|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2025-06-17
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2025-06-17
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
5
|
5
|
—
|
—
|
$3,321,781.51
|
$3,321,781.51
|
$3,321,781.51
|
2025-06-17
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
6
|
6
|
—
|
—
|
$3,193,000.00
|
$4,949,150.00
|
$3,193,000.00
|
2025-06-17
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
7
|
6
|
—
|
—
|
$2,968,000.00
|
$4,897,200.00
|
$2,968,000.00
|
2025-06-17
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
9
|
8
|
—
|
—
|
$2,403,458.75
|
$4,333,725.00
|
$2,403,458.75
|
2025-06-17
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
7
|
6
|
—
|
—
|
$2,332,000.00
|
$3,847,800.00
|
$2,332,000.00
|
2025-06-17
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
11
|
9
|
—
|
—
|
$551,318.34
|
$1,248,736.04
|
$813,285.00
|
2025-06-17
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
11
|
9
|
—
|
—
|
$565,623.84
|
$1,281,138.00
|
$785,687.64
|
2025-06-17
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
11
|
9
|
—
|
—
|
$528,312.43
|
$1,196,627.65
|
$733,705.50
|
2025-06-17
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
11
|
9
|
—
|
—
|
$488,051.51
|
$1,105,436.67
|
$719,426.80
|
2025-06-17
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
11
|
9
|
—
|
—
|
$489,517.15
|
$1,108,756.34
|
$717,680.75
|
2025-06-17
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
11
|
9
|
—
|
—
|
$516,485.97
|
$1,169,840.72
|
$717,614.70
|
2025-06-17
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
4
|
4
|
—
|
—
|
$329,625.92
|
$379,069.81
|
$339,514.70
|
2025-06-17
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
4
|
—
|
—
|
$315,371.76
|
$362,677.52
|
$324,832.92
|
2025-06-17
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
6
|
—
|
—
|
$307,928.99
|
$508,082.83
|
$307,928.99
|
2025-06-17
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
4
|
—
|
—
|
$271,855.17
|
$312,633.45
|
$280,010.82
|
2025-06-17
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
4
|
—
|
—
|
$264,851.53
|
$304,579.26
|
$272,797.08
|
2025-06-17
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
4
|
—
|
—
|
$258,461.70
|
$297,230.96
|
$266,215.55
|
2025-06-17
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
4
|
—
|
—
|
$250,786.04
|
$288,403.95
|
$258,309.62
|
2025-06-17
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$241,968.53
|
$278,263.81
|
$249,227.59
|
2025-06-17
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
4
|
—
|
—
|
$235,619.54
|
$270,962.47
|
$242,688.12
|
2025-06-17
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
8
|
6
|
—
|
—
|
$213,595.00
|
$379,872.45
|
$230,225.73
|
2025-06-17
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
4
|
4
|
—
|
—
|
$220,436.46
|
$253,501.93
|
$227,049.55
|
2025-06-17
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
4
|
—
|
—
|
$217,580.76
|
$250,217.87
|
$224,108.18
|
2025-06-17
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$203,425.10
|
$233,938.87
|
$209,527.85
|
2025-06-17
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
8
|
6
|
—
|
—
|
$148,684.00
|
$320,156.46
|
$194,034.22
|
2025-06-17
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
4
|
—
|
—
|
$187,611.64
|
$215,753.39
|
$193,239.99
|
2025-06-17
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$186,656.45
|
$214,654.92
|
$192,256.15
|
2025-06-17
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
4
|
—
|
—
|
$185,278.85
|
$213,070.68
|
$190,837.21
|
2025-06-17
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
4
|
4
|
—
|
—
|
$182,888.01
|
$210,321.21
|
$188,374.65
|
2025-06-17
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
4
|
4
|
—
|
—
|
$182,348.12
|
$209,700.34
|
$187,818.57
|
2025-06-17
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
4
|
—
|
—
|
$172,427.12
|
$198,291.19
|
$177,599.93
|
2025-06-17
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$172,334.15
|
$198,184.27
|
$177,504.17
|
2025-06-17
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
8
|
6
|
—
|
—
|
$147,980.00
|
$289,378.98
|
$175,381.20
|
2025-06-17
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$167,565.12
|
$192,699.89
|
$172,592.08
|
2025-06-17
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
4
|
—
|
—
|
$152,350.73
|
$175,203.34
|
$156,921.25
|
2025-06-17
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
4
|
—
|
—
|
$151,084.36
|
$173,747.01
|
$155,616.89
|
2025-06-17
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
4
|
—
|
—
|
$150,749.55
|
$173,361.98
|
$155,272.03
|
2025-06-17
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$146,843.29
|
$168,869.78
|
$151,248.59
|
2025-06-17
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
4
|
—
|
—
|
$143,487.89
|
$165,011.07
|
$147,792.53
|
2025-06-17
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
4
|
4
|
—
|
—
|
$140,390.03
|
$161,448.53
|
$144,601.73
|
2025-06-17
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
4
|
—
|
—
|
$138,977.44
|
$159,824.06
|
$143,146.77
|
2025-06-17
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$133,811.78
|
$153,883.55
|
$137,826.14
|
2025-06-17
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
4
|
4
|
—
|
—
|
$131,426.22
|
$151,140.15
|
$135,369.01
|
2025-06-17
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
4
|
—
|
—
|
$128,777.20
|
$148,093.78
|
$132,640.51
|
2025-06-17
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$128,416.21
|
$147,678.64
|
$132,268.70
|
2025-06-17
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
4
|
4
|
—
|
—
|
$127,908.18
|
$147,094.41
|
$131,745.42
|
2025-06-17
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$125,925.11
|
$144,813.88
|
$129,702.86
|
2025-06-17
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$124,840.59
|
$143,566.68
|
$128,585.81
|
2025-06-17
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
4
|
4
|
—
|
—
|
$124,634.07
|
$143,329.18
|
$128,373.09
|
2025-06-17
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$124,476.55
|
$143,148.03
|
$128,210.85
|
2025-06-17
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$121,038.68
|
$139,194.48
|
$124,669.84
|
2025-06-17
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
4
|
—
|
—
|
$119,373.51
|
$137,279.54
|
$122,954.71
|
2025-06-17
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$117,964.28
|
$135,658.92
|
$121,503.21
|
2025-06-17
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
4
|
4
|
—
|
—
|
$117,578.86
|
$135,215.69
|
$121,106.23
|
2025-06-17
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
4
|
—
|
—
|
$116,810.82
|
$134,332.44
|
$120,315.15
|
2025-06-17
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
4
|
—
|
—
|
$115,391.98
|
$132,700.78
|
$118,853.74
|
2025-06-17
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$114,659.34
|
$131,858.24
|
$118,099.12
|
2025-06-17
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
4
|
—
|
—
|
$114,391.79
|
$131,550.56
|
$117,823.54
|
2025-06-17
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
8
|
6
|
—
|
—
|
$92,352.00
|
$191,297.25
|
$115,937.73
|
2025-06-17
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
4
|
—
|
—
|
$111,311.31
|
$128,008.01
|
$114,650.65
|
2025-06-17
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
4
|
—
|
—
|
$108,898.61
|
$125,233.40
|
$112,165.57
|
2025-06-17
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$108,894.60
|
$125,228.79
|
$112,161.44
|
2025-06-17
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
4
|
4
|
—
|
—
|
$107,883.68
|
$124,066.23
|
$111,120.19
|
2025-06-17
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
4
|
—
|
—
|
$107,714.56
|
$123,871.74
|
$110,945.99
|
2025-06-17
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
4
|
4
|
—
|
—
|
$105,968.91
|
$121,864.25
|
$109,147.98
|
2025-06-17
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
4
|
4
|
—
|
—
|
$105,820.93
|
$121,694.07
|
$108,995.56
|
2025-06-17
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$105,503.57
|
$121,329.11
|
$108,668.68
|
2025-06-17
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
4
|
4
|
—
|
—
|
$105,417.33
|
$121,229.93
|
$108,579.85
|
2025-06-17
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
6
|
—
|
—
|
$96,648.00
|
$177,485.55
|
$107,567.00
|
2025-06-17
|
|
7
|
MS_DRG
|
Lung Transplant
|
8
|
6
|
—
|
—
|
$86,140.00
|
$177,042.24
|
$107,298.33
|
2025-06-17
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
4
|
—
|
—
|
$103,852.74
|
$119,430.65
|
$106,968.32
|
2025-06-17
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
4
|
—
|
—
|
$103,662.15
|
$119,211.47
|
$106,772.01
|
2025-06-17
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
4
|
—
|
—
|
$102,307.94
|
$117,654.13
|
$105,377.18
|
2025-06-17
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
4
|
4
|
—
|
—
|
$99,289.76
|
$114,183.22
|
$102,268.45
|
2025-06-17
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$98,978.01
|
$113,824.71
|
$101,947.35
|
2025-06-17
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
4
|
4
|
—
|
—
|
$98,629.18
|
$113,423.56
|
$101,588.05
|
2025-06-17
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
4
|
—
|
—
|
$98,528.76
|
$113,308.07
|
$101,484.62
|
2025-06-17
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$97,752.00
|
$112,414.80
|
$100,684.56
|
2025-06-17
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$97,549.56
|
$112,181.99
|
$100,476.04
|
2025-06-17
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
9
|
7
|
—
|
—
|
$99,999.91
|
$226,499.80
|
$99,999.91
|
2025-06-17
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
4
|
—
|
—
|
$96,933.19
|
$111,473.17
|
$99,841.18
|
2025-06-17
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$95,714.38
|
$110,071.54
|
$98,585.81
|
2025-06-17
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
4
|
4
|
—
|
—
|
$94,743.91
|
$108,955.50
|
$97,586.23
|
2025-06-17
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
4
|
4
|
—
|
—
|
$93,687.18
|
$107,740.26
|
$96,497.79
|
2025-06-17
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
4
|
4
|
—
|
—
|
$92,227.18
|
$106,061.26
|
$94,993.99
|
2025-06-17
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
4
|
4
|
—
|
—
|
$92,140.21
|
$105,961.24
|
$94,904.42
|
2025-06-17
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$92,128.68
|
$105,947.98
|
$94,892.54
|
2025-06-17
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$91,718.84
|
$105,476.67
|
$94,470.40
|
2025-06-17
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
4
|
4
|
—
|
—
|
$91,497.10
|
$105,221.67
|
$94,242.01
|
2025-06-17
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
4
|
4
|
—
|
—
|
$91,342.31
|
$105,043.66
|
$94,082.58
|
2025-06-17
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$91,176.78
|
$104,853.30
|
$93,912.08
|
2025-06-17
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
4
|
4
|
—
|
—
|
$91,021.83
|
$104,675.10
|
$93,752.49
|
2025-06-17
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
9
|
7
|
—
|
—
|
$93,216.70
|
$211,135.83
|
$93,216.70
|
2025-06-17
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
4
|
—
|
—
|
$89,647.75
|
$103,094.91
|
$92,337.18
|
2025-06-17
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$89,290.12
|
$102,683.64
|
$91,968.82
|
2025-06-17
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
4
|
4
|
—
|
—
|
$88,877.15
|
$102,208.72
|
$91,543.46
|
2025-06-17
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
4
|
—
|
—
|
$88,773.05
|
$102,089.01
|
$91,436.24
|
2025-06-17
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
8
|
6
|
—
|
—
|
$90,616.28
|
$149,516.86
|
$90,616.28
|
2025-06-17
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
7
|
6
|
—
|
—
|
$89,592.13
|
$147,827.01
|
$89,592.13
|
2025-06-17
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
4
|
4
|
—
|
—
|
$86,340.00
|
$99,291.00
|
$88,930.20
|
2025-06-17
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
4
|
4
|
—
|
—
|
$85,562.12
|
$98,396.44
|
$88,128.99
|
2025-06-17
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$85,533.05
|
$98,363.01
|
$88,099.04
|
2025-06-17
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
11
|
9
|
—
|
—
|
$56,824.55
|
$128,707.61
|
$88,078.05
|
2025-06-17
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$85,223.78
|
$98,007.35
|
$87,780.49
|
2025-06-17
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$85,157.64
|
$97,931.29
|
$87,712.37
|
2025-06-17
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
8
|
6
|
—
|
—
|
$82,933.00
|
$144,542.67
|
$87,601.62
|
2025-06-17
|
|
63685
|
CPT
|
63685 Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Rece…
|
35
|
12
|
$102,754.68
|
$87,341.48
|
$1,208.00
|
$87,341.48
|
$87,341.48
|
2025-06-17
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
8
|
6
|
—
|
—
|
$87,157.11
|
$143,809.23
|
$87,157.11
|
2025-06-17
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
4
|
4
|
—
|
—
|
$84,505.55
|
$97,181.38
|
$87,040.71
|
2025-06-17
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
4
|
4
|
—
|
—
|
$83,851.95
|
$96,429.74
|
$86,367.51
|
2025-06-17
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
6
|
—
|
—
|
$86,185.06
|
$142,205.35
|
$86,185.06
|
2025-06-17
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
11
|
9
|
—
|
—
|
$55,536.50
|
$125,790.17
|
$86,081.58
|
2025-06-17
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
4
|
—
|
—
|
$83,153.98
|
$95,627.08
|
$85,648.60
|
2025-06-17
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
4
|
4
|
—
|
—
|
$82,104.30
|
$94,419.95
|
$84,567.43
|
2025-06-17
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
4
|
—
|
—
|
$82,049.85
|
$94,357.33
|
$84,511.35
|
2025-06-17
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
4
|
4
|
—
|
—
|
$82,021.98
|
$94,325.28
|
$84,482.64
|
2025-06-17
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
4
|
4
|
—
|
—
|
$81,798.40
|
$94,068.16
|
$84,252.35
|
2025-06-17
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
4
|
4
|
—
|
—
|
$81,737.06
|
$93,997.62
|
$84,189.17
|
2025-06-17
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$81,645.61
|
$93,892.45
|
$84,094.98
|
2025-06-17
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
4
|
4
|
—
|
—
|
$80,604.18
|
$92,694.81
|
$83,022.30
|
2025-06-17
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
4
|
4
|
—
|
—
|
$79,582.45
|
$91,519.82
|
$81,969.92
|
2025-06-17
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
4
|
—
|
—
|
$78,027.71
|
$89,731.87
|
$80,368.54
|
2025-06-17
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
8
|
6
|
—
|
—
|
$79,426.00
|
$131,132.60
|
$79,474.30
|
2025-06-17
|
|
4834
|
APR_DRG
|
Testes & Scrotal Procedures
|
4
|
4
|
—
|
—
|
$76,332.28
|
$87,782.12
|
$78,622.25
|
2025-06-17
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
4
|
4
|
—
|
—
|
$75,253.53
|
$86,541.56
|
$77,511.14
|
2025-06-17
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$75,036.84
|
$86,292.37
|
$77,287.95
|
2025-06-17
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
4
|
—
|
—
|
$21,000.00
|
$88,660.76
|
$77,096.31
|
2025-06-17
|
|
453
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$76,806.00
|
$76,806.00
|
$76,806.00
|
2025-06-17
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
4
|
—
|
—
|
$73,784.24
|
$84,851.88
|
$75,997.76
|
2025-06-17
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
7
|
6
|
—
|
—
|
$75,898.70
|
$125,232.86
|
$75,898.70
|
2025-06-17
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
4
|
4
|
—
|
—
|
$73,476.58
|
$84,498.07
|
$75,680.88
|
2025-06-17
|
|
31
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$72,250.25
|
$83,087.79
|
$74,417.76
|
2025-06-17
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
4
|
4
|
—
|
—
|
$72,247.68
|
$83,084.83
|
$74,415.11
|
2025-06-17
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
4
|
4
|
—
|
—
|
$71,715.16
|
$82,472.43
|
$73,866.62
|
2025-06-17
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$70,673.97
|
$81,275.07
|
$72,794.19
|
2025-06-17
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
4
|
—
|
—
|
$69,829.94
|
$80,304.43
|
$71,924.84
|
2025-06-17
|
|
704
|
APR_DRG
|
Orbital Procedures
|
4
|
4
|
—
|
—
|
$69,770.04
|
$80,235.55
|
$71,863.14
|
2025-06-17
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
4
|
4
|
—
|
—
|
$69,637.83
|
$80,083.50
|
$71,726.96
|
2025-06-17
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$69,637.19
|
$80,082.77
|
$71,726.30
|
2025-06-17
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
4
|
4
|
—
|
—
|
$69,108.98
|
$79,475.33
|
$71,182.25
|
2025-06-17
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
4
|
—
|
—
|
$68,919.60
|
$79,257.54
|
$70,987.19
|
2025-06-17
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
4
|
4
|
—
|
—
|
$68,669.67
|
$78,970.12
|
$70,729.76
|
2025-06-17
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
4
|
4
|
—
|
—
|
$68,662.94
|
$78,962.38
|
$70,722.83
|
2025-06-17
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
4
|
4
|
—
|
—
|
$68,353.68
|
$78,606.73
|
$70,404.29
|
2025-06-17
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
4
|
4
|
—
|
—
|
$68,275.36
|
$78,516.66
|
$70,323.62
|
2025-06-17
|
|
6234
|
APR_DRG
|
Neonate Bwt 2000-2499g W Congenital/perinatal Infection
|
4
|
4
|
—
|
—
|
$67,995.08
|
$78,194.34
|
$70,034.93
|
2025-06-17
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
4
|
4
|
—
|
—
|
$67,968.26
|
$78,163.50
|
$70,007.31
|
2025-06-17
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
8
|
6
|
—
|
—
|
$67,926.00
|
$115,319.37
|
$69,890.53
|
2025-06-17
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
8
|
6
|
—
|
—
|
$69,852.26
|
$115,256.23
|
$69,852.26
|
2025-06-17
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
4
|
4
|
—
|
—
|
$67,733.14
|
$77,893.11
|
$69,765.14
|
2025-06-17
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
4
|
—
|
—
|
$67,690.78
|
$77,844.40
|
$69,721.51
|
2025-06-17
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
4
|
4
|
—
|
—
|
$67,624.24
|
$77,767.88
|
$69,652.96
|
2025-06-17
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$67,583.56
|
$77,721.09
|
$69,611.07
|
2025-06-17
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
4
|
—
|
—
|
$67,578.75
|
$77,715.56
|
$69,606.11
|
2025-06-17
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
4
|
—
|
—
|
$67,331.79
|
$77,431.56
|
$69,351.74
|
2025-06-17
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
4
|
—
|
—
|
$66,975.76
|
$77,022.12
|
$68,985.04
|
2025-06-17
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
7
|
6
|
—
|
—
|
$68,805.32
|
$113,528.78
|
$68,805.32
|
2025-06-17
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$66,608.91
|
$76,600.25
|
$68,607.18
|
2025-06-17
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
4
|
4
|
—
|
—
|
$66,266.98
|
$76,207.03
|
$68,254.99
|
2025-06-17
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
4
|
4
|
—
|
—
|
$65,904.54
|
$75,790.22
|
$67,881.67
|
2025-06-17
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
4
|
4
|
—
|
—
|
$18,500.00
|
$77,798.90
|
$67,651.22
|
2025-06-17
|
|
1653
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$65,665.26
|
$75,515.05
|
$67,635.22
|
2025-06-17
|
|
3094
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
4
|
4
|
—
|
—
|
$65,656.45
|
$75,504.92
|
$67,626.14
|
2025-06-17
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
9
|
7
|
—
|
—
|
$67,452.66
|
$152,780.27
|
$67,452.66
|
2025-06-17
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
4
|
4
|
—
|
—
|
$65,251.25
|
$75,038.94
|
$67,208.79
|
2025-06-17
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
4
|
—
|
—
|
$65,249.25
|
$75,036.64
|
$67,206.73
|
2025-06-17
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
4
|
4
|
—
|
—
|
$64,777.75
|
$74,494.41
|
$66,721.08
|
2025-06-17
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
4
|
4
|
—
|
—
|
$64,741.39
|
$74,452.60
|
$66,683.63
|
2025-06-17
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
4
|
—
|
—
|
$64,668.28
|
$74,368.52
|
$66,608.33
|
2025-06-17
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
8
|
6
|
—
|
—
|
$66,529.87
|
$109,774.29
|
$66,529.87
|
2025-06-17
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
4
|
4
|
—
|
—
|
$64,513.97
|
$74,191.07
|
$66,449.39
|
2025-06-17
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
4
|
4
|
—
|
—
|
$64,465.60
|
$74,135.44
|
$66,399.57
|
2025-06-17
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
12
|
9
|
—
|
—
|
$163.56
|
$150,289.46
|
$66,352.96
|
2025-06-17
|
|
8434
|
APR_DRG
|
Extensive 3rd Degree Or Full Thickness Burns Without Skin Graft
|
4
|
4
|
—
|
—
|
$64,329.94
|
$73,979.43
|
$66,259.84
|
2025-06-17
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
8
|
6
|
—
|
—
|
$36,506.00
|
$108,590.82
|
$65,812.62
|
2025-06-17
|
|
222
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$65,809.00
|
$65,809.00
|
$65,809.00
|
2025-06-17
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
4
|
4
|
—
|
—
|
$63,758.74
|
$73,322.55
|
$65,671.50
|
2025-06-17
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
4
|
4
|
—
|
—
|
$63,705.41
|
$73,261.22
|
$65,616.57
|
2025-06-17
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
4
|
4
|
—
|
—
|
$63,625.81
|
$73,169.68
|
$65,534.58
|
2025-06-17
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
7
|
6
|
—
|
—
|
$65,440.58
|
$107,976.96
|
$65,440.58
|
2025-06-17
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
4
|
4
|
—
|
—
|
$63,288.84
|
$72,782.17
|
$65,187.50
|
2025-06-17
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
4
|
—
|
—
|
$63,144.69
|
$72,616.39
|
$65,039.03
|
2025-06-17
|
|
1754
|
APR_DRG
|
Percutaneous Coronary Intervention Without Ami
|
4
|
4
|
—
|
—
|
$63,135.72
|
$72,606.08
|
$65,029.79
|
2025-06-17
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
4
|
4
|
—
|
—
|
$63,087.52
|
$72,550.65
|
$64,980.15
|
2025-06-17
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
4
|
4
|
—
|
—
|
$63,079.59
|
$72,541.53
|
$64,971.98
|
2025-06-17
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
4
|
4
|
—
|
—
|
$63,034.34
|
$72,489.49
|
$64,925.37
|
2025-06-17
|
|
8412
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
4
|
—
|
—
|
$62,991.02
|
$72,439.67
|
$64,880.75
|
2025-06-17
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
4
|
4
|
—
|
—
|
$62,942.09
|
$72,383.40
|
$64,830.35
|
2025-06-17
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
4
|
4
|
—
|
—
|
$62,678.79
|
$72,080.61
|
$64,559.15
|
2025-06-17
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
4
|
—
|
—
|
$62,673.43
|
$72,074.44
|
$64,553.63
|
2025-06-17
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
8
|
6
|
—
|
—
|
$61,770.00
|
$106,487.25
|
$64,537.73
|
2025-06-17
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
4
|
4
|
—
|
—
|
$62,594.31
|
$71,983.46
|
$64,472.14
|
2025-06-17
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
4
|
4
|
—
|
—
|
$62,360.32
|
$71,714.37
|
$64,231.13
|
2025-06-17
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
8
|
6
|
—
|
—
|
$62,206.00
|
$105,427.38
|
$63,895.38
|
2025-06-17
|
|
8411
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
4
|
—
|
—
|
$61,921.24
|
$71,209.43
|
$63,778.88
|
2025-06-17
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
4
|
4
|
—
|
—
|
$61,823.07
|
$71,096.53
|
$63,677.76
|
2025-06-17
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$61,722.41
|
$70,980.77
|
$63,574.08
|
2025-06-17
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$61,692.38
|
$70,946.24
|
$63,543.15
|
2025-06-17
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
4
|
4
|
—
|
—
|
$61,579.71
|
$70,816.67
|
$63,427.10
|
2025-06-17
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
9
|
7
|
—
|
—
|
$63,402.04
|
$143,605.62
|
$63,402.04
|
2025-06-17
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
4
|
4
|
—
|
—
|
$61,278.69
|
$70,470.49
|
$63,117.05
|
2025-06-17
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
4
|
4
|
—
|
—
|
$61,236.81
|
$70,422.33
|
$63,073.91
|
2025-06-17
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
4
|
4
|
—
|
—
|
$61,218.87
|
$70,401.70
|
$63,055.43
|
2025-06-17
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$60,959.33
|
$70,103.23
|
$62,788.11
|
2025-06-17
|
|
974
|
APR_DRG
|
Tonsil & Adenoid Procedures
|
4
|
4
|
—
|
—
|
$60,655.91
|
$69,754.30
|
$62,475.59
|
2025-06-17
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
4
|
4
|
—
|
—
|
$60,349.45
|
$69,401.87
|
$62,159.93
|
2025-06-17
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
4
|
4
|
—
|
—
|
$60,319.26
|
$69,367.15
|
$62,128.84
|
2025-06-17
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
4
|
4
|
—
|
—
|
$60,314.94
|
$69,362.18
|
$62,124.39
|
2025-06-17
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
4
|
4
|
—
|
—
|
$60,119.54
|
$69,137.47
|
$61,923.12
|
2025-06-17
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
4
|
4
|
—
|
—
|
$60,037.78
|
$69,043.45
|
$61,838.92
|
2025-06-17
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
8
|
6
|
—
|
—
|
$61,453.00
|
$101,756.16
|
$61,670.40
|
2025-06-17
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
4
|
4
|
—
|
—
|
$58,892.73
|
$67,726.64
|
$60,659.51
|
2025-06-17
|
|
2624
|
APR_DRG
|
Cholecystectomy Except Laparoscopic
|
4
|
4
|
—
|
—
|
$58,868.23
|
$67,698.46
|
$60,634.28
|
2025-06-17
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
4
|
4
|
—
|
—
|
$58,850.61
|
$67,678.20
|
$60,616.13
|
2025-06-17
|
|
224
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$60,047.00
|
$60,047.00
|
$60,047.00
|
2025-06-17
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
4
|
—
|
—
|
$58,030.36
|
$66,734.91
|
$59,771.27
|
2025-06-17
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
4
|
4
|
—
|
—
|
$58,023.95
|
$66,727.54
|
$59,764.67
|
2025-06-17
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$57,703.00
|
$66,358.45
|
$59,434.09
|
2025-06-17
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
4
|
4
|
—
|
—
|
$57,642.62
|
$66,289.01
|
$59,371.90
|
2025-06-17
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
4
|
4
|
—
|
—
|
$57,490.55
|
$66,114.13
|
$59,215.26
|
2025-06-17
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
6
|
—
|
—
|
$58,727.37
|
$96,900.16
|
$58,727.37
|
2025-06-17
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
7
|
6
|
—
|
—
|
$58,436.75
|
$96,420.64
|
$58,436.75
|
2025-06-17
|
|
1673
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
4
|
4
|
—
|
—
|
$56,648.68
|
$65,145.98
|
$58,348.14
|
2025-06-17
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
4
|
4
|
—
|
—
|
$56,443.51
|
$64,910.04
|
$58,136.82
|
2025-06-17
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$56,205.28
|
$64,636.07
|
$57,891.44
|
2025-06-17
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
4
|
4
|
—
|
—
|
$55,951.51
|
$64,344.24
|
$57,630.06
|
2025-06-17
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
8
|
6
|
—
|
—
|
$50,913.00
|
$94,936.26
|
$57,537.13
|
2025-06-17
|
|
5464
|
APR_DRG
|
Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses
|
4
|
4
|
—
|
—
|
$55,823.62
|
$64,197.16
|
$57,498.33
|
2025-06-17
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$55,584.75
|
$63,922.46
|
$57,252.29
|
2025-06-17
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
4
|
—
|
—
|
$55,572.49
|
$63,908.36
|
$57,239.66
|
2025-06-17
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedure Only
|
4
|
4
|
—
|
—
|
$55,440.28
|
$63,756.32
|
$57,103.49
|
2025-06-17
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
4
|
4
|
—
|
—
|
$55,255.30
|
$63,543.60
|
$56,912.96
|
2025-06-17
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
4
|
4
|
—
|
—
|
$54,964.85
|
$63,209.58
|
$56,613.79
|
2025-06-17
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
6
|
—
|
—
|
$49,308.00
|
$93,214.18
|
$56,493.44
|
2025-06-17
|
|
6254
|
APR_DRG
|
Neonate Bwt 2000-2499g W Other Significant Condition
|
4
|
4
|
—
|
—
|
$54,210.51
|
$62,342.09
|
$55,836.82
|
2025-06-17
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
7
|
6
|
—
|
—
|
$55,487.19
|
$91,553.86
|
$55,487.19
|
2025-06-17
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
4
|
4
|
—
|
—
|
$53,868.09
|
$61,948.30
|
$55,484.13
|
2025-06-17
|
|
37227
|
CPT
|
Ir Revasc Fem/Pop Art With Stent + Ather
|
35
|
12
|
$65,265.94
|
$55,476.05
|
$1,208.00
|
$55,476.05
|
$55,476.05
|
2025-06-17
|
|
4844
|
APR_DRG
|
Other Male Reproductive System & Related Procedures
|
4
|
4
|
—
|
—
|
$53,820.52
|
$61,893.60
|
$55,435.13
|
2025-06-17
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
8
|
6
|
—
|
—
|
$47,519.00
|
$91,207.30
|
$55,277.15
|
2025-06-17
|
|
213
|
APR_DRG
|
Craniotomy Except For Trauma
|
4
|
4
|
—
|
—
|
$53,586.37
|
$61,624.33
|
$55,193.96
|
2025-06-17
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
8
|
6
|
—
|
—
|
$54,216.00
|
$91,055.51
|
$55,185.16
|
2025-06-17
|
|
1744
|
APR_DRG
|
Percutaneous Coronary Intervention W Ami
|
4
|
4
|
—
|
—
|
$53,569.07
|
$61,604.43
|
$55,176.14
|
2025-06-17
|
|
226
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$55,142.00
|
$55,142.00
|
$55,142.00
|
2025-06-17
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
4
|
4
|
—
|
—
|
$53,393.46
|
$61,402.48
|
$54,995.26
|
2025-06-17
|
|
6364
|
APR_DRG
|
Neonate Birthwt >2499g W Congenital/perinatal Infection
|
4
|
4
|
—
|
—
|
$53,076.83
|
$61,038.35
|
$54,669.14
|
2025-06-17
|
|
404
|
APR_DRG
|
Spinal Disorders & Injuries
|
4
|
4
|
—
|
—
|
$53,019.65
|
$60,972.60
|
$54,610.24
|
2025-06-17
|
|
61624
|
CPT
|
Ir Uterine Fibroids Embolization
|
31
|
12
|
$64,228.34
|
$54,594.09
|
$1,208.00
|
$54,594.09
|
$54,594.09
|
2025-06-17
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
4
|
4
|
—
|
—
|
$52,961.03
|
$60,905.18
|
$54,549.86
|
2025-06-17
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
4
|
4
|
—
|
—
|
$52,936.37
|
$60,876.83
|
$54,524.46
|
2025-06-17
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
4
|
4
|
—
|
—
|
$52,911.78
|
$60,848.55
|
$54,499.13
|
2025-06-17
|
|
6924
|
APR_DRG
|
Radiotherapy
|
4
|
4
|
—
|
—
|
$52,775.49
|
$60,691.81
|
$54,358.75
|
2025-06-17
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$52,699.98
|
$60,604.98
|
$54,280.98
|
2025-06-17
|
|
4814
|
APR_DRG
|
Penis Procedures
|
4
|
4
|
—
|
—
|
$52,654.49
|
$60,552.66
|
$54,234.12
|
2025-06-17
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
4
|
4
|
—
|
—
|
$52,234.96
|
$60,070.20
|
$53,802.01
|
2025-06-17
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
8
|
6
|
—
|
—
|
$45,261.00
|
$88,363.56
|
$53,553.67
|
2025-06-17
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
8
|
6
|
—
|
—
|
$51,459.00
|
$88,238.63
|
$53,477.96
|
2025-06-17
|
|
1611
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
4
|
—
|
—
|
$51,879.08
|
$59,660.94
|
$53,435.45
|
2025-06-17
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma & Non-acute Leukemia
|
4
|
4
|
—
|
—
|
$51,853.22
|
$59,631.20
|
$53,408.82
|
2025-06-17
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
4
|
—
|
—
|
$51,678.57
|
$59,430.36
|
$53,228.93
|
2025-06-17
|
|
1652
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$51,649.58
|
$59,397.02
|
$53,199.07
|
2025-06-17
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
4
|
4
|
—
|
—
|
$51,346.24
|
$59,048.18
|
$52,886.62
|
2025-06-17
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
4
|
4
|
—
|
—
|
$51,117.69
|
$58,785.34
|
$52,651.22
|
2025-06-17
|
|
3123
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
4
|
4
|
—
|
—
|
$51,010.95
|
$58,662.59
|
$52,541.28
|
2025-06-17
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
8
|
6
|
—
|
—
|
$45,279.00
|
$86,444.00
|
$52,390.30
|
2025-06-17
|
|
5134
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma
|
4
|
4
|
—
|
—
|
$50,764.94
|
$58,379.68
|
$52,287.89
|
2025-06-17
|
|
6614
|
APR_DRG
|
Coagulation & Platelet Disorders
|
4
|
4
|
—
|
—
|
$50,522.70
|
$58,101.11
|
$52,038.38
|
2025-06-17
|
|
934
|
APR_DRG
|
Sinus & Mastoid Procedures
|
4
|
4
|
—
|
—
|
$50,476.90
|
$58,048.44
|
$51,991.21
|
2025-06-17
|
|
233
|
APR_DRG
|
Spinal Procedures
|
4
|
4
|
—
|
—
|
$50,193.58
|
$57,722.62
|
$51,699.39
|
2025-06-17
|
|
459
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$51,637.00
|
$51,637.00
|
$51,637.00
|
2025-06-17
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
4
|
4
|
—
|
—
|
$49,965.83
|
$57,460.70
|
$51,464.81
|
2025-06-17
|
|
223
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$51,406.00
|
$51,406.00
|
$51,406.00
|
2025-06-17
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
7
|
6
|
—
|
—
|
$51,332.77
|
$84,699.07
|
$51,332.77
|
2025-06-17
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
4
|
4
|
—
|
—
|
$49,790.78
|
$57,259.40
|
$51,284.51
|
2025-06-17
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
7
|
6
|
—
|
—
|
$51,267.63
|
$84,591.59
|
$51,267.63
|
2025-06-17
|
|
454
|
MS_DRG
|
Inpatient Ms-DRG
|
1
|
1
|
—
|
—
|
$51,249.00
|
$51,249.00
|
$51,249.00
|
2025-06-17
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
4
|
—
|
—
|
$49,656.33
|
$57,104.78
|
$51,146.02
|
2025-06-17
|
|
3224
|
APR_DRG
|
Shoulder & Elbow Joint Replacement
|
4
|
4
|
—
|
—
|
$49,643.20
|
$57,089.68
|
$51,132.49
|
2025-06-17
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
8
|
6
|
—
|
—
|
$42,471.00
|
$84,212.80
|
$51,038.06
|
2025-06-17
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
4
|
4
|
—
|
—
|
$49,389.83
|
$56,798.30
|
$50,871.53
|
2025-06-17
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
8
|
6
|
—
|
—
|
$36,252.00
|
$83,923.98
|
$50,863.02
|
2025-06-17
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
4
|
4
|
—
|
—
|
$49,283.48
|
$56,676.00
|
$50,761.99
|
2025-06-17
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
8
|
6
|
—
|
—
|
$49,822.00
|
$83,547.87
|
$50,635.07
|
2025-06-17
|
|
36906
|
CPT
|
Ir Dialysis Shunt Clot Removal w/Stent
|
36
|
12
|
$65,265.94
|
$55,476.05
|
$1,208.00
|
$55,476.05
|
$50,553.38
|
2025-06-17
|
|
0266T
|
CPT
|
Outpatient Services
|
11
|
9
|
—
|
—
|
$7,266.00
|
$114,352.97
|
$50,486.96
|
2025-06-17
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
11
|
9
|
—
|
—
|
$8,650.00
|
$114,352.97
|
$50,486.96
|
2025-06-17
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
8
|
6
|
—
|
—
|
$43,468.00
|
$83,155.64
|
$50,397.36
|
2025-06-17
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
4
|
—
|
—
|
$48,919.36
|
$56,257.26
|
$50,386.94
|
2025-06-17
|
|
903
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
4
|
4
|
—
|
—
|
$48,916.00
|
$56,253.40
|
$50,383.48
|
2025-06-17
|
|
6122
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
4
|
—
|
—
|
$48,870.99
|
$56,201.64
|
$50,337.12
|
2025-06-17
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
4
|
4
|
—
|
—
|
$48,737.98
|
$56,048.68
|
$50,200.12
|
2025-06-17
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
8
|
6
|
—
|
—
|
$35,432.00
|
$82,569.94
|
$50,042.39
|
2025-06-17
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
8
|
6
|
—
|
—
|
$50,042.39
|
$82,569.94
|
$50,042.39
|
2025-06-17
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
8
|
6
|
—
|
—
|
$49,675.22
|
$81,964.11
|
$49,675.22
|
2025-06-17
|
|
1651
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
4
|
4
|
—
|
—
|
$48,025.36
|
$55,229.16
|
$49,466.12
|
2025-06-17
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
4
|
4
|
—
|
—
|
$47,986.52
|
$55,184.50
|
$49,426.11
|
2025-06-17
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
8
|
6
|
—
|
—
|
$47,759.00
|
$81,406.64
|
$49,337.36
|
2025-06-17
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
8
|
6
|
—
|
—
|
$44,370.00
|
$81,346.20
|
$49,300.73
|
2025-06-17
|