|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…
|
9
|
1
|
—
|
—
|
$1.00
|
$2,490,449.00
|
$952,634.63
|
2026-05-20
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
9
|
1
|
—
|
—
|
$1.00
|
$1,868,998.81
|
$714,920.48
|
2026-05-20
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
9
|
1
|
—
|
—
|
$1.00
|
$1,788,380.47
|
$684,082.73
|
2026-05-20
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
9
|
1
|
—
|
—
|
$1.00
|
$1,750,429.48
|
$669,565.90
|
2026-05-20
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
9
|
1
|
—
|
—
|
$1.00
|
$1,749,216.89
|
$669,102.07
|
2026-05-20
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
9
|
1
|
—
|
—
|
$1.00
|
$1,722,768.38
|
$658,985.11
|
2026-05-20
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
6
|
2
|
—
|
—
|
$201,436.11
|
$1,031,118.90
|
$645,561.26
|
2026-05-20
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
9
|
1
|
—
|
—
|
$1.00
|
$1,582,651.22
|
$605,388.17
|
2026-05-20
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
6
|
2
|
—
|
—
|
$297,417.65
|
$728,960.72
|
$479,334.79
|
2026-05-20
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
6
|
2
|
—
|
—
|
$226,592.86
|
$509,807.24
|
$365,189.62
|
2026-05-20
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
6
|
2
|
—
|
—
|
$225,263.05
|
$559,464.78
|
$363,046.43
|
2026-05-20
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …
|
9
|
1
|
—
|
—
|
$1.00
|
$859,767.28
|
$328,874.06
|
2026-05-20
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
2
|
—
|
—
|
$127,545.97
|
$415,992.75
|
$205,560.17
|
2026-05-20
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
6
|
2
|
—
|
—
|
$120,264.39
|
$270,580.72
|
$193,824.77
|
2026-05-20
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
6
|
2
|
—
|
—
|
$115,406.82
|
$282,592.37
|
$185,996.04
|
2026-05-20
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
1
|
1
|
—
|
—
|
$180,995.35
|
$180,995.35
|
$180,995.35
|
2026-05-20
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
6
|
2
|
—
|
—
|
$105,673.64
|
$237,753.25
|
$170,309.51
|
2026-05-20
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
15
|
1
|
—
|
—
|
$1.00
|
$207,630.25
|
$168,674.85
|
2026-05-20
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
2
|
—
|
—
|
$103,824.86
|
$244,090.44
|
$167,329.90
|
2026-05-20
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
6
|
2
|
—
|
—
|
$95,618.88
|
$215,131.23
|
$154,025.56
|
2026-05-20
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc/mcc
|
22
|
4
|
—
|
—
|
$18,301.06
|
$451,754.40
|
$151,418.65
|
2026-05-20
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
2
|
—
|
—
|
$89,185.28
|
$200,656.39
|
$143,735.96
|
2026-05-20
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
2
|
—
|
—
|
$81,489.80
|
$183,342.45
|
$131,333.48
|
2026-05-20
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
6
|
2
|
—
|
—
|
$80,870.00
|
$190,525.65
|
$130,334.58
|
2026-05-20
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
22
|
4
|
—
|
—
|
$57,884.36
|
$193,751.88
|
$126,672.81
|
2026-05-20
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
6
|
2
|
—
|
—
|
$75,719.51
|
$175,230.77
|
$122,033.76
|
2026-05-20
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
6
|
2
|
—
|
—
|
$75,674.94
|
$179,047.05
|
$121,961.92
|
2026-05-20
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
6
|
2
|
—
|
—
|
$76,123.87
|
$171,269.73
|
$120,584.45
|
2026-05-20
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
6
|
2
|
—
|
—
|
$73,354.93
|
$165,039.96
|
$118,222.88
|
2026-05-20
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
6
|
2
|
—
|
—
|
$72,995.15
|
$164,230.50
|
$117,643.04
|
2026-05-20
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
6
|
2
|
—
|
—
|
$71,437.16
|
$224,661.01
|
$115,132.10
|
2026-05-20
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
2
|
—
|
—
|
$69,783.66
|
$157,005.01
|
$112,467.22
|
2026-05-20
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
6
|
2
|
—
|
—
|
$69,783.66
|
$163,552.88
|
$112,467.22
|
2026-05-20
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
6
|
2
|
—
|
—
|
$69,530.01
|
$156,434.33
|
$112,058.42
|
2026-05-20
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
6
|
2
|
—
|
—
|
$76,155.70
|
$171,341.36
|
$108,043.27
|
2026-05-20
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
6
|
2
|
—
|
—
|
$65,040.71
|
$146,749.93
|
$104,823.22
|
2026-05-20
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$64,965.36
|
$167,485.17
|
$104,701.77
|
2026-05-20
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
6
|
2
|
—
|
—
|
$64,342.37
|
$163,088.86
|
$103,697.74
|
2026-05-20
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
6
|
2
|
—
|
—
|
$63,766.09
|
$143,466.19
|
$102,768.97
|
2026-05-20
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
6
|
2
|
—
|
—
|
$63,748.05
|
$173,208.11
|
$102,739.89
|
2026-05-20
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
2
|
—
|
—
|
$63,286.38
|
$142,386.90
|
$101,995.84
|
2026-05-20
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
6
|
2
|
—
|
—
|
$62,931.91
|
$264,671.01
|
$101,424.55
|
2026-05-20
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
6
|
2
|
—
|
—
|
$62,283.45
|
$140,130.43
|
$100,379.47
|
2026-05-20
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$62,243.12
|
$140,039.69
|
$100,314.47
|
2026-05-20
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
6
|
2
|
—
|
—
|
$61,206.23
|
$137,706.81
|
$98,643.36
|
2026-05-20
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
1
|
1
|
—
|
—
|
$98,209.07
|
$98,209.07
|
$98,209.07
|
2026-05-20
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
6
|
2
|
—
|
—
|
$59,074.08
|
$132,909.72
|
$95,207.07
|
2026-05-20
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
6
|
2
|
—
|
—
|
$58,264.31
|
$219,491.33
|
$93,901.99
|
2026-05-20
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
6
|
2
|
—
|
—
|
$57,653.00
|
$135,411.14
|
$92,916.77
|
2026-05-20
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
6
|
2
|
—
|
—
|
$55,997.37
|
$128,064.12
|
$90,248.48
|
2026-05-20
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
6
|
2
|
—
|
—
|
$53,491.64
|
$120,349.90
|
$86,210.10
|
2026-05-20
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$52,413.36
|
$117,923.89
|
$84,472.29
|
2026-05-20
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
6
|
2
|
—
|
—
|
$52,016.44
|
$135,515.25
|
$83,832.58
|
2026-05-20
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
6
|
2
|
—
|
—
|
$50,988.04
|
$120,398.84
|
$82,175.14
|
2026-05-20
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
7
|
3
|
—
|
—
|
$29,668.00
|
$127,260.19
|
$82,118.48
|
2026-05-20
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
6
|
2
|
—
|
—
|
$50,526.37
|
$123,156.20
|
$81,431.11
|
2026-05-20
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
22
|
4
|
—
|
—
|
$12,590.20
|
$134,752.31
|
$80,915.29
|
2026-05-20
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
6
|
2
|
—
|
—
|
$49,794.07
|
$132,085.65
|
$80,250.89
|
2026-05-20
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
6
|
2
|
—
|
—
|
$55,149.39
|
$124,079.64
|
$79,375.29
|
2026-05-20
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
6
|
2
|
—
|
—
|
$49,212.48
|
$110,722.29
|
$79,313.57
|
2026-05-20
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
6
|
2
|
—
|
—
|
$49,016.14
|
$134,581.25
|
$78,997.14
|
2026-05-20
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
6
|
2
|
—
|
—
|
$48,658.48
|
$113,462.30
|
$78,420.71
|
2026-05-20
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
9
|
1
|
—
|
—
|
$1.00
|
$204,993.11
|
$78,412.98
|
2026-05-20
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
6
|
2
|
—
|
—
|
$48,782.65
|
$109,755.23
|
$78,021.15
|
2026-05-20
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$48,275.35
|
$108,613.86
|
$77,803.24
|
2026-05-20
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
6
|
2
|
—
|
—
|
$48,254.13
|
$115,086.38
|
$77,769.03
|
2026-05-20
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
6
|
2
|
—
|
—
|
$47,551.55
|
$117,849.69
|
$76,636.71
|
2026-05-20
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
6
|
2
|
—
|
—
|
$47,364.76
|
$106,565.13
|
$76,335.67
|
2026-05-20
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
6
|
2
|
—
|
—
|
$52,234.00
|
$117,520.35
|
$76,064.74
|
2026-05-20
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$46,620.79
|
$104,891.28
|
$75,136.64
|
2026-05-20
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
7
|
3
|
—
|
—
|
$26,378.00
|
$115,299.70
|
$74,400.61
|
2026-05-20
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
6
|
2
|
—
|
—
|
$48,065.22
|
$108,141.07
|
$74,183.79
|
2026-05-20
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
6
|
2
|
—
|
—
|
$45,560.55
|
$102,505.87
|
$73,427.90
|
2026-05-20
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
6
|
2
|
—
|
—
|
$44,820.82
|
$100,841.57
|
$72,235.73
|
2026-05-20
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
6
|
2
|
—
|
—
|
$44,744.41
|
$122,956.91
|
$72,112.57
|
2026-05-20
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
6
|
2
|
—
|
—
|
$44,722.12
|
$100,619.50
|
$72,076.65
|
2026-05-20
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
6
|
2
|
—
|
—
|
$44,591.58
|
$100,325.80
|
$71,866.26
|
2026-05-20
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
6
|
2
|
—
|
—
|
$44,538.52
|
$100,206.41
|
$71,780.74
|
2026-05-20
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
6
|
2
|
—
|
—
|
$44,455.73
|
$100,020.17
|
$71,647.33
|
2026-05-20
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
6
|
2
|
—
|
—
|
$49,645.49
|
$111,696.51
|
$71,569.66
|
2026-05-20
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
6
|
2
|
—
|
—
|
$44,283.80
|
$122,305.49
|
$71,370.24
|
2026-05-20
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
22
|
4
|
—
|
—
|
$15,084.26
|
$93,027.44
|
$71,333.62
|
2026-05-20
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
6
|
2
|
—
|
—
|
$43,783.93
|
$98,508.69
|
$70,564.61
|
2026-05-20
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
6
|
2
|
—
|
—
|
$42,669.57
|
$96,001.50
|
$67,689.67
|
2026-05-20
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
6
|
2
|
—
|
—
|
$42,283.25
|
$95,132.34
|
$66,884.24
|
2026-05-20
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
6
|
2
|
—
|
—
|
$41,079.74
|
$92,424.57
|
$66,206.39
|
2026-05-20
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
6
|
2
|
—
|
—
|
$40,746.49
|
$91,674.81
|
$65,669.30
|
2026-05-20
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
22
|
4
|
—
|
—
|
$27,493.67
|
$330,743.73
|
$65,366.92
|
2026-05-20
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
6
|
2
|
—
|
—
|
$39,936.72
|
$138,683.09
|
$64,364.23
|
2026-05-20
|
|
7
|
MS_DRG
|
Lung Transplant
|
22
|
4
|
—
|
—
|
$52,543.12
|
$309,224.88
|
$63,803.46
|
2026-05-20
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
6
|
2
|
—
|
—
|
$38,982.61
|
$87,706.28
|
$62,826.54
|
2026-05-20
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
6
|
2
|
—
|
—
|
$38,509.27
|
$86,641.32
|
$62,063.68
|
2026-05-20
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
6
|
2
|
—
|
—
|
$38,479.55
|
$86,574.46
|
$62,015.79
|
2026-05-20
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
6
|
2
|
—
|
—
|
$38,426.49
|
$86,455.07
|
$61,930.26
|
2026-05-20
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
6
|
2
|
—
|
—
|
$38,399.96
|
$90,115.45
|
$61,887.51
|
2026-05-20
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
6
|
2
|
—
|
—
|
$38,024.26
|
$85,550.10
|
$61,282.00
|
2026-05-20
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
6
|
2
|
—
|
—
|
$37,936.17
|
$89,395.62
|
$61,140.04
|
2026-05-20
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
6
|
2
|
—
|
—
|
$37,897.96
|
$85,265.95
|
$61,078.46
|
2026-05-20
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
6
|
2
|
—
|
—
|
$37,841.71
|
$114,589.64
|
$60,987.81
|
2026-05-20
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
6
|
2
|
—
|
—
|
$37,809.87
|
$85,067.76
|
$60,936.49
|
2026-05-20
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
6
|
2
|
—
|
—
|
$37,743.01
|
$84,917.33
|
$60,828.74
|
2026-05-20
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
6
|
2
|
—
|
—
|
$37,351.39
|
$86,968.43
|
$60,197.58
|
2026-05-20
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
6
|
2
|
—
|
—
|
$37,427.81
|
$84,208.15
|
$59,540.41
|
2026-05-20
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
6
|
2
|
—
|
—
|
$41,018.18
|
$92,286.08
|
$59,319.41
|
2026-05-20
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$39,552.53
|
$88,988.53
|
$59,185.01
|
2026-05-20
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
6
|
2
|
—
|
—
|
$36,663.67
|
$82,488.94
|
$59,089.21
|
2026-05-20
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
6
|
2
|
—
|
—
|
$36,385.61
|
$98,560.06
|
$58,641.07
|
2026-05-20
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
6
|
2
|
—
|
—
|
$41,329.14
|
$92,985.71
|
$58,624.53
|
2026-05-20
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
1
|
1
|
—
|
—
|
$58,267.48
|
$58,267.48
|
$58,267.48
|
2026-05-20
|
|
E0194
|
HCPCS
|
Dme Pos
|
10
|
1
|
—
|
—
|
$1.00
|
$144,099.23
|
$58,070.91
|
2026-05-20
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
7
|
3
|
—
|
—
|
$18,467.00
|
$87,670.46
|
$56,572.01
|
2026-05-20
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
6
|
2
|
—
|
—
|
$34,934.81
|
$78,599.21
|
$56,302.88
|
2026-05-20
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
6
|
2
|
—
|
—
|
$35,057.92
|
$78,876.20
|
$55,349.79
|
2026-05-20
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
6
|
2
|
—
|
—
|
$34,331.99
|
$90,984.01
|
$55,331.35
|
2026-05-20
|
|
652
|
MS_DRG
|
Kidney Transplant
|
6
|
2
|
—
|
—
|
$34,274.68
|
$181,759.80
|
$55,238.99
|
2026-05-20
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
6
|
2
|
—
|
—
|
$34,182.35
|
$76,906.26
|
$55,090.18
|
2026-05-20
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
22
|
4
|
—
|
—
|
$12,546.29
|
$275,623.12
|
$54,813.12
|
2026-05-20
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
6
|
2
|
—
|
—
|
$33,822.57
|
$111,606.21
|
$54,510.34
|
2026-05-20
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
6
|
2
|
—
|
—
|
$33,789.67
|
$85,391.95
|
$54,457.31
|
2026-05-20
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
6
|
2
|
—
|
—
|
$33,537.08
|
$96,573.09
|
$54,050.22
|
2026-05-20
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
6
|
2
|
—
|
—
|
$33,347.11
|
$75,027.06
|
$53,744.05
|
2026-05-20
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
6
|
2
|
—
|
—
|
$34,939.06
|
$78,608.76
|
$53,588.86
|
2026-05-20
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
6
|
2
|
—
|
—
|
$33,125.30
|
$74,528.01
|
$53,386.57
|
2026-05-20
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
6
|
2
|
—
|
—
|
$33,056.31
|
$74,372.81
|
$53,275.39
|
2026-05-20
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
6
|
2
|
—
|
—
|
$36,841.97
|
$82,890.09
|
$53,100.71
|
2026-05-20
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
6
|
2
|
—
|
—
|
$37,011.78
|
$83,272.14
|
$52,675.18
|
2026-05-20
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
6
|
2
|
—
|
—
|
$34,370.20
|
$77,328.90
|
$52,527.48
|
2026-05-20
|
|
K0606
|
HCPCS
|
Dme Pos
|
10
|
1
|
—
|
—
|
$1.00
|
$129,766.89
|
$52,295.13
|
2026-05-20
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
6
|
2
|
—
|
—
|
$32,017.30
|
$72,035.15
|
$51,600.85
|
2026-05-20
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
6
|
2
|
—
|
—
|
$31,588.53
|
$71,070.48
|
$50,909.84
|
2026-05-20
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
6
|
2
|
—
|
—
|
$30,989.96
|
$69,723.76
|
$49,945.14
|
2026-05-20
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
6
|
2
|
—
|
—
|
$30,908.24
|
$75,817.03
|
$49,813.43
|
2026-05-20
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
7
|
3
|
—
|
—
|
$29,668.00
|
$77,135.49
|
$49,774.00
|
2026-05-20
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
6
|
2
|
—
|
—
|
$31,245.73
|
$70,299.22
|
$49,649.65
|
2026-05-20
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
6
|
2
|
—
|
—
|
$30,798.93
|
$74,844.37
|
$49,637.26
|
2026-05-20
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
6
|
2
|
—
|
—
|
$30,779.82
|
$80,451.30
|
$49,606.47
|
2026-05-20
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
6
|
2
|
—
|
—
|
$32,056.57
|
$72,123.50
|
$49,510.97
|
2026-05-20
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
6
|
2
|
—
|
—
|
$30,629.12
|
$68,911.91
|
$49,363.59
|
2026-05-20
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
6
|
2
|
—
|
—
|
$30,584.54
|
$86,156.39
|
$49,291.74
|
2026-05-20
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
6
|
2
|
—
|
—
|
$29,816.16
|
$67,082.85
|
$48,053.38
|
2026-05-20
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
6
|
2
|
—
|
—
|
$29,708.97
|
$78,613.06
|
$47,880.62
|
2026-05-20
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
6
|
2
|
—
|
—
|
$29,621.94
|
$66,645.89
|
$47,740.37
|
2026-05-20
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
6
|
2
|
—
|
—
|
$29,261.10
|
$70,462.93
|
$47,158.82
|
2026-05-20
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
6
|
2
|
—
|
—
|
$29,171.95
|
$65,633.46
|
$47,015.14
|
2026-05-20
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
6
|
2
|
—
|
—
|
$29,013.82
|
$70,947.77
|
$46,760.28
|
2026-05-20
|
|
849
|
MS_DRG
|
Radiotherapy
|
6
|
2
|
—
|
—
|
$28,755.92
|
$75,186.44
|
$46,344.65
|
2026-05-20
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
6
|
2
|
—
|
—
|
$28,720.90
|
$80,424.53
|
$46,288.20
|
2026-05-20
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
6
|
2
|
—
|
—
|
$28,627.51
|
$64,408.52
|
$46,137.68
|
2026-05-20
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
6
|
2
|
—
|
—
|
$31,213.89
|
$70,227.59
|
$45,591.63
|
2026-05-20
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
7
|
3
|
—
|
—
|
$26,378.00
|
$70,346.98
|
$45,393.51
|
2026-05-20
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
6
|
2
|
—
|
—
|
$28,131.88
|
$86,908.94
|
$45,338.90
|
2026-05-20
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
6
|
2
|
—
|
—
|
$27,990.73
|
$62,975.84
|
$45,111.41
|
2026-05-20
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
7
|
3
|
—
|
—
|
$18,533.00
|
$68,945.34
|
$44,489.06
|
2026-05-20
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
6
|
2
|
—
|
—
|
$27,514.20
|
$61,903.71
|
$44,343.41
|
2026-05-20
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
7
|
3
|
—
|
—
|
$17,757.00
|
$89,704.97
|
$44,224.04
|
2026-05-20
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
6
|
2
|
—
|
—
|
$27,373.05
|
$61,586.14
|
$44,115.93
|
2026-05-20
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$27,249.94
|
$61,309.15
|
$43,917.51
|
2026-05-20
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$27,094.99
|
$60,960.53
|
$43,667.79
|
2026-05-20
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
6
|
2
|
—
|
—
|
$26,787.21
|
$60,352.60
|
$43,171.76
|
2026-05-20
|
|
630
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc
|
22
|
4
|
—
|
—
|
$15,489.67
|
$183,894.40
|
$42,771.91
|
2026-05-20
|
|
945
|
MS_DRG
|
Rehabilitation With Cc/mcc
|
1
|
1
|
—
|
—
|
$42,594.84
|
$42,594.84
|
$42,594.84
|
2026-05-20
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
6
|
2
|
—
|
—
|
$26,338.28
|
$62,461.53
|
$42,448.24
|
2026-05-20
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
6
|
2
|
—
|
—
|
$26,099.49
|
$58,720.78
|
$42,063.38
|
2026-05-20
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
6
|
2
|
—
|
—
|
$26,092.06
|
$58,704.06
|
$42,051.42
|
2026-05-20
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
5
|
1
|
—
|
—
|
$1.00
|
$41,877.00
|
$41,877.00
|
2026-05-20
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
6
|
2
|
—
|
—
|
$25,940.29
|
$58,362.61
|
$41,806.82
|
2026-05-20
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
22
|
4
|
—
|
—
|
$9,619.62
|
$65,621.16
|
$41,757.79
|
2026-05-20
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
6
|
2
|
—
|
—
|
$26,966.57
|
$60,671.61
|
$41,629.53
|
2026-05-20
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
6
|
2
|
—
|
—
|
$25,441.48
|
$57,240.34
|
$41,002.91
|
2026-05-20
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
6
|
2
|
—
|
—
|
$25,370.38
|
$57,080.36
|
$40,888.31
|
2026-05-20
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
6
|
2
|
—
|
—
|
$25,326.86
|
$56,982.46
|
$40,503.21
|
2026-05-20
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
6
|
2
|
—
|
—
|
$24,857.77
|
$57,015.22
|
$40,062.16
|
2026-05-20
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
6
|
2
|
—
|
—
|
$24,801.52
|
$55,800.50
|
$39,971.51
|
2026-05-20
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
6
|
2
|
—
|
—
|
$26,446.53
|
$59,501.59
|
$39,804.93
|
2026-05-20
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$24,697.51
|
$55,566.49
|
$39,803.88
|
2026-05-20
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
6
|
2
|
—
|
—
|
$24,680.53
|
$55,528.29
|
$39,776.51
|
2026-05-20
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
6
|
2
|
—
|
—
|
$24,655.06
|
$55,470.98
|
$39,735.46
|
2026-05-20
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
6
|
2
|
—
|
—
|
$24,528.77
|
$70,394.52
|
$39,531.92
|
2026-05-20
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
6
|
2
|
—
|
—
|
$24,819.56
|
$55,841.09
|
$39,370.51
|
2026-05-20
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
7
|
3
|
—
|
—
|
$18,467.00
|
$62,324.70
|
$39,076.23
|
2026-05-20
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
6
|
2
|
—
|
—
|
$24,152.00
|
$54,339.16
|
$38,924.71
|
2026-05-20
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
6
|
2
|
—
|
—
|
$24,111.67
|
$54,248.43
|
$38,859.71
|
2026-05-20
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
6
|
2
|
—
|
—
|
$24,044.81
|
$55,495.25
|
$38,751.96
|
2026-05-20
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
6
|
2
|
—
|
—
|
$23,758.26
|
$58,249.63
|
$38,290.13
|
2026-05-20
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
6
|
2
|
—
|
—
|
$23,744.46
|
$61,816.06
|
$38,267.90
|
2026-05-20
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
6
|
2
|
—
|
—
|
$25,417.07
|
$57,185.42
|
$38,001.70
|
2026-05-20
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$23,556.61
|
$53,427.97
|
$37,965.15
|
2026-05-20
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
6
|
2
|
—
|
—
|
$23,484.45
|
$52,837.24
|
$37,848.83
|
2026-05-20
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
6
|
2
|
—
|
—
|
$23,432.44
|
$52,720.24
|
$37,765.03
|
2026-05-20
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
7
|
3
|
—
|
—
|
$25,909.52
|
$58,293.36
|
$37,615.55
|
2026-05-20
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
6
|
2
|
—
|
—
|
$23,162.87
|
$60,870.17
|
$37,330.57
|
2026-05-20
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
6
|
2
|
—
|
—
|
$23,107.68
|
$70,876.39
|
$37,241.63
|
2026-05-20
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$22,719.25
|
$76,016.32
|
$36,615.61
|
2026-05-20
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
6
|
2
|
—
|
—
|
$22,698.02
|
$51,067.88
|
$36,581.39
|
2026-05-20
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
6
|
2
|
—
|
—
|
$22,616.30
|
$50,884.02
|
$36,449.69
|
2026-05-20
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
6
|
2
|
—
|
—
|
$22,605.69
|
$50,860.14
|
$36,432.58
|
2026-05-20
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
6
|
2
|
—
|
—
|
$22,570.67
|
$50,781.34
|
$36,376.14
|
2026-05-20
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
6
|
2
|
—
|
—
|
$22,506.99
|
$61,929.09
|
$36,273.51
|
2026-05-20
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
22
|
4
|
—
|
—
|
$20,269.40
|
$133,826.64
|
$36,250.76
|
2026-05-20
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$22,463.48
|
$69,951.32
|
$36,203.38
|
2026-05-20
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
6
|
2
|
—
|
—
|
$22,727.74
|
$51,134.74
|
$36,103.04
|
2026-05-20
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
6
|
2
|
—
|
—
|
$22,379.63
|
$50,351.54
|
$36,068.26
|
2026-05-20
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
6
|
2
|
—
|
—
|
$22,313.83
|
$50,203.50
|
$35,962.21
|
2026-05-20
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
6
|
2
|
—
|
—
|
$22,228.93
|
$50,012.47
|
$35,825.38
|
2026-05-20
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
6
|
2
|
—
|
—
|
$22,215.13
|
$67,274.27
|
$35,803.14
|
2026-05-20
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
6
|
2
|
—
|
—
|
$22,471.97
|
$50,559.28
|
$35,793.94
|
2026-05-20
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
6
|
2
|
—
|
—
|
$22,192.84
|
$49,931.29
|
$35,767.22
|
2026-05-20
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
6
|
2
|
—
|
—
|
$22,153.58
|
$53,737.32
|
$35,703.93
|
2026-05-20
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
6
|
2
|
—
|
—
|
$22,136.60
|
$105,907.07
|
$35,676.57
|
2026-05-20
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
6
|
2
|
—
|
—
|
$22,054.88
|
$53,142.42
|
$35,544.86
|
2026-05-20
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
6
|
2
|
—
|
—
|
$23,123.60
|
$52,025.39
|
$35,367.18
|
2026-05-20
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
6
|
2
|
—
|
—
|
$21,933.89
|
$49,348.66
|
$35,349.87
|
2026-05-20
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
6
|
2
|
—
|
—
|
$21,869.15
|
$49,203.01
|
$35,245.53
|
2026-05-20
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
9
|
1
|
—
|
—
|
$1.00
|
$91,859.37
|
$35,137.60
|
2026-05-20
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc
|
6
|
2
|
—
|
—
|
$21,747.10
|
$48,928.41
|
$34,939.07
|
2026-05-20
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
22
|
4
|
—
|
—
|
$17,314.05
|
$145,721.52
|
$34,723.62
|
2026-05-20
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
6
|
2
|
—
|
—
|
$21,519.98
|
$48,417.42
|
$34,682.79
|
2026-05-20
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
22
|
4
|
—
|
—
|
$9,242.86
|
$96,915.38
|
$34,651.55
|
2026-05-20
|
|
259
|
MS_DRG
|
Cardiac Pacemaker Device Replacement Without Mcc
|
6
|
2
|
—
|
—
|
$21,460.55
|
$48,283.70
|
$34,587.01
|
2026-05-20
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
6
|
2
|
—
|
—
|
$21,383.07
|
$48,781.80
|
$34,462.15
|
2026-05-20
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
6
|
2
|
—
|
—
|
$21,342.74
|
$48,018.66
|
$34,397.15
|
2026-05-20
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$21,229.18
|
$65,781.07
|
$34,214.13
|
2026-05-20
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
6
|
2
|
—
|
—
|
$21,175.06
|
$47,641.39
|
$34,126.90
|
2026-05-20
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
6
|
2
|
—
|
—
|
$20,888.51
|
$46,996.68
|
$33,665.08
|
2026-05-20
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
6
|
2
|
—
|
—
|
$20,847.12
|
$47,020.90
|
$33,598.37
|
2026-05-20
|
|
36
|
MS_DRG
|
Carotid Artery Stent Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$20,618.94
|
$46,390.18
|
$33,230.62
|
2026-05-20
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
6
|
2
|
—
|
—
|
$20,615.75
|
$46,383.01
|
$33,225.49
|
2026-05-20
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
6
|
2
|
—
|
—
|
$20,555.26
|
$46,246.91
|
$33,127.99
|
2026-05-20
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
6
|
2
|
—
|
—
|
$23,461.10
|
$52,784.71
|
$33,047.36
|
2026-05-20
|
|
585
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$20,473.54
|
$66,325.40
|
$32,996.29
|
2026-05-20
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc/mcc
|
6
|
2
|
—
|
—
|
$20,447.01
|
$94,232.16
|
$32,953.53
|
2026-05-20
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
6
|
2
|
—
|
—
|
$20,318.59
|
$54,692.13
|
$32,746.57
|
2026-05-20
|
|
801
|
MS_DRG
|
Splenic Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$20,259.16
|
$55,337.60
|
$32,650.78
|
2026-05-20
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
7
|
3
|
—
|
—
|
$17,757.00
|
$51,170.32
|
$32,629.52
|
2026-05-20
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
8
|
4
|
—
|
—
|
$9,969.00
|
$58,622.88
|
$32,186.49
|
2026-05-20
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
6
|
2
|
—
|
—
|
$20,063.88
|
$45,141.36
|
$31,984.57
|
2026-05-20
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
6
|
2
|
—
|
—
|
$19,837.82
|
$44,632.76
|
$31,971.73
|
2026-05-20
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
6
|
2
|
—
|
—
|
$19,792.18
|
$56,580.94
|
$31,898.18
|
2026-05-20
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
6
|
2
|
—
|
—
|
$21,205.84
|
$47,710.63
|
$31,805.17
|
2026-05-20
|
|
803
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc
|
6
|
2
|
—
|
—
|
$19,728.51
|
$44,386.81
|
$31,795.56
|
2026-05-20
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
22
|
4
|
—
|
—
|
$22,262.46
|
$107,016.42
|
$31,623.37
|
2026-05-20
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
6
|
2
|
—
|
—
|
$19,545.96
|
$45,667.50
|
$31,501.36
|
2026-05-20
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
6
|
2
|
—
|
—
|
$19,492.90
|
$43,856.72
|
$31,415.83
|
2026-05-20
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
6
|
2
|
—
|
—
|
$19,472.73
|
$43,811.35
|
$31,383.33
|
2026-05-20
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
6
|
2
|
—
|
—
|
$19,849.49
|
$44,659.02
|
$31,329.24
|
2026-05-20
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
6
|
2
|
—
|
—
|
$19,430.28
|
$43,715.84
|
$31,314.92
|
2026-05-20
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
6
|
2
|
—
|
—
|
$19,421.79
|
$47,648.52
|
$31,301.24
|
2026-05-20
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
6
|
2
|
—
|
—
|
$19,400.56
|
$43,648.98
|
$31,267.03
|
2026-05-20
|
|
479
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc
|
6
|
2
|
—
|
—
|
$19,728.51
|
$44,386.81
|
$31,116.48
|
2026-05-20
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
6
|
2
|
—
|
—
|
$22,025.16
|
$49,554.01
|
$31,024.69
|
2026-05-20
|
|
116
|
MS_DRG
|
Intraocular Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$19,189.37
|
$43,173.81
|
$30,926.64
|
2026-05-20
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
7
|
3
|
—
|
—
|
$18,467.00
|
$47,911.21
|
$30,916.15
|
2026-05-20
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
6
|
2
|
—
|
—
|
$19,144.79
|
$50,209.56
|
$30,854.81
|
2026-05-20
|
|
686
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Mcc
|
6
|
2
|
—
|
—
|
$19,142.67
|
$58,621.45
|
$30,851.39
|
2026-05-20
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
22
|
4
|
—
|
—
|
$13,445.21
|
$45,926.28
|
$30,805.05
|
2026-05-20
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
6
|
2
|
—
|
—
|
$21,035.66
|
$49,188.68
|
$30,795.97
|
2026-05-20
|
|
671
|
MS_DRG
|
Urethral Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$19,050.33
|
$53,347.66
|
$30,702.58
|
2026-05-20
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
6
|
2
|
—
|
—
|
$20,539.34
|
$46,211.09
|
$30,693.74
|
2026-05-20
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/mcc
|
22
|
4
|
—
|
—
|
$20,315.40
|
$48,264.24
|
$30,432.41
|
2026-05-20
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$19,026.99
|
$42,808.48
|
$30,367.79
|
2026-05-20
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
6
|
2
|
—
|
—
|
$18,817.91
|
$42,338.08
|
$30,327.99
|
2026-05-20
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
6
|
2
|
—
|
—
|
$18,773.34
|
$42,237.79
|
$30,256.15
|
2026-05-20
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
6
|
2
|
—
|
—
|
$19,209.53
|
$43,219.18
|
$30,127.00
|
2026-05-20
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
6
|
2
|
—
|
—
|
$18,649.16
|
$44,162.40
|
$30,056.03
|
2026-05-20
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
6
|
2
|
—
|
—
|
$18,566.38
|
$91,828.76
|
$29,922.61
|
2026-05-20
|
|
666
|
MS_DRG
|
Prostatectomy With Cc
|
6
|
2
|
—
|
—
|
$18,565.32
|
$41,769.79
|
$29,920.90
|
2026-05-20
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$18,435.84
|
$41,478.47
|
$29,712.23
|
2026-05-20
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
6
|
2
|
—
|
—
|
$19,071.56
|
$42,908.77
|
$29,677.35
|
2026-05-20
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
6
|
2
|
—
|
—
|
$20,868.34
|
$46,951.31
|
$29,395.20
|
2026-05-20
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
6
|
2
|
—
|
—
|
$18,220.40
|
$61,173.57
|
$29,365.01
|
2026-05-20
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
6
|
2
|
—
|
—
|
$18,190.68
|
$41,711.41
|
$29,317.11
|
2026-05-20
|
|
828
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
6
|
2
|
—
|
—
|
$18,082.43
|
$48,347.52
|
$29,142.65
|
2026-05-20
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
6
|
2
|
—
|
—
|
$18,019.81
|
$45,976.85
|
$29,041.73
|
2026-05-20
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
6
|
2
|
—
|
—
|
$17,952.95
|
$40,392.02
|
$28,933.97
|
2026-05-20
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
6
|
2
|
—
|
—
|
$17,933.85
|
$40,349.04
|
$28,903.18
|
2026-05-20
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
6
|
2
|
—
|
—
|
$17,930.66
|
$40,341.88
|
$28,898.06
|
2026-05-20
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,860.62
|
$40,184.29
|
$28,785.16
|
2026-05-20
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
6
|
2
|
—
|
—
|
$17,855.31
|
$40,172.35
|
$28,776.61
|
2026-05-20
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
6
|
2
|
—
|
—
|
$18,520.75
|
$41,669.50
|
$28,768.88
|
2026-05-20
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
6
|
2
|
—
|
—
|
$17,846.82
|
$40,153.24
|
$28,762.92
|
2026-05-20
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
6
|
2
|
—
|
—
|
$17,788.45
|
$40,021.92
|
$28,668.85
|
2026-05-20
|
|
75
|
MS_DRG
|
Viral Meningitis With Cc/mcc
|
6
|
2
|
—
|
—
|
$20,350.43
|
$45,786.07
|
$28,665.67
|
2026-05-20
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
6
|
2
|
—
|
—
|
$17,692.93
|
$40,485.92
|
$28,514.92
|
2026-05-20
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
6
|
2
|
—
|
—
|
$17,668.52
|
$42,187.33
|
$28,475.57
|
2026-05-20
|
|
33
|
MS_DRG
|
Ventricular Shunt Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,648.36
|
$46,229.68
|
$28,443.07
|
2026-05-20
|
|
413
|
MS_DRG
|
Cholecystectomy With C.d.e. Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,622.89
|
$39,649.42
|
$28,402.02
|
2026-05-20
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
6
|
2
|
—
|
—
|
$17,568.76
|
$43,359.29
|
$28,314.79
|
2026-05-20
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
6
|
2
|
—
|
—
|
$17,470.06
|
$39,305.58
|
$28,155.72
|
2026-05-20
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
6
|
2
|
—
|
—
|
$17,558.15
|
$39,503.76
|
$28,151.92
|
2026-05-20
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
6
|
2
|
—
|
—
|
$17,443.53
|
$39,245.88
|
$28,112.96
|
2026-05-20
|
|
675
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,420.18
|
$39,193.35
|
$28,075.32
|
2026-05-20
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
9
|
1
|
—
|
—
|
$1.00
|
$73,282.82
|
$28,031.79
|
2026-05-20
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,383.03
|
$44,700.79
|
$28,015.46
|
2026-05-20
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
6
|
2
|
—
|
—
|
$17,301.31
|
$38,925.92
|
$27,883.75
|
2026-05-20
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,298.13
|
$49,326.13
|
$27,878.62
|
2026-05-20
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
22
|
4
|
—
|
—
|
$17,327.85
|
$40,018.97
|
$27,772.57
|
2026-05-20
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
6
|
2
|
—
|
—
|
$17,220.65
|
$38,744.44
|
$27,753.76
|
2026-05-20
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
6
|
2
|
—
|
—
|
$19,171.32
|
$43,133.22
|
$27,715.21
|
2026-05-20
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc
|
6
|
2
|
—
|
—
|
$17,048.72
|
$43,168.92
|
$27,476.67
|
2026-05-20
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
22
|
4
|
—
|
—
|
$13,845.86
|
$159,668.19
|
$27,468.70
|
2026-05-20
|