|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
20
|
8
|
—
|
—
|
$3,279,887.34
|
$4,456,500.97
|
$3,648,846.83
|
2026-03-04
|
|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
19
|
8
|
—
|
—
|
$3,301,900.00
|
$4,456,500.97
|
$3,598,700.00
|
2026-03-04
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
20
|
8
|
—
|
—
|
$2,957,001.24
|
$3,990,167.79
|
$3,259,217.96
|
2026-03-04
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
19
|
8
|
—
|
—
|
$2,924,540.00
|
$3,835,473.75
|
$3,138,595.00
|
2026-03-04
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
19
|
8
|
—
|
—
|
$2,623,909.86
|
$3,565,200.78
|
$2,870,154.93
|
2026-03-04
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
20
|
8
|
—
|
—
|
$2,156,586.79
|
$2,887,066.37
|
$2,340,109.24
|
2026-03-04
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
19
|
8
|
—
|
—
|
$2,075,480.00
|
$2,801,229.18
|
$2,262,040.00
|
2026-03-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
19
|
10
|
—
|
$5,589.00
|
$386,508.68
|
$1,137,757.00
|
$746,359.42
|
2026-03-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
34
|
14
|
—
|
—
|
$511,072.50
|
$1,325,564.01
|
$666,112.57
|
2026-03-04
|
|
5834
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$552,038.32
|
$693,990.94
|
$583,583.27
|
2026-03-04
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
34
|
14
|
—
|
—
|
$325,500.00
|
$1,292,038.46
|
$583,053.42
|
2026-03-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
34
|
14
|
—
|
—
|
$352,380.00
|
$1,238,123.12
|
$566,538.47
|
2026-03-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
34
|
14
|
—
|
—
|
$344,652.00
|
$1,210,407.29
|
$563,038.20
|
2026-03-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
34
|
14
|
—
|
—
|
$435,565.25
|
$1,143,769.89
|
$555,964.33
|
2026-03-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
34
|
14
|
—
|
—
|
$257,664.44
|
$1,147,204.69
|
$535,394.92
|
2026-03-04
|
|
5833
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$480,754.31
|
$604,376.77
|
$508,225.91
|
2026-03-04
|
|
5884
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$411,749.40
|
$517,627.75
|
$435,277.87
|
2026-03-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
25
|
11
|
—
|
$5,589.00
|
$133,489.67
|
$662,552.28
|
$434,886.37
|
2026-03-04
|
|
1614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$379,780.31
|
$477,438.04
|
$401,481.97
|
2026-03-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
25
|
11
|
—
|
$5,589.00
|
$126,866.65
|
$646,570.00
|
$398,390.55
|
2026-03-04
|
|
5832
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$301,684.91
|
$379,260.99
|
$318,924.00
|
2026-03-04
|
|
1613
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$287,785.32
|
$361,787.22
|
$304,230.15
|
2026-03-04
|
|
6304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$279,865.43
|
$351,830.78
|
$295,857.70
|
2026-03-04
|
|
8414
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$272,764.53
|
$342,903.93
|
$288,351.03
|
2026-03-04
|
|
5934
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$270,679.57
|
$340,282.85
|
$286,146.93
|
2026-03-04
|
|
5914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$267,979.15
|
$336,888.03
|
$283,292.21
|
2026-03-04
|
|
5883
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$264,084.41
|
$331,991.79
|
$279,174.91
|
2026-03-04
|
|
6314
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$263,262.20
|
$330,958.15
|
$278,305.71
|
2026-03-04
|
|
6094
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$260,251.66
|
$327,173.47
|
$275,123.14
|
2026-03-04
|
|
5882
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$257,061.50
|
$323,162.98
|
$271,750.68
|
2026-03-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
25
|
11
|
—
|
$5,589.00
|
$77,266.73
|
$426,287.00
|
$265,702.50
|
2026-03-04
|
|
94
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$245,143.40
|
$308,180.24
|
$259,151.55
|
2026-03-04
|
|
5831
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$244,308.50
|
$307,130.64
|
$258,268.95
|
2026-03-04
|
|
44
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$240,609.38
|
$302,480.32
|
$254,358.45
|
2026-03-04
|
|
1612
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$230,787.37
|
$290,132.65
|
$243,975.17
|
2026-03-04
|
|
1611
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$219,511.86
|
$275,957.73
|
$232,055.35
|
2026-03-04
|
|
6034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$203,048.61
|
$255,261.07
|
$214,651.35
|
2026-03-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
25
|
11
|
—
|
$5,589.00
|
$86,252.44
|
$319,635.00
|
$212,945.00
|
2026-03-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
10
|
—
|
$5,589.00
|
$111,648.75
|
$328,658.00
|
$209,331.48
|
2026-03-04
|
|
6024
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$195,317.99
|
$245,542.58
|
$206,478.98
|
2026-03-04
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
7
|
2
|
—
|
—
|
$62,964.97
|
$241,349.28
|
$205,788.29
|
2026-03-04
|
|
5933
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$182,320.07
|
$229,202.34
|
$192,738.33
|
2026-03-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
10
|
—
|
$5,589.00
|
$107,359.65
|
$316,032.00
|
$191,317.52
|
2026-03-04
|
|
5913
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$175,446.61
|
$220,561.42
|
$185,472.10
|
2026-03-04
|
|
1604
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$173,169.25
|
$217,698.46
|
$183,064.61
|
2026-03-04
|
|
5881
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$170,974.57
|
$214,939.43
|
$180,744.52
|
2026-03-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
12
|
—
|
$5,589.00
|
$67,217.59
|
$291,164.00
|
$176,923.97
|
2026-03-04
|
|
54
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$165,204.84
|
$207,686.06
|
$174,645.09
|
2026-03-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
11
|
—
|
$5,589.00
|
$60,784.12
|
$255,507.00
|
$170,222.00
|
2026-03-04
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
18
|
10
|
—
|
$5,589.00
|
$94,410.37
|
$277,914.00
|
$168,241.77
|
2026-03-04
|
|
43
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$159,027.96
|
$199,920.84
|
$168,115.24
|
2026-03-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$72,430.05
|
$270,922.03
|
$162,020.00
|
2026-03-04
|
|
6074
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$151,831.68
|
$190,874.09
|
$160,507.76
|
2026-03-04
|
|
6303
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$151,602.59
|
$190,586.09
|
$160,265.57
|
2026-03-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
27
|
12
|
—
|
$5,589.00
|
$52,001.18
|
$276,562.00
|
$159,415.42
|
2026-03-04
|
|
3034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$150,422.61
|
$189,102.69
|
$159,018.16
|
2026-03-04
|
|
8424
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$148,884.70
|
$187,169.31
|
$157,392.37
|
2026-03-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
27
|
12
|
—
|
$5,589.00
|
$54,963.35
|
$255,649.00
|
$156,790.00
|
2026-03-04
|
|
1624
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$148,091.18
|
$186,171.74
|
$156,553.51
|
2026-03-04
|
|
6023
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$147,548.83
|
$185,489.94
|
$155,980.17
|
2026-03-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
12
|
—
|
$5,589.00
|
$52,477.24
|
$233,433.00
|
$154,871.00
|
2026-03-04
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
7
|
2
|
—
|
—
|
$45,864.14
|
$176,722.41
|
$154,021.90
|
2026-03-04
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
10
|
—
|
$5,589.00
|
$85,480.64
|
$251,628.00
|
$152,328.44
|
2026-03-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$50,426.42
|
$225,187.00
|
$150,023.00
|
2026-03-04
|
|
5932
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$141,758.41
|
$178,210.55
|
$149,858.87
|
2026-03-04
|
|
Q0480
|
HCPCS
|
Dme Pos
|
34
|
14
|
—
|
—
|
$48,424.51
|
$198,999.82
|
$149,499.86
|
2026-03-04
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
7
|
2
|
—
|
—
|
$40,997.71
|
$160,086.59
|
$142,038.83
|
2026-03-04
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
34
|
14
|
—
|
—
|
$93,216.70
|
$185,501.23
|
$139,358.96
|
2026-03-04
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
22
|
10
|
—
|
$5,589.00
|
$72,427.85
|
$213,204.00
|
$135,796.12
|
2026-03-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
25
|
11
|
—
|
$5,589.00
|
$42,332.23
|
$209,870.00
|
$134,777.85
|
2026-03-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
25
|
11
|
—
|
$5,589.00
|
$41,464.95
|
$201,496.00
|
$134,239.00
|
2026-03-04
|
|
1634
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$125,296.81
|
$157,515.97
|
$132,456.61
|
2026-03-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
25
|
11
|
—
|
$5,589.00
|
$40,699.06
|
$206,003.00
|
$131,908.09
|
2026-03-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
12
|
—
|
$5,589.00
|
$44,521.90
|
$194,828.00
|
$131,708.83
|
2026-03-04
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
10
|
—
|
$5,589.00
|
$72,793.73
|
$214,281.00
|
$129,720.35
|
2026-03-04
|
|
8634
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$120,942.41
|
$152,041.86
|
$127,853.39
|
2026-03-04
|
|
1784
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$120,390.59
|
$151,348.15
|
$127,270.03
|
2026-03-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$38,839.99
|
$190,798.00
|
$124,222.25
|
2026-03-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
12
|
—
|
$5,589.00
|
$45,399.09
|
$201,155.00
|
$123,898.70
|
2026-03-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
27
|
12
|
—
|
$5,589.00
|
$40,069.82
|
$184,293.00
|
$123,733.06
|
2026-03-04
|
|
53
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$116,985.68
|
$147,067.69
|
$123,670.55
|
2026-03-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$36,002.34
|
$180,736.00
|
$123,244.39
|
2026-03-04
|
|
1654
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$116,056.88
|
$145,900.05
|
$122,688.67
|
2026-03-04
|
|
1674
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$115,842.22
|
$145,630.20
|
$122,461.75
|
2026-03-04
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
18
|
10
|
—
|
$5,589.00
|
$68,714.73
|
$202,274.00
|
$122,451.28
|
2026-03-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$37,418.41
|
$183,412.00
|
$122,090.51
|
2026-03-04
|
|
6114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$115,155.11
|
$144,766.41
|
$121,735.39
|
2026-03-04
|
|
6022
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$114,466.53
|
$143,900.77
|
$121,007.46
|
2026-03-04
|
|
6073
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$114,255.00
|
$143,634.84
|
$120,783.84
|
2026-03-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$47,667.01
|
$186,314.84
|
$120,409.00
|
2026-03-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
25
|
11
|
—
|
$5,589.00
|
$38,390.37
|
$195,108.00
|
$120,126.99
|
2026-03-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
27
|
12
|
—
|
$5,589.00
|
$39,388.79
|
$204,650.00
|
$120,008.22
|
2026-03-04
|
|
6093
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$113,513.91
|
$142,703.18
|
$120,000.40
|
2026-03-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
12
|
—
|
$5,589.00
|
$36,154.42
|
$179,484.00
|
$119,575.00
|
2026-03-04
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
22
|
10
|
—
|
$5,589.00
|
$63,484.80
|
$186,879.00
|
$119,028.37
|
2026-03-04
|
|
93
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$111,012.33
|
$139,558.34
|
$117,355.87
|
2026-03-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$38,263.64
|
$175,653.00
|
$117,022.00
|
2026-03-04
|
|
6124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$110,686.29
|
$139,148.47
|
$117,011.21
|
2026-03-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$35,576.97
|
$185,787.00
|
$116,160.10
|
2026-03-04
|
|
3044
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$109,258.19
|
$137,353.13
|
$115,501.49
|
2026-03-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
11
|
—
|
$5,589.00
|
$43,596.22
|
$173,152.00
|
$115,356.00
|
2026-03-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
11
|
—
|
$5,589.00
|
$37,598.04
|
$172,117.00
|
$114,667.00
|
2026-03-04
|
|
1834
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$107,629.68
|
$135,305.86
|
$113,779.93
|
2026-03-04
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
18
|
10
|
—
|
$5,589.00
|
$63,402.81
|
$186,638.00
|
$112,985.54
|
2026-03-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$37,058.06
|
$168,180.00
|
$112,044.00
|
2026-03-04
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$39,106.67
|
$166,753.00
|
$111,093.00
|
2026-03-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
25
|
11
|
—
|
$5,589.00
|
$55,379.91
|
$197,718.66
|
$111,005.81
|
2026-03-04
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
2
|
—
|
—
|
$35,001.72
|
$137,872.25
|
$110,173.05
|
2026-03-04
|
|
5912
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$103,707.90
|
$130,375.62
|
$109,634.05
|
2026-03-04
|
|
42
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$103,536.10
|
$130,159.65
|
$109,452.43
|
2026-03-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$36,326.33
|
$163,778.00
|
$109,111.00
|
2026-03-04
|
|
1794
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$103,138.51
|
$129,659.83
|
$109,032.12
|
2026-03-04
|
|
9104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$102,984.28
|
$129,465.93
|
$108,869.07
|
2026-03-04
|
|
3033
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$102,842.74
|
$129,287.99
|
$108,719.45
|
2026-03-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
11
|
—
|
$5,589.00
|
$34,991.81
|
$162,943.00
|
$108,555.00
|
2026-03-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
27
|
12
|
—
|
$5,589.00
|
$34,848.55
|
$276,562.00
|
$108,505.45
|
2026-03-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
12
|
—
|
$5,589.00
|
$35,514.15
|
$159,796.00
|
$108,026.16
|
2026-03-04
|
|
1664
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$102,162.07
|
$128,432.30
|
$107,999.89
|
2026-03-04
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
7
|
2
|
—
|
—
|
$32,216.97
|
$125,772.76
|
$106,955.85
|
2026-03-04
|
|
6804
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$100,792.73
|
$126,710.84
|
$106,552.30
|
2026-03-04
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$32,458.31
|
$162,771.00
|
$106,149.51
|
2026-03-04
|
|
1623
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$100,302.90
|
$126,095.06
|
$106,034.48
|
2026-03-04
|
|
914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$99,635.01
|
$125,255.43
|
$105,328.43
|
2026-03-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$33,090.86
|
$162,789.00
|
$105,232.79
|
2026-03-04
|
|
6033
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$98,046.23
|
$123,258.10
|
$103,648.86
|
2026-03-04
|
|
5891
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$97,968.33
|
$123,160.17
|
$103,566.51
|
2026-03-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$34,131.14
|
$153,699.00
|
$102,396.00
|
2026-03-04
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$35,277.22
|
$153,228.00
|
$102,083.00
|
2026-03-04
|
|
8504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$96,191.93
|
$120,926.99
|
$101,688.60
|
2026-03-04
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
27
|
12
|
—
|
$5,589.00
|
$42,076.56
|
$165,930.00
|
$101,634.37
|
2026-03-04
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
10
|
—
|
$5,589.00
|
$56,410.09
|
$166,053.00
|
$100,524.08
|
2026-03-04
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$34,126.74
|
$150,884.00
|
$100,521.00
|
2026-03-04
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
18
|
10
|
—
|
$5,589.00
|
$56,065.73
|
$165,040.00
|
$99,910.61
|
2026-03-04
|
|
6134
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$93,819.11
|
$117,944.01
|
$99,180.19
|
2026-03-04
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
25
|
11
|
—
|
$5,589.00
|
$40,099.58
|
$151,062.00
|
$98,129.75
|
2026-03-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
25
|
11
|
—
|
$5,589.00
|
$33,430.27
|
$146,540.00
|
$97,627.00
|
2026-03-04
|
|
1783
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$92,249.46
|
$115,970.74
|
$97,520.84
|
2026-03-04
|
|
9124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$91,885.26
|
$115,512.88
|
$97,135.83
|
2026-03-04
|
|
9114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$91,775.54
|
$115,374.95
|
$97,019.85
|
2026-03-04
|
|
1694
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$91,571.92
|
$115,118.97
|
$96,804.59
|
2026-03-04
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$31,256.03
|
$151,958.00
|
$96,606.08
|
2026-03-04
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
25
|
11
|
—
|
$5,589.00
|
$33,566.92
|
$144,072.00
|
$95,983.00
|
2026-03-04
|
|
6214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$89,943.41
|
$113,071.70
|
$95,083.02
|
2026-03-04
|
|
8413
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$89,663.55
|
$112,719.87
|
$94,787.16
|
2026-03-04
|
|
214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$89,642.85
|
$112,693.86
|
$94,765.29
|
2026-03-04
|
|
234
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$89,157.80
|
$112,084.08
|
$94,252.52
|
2026-03-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
12
|
—
|
$5,589.00
|
$34,203.88
|
$154,857.00
|
$94,098.16
|
2026-03-04
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
18
|
10
|
—
|
$5,589.00
|
$52,782.04
|
$155,373.00
|
$94,058.82
|
2026-03-04
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
26
|
12
|
—
|
$5,589.00
|
$34,858.46
|
$147,430.00
|
$93,902.41
|
2026-03-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
12
|
—
|
$5,589.00
|
$30,763.43
|
$154,871.00
|
$93,666.04
|
2026-03-04
|
|
1204
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$87,928.44
|
$110,538.60
|
$92,952.91
|
2026-03-04
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$33,094.16
|
$143,448.00
|
$92,560.70
|
2026-03-04
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
23
|
11
|
—
|
$5,589.00
|
$51,277.52
|
$150,945.00
|
$91,720.50
|
2026-03-04
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
26
|
12
|
—
|
$5,589.00
|
$37,989.25
|
$147,034.15
|
$91,384.81
|
2026-03-04
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$30,058.15
|
$143,420.00
|
$91,348.74
|
2026-03-04
|
|
6814
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$86,373.14
|
$108,583.36
|
$91,308.73
|
2026-03-04
|
|
2204
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$86,346.10
|
$108,549.37
|
$91,280.15
|
2026-03-04
|
|
6313
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$86,336.54
|
$108,537.35
|
$91,270.04
|
2026-03-04
|
|
6904
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$85,714.73
|
$107,755.64
|
$90,612.70
|
2026-03-04
|
|
2604
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$85,698.82
|
$107,735.64
|
$90,595.88
|
2026-03-04
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$28,314.79
|
$141,176.00
|
$89,918.79
|
2026-03-04
|
|
6334
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,639.69
|
$106,404.17
|
$89,476.23
|
2026-03-04
|
|
894
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,531.53
|
$106,268.20
|
$89,361.89
|
2026-03-04
|
|
3124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,270.71
|
$105,940.30
|
$89,086.17
|
2026-03-04
|
|
9504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,215.06
|
$105,870.35
|
$89,027.34
|
2026-03-04
|
|
204
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,202.28
|
$105,854.29
|
$89,013.83
|
2026-03-04
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$32,622.51
|
$139,055.00
|
$88,919.16
|
2026-03-04
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$32,846.21
|
$138,533.00
|
$88,235.86
|
2026-03-04
|
|
1653
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$83,295.83
|
$104,714.74
|
$88,055.58
|
2026-03-04
|
|
3614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$83,163.85
|
$104,548.82
|
$87,916.05
|
2026-03-04
|
|
6072
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$83,124.03
|
$104,498.77
|
$87,873.96
|
2026-03-04
|
|
4414
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$82,922.06
|
$104,244.87
|
$87,660.45
|
2026-03-04
|
|
6084
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$82,920.50
|
$104,242.90
|
$87,658.80
|
2026-03-04
|
|
1633
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$82,538.82
|
$103,763.08
|
$87,255.31
|
2026-03-04
|
|
1304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$82,010.82
|
$103,099.31
|
$86,697.14
|
2026-03-04
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$29,622.86
|
$136,110.00
|
$86,692.82
|
2026-03-04
|
|
1782
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$81,877.19
|
$102,931.32
|
$86,555.88
|
2026-03-04
|
|
1603
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$81,794.51
|
$102,827.37
|
$86,468.47
|
2026-03-04
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
23
|
11
|
—
|
$5,589.00
|
$47,676.11
|
$140,343.00
|
$86,441.88
|
2026-03-04
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$29,413.48
|
$134,925.00
|
$85,937.60
|
2026-03-04
|
|
6083
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$81,070.89
|
$101,917.68
|
$85,703.51
|
2026-03-04
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$28,963.87
|
$133,664.00
|
$85,134.46
|
2026-03-04
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
7
|
2
|
—
|
—
|
$26,509.71
|
$103,240.77
|
$84,947.41
|
2026-03-04
|
|
7404
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$78,581.29
|
$96,941.43
|
$84,456.57
|
2026-03-04
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$27,447.51
|
$132,526.00
|
$84,409.90
|
2026-03-04
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
12
|
—
|
$5,589.00
|
$31,418.02
|
$131,716.18
|
$84,342.42
|
2026-03-04
|
|
274
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$79,474.20
|
$99,910.41
|
$84,015.57
|
2026-03-04
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
27
|
12
|
—
|
$5,589.00
|
$26,968.14
|
$138,276.00
|
$83,866.24
|
2026-03-04
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$25,935.57
|
$135,299.00
|
$83,825.85
|
2026-03-04
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
25
|
12
|
—
|
$5,589.00
|
$43,343.97
|
$127,591.00
|
$83,504.03
|
2026-03-04
|
|
6144
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,570.88
|
$98,774.80
|
$83,060.63
|
2026-03-04
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
5
|
3
|
—
|
—
|
$44,763.24
|
$173,572.18
|
$82,861.00
|
2026-03-04
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
5
|
3
|
—
|
—
|
$55,854.87
|
$221,069.71
|
$82,861.00
|
2026-03-04
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
5
|
3
|
—
|
—
|
$49,505.15
|
$193,271.59
|
$82,861.00
|
2026-03-04
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
5
|
3
|
—
|
—
|
$37,809.62
|
$147,714.08
|
$82,861.00
|
2026-03-04
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
5
|
3
|
—
|
—
|
$40,180.02
|
$163,079.30
|
$82,861.00
|
2026-03-04
|
|
1622
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,367.35
|
$98,518.94
|
$82,845.46
|
2026-03-04
|
|
2614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$77,968.19
|
$98,017.15
|
$82,423.51
|
2026-03-04
|
|
52
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$77,602.34
|
$97,557.22
|
$82,036.75
|
2026-03-04
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$27,291.03
|
$128,692.00
|
$81,967.40
|
2026-03-04
|
|
1814
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$77,266.83
|
$97,135.44
|
$81,682.07
|
2026-03-04
|
|
1764
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$76,462.10
|
$96,123.77
|
$80,831.35
|
2026-03-04
|
|
4014
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$76,207.62
|
$95,803.85
|
$80,562.33
|
2026-03-04
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$29,280.14
|
$126,426.00
|
$80,524.54
|
2026-03-04
|
|
5104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$75,003.73
|
$94,290.40
|
$79,289.64
|
2026-03-04
|
|
266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
34
|
14
|
—
|
—
|
$8,991.00
|
$105,460.63
|
$79,227.96
|
2026-03-04
|
|
41
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$74,938.53
|
$94,208.42
|
$79,220.71
|
2026-03-04
|
|
1781
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$74,852.71
|
$94,100.54
|
$79,130.00
|
2026-03-04
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
26
|
12
|
—
|
$5,589.00
|
$28,051.41
|
$123,989.00
|
$78,971.93
|
2026-03-04
|
|
3032
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$74,628.40
|
$93,818.55
|
$78,892.88
|
2026-03-04
|
|
6302
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$73,965.30
|
$92,984.93
|
$78,191.88
|
2026-03-04
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$28,368.79
|
$122,709.00
|
$78,157.29
|
2026-03-04
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
23
|
11
|
—
|
$5,589.00
|
$43,653.48
|
$128,502.00
|
$78,083.32
|
2026-03-04
|
|
6954
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$73,725.16
|
$92,683.05
|
$77,938.02
|
2026-03-04
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
26
|
12
|
—
|
$5,589.00
|
$25,261.15
|
$123,805.00
|
$77,806.83
|
2026-03-04
|
|
7924
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$73,351.40
|
$92,213.18
|
$77,542.90
|
2026-03-04
|
|
2304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,653.26
|
$91,335.51
|
$76,804.86
|
2026-03-04
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$26,704.77
|
$120,184.00
|
$76,548.60
|
2026-03-04
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$23,925.52
|
$126,396.00
|
$76,516.88
|
2026-03-04
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
26
|
12
|
—
|
$5,589.00
|
$25,063.89
|
$120,100.00
|
$76,494.93
|
2026-03-04
|
|
3214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,190.46
|
$90,753.71
|
$76,315.62
|
2026-03-04
|
|
1793
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,985.28
|
$90,495.77
|
$76,098.71
|
2026-03-04
|
|
5114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,912.16
|
$90,403.85
|
$76,021.42
|
2026-03-04
|
|
1833
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,891.47
|
$90,377.84
|
$75,999.54
|
2026-03-04
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
28
|
13
|
—
|
$5,589.00
|
$28,556.13
|
$125,524.00
|
$75,988.98
|
2026-03-04
|
|
924
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,687.85
|
$90,121.86
|
$75,784.29
|
2026-03-04
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$28,920.89
|
$118,793.00
|
$75,663.04
|
2026-03-04
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
35
|
14
|
—
|
—
|
$50,573.85
|
$133,170.80
|
$75,606.92
|
2026-03-04
|
|
5892
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,349.13
|
$89,696.03
|
$75,426.21
|
2026-03-04
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$24,971.32
|
$116,160.00
|
$75,365.87
|
2026-03-04
|
|
3043
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,086.74
|
$89,366.17
|
$75,148.83
|
2026-03-04
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$24,694.72
|
$119,038.00
|
$75,069.96
|
2026-03-04
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$25,125.60
|
$117,318.00
|
$74,723.32
|
2026-03-04
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
34
|
14
|
—
|
—
|
$56,279.69
|
$148,585.44
|
$74,666.05
|
2026-03-04
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
26
|
12
|
—
|
$5,589.00
|
$26,778.60
|
$116,603.00
|
$74,609.21
|
2026-03-04
|
|
1214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,476.05
|
$88,598.46
|
$74,503.24
|
2026-03-04
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
19
|
11
|
—
|
$5,589.00
|
$41,850.73
|
$123,195.00
|
$74,299.00
|
2026-03-04
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
22
|
9
|
$129,076.53
|
$26,822.10
79% off
|
$36,283.41
|
$117,162.76
|
$74,253.96
|
2026-03-04
|
|
2324
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,100.73
|
$88,126.62
|
$74,106.47
|
2026-03-04
|
|
1673
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,080.03
|
$88,100.60
|
$74,084.60
|
2026-03-04
|
|
6123
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,612.46
|
$87,512.80
|
$73,590.30
|
2026-03-04
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
26
|
12
|
—
|
$5,589.00
|
$26,259.56
|
$115,318.00
|
$73,462.24
|
2026-03-04
|
|
1663
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,470.92
|
$87,334.86
|
$73,440.67
|
2026-03-04
|
|
1652
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,284.86
|
$87,100.96
|
$73,243.98
|
2026-03-04
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
26
|
12
|
—
|
$5,589.00
|
$23,676.47
|
$116,486.00
|
$73,200.21
|
2026-03-04
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
26
|
12
|
—
|
$5,589.00
|
$26,883.29
|
$114,693.00
|
$73,051.38
|
2026-03-04
|
|
6113
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,089.24
|
$86,855.04
|
$73,037.19
|
2026-03-04
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$26,374.17
|
$113,800.00
|
$72,706.39
|
2026-03-04
|
|
304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,698.09
|
$86,363.30
|
$72,623.68
|
2026-03-04
|
|
1704
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,284.59
|
$85,843.48
|
$72,186.56
|
2026-03-04
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
26
|
12
|
—
|
$5,589.00
|
$25,271.06
|
$112,892.00
|
$72,178.86
|
2026-03-04
|
|
3254
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,095.32
|
$85,605.54
|
$71,986.48
|
2026-03-04
|
|
1621
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,050.81
|
$85,549.58
|
$71,939.41
|
2026-03-04
|
|
2644
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$67,651.57
|
$85,047.68
|
$71,517.36
|
2026-03-04
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
23
|
11
|
—
|
$5,589.00
|
$24,364.12
|
$104,877.09
|
$71,499.00
|
2026-03-04
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
28
|
13
|
—
|
$5,589.00
|
$24,833.57
|
$117,970.00
|
$71,415.81
|
2026-03-04
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
19
|
11
|
—
|
$5,589.00
|
$40,095.12
|
$118,027.00
|
$71,182.00
|
2026-03-04
|
|
6133
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$67,312.84
|
$84,621.85
|
$71,159.28
|
2026-03-04
|
|
4054
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,932.73
|
$84,144.00
|
$70,757.45
|
2026-03-04
|
|
4044
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,686.25
|
$83,834.14
|
$70,496.89
|
2026-03-04
|
|
7104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,590.88
|
$83,714.24
|
$70,396.06
|
2026-03-04
|
|
5124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,560.62
|
$83,676.20
|
$70,364.08
|
2026-03-04
|
|
6514
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,377.70
|
$83,446.24
|
$70,170.70
|
2026-03-04
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$23,994.95
|
$110,078.00
|
$70,111.49
|
2026-03-04
|
|
1824
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,094.70
|
$83,090.47
|
$69,871.53
|
2026-03-04
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$27,075.04
|
$109,314.00
|
$69,625.58
|
2026-03-04
|
|
1754
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,821.09
|
$82,746.51
|
$69,582.29
|
2026-03-04
|
|
1632
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,819.53
|
$82,744.54
|
$69,580.63
|
2026-03-04
|
|
51
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,498.28
|
$82,340.68
|
$69,241.02
|
2026-03-04
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
26
|
12
|
—
|
$5,589.00
|
$22,815.81
|
$108,126.00
|
$69,020.64
|
2026-03-04
|
|
4034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,202.50
|
$81,968.85
|
$68,928.35
|
2026-03-04
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$21,101.10
|
$108,150.00
|
$68,883.77
|
2026-03-04
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$23,934.34
|
$108,144.00
|
$68,879.95
|
2026-03-04
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
26
|
12
|
—
|
$5,589.00
|
$23,852.79
|
$105,631.00
|
$68,825.89
|
2026-03-04
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
15
|
11
|
—
|
—
|
$59,284.57
|
$134,230.79
|
$68,801.71
|
2026-03-04
|
|
264
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,030.70
|
$81,752.87
|
$68,746.73
|
2026-03-04
|
|
92
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,814.39
|
$81,480.94
|
$68,518.06
|
2026-03-04
|
|
2314
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,647.46
|
$81,271.09
|
$68,341.59
|
2026-03-04
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$23,061.55
|
$107,136.00
|
$68,238.30
|
2026-03-04
|
|
6092
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,497.92
|
$81,083.09
|
$68,183.51
|
2026-03-04
|
|
8633
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,410.46
|
$80,973.14
|
$68,091.05
|
2026-03-04
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
26
|
12
|
—
|
$5,589.00
|
$20,892.82
|
$107,619.00
|
$67,967.90
|
2026-03-04
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$23,373.42
|
$109,199.95
|
$67,884.24
|
2026-03-04
|
|
9103
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,211.71
|
$80,723.28
|
$67,880.94
|
2026-03-04
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$22,989.92
|
$106,481.00
|
$67,820.90
|
2026-03-04
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
26
|
12
|
—
|
$5,589.00
|
$22,975.60
|
$106,213.00
|
$67,745.60
|
2026-03-04
|
|
6504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,022.44
|
$80,485.34
|
$67,680.85
|
2026-03-04
|
|
4474
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,796.65
|
$80,201.49
|
$67,442.16
|
2026-03-04
|
|
5144
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,763.18
|
$80,159.41
|
$67,406.77
|
2026-03-04
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$22,867.60
|
$105,706.00
|
$67,327.33
|
2026-03-04
|
|
4424
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,532.61
|
$79,869.55
|
$67,163.03
|
2026-03-04
|
|
224
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,084.16
|
$79,305.79
|
$66,688.96
|
2026-03-04
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
3
|
2
|
—
|
—
|
$20,726.42
|
$83,320.84
|
$66,581.28
|
2026-03-04
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$22,313.30
|
$105,673.00
|
$66,321.51
|
2026-03-04
|
|
1303
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$62,734.30
|
$78,865.97
|
$66,319.11
|
2026-03-04
|
|
3031
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$62,702.48
|
$78,825.97
|
$66,285.48
|
2026-03-04
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
26
|
12
|
—
|
$5,589.00
|
$21,673.03
|
$105,444.00
|
$66,101.85
|
2026-03-04
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
26
|
12
|
—
|
$5,589.00
|
$21,789.85
|
$103,751.00
|
$66,081.88
|
2026-03-04
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
26
|
12
|
—
|
$5,589.00
|
$33,010.41
|
$127,573.64
|
$66,046.31
|
2026-03-04
|
|
244
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$62,368.45
|
$78,406.04
|
$65,932.35
|
2026-03-04
|