|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
8
|
7
|
—
|
—
|
$4,508,825.00
|
$4,595,100.00
|
$4,595,100.00
|
2025-12-17
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
6
|
3
|
—
|
—
|
$3,106,748.99
|
$4,685,359.00
|
$3,870,650.00
|
2025-12-17
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
13
|
8
|
—
|
—
|
$3,106,748.99
|
$4,685,359.00
|
$3,758,972.00
|
2025-12-17
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
13
|
8
|
—
|
—
|
$2,781,655.38
|
$4,283,756.80
|
$3,382,791.84
|
2025-12-17
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
12
|
7
|
—
|
—
|
$2,673,813.90
|
$4,149,889.40
|
$3,313,414.63
|
2025-12-17
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
12
|
7
|
—
|
—
|
$2,485,399.16
|
$3,748,287.20
|
$3,004,654.80
|
2025-12-17
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
13
|
8
|
—
|
—
|
$2,012,653.09
|
$4,536,413.86
|
$2,504,212.82
|
2025-12-17
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
13
|
8
|
—
|
—
|
$1,952,813.67
|
$4,314,200.00
|
$2,378,640.00
|
2025-12-17
|
|
Q2040
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
3
|
1
|
—
|
—
|
$936,361.80
|
$1,231,285.61
|
$970,374.21
|
2025-12-17
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
9
|
7
|
—
|
—
|
$793,738.60
|
$1,425,647.00
|
$805,793.26
|
2025-12-17
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
12
|
7
|
—
|
—
|
$595,674.32
|
$1,196,437.87
|
$603,560.72
|
2025-12-17
|
|
Q2056
|
HCPCS
|
Tc Ciltacabtagene Autoleucel, 100 Million Autologous (bcma) Dire
|
33
|
8
|
$1,332,802.00
|
$599,760.90
55% off
|
$441,157.46
|
$1,366,931.26
|
$602,426.50
|
2025-12-17
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
12
|
7
|
—
|
—
|
$557,884.73
|
$1,276,393.28
|
$573,788.95
|
2025-12-17
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
12
|
7
|
—
|
—
|
$557,498.26
|
$1,305,013.40
|
$568,464.29
|
2025-12-17
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
12
|
7
|
—
|
—
|
$543,894.77
|
$1,209,684.11
|
$543,894.77
|
2025-12-17
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
12
|
7
|
—
|
—
|
$499,090.70
|
$1,209,684.11
|
$499,090.70
|
2025-12-17
|
|
5834
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$295,897.76
|
$837,267.23
|
$463,557.93
|
2025-12-17
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
22
|
6
|
—
|
—
|
$234,498.19
|
$594,466.87
|
$415,002.46
|
2025-12-17
|
|
0024
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$223,950.20
|
$620,704.93
|
$346,606.05
|
2025-12-17
|
|
5884
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$242,716.53
|
$541,639.14
|
$332,857.95
|
2025-12-17
|
|
5833
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$234,356.66
|
$489,461.52
|
$310,449.61
|
2025-12-17
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
22
|
6
|
—
|
—
|
$181,263.01
|
$444,016.91
|
$310,250.35
|
2025-12-17
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
9
|
7
|
—
|
—
|
$278,486.25
|
$500,193.75
|
$283,815.00
|
2025-12-17
|
|
1614
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$232,065.72
|
$402,347.60
|
$280,537.28
|
2025-12-17
|
|
8414
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$163,653.81
|
$534,675.00
|
$279,758.38
|
2025-12-17
|
|
5934
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$158,296.98
|
$500,680.92
|
$265,216.85
|
2025-12-17
|
|
5914
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$152,862.37
|
$508,630.90
|
$264,318.55
|
2025-12-17
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
7
|
7
|
—
|
—
|
$262,650.00
|
$262,650.00
|
$262,650.00
|
2025-12-17
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
21
|
6
|
—
|
—
|
$152,656.22
|
$355,279.19
|
$256,620.78
|
2025-12-17
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
5
|
3
|
—
|
—
|
$121,774.46
|
$318,396.32
|
$242,132.41
|
2025-12-17
|
|
6094
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$151,886.95
|
$435,085.39
|
$239,681.51
|
2025-12-17
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
22
|
6
|
—
|
—
|
$91,745.00
|
$337,826.31
|
$226,837.17
|
2025-12-17
|
|
5883
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$156,367.09
|
$374,067.92
|
$222,641.57
|
2025-12-17
|
|
1613
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$177,786.40
|
$314,186.78
|
$216,862.05
|
2025-12-17
|
|
5832
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$172,815.55
|
$315,970.89
|
$214,248.96
|
2025-12-17
|
|
5891
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,421.47
|
$557,113.80
|
$212,363.05
|
2025-12-17
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
7
|
7
|
—
|
—
|
$209,752.80
|
$209,752.80
|
$209,752.80
|
2025-12-17
|
|
5882
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$153,113.70
|
$303,207.29
|
$197,416.63
|
2025-12-17
|
|
6024
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$113,467.65
|
$379,557.66
|
$196,855.55
|
2025-12-17
|
|
6304
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$138,283.88
|
$226,507.72
|
$193,981.41
|
2025-12-17
|
|
5933
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$101,795.54
|
$389,245.95
|
$192,514.94
|
2025-12-17
|
|
0074
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$146,818.37
|
$285,008.49
|
$187,428.36
|
2025-12-17
|
|
0023
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$138,487.42
|
$296,090.48
|
$185,690.63
|
2025-12-17
|
|
0044
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$145,424.06
|
$277,058.51
|
$183,936.64
|
2025-12-17
|
|
6314
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$145,818.02
|
$274,729.13
|
$183,429.43
|
2025-12-17
|
|
0014
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$143,163.04
|
$274,794.56
|
$181,744.02
|
2025-12-17
|
|
5831
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$149,343.68
|
$258,521.63
|
$180,404.77
|
2025-12-17
|
|
6034
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$127,244.18
|
$296,315.13
|
$178,536.17
|
2025-12-17
|
|
0114
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$152,665.89
|
$246,192.07
|
$178,515.31
|
2025-12-17
|
|
0094
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$142,374.13
|
$265,854.38
|
$178,318.22
|
2025-12-17
|
|
1612
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$142,747.15
|
$252,264.16
|
$174,121.29
|
2025-12-17
|
|
5892
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,366.79
|
$445,691.91
|
$170,809.77
|
2025-12-17
|
|
0064
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$126,429.34
|
$258,440.94
|
$165,647.77
|
2025-12-17
|
|
1611
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$135,609.04
|
$239,651.06
|
$165,414.78
|
2025-12-17
|
|
6074
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$87,153.30
|
$329,849.00
|
$163,711.09
|
2025-12-17
|
|
0054
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$95,837.31
|
$305,000.13
|
$161,181.39
|
2025-12-17
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
22
|
6
|
—
|
—
|
$91,745.00
|
$222,731.19
|
$156,178.22
|
2025-12-17
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
5
|
3
|
—
|
—
|
$75,546.98
|
$204,754.75
|
$155,710.84
|
2025-12-17
|
|
6023
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$89,472.16
|
$299,292.28
|
$155,226.10
|
2025-12-17
|
|
5932
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$80,682.43
|
$309,148.52
|
$152,793.26
|
2025-12-17
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
22
|
6
|
—
|
—
|
$81,466.99
|
$206,523.67
|
$144,893.59
|
2025-12-17
|
|
7
|
MS_DRG
|
Lung Transplant
|
22
|
6
|
—
|
—
|
$84,097.73
|
$206,003.49
|
$144,531.41
|
2025-12-17
|
|
5913
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$89,553.95
|
$265,010.30
|
$144,086.82
|
2025-12-17
|
|
5893
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$31,313.11
|
$378,375.52
|
$143,655.99
|
2025-12-17
|
|
6114
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$66,229.69
|
$300,158.17
|
$140,567.18
|
2025-12-17
|
|
0022
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$102,772.96
|
$219,731.39
|
$137,802.80
|
2025-12-17
|
|
0043
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$99,517.57
|
$213,925.40
|
$133,814.61
|
2025-12-17
|
|
5881
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$100,785.22
|
$199,582.72
|
$129,947.15
|
2025-12-17
|
|
6214
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$51,958.46
|
$290,773.04
|
$128,328.92
|
2025-12-17
|
|
0013
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$82,766.91
|
$228,859.15
|
$127,921.67
|
2025-12-17
|
|
1604
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$98,197.07
|
$183,983.74
|
$123,190.83
|
2025-12-17
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
22
|
6
|
—
|
—
|
$70,911.77
|
$173,703.53
|
$122,042.27
|
2025-12-17
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
6
|
—
|
—
|
$70,102.25
|
$171,720.55
|
$120,661.60
|
2025-12-17
|
|
0073
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$86,523.97
|
$197,990.54
|
$120,259.41
|
2025-12-17
|
|
6073
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$67,800.53
|
$230,819.93
|
$118,940.55
|
2025-12-17
|
|
0021
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$88,103.79
|
$188,369.86
|
$118,134.21
|
2025-12-17
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
22
|
6
|
—
|
—
|
$68,528.89
|
$167,866.49
|
$117,978.19
|
2025-12-17
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
22
|
6
|
—
|
—
|
$68,177.54
|
$167,005.83
|
$117,378.95
|
2025-12-17
|
|
0063
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$88,898.68
|
$182,594.40
|
$116,759.73
|
2025-12-17
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
6
|
—
|
—
|
$67,409.20
|
$165,123.73
|
$116,068.51
|
2025-12-17
|
|
4404
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$84,115.34
|
$173,196.19
|
$110,616.54
|
2025-12-17
|
|
1784
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$78,227.93
|
$181,015.31
|
$109,384.43
|
2025-12-17
|
|
T2025
|
HCPCS
|
Waiver Service, Nos
|
2
|
2
|
—
|
—
|
$98,770.56
|
$118,054.99
|
$108,412.77
|
2025-12-17
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
5
|
3
|
—
|
—
|
$54,175.25
|
$141,648.90
|
$107,720.44
|
2025-12-17
|
|
3034
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$88,479.79
|
$155,618.99
|
$107,683.92
|
2025-12-17
|
|
1624
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$92,549.02
|
$146,838.02
|
$107,433.18
|
2025-12-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
6
|
—
|
—
|
$62,104.83
|
$152,130.29
|
$107,021.73
|
2025-12-17
|
|
0053
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$70,573.19
|
$188,435.29
|
$106,885.90
|
2025-12-17
|
|
6303
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$85,122.68
|
$156,955.98
|
$105,962.26
|
2025-12-17
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
5
|
3
|
—
|
—
|
$52,618.03
|
$137,577.02
|
$104,623.87
|
2025-12-17
|
|
6093
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$75,670.70
|
$169,165.58
|
$103,871.99
|
2025-12-17
|
|
0084
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$74,269.40
|
$169,169.94
|
$102,972.58
|
2025-12-17
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
22
|
6
|
—
|
—
|
$59,278.58
|
$145,207.18
|
$102,201.45
|
2025-12-17
|
|
6124
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$63,332.36
|
$188,293.52
|
$102,184.79
|
2025-12-17
|
|
0062
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$77,172.72
|
$158,511.08
|
$101,359.26
|
2025-12-17
|
|
8424
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$82,706.07
|
$145,546.83
|
$100,684.05
|
2025-12-17
|
|
6022
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$68,270.28
|
$172,572.41
|
$100,226.79
|
2025-12-17
|
|
6113
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,137.81
|
$221,772.87
|
$100,132.40
|
2025-12-17
|
|
0113
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$75,146.08
|
$152,770.52
|
$98,182.33
|
2025-12-17
|
|
5912
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,653.86
|
$203,750.73
|
$97,151.98
|
2025-12-17
|
|
8413
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,059.02
|
$171,422.98
|
$94,572.87
|
2025-12-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
22
|
6
|
—
|
—
|
$54,529.55
|
$133,574.09
|
$94,101.79
|
2025-12-17
|
|
0072
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$67,679.85
|
$154,870.88
|
$94,068.30
|
2025-12-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
6
|
—
|
—
|
$54,499.30
|
$133,500.00
|
$94,050.21
|
2025-12-17
|
|
5931
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$1,494.04
|
$281,045.49
|
$92,711.81
|
2025-12-17
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
22
|
6
|
—
|
—
|
$53,671.76
|
$131,472.88
|
$92,638.80
|
2025-12-17
|
|
0042
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$68,418.89
|
$147,987.44
|
$92,296.20
|
2025-12-17
|
|
1634
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$78,753.54
|
$127,435.27
|
$92,230.35
|
2025-12-17
|
|
0012
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$69,368.38
|
$142,630.75
|
$91,157.82
|
2025-12-17
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
22
|
6
|
—
|
—
|
$51,873.18
|
$127,067.12
|
$89,571.26
|
2025-12-17
|
|
1694
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,761.16
|
$153,019.16
|
$89,016.05
|
2025-12-17
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
22
|
6
|
—
|
—
|
$51,306.26
|
$125,678.40
|
$88,604.36
|
2025-12-17
|
|
8634
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$64,929.13
|
$142,707.08
|
$88,328.93
|
2025-12-17
|
|
1674
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$70,839.48
|
$130,554.19
|
$88,160.96
|
2025-12-17
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
22
|
6
|
—
|
—
|
$51,012.18
|
$124,958.03
|
$88,102.79
|
2025-12-17
|
|
0093
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$65,619.30
|
$140,292.64
|
$87,984.39
|
2025-12-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
22
|
6
|
—
|
—
|
$50,298.53
|
$123,209.91
|
$86,885.64
|
2025-12-17
|
|
6033
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$61,921.09
|
$144,194.57
|
$86,880.81
|
2025-12-17
|
|
1654
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$72,018.36
|
$124,233.46
|
$86,855.32
|
2025-12-17
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
5
|
3
|
—
|
—
|
$43,414.15
|
$113,511.96
|
$86,323.00
|
2025-12-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
6
|
—
|
—
|
$49,790.81
|
$121,966.21
|
$86,019.71
|
2025-12-17
|
|
6084
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$55,181.93
|
$151,730.15
|
$85,008.59
|
2025-12-17
|
|
6134
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$62,136.52
|
$135,891.25
|
$84,308.56
|
2025-12-17
|
|
9104
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$64,132.24
|
$130,087.44
|
$83,696.79
|
2025-12-17
|
|
0071
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,263.48
|
$137,143.19
|
$83,513.17
|
2025-12-17
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
22
|
6
|
—
|
—
|
$48,032.13
|
$126,633.00
|
$83,020.21
|
2025-12-17
|
|
4403
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$55,445.23
|
$140,203.22
|
$81,414.73
|
2025-12-17
|
|
0234
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$57,489.82
|
$136,144.26
|
$81,403.99
|
2025-12-17
|
|
0011
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$61,589.97
|
$126,637.00
|
$80,936.02
|
2025-12-17
|
|
6334
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,224.99
|
$154,548.08
|
$80,813.37
|
2025-12-17
|
|
1794
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$63,734.29
|
$121,544.21
|
$80,651.90
|
2025-12-17
|
|
2204
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$53,707.83
|
$140,942.60
|
$80,539.20
|
2025-12-17
|
|
9114
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,588.62
|
$126,719.88
|
$80,319.35
|
2025-12-17
|
|
0061
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,661.42
|
$124,595.52
|
$79,672.63
|
2025-12-17
|
|
6083
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$52,553.89
|
$139,723.39
|
$79,399.35
|
2025-12-17
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
5
|
3
|
—
|
—
|
$38,398.57
|
$104,071.13
|
$79,143.48
|
2025-12-17
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
6
|
—
|
—
|
$45,705.87
|
$111,959.86
|
$79,052.70
|
2025-12-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
22
|
6
|
—
|
—
|
$45,476.15
|
$111,397.12
|
$78,660.89
|
2025-12-17
|
|
0914
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,008.15
|
$122,274.87
|
$78,495.06
|
2025-12-17
|
|
1304
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$49,414.20
|
$141,016.76
|
$77,803.22
|
2025-12-17
|
|
3044
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$64,020.94
|
$98,051.96
|
$77,613.98
|
2025-12-17
|
|
6072
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$52,500.03
|
$134,048.25
|
$77,512.00
|
2025-12-17
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
22
|
6
|
—
|
—
|
$43,255.52
|
$109,655.31
|
$77,448.13
|
2025-12-17
|
|
3124
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$60,324.32
|
$117,607.39
|
$77,174.54
|
2025-12-17
|
|
6804
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$63,469.99
|
$111,343.37
|
$77,151.79
|
2025-12-17
|
|
8504
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$57,637.43
|
$121,354.46
|
$76,670.55
|
2025-12-17
|
|
0052
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$51,658.26
|
$132,850.85
|
$76,579.95
|
2025-12-17
|
|
3033
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$58,408.64
|
$89,456.38
|
$76,564.18
|
2025-12-17
|
|
1834
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$63,733.28
|
$97,611.38
|
$76,291.76
|
2025-12-17
|
|
1783
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$57,872.81
|
$118,970.55
|
$76,043.60
|
2025-12-17
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
22
|
6
|
—
|
—
|
$43,940.11
|
$105,075.73
|
$76,041.12
|
2025-12-17
|
|
6904
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$51,805.87
|
$129,223.74
|
$75,490.72
|
2025-12-17
|
|
9504
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$52,819.18
|
$126,506.13
|
$75,254.93
|
2025-12-17
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
22
|
6
|
—
|
—
|
$43,144.74
|
$105,686.19
|
$74,684.60
|
2025-12-17
|
|
1664
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$64,918.16
|
$100,344.26
|
$74,491.93
|
2025-12-17
|
|
9124
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$58,867.17
|
$111,851.56
|
$74,358.74
|
2025-12-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
22
|
6
|
—
|
—
|
$42,906.01
|
$105,101.38
|
$74,277.42
|
2025-12-17
|
|
0214
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$56,701.91
|
$115,814.55
|
$74,260.55
|
2025-12-17
|
|
7404
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$55,263.71
|
$117,648.83
|
$73,934.83
|
2025-12-17
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
21
|
6
|
—
|
—
|
$42,978.72
|
$102,863.14
|
$73,828.95
|
2025-12-17
|
|
1782
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$53,919.27
|
$116,892.00
|
$72,823.46
|
2025-12-17
|
|
6814
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$54,121.74
|
$116,449.24
|
$72,809.07
|
2025-12-17
|
|
4414
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$56,691.93
|
$110,671.60
|
$72,575.15
|
2025-12-17
|
|
1623
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$57,126.97
|
$87,493.42
|
$72,443.66
|
2025-12-17
|
|
S2409
|
HCPCS
|
Fetal Surg Noc
|
3
|
1
|
—
|
—
|
$69,691.75
|
$91,642.41
|
$72,223.23
|
2025-12-17
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
22
|
6
|
—
|
—
|
$40,213.05
|
$101,942.47
|
$72,078.01
|
2025-12-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
6
|
—
|
—
|
$41,556.59
|
$101,795.88
|
$71,975.93
|
2025-12-17
|
|
0204
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$52,311.53
|
$115,371.80
|
$71,293.62
|
2025-12-17
|
|
1204
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$52,070.17
|
$115,836.36
|
$71,290.12
|
2025-12-17
|
|
6123
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$44,540.10
|
$130,074.35
|
$71,097.57
|
2025-12-17
|
|
2614
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$49,205.75
|
$119,873.51
|
$70,766.70
|
2025-12-17
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
22
|
6
|
—
|
—
|
$40,696.87
|
$99,689.94
|
$70,509.66
|
2025-12-17
|
|
6144
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$49,933.82
|
$117,118.83
|
$70,335.44
|
2025-12-17
|
|
0894
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$53,344.79
|
$109,618.15
|
$70,079.50
|
2025-12-17
|
|
2604
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$55,980.81
|
$104,058.61
|
$69,959.10
|
2025-12-17
|
|
4402
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,553.12
|
$120,246.48
|
$69,826.06
|
2025-12-17
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
22
|
6
|
—
|
—
|
$39,860.96
|
$97,642.33
|
$69,084.00
|
2025-12-17
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
22
|
6
|
—
|
—
|
$39,809.48
|
$97,516.22
|
$68,996.18
|
2025-12-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
22
|
6
|
—
|
—
|
$39,628.02
|
$97,071.71
|
$68,686.68
|
2025-12-17
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
22
|
6
|
—
|
—
|
$39,489.66
|
$96,732.80
|
$68,450.73
|
2025-12-17
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
22
|
6
|
—
|
—
|
$39,309.48
|
$96,291.44
|
$68,143.43
|
2025-12-17
|
|
3614
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$51,086.77
|
$108,104.49
|
$68,133.76
|
2025-12-17
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
22
|
6
|
—
|
—
|
$39,121.58
|
$95,831.16
|
$67,822.95
|
2025-12-17
|
|
2224
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,451.57
|
$129,668.68
|
$67,693.93
|
2025-12-17
|
|
1781
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$48,091.70
|
$112,207.07
|
$67,547.70
|
2025-12-17
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
22
|
6
|
—
|
—
|
$37,531.23
|
$95,143.89
|
$67,344.44
|
2025-12-17
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
22
|
6
|
—
|
—
|
$37,531.23
|
$95,143.89
|
$67,344.44
|
2025-12-17
|
|
1814
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$50,238.02
|
$105,871.08
|
$66,859.01
|
2025-12-17
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
22
|
6
|
—
|
—
|
$38,550.80
|
$94,432.98
|
$66,849.46
|
2025-12-17
|
|
0274
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$49,979.70
|
$105,753.30
|
$66,654.49
|
2025-12-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
22
|
6
|
—
|
—
|
$38,283.75
|
$93,778.82
|
$66,393.98
|
2025-12-17
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
6
|
—
|
—
|
$36,964.77
|
$93,707.88
|
$66,344.60
|
2025-12-17
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
22
|
6
|
—
|
—
|
$37,864.83
|
$92,752.64
|
$65,679.50
|
2025-12-17
|
|
4474
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$41,868.17
|
$118,488.54
|
$65,597.54
|
2025-12-17
|
|
6224
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$41,010.44
|
$120,128.70
|
$65,581.60
|
2025-12-17
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
22
|
6
|
—
|
—
|
$37,466.50
|
$91,776.91
|
$65,000.15
|
2025-12-17
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
14
|
8
|
—
|
—
|
$64,609.13
|
$169,015.75
|
$64,971.56
|
2025-12-17
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
5
|
3
|
—
|
—
|
$32,457.80
|
$84,865.43
|
$64,538.03
|
2025-12-17
|
|
6514
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$46,845.99
|
$104,599.52
|
$64,263.30
|
2025-12-17
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
5
|
3
|
—
|
—
|
$32,304.54
|
$84,464.82
|
$64,233.37
|
2025-12-17
|
|
0092
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,860.31
|
$102,324.66
|
$64,172.70
|
2025-12-17
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
6
|
—
|
—
|
$36,933.04
|
$90,470.16
|
$64,090.31
|
2025-12-17
|
|
6313
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$51,393.63
|
$78,712.45
|
$63,997.45
|
2025-12-17
|
|
6954
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$48,756.94
|
$99,818.62
|
$63,930.97
|
2025-12-17
|
|
1764
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$49,353.36
|
$98,638.66
|
$63,929.17
|
2025-12-17
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
22
|
6
|
—
|
—
|
$36,712.32
|
$89,929.49
|
$63,713.85
|
2025-12-17
|
|
0051
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$42,897.45
|
$110,320.45
|
$63,592.63
|
2025-12-17
|
|
6302
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$54,007.04
|
$88,073.59
|
$63,471.70
|
2025-12-17
|
|
7924
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,241.95
|
$100,483.85
|
$63,174.22
|
2025-12-17
|
|
5104
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$48,119.62
|
$98,540.52
|
$63,104.01
|
2025-12-17
|
|
0924
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,472.34
|
$98,355.13
|
$62,627.38
|
2025-12-17
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
22
|
6
|
—
|
—
|
$35,872.55
|
$87,872.42
|
$62,281.61
|
2025-12-17
|
|
7104
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,566.67
|
$104,180.75
|
$62,018.46
|
2025-12-17
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
15
|
8
|
—
|
—
|
$61,622.01
|
$143,927.66
|
$61,841.75
|
2025-12-17
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
22
|
6
|
—
|
—
|
$35,568.18
|
$87,126.83
|
$61,762.49
|
2025-12-17
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
22
|
6
|
—
|
—
|
$34,368.75
|
$87,126.83
|
$61,762.49
|
2025-12-17
|
|
0041
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$45,689.06
|
$98,821.87
|
$61,633.35
|
2025-12-17
|
|
1824
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$42,682.02
|
$104,710.75
|
$61,622.77
|
2025-12-17
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
6
|
—
|
—
|
$35,418.88
|
$86,761.13
|
$61,507.86
|
2025-12-17
|
|
1653
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$53,190.20
|
$83,445.37
|
$61,435.64
|
2025-12-17
|
|
5911
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$1,294.57
|
$185,229.13
|
$61,302.94
|
2025-12-17
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
22
|
6
|
—
|
—
|
$35,202.67
|
$86,231.49
|
$61,139.10
|
2025-12-17
|
|
0083
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$46,766.21
|
$95,035.55
|
$61,089.71
|
2025-12-17
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
22
|
6
|
—
|
—
|
$35,013.48
|
$85,768.06
|
$60,816.43
|
2025-12-17
|
|
4044
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$46,329.36
|
$95,026.82
|
$60,806.04
|
2025-12-17
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
22
|
6
|
—
|
—
|
$34,933.68
|
$85,572.60
|
$60,680.33
|
2025-12-17
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
6
|
—
|
—
|
$34,755.44
|
$85,135.96
|
$60,376.32
|
2025-12-17
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
22
|
6
|
—
|
—
|
$34,722.62
|
$85,055.57
|
$60,320.35
|
2025-12-17
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
22
|
6
|
—
|
—
|
$34,718.76
|
$85,046.11
|
$60,313.76
|
2025-12-17
|
|
1603
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$48,613.82
|
$74,455.02
|
$60,242.82
|
2025-12-17
|
|
4014
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$47,144.20
|
$90,928.60
|
$59,991.94
|
2025-12-17
|
|
1633
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$49,462.57
|
$75,754.93
|
$59,917.97
|
2025-12-17
|
|
1793
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$46,471.98
|
$91,449.87
|
$59,729.97
|
2025-12-17
|
|
3214
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$44,566.03
|
$94,640.77
|
$59,546.43
|
2025-12-17
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
22
|
6
|
—
|
—
|
$34,235.49
|
$83,862.31
|
$59,489.53
|
2025-12-17
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
6
|
—
|
—
|
$34,084.26
|
$83,491.88
|
$59,231.62
|
2025-12-17
|
|
7594
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$51,713.11
|
$79,582.70
|
$59,225.06
|
2025-12-17
|
|
1214
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$42,574.30
|
$97,548.13
|
$59,215.18
|
2025-12-17
|
|
0224
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,330.30
|
$95,063.90
|
$58,890.17
|
2025-12-17
|
|
4401
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$42,461.60
|
$96,352.91
|
$58,752.54
|
2025-12-17
|
|
4054
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,233.56
|
$94,136.95
|
$58,525.36
|
2025-12-17
|
|
3094
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$40,198.59
|
$99,877.51
|
$58,448.40
|
2025-12-17
|
|
6504
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$42,513.46
|
$95,114.06
|
$58,381.44
|
2025-12-17
|
|
6082
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$38,796.30
|
$102,095.65
|
$58,271.07
|
2025-12-17
|
|
2304
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$48,137.58
|
$82,904.46
|
$58,010.94
|
2025-12-17
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
14
|
8
|
—
|
—
|
$35,280.00
|
$135,965.74
|
$57,961.04
|
2025-12-17
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
22
|
6
|
—
|
—
|
$33,140.89
|
$81,181.03
|
$57,622.67
|
2025-12-17
|
|
6213
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$30,499.26
|
$116,276.94
|
$57,566.95
|
2025-12-17
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
22
|
6
|
—
|
—
|
$33,030.86
|
$80,911.48
|
$57,434.98
|
2025-12-17
|
|
1622
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,467.19
|
$66,572.65
|
$57,414.88
|
2025-12-17
|
|
2644
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,707.30
|
$88,708.28
|
$57,057.64
|
2025-12-17
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
22
|
6
|
—
|
—
|
$32,783.75
|
$80,306.18
|
$57,013.54
|
2025-12-17
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
14
|
8
|
—
|
—
|
$56,377.77
|
$146,767.77
|
$57,001.06
|
2025-12-17
|
|
1303
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$38,148.02
|
$99,323.52
|
$56,949.32
|
2025-12-17
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
22
|
6
|
—
|
—
|
$32,683.37
|
$80,060.28
|
$56,842.32
|
2025-12-17
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
22
|
6
|
—
|
—
|
$32,412.45
|
$79,396.65
|
$56,380.27
|
2025-12-17
|
|
8633
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$41,660.72
|
$90,409.51
|
$56,297.38
|
2025-12-17
|
|
3174
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$33,644.94
|
$105,764.20
|
$56,157.14
|
2025-12-17
|
|
1704
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$42,844.59
|
$87,637.37
|
$56,153.43
|
2025-12-17
|
|
6122
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$34,491.70
|
$103,997.54
|
$56,124.73
|
2025-12-17
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
22
|
6
|
—
|
—
|
$31,134.77
|
$78,928.49
|
$56,054.32
|
2025-12-17
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
22
|
6
|
—
|
—
|
$32,196.24
|
$78,867.02
|
$56,011.51
|
2025-12-17
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
22
|
6
|
—
|
—
|
$32,183.37
|
$78,835.49
|
$55,989.57
|
2025-12-17
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
22
|
6
|
—
|
—
|
$32,067.54
|
$78,551.76
|
$55,792.01
|
2025-12-17
|
|
3032
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$45,329.89
|
$69,425.48
|
$55,627.61
|
2025-12-17
|
|
0264
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,591.61
|
$83,312.32
|
$55,221.68
|
2025-12-17
|
|
9514
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,258.08
|
$91,694.15
|
$55,172.21
|
2025-12-17
|
|
0304
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$44,240.89
|
$81,733.23
|
$55,123.57
|
2025-12-17
|
|
6133
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$40,518.74
|
$88,614.49
|
$54,977.24
|
2025-12-17
|
|
3054
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$38,342.50
|
$92,703.99
|
$54,913.31
|
2025-12-17
|
|
6234
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$37,637.37
|
$93,923.20
|
$54,858.03
|
2025-12-17
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
22
|
6
|
—
|
—
|
$31,446.56
|
$77,030.63
|
$54,732.91
|
2025-12-17
|
|
7114
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$41,097.21
|
$86,640.63
|
$54,704.71
|
2025-12-17
|
|
5114
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,439.01
|
$81,960.06
|
$54,682.12
|
2025-12-17
|
|
3254
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$43,420.06
|
$81,259.94
|
$54,441.38
|
2025-12-17
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
22
|
6
|
—
|
—
|
$31,256.73
|
$76,565.62
|
$54,409.13
|
2025-12-17
|
|
3043
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$45,895.51
|
$76,138.80
|
$54,360.86
|
2025-12-17
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
22
|
6
|
—
|
—
|
$31,204.60
|
$76,437.94
|
$54,320.25
|
2025-12-17
|
|
6143
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$38,306.60
|
$89,846.79
|
$53,957.44
|
2025-12-17
|
|
1833
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$44,832.89
|
$68,664.29
|
$53,591.85
|
2025-12-17
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
22
|
6
|
—
|
—
|
$30,730.34
|
$75,276.21
|
$53,511.39
|
2025-12-17
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
22
|
6
|
—
|
—
|
$30,597.14
|
$74,949.91
|
$53,284.19
|
2025-12-17
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
22
|
6
|
—
|
—
|
$30,591.35
|
$74,935.73
|
$53,274.32
|
2025-12-17
|
|
3134
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$38,178.94
|
$87,545.77
|
$53,124.18
|
2025-12-17
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
22
|
6
|
—
|
—
|
$30,274.74
|
$74,160.19
|
$52,734.35
|
2025-12-17
|
|
0091
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,278.03
|
$83,977.55
|
$52,665.83
|
2025-12-17
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
22
|
6
|
—
|
—
|
$30,112.58
|
$73,762.96
|
$52,457.78
|
2025-12-17
|
|
2324
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,545.32
|
$82,474.79
|
$52,347.07
|
2025-12-17
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
22
|
6
|
—
|
—
|
$29,934.98
|
$73,327.90
|
$52,154.85
|
2025-12-17
|
|
0112
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,804.63
|
$80,921.87
|
$52,006.81
|
2025-12-17
|
|
4444
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$33,667.88
|
$92,047.49
|
$51,693.86
|
2025-12-17
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
22
|
6
|
—
|
—
|
$29,660.20
|
$72,654.82
|
$51,686.22
|
2025-12-17
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
22
|
6
|
—
|
—
|
$29,647.98
|
$72,624.87
|
$51,665.37
|
2025-12-17
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
22
|
6
|
—
|
—
|
$29,553.38
|
$72,393.15
|
$51,504.03
|
2025-12-17
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
22
|
6
|
—
|
—
|
$29,548.88
|
$72,382.12
|
$51,496.35
|
2025-12-17
|
|
4424
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$39,980.17
|
$78,915.29
|
$51,464.57
|
2025-12-17
|
|
0294
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$40,519.74
|
$77,584.84
|
$51,377.10
|
2025-12-17
|
|
6344
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$36,194.19
|
$85,233.84
|
$51,093.51
|
2025-12-17
|
|
1652
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$44,238.90
|
$68,980.54
|
$50,958.98
|
2025-12-17
|
|
9524
|
APR_DRG
|
—
|
4
|
3
|
—
|
—
|
$33,752.65
|
$88,693.01
|
$50,653.24
|
2025-12-17
|