|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
18
|
7
|
—
|
—
|
$3,524,500.00
|
$3,895,500.00
|
$3,710,000.00
|
2025-10-28
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
18
|
7
|
—
|
—
|
$3,501,003.33
|
$3,869,530.00
|
$3,685,266.67
|
2025-10-28
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
18
|
7
|
—
|
—
|
$3,156,349.63
|
$3,488,596.96
|
$3,322,473.30
|
2025-10-28
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
18
|
7
|
—
|
—
|
$3,121,700.00
|
$3,450,300.00
|
$3,286,000.00
|
2025-10-28
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
18
|
7
|
—
|
—
|
$2,800,802.67
|
$3,095,624.00
|
$2,948,213.33
|
2025-10-28
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
18
|
7
|
—
|
—
|
$2,301,974.67
|
$2,544,287.79
|
$2,423,131.23
|
2025-10-28
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
18
|
7
|
—
|
—
|
$2,215,400.00
|
$2,448,600.00
|
$2,332,000.00
|
2025-10-28
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
18
|
7
|
—
|
—
|
$732,089.00
|
$809,151.00
|
$770,620.00
|
2025-10-28
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
18
|
7
|
—
|
—
|
$549,832.57
|
$607,709.68
|
$578,771.12
|
2025-10-28
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
18
|
7
|
—
|
—
|
$525,510.83
|
$580,827.76
|
$553,169.30
|
2025-10-28
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
18
|
7
|
—
|
—
|
$501,241.34
|
$554,003.59
|
$527,622.46
|
2025-10-28
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
18
|
7
|
—
|
—
|
$490,620.17
|
$542,264.40
|
$516,442.29
|
2025-10-28
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
18
|
7
|
—
|
—
|
$477,698.69
|
$527,982.76
|
$502,840.73
|
2025-10-28
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
18
|
7
|
—
|
—
|
$464,929.20
|
$513,869.11
|
$489,399.16
|
2025-10-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
7
|
—
|
—
|
$344,482.68
|
$610,641.27
|
$457,538.99
|
2025-10-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
18
|
7
|
—
|
—
|
$257,300.06
|
$456,098.52
|
$341,743.78
|
2025-10-28
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
26
|
7
|
—
|
—
|
$260,306.86
|
$585,690.44
|
$312,368.23
|
2025-10-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
14
|
5
|
—
|
—
|
$216,707.78
|
$384,143.30
|
$287,829.44
|
2025-10-28
|
|
C9301
|
HCPCS
|
Outpatient Services
|
18
|
7
|
—
|
—
|
$264,337.50
|
$292,162.50
|
$278,250.00
|
2025-10-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
18
|
7
|
—
|
—
|
$195,764.88
|
$347,019.23
|
$260,013.26
|
2025-10-28
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
26
|
7
|
—
|
—
|
$191,616.86
|
$431,137.94
|
$229,940.23
|
2025-10-28
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
26
|
7
|
—
|
—
|
$188,248.65
|
$423,559.46
|
$225,898.38
|
2025-10-28
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
26
|
7
|
—
|
—
|
$188,248.65
|
$423,559.46
|
$225,898.38
|
2025-10-28
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
26
|
7
|
—
|
—
|
$172,184.15
|
$387,414.34
|
$206,620.98
|
2025-10-28
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
26
|
7
|
—
|
—
|
$167,182.18
|
$376,159.91
|
$200,618.62
|
2025-10-28
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
26
|
7
|
—
|
—
|
$144,534.93
|
$325,203.59
|
$173,441.92
|
2025-10-28
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
26
|
7
|
—
|
—
|
$144,012.73
|
$324,028.64
|
$172,815.28
|
2025-10-28
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
26
|
7
|
—
|
—
|
$144,012.73
|
$324,028.64
|
$172,815.28
|
2025-10-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
18
|
7
|
—
|
—
|
$129,069.33
|
$228,792.52
|
$171,428.79
|
2025-10-28
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
26
|
7
|
—
|
—
|
$134,818.95
|
$303,342.64
|
$161,782.74
|
2025-10-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
7
|
—
|
—
|
$119,676.72
|
$212,142.87
|
$158,953.61
|
2025-10-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
18
|
7
|
—
|
—
|
$119,375.27
|
$211,608.50
|
$158,553.22
|
2025-10-28
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
26
|
7
|
—
|
—
|
$130,591.33
|
$293,830.49
|
$156,709.60
|
2025-10-28
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
26
|
7
|
—
|
—
|
$130,072.86
|
$292,663.94
|
$156,087.43
|
2025-10-28
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
24
|
7
|
—
|
—
|
$4,994.00
|
$314,526.58
|
$146,779.07
|
2025-10-28
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
26
|
7
|
—
|
—
|
$119,093.89
|
$267,961.25
|
$142,912.67
|
2025-10-28
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$112,808.04
|
$253,818.09
|
$135,369.65
|
2025-10-28
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
26
|
7
|
—
|
—
|
$112,414.15
|
$252,931.84
|
$134,896.98
|
2025-10-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
18
|
7
|
—
|
—
|
$100,664.96
|
$178,442.00
|
$133,702.35
|
2025-10-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
18
|
7
|
—
|
—
|
$99,508.47
|
$176,391.97
|
$132,166.31
|
2025-10-28
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
26
|
7
|
—
|
—
|
$108,860.18
|
$244,935.41
|
$130,632.22
|
2025-10-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
18
|
7
|
—
|
—
|
$97,274.96
|
$172,432.78
|
$129,199.78
|
2025-10-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
18
|
7
|
—
|
—
|
$96,778.02
|
$171,551.88
|
$128,539.75
|
2025-10-28
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
26
|
7
|
—
|
—
|
$106,824.33
|
$240,354.74
|
$128,189.20
|
2025-10-28
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
26
|
7
|
—
|
—
|
$106,824.33
|
$240,354.74
|
$128,189.20
|
2025-10-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
7
|
—
|
—
|
$95,749.42
|
$169,728.55
|
$127,173.57
|
2025-10-28
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
26
|
7
|
—
|
—
|
$103,917.14
|
$233,813.57
|
$124,700.57
|
2025-10-28
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
26
|
7
|
—
|
—
|
$102,870.50
|
$231,458.63
|
$123,444.60
|
2025-10-28
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
26
|
7
|
—
|
—
|
$101,591.10
|
$228,579.98
|
$121,909.32
|
2025-10-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
7
|
—
|
—
|
$88,156.40
|
$156,268.93
|
$117,088.59
|
2025-10-28
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
26
|
7
|
—
|
—
|
$95,830.44
|
$215,618.49
|
$114,996.53
|
2025-10-28
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
24
|
7
|
—
|
—
|
$4,994.00
|
$245,783.05
|
$114,698.76
|
2025-10-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
18
|
7
|
—
|
—
|
$84,145.23
|
$149,158.58
|
$111,760.98
|
2025-10-28
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$92,098.92
|
$207,222.57
|
$110,518.70
|
2025-10-28
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
26
|
7
|
—
|
—
|
$91,232.80
|
$205,273.80
|
$109,479.36
|
2025-10-28
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
26
|
7
|
—
|
—
|
$90,556.92
|
$203,753.07
|
$108,668.30
|
2025-10-28
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
26
|
7
|
—
|
—
|
$90,556.92
|
$203,753.07
|
$108,668.30
|
2025-10-28
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
26
|
7
|
—
|
—
|
$90,267.47
|
$203,101.81
|
$108,320.96
|
2025-10-28
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
26
|
7
|
—
|
—
|
$88,201.04
|
$198,452.34
|
$105,841.25
|
2025-10-28
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
26
|
7
|
—
|
—
|
$88,139.12
|
$198,313.02
|
$105,766.94
|
2025-10-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
18
|
7
|
—
|
—
|
$77,404.51
|
$137,209.77
|
$102,808.02
|
2025-10-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
7
|
—
|
—
|
$77,360.66
|
$137,132.04
|
$102,749.78
|
2025-10-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
7
|
—
|
—
|
$76,185.90
|
$135,049.62
|
$101,189.47
|
2025-10-28
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
26
|
7
|
—
|
—
|
$83,779.46
|
$188,503.79
|
$100,535.35
|
2025-10-28
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
18
|
7
|
—
|
—
|
$94,999.91
|
$104,999.91
|
$99,999.91
|
2025-10-28
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$83,269.94
|
$187,357.37
|
$99,923.93
|
2025-10-28
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
26
|
7
|
—
|
—
|
$83,120.73
|
$187,021.64
|
$99,744.88
|
2025-10-28
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
26
|
7
|
—
|
—
|
$82,224.04
|
$185,004.09
|
$98,668.85
|
2025-10-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
18
|
7
|
—
|
—
|
$73,632.67
|
$130,523.68
|
$97,798.29
|
2025-10-28
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
26
|
7
|
—
|
—
|
$81,273.62
|
$182,865.65
|
$97,528.34
|
2025-10-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
18
|
7
|
—
|
—
|
$72,829.70
|
$129,100.31
|
$96,731.79
|
2025-10-28
|
|
5931
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
26
|
7
|
—
|
—
|
$80,589.54
|
$181,326.47
|
$96,707.45
|
2025-10-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
18
|
7
|
—
|
—
|
$72,410.40
|
$128,357.05
|
$96,174.89
|
2025-10-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
7
|
—
|
—
|
$71,397.33
|
$126,561.25
|
$94,829.34
|
2025-10-28
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
26
|
7
|
—
|
—
|
$78,430.59
|
$176,468.83
|
$94,116.71
|
2025-10-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
7
|
—
|
—
|
$70,677.50
|
$125,285.24
|
$93,873.25
|
2025-10-28
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
18
|
7
|
—
|
—
|
$88,555.87
|
$97,877.54
|
$93,216.70
|
2025-10-28
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
26
|
7
|
—
|
—
|
$77,466.01
|
$174,298.52
|
$92,959.21
|
2025-10-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
18
|
7
|
—
|
—
|
$68,180.90
|
$120,859.69
|
$90,557.30
|
2025-10-28
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
26
|
7
|
—
|
—
|
$75,127.28
|
$169,036.38
|
$90,152.74
|
2025-10-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
26
|
7
|
—
|
—
|
$74,182.09
|
$166,909.70
|
$89,018.51
|
2025-10-28
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
26
|
7
|
—
|
—
|
$73,404.01
|
$165,159.02
|
$88,084.81
|
2025-10-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
7
|
—
|
—
|
$64,846.62
|
$114,949.25
|
$86,128.74
|
2025-10-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
26
|
7
|
—
|
—
|
$71,620.31
|
$161,145.70
|
$85,944.37
|
2025-10-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
18
|
7
|
—
|
—
|
$64,552.48
|
$114,427.83
|
$85,738.06
|
2025-10-28
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$70,751.21
|
$159,190.22
|
$84,901.45
|
2025-10-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
18
|
7
|
—
|
—
|
$63,547.63
|
$112,646.60
|
$84,403.42
|
2025-10-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
26
|
7
|
—
|
—
|
$70,010.43
|
$157,523.47
|
$84,012.52
|
2025-10-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
18
|
7
|
—
|
—
|
$62,372.87
|
$110,564.18
|
$82,843.12
|
2025-10-28
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
8
|
4
|
—
|
—
|
$69,443.55
|
$96,267.39
|
$82,796.02
|
2025-10-28
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
26
|
7
|
—
|
—
|
$68,876.50
|
$154,972.13
|
$82,651.80
|
2025-10-28
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
26
|
7
|
—
|
—
|
$68,499.76
|
$154,124.46
|
$82,199.71
|
2025-10-28
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$68,252.83
|
$153,568.87
|
$81,903.40
|
2025-10-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
18
|
7
|
—
|
—
|
$61,242.87
|
$108,561.11
|
$81,342.26
|
2025-10-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
14
|
5
|
—
|
—
|
$61,008.10
|
$108,144.95
|
$81,030.44
|
2025-10-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
18
|
7
|
—
|
—
|
$60,904.87
|
$107,961.97
|
$80,893.34
|
2025-10-28
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
26
|
7
|
—
|
—
|
$67,157.70
|
$151,104.83
|
$80,589.24
|
2025-10-28
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
26
|
7
|
—
|
—
|
$66,980.15
|
$150,705.34
|
$80,376.18
|
2025-10-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
26
|
7
|
—
|
—
|
$66,925.69
|
$150,582.80
|
$80,310.83
|
2025-10-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
26
|
7
|
—
|
—
|
$66,739.93
|
$150,164.84
|
$80,087.92
|
2025-10-28
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
26
|
7
|
—
|
—
|
$66,315.46
|
$149,209.79
|
$79,578.55
|
2025-10-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
18
|
7
|
—
|
—
|
$59,082.44
|
$104,731.47
|
$78,472.80
|
2025-10-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
26
|
7
|
—
|
—
|
$65,298.65
|
$146,921.96
|
$78,358.38
|
2025-10-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
7
|
—
|
—
|
$58,988.35
|
$104,564.68
|
$78,347.83
|
2025-10-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$57,768.83
|
$102,402.91
|
$76,728.07
|
2025-10-28
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
26
|
7
|
—
|
—
|
$63,213.56
|
$142,230.51
|
$75,856.27
|
2025-10-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
18
|
7
|
—
|
—
|
$56,582.19
|
$100,299.44
|
$75,151.99
|
2025-10-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
26
|
7
|
—
|
—
|
$62,575.73
|
$140,795.39
|
$75,090.88
|
2025-10-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
18
|
7
|
—
|
—
|
$56,509.11
|
$100,169.90
|
$75,054.92
|
2025-10-28
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
26
|
7
|
—
|
—
|
$62,414.59
|
$140,432.83
|
$74,897.51
|
2025-10-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
18
|
7
|
—
|
—
|
$56,251.50
|
$99,713.26
|
$74,712.77
|
2025-10-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
18
|
7
|
—
|
—
|
$56,058.75
|
$99,371.58
|
$74,456.77
|
2025-10-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
18
|
7
|
—
|
—
|
$55,799.32
|
$98,911.70
|
$74,112.19
|
2025-10-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
18
|
7
|
—
|
—
|
$55,532.58
|
$98,438.87
|
$73,757.90
|
2025-10-28
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
26
|
7
|
—
|
—
|
$61,274.69
|
$137,868.05
|
$73,529.63
|
2025-10-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
18
|
7
|
—
|
—
|
$55,134.29
|
$97,732.85
|
$73,228.90
|
2025-10-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
18
|
7
|
—
|
—
|
$55,134.29
|
$97,732.85
|
$73,228.90
|
2025-10-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
18
|
7
|
—
|
—
|
$54,722.30
|
$97,002.55
|
$72,681.70
|
2025-10-28
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
26
|
7
|
—
|
—
|
$60,533.16
|
$136,199.61
|
$72,639.79
|
2025-10-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
26
|
7
|
—
|
—
|
$60,292.95
|
$135,659.14
|
$72,351.54
|
2025-10-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
7
|
—
|
—
|
$54,345.03
|
$96,333.78
|
$72,180.61
|
2025-10-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
18
|
7
|
—
|
—
|
$53,748.51
|
$95,276.37
|
$71,388.32
|
2025-10-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$53,183.06
|
$94,274.03
|
$70,637.29
|
2025-10-28
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
30
|
9
|
—
|
—
|
$470.05
|
$74,885.73
|
$69,986.67
|
2025-10-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
7
|
—
|
—
|
$52,425.77
|
$92,931.63
|
$69,631.46
|
2025-10-28
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
26
|
7
|
—
|
—
|
$57,894.54
|
$130,262.72
|
$69,473.45
|
2025-10-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
7
|
—
|
—
|
$52,112.43
|
$92,376.21
|
$69,215.30
|
2025-10-28
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
26
|
7
|
—
|
—
|
$56,986.65
|
$128,219.96
|
$68,383.98
|
2025-10-28
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
26
|
7
|
—
|
—
|
$56,924.73
|
$128,080.64
|
$68,309.68
|
2025-10-28
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
26
|
7
|
—
|
—
|
$56,895.64
|
$128,015.19
|
$68,274.77
|
2025-10-28
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
26
|
7
|
—
|
—
|
$56,521.89
|
$127,174.25
|
$67,826.27
|
2025-10-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
24
|
7
|
—
|
—
|
$4,994.00
|
$144,984.96
|
$67,659.65
|
2025-10-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
18
|
7
|
—
|
—
|
$50,920.32
|
$90,263.02
|
$67,631.94
|
2025-10-28
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
18
|
7
|
—
|
—
|
$64,080.03
|
$70,825.29
|
$67,452.66
|
2025-10-28
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
26
|
7
|
—
|
—
|
$55,975.81
|
$125,945.57
|
$67,170.97
|
2025-10-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
18
|
7
|
—
|
—
|
$50,491.89
|
$89,503.57
|
$67,062.90
|
2025-10-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
18
|
7
|
—
|
—
|
$50,488.23
|
$89,497.09
|
$67,058.04
|
2025-10-28
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$55,789.31
|
$125,525.95
|
$66,947.17
|
2025-10-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
7
|
—
|
—
|
$50,290.00
|
$89,145.70
|
$66,794.76
|
2025-10-28
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
26
|
7
|
—
|
—
|
$55,402.14
|
$124,654.82
|
$66,482.57
|
2025-10-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
18
|
7
|
—
|
—
|
$49,969.36
|
$88,577.33
|
$66,368.89
|
2025-10-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia #
|
26
|
7
|
—
|
—
|
$55,105.97
|
$123,988.43
|
$66,127.16
|
2025-10-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
18
|
7
|
—
|
—
|
$49,701.71
|
$88,102.87
|
$66,013.39
|
2025-10-28
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
18
|
7
|
—
|
—
|
$49,588.43
|
$87,902.08
|
$65,862.94
|
2025-10-28
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
26
|
7
|
—
|
—
|
$54,856.81
|
$123,427.82
|
$65,828.17
|
2025-10-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
18
|
7
|
—
|
—
|
$49,335.39
|
$87,453.54
|
$65,526.86
|
2025-10-28
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
26
|
7
|
—
|
—
|
$54,564.37
|
$122,769.83
|
$65,477.24
|
2025-10-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
18
|
7
|
—
|
—
|
$49,288.81
|
$87,370.95
|
$65,464.98
|
2025-10-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
18
|
7
|
—
|
—
|
$49,282.41
|
$87,359.62
|
$65,456.48
|
2025-10-28
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
26
|
7
|
—
|
—
|
$54,332.36
|
$122,247.81
|
$65,198.83
|
2025-10-28
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
26
|
7
|
—
|
—
|
$54,021.28
|
$121,547.88
|
$64,825.54
|
2025-10-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
7
|
—
|
—
|
$48,597.29
|
$86,145.14
|
$64,546.51
|
2025-10-28
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
26
|
7
|
—
|
—
|
$53,627.39
|
$120,661.63
|
$64,352.87
|
2025-10-28
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
26
|
7
|
—
|
—
|
$53,627.39
|
$120,661.63
|
$64,352.87
|
2025-10-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
26
|
7
|
—
|
—
|
$53,584.86
|
$120,565.94
|
$64,301.83
|
2025-10-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
26
|
7
|
—
|
—
|
$53,581.88
|
$120,559.23
|
$64,298.26
|
2025-10-28
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
26
|
7
|
—
|
—
|
$53,581.13
|
$120,557.54
|
$64,297.36
|
2025-10-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
7
|
—
|
—
|
$48,381.70
|
$85,762.99
|
$64,260.17
|
2025-10-28
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
26
|
7
|
—
|
—
|
$52,791.86
|
$118,781.69
|
$63,350.23
|
2025-10-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
26
|
7
|
—
|
—
|
$52,699.36
|
$118,573.56
|
$63,239.23
|
2025-10-28
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
18
|
7
|
—
|
—
|
$60,073.83
|
$66,397.39
|
$63,235.61
|
2025-10-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
26
|
7
|
—
|
—
|
$52,571.04
|
$118,284.84
|
$63,085.25
|
2025-10-28
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
26
|
7
|
—
|
—
|
$52,130.90
|
$117,294.53
|
$62,557.08
|
2025-10-28
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
26
|
7
|
—
|
—
|
$52,128.66
|
$117,289.49
|
$62,554.39
|
2025-10-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
18
|
7
|
—
|
—
|
$47,042.51
|
$83,389.09
|
$62,481.46
|
2025-10-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
18
|
7
|
—
|
—
|
$46,888.13
|
$83,115.43
|
$62,276.42
|
2025-10-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
18
|
7
|
—
|
—
|
$46,536.43
|
$82,492.00
|
$61,809.29
|
2025-10-28
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
26
|
7
|
—
|
—
|
$51,463.22
|
$115,792.25
|
$61,755.86
|
2025-10-28
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
18
|
7
|
—
|
—
|
$46,393.92
|
$82,239.39
|
$61,620.02
|
2025-10-28
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
26
|
7
|
—
|
—
|
$51,043.22
|
$114,847.25
|
$61,251.86
|
2025-10-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
18
|
7
|
—
|
—
|
$46,008.43
|
$81,556.04
|
$61,108.01
|
2025-10-28
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
26
|
7
|
—
|
—
|
$50,904.47
|
$114,535.06
|
$61,085.36
|
2025-10-28
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
26
|
7
|
—
|
—
|
$50,867.17
|
$114,451.13
|
$61,040.60
|
2025-10-28
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
26
|
7
|
—
|
—
|
$50,680.66
|
$114,031.49
|
$60,816.79
|
2025-10-28
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
26
|
7
|
—
|
—
|
$50,669.47
|
$114,006.31
|
$60,803.36
|
2025-10-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
18
|
7
|
—
|
—
|
$45,737.12
|
$81,075.11
|
$60,747.65
|
2025-10-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
18
|
7
|
—
|
—
|
$45,701.49
|
$81,011.96
|
$60,700.34
|
2025-10-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$45,688.70
|
$80,989.29
|
$60,683.35
|
2025-10-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
26
|
7
|
—
|
—
|
$50,454.62
|
$113,522.90
|
$60,545.54
|
2025-10-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
18
|
7
|
—
|
—
|
$45,518.79
|
$80,688.10
|
$60,457.68
|
2025-10-28
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
26
|
7
|
—
|
—
|
$49,907.80
|
$112,292.55
|
$59,889.36
|
2025-10-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
26
|
7
|
—
|
—
|
$49,469.15
|
$111,305.59
|
$59,362.98
|
2025-10-28
|
|
31
|
APR_DRG
|
Bone Marrow Transplant
|
26
|
7
|
—
|
—
|
$49,427.37
|
$111,211.58
|
$59,312.84
|
2025-10-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
18
|
7
|
—
|
—
|
$44,638.18
|
$79,127.09
|
$59,288.05
|
2025-10-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures #
|
26
|
7
|
—
|
—
|
$49,359.49
|
$111,058.85
|
$59,231.39
|
2025-10-28
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
26
|
7
|
—
|
—
|
$49,316.22
|
$110,961.50
|
$59,179.46
|
2025-10-28
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
26
|
7
|
—
|
—
|
$49,298.31
|
$110,921.20
|
$59,157.97
|
2025-10-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
18
|
7
|
—
|
—
|
$44,368.70
|
$78,649.40
|
$58,930.13
|
2025-10-28
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
26
|
7
|
—
|
—
|
$49,062.58
|
$110,390.81
|
$58,875.10
|
2025-10-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
18
|
7
|
—
|
—
|
$44,294.70
|
$78,518.24
|
$58,831.85
|
2025-10-28
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$48,435.93
|
$108,980.84
|
$58,123.12
|
2025-10-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
26
|
7
|
—
|
—
|
$48,418.03
|
$108,940.57
|
$58,101.64
|
2025-10-28
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
8
|
4
|
—
|
—
|
$48,716.78
|
$67,534.53
|
$58,083.94
|
2025-10-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
18
|
7
|
—
|
—
|
$43,621.45
|
$77,324.81
|
$57,937.64
|
2025-10-28
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
26
|
7
|
—
|
—
|
$48,276.29
|
$108,621.65
|
$57,931.55
|
2025-10-28
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
18
|
7
|
—
|
—
|
$43,432.36
|
$76,989.62
|
$57,686.49
|
2025-10-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
7
|
—
|
—
|
$43,430.53
|
$76,986.38
|
$57,684.06
|
2025-10-28
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
26
|
7
|
—
|
—
|
$47,813.76
|
$107,580.96
|
$57,376.51
|
2025-10-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
18
|
7
|
—
|
—
|
$42,974.69
|
$76,178.35
|
$57,078.63
|
2025-10-28
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
26
|
7
|
—
|
—
|
$47,564.60
|
$107,020.35
|
$57,077.52
|
2025-10-28
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
18
|
7
|
—
|
—
|
$54,166.25
|
$59,867.96
|
$57,017.10
|
2025-10-28
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
18
|
7
|
—
|
—
|
$53,983.32
|
$59,665.78
|
$56,824.55
|
2025-10-28
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
26
|
7
|
—
|
—
|
$47,319.16
|
$106,468.11
|
$56,782.99
|
2025-10-28
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
18
|
7
|
—
|
—
|
$42,744.49
|
$75,770.29
|
$56,772.87
|
2025-10-28
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
26
|
7
|
—
|
—
|
$47,256.50
|
$106,327.13
|
$56,707.80
|
2025-10-28
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma & Non-acute Leukemia
|
26
|
7
|
—
|
—
|
$47,243.07
|
$106,296.91
|
$56,691.68
|
2025-10-28
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
26
|
7
|
—
|
—
|
$47,150.56
|
$106,088.76
|
$56,580.67
|
2025-10-28
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
26
|
7
|
—
|
—
|
$47,132.66
|
$106,048.49
|
$56,559.19
|
2025-10-28
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
8
|
4
|
—
|
—
|
$47,426.03
|
$65,745.20
|
$56,545.01
|
2025-10-28
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
18
|
7
|
—
|
—
|
$42,497.85
|
$75,333.07
|
$56,445.28
|
2025-10-28
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
26
|
7
|
—
|
—
|
$47,011.81
|
$105,776.57
|
$56,414.17
|
2025-10-28
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
26
|
7
|
—
|
—
|
$46,818.59
|
$105,341.83
|
$56,182.31
|
2025-10-28
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
26
|
7
|
—
|
—
|
$46,812.62
|
$105,328.40
|
$56,175.14
|
2025-10-28
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures #
|
26
|
7
|
—
|
—
|
$46,789.50
|
$105,276.38
|
$56,147.40
|
2025-10-28
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
26
|
7
|
—
|
—
|
$46,743.24
|
$105,172.29
|
$56,091.89
|
2025-10-28
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
18
|
7
|
—
|
—
|
$42,102.30
|
$74,631.92
|
$55,919.92
|
2025-10-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
18
|
7
|
—
|
—
|
$42,084.95
|
$74,601.15
|
$55,896.87
|
2025-10-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
26
|
7
|
—
|
—
|
$46,485.13
|
$104,591.54
|
$55,782.16
|
2025-10-28
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
26
|
7
|
—
|
—
|
$46,449.32
|
$104,510.97
|
$55,739.18
|
2025-10-28
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
7
|
—
|
—
|
$41,950.66
|
$74,363.11
|
$55,718.51
|
2025-10-28
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
18
|
7
|
—
|
—
|
$41,945.18
|
$74,353.40
|
$55,711.23
|
2025-10-28
|
|
8412
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
24
|
7
|
—
|
—
|
$4,994.00
|
$118,870.65
|
$55,472.97
|
2025-10-28
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedure Only
|
26
|
7
|
—
|
—
|
$46,147.19
|
$103,831.18
|
$55,376.63
|
2025-10-28
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
26
|
7
|
—
|
—
|
$45,978.59
|
$103,451.83
|
$55,174.31
|
2025-10-28
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
26
|
7
|
—
|
—
|
$45,978.59
|
$103,451.83
|
$55,174.31
|
2025-10-28
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
26
|
7
|
—
|
—
|
$45,913.69
|
$103,305.80
|
$55,096.43
|
2025-10-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
26
|
7
|
—
|
—
|
$45,809.24
|
$103,070.79
|
$54,971.09
|
2025-10-28
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
26
|
7
|
—
|
—
|
$45,712.26
|
$102,852.59
|
$54,854.71
|
2025-10-28
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$41,210.73
|
$73,051.48
|
$54,735.74
|
2025-10-28
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
26
|
7
|
—
|
—
|
$45,437.73
|
$102,234.89
|
$54,525.28
|
2025-10-28
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
18
|
7
|
—
|
—
|
$40,964.99
|
$72,615.89
|
$54,409.36
|
2025-10-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
26
|
7
|
—
|
—
|
$45,303.45
|
$101,932.76
|
$54,364.14
|
2025-10-28
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
26
|
7
|
—
|
—
|
$45,229.60
|
$101,766.60
|
$54,275.52
|
2025-10-28
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
18
|
7
|
—
|
—
|
$40,851.72
|
$72,415.10
|
$54,258.91
|
2025-10-28
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
26
|
7
|
—
|
—
|
$45,186.33
|
$101,669.24
|
$54,223.60
|
2025-10-28
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
26
|
7
|
—
|
—
|
$45,160.97
|
$101,612.18
|
$54,193.16
|
2025-10-28
|
|
2624
|
APR_DRG
|
Cholecystectomy Except Laparoscopic
|
26
|
7
|
—
|
—
|
$45,160.22
|
$101,610.50
|
$54,192.26
|
2025-10-28
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
26
|
7
|
—
|
—
|
$45,124.41
|
$101,529.92
|
$54,149.29
|
2025-10-28
|
|
6071
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
26
|
7
|
—
|
—
|
$45,067.71
|
$101,402.35
|
$54,081.25
|
2025-10-28
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
26
|
7
|
—
|
—
|
$45,028.18
|
$101,313.41
|
$54,033.82
|
2025-10-28
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
18
|
7
|
—
|
—
|
$40,469.88
|
$71,738.23
|
$53,751.75
|
2025-10-28
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
26
|
7
|
—
|
—
|
$44,595.49
|
$100,339.85
|
$53,514.59
|
2025-10-28
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
26
|
7
|
—
|
—
|
$44,517.91
|
$100,165.30
|
$53,421.49
|
2025-10-28
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
26
|
7
|
—
|
—
|
$44,490.31
|
$100,103.20
|
$53,388.37
|
2025-10-28
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
18
|
7
|
—
|
—
|
$40,125.49
|
$71,127.75
|
$53,294.33
|
2025-10-28
|
|
0266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
20
|
8
|
—
|
—
|
$41,039.00
|
$56,979.42
|
$53,251.79
|
2025-10-28
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
30
|
9
|
—
|
—
|
$1,178.77
|
$56,979.42
|
$53,251.79
|
2025-10-28
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
26
|
7
|
—
|
—
|
$44,250.09
|
$99,562.70
|
$53,100.11
|
2025-10-28
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
26
|
7
|
—
|
—
|
$44,204.59
|
$99,460.33
|
$53,045.51
|
2025-10-28
|
|
434
|
APR_DRG
|
Multiple Sclerosis & Other Demyelinating Diseases
|
26
|
7
|
—
|
—
|
$44,146.40
|
$99,329.40
|
$52,975.68
|
2025-10-28
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
26
|
7
|
—
|
—
|
$22,350.00
|
$118,968.01
|
$52,874.67
|
2025-10-28
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
26
|
7
|
—
|
—
|
$44,035.24
|
$99,079.29
|
$52,842.29
|
2025-10-28
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
14
|
5
|
—
|
—
|
$39,524.40
|
$70,062.25
|
$52,495.98
|
2025-10-28
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
7
|
—
|
—
|
$39,442.19
|
$69,916.52
|
$52,386.78
|
2025-10-28
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
26
|
7
|
—
|
—
|
$43,593.61
|
$98,085.62
|
$52,312.33
|
2025-10-28
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
26
|
7
|
—
|
—
|
$43,169.88
|
$97,132.23
|
$51,803.86
|
2025-10-28
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$38,964.43
|
$69,069.62
|
$51,752.23
|
2025-10-28
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
18
|
7
|
—
|
—
|
$38,907.79
|
$68,969.23
|
$51,677.00
|
2025-10-28
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
26
|
7
|
—
|
—
|
$43,035.59
|
$96,830.08
|
$51,642.71
|
2025-10-28
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
26
|
7
|
—
|
—
|
$42,858.79
|
$96,432.28
|
$51,430.55
|
2025-10-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
26
|
7
|
—
|
—
|
$42,796.13
|
$96,291.29
|
$51,355.36
|
2025-10-28
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
18
|
7
|
—
|
—
|
$38,631.92
|
$68,480.20
|
$51,310.58
|
2025-10-28
|
|
6504
|
APR_DRG
|
Splenectomy
|
26
|
7
|
—
|
—
|
$42,544.72
|
$95,725.62
|
$51,053.66
|
2025-10-28
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
26
|
7
|
—
|
—
|
$42,493.25
|
$95,609.81
|
$50,991.90
|
2025-10-28
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
26
|
7
|
—
|
—
|
$42,417.90
|
$95,440.28
|
$50,901.48
|
2025-10-28
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
18
|
7
|
—
|
—
|
$38,278.39
|
$67,853.53
|
$50,841.04
|
2025-10-28
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
18
|
7
|
—
|
—
|
$38,275.65
|
$67,848.67
|
$50,837.40
|
2025-10-28
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
26
|
7
|
—
|
—
|
$42,316.44
|
$95,211.99
|
$50,779.73
|
2025-10-28
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
18
|
7
|
—
|
—
|
$38,005.25
|
$67,369.36
|
$50,478.26
|
2025-10-28
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
26
|
7
|
—
|
—
|
$41,615.94
|
$93,635.87
|
$49,939.13
|
2025-10-28
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
18
|
7
|
—
|
—
|
$37,561.29
|
$66,582.38
|
$49,888.59
|
2025-10-28
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
18
|
7
|
—
|
—
|
$37,540.28
|
$66,545.13
|
$49,860.69
|
2025-10-28
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
26
|
7
|
—
|
—
|
$41,542.09
|
$93,469.70
|
$49,850.51
|
2025-10-28
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
18
|
7
|
—
|
—
|
$37,484.56
|
$66,446.36
|
$49,786.68
|
2025-10-28
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
18
|
7
|
—
|
—
|
$37,300.03
|
$66,119.26
|
$49,541.59
|
2025-10-28
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$37,152.96
|
$65,858.55
|
$49,346.25
|
2025-10-28
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
26
|
7
|
—
|
—
|
$40,603.61
|
$91,358.12
|
$48,724.33
|
2025-10-28
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
26
|
7
|
—
|
—
|
$40,570.04
|
$91,282.59
|
$48,684.05
|
2025-10-28
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
18
|
7
|
—
|
—
|
$36,389.27
|
$64,504.82
|
$48,331.93
|
2025-10-28
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
18
|
7
|
—
|
—
|
$36,363.69
|
$64,459.48
|
$48,297.95
|
2025-10-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
26
|
7
|
—
|
—
|
$40,191.07
|
$90,429.91
|
$48,229.28
|
2025-10-28
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
26
|
7
|
—
|
—
|
$39,940.42
|
$89,865.95
|
$47,928.50
|
2025-10-28
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$36,049.45
|
$63,902.44
|
$47,880.58
|
2025-10-28
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
26
|
7
|
—
|
—
|
$39,885.21
|
$89,741.72
|
$47,862.25
|
2025-10-28
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
18
|
7
|
—
|
—
|
$35,967.24
|
$63,756.70
|
$47,771.38
|
2025-10-28
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
26
|
7
|
—
|
—
|
$39,744.22
|
$89,424.50
|
$47,693.06
|
2025-10-28
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
18
|
7
|
—
|
—
|
$35,895.07
|
$63,628.77
|
$47,675.53
|
2025-10-28
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
18
|
7
|
—
|
—
|
$35,893.24
|
$63,625.54
|
$47,673.10
|
2025-10-28
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue & Related Procedures
|
26
|
7
|
—
|
—
|
$39,607.70
|
$89,117.33
|
$47,529.24
|
2025-10-28
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
18
|
7
|
—
|
—
|
$35,717.85
|
$63,314.63
|
$47,440.15
|
2025-10-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
26
|
7
|
—
|
—
|
$39,530.86
|
$88,944.44
|
$47,437.03
|
2025-10-28
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
26
|
7
|
—
|
—
|
$39,451.78
|
$88,766.51
|
$47,342.14
|
2025-10-28
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
18
|
7
|
—
|
—
|
$44,850.71
|
$49,571.83
|
$47,211.27
|
2025-10-28
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
26
|
7
|
—
|
—
|
$39,342.12
|
$88,519.77
|
$47,210.54
|
2025-10-28
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
18
|
7
|
—
|
—
|
$35,521.45
|
$62,966.48
|
$47,179.29
|
2025-10-28
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
18
|
7
|
—
|
—
|
$35,305.86
|
$62,584.33
|
$46,892.95
|
2025-10-28
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
18
|
7
|
—
|
—
|
$35,269.32
|
$62,519.55
|
$46,844.42
|
2025-10-28
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$35,178.89
|
$62,359.24
|
$46,724.30
|
2025-10-28
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
18
|
7
|
—
|
—
|
$34,915.80
|
$61,892.88
|
$46,374.87
|
2025-10-28
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
26
|
7
|
—
|
—
|
$38,628.94
|
$86,915.12
|
$46,354.73
|
2025-10-28
|