|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
2
|
2
|
—
|
—
|
$3,057,040.00
|
$4,748,800.00
|
$3,902,920.00
|
2026-05-15
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,821,300.00
|
$3,821,300.00
|
$3,821,300.00
|
2026-05-15
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,821,300.00
|
$3,821,300.00
|
$3,821,300.00
|
2026-05-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
1
|
1
|
—
|
—
|
$3,421,434.96
|
$3,421,434.96
|
$3,421,434.96
|
2026-05-15
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
1
|
1
|
—
|
—
|
$3,288,790.00
|
$3,288,790.00
|
$3,288,790.00
|
2026-05-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
2
|
2
|
—
|
—
|
$2,475,562.51
|
$3,845,534.00
|
$3,160,548.25
|
2026-05-15
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
2
|
2
|
—
|
—
|
$2,401,960.00
|
$3,731,200.00
|
$3,066,580.00
|
2026-05-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
2
|
2
|
—
|
—
|
$582,592.56
|
$904,998.14
|
$743,795.35
|
2026-05-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
2
|
—
|
—
|
$567,857.89
|
$882,109.34
|
$724,983.61
|
2026-05-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
2
|
2
|
—
|
—
|
$544,161.80
|
$845,299.89
|
$694,730.84
|
2026-05-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
2
|
2
|
—
|
—
|
$531,980.55
|
$826,377.55
|
$679,179.05
|
2026-05-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
2
|
2
|
—
|
—
|
$504,202.66
|
$783,227.44
|
$643,715.05
|
2026-05-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
2
|
2
|
—
|
—
|
$502,693.06
|
$780,882.42
|
$641,787.74
|
2026-05-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
6
|
—
|
—
|
$400,634.86
|
$641,015.78
|
$635,603.10
|
2026-05-15
|
|
5834
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$543,100.12
|
$733,185.16
|
$581,117.13
|
2026-05-15
|
|
5833
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$472,970.29
|
$638,509.89
|
$506,078.21
|
2026-05-15
|
|
5884
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$405,082.66
|
$546,861.59
|
$433,438.45
|
2026-05-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
9
|
6
|
—
|
—
|
$260,763.34
|
$490,714.83
|
$417,221.34
|
2026-05-15
|
|
1614
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$373,631.19
|
$504,402.11
|
$399,785.38
|
2026-05-15
|
|
24
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$361,967.13
|
$488,655.63
|
$387,304.83
|
2026-05-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
9
|
6
|
—
|
—
|
$199,187.74
|
$357,961.54
|
$318,700.38
|
2026-05-15
|
|
5832
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$296,800.26
|
$400,680.35
|
$317,576.28
|
2026-05-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
9
|
6
|
—
|
—
|
$198,031.60
|
$324,258.55
|
$316,850.56
|
2026-05-15
|
|
1613
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$283,125.72
|
$382,219.72
|
$302,944.52
|
2026-05-15
|
|
114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$281,171.52
|
$379,581.55
|
$300,853.53
|
2026-05-15
|
|
6304
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$275,334.06
|
$371,700.98
|
$294,607.44
|
2026-05-15
|
|
J7330
|
HCPCS
|
Maci Membrane
|
29
|
14
|
$485,320.00
|
$485,320.00
|
$19,412.80
|
$485,320.00
|
$292,647.96
|
2026-05-15
|
|
8414
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$268,348.13
|
$362,269.98
|
$287,132.50
|
2026-05-15
|
|
5934
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$266,296.93
|
$359,500.86
|
$284,937.71
|
2026-05-15
|
|
5914
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$263,640.23
|
$355,914.31
|
$282,095.05
|
2026-05-15
|
|
5883
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$259,808.55
|
$350,741.54
|
$277,995.15
|
2026-05-15
|
|
6314
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$258,999.66
|
$349,649.54
|
$277,129.64
|
2026-05-15
|
|
6094
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$256,037.86
|
$345,651.11
|
$273,960.51
|
2026-05-15
|
|
5882
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$252,899.35
|
$341,414.12
|
$270,602.30
|
2026-05-15
|
|
94
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$241,174.22
|
$325,585.20
|
$258,056.42
|
2026-05-15
|
|
5831
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$240,352.84
|
$324,476.33
|
$257,177.54
|
2026-05-15
|
|
44
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$236,713.61
|
$319,563.37
|
$253,283.57
|
2026-05-15
|
|
74
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$234,338.58
|
$316,357.08
|
$250,742.28
|
2026-05-15
|
|
23
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$229,090.88
|
$309,272.69
|
$245,127.24
|
2026-05-15
|
|
14
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$227,182.09
|
$306,695.82
|
$243,084.84
|
2026-05-15
|
|
1612
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$227,050.63
|
$306,518.35
|
$242,944.17
|
2026-05-15
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenove
|
36
|
14
|
$290,400.00
|
$290,400.00
|
$11,616.00
|
$258,746.40
|
$238,273.20
|
2026-05-15
|
|
1611
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$215,957.68
|
$291,542.87
|
$231,074.72
|
2026-05-15
|
|
6034
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$199,761.00
|
$269,677.35
|
$213,744.27
|
2026-05-15
|
|
6024
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$192,155.54
|
$259,409.98
|
$205,606.42
|
2026-05-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
9
|
6
|
—
|
—
|
$129,993.37
|
$207,989.39
|
$202,348.67
|
2026-05-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
9
|
6
|
—
|
—
|
$121,677.97
|
$196,535.76
|
$194,684.75
|
2026-05-15
|
|
64
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$181,010.94
|
$244,364.77
|
$193,681.71
|
2026-05-15
|
|
5933
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$179,368.08
|
$242,146.91
|
$191,923.85
|
2026-05-15
|
|
5913
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$172,605.91
|
$233,017.98
|
$184,688.32
|
2026-05-15
|
|
1604
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$170,365.42
|
$229,993.32
|
$182,291.00
|
2026-05-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
6
|
—
|
—
|
$113,075.63
|
$181,210.04
|
$180,921.01
|
2026-05-15
|
|
5881
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$168,206.28
|
$227,078.48
|
$179,980.72
|
2026-05-15
|
|
22
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$164,883.10
|
$222,592.19
|
$176,424.92
|
2026-05-15
|
|
54
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$162,529.97
|
$219,415.46
|
$173,907.07
|
2026-05-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
9
|
6
|
—
|
—
|
$106,744.95
|
$254,072.54
|
$170,791.92
|
2026-05-15
|
|
43
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$156,453.10
|
$211,211.69
|
$167,404.82
|
2026-05-15
|
|
113
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$151,081.80
|
$203,960.43
|
$161,657.52
|
2026-05-15
|
|
6074
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$149,373.34
|
$201,654.01
|
$159,829.47
|
2026-05-15
|
|
6303
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$149,147.96
|
$201,349.75
|
$159,588.32
|
2026-05-15
|
|
3034
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$147,987.08
|
$199,782.56
|
$158,346.17
|
2026-05-15
|
|
8424
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$146,474.07
|
$197,739.99
|
$156,727.26
|
2026-05-15
|
|
453
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$155,938.74
|
$155,938.74
|
$155,938.74
|
2026-05-15
|
|
1624
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$145,693.40
|
$196,686.09
|
$155,891.93
|
2026-05-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
9
|
6
|
—
|
—
|
$97,321.41
|
$173,708.42
|
$155,714.26
|
2026-05-15
|
|
6023
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$145,159.83
|
$195,965.77
|
$155,321.02
|
2026-05-15
|
|
63
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$143,304.25
|
$193,460.74
|
$153,335.55
|
2026-05-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
9
|
6
|
—
|
—
|
$94,059.66
|
$179,197.16
|
$150,495.46
|
2026-05-15
|
|
5932
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$139,463.16
|
$188,275.27
|
$149,225.58
|
2026-05-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
6
|
—
|
—
|
$92,452.30
|
$170,387.00
|
$147,923.68
|
2026-05-15
|
|
4404
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$137,330.62
|
$185,396.34
|
$146,943.77
|
2026-05-15
|
|
21
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$135,550.14
|
$182,992.69
|
$145,038.65
|
2026-05-15
|
|
73
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$134,329.74
|
$181,345.15
|
$143,732.82
|
2026-05-15
|
|
13
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$129,265.16
|
$174,507.97
|
$138,313.72
|
2026-05-15
|
|
8514
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$128,950.66
|
$174,083.39
|
$137,977.21
|
2026-05-15
|
|
222
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$134,944.37
|
$134,944.37
|
$134,944.37
|
2026-05-15
|
|
1634
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$123,268.10
|
$166,411.94
|
$131,896.87
|
2026-05-15
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
2
|
2
|
—
|
—
|
$102,999.91
|
$159,999.86
|
$131,499.89
|
2026-05-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
9
|
6
|
—
|
—
|
$79,969.09
|
$147,926.25
|
$127,950.54
|
2026-05-15
|
|
224
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$127,614.17
|
$127,614.17
|
$127,614.17
|
2026-05-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
9
|
6
|
—
|
—
|
$79,724.56
|
$145,959.20
|
$127,559.30
|
2026-05-15
|
|
8634
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$118,984.20
|
$160,628.67
|
$127,313.10
|
2026-05-15
|
|
1784
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$118,441.31
|
$159,895.77
|
$126,732.20
|
2026-05-15
|
|
62
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$117,713.76
|
$158,913.58
|
$125,953.73
|
2026-05-15
|
|
53
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$115,091.53
|
$155,373.57
|
$123,147.93
|
2026-05-15
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
2
|
—
|
—
|
$96,013.20
|
$149,146.72
|
$122,579.96
|
2026-05-15
|
|
1654
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$114,177.77
|
$154,139.99
|
$122,170.21
|
2026-05-15
|
|
1674
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$113,966.59
|
$153,854.90
|
$121,944.26
|
2026-05-15
|
|
84
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$113,749.07
|
$153,561.24
|
$121,711.51
|
2026-05-15
|
|
6114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$113,290.61
|
$152,942.32
|
$121,220.96
|
2026-05-15
|
|
6022
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$112,613.18
|
$152,027.79
|
$120,496.10
|
2026-05-15
|
|
6073
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$112,405.07
|
$151,746.84
|
$120,273.42
|
2026-05-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
9
|
6
|
—
|
—
|
$74,791.80
|
$175,439.56
|
$119,666.88
|
2026-05-15
|
|
6093
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$111,675.98
|
$150,762.57
|
$119,493.30
|
2026-05-15
|
|
93
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$109,214.90
|
$147,440.12
|
$116,859.94
|
2026-05-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
6
|
—
|
—
|
$73,034.05
|
$136,753.59
|
$116,854.48
|
2026-05-15
|
|
6124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$108,894.15
|
$147,007.10
|
$116,516.74
|
2026-05-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
9
|
6
|
—
|
—
|
$72,728.63
|
$134,457.28
|
$116,365.81
|
2026-05-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
9
|
6
|
—
|
—
|
$72,495.18
|
$125,947.51
|
$115,992.29
|
2026-05-15
|
|
112
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$107,917.86
|
$145,689.11
|
$115,472.11
|
2026-05-15
|
|
12
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$107,849.00
|
$145,596.15
|
$115,398.43
|
2026-05-15
|
|
0620T
|
CPT
|
Limflow Tadv Bilat
|
47
|
14
|
$271,040.00
|
$271,040.00
|
$5,420.80
|
$271,040.00
|
$115,192.00
|
2026-05-15
|
|
3044
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$107,489.16
|
$145,110.37
|
$115,013.40
|
2026-05-15
|
|
459
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$114,280.96
|
$114,280.96
|
$114,280.96
|
2026-05-15
|
|
1834
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$105,887.02
|
$142,947.48
|
$113,299.11
|
2026-05-15
|
|
72
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$105,810.29
|
$142,843.89
|
$113,217.01
|
2026-05-15
|
|
226
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$111,421.18
|
$111,421.18
|
$111,421.18
|
2026-05-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
9
|
6
|
—
|
—
|
$68,368.86
|
$110,854.32
|
$109,390.18
|
2026-05-15
|
|
5912
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$102,028.73
|
$137,738.79
|
$109,170.74
|
2026-05-15
|
|
42
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$101,859.72
|
$137,510.62
|
$108,989.90
|
2026-05-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
9
|
6
|
—
|
—
|
$68,017.31
|
$113,367.87
|
$108,827.70
|
2026-05-15
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
5
|
5
|
—
|
—
|
$106,625.02
|
$170,600.03
|
$108,757.52
|
2026-05-15
|
|
1794
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$101,468.57
|
$136,982.57
|
$108,571.37
|
2026-05-15
|
|
9104
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$101,316.83
|
$136,777.72
|
$108,409.01
|
2026-05-15
|
|
3033
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$101,177.58
|
$136,589.73
|
$108,260.01
|
2026-05-15
|
|
1664
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$100,507.93
|
$135,685.71
|
$107,543.49
|
2026-05-15
|
|
36906
|
CPT
|
Declot Stent
|
37
|
14
|
$133,099.00
|
$133,099.00
|
$3,576.75
|
$133,099.00
|
$106,479.20
|
2026-05-15
|
|
37292
|
CPT
|
Tib/per Stn Arth Smp Ini
|
35
|
14
|
$133,099.00
|
$133,099.00
|
$3,770.00
|
$133,099.00
|
$106,479.20
|
2026-05-15
|
|
A9543
|
HCPCS
|
Yiterium 90 Zevalin
|
38
|
14
|
$133,099.00
|
$133,099.00
|
$5,323.96
|
$113,134.15
|
$106,479.20
|
2026-05-15
|
|
37275
|
CPT
|
Revas Fem/pop Uni Sng Ini
|
35
|
14
|
$133,099.00
|
$133,099.00
|
$3,770.00
|
$133,099.00
|
$106,479.20
|
2026-05-15
|
|
37285
|
CPT
|
Rev Tib/peron Stnt Ea Adl
|
35
|
14
|
$133,099.00
|
$133,099.00
|
$1,000.00
|
$133,099.00
|
$106,479.20
|
2026-05-15
|
|
6804
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$99,160.77
|
$133,867.04
|
$106,102.02
|
2026-05-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
5
|
—
|
—
|
$103,879.05
|
$166,206.48
|
$105,956.63
|
2026-05-15
|
|
1623
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$98,678.87
|
$133,216.47
|
$105,586.39
|
2026-05-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
9
|
6
|
—
|
—
|
$65,961.54
|
$109,282.71
|
$105,538.46
|
2026-05-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
9
|
6
|
—
|
—
|
$65,648.74
|
$118,181.13
|
$105,037.98
|
2026-05-15
|
|
914
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$98,021.79
|
$132,329.42
|
$104,883.32
|
2026-05-15
|
|
61
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$97,785.55
|
$132,010.49
|
$104,630.54
|
2026-05-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
5
|
5
|
—
|
—
|
$102,521.76
|
$164,034.82
|
$104,572.20
|
2026-05-15
|
|
454
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$103,412.09
|
$103,412.09
|
$103,412.09
|
2026-05-15
|
|
6033
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$96,458.74
|
$130,219.30
|
$103,210.85
|
2026-05-15
|
|
5891
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$96,382.10
|
$130,115.84
|
$103,128.85
|
2026-05-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
6
|
—
|
—
|
$64,294.20
|
$106,742.00
|
$102,870.72
|
2026-05-15
|
|
11
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$96,125.50
|
$129,769.43
|
$102,854.29
|
2026-05-15
|
|
8504
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$94,634.47
|
$127,756.53
|
$101,258.88
|
2026-05-15
|
|
G0339
|
HCPCS
|
Ck Sterotactic 1st Sessio
|
35
|
14
|
$125,804.00
|
$125,804.00
|
$486.69
|
$106,933.40
|
$100,643.20
|
2026-05-15
|
|
77372
|
CPT
|
Ck Stereotactic 1sess/1st
|
39
|
14
|
$125,804.00
|
$125,804.00
|
$5,032.16
|
$106,933.40
|
$100,643.20
|
2026-05-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
6
|
—
|
—
|
$62,856.64
|
$110,037.96
|
$100,570.62
|
2026-05-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
6
|
—
|
—
|
$62,856.64
|
$103,687.04
|
$100,570.62
|
2026-05-15
|
|
L8688
|
HCPCS
|
Cni Sentiva Nerve Stimul
|
29
|
14
|
$164,086.00
|
$164,086.00
|
$6,563.44
|
$164,086.00
|
$98,943.86
|
2026-05-15
|
|
6134
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$92,300.06
|
$124,605.08
|
$98,761.06
|
2026-05-15
|
|
223
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$98,413.84
|
$98,413.84
|
$98,413.84
|
2026-05-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
9
|
6
|
—
|
—
|
$61,559.33
|
$98,494.93
|
$97,353.09
|
2026-05-15
|
|
1783
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$90,755.83
|
$122,520.37
|
$97,108.74
|
2026-05-15
|
|
9124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$90,397.52
|
$122,036.65
|
$96,725.35
|
2026-05-15
|
|
9114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$90,289.58
|
$121,890.93
|
$96,609.85
|
2026-05-15
|
|
1694
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$90,089.26
|
$121,620.50
|
$96,395.51
|
2026-05-15
|
|
225
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$95,345.30
|
$95,345.30
|
$95,345.30
|
2026-05-15
|
|
37244
|
CPT
|
Embolization Bleed
|
37
|
14
|
$118,528.00
|
$118,528.00
|
$305.46
|
$118,528.00
|
$94,822.40
|
2026-05-15
|
|
6214
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$88,487.12
|
$119,457.61
|
$94,681.22
|
2026-05-15
|
|
8413
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$88,211.78
|
$119,085.90
|
$94,386.61
|
2026-05-15
|
|
214
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$88,191.42
|
$119,058.42
|
$94,364.82
|
2026-05-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
9
|
6
|
—
|
—
|
$62,636.12
|
$100,217.79
|
$94,009.61
|
2026-05-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
9
|
6
|
—
|
—
|
$58,733.07
|
$119,616.96
|
$93,972.91
|
2026-05-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
9
|
6
|
—
|
—
|
$58,667.56
|
$99,318.45
|
$93,868.10
|
2026-05-15
|
|
234
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$87,714.23
|
$118,414.21
|
$93,854.23
|
2026-05-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
9
|
6
|
—
|
—
|
$58,125.95
|
$101,047.89
|
$93,001.52
|
2026-05-15
|
|
1204
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$86,504.77
|
$116,781.44
|
$92,560.10
|
2026-05-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
9
|
6
|
—
|
—
|
$57,624.93
|
$98,829.65
|
$92,199.89
|
2026-05-15
|
|
37242
|
CPT
|
Embolization Fistula
|
46
|
14
|
$118,528.00
|
$118,528.00
|
$219.66
|
$118,528.00
|
$91,859.20
|
2026-05-15
|
|
4403
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$85,814.85
|
$115,850.05
|
$91,821.89
|
2026-05-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
9
|
6
|
—
|
—
|
$57,207.87
|
$110,248.41
|
$91,532.59
|
2026-05-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
9
|
6
|
—
|
—
|
$56,899.68
|
$114,328.48
|
$91,039.49
|
2026-05-15
|
|
6814
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$84,974.65
|
$114,715.78
|
$90,922.88
|
2026-05-15
|
|
2204
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$84,948.05
|
$114,679.87
|
$90,894.41
|
2026-05-15
|
|
6313
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$84,938.64
|
$114,667.16
|
$90,884.35
|
2026-05-15
|
|
6904
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$84,326.90
|
$113,841.32
|
$90,229.78
|
2026-05-15
|
|
2604
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$84,311.25
|
$113,820.19
|
$90,213.04
|
2026-05-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
9
|
6
|
—
|
—
|
$56,335.90
|
$103,598.79
|
$90,137.44
|
2026-05-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
9
|
6
|
—
|
—
|
$56,300.84
|
$96,599.53
|
$90,081.34
|
2026-05-15
|
|
37241
|
CPT
|
Embolizatn Non Neuro Vtp
|
37
|
14
|
$112,252.00
|
$112,252.00
|
$196.74
|
$112,252.00
|
$89,801.60
|
2026-05-15
|
|
71
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$83,450.68
|
$112,658.42
|
$89,292.23
|
2026-05-15
|
|
6334
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$83,269.27
|
$112,413.51
|
$89,098.12
|
2026-05-15
|
|
894
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$83,162.86
|
$112,269.86
|
$88,984.26
|
2026-05-15
|
|
3124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$82,906.26
|
$111,923.45
|
$88,709.70
|
2026-05-15
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
2
|
2
|
—
|
—
|
$69,476.24
|
$107,924.26
|
$88,700.25
|
2026-05-15
|
|
9504
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$82,851.52
|
$111,849.55
|
$88,651.12
|
2026-05-15
|
|
204
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$82,838.94
|
$111,832.57
|
$88,637.67
|
2026-05-15
|
|
227
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$88,459.76
|
$88,459.76
|
$88,459.76
|
2026-05-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
9
|
6
|
—
|
—
|
$55,059.81
|
$96,263.49
|
$88,095.70
|
2026-05-15
|
|
1653
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$81,947.16
|
$110,628.67
|
$87,683.46
|
2026-05-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
6
|
—
|
—
|
$54,775.61
|
$91,144.73
|
$87,640.98
|
2026-05-15
|
|
3614
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$81,817.32
|
$110,453.38
|
$87,544.54
|
2026-05-15
|
|
6072
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$81,778.15
|
$110,400.50
|
$87,502.62
|
2026-05-15
|
|
4414
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$81,579.45
|
$110,132.26
|
$87,290.01
|
2026-05-15
|
|
6084
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$81,577.91
|
$110,130.18
|
$87,288.36
|
2026-05-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
5
|
5
|
—
|
—
|
$85,317.97
|
$136,508.75
|
$87,024.33
|
2026-05-15
|
|
1633
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$81,202.42
|
$109,623.27
|
$86,886.59
|
2026-05-15
|
|
33270
|
CPT
|
Ep Insrt/replc Sq Defib
|
37
|
14
|
$184,413.00
|
$184,413.00
|
$4,015.00
|
$184,413.00
|
$86,741.52
|
2026-05-15
|
|
33264
|
CPT
|
Ep Rml/rpl Dfb Gen Mlt Ld
|
37
|
14
|
$184,413.00
|
$184,413.00
|
$4,015.00
|
$184,413.00
|
$86,741.52
|
2026-05-15
|
|
33249
|
CPT
|
Ep Ins Replc Defb W/lead
|
37
|
14
|
$184,413.00
|
$184,413.00
|
$4,015.00
|
$184,413.00
|
$86,741.52
|
2026-05-15
|
|
33231
|
CPT
|
Ep Inst Pls Gen W/mult Ld
|
37
|
14
|
$184,413.00
|
$184,413.00
|
$4,015.00
|
$184,413.00
|
$86,741.52
|
2026-05-15
|
|
0408T
|
CPT
|
Ep Ins/rep Ccm Pgen&elec
|
37
|
14
|
$184,413.00
|
$184,413.00
|
$4,015.00
|
$184,413.00
|
$86,741.52
|
2026-05-15
|
|
0571T
|
CPT
|
Ep Ins/rpl Icds Ss Eltrd
|
37
|
14
|
$184,413.00
|
$184,413.00
|
$4,015.00
|
$184,413.00
|
$86,741.52
|
2026-05-15
|
|
1304
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$80,682.97
|
$108,922.01
|
$86,330.78
|
2026-05-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
9
|
6
|
—
|
—
|
$53,899.96
|
$92,213.97
|
$86,239.94
|
2026-05-15
|
|
1782
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$80,551.50
|
$108,744.53
|
$86,190.10
|
2026-05-15
|
|
1603
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$80,470.16
|
$108,634.72
|
$86,103.07
|
2026-05-15
|
|
36903
|
CPT
|
Avf Stent
|
37
|
14
|
$106,985.00
|
$106,985.00
|
$2,949.63
|
$106,985.00
|
$85,588.00
|
2026-05-15
|
|
6083
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$79,758.25
|
$107,673.64
|
$85,341.33
|
2026-05-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
9
|
6
|
—
|
—
|
$53,147.04
|
$103,218.61
|
$85,035.26
|
2026-05-15
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
2
|
2
|
—
|
—
|
$66,574.53
|
$103,416.75
|
$84,995.64
|
2026-05-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
9
|
6
|
—
|
—
|
$52,841.63
|
$102,717.94
|
$84,546.61
|
2026-05-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
9
|
6
|
—
|
—
|
$52,662.63
|
$97,378.55
|
$84,260.21
|
2026-05-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
9
|
6
|
—
|
—
|
$52,590.66
|
$90,562.59
|
$84,145.06
|
2026-05-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
9
|
6
|
—
|
—
|
$52,511.29
|
$85,223.20
|
$84,018.06
|
2026-05-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
5
|
5
|
—
|
—
|
$82,087.59
|
$131,340.14
|
$83,729.34
|
2026-05-15
|
|
274
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$78,187.42
|
$105,553.02
|
$83,660.54
|
2026-05-15
|
|
C1824
|
HCPCS
|
Ccm Pulse Generator
|
34
|
14
|
$138,424.00
|
$138,424.00
|
$5,536.96
|
$138,424.00
|
$83,469.67
|
2026-05-15
|
|
37238
|
CPT
|
Venous Stent
|
49
|
14
|
$122,266.00
|
$122,266.00
|
$143.35
|
$122,266.00
|
$83,363.25
|
2026-05-15
|
|
6144
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$77,298.72
|
$104,353.27
|
$82,709.63
|
2026-05-15
|
|
1622
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$77,098.48
|
$104,082.95
|
$82,495.38
|
2026-05-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
9
|
6
|
—
|
—
|
$52,310.16
|
$83,696.26
|
$82,410.94
|
2026-05-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
6
|
—
|
—
|
$51,392.07
|
$91,738.75
|
$82,227.31
|
2026-05-15
|
|
2614
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$76,705.79
|
$103,552.82
|
$82,075.20
|
2026-05-15
|
|
52
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$76,345.86
|
$103,066.91
|
$81,690.07
|
2026-05-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
9
|
6
|
—
|
—
|
$51,032.21
|
$128,028.28
|
$81,651.54
|
2026-05-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
9
|
6
|
—
|
—
|
$50,870.75
|
$88,033.76
|
$81,393.20
|
2026-05-15
|
|
1814
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$76,015.79
|
$102,621.32
|
$81,336.90
|
2026-05-15
|
|
7404
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$75,863.96
|
$102,416.35
|
$81,174.44
|
2026-05-15
|
|
455
|
MS_DRG
|
Inpatient Ms-DRG
|
4
|
1
|
—
|
—
|
$81,148.22
|
$81,148.22
|
$81,148.22
|
2026-05-15
|
|
4402
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$75,449.38
|
$101,856.66
|
$80,730.83
|
2026-05-15
|
|
1764
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$75,224.08
|
$101,552.51
|
$80,489.76
|
2026-05-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
9
|
6
|
—
|
—
|
$50,216.54
|
$90,727.22
|
$80,346.46
|
2026-05-15
|
|
Q4142
|
HCPCS
|
Xcm Tissue Matrix
|
32
|
14
|
$133,099.00
|
$133,099.00
|
$140.01
|
$133,099.00
|
$80,258.70
|
2026-05-15
|
|
C2616
|
HCPCS
|
Sirspheres Microsphere
|
34
|
14
|
$133,099.00
|
$133,099.00
|
$5,323.96
|
$133,099.00
|
$80,258.70
|
2026-05-15
|
|
4014
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$74,973.72
|
$101,214.52
|
$80,221.88
|
2026-05-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
9
|
6
|
—
|
—
|
$50,133.49
|
$92,653.54
|
$80,213.58
|
2026-05-15
|
|
5104
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$73,789.33
|
$99,615.60
|
$78,954.58
|
2026-05-15
|
|
41
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$73,725.18
|
$99,528.99
|
$78,885.94
|
2026-05-15
|
|
1781
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$73,640.76
|
$99,415.03
|
$78,795.62
|
2026-05-15
|
|
3032
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$73,420.08
|
$99,117.11
|
$78,559.49
|
2026-05-15
|
|
37243
|
CPT
|
Sphere Embolization
|
55
|
14
|
$112,252.00
|
$112,252.00
|
$261.88
|
$118,528.00
|
$78,189.75
|
2026-05-15
|
|
6302
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$72,767.71
|
$98,236.41
|
$77,861.45
|
2026-05-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
6
|
—
|
—
|
$48,692.24
|
$77,907.58
|
$77,730.06
|
2026-05-15
|
|
6954
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$72,531.46
|
$97,917.47
|
$77,608.67
|
2026-05-15
|
|
7924
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$72,163.75
|
$97,421.06
|
$77,215.21
|
2026-05-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
9
|
6
|
—
|
—
|
$48,205.06
|
$90,228.24
|
$77,128.10
|
2026-05-15
|
|
C1772
|
HCPCS
|
Mdtr Drug Infusion Pump
|
29
|
14
|
$127,820.00
|
$127,820.00
|
$5,112.80
|
$127,820.00
|
$77,075.46
|
2026-05-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
9
|
6
|
—
|
—
|
$47,835.96
|
$90,465.85
|
$76,537.54
|
2026-05-15
|
|
2304
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$71,476.91
|
$96,493.83
|
$76,480.29
|
2026-05-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
9
|
6
|
—
|
—
|
$47,754.77
|
$84,313.50
|
$76,407.63
|
2026-05-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
9
|
6
|
—
|
—
|
$47,598.84
|
$81,737.15
|
$76,158.14
|
2026-05-15
|
|
3214
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$71,021.61
|
$95,879.17
|
$75,993.12
|
2026-05-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
9
|
6
|
—
|
—
|
$47,409.68
|
$85,941.12
|
$75,855.49
|
2026-05-15
|
|
1793
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$70,819.75
|
$95,606.66
|
$75,777.14
|
2026-05-15
|
|
5114
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$70,747.81
|
$95,509.54
|
$75,700.15
|
2026-05-15
|
|
1833
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$70,727.46
|
$95,482.07
|
$75,678.39
|
2026-05-15
|
|
924
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$70,527.14
|
$95,211.64
|
$75,464.04
|
2026-05-15
|
|
5892
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$70,193.89
|
$94,761.75
|
$75,107.46
|
2026-05-15
|
|
33289
|
CPT
|
Ep Trcath Wrls P-art Sens
|
37
|
14
|
$156,983.00
|
$156,983.00
|
$4,015.00
|
$156,983.00
|
$75,083.77
|
2026-05-15
|
|
3043
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$69,935.75
|
$94,413.26
|
$74,831.26
|
2026-05-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
9
|
6
|
—
|
—
|
$46,740.72
|
$85,194.35
|
$74,785.15
|
2026-05-15
|
|
34705
|
CPT
|
Aaa 1 Limb
|
44
|
14
|
$93,213.00
|
$93,213.00
|
$998.29
|
$98,390.00
|
$74,570.40
|
2026-05-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
9
|
6
|
—
|
—
|
$46,515.57
|
$96,728.52
|
$74,424.91
|
2026-05-15
|
|
1214
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$69,334.96
|
$93,602.20
|
$74,188.41
|
2026-05-15
|
|
2324
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,965.71
|
$93,103.71
|
$73,793.31
|
2026-05-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
9
|
6
|
—
|
—
|
$46,114.21
|
$95,009.26
|
$73,782.74
|
2026-05-15
|
|
1673
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,945.35
|
$93,076.22
|
$73,771.52
|
2026-05-15
|
|
61624
|
CPT
|
Cni Spinal Embolization
|
47
|
14
|
$103,486.00
|
$103,486.00
|
$476.39
|
$103,486.00
|
$73,677.75
|
2026-05-15
|
|
6123
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,485.35
|
$92,455.22
|
$73,279.32
|
2026-05-15
|
|
1663
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,346.10
|
$92,267.24
|
$73,130.33
|
2026-05-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
2
|
2
|
—
|
—
|
$57,202.60
|
$88,858.40
|
$73,030.50
|
2026-05-15
|
|
83
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,167.76
|
$92,026.48
|
$72,939.51
|
2026-05-15
|
|
1652
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$68,163.05
|
$92,020.12
|
$72,934.46
|
2026-05-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
9
|
6
|
—
|
—
|
$45,566.13
|
$76,725.32
|
$72,905.81
|
2026-05-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
9
|
6
|
—
|
—
|
$45,477.53
|
$78,317.29
|
$72,764.05
|
2026-05-15
|
|
6113
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$67,970.60
|
$91,760.31
|
$72,728.54
|
2026-05-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
9
|
6
|
—
|
—
|
$45,348.37
|
$85,615.25
|
$72,557.39
|
2026-05-15
|
|
4401
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$67,651.47
|
$91,329.48
|
$72,387.07
|
2026-05-15
|
|
304
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$67,585.78
|
$91,240.80
|
$72,316.79
|
2026-05-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
9
|
6
|
—
|
—
|
$44,971.90
|
$79,707.30
|
$71,955.04
|
2026-05-15
|
|
1704
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$67,178.98
|
$90,691.62
|
$71,881.51
|
2026-05-15
|
|
3254
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$66,992.77
|
$90,440.24
|
$71,682.26
|
2026-05-15
|
|
1621
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$66,948.98
|
$90,381.12
|
$71,635.41
|
2026-05-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
9
|
6
|
—
|
—
|
$44,598.20
|
$82,928.59
|
$71,357.12
|
2026-05-15
|
|
2644
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$66,556.21
|
$89,850.88
|
$71,215.15
|
2026-05-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
9
|
6
|
—
|
—
|
$44,490.25
|
$76,404.55
|
$71,184.40
|
2026-05-15
|
|
6133
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$66,222.96
|
$89,401.00
|
$70,858.57
|
2026-05-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
9
|
6
|
—
|
—
|
$44,283.54
|
$91,950.90
|
$70,853.66
|
2026-05-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
9
|
6
|
—
|
—
|
$44,157.15
|
$79,155.71
|
$70,651.44
|
2026-05-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
9
|
6
|
—
|
—
|
$44,138.71
|
$76,329.87
|
$70,621.94
|
2026-05-15
|
|
4054
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,849.01
|
$88,896.16
|
$70,458.44
|
2026-05-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
9
|
6
|
—
|
—
|
$43,974.47
|
$87,361.67
|
$70,359.15
|
2026-05-15
|
|
4044
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,606.52
|
$88,568.80
|
$70,198.98
|
2026-05-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
5
|
—
|
—
|
$68,792.39
|
$110,067.82
|
$70,168.24
|
2026-05-15
|
|
7104
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,512.69
|
$88,442.13
|
$70,098.58
|
2026-05-15
|
|
5124
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,482.92
|
$88,401.94
|
$70,066.73
|
2026-05-15
|
|
6514
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,302.96
|
$88,159.00
|
$69,874.17
|
2026-05-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
9
|
6
|
—
|
—
|
$43,539.88
|
$84,975.41
|
$69,663.81
|
2026-05-15
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
9
|
6
|
—
|
—
|
$43,527.89
|
$74,196.49
|
$69,644.62
|
2026-05-15
|
|
1824
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$65,024.54
|
$87,783.13
|
$69,576.26
|
2026-05-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
9
|
6
|
—
|
—
|
$43,365.48
|
$73,283.40
|
$69,384.77
|
2026-05-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
5
|
5
|
—
|
—
|
$67,978.55
|
$108,765.68
|
$69,338.12
|
2026-05-15
|
|
1754
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$64,755.37
|
$87,419.75
|
$69,288.24
|
2026-05-15
|
|
1632
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$64,753.83
|
$87,417.67
|
$69,286.60
|
2026-05-15
|
|
37184
|
CPT
|
Arterial Thrombectomy
|
37
|
14
|
$86,350.00
|
$86,350.00
|
$1,405.29
|
$86,350.00
|
$69,080.00
|
2026-05-15
|
|
51
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$64,437.78
|
$86,991.00
|
$68,948.43
|
2026-05-15
|
|
4034
|
APR_DRG
|
Inpatient Apr-DRG
|
4
|
4
|
—
|
—
|
$64,146.79
|
$86,598.17
|
$68,637.07
|
2026-05-15
|
|
33995
|
CPT
|
Insert Impella Cath Right
|
35
|
14
|
$141,618.00
|
$141,618.00
|
$330.22
|
$141,618.00
|
$68,553.65
|
2026-05-15
|