|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
6
|
4
|
—
|
—
|
$4,505,000.00
|
$4,662,675.00
|
$4,572,124.50
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
11
|
5
|
—
|
—
|
$3,570,000.00
|
$4,422,320.00
|
$3,722,119.33
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
11
|
5
|
—
|
—
|
$3,264,000.00
|
$3,979,755.11
|
$3,349,627.21
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
11
|
5
|
—
|
—
|
$3,162,000.00
|
$3,898,134.86
|
$3,280,930.17
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
14
|
5
|
—
|
—
|
$2,856,000.00
|
$4,897,200.00
|
$2,989,631.53
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
14
|
5
|
—
|
—
|
$2,368,485.25
|
$3,965,706.94
|
$2,491,691.75
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
5
|
—
|
—
|
$2,332,000.00
|
$3,847,800.00
|
$2,392,632.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
8
|
5
|
—
|
—
|
$770,620.00
|
$924,744.00
|
$782,949.92
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
5
|
—
|
—
|
$591,726.20
|
$1,639,174.88
|
$710,071.44
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
15
|
5
|
—
|
—
|
$565,868.94
|
$1,632,764.82
|
$679,042.73
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
15
|
5
|
—
|
—
|
$562,538.19
|
$1,600,559.03
|
$675,045.82
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
15
|
5
|
—
|
—
|
$557,317.93
|
$1,631,105.06
|
$668,781.52
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
14
|
5
|
—
|
—
|
$533,230.17
|
$1,325,558.46
|
$613,214.70
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
15
|
5
|
—
|
—
|
$489,304.61
|
$1,426,492.91
|
$587,165.53
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
34
|
16
|
—
|
—
|
$308,670.65
|
$762,176.42
|
$334,071.49
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
7
|
5
|
—
|
—
|
$278,250.00
|
$333,900.00
|
$282,423.75
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
36
|
16
|
—
|
—
|
$200,314.84
|
$510,384.85
|
$217,960.73
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
36
|
16
|
—
|
—
|
$152,613.37
|
$376,836.33
|
$166,482.14
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
45
|
16
|
—
|
—
|
$151,327.92
|
$374,624.78
|
$164,867.41
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
6
|
4
|
—
|
—
|
$94,347.33
|
$183,527.59
|
$109,943.20
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
42
|
16
|
—
|
—
|
$81,113.01
|
$244,477.21
|
$108,634.12
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
36
|
16
|
—
|
—
|
$92,568.03
|
$228,571.03
|
$101,682.26
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
2
|
—
|
—
|
$93,943.97
|
$157,251.39
|
$95,255.76
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
16
|
—
|
—
|
$85,903.95
|
$230,939.55
|
$94,490.50
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
36
|
16
|
—
|
—
|
$80,999.71
|
$259,393.68
|
$89,197.93
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
33
|
15
|
—
|
—
|
$80,906.78
|
$199,776.82
|
$88,667.48
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
2
|
—
|
—
|
$85,718.16
|
$143,482.33
|
$88,196.74
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
37
|
17
|
—
|
—
|
$7,060.22
|
$194,524.18
|
$86,382.88
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
34
|
16
|
—
|
—
|
$77,728.07
|
$191,927.87
|
$85,456.21
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
36
|
16
|
—
|
—
|
$73,699.45
|
$198,168.21
|
$81,319.62
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
6
|
4
|
—
|
—
|
$70,614.10
|
$123,386.26
|
$80,244.20
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
3
|
2
|
—
|
—
|
$78,716.12
|
$131,761.72
|
$79,633.60
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
42
|
17
|
—
|
—
|
$432.95
|
$249,023.88
|
$78,213.28
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
16
|
—
|
—
|
$69,689.80
|
$189,788.89
|
$76,875.99
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
19
|
5
|
—
|
—
|
$63,342.28
|
$196,241.40
|
$74,848.64
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
6
|
4
|
—
|
—
|
$65,120.25
|
$122,458.66
|
$74,625.62
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
2
|
—
|
—
|
$64,925.85
|
$122,833.57
|
$73,382.33
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
34
|
16
|
—
|
—
|
$64,400.62
|
$159,019.44
|
$71,108.89
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
8
|
1
|
—
|
—
|
$61,878.30
|
$121,968.17
|
$69,280.46
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
34
|
16
|
—
|
—
|
$61,898.11
|
$152,840.18
|
$68,414.88
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
16
|
—
|
—
|
$60,256.93
|
$162,308.74
|
$66,812.68
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
39
|
16
|
—
|
—
|
$60,067.50
|
$176,344.49
|
$66,286.67
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
20
|
6
|
—
|
—
|
$55,272.32
|
$170,409.67
|
$66,171.51
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
2
|
—
|
—
|
$62,922.85
|
$110,527.41
|
$66,030.47
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
18
|
5
|
—
|
—
|
$56,824.55
|
$123,789.02
|
$63,005.77
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
45
|
16
|
—
|
—
|
$55,964.88
|
$201,468.92
|
$62,478.20
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
2
|
—
|
—
|
$61,381.30
|
$102,745.23
|
$62,462.53
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
16
|
—
|
—
|
$47,635.34
|
$148,640.17
|
$61,014.85
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
16
|
—
|
—
|
$54,647.89
|
$147,598.55
|
$60,759.50
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
36
|
16
|
—
|
—
|
$54,467.05
|
$146,841.01
|
$60,564.34
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
40
|
16
|
—
|
—
|
$51,598.55
|
$127,408.29
|
$57,327.15
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
7
|
4
|
—
|
—
|
$46,438.26
|
$96,625.00
|
$57,298.27
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
36
|
16
|
—
|
—
|
$51,270.46
|
$126,598.16
|
$57,114.64
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
36
|
16
|
—
|
—
|
$51,291.90
|
$126,651.11
|
$56,997.04
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
37
|
16
|
—
|
—
|
$50,968.10
|
$125,851.56
|
$56,782.75
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
34
|
16
|
—
|
—
|
$50,998.12
|
$125,925.69
|
$56,680.78
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
53
|
16
|
—
|
—
|
$38,110.24
|
$121,993.27
|
$55,096.63
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
37
|
16
|
—
|
—
|
$37,179.92
|
$129,549.00
|
$54,835.15
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
20
|
6
|
—
|
—
|
$45,020.65
|
$140,472.31
|
$53,893.02
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
16
|
—
|
—
|
$48,113.90
|
$118,803.92
|
$53,708.14
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
37
|
16
|
—
|
—
|
$29,235.35
|
$117,930.24
|
$53,321.04
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
34
|
16
|
—
|
—
|
$47,795.10
|
$118,016.73
|
$53,232.65
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
4
|
1
|
—
|
—
|
$53,040.00
|
$53,040.00
|
$53,040.00
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
16
|
—
|
—
|
$47,000.24
|
$116,054.05
|
$52,506.29
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
39
|
16
|
—
|
—
|
$732.01
|
$122,961.11
|
$52,501.12
|
2026-04-01
|
|
43844
|
HCPCS
|
Description Not Available
|
3
|
1
|
—
|
—
|
$31,535.00
|
$62,631.00
|
$52,455.00
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
38
|
16
|
—
|
—
|
$46,132.21
|
$115,632.21
|
$52,193.06
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
41
|
16
|
—
|
—
|
$45,644.70
|
$113,572.46
|
$51,173.45
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
36
|
16
|
—
|
—
|
$43,805.80
|
$138,975.74
|
$49,043.71
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
38
|
16
|
—
|
—
|
$43,755.05
|
$123,788.87
|
$49,004.14
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
4
|
1
|
—
|
—
|
$48,705.00
|
$48,705.00
|
$48,705.00
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
36
|
16
|
—
|
—
|
$43,335.46
|
$119,049.73
|
$48,526.71
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
42
|
16
|
—
|
—
|
$18,471.83
|
$106,046.50
|
$48,132.46
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
38
|
16
|
—
|
—
|
$668.70
|
$106,016.49
|
$47,887.03
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
38
|
16
|
—
|
—
|
$42,624.24
|
$126,474.40
|
$47,631.93
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
42
|
17
|
—
|
—
|
$19,049.09
|
$106,022.75
|
$47,590.92
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
36
|
16
|
—
|
—
|
$42,385.50
|
$126,373.91
|
$47,482.49
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
36
|
16
|
—
|
—
|
$41,948.75
|
$112,276.32
|
$47,002.43
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$41,921.59
|
$105,199.50
|
$46,924.26
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
37
|
17
|
—
|
—
|
$17,171.72
|
$101,789.32
|
$46,048.45
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
55
|
17
|
—
|
—
|
$10,069.39
|
$141,593.59
|
$45,983.44
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
41
|
16
|
—
|
—
|
$175.49
|
$100,596.18
|
$45,601.70
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
33
|
15
|
—
|
—
|
$40,792.92
|
$100,726.79
|
$45,586.31
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
7
|
5
|
—
|
—
|
$34,142.84
|
$78,024.69
|
$45,507.93
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
17
|
—
|
—
|
$19,876.14
|
$99,228.30
|
$44,934.55
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
36
|
16
|
—
|
—
|
$40,061.68
|
$101,436.93
|
$44,928.15
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
36
|
16
|
—
|
—
|
$30,069.13
|
$98,243.43
|
$44,520.68
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
36
|
16
|
—
|
—
|
$39,478.40
|
$97,480.95
|
$44,287.00
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
37
|
16
|
—
|
—
|
$39,103.13
|
$103,951.11
|
$43,979.54
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
39
|
16
|
—
|
—
|
$26,160.10
|
$106,438.24
|
$43,920.45
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
36
|
16
|
—
|
—
|
$39,047.38
|
$99,469.64
|
$43,815.51
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
36
|
16
|
—
|
—
|
$38,985.91
|
$96,264.87
|
$43,749.34
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
36
|
16
|
—
|
—
|
$38,830.08
|
$95,880.10
|
$43,581.58
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
39
|
16
|
—
|
—
|
$9,486.66
|
$100,592.42
|
$42,714.44
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
37
|
16
|
—
|
—
|
$593.33
|
$94,067.44
|
$42,689.86
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
41
|
16
|
—
|
—
|
$37,840.08
|
$152,775.72
|
$42,616.62
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
46
|
16
|
—
|
—
|
$2,037.36
|
$97,817.35
|
$42,280.69
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
36
|
16
|
—
|
—
|
$37,143.87
|
$106,074.93
|
$41,766.34
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
42
|
16
|
—
|
—
|
$5,747.33
|
$98,812.59
|
$41,736.41
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
16
|
—
|
—
|
$36,027.35
|
$108,896.07
|
$40,660.54
|
2026-04-01
|
|
131
|
MS_DRG
|
Cranial/Facial Procedures W Cc/Mcc
|
2
|
1
|
—
|
—
|
$30,344.88
|
$50,793.83
|
$40,569.36
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
44
|
16
|
—
|
—
|
$13,875.75
|
$133,142.43
|
$40,158.08
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
55
|
17
|
—
|
—
|
$24,889.39
|
$97,728.46
|
$39,884.73
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
38
|
16
|
—
|
—
|
$35,364.02
|
$127,085.07
|
$39,755.81
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
43
|
17
|
—
|
—
|
$17,673.62
|
$91,007.22
|
$39,558.52
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
37
|
16
|
—
|
—
|
$35,033.78
|
$94,319.53
|
$39,401.14
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
40
|
16
|
—
|
—
|
$34,515.55
|
$96,831.78
|
$38,844.58
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
36
|
16
|
—
|
—
|
$34,341.14
|
$103,854.48
|
$38,749.12
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
36
|
16
|
—
|
—
|
$34,030.20
|
$113,014.53
|
$38,414.40
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
34
|
16
|
—
|
—
|
$33,605.61
|
$82,979.71
|
$37,867.33
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
46
|
17
|
—
|
—
|
$4,929.46
|
$94,654.26
|
$37,793.63
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
37
|
16
|
—
|
—
|
$33,436.91
|
$95,618.17
|
$37,686.16
|
2026-04-01
|
|
129
|
MS_DRG
|
Major Head & Neck Procedures W Cc/Mcc Or Major Device
|
2
|
1
|
—
|
—
|
$28,065.90
|
$46,979.08
|
$37,522.49
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
36
|
16
|
—
|
—
|
$33,145.28
|
$94,025.79
|
$37,461.75
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
3
|
2
|
—
|
—
|
$36,627.67
|
$61,310.50
|
$37,444.92
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
3
|
2
|
—
|
—
|
$37,265.77
|
$62,589.81
|
$37,391.95
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
39
|
16
|
—
|
—
|
$9,772.48
|
$81,516.53
|
$37,230.92
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
38
|
16
|
—
|
—
|
$32,772.15
|
$87,437.90
|
$37,060.07
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
37
|
16
|
—
|
—
|
$32,612.04
|
$96,858.83
|
$36,800.26
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
51
|
16
|
—
|
—
|
$9,932.70
|
$96,483.93
|
$36,776.60
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
50
|
16
|
—
|
—
|
$12,502.43
|
$101,509.34
|
$36,766.90
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
41
|
16
|
—
|
—
|
$32,514.11
|
$86,736.40
|
$36,695.09
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
16
|
—
|
—
|
$32,372.58
|
$90,858.42
|
$36,629.93
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
51
|
17
|
—
|
—
|
$498.95
|
$95,065.47
|
$36,353.46
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
36
|
16
|
—
|
—
|
$32,026.61
|
$80,834.54
|
$36,257.49
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
34
|
16
|
—
|
—
|
$31,900.81
|
$78,770.19
|
$36,036.43
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
44
|
17
|
—
|
—
|
$20,484.20
|
$77,532.92
|
$35,498.29
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
34
|
16
|
—
|
—
|
$30,932.26
|
$76,378.61
|
$34,996.23
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
41
|
17
|
—
|
—
|
$23,132.33
|
$75,769.69
|
$34,731.38
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
34
|
16
|
—
|
—
|
$30,488.36
|
$75,282.55
|
$34,519.50
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
39
|
16
|
—
|
—
|
$348.34
|
$74,850.12
|
$34,331.42
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
45
|
16
|
—
|
—
|
$30,187.43
|
$80,216.14
|
$34,196.31
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
36
|
16
|
—
|
—
|
$30,135.97
|
$74,412.40
|
$34,189.58
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
36
|
16
|
—
|
—
|
$30,120.96
|
$80,774.64
|
$34,173.00
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
36
|
16
|
—
|
—
|
$29,997.30
|
$86,284.19
|
$34,036.35
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
36
|
16
|
—
|
—
|
$29,941.54
|
$75,875.75
|
$33,974.73
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
42
|
17
|
—
|
—
|
$24,229.63
|
$74,158.24
|
$33,862.02
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
16
|
—
|
—
|
$29,825.74
|
$98,967.19
|
$33,846.77
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
20
|
6
|
—
|
—
|
$28,424.06
|
$83,850.97
|
$33,824.63
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$462.34
|
$76,256.45
|
$33,657.40
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
45
|
17
|
—
|
—
|
$5,940.97
|
$74,379.99
|
$33,450.33
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
43
|
16
|
—
|
—
|
$24,095.98
|
$72,815.08
|
$33,446.29
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
3
|
2
|
—
|
—
|
$33,049.52
|
$55,362.26
|
$33,074.12
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
41
|
17
|
—
|
—
|
$8,144.42
|
$72,410.78
|
$32,935.79
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
43
|
16
|
—
|
—
|
$23,131.59
|
$70,961.83
|
$32,640.23
|
2026-04-01
|
|
133
|
MS_DRG
|
Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc
|
2
|
1
|
—
|
—
|
$24,228.34
|
$40,555.45
|
$32,391.89
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
37
|
17
|
—
|
—
|
$8,239.53
|
$70,319.37
|
$32,360.79
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
18
|
—
|
—
|
$15,216.05
|
$75,742.41
|
$31,882.12
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
36
|
16
|
—
|
—
|
$27,835.74
|
$68,732.63
|
$31,670.65
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
41
|
16
|
—
|
—
|
$27,582.09
|
$69,566.14
|
$31,490.25
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
48
|
17
|
—
|
—
|
$7,820.42
|
$75,912.47
|
$31,417.32
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
40
|
17
|
—
|
—
|
$1,365.32
|
$68,215.49
|
$31,416.28
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
7
|
5
|
—
|
—
|
$30,907.52
|
$37,089.02
|
$31,371.13
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
46
|
16
|
—
|
—
|
$22,428.06
|
$81,476.13
|
$31,323.46
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
38
|
16
|
—
|
—
|
$26,897.92
|
$73,121.94
|
$30,663.47
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
34
|
16
|
—
|
—
|
$26,780.70
|
$66,127.49
|
$30,537.56
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
39
|
16
|
—
|
—
|
$26,714.22
|
$65,963.35
|
$30,466.18
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
42
|
16
|
—
|
—
|
$8,996.11
|
$67,598.85
|
$30,411.56
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
44
|
16
|
—
|
—
|
$20,613.70
|
$71,019.38
|
$30,325.46
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
34
|
16
|
—
|
—
|
$26,489.06
|
$65,407.37
|
$30,224.35
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
36
|
16
|
—
|
—
|
$26,255.32
|
$64,830.22
|
$29,973.33
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
40
|
16
|
—
|
—
|
$12,558.72
|
$65,521.41
|
$29,961.81
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
36
|
16
|
—
|
—
|
$25,936.52
|
$64,043.03
|
$29,630.95
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
36
|
16
|
—
|
—
|
$25,916.50
|
$66,908.95
|
$29,609.44
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
36
|
16
|
—
|
—
|
$25,880.76
|
$65,670.22
|
$29,571.06
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
37
|
16
|
—
|
—
|
$3,423.96
|
$63,861.23
|
$29,551.87
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
38
|
16
|
—
|
—
|
$25,817.15
|
$68,389.24
|
$29,502.74
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
34
|
16
|
—
|
—
|
$25,778.55
|
$63,652.96
|
$29,461.29
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
36
|
16
|
—
|
—
|
$25,609.85
|
$69,525.55
|
$29,280.11
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
14
|
10
|
—
|
—
|
$15,758.04
|
$44,629.41
|
$29,266.14
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
36
|
16
|
—
|
—
|
$25,550.53
|
$77,891.35
|
$29,216.40
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
37
|
16
|
—
|
—
|
$25,486.91
|
$78,198.61
|
$29,148.07
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
37
|
16
|
—
|
—
|
$25,465.46
|
$69,129.39
|
$29,125.05
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
42
|
16
|
—
|
—
|
$23,179.86
|
$73,396.35
|
$29,098.94
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
44
|
16
|
—
|
—
|
$25,524.79
|
$204,694.98
|
$29,094.02
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
51
|
17
|
—
|
—
|
$14,434.44
|
$67,517.69
|
$28,880.71
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
36
|
16
|
—
|
—
|
$25,156.67
|
$71,075.42
|
$28,793.40
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
42
|
16
|
—
|
—
|
$17,874.14
|
$67,065.48
|
$28,744.10
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
16
|
—
|
—
|
$24,927.94
|
$79,912.74
|
$28,686.25
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
39
|
16
|
—
|
—
|
$24,423.54
|
$61,270.21
|
$28,424.92
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
48
|
16
|
—
|
—
|
$14,542.10
|
$62,995.64
|
$28,300.21
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
37
|
16
|
—
|
—
|
$24,693.48
|
$60,973.69
|
$28,295.96
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
33
|
15
|
—
|
—
|
$24,579.11
|
$60,691.29
|
$28,173.12
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
3
|
2
|
—
|
—
|
$26,374.55
|
$44,147.96
|
$28,104.22
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
17
|
—
|
—
|
$24,506.20
|
$64,402.50
|
$28,094.83
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
39
|
16
|
—
|
—
|
$293.25
|
$60,983.90
|
$27,965.85
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
36
|
16
|
—
|
—
|
$24,353.95
|
$67,977.62
|
$27,931.31
|
2026-04-01
|
|
0956T
|
OTHER
|
Prt Crn Ch Cr&tun Elt S-sclp
|
10
|
5
|
—
|
—
|
$2,224.00
|
$32,613.40
|
$27,514.83
|
2026-04-01
|
|
0960T
|
OTHER
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
10
|
5
|
—
|
—
|
$1,944.00
|
$32,613.40
|
$27,514.83
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
2
|
1
|
—
|
—
|
$25,200.98
|
$29,593.99
|
$27,397.49
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
46
|
17
|
—
|
—
|
$2,014.64
|
$61,039.95
|
$27,149.31
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
36
|
16
|
—
|
—
|
$23,611.99
|
$77,263.28
|
$27,134.46
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
39
|
16
|
—
|
—
|
$23,531.93
|
$62,029.39
|
$27,048.49
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
13
|
5
|
—
|
—
|
$5,773.00
|
$32,353.13
|
$26,960.94
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
44
|
16
|
—
|
—
|
$17,255.00
|
$58,098.51
|
$26,911.52
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
38
|
16
|
—
|
—
|
$23,251.01
|
$69,946.84
|
$26,746.79
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
42
|
16
|
—
|
—
|
$12,646.01
|
$57,159.53
|
$26,637.01
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
40
|
16
|
—
|
—
|
$23,123.07
|
$71,328.42
|
$26,609.37
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
39
|
16
|
—
|
—
|
$4,743.33
|
$58,374.87
|
$26,574.83
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
36
|
16
|
—
|
—
|
$23,084.47
|
$64,054.65
|
$26,567.92
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
38
|
16
|
—
|
—
|
$23,067.31
|
$63,851.73
|
$26,549.50
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
36
|
16
|
—
|
—
|
$23,022.28
|
$57,437.77
|
$26,501.13
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
34
|
16
|
—
|
—
|
$22,947.94
|
$56,663.56
|
$26,421.29
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
8
|
4
|
—
|
—
|
$242.25
|
$35,936.00
|
$26,371.64
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
38
|
16
|
—
|
—
|
$22,822.13
|
$72,215.59
|
$26,286.18
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
38
|
16
|
—
|
—
|
$22,757.80
|
$64,305.87
|
$26,217.09
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
36
|
16
|
—
|
—
|
$22,712.06
|
$99,668.69
|
$26,167.96
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
40
|
16
|
—
|
—
|
$354.79
|
$59,559.65
|
$26,110.99
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
37
|
16
|
—
|
—
|
$22,621.99
|
$59,289.10
|
$26,071.23
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
37
|
16
|
—
|
—
|
$21,706.90
|
$60,094.95
|
$26,034.39
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
35
|
16
|
—
|
—
|
$350.79
|
$55,615.15
|
$25,965.29
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
39
|
16
|
—
|
—
|
$10,638.15
|
$89,830.33
|
$25,953.78
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
36
|
16
|
—
|
—
|
$22,459.73
|
$57,758.56
|
$25,896.97
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
38
|
16
|
—
|
—
|
$22,310.34
|
$61,430.31
|
$25,736.53
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
41
|
16
|
—
|
—
|
$4,293.59
|
$56,892.80
|
$25,686.62
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
51
|
18
|
—
|
—
|
$2,738.88
|
$58,278.40
|
$25,644.40
|
2026-04-01
|
|
0686T
|
OTHER
|
Histotripsy Mal Hepatcel Tis
|
15
|
6
|
—
|
—
|
$2,624.00
|
$41,176.55
|
$25,626.03
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
38
|
16
|
—
|
—
|
$21,883.60
|
$61,428.38
|
$25,278.22
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
36
|
16
|
—
|
—
|
$21,854.30
|
$53,963.11
|
$25,246.75
|
2026-04-01
|
|
691
|
MS_DRG
|
Urinary Stones W Esw Lithotripsy W Cc/Mcc
|
2
|
1
|
—
|
—
|
$18,751.39
|
$31,387.67
|
$25,069.53
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
43
|
16
|
—
|
—
|
$12,678.34
|
$61,341.42
|
$25,060.97
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
36
|
16
|
—
|
—
|
$21,590.53
|
$53,311.83
|
$24,963.47
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
38
|
16
|
—
|
—
|
$21,144.13
|
$53,787.27
|
$24,960.40
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
39
|
16
|
—
|
—
|
$335.86
|
$53,246.52
|
$24,935.07
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
18
|
5
|
—
|
—
|
$23,789.46
|
$43,217.52
|
$24,858.35
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
35
|
16
|
—
|
—
|
$21,275.31
|
$52,533.46
|
$24,624.93
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
43
|
16
|
—
|
—
|
$16,433.28
|
$56,946.91
|
$24,392.33
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
36
|
16
|
—
|
—
|
$21,044.43
|
$51,963.37
|
$24,376.98
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
38
|
16
|
—
|
—
|
$323.15
|
$58,645.58
|
$24,353.94
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
38
|
16
|
—
|
—
|
$20,562.82
|
$54,392.15
|
$24,191.96
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
41
|
16
|
—
|
—
|
$20,817.12
|
$58,562.48
|
$24,132.85
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
36
|
16
|
—
|
—
|
$20,743.50
|
$57,316.02
|
$24,053.78
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
36
|
16
|
—
|
—
|
$20,730.63
|
$54,740.00
|
$24,039.96
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
3
|
2
|
—
|
—
|
$23,756.09
|
$40,139.96
|
$23,980.12
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
37
|
16
|
—
|
—
|
$20,639.14
|
$56,442.53
|
$23,941.70
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
41
|
17
|
—
|
—
|
$14,281.00
|
$104,271.25
|
$23,930.95
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
36
|
16
|
—
|
—
|
$20,599.11
|
$50,863.77
|
$23,898.71
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
41
|
17
|
—
|
—
|
$12,507.02
|
$53,045.19
|
$23,658.43
|
2026-04-01
|
|
132
|
MS_DRG
|
Cranial/Facial Procedures Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$17,647.69
|
$29,540.20
|
$23,593.94
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
37
|
16
|
—
|
—
|
$16,404.37
|
$50,659.03
|
$23,573.92
|
2026-04-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
18
|
10
|
—
|
—
|
$9,216.54
|
$38,017.50
|
$23,374.18
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
36
|
16
|
—
|
—
|
$20,081.59
|
$50,762.91
|
$23,342.92
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
36
|
16
|
—
|
—
|
$20,009.40
|
$55,526.52
|
$23,265.38
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
36
|
16
|
—
|
—
|
$19,950.78
|
$49,514.52
|
$23,202.43
|
2026-04-01
|
|
130
|
MS_DRG
|
Major Head & Neck Procedures Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$17,215.90
|
$28,817.44
|
$23,016.67
|
2026-04-01
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
3
|
2
|
—
|
—
|
$22,601.56
|
$38,458.68
|
$22,975.70
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
38
|
16
|
—
|
—
|
$19,707.75
|
$55,031.80
|
$22,941.42
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
48
|
16
|
—
|
—
|
$18,246.61
|
$53,944.78
|
$22,940.90
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
47
|
16
|
—
|
—
|
$19,040.72
|
$48,514.56
|
$22,876.93
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
48
|
16
|
—
|
—
|
$18,737.53
|
$53,943.81
|
$22,793.01
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
38
|
16
|
—
|
—
|
$308.96
|
$54,013.38
|
$22,762.55
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
46
|
16
|
—
|
—
|
$19,448.28
|
$51,687.46
|
$22,662.75
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
37
|
16
|
—
|
—
|
$19,367.51
|
$47,822.68
|
$22,576.00
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
39
|
17
|
—
|
—
|
$1,725.25
|
$52,063.48
|
$22,550.67
|
2026-04-01
|
|
0795
|
OTHER
|
Inj, Lidocaine In D5w, 1 Mg
|
2
|
2
|
—
|
—
|
$18,104.59
|
$26,895.15
|
$22,499.87
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
39
|
16
|
—
|
—
|
$17,643.66
|
$49,091.30
|
$22,483.12
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
39
|
17
|
—
|
—
|
$18,947.20
|
$59,859.93
|
$22,229.76
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
36
|
16
|
—
|
—
|
$19,013.68
|
$61,725.98
|
$22,196.00
|
2026-04-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
39
|
6
|
—
|
—
|
$2,666.00
|
$55,918.78
|
$22,099.58
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
36
|
16
|
—
|
—
|
$18,852.14
|
$53,872.30
|
$22,022.51
|
2026-04-01
|
|
92992
|
HCPCS
|
Revision Of Heart Chamber
|
4
|
2
|
—
|
—
|
$14,864.00
|
$43,282.00
|
$21,726.50
|
2026-04-01
|
|
92993
|
HCPCS
|
Revision Of Heart Chamber
|
4
|
2
|
—
|
—
|
$14,864.00
|
$43,282.00
|
$21,726.50
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
36
|
16
|
—
|
—
|
$18,531.19
|
$54,455.92
|
$21,677.82
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
37
|
16
|
—
|
—
|
$554.79
|
$57,727.64
|
$21,603.36
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
36
|
16
|
—
|
—
|
$18,436.12
|
$45,522.88
|
$21,575.72
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
36
|
16
|
—
|
—
|
$18,436.12
|
$46,010.89
|
$21,575.72
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
3
|
2
|
—
|
—
|
$16,703.88
|
$27,652.40
|
$21,524.56
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
47
|
16
|
—
|
—
|
$11,092.10
|
$50,134.85
|
$21,486.76
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
37
|
16
|
—
|
—
|
$18,353.20
|
$50,283.65
|
$21,486.67
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
42
|
16
|
—
|
—
|
$18,248.84
|
$50,594.78
|
$21,374.59
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
43
|
17
|
—
|
—
|
$14,120.45
|
$52,701.21
|
$21,281.70
|
2026-04-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
6
|
4
|
—
|
—
|
$18,701.46
|
$32,278.55
|
$21,251.89
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
54
|
17
|
—
|
—
|
$300.00
|
$57,602.98
|
$21,193.76
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
45
|
17
|
—
|
—
|
$18,041.55
|
$49,643.99
|
$21,180.68
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
44
|
17
|
—
|
—
|
$10,880.56
|
$44,762.17
|
$21,034.51
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
37
|
16
|
—
|
—
|
$17,812.10
|
$47,278.61
|
$20,905.55
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
38
|
16
|
—
|
—
|
$8,342.66
|
$47,908.61
|
$20,827.24
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
42
|
17
|
—
|
—
|
$273.77
|
$63,890.53
|
$20,654.51
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
53
|
18
|
—
|
—
|
$2,353.41
|
$48,009.10
|
$20,636.97
|
2026-04-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
36
|
16
|
—
|
—
|
$17,549.05
|
$43,332.52
|
$20,623.04
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
43
|
16
|
—
|
—
|
$12,325.41
|
$45,856.29
|
$20,517.10
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
47
|
17
|
—
|
—
|
$2,353.41
|
$47,402.29
|
$20,444.69
|
2026-04-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
43
|
17
|
—
|
—
|
$4,182.23
|
$43,689.96
|
$20,374.01
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
33
|
15
|
—
|
—
|
$17,257.42
|
$42,612.40
|
$20,309.83
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
36
|
15
|
—
|
—
|
$17,313.89
|
$42,751.83
|
$20,269.64
|
2026-04-01
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
3
|
2
|
—
|
—
|
$20,095.23
|
$33,637.10
|
$20,258.92
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
34
|
16
|
—
|
—
|
$17,193.08
|
$42,453.55
|
$20,240.73
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
51
|
17
|
—
|
—
|
$12,349.40
|
$48,762.77
|
$20,178.56
|
2026-04-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
48
|
16
|
—
|
—
|
$14,768.68
|
$42,907.30
|
$20,127.12
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
43
|
16
|
—
|
—
|
$255.13
|
$46,832.21
|
$20,095.65
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
38
|
16
|
—
|
—
|
$11,848.85
|
$42,269.99
|
$20,061.10
|
2026-04-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
2
|
2
|
—
|
—
|
$19,292.16
|
$20,641.54
|
$19,966.85
|
2026-04-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
36
|
16
|
—
|
—
|
$16,805.66
|
$44,499.68
|
$19,824.65
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
38
|
17
|
—
|
—
|
$15,609.42
|
$41,339.83
|
$19,756.34
|
2026-04-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
46
|
17
|
—
|
—
|
$5,297.71
|
$44,681.33
|
$19,728.69
|
2026-04-01
|
|
1013T
|
OTHER
|
Lap Srg Imp/rpl Eso Nea&pg/r
|
7
|
5
|
—
|
—
|
$19,431.44
|
$23,317.72
|
$19,722.91
|
2026-04-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
37
|
16
|
—
|
—
|
$14,701.09
|
$42,022.21
|
$19,715.64
|
2026-04-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
37
|
16
|
—
|
—
|
$16,634.11
|
$41,073.32
|
$19,640.42
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
38
|
16
|
—
|
—
|
$12,592.02
|
$41,291.73
|
$19,628.13
|
2026-04-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
43
|
16
|
—
|
—
|
$258.62
|
$41,055.96
|
$19,609.71
|
2026-04-01
|