|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other I
|
73
|
24
|
—
|
—
|
$49,832.95
|
$855,514.86
|
$282,348.14
|
2025-12-04
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System
|
73
|
24
|
—
|
—
|
$32,339.58
|
$555,194.71
|
$183,232.58
|
2025-12-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >9
|
73
|
24
|
—
|
—
|
$21,268.45
|
$422,984.84
|
$139,598.96
|
2025-12-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principa
|
73
|
24
|
—
|
—
|
$24,493.88
|
$420,502.46
|
$138,779.69
|
2025-12-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagno
|
73
|
24
|
—
|
—
|
$15,984.52
|
$274,416.61
|
$90,566.54
|
2025-12-04
|
|
7
|
MS_DRG
|
Lung Transplant
|
73
|
24
|
—
|
—
|
$14,944.53
|
$256,562.52
|
$84,674.10
|
2025-12-04
|
|
01906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
01599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
56
|
20
|
—
|
—
|
$71,358.29
|
$237,860.97
|
$79,286.99
|
2025-12-04
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
73
|
24
|
—
|
—
|
$13,868.66
|
$238,092.27
|
$78,578.31
|
2025-12-04
|
|
01598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
56
|
20
|
—
|
—
|
$68,022.42
|
$226,741.41
|
$75,580.47
|
2025-12-04
|
|
01584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
56
|
20
|
—
|
—
|
$68,022.42
|
$226,741.41
|
$75,580.47
|
2025-12-04
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System
|
73
|
24
|
—
|
—
|
$13,076.90
|
$224,499.63
|
$74,092.29
|
2025-12-04
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
64
|
19
|
—
|
—
|
$13,061.90
|
$224,242.08
|
$74,007.29
|
2025-12-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spi
|
68
|
21
|
—
|
—
|
$12,718.46
|
$218,346.19
|
$72,061.45
|
2025-12-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
73
|
24
|
—
|
—
|
$12,548.71
|
$215,431.93
|
$71,099.65
|
2025-12-04
|
|
0407
|
OTHER
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.5
|
40
|
15
|
—
|
—
|
$69,824.97
|
$94,263.70
|
$69,824.97
|
2025-12-04
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
73
|
24
|
—
|
—
|
$11,898.32
|
$204,266.17
|
$67,414.58
|
2025-12-04
|
|
01597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
56
|
20
|
—
|
—
|
$60,019.83
|
$200,066.10
|
$66,688.70
|
2025-12-04
|
|
01583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
56
|
20
|
—
|
—
|
$60,019.83
|
$200,066.10
|
$66,688.70
|
2025-12-04
|
|
1904
|
OTHER
|
Guillain-barr� M <38.50
|
40
|
15
|
—
|
—
|
$65,370.03
|
$88,249.54
|
$65,370.03
|
2025-12-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
73
|
24
|
—
|
—
|
$11,490.38
|
$197,262.81
|
$65,103.24
|
2025-12-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
73
|
24
|
—
|
—
|
$11,289.35
|
$193,811.67
|
$63,964.25
|
2025-12-04
|
|
C1722
|
HCPCS
|
Cardio-defibr Single (part 1)
|
102
|
33
|
$99,999.99
|
$29,999.99
70% off
|
$9,500.00
|
$99,999.99
|
$59,699.99
|
2025-12-04
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fu
|
68
|
21
|
—
|
—
|
$10,397.08
|
$178,493.42
|
$58,908.72
|
2025-12-04
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With
|
55
|
19
|
—
|
—
|
$52,145.75
|
$175,557.38
|
$57,939.73
|
2025-12-04
|
|
01596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
56
|
20
|
—
|
—
|
$52,017.23
|
$173,390.79
|
$57,796.93
|
2025-12-04
|
|
01582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
56
|
20
|
—
|
—
|
$52,017.23
|
$173,390.79
|
$57,796.93
|
2025-12-04
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
68
|
21
|
—
|
—
|
$9,993.06
|
$171,557.44
|
$56,619.62
|
2025-12-04
|
|
1806
|
OTHER
|
Major Multiple Trauma With Brain Or Spinal Cord In
|
40
|
15
|
—
|
—
|
$55,330.99
|
$74,696.83
|
$55,330.99
|
2025-12-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
73
|
24
|
—
|
—
|
$9,728.10
|
$167,008.72
|
$55,118.39
|
2025-12-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvatur
|
73
|
24
|
—
|
—
|
$9,697.52
|
$166,483.71
|
$54,945.12
|
2025-12-04
|
|
05244
|
OTHER
|
Level 4 Blood Product Exchange And Related Service
|
56
|
20
|
—
|
—
|
$47,329.18
|
$157,763.94
|
$52,587.98
|
2025-12-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Di
|
73
|
24
|
—
|
—
|
$9,080.60
|
$155,892.50
|
$51,449.67
|
2025-12-04
|
|
0406
|
OTHER
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.5
|
40
|
15
|
—
|
—
|
$50,988.50
|
$68,834.47
|
$50,988.50
|
2025-12-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
73
|
24
|
—
|
—
|
$8,860.76
|
$152,118.42
|
$50,204.10
|
2025-12-04
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
50
|
16
|
—
|
—
|
$45,055.98
|
$151,688.49
|
$50,062.21
|
2025-12-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Op
|
73
|
24
|
—
|
—
|
$8,822.56
|
$151,462.67
|
$49,987.68
|
2025-12-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Tra
|
73
|
24
|
—
|
—
|
$8,793.36
|
$150,961.41
|
$49,822.25
|
2025-12-04
|
|
0404
|
RC
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
40
|
15
|
—
|
—
|
$48,932.01
|
$66,058.21
|
$48,932.01
|
2025-12-04
|
|
01595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
56
|
20
|
—
|
—
|
$44,014.65
|
$146,715.51
|
$48,905.17
|
2025-12-04
|
|
01581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
56
|
20
|
—
|
—
|
$44,014.65
|
$146,715.51
|
$48,905.17
|
2025-12-04
|
|
0505
|
OTHER
|
Non-traumatic Spinal Cord Injury M <39.50
|
40
|
15
|
—
|
—
|
$48,126.36
|
$64,970.58
|
$48,126.36
|
2025-12-04
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spi
|
68
|
21
|
—
|
—
|
$8,330.26
|
$143,011.09
|
$47,198.38
|
2025-12-04
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
73
|
24
|
—
|
—
|
$3,542.66
|
$142,161.17
|
$46,917.88
|
2025-12-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation
|
73
|
24
|
—
|
—
|
$8,277.30
|
$142,101.72
|
$46,898.26
|
2025-12-04
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With H
|
73
|
24
|
—
|
—
|
$7,647.79
|
$141,346.92
|
$46,649.15
|
2025-12-04
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
73
|
24
|
—
|
—
|
$8,228.48
|
$141,263.72
|
$46,621.69
|
2025-12-04
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
50
|
16
|
—
|
—
|
$41,717.07
|
$140,447.46
|
$46,352.30
|
2025-12-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
73
|
24
|
—
|
—
|
$7,976.22
|
$136,932.91
|
$45,192.38
|
2025-12-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsatio
|
73
|
24
|
—
|
—
|
$7,937.10
|
$136,261.31
|
$44,970.73
|
2025-12-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
73
|
24
|
—
|
—
|
$7,767.69
|
$133,352.99
|
$44,010.89
|
2025-12-04
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Card
|
68
|
21
|
—
|
—
|
$7,716.22
|
$132,469.38
|
$43,719.27
|
2025-12-04
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With
|
68
|
21
|
—
|
—
|
$7,710.57
|
$132,372.33
|
$43,687.24
|
2025-12-04
|
|
0106
|
OTHER
|
Stroke M <41.50 And A <84.50
|
40
|
15
|
—
|
—
|
$43,632.91
|
$58,904.42
|
$43,632.91
|
2025-12-04
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
55
|
19
|
—
|
—
|
$39,028.40
|
$131,395.61
|
$43,364.89
|
2025-12-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
73
|
24
|
—
|
—
|
$7,587.90
|
$130,266.36
|
$42,992.20
|
2025-12-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
73
|
24
|
—
|
—
|
$7,587.90
|
$130,266.36
|
$42,992.20
|
2025-12-04
|
|
C1721
|
HCPCS
|
Aicd - Dual Chamber
|
102
|
33
|
$72,000.00
|
$21,600.00
70% off
|
$9,352.80
|
$72,000.00
|
$42,984.00
|
2025-12-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
73
|
24
|
—
|
—
|
$7,560.32
|
$129,792.86
|
$42,835.93
|
2025-12-04
|
|
0110
|
RC
|
Stroke M<22.35 And A<84.5
|
69
|
19
|
—
|
—
|
$850.00
|
$57,511.09
|
$42,600.81
|
2025-12-04
|
|
1903
|
OTHER
|
Guillain-barr� M >=38.50 And M <51.50
|
40
|
15
|
—
|
—
|
$42,511.47
|
$57,390.48
|
$42,511.47
|
2025-12-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Suppo
|
73
|
24
|
—
|
—
|
$7,425.64
|
$127,480.85
|
$42,072.89
|
2025-12-04
|
|
0205
|
OTHER
|
Traumatic Brain Injury M <35.50
|
40
|
15
|
—
|
—
|
$41,973.85
|
$56,664.69
|
$41,973.85
|
2025-12-04
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath
|
50
|
16
|
—
|
—
|
$37,666.71
|
$126,811.25
|
$41,851.90
|
2025-12-04
|
|
0506
|
OTHER
|
Non-traumatic Spinal Cord Injury M<23.75
|
40
|
15
|
—
|
—
|
$41,585.66
|
$56,140.64
|
$41,585.66
|
2025-12-04
|
|
4470577
|
CDM
|
Impella Device (3 Of 3)
|
102
|
33
|
$69,333.34
|
$20,800.00
70% off
|
$9,006.40
|
$69,333.34
|
$41,392.00
|
2025-12-04
|
|
4470578
|
CDM
|
Impella Device (3 Of 3)
|
102
|
33
|
$69,333.33
|
$20,799.99
70% off
|
$9,006.39
|
$69,333.33
|
$41,391.99
|
2025-12-04
|
|
4470576
|
CDM
|
Impella Device (1 Of 3)
|
102
|
33
|
$69,333.00
|
$20,799.90
70% off
|
$9,006.35
|
$69,333.00
|
$41,391.80
|
2025-12-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplem
|
73
|
24
|
—
|
—
|
$7,072.17
|
$121,412.61
|
$40,070.17
|
2025-12-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
73
|
24
|
—
|
—
|
$7,063.98
|
$121,271.96
|
$40,023.75
|
2025-12-04
|
|
01580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
56
|
20
|
—
|
—
|
$36,012.06
|
$120,040.20
|
$40,013.40
|
2025-12-04
|
|
01594
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
56
|
20
|
—
|
—
|
$36,012.06
|
$120,040.20
|
$40,013.40
|
2025-12-04
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With
|
55
|
19
|
—
|
—
|
$35,991.95
|
$121,172.91
|
$39,991.06
|
2025-12-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
73
|
24
|
—
|
—
|
$6,996.24
|
$120,109.01
|
$39,639.94
|
2025-12-04
|
|
1705
|
OTHER
|
Major Multiple Trauma Without Brain Or Spinal Cord
|
40
|
15
|
—
|
—
|
$39,368.97
|
$53,148.10
|
$39,368.97
|
2025-12-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
73
|
24
|
—
|
—
|
$6,933.58
|
$119,033.24
|
$39,284.90
|
2025-12-04
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid
|
73
|
24
|
—
|
—
|
$6,931.62
|
$118,999.58
|
$39,273.79
|
2025-12-04
|
|
2102
|
OTHER
|
Burns M <52.50
|
40
|
15
|
—
|
—
|
$39,205.69
|
$52,927.68
|
$39,205.69
|
2025-12-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvatur
|
73
|
24
|
—
|
—
|
$6,881.42
|
$118,137.79
|
$38,989.37
|
2025-12-04
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrom
|
73
|
24
|
—
|
—
|
$6,858.80
|
$117,749.46
|
$38,861.21
|
2025-12-04
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
73
|
24
|
—
|
—
|
$6,842.87
|
$117,476.06
|
$38,770.98
|
2025-12-04
|
|
0405
|
OTHER
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.5
|
40
|
15
|
—
|
—
|
$38,758.96
|
$52,324.59
|
$38,758.96
|
2025-12-04
|
|
0105
|
OTHER
|
Stroke M <41.50 And A >=84.50
|
40
|
15
|
—
|
—
|
$38,735.85
|
$52,293.39
|
$38,735.85
|
2025-12-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Wi
|
73
|
24
|
—
|
—
|
$6,772.36
|
$116,265.58
|
$38,371.48
|
2025-12-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures W
|
73
|
24
|
—
|
—
|
$6,767.98
|
$116,190.31
|
$38,346.64
|
2025-12-04
|
|
0207
|
RC
|
Traumatic Brain Injury M<22.05
|
40
|
15
|
—
|
—
|
$38,299.91
|
$51,704.87
|
$38,299.91
|
2025-12-04
|
|
1805
|
OTHER
|
Major Multiple Trauma With Brain Or Spinal Cord In
|
40
|
15
|
—
|
—
|
$38,190.54
|
$51,557.22
|
$38,190.54
|
2025-12-04
|
|
0604
|
RC
|
Neurological M <43.50
|
40
|
15
|
—
|
—
|
$37,737.65
|
$50,945.82
|
$37,737.65
|
2025-12-04
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fu
|
68
|
21
|
—
|
—
|
$6,655.23
|
$114,254.72
|
$37,707.83
|
2025-12-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Comp
|
73
|
24
|
—
|
—
|
$6,612.77
|
$113,525.67
|
$37,467.22
|
2025-12-04
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Pro
|
64
|
19
|
—
|
—
|
$6,585.76
|
$113,062.08
|
$37,314.22
|
2025-12-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For M
|
73
|
24
|
—
|
—
|
$6,577.22
|
$112,915.46
|
$37,265.83
|
2025-12-04
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spi
|
68
|
21
|
—
|
—
|
$6,487.79
|
$111,380.07
|
$36,759.10
|
2025-12-04
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
73
|
24
|
—
|
—
|
$6,467.71
|
$111,035.38
|
$36,645.34
|
2025-12-04
|
|
0305
|
RC
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
40
|
15
|
—
|
—
|
$36,506.84
|
$49,284.23
|
$36,506.84
|
2025-12-04
|
|
1004
|
OTHER
|
Amputation Lower Extremity M <47.50
|
40
|
15
|
—
|
—
|
$36,406.71
|
$49,149.05
|
$36,406.71
|
2025-12-04
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of P
|
73
|
24
|
—
|
—
|
$6,423.39
|
$110,274.60
|
$36,394.26
|
2025-12-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lo
|
73
|
24
|
—
|
—
|
$6,186.13
|
$109,418.75
|
$36,111.80
|
2025-12-04
|
|
1504
|
OTHER
|
Pulmonary M <45.50
|
40
|
15
|
—
|
—
|
$36,084.76
|
$48,714.42
|
$36,084.76
|
2025-12-04
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
73
|
24
|
—
|
—
|
$6,335.34
|
$108,763.00
|
$35,895.38
|
2025-12-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
73
|
24
|
—
|
—
|
$6,312.96
|
$108,378.64
|
$35,768.53
|
2025-12-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Op
|
73
|
24
|
—
|
—
|
$6,303.96
|
$108,224.11
|
$35,717.53
|
2025-12-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or
|
73
|
24
|
—
|
—
|
$6,294.03
|
$108,053.73
|
$35,661.30
|
2025-12-04
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
73
|
24
|
—
|
—
|
$5,583.40
|
$107,621.84
|
$35,518.76
|
2025-12-04
|
|
0108
|
OTHER
|
Stroke M<26.15 And A>84.5
|
40
|
15
|
—
|
—
|
$35,516.34
|
$47,947.05
|
$35,516.34
|
2025-12-04
|
|
0704
|
OTHER
|
Fracture Of Lower Extremity M <41.50
|
40
|
15
|
—
|
—
|
$35,337.65
|
$47,705.82
|
$35,337.65
|
2025-12-04
|
|
1304
|
OTHER
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
40
|
15
|
—
|
—
|
$35,294.52
|
$47,647.60
|
$35,294.52
|
2025-12-04
|
|
1305
|
OTHER
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
40
|
15
|
—
|
—
|
$35,225.20
|
$47,554.02
|
$35,225.20
|
2025-12-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
73
|
24
|
—
|
—
|
$6,154.05
|
$105,650.61
|
$34,868.19
|
2025-12-04
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mc
|
68
|
21
|
—
|
—
|
$6,150.36
|
$105,587.19
|
$34,847.26
|
2025-12-04
|
|
0904
|
RC
|
Other Orthopedic M <44.5
|
40
|
15
|
—
|
—
|
$34,632.13
|
$46,753.37
|
$34,632.13
|
2025-12-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Di
|
73
|
24
|
—
|
—
|
$6,109.05
|
$104,877.96
|
$34,613.19
|
2025-12-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
73
|
24
|
—
|
—
|
$6,088.85
|
$104,531.27
|
$34,498.77
|
2025-12-04
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
50
|
16
|
—
|
—
|
$30,709.93
|
$103,390.11
|
$34,122.15
|
2025-12-04
|
|
2005
|
OTHER
|
Miscellaneous M <46.50 And A <77.50
|
40
|
15
|
—
|
—
|
$34,071.41
|
$45,996.40
|
$34,071.41
|
2025-12-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
73
|
24
|
—
|
—
|
$6,007.03
|
$103,126.62
|
$34,035.19
|
2025-12-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,996.65
|
$102,948.31
|
$33,976.34
|
2025-12-04
|
|
0504
|
OTHER
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <
|
40
|
15
|
—
|
—
|
$33,872.69
|
$45,728.13
|
$33,872.69
|
2025-12-04
|
|
1704
|
OTHER
|
Major Multiple Trauma Without Brain Or Spinal Cord
|
40
|
15
|
—
|
—
|
$33,817.24
|
$45,653.27
|
$33,817.24
|
2025-12-04
|
|
0304
|
RC
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
40
|
15
|
—
|
—
|
$33,327.38
|
$44,991.96
|
$33,327.38
|
2025-12-04
|
|
1404
|
OTHER
|
Cardiac M <45.50
|
40
|
15
|
—
|
—
|
$33,070.12
|
$44,644.66
|
$33,070.12
|
2025-12-04
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Cathete
|
50
|
16
|
—
|
—
|
$29,762.51
|
$100,200.46
|
$33,069.46
|
2025-12-04
|
|
1204
|
OTHER
|
Osteoarthritis M <49.50 And A <74.50
|
40
|
15
|
—
|
—
|
$33,065.50
|
$44,638.42
|
$33,065.50
|
2025-12-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Proce
|
73
|
24
|
—
|
—
|
$5,816.39
|
$99,853.77
|
$32,955.04
|
2025-12-04
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath
|
50
|
16
|
—
|
—
|
$29,544.78
|
$99,467.44
|
$32,827.54
|
2025-12-04
|
|
0204
|
RC
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
40
|
15
|
—
|
—
|
$32,717.36
|
$44,168.43
|
$32,717.36
|
2025-12-04
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With M
|
73
|
24
|
—
|
—
|
$5,755.46
|
$98,807.72
|
$32,609.81
|
2025-12-04
|
|
2004
|
OTHER
|
Miscellaneous M <46.50 And A >=77.50
|
40
|
15
|
—
|
—
|
$32,551.00
|
$43,943.85
|
$32,551.00
|
2025-12-04
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,709.30
|
$98,015.25
|
$32,348.27
|
2025-12-04
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Proced
|
73
|
24
|
—
|
—
|
$5,699.14
|
$97,840.91
|
$32,290.73
|
2025-12-04
|
|
0805
|
OTHER
|
Replacement Of Lower-extremity Joint M <42.50
|
40
|
15
|
—
|
—
|
$32,210.56
|
$43,484.25
|
$32,210.56
|
2025-12-04
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except
|
73
|
24
|
—
|
—
|
$5,679.64
|
$97,506.12
|
$32,180.24
|
2025-12-04
|
|
0109
|
OTHER
|
Stroke M>22.35 And M<26.15 And A<84.5
|
40
|
15
|
—
|
—
|
$32,128.92
|
$43,374.04
|
$32,128.92
|
2025-12-04
|
|
1203
|
OTHER
|
Osteoarthritis M <49.50 And A >=74.50
|
40
|
15
|
—
|
—
|
$32,118.13
|
$43,359.47
|
$32,118.13
|
2025-12-04
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Wit
|
73
|
24
|
—
|
—
|
$5,655.98
|
$97,099.98
|
$32,046.20
|
2025-12-04
|
|
1804
|
OTHER
|
Major Multiple Trauma With Brain Or Spinal Cord In
|
40
|
15
|
—
|
—
|
$31,833.15
|
$42,974.75
|
$31,833.15
|
2025-12-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
73
|
24
|
—
|
—
|
$5,572.32
|
$95,663.64
|
$31,572.16
|
2025-12-04
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diag
|
73
|
24
|
—
|
—
|
$5,544.16
|
$95,180.23
|
$31,412.62
|
2025-12-04
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplem
|
73
|
24
|
—
|
—
|
$5,493.96
|
$94,318.44
|
$31,128.20
|
2025-12-04
|
|
01579
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
56
|
20
|
—
|
—
|
$28,009.46
|
$93,364.89
|
$31,121.63
|
2025-12-04
|
|
01593
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
56
|
20
|
—
|
—
|
$28,009.46
|
$93,364.89
|
$31,121.63
|
2025-12-04
|
|
0104
|
OTHER
|
Stroke M >=41.50 And M <50.50
|
40
|
15
|
—
|
—
|
$31,081.42
|
$41,959.91
|
$31,081.42
|
2025-12-04
|
|
1604
|
OTHER
|
Pain Syndrome M <43.50
|
40
|
15
|
—
|
—
|
$30,884.24
|
$41,693.72
|
$30,884.24
|
2025-12-04
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
73
|
24
|
—
|
—
|
$5,425.42
|
$93,141.65
|
$30,739.82
|
2025-12-04
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal D
|
73
|
24
|
—
|
—
|
$5,414.34
|
$92,951.46
|
$30,677.05
|
2025-12-04
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentia
|
73
|
24
|
—
|
—
|
$5,398.18
|
$92,674.09
|
$30,585.51
|
2025-12-04
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
73
|
24
|
—
|
—
|
$5,351.10
|
$91,865.78
|
$30,318.74
|
2025-12-04
|
|
0206
|
RC
|
Traumatic Brain Injury M>22.05 And M<28.75
|
60
|
17
|
—
|
—
|
$850.00
|
$40,886.84
|
$30,286.55
|
2025-12-04
|
|
0403
|
RC
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.5
|
40
|
15
|
—
|
—
|
$30,198.75
|
$40,768.31
|
$30,198.75
|
2025-12-04
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
73
|
24
|
—
|
—
|
$5,329.75
|
$91,499.27
|
$30,197.78
|
2025-12-04
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With
|
55
|
19
|
—
|
—
|
$27,102.08
|
$91,243.69
|
$30,113.43
|
2025-12-04
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,304.36
|
$91,063.40
|
$30,053.93
|
2025-12-04
|
|
1902
|
OTHER
|
Guillain-barr� M >=51.50 And M <66.50
|
40
|
15
|
—
|
—
|
$30,046.24
|
$40,562.42
|
$30,046.24
|
2025-12-04
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedu
|
73
|
24
|
—
|
—
|
$5,290.86
|
$90,831.61
|
$29,977.43
|
2025-12-04
|
|
0603
|
RC
|
Neurological M >=43.50 And M <52.50
|
40
|
15
|
—
|
—
|
$29,838.28
|
$40,281.67
|
$29,838.28
|
2025-12-04
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
73
|
24
|
—
|
—
|
$5,265.01
|
$90,387.83
|
$29,830.97
|
2025-12-04
|
|
1103
|
OTHER
|
Amputation Non-lower Extremity M <52.50
|
40
|
15
|
—
|
—
|
$29,798.23
|
$40,227.61
|
$29,798.23
|
2025-12-04
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.
|
73
|
24
|
—
|
—
|
$5,249.20
|
$90,116.44
|
$29,741.40
|
2025-12-04
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedure
|
73
|
24
|
—
|
—
|
$5,246.89
|
$90,076.80
|
$29,728.32
|
2025-12-04
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,226.35
|
$89,724.17
|
$29,611.94
|
2025-12-04
|
|
1703
|
OTHER
|
Major Multiple Trauma Without Brain Or Spinal Cord
|
40
|
15
|
—
|
—
|
$29,388.48
|
$39,674.44
|
$29,388.48
|
2025-12-04
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,172.00
|
$88,791.05
|
$29,303.98
|
2025-12-04
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,170.50
|
$88,765.30
|
$29,295.48
|
2025-12-04
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With M
|
73
|
24
|
—
|
—
|
$5,150.19
|
$88,416.61
|
$29,180.40
|
2025-12-04
|
|
0806
|
OTHER
|
Replacement Of Lower Extremity Joint M<22.05
|
40
|
15
|
—
|
—
|
$28,792.33
|
$38,869.64
|
$28,792.33
|
2025-12-04
|
|
1503
|
OTHER
|
Pulmonary M >=45.50 And M <56.50
|
40
|
15
|
—
|
—
|
$28,775.38
|
$38,846.76
|
$28,775.38
|
2025-12-04
|
|
0903
|
RC
|
Other Orthopedic M >=44.50 And M <51.50
|
40
|
15
|
—
|
—
|
$28,759.98
|
$38,825.97
|
$28,759.98
|
2025-12-04
|
|
0107
|
OTHER
|
Stroke M>26.15 And M<30.05
|
40
|
15
|
—
|
—
|
$28,733.79
|
$38,790.61
|
$28,733.79
|
2025-12-04
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
73
|
24
|
—
|
—
|
$5,069.29
|
$87,027.81
|
$28,722.05
|
2025-12-04
|
|
C1785
|
HCPCS
|
Pacemaker
|
102
|
33
|
$48,000.00
|
$14,400.00
70% off
|
$6,235.20
|
$48,000.00
|
$28,656.00
|
2025-12-04
|
|
0703
|
OTHER
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
40
|
15
|
—
|
—
|
$28,618.26
|
$38,634.65
|
$28,618.26
|
2025-12-04
|
|
05232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
56
|
20
|
—
|
—
|
$25,657.56
|
$85,525.23
|
$28,508.41
|
2025-12-04
|
|
0503
|
OTHER
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <
|
40
|
15
|
—
|
—
|
$28,347.14
|
$38,268.63
|
$28,347.14
|
2025-12-04
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intralumin
|
73
|
24
|
—
|
—
|
$4,993.82
|
$85,732.15
|
$28,294.44
|
2025-12-04
|
|
05166
|
OTHER
|
Cochlear Implant Procedure
|
56
|
20
|
—
|
—
|
$25,454.49
|
$84,848.31
|
$28,282.77
|
2025-12-04
|
|
0303
|
RC
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
40
|
15
|
—
|
—
|
$28,131.48
|
$37,977.49
|
$28,131.48
|
2025-12-04
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$25,314.35
|
$85,224.99
|
$28,127.06
|
2025-12-04
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connecti
|
73
|
24
|
—
|
—
|
$4,954.01
|
$85,048.64
|
$28,068.86
|
2025-12-04
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
73
|
24
|
—
|
—
|
$4,922.16
|
$84,501.85
|
$27,888.40
|
2025-12-04
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Witho
|
68
|
21
|
—
|
—
|
$4,893.88
|
$84,016.47
|
$27,728.21
|
2025-12-04
|
|
C9602
|
HCPCS
|
Des Placement Initial With Arth-plast
|
120
|
39
|
$99,776.08
|
$29,932.82
70% off
|
$7,840.00
|
$99,776.08
|
$27,657.44
|
2025-12-04
|
|
C9767
|
HCPCS
|
Ivl+stent+athrectomy W/angioplasty (atk)
|
120
|
39
|
$98,000.00
|
$29,400.00
70% off
|
$7,840.00
|
$98,000.00
|
$27,657.44
|
2025-12-04
|
|
C9773
|
HCPCS
|
Ivl + Stent W/angioplasty (btk)
|
120
|
39
|
$98,000.00
|
$29,400.00
70% off
|
$7,840.00
|
$98,000.00
|
$27,657.44
|
2025-12-04
|
|
C9775
|
HCPCS
|
Ivl+stent+atherectomy W/angioplasty(btk)
|
120
|
39
|
$98,000.00
|
$29,400.00
70% off
|
$7,840.00
|
$98,000.00
|
$27,657.44
|
2025-12-04
|
|
C9774
|
HCPCS
|
Ivl + Atherectomy With Angioplasty (btk)
|
120
|
39
|
$98,000.00
|
$29,400.00
70% off
|
$7,840.00
|
$98,000.00
|
$27,657.44
|
2025-12-04
|
|
C9607
|
HCPCS
|
Des/arth/plast-tlt Chronic Occl Init
|
120
|
39
|
$99,999.99
|
$29,999.99
70% off
|
$7,840.00
|
$99,999.99
|
$27,657.44
|
2025-12-04
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsatio
|
73
|
24
|
—
|
—
|
$4,873.57
|
$83,667.78
|
$27,613.13
|
2025-12-04
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or
|
73
|
24
|
—
|
—
|
$4,865.26
|
$83,525.16
|
$27,566.06
|
2025-12-04
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Tra
|
73
|
24
|
—
|
—
|
$4,862.84
|
$83,483.55
|
$27,552.33
|
2025-12-04
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
73
|
24
|
—
|
—
|
$4,848.65
|
$83,239.85
|
$27,471.90
|
2025-12-04
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
73
|
24
|
—
|
—
|
$4,842.88
|
$83,140.80
|
$27,439.21
|
2025-12-04
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Wi
|
73
|
24
|
—
|
—
|
$4,833.88
|
$82,986.27
|
$27,388.21
|
2025-12-04
|
|
1003
|
OTHER
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
40
|
15
|
—
|
—
|
$27,370.50
|
$36,950.17
|
$27,370.50
|
2025-12-04
|
|
1303
|
OTHER
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50
|
40
|
15
|
—
|
—
|
$27,345.86
|
$36,916.91
|
$27,345.86
|
2025-12-04
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvatur
|
73
|
24
|
—
|
—
|
$4,815.18
|
$82,665.33
|
$27,282.29
|
2025-12-04
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
73
|
24
|
—
|
—
|
$4,811.72
|
$82,605.89
|
$27,262.67
|
2025-12-04
|
|
1803
|
OTHER
|
Major Multiple Trauma With Brain Or Spinal Cord In
|
40
|
15
|
—
|
—
|
$27,256.51
|
$36,796.28
|
$27,256.51
|
2025-12-04
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures Wi
|
73
|
24
|
—
|
—
|
$4,792.56
|
$82,277.04
|
$27,154.14
|
2025-12-04
|
|
05465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
56
|
20
|
—
|
—
|
$24,386.76
|
$81,289.20
|
$27,096.40
|
2025-12-04
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Wit
|
73
|
24
|
—
|
—
|
$4,760.83
|
$81,732.21
|
$26,974.33
|
2025-12-04
|
|
2003
|
OTHER
|
Miscellaneous M >=46.50 And M <55.50
|
40
|
15
|
—
|
—
|
$26,689.63
|
$36,031.00
|
$26,689.63
|
2025-12-04
|
|
0203
|
RC
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
40
|
15
|
—
|
—
|
$26,546.37
|
$35,837.59
|
$26,546.37
|
2025-12-04
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
73
|
24
|
—
|
—
|
$4,684.09
|
$80,414.74
|
$26,539.52
|
2025-12-04
|
|
1403
|
OTHER
|
Cardiac M >=45.50 And M <55.50
|
40
|
15
|
—
|
—
|
$26,506.32
|
$35,783.53
|
$26,506.32
|
2025-12-04
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spina
|
68
|
21
|
—
|
—
|
$4,639.66
|
$79,652.00
|
$26,287.79
|
2025-12-04
|
|
0402
|
RC
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.5
|
54
|
18
|
—
|
—
|
$542.00
|
$35,321.85
|
$26,164.34
|
2025-12-04
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Formi
|
73
|
24
|
—
|
—
|
$4,597.65
|
$78,930.86
|
$26,049.79
|
2025-12-04
|
|
0804
|
RC
|
Replacement Of Lower-extremity Joint M >=42.50 And
|
40
|
15
|
—
|
—
|
$25,860.87
|
$34,912.17
|
$25,860.87
|
2025-12-04
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Comp
|
73
|
24
|
—
|
—
|
$4,514.33
|
$77,500.49
|
$25,577.72
|
2025-12-04
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >9
|
73
|
24
|
—
|
—
|
$4,404.47
|
$77,149.82
|
$25,461.99
|
2025-12-04
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
73
|
24
|
—
|
—
|
$4,466.79
|
$76,684.23
|
$25,308.33
|
2025-12-04
|
|
05200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
56
|
20
|
—
|
—
|
$22,750.02
|
$75,833.43
|
$25,277.81
|
2025-12-04
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental
|
73
|
24
|
—
|
—
|
$4,460.09
|
$76,569.34
|
$25,270.41
|
2025-12-04
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System
|
73
|
24
|
—
|
—
|
$4,455.82
|
$76,496.04
|
$25,246.22
|
2025-12-04
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
73
|
24
|
—
|
—
|
$4,430.55
|
$76,062.18
|
$25,103.03
|
2025-12-04
|
|
0602
|
RC
|
Neurological M >=52.50 And M <64.50
|
40
|
15
|
—
|
—
|
$25,092.19
|
$33,874.45
|
$25,092.19
|
2025-12-04
|
|
1702
|
OTHER
|
Major Multiple Trauma Without Brain Or Spinal Cord
|
40
|
15
|
—
|
—
|
$25,047.52
|
$33,814.15
|
$25,047.52
|
2025-12-04
|
|
0502
|
OTHER
|
Non-traumatic Spinal Cord Injury M >=53.50 And M <
|
40
|
15
|
—
|
—
|
$25,033.66
|
$33,795.44
|
$25,033.66
|
2025-12-04
|
|
2101
|
OTHER
|
Burns M >=52.50
|
40
|
15
|
—
|
—
|
$24,740.97
|
$33,400.30
|
$24,740.97
|
2025-12-04
|
|
1502
|
OTHER
|
Pulmonary M >=56.50 And M <68.50
|
40
|
15
|
—
|
—
|
$24,680.90
|
$33,319.21
|
$24,680.90
|
2025-12-04
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Mu
|
73
|
24
|
—
|
—
|
$4,342.50
|
$74,550.54
|
$24,604.14
|
2025-12-04
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures
|
73
|
24
|
—
|
—
|
$4,323.58
|
$74,225.63
|
$24,496.91
|
2025-12-04
|
|
01578
|
OTHER
|
New Technology - Level 41 ($25,001-$30,000)
|
56
|
20
|
—
|
—
|
$22,007.52
|
$73,358.43
|
$24,452.81
|
2025-12-04
|
|
01592
|
OTHER
|
New Technology - Level 41 ($25,001-$30,000)
|
56
|
20
|
—
|
—
|
$22,007.52
|
$73,358.43
|
$24,452.81
|
2025-12-04
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
73
|
24
|
—
|
—
|
$4,313.31
|
$74,049.32
|
$24,438.72
|
2025-12-04
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With
|
73
|
24
|
—
|
—
|
$4,312.84
|
$74,041.41
|
$24,436.11
|
2025-12-04
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Pr
|
73
|
24
|
—
|
—
|
$4,300.73
|
$73,833.37
|
$24,367.45
|
2025-12-04
|
|
0103
|
OTHER
|
Stroke M >=50.50 And M <63.50
|
40
|
15
|
—
|
—
|
$24,335.84
|
$32,853.38
|
$24,335.84
|
2025-12-04
|
|
0902
|
RC
|
Other Orthopedic M >=51.50 And M <63.50
|
40
|
15
|
—
|
—
|
$24,235.71
|
$32,718.20
|
$24,235.71
|
2025-12-04
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
73
|
24
|
—
|
—
|
$4,276.49
|
$73,417.35
|
$24,230.15
|
2025-12-04
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
73
|
24
|
—
|
—
|
$4,238.76
|
$72,769.51
|
$24,016.34
|
2025-12-04
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip,
|
73
|
24
|
—
|
—
|
$4,237.03
|
$72,739.78
|
$24,006.53
|
2025-12-04
|
|
1202
|
OTHER
|
Osteoarthritis M >=49.50 And M <61.50
|
40
|
15
|
—
|
—
|
$23,993.86
|
$32,391.71
|
$23,993.86
|
2025-12-04
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
55
|
19
|
—
|
—
|
$21,525.25
|
$72,468.35
|
$23,916.95
|
2025-12-04
|
|
0302
|
RC
|
Non-traumatic Brain Injury M >=52.50 And M <65.50
|
40
|
15
|
—
|
—
|
$23,792.06
|
$32,119.28
|
$23,792.06
|
2025-12-04
|
|
1102
|
OTHER
|
Amputation Non-lower Extremity M >=52.50 And M <58
|
40
|
15
|
—
|
—
|
$23,790.52
|
$32,117.20
|
$23,790.52
|
2025-12-04
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact Wi
|
73
|
24
|
—
|
—
|
$4,187.29
|
$71,885.90
|
$23,724.72
|
2025-12-04
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation De
|
73
|
24
|
—
|
—
|
$4,184.06
|
$71,830.45
|
$23,706.42
|
2025-12-04
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
73
|
24
|
—
|
—
|
$4,178.29
|
$71,731.37
|
$23,673.72
|
2025-12-04
|
|
1302
|
OTHER
|
Rheumatoid Other Arthritis M >=51.50 And M <62.50
|
40
|
15
|
—
|
—
|
$23,661.13
|
$31,942.52
|
$23,661.13
|
2025-12-04
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
73
|
24
|
—
|
—
|
$4,175.40
|
$71,681.86
|
$23,657.38
|
2025-12-04
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except V
|
73
|
24
|
—
|
—
|
$4,168.02
|
$71,555.05
|
$23,615.53
|
2025-12-04
|
|
1603
|
OTHER
|
Pain Syndrome M >=43.50 And M <58.50
|
40
|
15
|
—
|
—
|
$23,594.89
|
$31,853.10
|
$23,594.89
|
2025-12-04
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of P
|
73
|
24
|
—
|
—
|
$4,161.79
|
$71,448.09
|
$23,580.23
|
2025-12-04
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And
|
73
|
24
|
—
|
—
|
$4,069.35
|
$70,980.53
|
$23,425.92
|
2025-12-04
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnex
|
73
|
24
|
—
|
—
|
$4,124.97
|
$70,816.09
|
$23,371.65
|
2025-12-04
|
|
0702
|
OTHER
|
Fracture Of Lower Extremity M >=52.50 And M <61.50
|
40
|
15
|
—
|
—
|
$23,360.74
|
$31,536.99
|
$23,360.74
|
2025-12-04
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
73
|
24
|
—
|
—
|
$4,120.82
|
$70,744.77
|
$23,348.11
|
2025-12-04
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystecto
|
73
|
24
|
—
|
—
|
$4,114.70
|
$70,639.78
|
$23,313.46
|
2025-12-04
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.
|
73
|
24
|
—
|
—
|
$4,111.24
|
$70,580.33
|
$23,293.84
|
2025-12-04
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, N
|
73
|
24
|
—
|
—
|
$4,107.32
|
$70,512.97
|
$23,271.61
|
2025-12-04
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
73
|
24
|
—
|
—
|
$4,103.97
|
$70,455.52
|
$23,252.65
|
2025-12-04
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
73
|
24
|
—
|
—
|
$4,069.70
|
$69,867.13
|
$23,058.46
|
2025-12-04
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous Sy
|
73
|
24
|
—
|
—
|
$4,061.39
|
$69,724.48
|
$23,011.38
|
2025-12-04
|
|
1002
|
OTHER
|
Amputation Lower Extremity M >=55.50 And M <64.50
|
40
|
15
|
—
|
—
|
$22,997.20
|
$31,046.22
|
$22,997.20
|
2025-12-04
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
73
|
24
|
—
|
—
|
$4,025.50
|
$69,108.36
|
$22,808.04
|
2025-12-04
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritiona
|
73
|
24
|
—
|
—
|
$4,024.46
|
$69,090.51
|
$22,802.15
|
2025-12-04
|
|
0803
|
RC
|
Replacement Of Lower-extremity Joint M >=51.50 And
|
40
|
15
|
—
|
—
|
$22,764.59
|
$30,732.19
|
$22,764.59
|
2025-12-04
|
|
2002
|
OTHER
|
Miscellaneous M >=55.50 And M <66.50
|
40
|
15
|
—
|
—
|
$22,729.16
|
$30,684.36
|
$22,729.16
|
2025-12-04
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
73
|
24
|
—
|
—
|
$4,006.00
|
$68,773.54
|
$22,697.54
|
2025-12-04
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective
|
73
|
24
|
—
|
—
|
$3,986.61
|
$68,440.70
|
$22,587.69
|
2025-12-04
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intralumina
|
64
|
19
|
—
|
—
|
$3,968.14
|
$68,123.70
|
$22,483.07
|
2025-12-04
|
|
C1761
|
HCPCS
|
C2+ 2.5x12 Ivl Shockwave
|
102
|
33
|
$37,600.00
|
$11,280.00
70% off
|
$4,884.24
|
$37,600.00
|
$22,447.20
|
2025-12-04
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Princip
|
73
|
24
|
—
|
—
|
$3,956.37
|
$67,921.63
|
$22,416.38
|
2025-12-04
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulato
|
73
|
24
|
—
|
—
|
$3,936.99
|
$67,588.81
|
$22,306.54
|
2025-12-04
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Di
|
50
|
16
|
—
|
—
|
$20,071.76
|
$67,574.93
|
$22,301.96
|
2025-12-04
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
73
|
24
|
—
|
—
|
$3,931.79
|
$67,499.64
|
$22,277.11
|
2025-12-04
|
|
1402
|
OTHER
|
Cardiac M >=55.50 And M <68.50
|
40
|
15
|
—
|
—
|
$21,929.68
|
$29,605.06
|
$21,929.68
|
2025-12-04
|
|
1802
|
OTHER
|
Major Multiple Trauma With Brain Or Spinal Cord In
|
40
|
15
|
—
|
—
|
$21,909.65
|
$29,578.02
|
$21,909.65
|
2025-12-04
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
73
|
24
|
—
|
—
|
$3,855.05
|
$66,182.19
|
$21,842.31
|
2025-12-04
|
|
05213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
56
|
20
|
—
|
—
|
$19,632.19
|
$65,440.65
|
$21,813.55
|
2025-12-04
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
73
|
24
|
—
|
—
|
$3,812.01
|
$65,443.21
|
$21,598.42
|
2025-12-04
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
73
|
24
|
—
|
—
|
$3,799.08
|
$65,221.32
|
$21,525.19
|
2025-12-04
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Wit
|
73
|
24
|
—
|
—
|
$3,798.62
|
$65,213.41
|
$21,522.58
|
2025-12-04
|
|
C1764
|
HCPCS
|
Loop Recorder Device
|
102
|
33
|
$36,000.00
|
$10,800.00
70% off
|
$4,676.40
|
$36,000.00
|
$21,492.00
|
2025-12-04
|
|
E0749
|
HCPCS
|
Bone Growth Stimulator (hcpcs E0749)
|
106
|
35
|
$36,300.00
|
$10,890.00
70% off
|
$573.21
|
$36,300.00
|
$21,453.30
|
2025-12-04
|
|
0202
|
RC
|
Traumatic Brain Injury M >=61.50 And M <73.50
|
40
|
15
|
—
|
—
|
$21,352.01
|
$28,825.21
|
$21,352.01
|
2025-12-04
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replaceme
|
73
|
24
|
—
|
—
|
$3,753.73
|
$64,442.73
|
$21,268.23
|
2025-12-04
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedu
|
73
|
24
|
—
|
—
|
$3,737.23
|
$64,159.43
|
$21,174.73
|
2025-12-04
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
73
|
24
|
—
|
—
|
$3,733.07
|
$64,088.10
|
$21,151.19
|
2025-12-04
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without
|
68
|
21
|
—
|
—
|
$3,727.88
|
$63,998.96
|
$21,121.77
|
2025-12-04
|
|
652
|
MS_DRG
|
Kidney Transplant
|
73
|
24
|
—
|
—
|
$3,726.84
|
$63,981.14
|
$21,115.89
|
2025-12-04
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infect
|
73
|
24
|
—
|
—
|
$3,724.07
|
$63,933.57
|
$21,100.19
|
2025-12-04
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation
|
73
|
24
|
—
|
—
|
$3,716.80
|
$63,808.77
|
$21,059.00
|
2025-12-04
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intralu
|
73
|
24
|
—
|
—
|
$3,704.80
|
$63,602.73
|
$20,991.00
|
2025-12-04
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
73
|
24
|
—
|
—
|
$3,684.49
|
$63,254.06
|
$20,875.93
|
2025-12-04
|
|
0401
|
RC
|
Traumatic Spinal Cord Injury M >=56.50
|
40
|
15
|
—
|
—
|
$20,869.85
|
$28,174.29
|
$20,869.85
|
2025-12-04
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue
|
73
|
24
|
—
|
—
|
$3,677.68
|
$63,137.17
|
$20,837.35
|
2025-12-04
|
|
1101
|
OTHER
|
Amputation Non-lower Extremity M >=58.50
|
40
|
15
|
—
|
—
|
$20,832.88
|
$28,124.38
|
$20,832.88
|
2025-12-04
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
73
|
24
|
—
|
—
|
$3,674.11
|
$63,075.75
|
$20,817.08
|
2025-12-04
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Di
|
73
|
24
|
—
|
—
|
$3,548.67
|
$62,948.94
|
$20,775.23
|
2025-12-04
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
73
|
24
|
—
|
—
|
$3,652.18
|
$62,699.33
|
$20,692.85
|
2025-12-04
|