|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
21
|
9
|
$129,076.53
|
$27,351.31
79% off
|
$20,832.95
|
$109,715.05
|
$76,274.10
|
2026-03-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
10
|
—
|
$3,319.00
|
$190,000.00
|
$1,022,036.00
|
$602,519.76
|
2026-03-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
25
|
11
|
—
|
$3,319.00
|
$64,859.00
|
$580,807.00
|
$421,923.91
|
2026-03-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
24
|
11
|
—
|
$3,319.00
|
$120,913.16
|
$387,124.50
|
$276,076.07
|
2026-03-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
13
|
9
|
—
|
$3,319.00
|
$208,893.25
|
$585,614.45
|
$222,898.01
|
2026-03-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
21
|
10
|
—
|
$3,319.00
|
$102,358.43
|
$295,230.00
|
$214,468.21
|
2026-03-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
10
|
—
|
$3,319.00
|
$98,426.23
|
$283,889.00
|
$195,868.20
|
2026-03-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
12
|
—
|
$3,319.00
|
$58,702.00
|
$310,696.52
|
$195,658.87
|
2026-03-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
11
|
—
|
$3,319.00
|
$79,576.10
|
$239,417.79
|
$177,984.57
|
2026-03-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
29
|
12
|
—
|
$3,319.00
|
$58,158.00
|
$290,430.62
|
$176,007.00
|
2026-03-04
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
17
|
10
|
—
|
$3,319.00
|
$86,554.46
|
$249,647.00
|
$172,243.38
|
2026-03-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$75,741.61
|
$287,367.62
|
$169,407.94
|
2026-03-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$70,133.18
|
$206,635.37
|
$156,863.85
|
2026-03-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
29
|
12
|
—
|
$3,319.00
|
$49,843.00
|
$236,413.27
|
$156,790.00
|
2026-03-04
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
17
|
10
|
—
|
$3,319.00
|
$78,367.78
|
$226,035.00
|
$155,951.88
|
2026-03-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
29
|
12
|
—
|
$3,319.00
|
$49,843.00
|
$276,562.00
|
$153,881.47
|
2026-03-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
12
|
—
|
$3,319.00
|
$49,843.00
|
$224,297.72
|
$152,328.16
|
2026-03-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
11
|
—
|
$3,319.00
|
$65,362.86
|
$188,525.00
|
$141,482.39
|
2026-03-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
11
|
—
|
$3,319.00
|
$63,688.58
|
$185,050.00
|
$139,751.70
|
2026-03-04
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
21
|
10
|
—
|
$3,319.00
|
$66,401.11
|
$191,519.00
|
$139,128.03
|
2026-03-04
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
10
|
—
|
$3,319.00
|
$66,736.54
|
$192,487.00
|
$132,805.71
|
2026-03-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
11
|
—
|
$3,319.00
|
$60,075.81
|
$175,264.00
|
$129,790.79
|
2026-03-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$59,422.74
|
$180,989.92
|
$129,088.60
|
2026-03-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$56,338.81
|
$179,565.20
|
$127,335.61
|
2026-03-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
29
|
12
|
—
|
$3,319.00
|
$58,158.00
|
$180,794.81
|
$127,136.68
|
2026-03-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$57,122.62
|
$164,758.00
|
$127,055.40
|
2026-03-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$56,289.20
|
$197,624.59
|
$125,899.44
|
2026-03-04
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
17
|
10
|
—
|
$3,319.00
|
$62,996.96
|
$181,701.00
|
$125,363.95
|
2026-03-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
12
|
—
|
$3,319.00
|
$31,049.00
|
$193,653.83
|
$124,670.26
|
2026-03-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$55,673.22
|
$166,890.00
|
$124,565.33
|
2026-03-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$54,705.98
|
$159,239.84
|
$122,358.31
|
2026-03-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
30
|
13
|
—
|
$3,319.00
|
$49,843.00
|
$204,650.00
|
$121,544.38
|
2026-03-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
11
|
—
|
$3,319.00
|
$53,927.06
|
$181,050.99
|
$120,616.29
|
2026-03-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
29
|
12
|
—
|
$3,319.00
|
$49,843.00
|
$165,549.00
|
$120,261.98
|
2026-03-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
11
|
—
|
$3,319.00
|
$53,604.78
|
$157,669.18
|
$119,895.65
|
2026-03-04
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
22
|
11
|
—
|
$3,319.00
|
$58,202.21
|
$167,871.00
|
$118,885.77
|
2026-03-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$52,378.61
|
$151,735.32
|
$117,153.07
|
2026-03-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
29
|
12
|
—
|
$3,319.00
|
$55,899.27
|
$171,469.00
|
$117,123.87
|
2026-03-04
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
18
|
11
|
—
|
$3,319.00
|
$58,127.04
|
$167,655.00
|
$114,246.90
|
2026-03-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$51,007.74
|
$159,568.24
|
$114,086.91
|
2026-03-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
24
|
11
|
—
|
$3,319.00
|
$51,934.18
|
$209,720.64
|
$114,076.48
|
2026-03-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
11
|
—
|
$3,319.00
|
$50,747.47
|
$149,401.87
|
$113,504.74
|
2026-03-04
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$51,934.18
|
$168,467.64
|
$113,096.70
|
2026-03-04
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$50,693.92
|
$149,664.44
|
$111,544.82
|
2026-03-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$50,699.55
|
$146,232.00
|
$111,046.06
|
2026-03-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$47,868.56
|
$148,833.82
|
$107,065.70
|
2026-03-04
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$47,721.98
|
$149,744.37
|
$106,737.64
|
2026-03-04
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$46,991.91
|
$137,684.51
|
$105,104.79
|
2026-03-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
29
|
12
|
—
|
$3,319.00
|
$49,843.00
|
$276,562.00
|
$104,738.78
|
2026-03-04
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
12
|
—
|
$3,319.00
|
$46,822.79
|
$173,067.70
|
$104,726.61
|
2026-03-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
12
|
—
|
$3,319.00
|
$49,767.48
|
$154,871.00
|
$104,276.13
|
2026-03-04
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
10
|
—
|
$3,319.00
|
$51,716.19
|
$149,164.00
|
$102,915.22
|
2026-03-04
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
17
|
10
|
—
|
$3,319.00
|
$51,400.49
|
$148,253.00
|
$102,286.98
|
2026-03-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$45,638.90
|
$139,694.95
|
$102,078.83
|
2026-03-04
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
11
|
—
|
$3,319.00
|
$44,870.31
|
$140,251.86
|
$100,359.64
|
2026-03-04
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
24
|
11
|
—
|
$3,319.00
|
$47,047.35
|
$158,693.89
|
$100,063.18
|
2026-03-04
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$44,675.82
|
$143,234.11
|
$99,924.38
|
2026-03-04
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$47,326.41
|
$136,503.00
|
$99,161.45
|
2026-03-04
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$43,307.77
|
$138,143.96
|
$96,864.66
|
2026-03-04
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
17
|
10
|
—
|
$3,319.00
|
$48,390.03
|
$139,570.00
|
$96,296.16
|
2026-03-04
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
22
|
11
|
—
|
$3,319.00
|
$47,010.71
|
$135,592.00
|
$96,025.64
|
2026-03-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
12
|
—
|
$3,319.00
|
$31,049.00
|
$144,283.88
|
$95,976.43
|
2026-03-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
29
|
12
|
—
|
$3,319.00
|
$43,151.79
|
$154,871.00
|
$94,734.00
|
2026-03-04
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
29
|
12
|
—
|
$3,319.00
|
$38,637.04
|
$138,276.00
|
$94,253.63
|
2026-03-04
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$42,021.46
|
$125,073.32
|
$93,987.58
|
2026-03-04
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$44,667.36
|
$128,833.00
|
$93,590.03
|
2026-03-04
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
25
|
12
|
—
|
$3,319.00
|
$44,205.08
|
$155,959.47
|
$92,621.43
|
2026-03-04
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$43,968.30
|
$126,817.00
|
$92,125.32
|
2026-03-04
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
11
|
—
|
$3,319.00
|
$40,571.67
|
$139,711.66
|
$90,744.74
|
2026-03-04
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
28
|
12
|
—
|
$3,319.00
|
$26,530.00
|
$150,755.16
|
$90,247.00
|
2026-03-04
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
22
|
11
|
—
|
$3,319.00
|
$43,708.97
|
$126,069.00
|
$89,281.40
|
2026-03-04
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$42,390.72
|
$126,576.97
|
$88,819.87
|
2026-03-04
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$40,586.85
|
$121,538.00
|
$88,290.29
|
2026-03-04
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
26
|
12
|
—
|
$3,319.00
|
$10,611.00
|
$135,058.69
|
$88,129.87
|
2026-03-04
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$41,628.71
|
$120,069.00
|
$87,223.25
|
2026-03-04
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
24
|
12
|
—
|
$3,319.00
|
$39,737.31
|
$114,614.00
|
$86,629.19
|
2026-03-04
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$41,274.49
|
$120,175.31
|
$86,481.05
|
2026-03-04
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$40,080.26
|
$119,495.88
|
$83,978.84
|
2026-03-04
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$39,374.63
|
$121,575.93
|
$82,500.34
|
2026-03-04
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
22
|
11
|
—
|
$3,319.00
|
$40,021.07
|
$115,432.00
|
$81,748.37
|
2026-03-04
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
25
|
12
|
—
|
$3,319.00
|
$38,615.43
|
$117,101.17
|
$80,909.63
|
2026-03-04
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
25
|
12
|
—
|
$3,319.00
|
$38,558.12
|
$111,212.00
|
$80,789.54
|
2026-03-04
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$38,217.05
|
$116,366.05
|
$80,074.90
|
2026-03-04
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$37,441.71
|
$113,540.00
|
$79,986.70
|
2026-03-04
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
11
|
—
|
$3,319.00
|
$35,720.55
|
$109,502.15
|
$79,894.54
|
2026-03-04
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$35,442.43
|
$110,206.64
|
$79,272.67
|
2026-03-04
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$37,430.61
|
$110,187.15
|
$78,427.10
|
2026-03-04
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$37,073.56
|
$106,931.00
|
$77,679.00
|
2026-03-04
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$36,997.45
|
$118,571.41
|
$77,519.53
|
2026-03-04
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
28
|
13
|
—
|
$3,319.00
|
$19,976.00
|
$120,141.89
|
$76,837.72
|
2026-03-04
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$36,537.99
|
$110,674.45
|
$76,556.84
|
2026-03-04
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
26
|
12
|
—
|
$3,319.00
|
$9,453.00
|
$107,884.00
|
$76,403.27
|
2026-03-04
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
25
|
12
|
—
|
$3,319.00
|
$36,315.31
|
$111,069.85
|
$76,090.26
|
2026-03-04
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
25
|
12
|
—
|
$3,319.00
|
$36,278.66
|
$104,638.00
|
$76,013.48
|
2026-03-04
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$36,177.19
|
$106,862.16
|
$75,800.86
|
2026-03-04
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
18
|
11
|
—
|
$3,319.00
|
$38,368.32
|
$110,665.00
|
$75,411.98
|
2026-03-04
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
25
|
12
|
—
|
$3,319.00
|
$35,915.04
|
$107,171.49
|
$75,251.59
|
2026-03-04
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
22
|
11
|
—
|
$3,319.00
|
$36,922.29
|
$106,295.68
|
$74,400.56
|
2026-03-04
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$34,282.97
|
$101,165.23
|
$73,889.12
|
2026-03-04
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
25
|
12
|
—
|
$3,319.00
|
$35,159.61
|
$101,410.00
|
$73,668.75
|
2026-03-04
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$33,680.69
|
$104,492.76
|
$73,406.99
|
2026-03-04
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
11
|
—
|
$3,319.00
|
$36,758.80
|
$106,023.00
|
$72,248.51
|
2026-03-04
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
28
|
13
|
—
|
$3,319.00
|
$16,823.00
|
$106,848.48
|
$72,213.24
|
2026-03-04
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
28
|
12
|
—
|
$3,319.00
|
$29,186.61
|
$165,931.00
|
$71,684.08
|
2026-03-04
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$34,045.25
|
$108,329.86
|
$71,333.88
|
2026-03-04
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$33,018.92
|
$103,270.35
|
$70,573.96
|
2026-03-04
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
25
|
12
|
—
|
$3,319.00
|
$33,675.05
|
$99,806.37
|
$70,558.21
|
2026-03-04
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
25
|
12
|
—
|
$3,319.00
|
$32,692.69
|
$96,673.00
|
$70,227.47
|
2026-03-04
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$33,366.86
|
$96,573.52
|
$69,912.47
|
2026-03-04
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
24
|
11
|
—
|
$3,319.00
|
$31,202.98
|
$91,185.43
|
$69,790.28
|
2026-03-04
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$33,162.97
|
$97,851.63
|
$69,485.27
|
2026-03-04
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
25
|
12
|
—
|
$3,319.00
|
$33,079.35
|
$101,195.86
|
$69,310.05
|
2026-03-04
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$32,921.49
|
$100,953.61
|
$68,979.31
|
2026-03-04
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$32,911.16
|
$94,925.00
|
$68,957.65
|
2026-03-04
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
25
|
12
|
—
|
$3,319.00
|
$32,898.00
|
$104,406.44
|
$68,930.09
|
2026-03-04
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
25
|
12
|
—
|
$3,319.00
|
$32,839.75
|
$94,719.00
|
$68,808.03
|
2026-03-04
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$32,591.70
|
$115,828.64
|
$68,288.30
|
2026-03-04
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
25
|
12
|
—
|
$3,319.00
|
$32,555.99
|
$93,901.00
|
$68,213.49
|
2026-03-04
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$32,312.64
|
$93,474.32
|
$67,703.59
|
2026-03-04
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$31,092.85
|
$93,052.00
|
$67,597.28
|
2026-03-04
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
25
|
12
|
—
|
$3,319.00
|
$32,182.97
|
$99,580.83
|
$67,431.91
|
2026-03-04
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
25
|
11
|
—
|
$3,319.00
|
$4,463.00
|
$99,803.59
|
$67,057.86
|
2026-03-04
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
24
|
12
|
—
|
$3,319.00
|
$31,024.45
|
$89,483.00
|
$66,729.48
|
2026-03-04
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
28
|
13
|
—
|
$3,319.00
|
$19,976.00
|
$99,257.82
|
$66,373.00
|
2026-03-04
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
25
|
12
|
—
|
$3,319.00
|
$31,539.35
|
$91,750.69
|
$66,083.35
|
2026-03-04
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
24
|
11
|
—
|
$3,319.00
|
$33,171.43
|
$135,317.65
|
$65,506.07
|
2026-03-04
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
25
|
12
|
—
|
$3,319.00
|
$30,712.51
|
$88,583.00
|
$64,350.90
|
2026-03-04
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
24
|
11
|
—
|
$3,319.00
|
$28,738.42
|
$85,151.32
|
$64,277.83
|
2026-03-04
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
25
|
12
|
—
|
$3,319.00
|
$30,625.13
|
$88,331.00
|
$64,167.81
|
2026-03-04
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
27
|
13
|
—
|
$3,319.00
|
$32,231.83
|
$92,966.00
|
$64,141.34
|
2026-03-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
13
|
9
|
—
|
$3,319.00
|
$62,754.54
|
$181,724.85
|
$64,009.63
|
2026-03-04
|
|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
20
|
8
|
—
|
—
|
$3,301,900.00
|
$4,245,569.66
|
$3,598,700.00
|
2026-03-04
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
21
|
8
|
—
|
—
|
$3,279,887.34
|
$4,245,569.66
|
$3,587,693.67
|
2026-03-04
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
21
|
8
|
—
|
—
|
$2,957,001.24
|
$3,801,308.57
|
$3,222,435.92
|
2026-03-04
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
20
|
8
|
—
|
—
|
$2,924,540.00
|
$3,653,936.37
|
$3,138,595.00
|
2026-03-04
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
20
|
8
|
—
|
—
|
$2,623,909.86
|
$3,396,455.73
|
$2,870,154.93
|
2026-03-04
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
21
|
8
|
—
|
—
|
$2,156,586.79
|
$2,750,418.21
|
$2,340,109.24
|
2026-03-04
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
20
|
8
|
—
|
—
|
$2,075,480.00
|
$2,668,643.79
|
$2,262,040.00
|
2026-03-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
34
|
14
|
—
|
—
|
$511,072.50
|
$1,269,169.40
|
$634,584.70
|
2026-03-04
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
34
|
14
|
—
|
—
|
$325,500.00
|
$1,237,070.14
|
$586,221.85
|
2026-03-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
34
|
14
|
—
|
—
|
$352,380.00
|
$1,185,448.56
|
$569,026.51
|
2026-03-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
34
|
14
|
—
|
—
|
$344,652.00
|
$1,158,911.88
|
$563,455.81
|
2026-03-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
34
|
14
|
—
|
—
|
$435,565.25
|
$1,095,109.50
|
$547,554.75
|
2026-03-04
|
|
5834
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$529,956.02
|
$580,428.20
|
$540,050.46
|
2026-03-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
34
|
14
|
—
|
—
|
$257,664.44
|
$1,098,398.16
|
$536,989.31
|
2026-03-04
|
|
5833
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$461,523.47
|
$505,478.25
|
$470,314.43
|
2026-03-04
|
|
5884
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$395,278.86
|
$432,924.60
|
$402,808.00
|
2026-03-04
|
|
1614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$364,588.57
|
$399,311.41
|
$371,533.14
|
2026-03-04
|
|
5832
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$289,617.10
|
$317,199.78
|
$295,133.64
|
2026-03-04
|
|
1613
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$276,273.51
|
$302,585.37
|
$281,535.88
|
2026-03-04
|
|
6304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$268,670.43
|
$294,258.18
|
$273,787.98
|
2026-03-04
|
|
8414
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$261,853.57
|
$286,792.09
|
$266,841.28
|
2026-03-04
|
|
5934
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$259,852.02
|
$284,599.92
|
$264,801.60
|
2026-03-04
|
|
5914
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$257,259.62
|
$281,760.62
|
$262,159.82
|
2026-03-04
|
|
5883
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$253,520.67
|
$277,665.58
|
$258,349.65
|
2026-03-04
|
|
6314
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$252,731.35
|
$276,801.09
|
$257,545.30
|
2026-03-04
|
|
6094
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$249,841.24
|
$273,635.72
|
$254,600.13
|
2026-03-04
|
|
5882
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$246,778.68
|
$270,281.50
|
$251,479.25
|
2026-03-04
|
|
94
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$235,337.33
|
$257,750.49
|
$239,819.96
|
2026-03-04
|
|
5831
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$234,535.82
|
$256,872.65
|
$239,003.19
|
2026-03-04
|
|
44
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$230,984.67
|
$252,983.29
|
$235,384.39
|
2026-03-04
|
|
1612
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$221,555.55
|
$242,656.16
|
$225,775.67
|
2026-03-04
|
|
1611
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$210,731.08
|
$230,800.78
|
$214,745.02
|
2026-03-04
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
7
|
2
|
—
|
—
|
$98,531.56
|
$255,999.75
|
$212,343.20
|
2026-03-04
|
|
6034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$194,926.38
|
$213,490.87
|
$198,639.28
|
2026-03-04
|
|
6024
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$187,505.00
|
$205,362.68
|
$191,076.53
|
2026-03-04
|
|
5933
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$175,027.01
|
$191,696.31
|
$178,360.87
|
2026-03-04
|
|
5913
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$168,428.50
|
$184,469.37
|
$171,636.68
|
2026-03-04
|
|
1604
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$166,242.24
|
$182,074.89
|
$169,408.77
|
2026-03-04
|
|
5881
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$164,135.35
|
$179,767.35
|
$167,261.75
|
2026-03-04
|
|
54
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$158,596.42
|
$173,700.89
|
$161,617.31
|
2026-03-04
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
7
|
2
|
—
|
—
|
$71,770.60
|
$187,449.87
|
$157,988.02
|
2026-03-04
|
|
43
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$152,666.62
|
$167,206.35
|
$155,574.57
|
2026-03-04
|
|
Q0480
|
HCPCS
|
Dme Pos
|
33
|
14
|
—
|
—
|
$49,635.12
|
$199,999.82
|
$149,999.86
|
2026-03-04
|
|
6074
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$145,758.21
|
$159,639.99
|
$148,534.56
|
2026-03-04
|
|
6303
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$145,538.28
|
$159,399.12
|
$148,310.45
|
2026-03-04
|
|
3034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$144,405.50
|
$158,158.46
|
$147,156.09
|
2026-03-04
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
7
|
2
|
—
|
—
|
$64,154.19
|
$169,804.22
|
$145,696.38
|
2026-03-04
|
|
8424
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$142,929.10
|
$156,541.45
|
$145,651.57
|
2026-03-04
|
|
1624
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$142,167.33
|
$155,707.12
|
$144,875.28
|
2026-03-04
|
|
6023
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$141,646.68
|
$155,136.88
|
$144,344.72
|
2026-03-04
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
33
|
14
|
—
|
—
|
$93,216.70
|
$186,433.40
|
$139,825.05
|
2026-03-04
|
|
5932
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$136,087.88
|
$149,048.67
|
$138,680.04
|
2026-03-04
|
|
1634
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$120,284.77
|
$131,740.50
|
$122,575.91
|
2026-03-04
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
2
|
—
|
—
|
$54,772.30
|
$146,241.41
|
$121,302.35
|
2026-03-04
|
|
8634
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$116,104.54
|
$127,162.16
|
$118,316.07
|
2026-03-04
|
|
1784
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$115,574.80
|
$126,581.96
|
$117,776.23
|
2026-03-04
|
|
53
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$112,306.09
|
$123,001.95
|
$114,445.26
|
2026-03-04
|
|
1654
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$111,414.44
|
$122,025.38
|
$113,536.63
|
2026-03-04
|
|
1674
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$111,208.37
|
$121,799.68
|
$113,326.63
|
2026-03-04
|
|
6114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$110,548.75
|
$121,077.24
|
$112,654.45
|
2026-03-04
|
|
6022
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$109,887.71
|
$120,353.25
|
$111,980.82
|
2026-03-04
|
|
6073
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$109,684.65
|
$120,130.84
|
$111,773.88
|
2026-03-04
|
|
6093
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$108,973.20
|
$119,351.63
|
$111,048.88
|
2026-03-04
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
7
|
2
|
—
|
—
|
$50,415.16
|
$133,407.46
|
$110,657.01
|
2026-03-04
|
|
93
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$106,571.68
|
$116,721.40
|
$108,601.63
|
2026-03-04
|
|
6124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$106,258.69
|
$116,378.60
|
$108,282.67
|
2026-03-04
|
|
3044
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$104,887.71
|
$114,877.05
|
$106,885.58
|
2026-03-04
|
|
1834
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$103,324.34
|
$113,164.79
|
$105,292.43
|
2026-03-04
|
|
5912
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$99,559.44
|
$109,041.32
|
$101,455.81
|
2026-03-04
|
|
42
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$99,394.51
|
$108,860.69
|
$101,287.75
|
2026-03-04
|
|
1794
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$99,012.83
|
$108,442.66
|
$100,898.79
|
2026-03-04
|
|
9104
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$98,864.76
|
$108,280.49
|
$100,747.91
|
2026-03-04
|
|
3033
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$98,728.88
|
$108,131.67
|
$100,609.44
|
2026-03-04
|
|
1664
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$98,075.44
|
$107,415.99
|
$99,943.55
|
2026-03-04
|
|
6804
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$96,760.88
|
$105,976.24
|
$98,603.95
|
2026-03-04
|
|
1623
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$96,290.64
|
$105,461.21
|
$98,124.76
|
2026-03-04
|
|
914
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$95,649.47
|
$104,758.98
|
$97,471.37
|
2026-03-04
|
|
6033
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$94,124.25
|
$103,088.49
|
$95,917.10
|
2026-03-04
|
|
5891
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$94,049.46
|
$103,006.59
|
$95,840.89
|
2026-03-04
|
|
8504
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$92,344.12
|
$101,138.83
|
$94,103.07
|
2026-03-04
|
|
6134
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$90,066.22
|
$98,643.98
|
$91,781.77
|
2026-03-04
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
7
|
2
|
—
|
—
|
$41,481.71
|
$109,507.72
|
$90,832.98
|
2026-03-04
|
|
1783
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,559.36
|
$96,993.61
|
$90,246.21
|
2026-03-04
|
|
9124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,209.72
|
$96,610.68
|
$89,889.92
|
2026-03-04
|
|
9114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,104.39
|
$96,495.32
|
$89,782.58
|
2026-03-04
|
|
1694
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$87,908.92
|
$96,281.23
|
$89,583.38
|
2026-03-04
|
|
6214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$86,345.55
|
$94,568.97
|
$87,990.23
|
2026-03-04
|
|
8413
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$86,076.88
|
$94,274.71
|
$87,716.45
|
2026-03-04
|
|
214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$86,057.02
|
$94,252.95
|
$87,696.20
|
2026-03-04
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
5
|
3
|
—
|
—
|
$82,861.00
|
$234,489.15
|
$87,404.39
|
2026-03-04
|
|
234
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$85,591.37
|
$93,742.96
|
$87,221.69
|
2026-03-04
|
|
1204
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$84,411.18
|
$92,450.37
|
$86,019.02
|
2026-03-04
|
|
6814
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,918.09
|
$90,815.08
|
$84,497.49
|
2026-03-04
|
|
2204
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,892.14
|
$90,786.65
|
$84,471.04
|
2026-03-04
|
|
6313
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,882.96
|
$90,776.60
|
$84,461.68
|
2026-03-04
|
|
6904
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,286.02
|
$90,122.81
|
$83,853.38
|
2026-03-04
|
|
2604
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,270.75
|
$90,106.08
|
$83,837.81
|
2026-03-04
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
5
|
3
|
—
|
—
|
$59,166.81
|
$156,680.67
|
$82,861.00
|
2026-03-04
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
5
|
3
|
—
|
—
|
$70,048.55
|
$184,108.41
|
$82,861.00
|
2026-03-04
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
5
|
3
|
—
|
—
|
$62,876.54
|
$172,978.60
|
$82,861.00
|
2026-03-04
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
5
|
3
|
—
|
—
|
$77,470.03
|
$205,003.62
|
$82,861.00
|
2026-03-04
|
|
6334
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$81,253.98
|
$88,992.49
|
$82,801.69
|
2026-03-04
|
|
894
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$81,150.16
|
$88,878.77
|
$82,695.88
|
2026-03-04
|
|
3124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$80,899.76
|
$88,604.53
|
$82,440.72
|
2026-03-04
|
|
9504
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$80,846.35
|
$88,546.02
|
$82,386.28
|
2026-03-04
|
|
204
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$80,834.08
|
$88,532.59
|
$82,373.78
|
2026-03-04
|
|
1653
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,963.88
|
$87,579.51
|
$81,487.01
|
2026-03-04
|
|
3614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,837.18
|
$87,440.75
|
$81,357.89
|
2026-03-04
|
|
6072
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,798.95
|
$87,398.88
|
$81,318.94
|
2026-03-04
|
|
4414
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,605.07
|
$87,186.53
|
$81,121.36
|
2026-03-04
|
|
6084
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,603.56
|
$87,184.88
|
$81,119.83
|
2026-03-04
|
|
1633
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,237.16
|
$86,783.58
|
$80,746.44
|
2026-03-04
|
|
1304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$78,730.28
|
$86,228.43
|
$80,229.91
|
2026-03-04
|
|
1782
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$78,601.99
|
$86,087.92
|
$80,099.18
|
2026-03-04
|
|
1603
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$78,522.62
|
$86,000.99
|
$80,018.29
|
2026-03-04
|
|
6083
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$77,827.95
|
$85,240.16
|
$79,310.39
|
2026-03-04
|
|
7404
|
APR_DRG
|
—
|
2
|
2
|
—
|
—
|
$75,437.96
|
$81,078.21
|
$78,258.09
|
2026-03-04
|
|
274
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$76,295.13
|
$83,561.35
|
$77,748.37
|
2026-03-04
|
|
6144
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$75,427.93
|
$82,611.57
|
$76,864.66
|
2026-03-04
|
|
1622
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$75,232.54
|
$82,397.57
|
$76,665.55
|
2026-03-04
|
|
2614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$74,849.36
|
$81,977.90
|
$76,275.07
|
2026-03-04
|
|
52
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$74,498.14
|
$81,593.23
|
$75,917.16
|
2026-03-04
|
|
266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
33
|
14
|
—
|
—
|
$9,656.00
|
$100,973.92
|
$75,730.44
|
2026-03-04
|
|
1814
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$74,176.05
|
$81,240.46
|
$75,588.94
|
2026-03-04
|
|
1764
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,403.51
|
$80,394.34
|
$74,801.68
|
2026-03-04
|
|
4014
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,159.21
|
$80,126.78
|
$74,552.72
|
2026-03-04
|
|
5104
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$72,003.48
|
$78,860.98
|
$73,374.98
|
2026-03-04
|
|
41
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,940.88
|
$78,792.42
|
$73,311.19
|
2026-03-04
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
3
|
2
|
—
|
—
|
$32,434.13
|
$88,378.61
|
$73,307.09
|
2026-03-04
|
|
1781
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,858.50
|
$78,702.19
|
$73,227.24
|
2026-03-04
|
|
3032
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,643.17
|
$78,466.35
|
$73,007.80
|
2026-03-04
|
|
6302
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,006.58
|
$77,769.14
|
$72,359.10
|
2026-03-04
|
|
6954
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$70,776.06
|
$77,516.66
|
$72,124.18
|
2026-03-04
|
|
7924
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$70,417.24
|
$77,123.67
|
$71,758.53
|
2026-03-04
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
34
|
14
|
—
|
—
|
$50,573.85
|
$127,505.20
|
$71,547.78
|
2026-03-04
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
34
|
14
|
—
|
—
|
$56,279.69
|
$142,264.04
|
$71,132.02
|
2026-03-04
|
|
2304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,747.03
|
$76,389.62
|
$71,075.55
|
2026-03-04
|
|
3214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,302.75
|
$75,903.03
|
$70,622.80
|
2026-03-04
|
|
1793
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,105.77
|
$75,687.30
|
$70,422.08
|
2026-03-04
|
|
5114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,035.58
|
$75,610.42
|
$70,350.54
|
2026-03-04
|
|
1833
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,015.71
|
$75,588.66
|
$70,330.30
|
2026-03-04
|
|
924
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$68,820.24
|
$75,374.57
|
$70,131.11
|
2026-03-04
|
|
5892
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$68,495.06
|
$75,018.43
|
$69,799.74
|
2026-03-04
|
|
3043
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$68,243.17
|
$74,742.54
|
$69,543.04
|
2026-03-04
|
|
1214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,656.92
|
$74,100.45
|
$68,945.62
|
2026-03-04
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
15
|
11
|
—
|
—
|
$54,673.54
|
$134,905.32
|
$68,801.71
|
2026-03-04
|
|
2324
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,296.60
|
$73,705.82
|
$68,578.44
|
2026-03-04
|
|
1673
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,276.74
|
$73,684.07
|
$68,558.20
|
2026-03-04
|
|
6123
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,827.87
|
$73,192.45
|
$68,100.78
|
2026-03-04
|
|
1663
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,691.99
|
$73,043.63
|
$67,962.31
|
2026-03-04
|
|
1652
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,513.37
|
$72,848.00
|
$67,780.30
|
2026-03-04
|
|
6113
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,325.58
|
$72,642.32
|
$67,588.93
|
2026-03-04
|
|
304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,950.07
|
$72,231.05
|
$67,206.27
|
2026-03-04
|
|
1704
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,553.12
|
$71,796.29
|
$66,801.75
|
2026-03-04
|
|
3254
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,371.41
|
$71,597.29
|
$66,616.59
|
2026-03-04
|
|
1621
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,328.68
|
$71,550.48
|
$66,573.04
|
2026-03-04
|
|
2644
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$64,945.41
|
$71,130.71
|
$66,182.47
|
2026-03-04
|
|
6133
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$64,620.24
|
$70,774.57
|
$65,851.10
|
2026-03-04
|
|
4054
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$64,255.33
|
$70,374.91
|
$65,479.25
|
2026-03-04
|
|
4044
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$64,018.71
|
$70,115.75
|
$65,238.12
|
2026-03-04
|
|
7104
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,927.15
|
$70,015.47
|
$65,144.81
|
2026-03-04
|
|
5124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,898.10
|
$69,983.66
|
$65,115.22
|
2026-03-04
|
|
6514
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,722.50
|
$69,791.33
|
$64,936.26
|
2026-03-04
|
|
1824
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,450.82
|
$69,493.78
|
$64,659.41
|
2026-03-04
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
3
|
2
|
—
|
—
|
$30,481.80
|
$77,933.79
|
$64,643.46
|
2026-03-04
|
|
1754
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,188.16
|
$69,206.10
|
$64,391.75
|
2026-03-04
|
|
1632
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,186.66
|
$69,204.45
|
$64,390.22
|
2026-03-04
|
|
51
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,878.26
|
$68,866.68
|
$64,075.94
|
2026-03-04
|
|
4034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,594.31
|
$68,555.69
|
$63,786.59
|
2026-03-04
|