|
Stent-thoracic Endoprosthesis
|
21
|
13
|
$71,904.00
|
—
|
$8,628.48
|
$57,523.20
|
$24,581.45
|
2026-04-01
|
|
3602605
|
LOCAL
|
Occluder-amplatzer Amulet 22mm
|
21
|
13
|
$71,601.00
|
—
|
$8,592.12
|
$57,280.80
|
$24,477.87
|
2026-04-01
|
|
3602607
|
LOCAL
|
Occlude- Amplatzer Amulet 31mm
|
21
|
13
|
$71,601.00
|
—
|
$8,592.12
|
$57,280.80
|
$24,477.87
|
2026-04-01
|
|
3602603
|
LOCAL
|
Occluder-amplatzer Amulet 16mm
|
21
|
13
|
$71,601.00
|
—
|
$8,592.12
|
$57,280.80
|
$24,477.87
|
2026-04-01
|
|
3599130
|
LOCAL
|
Stent-valiant Vamc3632c150tu
|
21
|
13
|
$71,002.00
|
—
|
$8,520.24
|
$56,801.60
|
$24,273.09
|
2026-04-01
|
|
L8614
|
HCPCS
|
Implant-cochlear Ci-1601-04
|
202
|
13
|
$65,494.00
|
—
|
$5,473.68
|
$78,801.60
|
$23,405.56
|
2026-04-01
|
|
3603240
|
LOCAL
|
Graft-system Vamf3030c100tu
|
21
|
13
|
$68,001.00
|
—
|
$8,160.12
|
$54,400.80
|
$23,247.15
|
2026-04-01
|
|
3599189
|
LOCAL
|
Stent-valiant Vamf2828c100tu
|
21
|
13
|
$68,001.00
|
—
|
$8,160.12
|
$54,400.80
|
$23,247.15
|
2026-04-01
|
|
C1721
|
HCPCS
|
Defibrillator-cobalt Ddpa2d4
|
177
|
13
|
$56,860.00
|
—
|
$4,948.56
|
$56,741.60
|
$21,580.01
|
2026-04-01
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Vial
|
18
|
13
|
$71,134.45
|
—
|
$270.89
|
$56,907.56
|
$21,430.86
|
2026-04-01
|
|
3599512
|
LOCAL
|
Kit-dual N8 Processor Dualn8
|
21
|
13
|
$62,546.00
|
—
|
$7,505.52
|
$50,036.80
|
$21,382.28
|
2026-04-01
|
|
3527114
|
LOCAL
|
Device-watchman M635wu
|
21
|
13
|
$62,261.00
|
—
|
$7,471.32
|
$49,808.80
|
$21,284.85
|
2026-04-01
|
|
3603762
|
LOCAL
|
Graft-aaa Prox Body G32542
|
21
|
13
|
$61,695.00
|
—
|
$7,403.40
|
$49,356.00
|
$21,091.35
|
2026-04-01
|
|
3559595
|
LOCAL
|
Stent-thoracic Tgm282810
|
21
|
13
|
$61,483.00
|
—
|
$7,377.96
|
$49,186.40
|
$21,018.88
|
2026-04-01
|
|
C1826
|
HCPCS
|
Controller-proclaim 5 Ipg
|
147
|
13
|
$58,545.00
|
—
|
$5,211.36
|
$62,853.60
|
$20,871.90
|
2026-04-01
|
|
C1722
|
HCPCS
|
Defibrillator-acticor 448101
|
261
|
13
|
$54,333.00
|
—
|
$3,950.40
|
$67,388.80
|
$20,836.34
|
2026-04-01
|
|
3058820
|
LOCAL
|
Set-beq-hls Advanced 7.0 7050
|
21
|
13
|
$60,044.00
|
—
|
$7,205.28
|
$48,035.20
|
$20,526.93
|
2026-04-01
|
|
3598105
|
LOCAL
|
Implant-custom Xl Pk624561
|
21
|
13
|
$58,966.00
|
—
|
$7,075.92
|
$47,172.80
|
$20,158.40
|
2026-04-01
|