|
J2326
|
HCPCS
|
Nusinersen 12 Mg/5 Ml Inj
|
61
|
22
|
$612,000.00
|
$612,000.00
|
$1,228.91
|
$612,000.00
|
$459,000.00
|
2026-04-24
|
|
J9118
|
HCPCS
|
Calaspargase Pegol Mknl 750 units/mL Inj Soln 5 Ml
|
61
|
22
|
$123,763.73
|
$123,763.73
|
$82.08
|
$123,763.73
|
$92,822.80
|
2026-04-24
|
|
C1824
|
HCPCS
|
Optimizer Smart Mini Ipg (10-b501-3-xx) (Impulse Dynamics)
|
85
|
22
|
$109,200.00
|
$109,200.00
|
$16,099.62
|
$109,200.00
|
$79,003.20
|
2026-04-24
|
|
J2507
|
HCPCS
|
Pegloticase (Krystexxa) 8 mg/mL Inj 1 Ml
|
61
|
22
|
$108,489.60
|
$108,489.60
|
$3,638.86
|
$108,489.60
|
$81,367.20
|
2026-04-24
|
|
C1604
|
HCPCS
|
Detour Stent System (DETOUR)(Endologix)
|
57
|
22
|
$100,000.00
|
$100,000.00
|
$17,770.00
|
$100,000.00
|
$75,000.00
|
2026-04-24
|
|
33270
|
CPT
|
33270 Ins/repla. Perm. Subcu Impl Defibrill.sys.w/subcuelectr
|
62
|
22
|
$93,204.00
|
$93,204.00
|
$3,155.00
|
$106,181.83
|
$76,893.30
|
2026-04-24
|
|
33264
|
CPT
|
33264 Remove Replace Icd Gen Mult Leads
|
62
|
22
|
$93,204.00
|
$93,204.00
|
$3,155.00
|
$106,181.83
|
$76,893.30
|
2026-04-24
|
|
33249
|
CPT
|
33249 Insert Or Replace Cardioverter Defib With 1 Or 2 Leads
|
72
|
22
|
$93,204.00
|
$93,204.00
|
$5,247.00
|
$106,181.83
|
$76,893.30
|
2026-04-24
|
|
33231
|
CPT
|
Insrt Pacing Cd With Multi Leads
|
62
|
22
|
$93,204.00
|
$93,204.00
|
$5,247.00
|
$106,181.83
|
$76,893.30
|
2026-04-24
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
11
|
10
|
—
|
—
|
$4,377,500.00
|
$4,775,300.00
|
$4,505,000.00
|
2026-04-24
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
2
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-24
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
12
|
11
|
—
|
—
|
$3,685,266.67
|
$4,238,056.67
|
$3,685,266.67
|
2026-04-24
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
11
|
10
|
—
|
—
|
$3,335,820.00
|
$4,670,148.00
|
$3,335,820.00
|
2026-04-24
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
14
|
12
|
—
|
—
|
$3,324,571.90
|
$4,991,789.59
|
$3,327,859.73
|
2026-04-24
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
14
|
12
|
—
|
—
|
$3,252,508.08
|
$4,878,762.12
|
$3,256,931.54
|
2026-04-24
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
12
|
11
|
—
|
—
|
$3,180,000.00
|
$4,770,000.00
|
$3,180,000.00
|
2026-04-24
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
14
|
12
|
—
|
—
|
$2,939,968.89
|
$4,409,953.33
|
$2,945,327.78
|
2026-04-24
|
|
J3399
|
HCPCS
|
Onasemnogene Abeparvovec 20 Trillion vg/mL Kit (46.8 Ml)
|
24
|
17
|
—
|
—
|
$1,042,220.27
|
$4,398,791.25
|
$2,588,981.23
|
2026-04-24
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
16
|
13
|
—
|
—
|
$2,332,000.00
|
$4,950,136.40
|
$2,332,000.00
|
2026-04-24
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
19
|
12
|
—
|
—
|
$770,620.00
|
$2,194,263.39
|
$809,151.00
|
2026-04-24
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
23
|
13
|
—
|
—
|
$445,547.82
|
$1,872,233.48
|
$709,223.02
|
2026-04-24
|
|
5834
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$577,859.04
|
$669,099.94
|
$644,769.03
|
2026-04-24
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
20
|
12
|
—
|
—
|
$325,500.00
|
$1,673,273.40
|
$602,340.81
|
2026-04-24
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
20
|
12
|
—
|
—
|
$257,664.44
|
$1,613,141.24
|
$586,591.22
|
2026-04-24
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
20
|
12
|
—
|
—
|
$344,652.00
|
$1,600,811.82
|
$576,256.27
|
2026-04-24
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
20
|
12
|
—
|
—
|
$352,380.00
|
$1,589,081.91
|
$572,033.77
|
2026-04-24
|
|
5833
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$503,240.83
|
$582,699.91
|
$561,510.82
|
2026-04-24
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
20
|
12
|
—
|
—
|
$257,664.44
|
$1,515,364.19
|
$545,939.17
|
2026-04-24
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
20
|
12
|
—
|
—
|
$324,240.00
|
$1,393,660.51
|
$501,821.35
|
2026-04-24
|
|
5884
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$431,008.33
|
$499,062.28
|
$480,914.56
|
2026-04-24
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
14
|
—
|
—
|
$248,625.00
|
$1,215,004.21
|
$449,167.76
|
2026-04-24
|
|
1614
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$397,543.94
|
$460,314.03
|
$443,575.34
|
2026-04-24
|
|
24
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$385,133.36
|
$445,943.89
|
$429,727.76
|
2026-04-24
|
|
5832
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$315,795.75
|
$365,658.24
|
$352,361.57
|
2026-04-24
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
24
|
14
|
—
|
—
|
$173,069.00
|
$925,672.28
|
$343,686.67
|
2026-04-24
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
24
|
14
|
—
|
—
|
$188,278.00
|
$920,239.77
|
$341,706.10
|
2026-04-24
|
|
1613
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$301,246.03
|
$348,811.19
|
$336,127.15
|
2026-04-24
|
|
114
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$299,166.75
|
$346,403.61
|
$333,807.11
|
2026-04-24
|
|
6304
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$292,955.69
|
$339,211.85
|
$326,876.88
|
2026-04-24
|
|
8414
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$285,522.66
|
$330,605.19
|
$318,583.18
|
2026-04-24
|
|
5934
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$283,340.18
|
$328,078.10
|
$316,147.99
|
2026-04-24
|
|
5914
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$280,513.45
|
$324,805.05
|
$312,993.96
|
2026-04-24
|
|
5883
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$276,436.55
|
$320,084.42
|
$308,444.99
|
2026-04-24
|
|
6314
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$275,575.88
|
$319,087.86
|
$307,484.66
|
2026-04-24
|
|
6094
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$272,424.53
|
$315,438.93
|
$303,968.42
|
2026-04-24
|
|
5882
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$269,085.14
|
$311,572.27
|
$300,242.38
|
2026-04-24
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
19
|
12
|
—
|
—
|
$270,375.00
|
$792,289.05
|
$292,162.50
|
2026-04-24
|
|
94
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$256,609.60
|
$297,126.91
|
$286,322.30
|
2026-04-24
|
|
5831
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$255,735.64
|
$296,114.95
|
$285,347.14
|
2026-04-24
|
|
44
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$251,863.50
|
$291,631.42
|
$281,026.64
|
2026-04-24
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
19
|
12
|
—
|
—
|
$175,000.35
|
$754,561.00
|
$280,900.00
|
2026-04-24
|
|
74
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$249,336.47
|
$288,705.38
|
$278,207.01
|
2026-04-24
|
|
23
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$243,752.91
|
$282,240.21
|
$271,976.93
|
2026-04-24
|
|
14
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$241,721.96
|
$279,888.59
|
$269,710.82
|
2026-04-24
|
|
1612
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$241,582.08
|
$279,726.62
|
$269,554.75
|
2026-04-24
|
|
1611
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$229,779.18
|
$266,060.10
|
$256,385.19
|
2026-04-24
|
|
6034
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$212,545.88
|
$246,105.76
|
$237,156.47
|
2026-04-24
|
|
6024
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$204,453.68
|
$236,735.84
|
$228,127.27
|
2026-04-24
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
24
|
14
|
—
|
—
|
$109,616.00
|
$600,541.30
|
$225,154.37
|
2026-04-24
|
|
64
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$192,595.81
|
$223,005.67
|
$214,896.38
|
2026-04-24
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
19
|
12
|
—
|
—
|
$135,799.65
|
$574,232.37
|
$213,769.16
|
2026-04-24
|
|
5933
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$190,847.80
|
$220,981.66
|
$212,945.97
|
2026-04-24
|
|
7
|
MS_DRG
|
Lung Transplant
|
24
|
14
|
—
|
—
|
$100,266.00
|
$561,468.87
|
$210,909.79
|
2026-04-24
|
|
5913
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$183,652.85
|
$212,650.67
|
$204,917.92
|
2026-04-24
|
|
1604
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$181,268.97
|
$209,890.38
|
$202,258.01
|
2026-04-24
|
|
5881
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$178,971.64
|
$207,230.32
|
$199,694.67
|
2026-04-24
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
24
|
14
|
—
|
—
|
$112,498.00
|
$521,048.07
|
$196,173.71
|
2026-04-24
|
|
22
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$175,435.78
|
$203,136.16
|
$195,749.40
|
2026-04-24
|
|
54
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$172,932.03
|
$200,237.09
|
$192,955.74
|
2026-04-24
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
23
|
13
|
—
|
—
|
$119,751.32
|
$490,737.89
|
$190,620.15
|
2026-04-24
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
13
|
—
|
—
|
$116,708.48
|
$477,835.15
|
$185,776.56
|
2026-04-24
|
|
43
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$166,466.24
|
$192,750.38
|
$185,741.27
|
2026-04-24
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
24
|
14
|
—
|
—
|
$119,884.23
|
$491,301.52
|
$185,329.04
|
2026-04-24
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
23
|
13
|
—
|
—
|
$115,204.45
|
$471,457.48
|
$183,382.44
|
2026-04-24
|
|
113
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$160,751.17
|
$186,132.94
|
$179,364.46
|
2026-04-24
|
|
6074
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$158,933.38
|
$184,028.12
|
$177,336.18
|
2026-04-24
|
|
6303
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$158,693.57
|
$183,750.45
|
$177,068.61
|
2026-04-24
|
|
3034
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$157,458.40
|
$182,320.25
|
$175,690.42
|
2026-04-24
|
|
8424
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$155,848.55
|
$180,456.21
|
$173,894.17
|
2026-04-24
|
|
1624
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$155,017.91
|
$179,494.43
|
$172,967.35
|
2026-04-24
|
|
6023
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$154,450.20
|
$178,837.08
|
$172,333.91
|
2026-04-24
|
|
63
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$152,475.86
|
$176,550.99
|
$170,130.96
|
2026-04-24
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
24
|
14
|
—
|
—
|
$96,534.00
|
$447,022.04
|
$169,186.19
|
2026-04-24
|
|
5932
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$148,388.94
|
$171,818.77
|
$165,570.81
|
2026-04-24
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
24
|
14
|
—
|
—
|
$103,169.00
|
$431,695.69
|
$163,598.70
|
2026-04-24
|
|
4404
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$146,119.91
|
$169,191.47
|
$163,039.05
|
2026-04-24
|
|
21
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$144,225.48
|
$166,997.92
|
$160,925.27
|
2026-04-24
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
14
|
—
|
—
|
$92,452.00
|
$424,143.08
|
$160,845.27
|
2026-04-24
|
|
73
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$142,926.97
|
$165,494.38
|
$159,476.40
|
2026-04-24
|
|
13
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$137,538.25
|
$159,254.82
|
$153,463.74
|
2026-04-24
|
|
8514
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$137,203.62
|
$158,867.35
|
$153,090.35
|
2026-04-24
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
23
|
13
|
—
|
—
|
$96,140.67
|
$390,620.22
|
$153,036.72
|
2026-04-24
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
23
|
13
|
—
|
—
|
$92,561.06
|
$375,441.28
|
$147,338.70
|
2026-04-24
|
|
1634
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$131,157.37
|
$151,866.43
|
$146,344.02
|
2026-04-24
|
|
8634
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$126,599.30
|
$146,588.66
|
$141,258.17
|
2026-04-24
|
|
1784
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$126,021.67
|
$145,919.83
|
$140,613.65
|
2026-04-24
|
|
62
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$125,247.54
|
$145,023.47
|
$139,749.90
|
2026-04-24
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
24
|
14
|
—
|
—
|
$79,066.00
|
$365,486.74
|
$139,461.03
|
2026-04-24
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
14
|
—
|
—
|
$85,902.00
|
$364,337.81
|
$139,042.17
|
2026-04-24
|
|
53
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$122,457.50
|
$141,792.89
|
$136,636.79
|
2026-04-24
|
|
1654
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$121,485.25
|
$140,667.13
|
$135,551.96
|
2026-04-24
|
|
1674
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$121,260.56
|
$140,406.96
|
$135,301.25
|
2026-04-24
|
|
84
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$121,029.12
|
$140,138.98
|
$135,043.01
|
2026-04-24
|
|
6114
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$120,541.31
|
$139,574.15
|
$134,498.72
|
2026-04-24
|
|
6022
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$119,820.53
|
$138,739.56
|
$133,694.48
|
2026-04-24
|
|
6073
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$119,599.10
|
$138,483.17
|
$133,447.42
|
2026-04-24
|
|
6093
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$118,823.34
|
$137,584.92
|
$132,581.83
|
2026-04-24
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
14
|
—
|
—
|
$84,476.46
|
$341,159.69
|
$130,592.16
|
2026-04-24
|
|
93
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$116,204.75
|
$134,552.87
|
$129,660.04
|
2026-04-24
|
|
6124
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$115,863.47
|
$134,157.71
|
$129,279.24
|
2026-04-24
|
|
112
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$114,824.70
|
$132,954.92
|
$128,120.20
|
2026-04-24
|
|
12
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$114,751.44
|
$132,870.09
|
$128,038.45
|
2026-04-24
|
|
3044
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$114,368.56
|
$132,426.76
|
$127,611.24
|
2026-04-24
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$49,265.00
|
$332,900.37
|
$127,581.08
|
2026-04-24
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
24
|
14
|
—
|
—
|
$58,790.00
|
$331,465.29
|
$127,057.91
|
2026-04-24
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
24
|
14
|
—
|
—
|
$81,931.58
|
$330,368.38
|
$126,658.03
|
2026-04-24
|
|
1834
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$112,663.88
|
$130,452.92
|
$125,709.18
|
2026-04-24
|
|
72
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$112,582.25
|
$130,358.39
|
$125,618.08
|
2026-04-24
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
17
|
11
|
—
|
—
|
$108,243.35
|
$308,212.11
|
$124,479.85
|
2026-04-24
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
13
|
—
|
—
|
$77,828.45
|
$312,969.62
|
$123,887.33
|
2026-04-24
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
23
|
13
|
—
|
—
|
$76,969.57
|
$309,327.72
|
$122,520.16
|
2026-04-24
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
23
|
13
|
—
|
—
|
$76,926.62
|
$309,145.62
|
$122,451.79
|
2026-04-24
|
|
5912
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$108,558.67
|
$125,699.51
|
$121,128.61
|
2026-04-24
|
|
42
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$108,378.83
|
$125,491.28
|
$120,927.96
|
2026-04-24
|
|
1794
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$107,962.66
|
$125,009.39
|
$120,463.60
|
2026-04-24
|
|
9104
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$107,801.20
|
$124,822.45
|
$120,283.45
|
2026-04-24
|
|
3033
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$107,653.04
|
$124,650.89
|
$120,118.13
|
2026-04-24
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
24
|
14
|
—
|
—
|
$42,492.00
|
$311,109.65
|
$119,636.92
|
2026-04-24
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
24
|
14
|
—
|
—
|
$55,312.00
|
$310,979.58
|
$119,589.48
|
2026-04-24
|
|
1664
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$106,940.54
|
$123,825.89
|
$119,323.13
|
2026-04-24
|
|
6804
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$105,507.15
|
$122,166.18
|
$117,723.77
|
2026-04-24
|
|
1623
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$104,994.41
|
$121,572.47
|
$117,151.65
|
2026-04-24
|
|
914
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$104,295.28
|
$120,762.96
|
$116,371.58
|
2026-04-24
|
|
61
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$104,043.91
|
$120,471.90
|
$116,091.11
|
2026-04-24
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
14
|
—
|
—
|
$50,102.00
|
$299,668.00
|
$115,465.65
|
2026-04-24
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
23
|
13
|
—
|
—
|
$72,387.94
|
$289,899.89
|
$115,227.12
|
2026-04-24
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
23
|
13
|
—
|
—
|
$72,337.83
|
$289,687.45
|
$115,147.36
|
2026-04-24
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
24
|
14
|
—
|
—
|
$63,107.00
|
$298,198.23
|
$114,929.80
|
2026-04-24
|
|
6033
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$102,632.19
|
$118,837.27
|
$114,515.91
|
2026-04-24
|
|
5891
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$102,550.65
|
$118,742.86
|
$114,424.93
|
2026-04-24
|
|
11
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$102,277.62
|
$118,426.72
|
$114,120.29
|
2026-04-24
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
14
|
—
|
—
|
$57,396.00
|
$291,833.57
|
$112,609.46
|
2026-04-24
|
|
8504
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$100,691.16
|
$116,589.76
|
$112,350.13
|
2026-04-24
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
14
|
—
|
—
|
$59,899.00
|
$285,078.71
|
$110,146.86
|
2026-04-24
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
14
|
—
|
—
|
$55,591.00
|
$285,078.71
|
$110,146.86
|
2026-04-24
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
14
|
—
|
—
|
$49,436.00
|
$284,042.50
|
$109,769.06
|
2026-04-24
|
|
6134
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$98,207.35
|
$113,713.78
|
$109,578.73
|
2026-04-24
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
17
|
11
|
—
|
—
|
$95,081.03
|
$270,733.72
|
$109,343.18
|
2026-04-24
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
14
|
—
|
—
|
$41,542.00
|
$278,982.85
|
$107,924.54
|
2026-04-24
|
|
1783
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$96,564.29
|
$111,811.28
|
$107,745.42
|
2026-04-24
|
|
9124
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$96,183.05
|
$111,369.85
|
$107,320.04
|
2026-04-24
|
|
9114
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$96,068.20
|
$111,236.86
|
$107,191.89
|
2026-04-24
|
|
1694
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$95,855.06
|
$110,990.07
|
$106,954.06
|
2026-04-24
|
|
6214
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$94,150.38
|
$109,016.23
|
$105,052.00
|
2026-04-24
|
|
8413
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$93,857.42
|
$108,677.01
|
$104,725.11
|
2026-04-24
|
|
214
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$93,835.76
|
$108,651.93
|
$104,700.95
|
2026-04-24
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
23
|
13
|
—
|
—
|
$65,436.22
|
$260,422.15
|
$104,161.37
|
2026-04-24
|
|
234
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$93,328.02
|
$108,064.02
|
$104,134.42
|
2026-04-24
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
24
|
14
|
—
|
—
|
$57,578.00
|
$265,702.91
|
$103,083.05
|
2026-04-24
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$52,705.00
|
$265,395.08
|
$102,970.82
|
2026-04-24
|
|
1204
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$92,041.16
|
$106,573.97
|
$102,698.55
|
2026-04-24
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
24
|
14
|
—
|
—
|
$57,993.00
|
$262,850.09
|
$102,043.02
|
2026-04-24
|
|
4403
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$91,307.08
|
$105,723.99
|
$101,879.49
|
2026-04-24
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
24
|
14
|
—
|
—
|
$50,597.00
|
$260,495.85
|
$101,184.75
|
2026-04-24
|
|
6814
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$90,413.11
|
$104,688.86
|
$100,881.99
|
2026-04-24
|
|
2204
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$90,384.81
|
$104,656.09
|
$100,850.42
|
2026-04-24
|
|
6313
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$90,374.79
|
$104,644.50
|
$100,839.24
|
2026-04-24
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
14
|
—
|
—
|
$64,991.45
|
$258,536.16
|
$100,470.29
|
2026-04-24
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
23
|
13
|
—
|
—
|
$62,987.43
|
$250,038.39
|
$100,263.39
|
2026-04-24
|
|
6904
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$89,723.90
|
$103,890.83
|
$100,112.98
|
2026-04-24
|
|
2604
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$89,707.25
|
$103,871.55
|
$100,094.40
|
2026-04-24
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
24
|
14
|
—
|
—
|
$61,561.00
|
$257,088.07
|
$99,942.38
|
2026-04-24
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
23
|
13
|
—
|
—
|
$62,371.92
|
$247,428.36
|
$99,283.62
|
2026-04-24
|
|
71
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$88,791.61
|
$102,811.34
|
$99,072.74
|
2026-04-24
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
24
|
14
|
—
|
—
|
$46,516.00
|
$254,439.02
|
$98,976.62
|
2026-04-24
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$51,246.00
|
$254,274.27
|
$98,916.57
|
2026-04-24
|
|
6334
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$88,598.58
|
$102,587.83
|
$98,857.36
|
2026-04-24
|
|
894
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$88,485.37
|
$102,456.74
|
$98,731.04
|
2026-04-24
|
|
3124
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$88,212.34
|
$102,140.60
|
$98,426.39
|
2026-04-24
|
|
9504
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$88,154.09
|
$102,073.16
|
$98,361.40
|
2026-04-24
|
|
204
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$88,140.72
|
$102,057.67
|
$98,346.49
|
2026-04-24
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
13
|
—
|
—
|
$61,503.84
|
$243,747.43
|
$97,901.81
|
2026-04-24
|
|
1653
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$87,191.86
|
$100,958.99
|
$97,287.76
|
2026-04-24
|
|
3614
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$87,053.71
|
$100,799.03
|
$97,133.61
|
2026-04-24
|
|
6072
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$87,012.02
|
$100,750.76
|
$97,087.10
|
2026-04-24
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
23
|
13
|
—
|
—
|
$60,933.32
|
$241,328.17
|
$96,993.66
|
2026-04-24
|
|
4414
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$86,800.61
|
$100,505.97
|
$96,851.20
|
2026-04-24
|
|
6084
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$86,798.97
|
$100,504.07
|
$96,849.38
|
2026-04-24
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
14
|
—
|
—
|
$61,019.00
|
$248,442.89
|
$96,790.61
|
2026-04-24
|
|
1633
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$86,399.44
|
$100,041.46
|
$96,403.58
|
2026-04-24
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
14
|
—
|
—
|
$41,088.00
|
$247,107.52
|
$96,303.80
|
2026-04-24
|
|
1304
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$85,846.75
|
$99,401.50
|
$95,786.90
|
2026-04-24
|
|
1782
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$85,706.87
|
$99,239.54
|
$95,630.82
|
2026-04-24
|
|
1603
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$85,620.32
|
$99,139.32
|
$95,534.25
|
2026-04-24
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
24
|
14
|
—
|
—
|
$49,413.00
|
$242,993.04
|
$94,803.77
|
2026-04-24
|
|
6083
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$84,862.85
|
$98,262.25
|
$94,689.08
|
2026-04-24
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
13
|
—
|
—
|
$54,234.00
|
$257,686.39
|
$93,947.05
|
2026-04-24
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
24
|
14
|
—
|
—
|
$42,198.00
|
$239,455.19
|
$93,513.96
|
2026-04-24
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
23
|
13
|
—
|
—
|
$58,514.18
|
$231,070.14
|
$93,142.87
|
2026-04-24
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
24
|
14
|
—
|
—
|
$60,153.19
|
$238,020.10
|
$92,990.82
|
2026-04-24
|
|
274
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$83,191.48
|
$96,326.98
|
$92,824.18
|
2026-04-24
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
24
|
14
|
—
|
—
|
$50,638.00
|
$237,179.00
|
$92,684.18
|
2026-04-24
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
24
|
14
|
—
|
—
|
$41,209.00
|
$236,840.82
|
$92,560.90
|
2026-04-24
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
24
|
14
|
—
|
—
|
$47,704.00
|
$236,467.96
|
$92,424.94
|
2026-04-24
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
24
|
14
|
—
|
—
|
$41,243.00
|
$235,522.80
|
$92,080.35
|
2026-04-24
|
|
6144
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$82,245.91
|
$95,232.10
|
$91,769.11
|
2026-04-24
|
|
1622
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$82,032.85
|
$94,985.41
|
$91,531.39
|
2026-04-24
|
|
2614
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$81,615.03
|
$94,501.62
|
$91,065.20
|
2026-04-24
|
|
52
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$81,232.07
|
$94,058.18
|
$90,637.89
|
2026-04-24
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$41,675.00
|
$231,208.88
|
$90,507.65
|
2026-04-24
|
|
1814
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$80,880.87
|
$93,651.54
|
$90,246.02
|
2026-04-24
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
24
|
14
|
—
|
—
|
$58,148.14
|
$229,517.99
|
$89,891.21
|
2026-04-24
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
24
|
14
|
—
|
—
|
$32,420.00
|
$228,759.26
|
$89,614.57
|
2026-04-24
|
|
4402
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$80,278.21
|
$92,953.72
|
$89,573.58
|
2026-04-24
|
|
453
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$89,403.00
|
$89,403.00
|
$89,403.00
|
2026-04-24
|
|
1764
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$80,038.49
|
$92,676.14
|
$89,306.10
|
2026-04-24
|
|
4014
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$79,772.11
|
$92,367.70
|
$89,008.88
|
2026-04-24
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
24
|
14
|
—
|
—
|
$48,135.00
|
$225,685.32
|
$88,493.95
|
2026-04-24
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
24
|
14
|
—
|
—
|
$51,673.00
|
$225,295.12
|
$88,351.68
|
2026-04-24
|
|
5104
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$78,511.91
|
$90,908.53
|
$87,602.77
|
2026-04-24
|
|
41
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$78,443.66
|
$90,829.50
|
$87,526.61
|
2026-04-24
|
|
1781
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$78,353.83
|
$90,725.49
|
$87,426.39
|
2026-04-24
|
|
3032
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$78,119.03
|
$90,453.62
|
$87,164.39
|
2026-04-24
|
|
7404
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$80,719.32
|
$93,464.48
|
$87,091.90
|
2026-04-24
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
24
|
14
|
—
|
—
|
$55,015.33
|
$216,233.71
|
$86,643.70
|
2026-04-24
|
|
6302
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$77,424.91
|
$89,649.89
|
$86,389.89
|
2026-04-24
|
|
6954
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$77,173.54
|
$89,358.84
|
$86,109.43
|
2026-04-24
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$43,373.00
|
$218,522.91
|
$85,882.77
|
2026-04-24
|
|
7924
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$76,782.30
|
$88,905.82
|
$85,672.88
|
2026-04-24
|
|
2304
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$76,051.50
|
$88,059.63
|
$84,857.46
|
2026-04-24
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
24
|
14
|
—
|
—
|
$52,651.00
|
$214,499.47
|
$84,415.93
|
2026-04-24
|
|
3214
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$75,567.06
|
$87,498.70
|
$84,316.92
|
2026-04-24
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$43,178.00
|
$214,117.94
|
$84,276.86
|
2026-04-24
|
|
1793
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$75,352.28
|
$87,250.01
|
$84,077.28
|
2026-04-24
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
24
|
14
|
—
|
—
|
$54,343.55
|
$213,385.23
|
$84,009.70
|
2026-04-24
|
|
5114
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$75,275.74
|
$87,161.38
|
$83,991.88
|
2026-04-24
|
|
1833
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$75,254.08
|
$87,136.30
|
$83,967.71
|
2026-04-24
|
|
924
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$75,040.94
|
$86,889.51
|
$83,729.88
|
2026-04-24
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
24
|
14
|
—
|
—
|
$45,946.00
|
$212,496.43
|
$83,685.69
|
2026-04-24
|
|
5892
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$74,686.37
|
$86,478.95
|
$83,334.26
|
2026-04-24
|
|
3043
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$74,411.70
|
$86,160.92
|
$83,027.80
|
2026-04-24
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
23
|
13
|
—
|
—
|
$52,091.08
|
$203,833.90
|
$82,918.58
|
2026-04-24
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
24
|
14
|
—
|
—
|
$40,118.00
|
$209,353.12
|
$82,539.76
|
2026-04-24
|
|
1214
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$73,772.46
|
$85,420.74
|
$82,314.54
|
2026-04-24
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
24
|
14
|
—
|
—
|
$50,591.00
|
$208,295.23
|
$82,154.06
|
2026-04-24
|
|
2324
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$73,379.58
|
$84,965.83
|
$81,876.16
|
2026-04-24
|
|
1673
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$73,357.92
|
$84,940.75
|
$81,851.99
|
2026-04-24
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
23
|
13
|
—
|
—
|
$51,243.46
|
$200,239.69
|
$81,569.34
|
2026-04-24
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
24
|
14
|
—
|
—
|
$52,698.42
|
$206,409.24
|
$81,466.49
|
2026-04-24
|
|
6123
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$72,868.48
|
$84,374.03
|
$81,305.88
|
2026-04-24
|
|
1663
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$72,720.32
|
$84,202.47
|
$81,140.57
|
2026-04-24
|
|
83
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$72,530.56
|
$83,982.76
|
$80,928.84
|
2026-04-24
|
|
1652
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$72,525.56
|
$83,976.96
|
$80,923.25
|
2026-04-24
|
|
6113
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$72,320.78
|
$83,739.85
|
$80,694.77
|
2026-04-24
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
14
|
—
|
—
|
$31,483.00
|
$203,417.68
|
$80,375.88
|
2026-04-24
|
|
4401
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$71,981.23
|
$83,346.69
|
$80,315.90
|
2026-04-24
|
|
304
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$71,911.33
|
$83,265.75
|
$80,237.91
|
2026-04-24
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
14
|
—
|
—
|
$46,579.00
|
$202,810.70
|
$80,154.57
|
2026-04-24
|
|
1704
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$71,478.50
|
$82,764.58
|
$79,754.96
|
2026-04-24
|
|
3254
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$71,280.37
|
$82,535.17
|
$79,533.89
|
2026-04-24
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
24
|
14
|
—
|
—
|
$45,803.00
|
$201,041.77
|
$79,509.71
|
2026-04-24
|
|
1621
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$71,233.77
|
$82,481.21
|
$79,481.90
|
2026-04-24
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
17
|
11
|
—
|
—
|
$68,801.71
|
$195,905.99
|
$79,121.97
|
2026-04-24
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
23
|
13
|
—
|
—
|
$49,652.52
|
$193,493.49
|
$79,036.88
|
2026-04-24
|
|
2644
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$70,815.87
|
$81,997.32
|
$79,015.60
|
2026-04-24
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
24
|
14
|
—
|
—
|
$34,658.00
|
$199,285.85
|
$78,869.55
|
2026-04-24
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
24
|
14
|
—
|
—
|
$42,594.00
|
$198,778.59
|
$78,684.61
|
2026-04-24
|
|
6133
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$70,461.30
|
$81,586.77
|
$78,619.98
|
2026-04-24
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
19
|
12
|
—
|
—
|
$3,155.00
|
$212,781.05
|
$78,464.60
|
2026-04-24
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
24
|
14
|
—
|
—
|
$47,183.00
|
$197,807.41
|
$78,330.55
|
2026-04-24
|
|
4054
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$70,063.40
|
$81,126.05
|
$78,176.01
|
2026-04-24
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$50,529.78
|
$197,213.44
|
$78,113.99
|
2026-04-24
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
24
|
14
|
—
|
—
|
$29,939.00
|
$197,126.73
|
$78,082.39
|
2026-04-24
|
|
4044
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$69,805.40
|
$80,827.31
|
$77,888.13
|
2026-04-24
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
14
|
—
|
—
|
$44,260.00
|
$196,354.99
|
$77,801.05
|
2026-04-24
|
|
7104
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$69,705.56
|
$80,711.70
|
$77,776.73
|
2026-04-24
|
|
5124
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$69,673.89
|
$80,675.03
|
$77,741.40
|
2026-04-24
|
|
6514
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$69,482.41
|
$80,453.32
|
$77,527.74
|
2026-04-24
|
|
1824
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$69,186.17
|
$80,110.31
|
$77,197.20
|
2026-04-24
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
24
|
14
|
—
|
—
|
$49,644.00
|
$194,312.92
|
$77,056.61
|
2026-04-24
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
24
|
14
|
—
|
—
|
$33,488.00
|
$194,256.56
|
$77,036.02
|
2026-04-24
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
24
|
14
|
—
|
—
|
$47,128.07
|
$182,788.90
|
$76,935.15
|
2026-04-24
|
|
1754
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$68,899.77
|
$79,778.68
|
$76,877.63
|
2026-04-24
|
|
1632
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$68,898.13
|
$79,776.79
|
$76,875.81
|
2026-04-24
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
23
|
13
|
—
|
—
|
$48,267.08
|
$187,618.75
|
$76,831.54
|
2026-04-24
|
|
51
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$68,561.85
|
$79,387.41
|
$76,500.60
|
2026-04-24
|
|
4034
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$68,252.25
|
$79,028.92
|
$76,155.14
|
2026-04-24
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
24
|
14
|
—
|
—
|
$47,201.70
|
$183,101.06
|
$75,988.33
|
2026-04-24
|
|
264
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$68,072.41
|
$78,820.69
|
$75,954.48
|
2026-04-24
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
23
|
13
|
—
|
—
|
$47,632.15
|
$184,926.35
|
$75,820.86
|
2026-04-24
|
|
92
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$67,845.98
|
$78,558.50
|
$75,701.83
|
2026-04-24
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$30,735.00
|
$190,454.24
|
$75,649.82
|
2026-04-24
|
|
2314
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$67,671.25
|
$78,356.18
|
$75,506.86
|
2026-04-24
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
23
|
13
|
—
|
—
|
$47,381.64
|
$183,864.12
|
$75,422.09
|
2026-04-24
|
|
6092
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$67,514.71
|
$78,174.93
|
$75,332.21
|
2026-04-24
|
|
8633
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$67,423.15
|
$78,068.91
|
$75,230.04
|
2026-04-24
|
|
9103
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$67,215.11
|
$77,828.03
|
$74,997.92
|
2026-04-24
|
|
6504
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$67,016.99
|
$77,598.62
|
$74,776.85
|
2026-04-24
|
|
4474
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$66,780.64
|
$77,324.95
|
$74,513.13
|
2026-04-24
|
|
5144
|
APR_DRG
|
Apr-DRG
|
4
|
4
|
—
|
—
|
$66,745.59
|
$77,284.37
|
$74,474.04
|
2026-04-24
|