|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
16
|
12
|
—
|
—
|
$4,432,920.00
|
$4,787,553.60
|
$4,432,920.00
|
2026-02-06
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
12
|
6
|
—
|
—
|
$1,560,239.55
|
$4,870,859.84
|
$3,838,049.82
|
2026-02-06
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
28
|
13
|
—
|
—
|
$1,560,239.55
|
$4,870,859.84
|
$3,653,499.67
|
2026-02-06
|
|
J1413
|
HCPCS
|
Hc Rx Ip 250 Op 636
|
45
|
16
|
—
|
$3,118,176.00
|
$1,396,974.38
|
$4,976,640.00
|
$3,329,319.85
|
2026-02-06
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
22
|
12
|
—
|
—
|
$1,342,815.34
|
$4,192,090.44
|
$3,220,444.11
|
2026-02-06
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
24
|
12
|
—
|
—
|
$1,248,191.63
|
$4,868,633.01
|
$2,949,623.66
|
2026-02-06
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
24
|
12
|
—
|
—
|
$980,722.01
|
$3,847,800.00
|
$2,335,074.51
|
2026-02-06
|
|
J3399
|
HCPCS
|
Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit (12.1-12.5 Kg; 68.8 Ml)
|
140
|
23
|
$2,125,000.00
|
$852,125.00
60% off
|
$563,125.00
|
$4,045,990.74
|
$1,381,250.00
|
2026-02-06
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 100000000 Cells IV Susp
|
106
|
23
|
$1,909,750.11
|
$765,809.80
60% off
|
$389,016.10
|
$1,992,511.83
|
$1,241,337.57
|
2026-02-06
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel 200000000 Cells IV Susp
|
107
|
23
|
$1,889,580.00
|
$757,721.58
60% off
|
$231,548.39
|
$1,763,300.00
|
$1,228,227.00
|
2026-02-06
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 250000000 Cells IV Susp
|
135
|
23
|
$1,831,611.65
|
$734,476.28
60% off
|
$231,548.39
|
$1,743,991.58
|
$1,190,547.57
|
2026-02-06
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp
|
106
|
23
|
$1,764,202.48
|
$707,445.20
60% off
|
$359,368.04
|
$1,860,538.84
|
$1,146,731.61
|
2026-02-06
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 100000000 Cells IV Susp
|
128
|
23
|
$1,696,000.00
|
$680,096.00
60% off
|
$192,956.98
|
$1,763,300.00
|
$1,102,400.00
|
2026-02-06
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
18
|
12
|
—
|
—
|
$758,290.08
|
$1,742,550.60
|
$779,143.06
|
2026-02-06
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
6
|
1
|
—
|
—
|
$186,741.94
|
$829,684.99
|
$657,879.89
|
2026-02-06
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
31
|
12
|
—
|
—
|
$536,203.11
|
$1,902,257.06
|
$596,169.07
|
2026-02-06
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
6
|
—
|
—
|
$373,516.93
|
$1,120,003.68
|
$584,560.50
|
2026-02-06
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
29
|
12
|
—
|
—
|
$289,108.85
|
$994,160.26
|
$449,961.52
|
2026-02-06
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$241,632.99
|
$724,545.05
|
$369,464.15
|
2026-02-06
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
6
|
—
|
—
|
$218,355.81
|
$654,747.59
|
$352,942.54
|
2026-02-06
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$109,829.82
|
$329,328.58
|
$323,505.48
|
2026-02-06
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
18
|
12
|
—
|
—
|
$273,798.00
|
$629,187.80
|
$281,327.44
|
2026-02-06
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
53
|
17
|
—
|
—
|
$119,480.00
|
$706,082.36
|
$281,238.48
|
2026-02-06
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$194,097.84
|
$582,009.21
|
$259,808.95
|
2026-02-06
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$226,907.55
|
$680,390.28
|
$254,213.72
|
2026-02-06
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
16
|
12
|
—
|
—
|
$253,380.00
|
$273,650.40
|
$253,380.00
|
2026-02-06
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
17
|
3
|
—
|
—
|
$2,192.89
|
$1,379,286.29
|
$252,550.23
|
2026-02-06
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
6
|
—
|
—
|
$179,493.04
|
$538,216.21
|
$249,991.12
|
2026-02-06
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
6
|
—
|
—
|
$118,601.45
|
$433,656.35
|
$240,592.35
|
2026-02-06
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$166,877.07
|
$500,386.76
|
$239,167.35
|
2026-02-06
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
6
|
—
|
—
|
$201,761.31
|
$715,229.19
|
$232,249.43
|
2026-02-06
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$135,265.13
|
$415,757.87
|
$230,662.28
|
2026-02-06
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$211,695.07
|
$669,755.67
|
$230,229.71
|
2026-02-06
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
6
|
—
|
—
|
$185,119.99
|
$745,245.34
|
$227,935.42
|
2026-02-06
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
29
|
12
|
—
|
—
|
$142,941.60
|
$594,689.08
|
$222,845.92
|
2026-02-06
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
6
|
—
|
—
|
$122,560.61
|
$399,686.02
|
$221,745.62
|
2026-02-06
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
29
|
12
|
—
|
—
|
$142,102.71
|
$537,217.61
|
$221,542.12
|
2026-02-06
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
6
|
—
|
—
|
$140,959.15
|
$422,670.97
|
$221,479.44
|
2026-02-06
|
|
Q2043
|
HCPCS
|
Hc Rx Ip 250 Op 636
|
112
|
23
|
$318,246.07
|
$127,616.68
60% off
|
$25,936.32
|
$286,421.46
|
$206,859.95
|
2026-02-06
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
6
|
—
|
—
|
$185,119.99
|
$596,197.44
|
$203,081.98
|
2026-02-06
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
16
|
12
|
—
|
—
|
$202,349.76
|
$218,537.74
|
$202,349.76
|
2026-02-06
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
6
|
—
|
—
|
$140,163.23
|
$420,284.38
|
$201,161.76
|
2026-02-06
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$68,153.12
|
$204,359.53
|
$200,746.10
|
2026-02-06
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
6
|
—
|
—
|
$168,798.75
|
$506,149.00
|
$196,227.19
|
2026-02-06
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$118,224.90
|
$354,501.53
|
$193,155.90
|
2026-02-06
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
65
|
17
|
—
|
—
|
$80,459.84
|
$553,965.00
|
$192,500.00
|
2026-02-06
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
53
|
17
|
—
|
—
|
$75,866.40
|
$553,350.00
|
$190,000.00
|
2026-02-06
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
6
|
—
|
—
|
$94,482.62
|
$339,626.19
|
$188,424.46
|
2026-02-06
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$118,450.00
|
$367,589.83
|
$187,975.00
|
2026-02-06
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$102,097.35
|
$306,142.51
|
$187,975.00
|
2026-02-06
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
6
|
—
|
—
|
$115,330.21
|
$345,821.71
|
$186,873.32
|
2026-02-06
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$63,629.62
|
$221,450.00
|
$186,411.04
|
2026-02-06
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
6
|
—
|
—
|
$123,599.78
|
$370,618.28
|
$183,799.90
|
2026-02-06
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
59
|
17
|
—
|
—
|
$69,028.80
|
$368,150.00
|
$177,155.01
|
2026-02-06
|
|
7
|
MS_DRG
|
Lung Transplant
|
57
|
17
|
—
|
—
|
$86,701.59
|
$553,350.00
|
$175,000.00
|
2026-02-06
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$151,231.23
|
$520,690.26
|
$171,513.59
|
2026-02-06
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$154,619.80
|
$507,730.33
|
$171,250.15
|
2026-02-06
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
2
|
—
|
—
|
$56,494.58
|
$221,450.00
|
$167,903.34
|
2026-02-06
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
2
|
—
|
—
|
$88,326.42
|
$264,849.88
|
$164,800.00
|
2026-02-06
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
2
|
—
|
—
|
$69,090.12
|
$207,169.17
|
$164,800.00
|
2026-02-06
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
2
|
—
|
—
|
$118,450.00
|
$830,310.54
|
$164,800.00
|
2026-02-06
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
2
|
—
|
—
|
$61,181.54
|
$183,455.01
|
$164,800.00
|
2026-02-06
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
2
|
—
|
—
|
$127,146.38
|
$381,252.89
|
$164,800.00
|
2026-02-06
|
|
J9029
|
HCPCS
|
Hc Rx Ip 250 Op 636
|
111
|
23
|
$251,392.50
|
$100,808.40
60% off
|
$51,208.65
|
$246,366.36
|
$163,405.12
|
2026-02-06
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$90,896.13
|
$282,697.46
|
$156,840.42
|
2026-02-06
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$89,036.71
|
$276,525.78
|
$153,416.38
|
2026-02-06
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
2
|
—
|
—
|
$98,025.33
|
$293,932.40
|
$151,410.00
|
2026-02-06
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
2
|
—
|
—
|
$84,034.50
|
$251,980.41
|
$151,410.00
|
2026-02-06
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
7
|
2
|
—
|
—
|
$118,450.00
|
$396,077.16
|
$151,410.00
|
2026-02-06
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$61,800.00
|
$226,296.88
|
$148,882.35
|
2026-02-06
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
29
|
12
|
—
|
—
|
$92,735.12
|
$354,191.81
|
$144,835.22
|
2026-02-06
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$115,092.49
|
$441,235.59
|
$138,026.98
|
2026-02-06
|
|
J9226
|
HCPCS
|
Hc Rx Ip 250 Op 636
|
156
|
23
|
$211,428.14
|
$84,782.69
60% off
|
$20,362.24
|
$196,156.03
|
$137,266.67
|
2026-02-06
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
6
|
—
|
—
|
$123,345.08
|
$407,995.51
|
$137,105.71
|
2026-02-06
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
6
|
—
|
—
|
$62,586.56
|
$245,328.19
|
$136,107.96
|
2026-02-06
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
6
|
—
|
—
|
$112,538.66
|
$337,451.15
|
$135,960.43
|
2026-02-06
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
6
|
—
|
—
|
$106,911.78
|
$320,578.74
|
$135,960.43
|
2026-02-06
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$117,584.51
|
$413,544.76
|
$134,805.12
|
2026-02-06
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
6
|
—
|
—
|
$82,077.79
|
$246,113.14
|
$132,170.79
|
2026-02-06
|
|
90288
|
CPT
|
Botulism Ig IV
|
7
|
1
|
—
|
—
|
$70,479.00
|
$145,484.70
|
$130,930.50
|
2026-02-06
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
3
|
1
|
—
|
—
|
$43,960.34
|
$131,816.63
|
$129,485.88
|
2026-02-06
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
6
|
—
|
—
|
$111,829.98
|
$396,377.67
|
$128,720.01
|
2026-02-06
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$107,779.83
|
$400,360.18
|
$127,115.99
|
2026-02-06
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
64
|
17
|
—
|
—
|
$31,044.72
|
$368,150.00
|
$125,151.72
|
2026-02-06
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
6
|
—
|
—
|
$95,435.19
|
$286,165.79
|
$121,837.70
|
2026-02-06
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
6
|
—
|
—
|
$96,987.83
|
$401,518.46
|
$121,265.62
|
2026-02-06
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
21
|
12
|
—
|
—
|
$75,779.37
|
$261,793.44
|
$116,253.28
|
2026-02-06
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
39
|
13
|
—
|
—
|
$49,076.67
|
$464,111.44
|
$115,546.59
|
2026-02-06
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
29
|
12
|
—
|
—
|
$73,786.93
|
$262,755.37
|
$115,393.72
|
2026-02-06
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
6
|
—
|
—
|
$64,930.53
|
$206,145.73
|
$114,369.56
|
2026-02-06
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
29
|
12
|
—
|
—
|
$72,802.10
|
$273,070.95
|
$113,863.08
|
2026-02-06
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
7
|
1
|
—
|
—
|
$57,713.41
|
$119,133.61
|
$107,215.56
|
2026-02-06
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
6
|
2
|
—
|
—
|
$72,100.00
|
$345,713.76
|
$106,572.11
|
2026-02-06
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$36,100.41
|
$108,248.35
|
$106,334.33
|
2026-02-06
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
3
|
1
|
—
|
—
|
$35,720.94
|
$107,110.49
|
$105,216.59
|
2026-02-06
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
29
|
12
|
—
|
—
|
$66,662.12
|
$265,578.05
|
$104,323.08
|
2026-02-06
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
29
|
12
|
—
|
—
|
$65,495.85
|
$241,918.64
|
$102,510.48
|
2026-02-06
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
6
|
—
|
—
|
$70,020.32
|
$209,958.39
|
$102,333.52
|
2026-02-06
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
6
|
—
|
—
|
$66,403.94
|
$388,964.08
|
$100,621.89
|
2026-02-06
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
41
|
17
|
—
|
—
|
$48,041.31
|
$205,530.00
|
$100,000.00
|
2026-02-06
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$65,506.55
|
$196,423.69
|
$99,840.58
|
2026-02-06
|
|
0812
|
RC
|
Hc Acquisition Pancreas Cadaver Of Spk
|
248
|
23
|
$148,575.00
|
$59,578.58
60% off
|
$23,150.91
|
$155,089.72
|
$99,498.23
|
2026-02-06
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
46
|
17
|
—
|
—
|
$37,798.74
|
$240,000.00
|
$99,125.95
|
2026-02-06
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
6
|
—
|
—
|
$63,663.68
|
$190,897.78
|
$98,087.39
|
2026-02-06
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$80,826.55
|
$308,765.42
|
$96,748.91
|
2026-02-06
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
46
|
17
|
—
|
—
|
$36,369.25
|
$240,000.00
|
$95,004.43
|
2026-02-06
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
29
|
12
|
—
|
—
|
$60,319.27
|
$209,069.21
|
$94,467.20
|
2026-02-06
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$42,396.72
|
$127,128.06
|
$93,340.11
|
2026-02-06
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
6
|
2
|
—
|
—
|
$70,714.07
|
$212,038.63
|
$92,700.00
|
2026-02-06
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
6
|
2
|
—
|
—
|
$72,100.00
|
$244,254.63
|
$92,700.00
|
2026-02-06
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
6
|
2
|
—
|
—
|
$55,583.85
|
$166,670.14
|
$92,700.00
|
2026-02-06
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
6
|
—
|
—
|
$84,063.69
|
$252,067.94
|
$92,242.02
|
2026-02-06
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
6
|
—
|
—
|
$69,423.86
|
$208,169.90
|
$91,527.93
|
2026-02-06
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
29
|
12
|
—
|
—
|
$57,975.35
|
$230,911.17
|
$90,825.04
|
2026-02-06
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
43
|
17
|
—
|
—
|
$37,522.80
|
$258,230.00
|
$88,570.78
|
2026-02-06
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
29
|
12
|
—
|
—
|
$56,438.18
|
$212,413.31
|
$88,436.86
|
2026-02-06
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
6
|
—
|
—
|
$58,289.51
|
$375,951.63
|
$88,326.10
|
2026-02-06
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
29
|
12
|
—
|
—
|
$56,260.76
|
$212,292.98
|
$88,161.26
|
2026-02-06
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$56,850.70
|
$170,468.83
|
$87,770.35
|
2026-02-06
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
6
|
2
|
—
|
—
|
$63,860.00
|
$231,682.74
|
$87,557.65
|
2026-02-06
|
|
38240
|
CPT
|
Hc Bone Marrow/stem Transplant Allogenic
|
120
|
23
|
$121,815.00
|
$48,847.82
60% off
|
$508.29
|
$207,623.94
|
$86,549.56
|
2026-02-06
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
6
|
2
|
—
|
—
|
$53,643.68
|
$160,852.46
|
$84,975.00
|
2026-02-06
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
6
|
2
|
—
|
—
|
$62,546.67
|
$187,548.39
|
$84,975.00
|
2026-02-06
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
6
|
2
|
—
|
—
|
$42,984.42
|
$128,890.28
|
$84,975.00
|
2026-02-06
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
8
|
6
|
—
|
—
|
$77,231.24
|
$242,142.29
|
$83,626.26
|
2026-02-06
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$76,987.03
|
$230,848.32
|
$83,519.95
|
2026-02-06
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
29
|
12
|
—
|
—
|
$52,681.62
|
$202,062.63
|
$82,599.44
|
2026-02-06
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$71,076.34
|
$251,878.29
|
$81,802.97
|
2026-02-06
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
50
|
17
|
—
|
—
|
$31,475.87
|
$348,207.00
|
$81,585.51
|
2026-02-06
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
5
|
5
|
—
|
—
|
$81,168.44
|
$155,080.42
|
$81,168.44
|
2026-02-06
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
12
|
—
|
—
|
$51,406.22
|
$193,953.05
|
$80,618.30
|
2026-02-06
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
29
|
12
|
—
|
—
|
$51,184.61
|
$195,928.43
|
$80,273.80
|
2026-02-06
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
29
|
12
|
—
|
—
|
$51,015.23
|
$187,101.90
|
$80,010.92
|
2026-02-06
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$75,268.69
|
$226,291.05
|
$79,884.06
|
2026-02-06
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$55,422.33
|
$166,185.81
|
$78,689.07
|
2026-02-06
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$78,121.75
|
$149,259.42
|
$78,121.75
|
2026-02-06
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
6
|
—
|
—
|
$66,019.32
|
$197,961.27
|
$75,981.26
|
2026-02-06
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
29
|
12
|
—
|
—
|
$48,328.53
|
$177,951.99
|
$75,835.58
|
2026-02-06
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
29
|
12
|
—
|
—
|
$48,021.23
|
$167,418.31
|
$75,358.58
|
2026-02-06
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
29
|
12
|
—
|
—
|
$47,766.15
|
$198,708.50
|
$74,962.14
|
2026-02-06
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
29
|
12
|
—
|
—
|
$47,738.03
|
$177,144.79
|
$74,918.68
|
2026-02-06
|
|
0815
|
RC
|
Hc Acquisition Single Cord Blood Unrelated Donor
|
209
|
23
|
$105,153.00
|
$42,166.36
60% off
|
$9,945.03
|
$176,867.10
|
$74,711.21
|
2026-02-06
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
6
|
—
|
—
|
$45,648.50
|
$136,878.64
|
$74,689.89
|
2026-02-06
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
6
|
—
|
—
|
$68,946.12
|
$206,737.36
|
$73,752.36
|
2026-02-06
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
29
|
12
|
—
|
—
|
$46,274.50
|
$174,387.28
|
$72,643.92
|
2026-02-06
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
6
|
—
|
—
|
$43,545.84
|
$130,937.01
|
$72,643.80
|
2026-02-06
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
6
|
—
|
—
|
$61,012.47
|
$229,310.75
|
$72,404.11
|
2026-02-06
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
29
|
12
|
—
|
—
|
$46,047.54
|
$167,135.04
|
$72,292.00
|
2026-02-06
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
1
|
—
|
—
|
$24,529.44
|
$73,552.39
|
$72,251.86
|
2026-02-06
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$39,032.07
|
$128,898.40
|
$71,512.77
|
2026-02-06
|
|
E0194
|
HCPCS
|
Air Fluidized Bed
|
17
|
3
|
—
|
—
|
$18,317.36
|
$331,865.94
|
$70,948.61
|
2026-02-06
|
|
33276
|
CPT
|
Hc Insert Phrenic Nerve Stimulator System
|
106
|
23
|
$99,637.00
|
$39,954.44
60% off
|
$4,477.00
|
$157,977.90
|
$70,792.09
|
2026-02-06
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
29
|
12
|
—
|
—
|
$45,064.71
|
$171,163.50
|
$70,764.54
|
2026-02-06
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
6
|
—
|
—
|
$58,033.87
|
$174,016.61
|
$70,443.76
|
2026-02-06
|
|
0408T
|
CPT
|
Hc Insert/repl Ccm Sys Pls Gen W Transvns Electrode
|
106
|
23
|
$99,049.00
|
$39,718.65
60% off
|
$4,477.00
|
$112,554.78
|
$70,374.32
|
2026-02-06
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
28
|
13
|
—
|
—
|
$65,388.11
|
$600,370.15
|
$70,355.83
|
2026-02-06
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
29
|
12
|
—
|
—
|
$44,766.12
|
$155,323.78
|
$70,300.26
|
2026-02-06
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
29
|
12
|
—
|
—
|
$44,733.31
|
$168,062.56
|
$70,249.38
|
2026-02-06
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
29
|
12
|
—
|
—
|
$44,021.63
|
$161,875.72
|
$69,143.80
|
2026-02-06
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
29
|
12
|
—
|
—
|
$44,021.63
|
$152,768.66
|
$69,143.80
|
2026-02-06
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
29
|
12
|
—
|
—
|
$43,861.62
|
$154,365.27
|
$68,895.76
|
2026-02-06
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
50
|
17
|
—
|
—
|
$24,810.33
|
$348,207.00
|
$68,691.05
|
2026-02-06
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$44,765.01
|
$134,229.47
|
$68,042.76
|
2026-02-06
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
8
|
6
|
—
|
—
|
$54,222.62
|
$162,588.42
|
$67,976.48
|
2026-02-06
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
29
|
12
|
—
|
—
|
$43,080.32
|
$162,133.92
|
$67,681.00
|
2026-02-06
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
6
|
—
|
—
|
$56,531.56
|
$169,511.86
|
$67,637.60
|
2026-02-06
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
6
|
—
|
—
|
$43,742.39
|
$131,163.09
|
$67,276.27
|
2026-02-06
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
8
|
6
|
—
|
—
|
$58,242.10
|
$174,640.98
|
$66,785.60
|
2026-02-06
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
6
|
—
|
—
|
$57,958.72
|
$204,692.14
|
$66,588.90
|
2026-02-06
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
6
|
—
|
—
|
$54,548.57
|
$163,565.82
|
$66,558.97
|
2026-02-06
|
|
0811
|
RC
|
Hc Acquisition Kidney Living Donor
|
131
|
23
|
$95,552.00
|
$38,316.36
60% off
|
$14,467.59
|
$85,996.80
|
$66,504.19
|
2026-02-06
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
8
|
6
|
—
|
—
|
$53,074.47
|
$159,145.67
|
$66,384.71
|
2026-02-06
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
6
|
—
|
—
|
$60,623.04
|
$181,780.32
|
$65,617.16
|
2026-02-06
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
6
|
—
|
—
|
$49,671.87
|
$148,942.87
|
$65,503.85
|
2026-02-06
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
6
|
—
|
—
|
$56,360.25
|
$202,967.84
|
$65,406.24
|
2026-02-06
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
6
|
—
|
—
|
$49,898.58
|
$149,622.67
|
$64,571.67
|
2026-02-06
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
29
|
12
|
—
|
—
|
$41,029.64
|
$150,168.84
|
$64,494.64
|
2026-02-06
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
29
|
12
|
—
|
—
|
$40,982.10
|
$158,529.11
|
$64,421.50
|
2026-02-06
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
6
|
—
|
—
|
$42,162.53
|
$296,663.27
|
$63,888.88
|
2026-02-06
|
|
33270
|
CPT
|
Hc Ins/replcmt Subq Implt Defib System W/subq Eltrd
|
120
|
23
|
$89,840.00
|
$36,025.84
60% off
|
$1,095.19
|
$112,554.78
|
$63,831.32
|
2026-02-06
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
29
|
12
|
—
|
—
|
$40,589.11
|
$153,124.39
|
$63,810.94
|
2026-02-06
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$22,252.61
|
$66,725.24
|
$63,672.71
|
2026-02-06
|
|
0571T
|
CPT
|
Hc Insert/rplc Icds W/subster Eltrd
|
106
|
23
|
$89,330.00
|
$35,821.33
60% off
|
$4,477.00
|
$112,554.78
|
$63,468.96
|
2026-02-06
|
|
33231
|
CPT
|
Hc Ins Pacng Cvdfb Plse Gen Only W/exist Multi Leads
|
112
|
23
|
$89,330.00
|
$35,821.33
60% off
|
$4,477.00
|
$112,554.78
|
$63,468.96
|
2026-02-06
|
|
33287
|
CPT
|
Hc Rem & Repl Phrenic Nerv Stim, Pulse Generator
|
106
|
23
|
$89,285.00
|
$35,803.29
60% off
|
$2,946.00
|
$106,979.99
|
$63,437.00
|
2026-02-06
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
29
|
12
|
—
|
—
|
$40,225.57
|
$152,392.40
|
$63,245.96
|
2026-02-06
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
29
|
12
|
—
|
—
|
$40,214.19
|
$155,272.74
|
$63,227.94
|
2026-02-06
|
|
5103
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
3
|
1
|
—
|
—
|
$21,368.15
|
$64,073.15
|
$62,940.23
|
2026-02-06
|
|
64582
|
CPT
|
Hc Open Implantn Hypoglsl Nrv Neurostim Array,puls Gen & Distl Resp Sensr
|
111
|
23
|
$88,427.00
|
$35,459.23
60% off
|
$2,946.00
|
$106,979.99
|
$62,827.39
|
2026-02-06
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
29
|
12
|
—
|
—
|
$39,922.95
|
$143,866.69
|
$62,775.32
|
2026-02-06
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
6
|
—
|
—
|
$55,902.39
|
$188,636.65
|
$62,760.14
|
2026-02-06
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
6
|
—
|
—
|
$56,360.25
|
$186,906.52
|
$62,728.04
|
2026-02-06
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
6
|
—
|
—
|
$58,274.39
|
$177,713.21
|
$62,266.99
|
2026-02-06
|
|
J9266
|
HCPCS
|
Hc Rx Ip 250 Op 636
|
213
|
23
|
$92,757.73
|
$37,195.86
60% off
|
$9,624.56
|
$102,721.96
|
$62,054.93
|
2026-02-06
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
29
|
12
|
—
|
—
|
$39,290.28
|
$147,496.57
|
$61,792.70
|
2026-02-06
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
29
|
12
|
—
|
—
|
$39,264.84
|
$145,944.84
|
$61,752.42
|
2026-02-06
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
6
|
—
|
—
|
$55,853.98
|
$182,118.76
|
$61,646.18
|
2026-02-06
|
|
652
|
MS_DRG
|
Kidney Transplant
|
52
|
17
|
—
|
—
|
$21,621.50
|
$348,207.00
|
$61,591.69
|
2026-02-06
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
6
|
—
|
—
|
$51,666.53
|
$154,923.92
|
$61,361.42
|
2026-02-06
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
6
|
—
|
—
|
$35,114.76
|
$110,535.55
|
$61,325.07
|
2026-02-06
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
6
|
—
|
—
|
$53,230.86
|
$188,537.46
|
$61,247.54
|
2026-02-06
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$61,247.46
|
$117,019.40
|
$61,247.46
|
2026-02-06
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
6
|
—
|
—
|
$39,907.78
|
$119,664.87
|
$61,103.79
|
2026-02-06
|
|
33264
|
CPT
|
Hc Remov & Replace Implt Defib Pulse Gen Mult Lead
|
138
|
23
|
$89,840.00
|
$36,025.84
60% off
|
$792.35
|
$112,554.78
|
$61,076.89
|
2026-02-06
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
29
|
12
|
—
|
—
|
$38,610.73
|
$137,125.83
|
$60,736.94
|
2026-02-06
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$55,053.22
|
$179,314.96
|
$60,730.23
|
2026-02-06
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
6
|
—
|
—
|
$37,463.59
|
$112,335.89
|
$60,430.31
|
2026-02-06
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
29
|
12
|
—
|
—
|
$38,364.36
|
$143,006.85
|
$60,353.22
|
2026-02-06
|
|
33289
|
CPT
|
Hc Transcath W/impl Sensor, Pulm Art, Hemodyn Monitor, S&i
|
120
|
23
|
$84,753.00
|
$33,985.96
60% off
|
$642.06
|
$99,799.94
|
$60,217.00
|
2026-02-06
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
29
|
12
|
—
|
—
|
$38,158.15
|
$135,386.10
|
$60,033.10
|
2026-02-06
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$33,795.36
|
$108,142.41
|
$59,997.35
|
2026-02-06
|
|
J7330
|
HCPCS
|
Hc Or Imp Autologous Culture Chndrocytes(carticel)opnp
|
99
|
23
|
$92,273.39
|
$37,001.64
60% off
|
$21,748.84
|
$146,896.71
|
$59,977.71
|
2026-02-06
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
29
|
12
|
—
|
—
|
$37,639.29
|
$138,005.73
|
$59,227.50
|
2026-02-06
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$59,071.10
|
$112,861.24
|
$59,071.10
|
2026-02-06
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
29
|
12
|
—
|
—
|
$720.00
|
$138,248.26
|
$59,030.00
|
2026-02-06
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
21
|
12
|
—
|
—
|
$38,207.70
|
$132,810.14
|
$58,976.32
|
2026-02-06
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
29
|
12
|
—
|
—
|
$37,265.71
|
$129,575.83
|
$58,646.62
|
2026-02-06
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
6
|
—
|
—
|
$54,137.96
|
$162,334.60
|
$58,294.42
|
2026-02-06
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
6
|
—
|
—
|
$52,567.26
|
$172,861.26
|
$58,261.94
|
2026-02-06
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
29
|
12
|
—
|
—
|
$36,976.49
|
$153,836.33
|
$58,197.18
|
2026-02-06
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
6
|
—
|
—
|
$33,215.45
|
$104,712.61
|
$58,094.51
|
2026-02-06
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
6
|
—
|
—
|
$46,422.04
|
$139,198.12
|
$58,048.54
|
2026-02-06
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$37,226.18
|
$111,624.00
|
$58,012.20
|
2026-02-06
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
29
|
12
|
—
|
—
|
$36,754.88
|
$138,549.71
|
$57,852.68
|
2026-02-06
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
6
|
—
|
—
|
$45,768.94
|
$192,887.58
|
$57,794.24
|
2026-02-06
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
29
|
12
|
—
|
—
|
$36,625.00
|
$136,080.49
|
$57,651.28
|
2026-02-06
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
29
|
12
|
—
|
—
|
$36,572.78
|
$133,360.58
|
$57,569.66
|
2026-02-06
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
29
|
12
|
—
|
—
|
$36,515.20
|
$135,258.25
|
$57,480.62
|
2026-02-06
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
6
|
—
|
—
|
$52,177.98
|
$169,225.94
|
$57,437.77
|
2026-02-06
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
41
|
13
|
—
|
—
|
$26,936.92
|
$178,791.84
|
$56,812.96
|
2026-02-06
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
6
|
—
|
—
|
$48,902.23
|
$146,635.05
|
$56,658.82
|
2026-02-06
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$49,179.70
|
$173,999.12
|
$56,554.65
|
2026-02-06
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
6
|
—
|
—
|
$52,484.83
|
$157,377.62
|
$56,284.66
|
2026-02-06
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
12
|
—
|
—
|
$35,703.10
|
$132,768.97
|
$56,218.16
|
2026-02-06
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
29
|
12
|
—
|
—
|
$35,681.67
|
$129,093.97
|
$56,185.30
|
2026-02-06
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
6
|
—
|
—
|
$40,564.55
|
$121,634.24
|
$55,988.56
|
2026-02-06
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
29
|
12
|
—
|
—
|
$35,441.99
|
$138,559.74
|
$55,813.24
|
2026-02-06
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
29
|
12
|
—
|
—
|
$35,324.83
|
$128,670.31
|
$55,630.92
|
2026-02-06
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
6
|
—
|
—
|
$51,676.26
|
$154,953.10
|
$55,614.40
|
2026-02-06
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
29
|
12
|
—
|
—
|
$34,850.15
|
$127,705.19
|
$54,893.16
|
2026-02-06
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
29
|
12
|
—
|
—
|
$34,789.90
|
$139,735.44
|
$54,799.88
|
2026-02-06
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$29,699.01
|
$98,646.90
|
$54,729.25
|
2026-02-06
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
6
|
—
|
—
|
$50,697.50
|
$157,322.18
|
$54,623.77
|
2026-02-06
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
6
|
—
|
—
|
$51,290.50
|
$154,331.65
|
$54,457.18
|
2026-02-06
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
8
|
6
|
—
|
—
|
$50,485.71
|
$156,365.21
|
$54,345.60
|
2026-02-06
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
6
|
—
|
—
|
$49,952.21
|
$155,772.94
|
$53,948.08
|
2026-02-06
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
6
|
—
|
—
|
$48,508.03
|
$160,353.56
|
$53,903.14
|
2026-02-06
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
6
|
—
|
—
|
$44,085.86
|
$132,192.99
|
$53,832.35
|
2026-02-06
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
6
|
—
|
—
|
$49,372.19
|
$148,044.25
|
$53,713.68
|
2026-02-06
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
12
|
—
|
—
|
$33,744.14
|
$117,486.43
|
$53,174.90
|
2026-02-06
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
29
|
12
|
—
|
—
|
$33,390.64
|
$127,314.12
|
$52,625.82
|
2026-02-06
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
6
|
—
|
—
|
$46,858.12
|
$156,668.64
|
$52,364.74
|
2026-02-06
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
29
|
12
|
—
|
—
|
$33,122.84
|
$124,912.58
|
$52,209.24
|
2026-02-06
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
29
|
12
|
—
|
—
|
$33,063.93
|
$125,378.85
|
$52,118.08
|
2026-02-06
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
29
|
12
|
—
|
—
|
$32,950.78
|
$126,256.24
|
$51,942.12
|
2026-02-06
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
29
|
12
|
—
|
—
|
$32,813.53
|
$135,240.70
|
$51,729.06
|
2026-02-06
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
39
|
13
|
—
|
—
|
$21,833.31
|
$415,334.80
|
$51,404.58
|
2026-02-06
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$46,202.59
|
$152,321.44
|
$51,272.76
|
2026-02-06
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
6
|
—
|
—
|
$30,632.12
|
$92,259.40
|
$51,185.47
|
2026-02-06
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
6
|
—
|
—
|
$34,239.05
|
$102,667.00
|
$51,089.26
|
2026-02-06
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
29
|
12
|
—
|
—
|
$32,328.15
|
$121,756.49
|
$50,974.34
|
2026-02-06
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
8
|
6
|
—
|
—
|
$46,319.58
|
$150,098.24
|
$50,967.56
|
2026-02-06
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
6
|
—
|
—
|
$47,737.54
|
$144,610.25
|
$50,846.50
|
2026-02-06
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
29
|
12
|
—
|
—
|
$32,164.79
|
$125,511.71
|
$50,721.00
|
2026-02-06
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
29
|
12
|
—
|
—
|
$31,873.56
|
$117,931.08
|
$50,268.38
|
2026-02-06
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
8
|
6
|
—
|
—
|
$40,797.10
|
$122,331.54
|
$50,182.73
|
2026-02-06
|
|
5204
|
APR_DRG
|
Other GYN Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$50,119.62
|
$95,758.55
|
$50,119.62
|
2026-02-06
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
6
|
—
|
—
|
$41,511.03
|
$160,694.91
|
$50,041.74
|
2026-02-06
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
39
|
13
|
—
|
—
|
$21,205.73
|
$403,395.46
|
$49,926.99
|
2026-02-06
|
|
K0891
|
HCPCS
|
Pwc Gp5 Ped Mult Pow Opt S/b
|
4
|
1
|
—
|
—
|
$21,016.28
|
$50,776.56
|
$49,878.74
|
2026-02-06
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
8
|
6
|
—
|
—
|
$37,215.81
|
$173,456.44
|
$49,764.38
|
2026-02-06
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
4
|
2
|
—
|
—
|
$16,722.05
|
$61,800.00
|
$49,698.38
|
2026-02-06
|
|
4803
|
APR_DRG
|
Major Male Pelvic Procedures
|
3
|
1
|
—
|
—
|
$16,826.17
|
$50,453.85
|
$49,561.74
|
2026-02-06
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
29
|
12
|
—
|
—
|
$31,411.60
|
$119,181.98
|
$49,550.76
|
2026-02-06
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
8
|
6
|
—
|
—
|
$42,220.61
|
$126,599.98
|
$49,531.70
|
2026-02-06
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
29
|
12
|
—
|
—
|
$31,317.87
|
$119,705.91
|
$49,404.48
|
2026-02-06
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$29,821.61
|
$89,421.15
|
$49,395.93
|
2026-02-06
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures
|
8
|
6
|
—
|
—
|
$40,610.44
|
$158,500.89
|
$49,171.57
|
2026-02-06
|
|
1814
|
APR_DRG
|
Lower Extremity Vascular Procedures
|
8
|
6
|
—
|
—
|
$45,436.13
|
$141,622.64
|
$49,059.54
|
2026-02-06
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
8
|
6
|
—
|
—
|
$45,475.46
|
$141,465.09
|
$49,055.29
|
2026-02-06
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
29
|
12
|
—
|
—
|
$30,920.86
|
$116,622.51
|
$48,787.56
|
2026-02-06
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
29
|
12
|
—
|
—
|
$30,773.57
|
$115,105.88
|
$48,558.60
|
2026-02-06
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
6
|
—
|
—
|
$44,923.81
|
$139,921.69
|
$48,489.01
|
2026-02-06
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
29
|
12
|
—
|
—
|
$30,695.24
|
$117,299.36
|
$48,437.76
|
2026-02-06
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
6
|
—
|
—
|
$43,877.63
|
$131,568.63
|
$48,432.76
|
2026-02-06
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
6
|
—
|
—
|
$39,532.20
|
$118,538.68
|
$48,386.79
|
2026-02-06
|
|
4854
|
APR_DRG
|
Prostatectomy Procedures
|
5
|
5
|
—
|
—
|
$48,360.79
|
$92,398.13
|
$48,360.79
|
2026-02-06
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
8
|
6
|
—
|
—
|
$36,984.87
|
$110,900.44
|
$48,258.51
|
2026-02-06
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
6
|
—
|
—
|
$44,530.52
|
$133,526.34
|
$48,239.26
|
2026-02-06
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
29
|
12
|
—
|
—
|
$30,545.27
|
$122,496.00
|
$48,204.56
|
2026-02-06
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
29
|
12
|
—
|
—
|
$30,453.55
|
$113,090.40
|
$48,061.46
|
2026-02-06
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
6
|
—
|
—
|
$33,966.61
|
$101,850.08
|
$48,055.40
|
2026-02-06
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
29
|
12
|
—
|
—
|
$30,440.16
|
$112,105.21
|
$48,041.32
|
2026-02-06
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
6
|
—
|
—
|
$44,827.29
|
$134,416.20
|
$47,896.11
|
2026-02-06
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
29
|
12
|
—
|
—
|
$30,320.99
|
$119,186.99
|
$47,855.82
|
2026-02-06
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
6
|
—
|
—
|
$30,773.21
|
$92,274.55
|
$47,671.62
|
2026-02-06
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
6
|
—
|
—
|
$36,563.56
|
$109,637.12
|
$47,387.27
|
2026-02-06
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
29
|
12
|
—
|
—
|
$30,005.65
|
$115,537.06
|
$47,366.10
|
2026-02-06
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
29
|
12
|
—
|
—
|
$29,996.95
|
$105,043.49
|
$47,352.32
|
2026-02-06
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
6
|
—
|
—
|
$43,031.86
|
$139,361.51
|
$47,336.10
|
2026-02-06
|