|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
18
|
16
|
—
|
—
|
$3,599,442.00
|
$4,040,190.00
|
$3,672,900.00
|
2025-08-06
|
|
C9172
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
11
|
10
|
—
|
—
|
$3,605,000.00
|
$3,965,500.00
|
$3,605,000.00
|
2025-08-06
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,532,900.00
|
$3,605,000.00
|
$3,605,000.00
|
2025-08-06
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
18
|
16
|
—
|
—
|
$3,258,945.66
|
$3,658,000.24
|
$3,325,454.76
|
2025-08-06
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
18
|
16
|
—
|
—
|
$3,220,280.00
|
$3,614,600.00
|
$3,286,000.00
|
2025-08-06
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
18
|
16
|
—
|
—
|
$2,908,640.00
|
$3,264,800.00
|
$2,968,000.00
|
2025-08-06
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
18
|
16
|
—
|
—
|
$2,340,841.95
|
$2,627,475.65
|
$2,388,614.23
|
2025-08-06
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
5
|
—
|
—
|
$2,285,360.00
|
$2,332,000.00
|
$2,332,000.00
|
2025-08-06
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
26
|
19
|
—
|
—
|
$518,609.00
|
$701,373.56
|
$529,192.86
|
2025-08-06
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
26
|
19
|
—
|
—
|
$507,687.00
|
$683,634.74
|
$527,123.43
|
2025-08-06
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
26
|
19
|
—
|
—
|
$503,454.53
|
$655,107.41
|
$526,587.59
|
2025-08-06
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
26
|
19
|
—
|
—
|
$496,390.21
|
$640,442.60
|
$516,726.08
|
2025-08-06
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
26
|
19
|
—
|
—
|
$479,666.84
|
$607,001.27
|
$489,455.96
|
2025-08-06
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
26
|
19
|
—
|
—
|
$449,440.00
|
$605,183.87
|
$460,530.40
|
2025-08-06
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
29
|
21
|
—
|
—
|
$1,657.21
|
$942,820.00
|
$435,620.35
|
2025-08-06
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$704,207.50
|
$325,588.92
|
2025-08-06
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
28
|
11
|
—
|
—
|
$245,274.54
|
$1,055,176.41
|
$283,203.59
|
2025-08-06
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
29
|
21
|
—
|
—
|
$1,657.21
|
$623,251.46
|
$274,340.06
|
2025-08-06
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
45
|
36
|
$373,544.80
|
—
|
$1,657.21
|
$535,790.00
|
$247,926.52
|
2026-07-05
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
28
|
11
|
—
|
—
|
$180,697.42
|
$776,735.56
|
$208,640.32
|
2025-08-06
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
43
|
26
|
$722,330.67
|
$175,890.94
76% off
|
$175,890.94
|
$763,082.20
|
$196,997.85
|
2026-07-05
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
43
|
26
|
$884,669.34
|
$175,890.94
80% off
|
$175,890.94
|
$763,082.20
|
$196,997.85
|
2026-07-05
|
|
C1833
|
HCPCS
|
Cardiac Monitor Sys
|
1
|
1
|
—
|
—
|
$187,725.00
|
$187,725.00
|
$187,725.00
|
2025-08-06
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
28
|
11
|
—
|
—
|
$157,725.79
|
$677,687.47
|
$182,116.38
|
2025-08-06
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
43
|
26
|
$247,192.80
|
$161,021.17
35% off
|
$161,021.17
|
$697,963.39
|
$180,343.72
|
2026-07-05
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
45
|
36
|
$248,883.53
|
—
|
$1,657.21
|
$353,250.00
|
$163,751.81
|
2026-07-05
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
28
|
11
|
—
|
—
|
$135,943.64
|
$583,768.08
|
$156,965.85
|
2025-08-06
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
28
|
11
|
—
|
—
|
$131,973.36
|
$566,649.21
|
$152,381.61
|
2025-08-06
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
29
|
21
|
—
|
—
|
$1,657.21
|
$327,545.00
|
$151,898.46
|
2025-08-06
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
43
|
26
|
$671,296.09
|
$135,428.25
80% off
|
$135,428.25
|
$585,884.88
|
$151,679.64
|
2026-07-05
|
|
7
|
MS_DRG
|
Lung Transplant
|
29
|
21
|
—
|
—
|
$1,657.21
|
$326,720.00
|
$151,518.03
|
2025-08-06
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
43
|
26
|
$498,208.96
|
$134,944.88
73% off
|
$134,944.88
|
$583,768.08
|
$151,138.26
|
2026-07-05
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
4
|
—
|
—
|
$1,657.21
|
$261,885.00
|
$147,022.24
|
2025-08-06
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
28
|
11
|
—
|
—
|
$123,325.86
|
$529,363.29
|
$142,396.87
|
2025-08-06
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
43
|
26
|
$551,032.25
|
$126,434.85
77% off
|
$126,434.85
|
$546,500.30
|
$141,607.03
|
2026-07-05
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
43
|
26
|
$516,849.67
|
$122,041.73
76% off
|
$122,041.73
|
$527,261.61
|
$136,686.74
|
2026-07-05
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
5
|
3
|
—
|
—
|
$95,027.59
|
$156,820.73
|
$130,059.40
|
2025-08-06
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
5
|
4
|
—
|
—
|
$1,657.21
|
$230,297.50
|
$129,289.02
|
2025-08-06
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$289,511.74
|
$127,895.48
|
2025-08-06
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve?procedures
|
29
|
21
|
—
|
—
|
$1,657.21
|
$272,347.50
|
$126,445.22
|
2025-08-06
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
43
|
26
|
$675,274.03
|
$111,879.27
83% off
|
$111,879.27
|
$482,757.40
|
$125,304.78
|
2026-07-05
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
29
|
21
|
—
|
—
|
$1,657.21
|
$266,235.00
|
$123,626.56
|
2025-08-06
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
45
|
36
|
$324,988.89
|
—
|
$1,657.21
|
$324,988.89
|
$122,997.12
|
2026-07-05
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
28
|
11
|
—
|
—
|
$106,237.06
|
$455,680.51
|
$122,665.47
|
2025-08-06
|
|
454
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Cc
|
5
|
3
|
—
|
—
|
$87,634.35
|
$144,619.91
|
$119,940.64
|
2025-08-06
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
28
|
11
|
—
|
—
|
$103,250.06
|
$442,801.29
|
$119,216.56
|
2025-08-06
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
28
|
11
|
—
|
—
|
$102,895.88
|
$441,274.17
|
$118,807.62
|
2025-08-06
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
43
|
26
|
$574,999.77
|
$106,060.91
82% off
|
$106,060.91
|
$457,277.18
|
$118,788.22
|
2026-07-05
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
5
|
4
|
—
|
—
|
$1,657.21
|
$208,515.00
|
$117,060.32
|
2025-08-06
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
28
|
11
|
—
|
—
|
$100,981.93
|
$433,021.68
|
$116,597.69
|
2025-08-06
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
28
|
11
|
—
|
—
|
$100,981.93
|
$433,021.68
|
$116,597.69
|
2025-08-06
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
28
|
11
|
—
|
—
|
$98,248.82
|
$421,237.15
|
$113,441.93
|
2025-08-06
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
20
|
—
|
—
|
$104,269.66
|
$241,277.50
|
$113,239.09
|
2025-08-06
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
4
|
3
|
—
|
—
|
$88,716.59
|
$167,617.50
|
$109,377.12
|
2025-08-06
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
43
|
26
|
$282,677.76
|
$96,862.42
66% off
|
$96,862.42
|
$416,994.48
|
$108,485.92
|
2026-07-05
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
43
|
26
|
$605,860.78
|
$95,678.17
84% off
|
$95,678.17
|
$411,808.32
|
$107,159.56
|
2026-07-05
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
28
|
11
|
—
|
—
|
$90,646.31
|
$388,456.99
|
$104,663.78
|
2025-08-06
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
4
|
—
|
—
|
$1,657.21
|
$177,567.50
|
$99,686.39
|
2025-08-06
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
28
|
11
|
—
|
—
|
$86,323.97
|
$369,820.08
|
$99,673.03
|
2025-08-06
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
20
|
—
|
—
|
$91,648.57
|
$211,847.50
|
$99,532.32
|
2025-08-06
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
20
|
—
|
—
|
$91,598.17
|
$211,730.00
|
$99,477.58
|
2025-08-06
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
28
|
11
|
—
|
—
|
$85,688.55
|
$367,080.33
|
$98,939.36
|
2025-08-06
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
28
|
11
|
—
|
—
|
$85,688.55
|
$367,080.33
|
$98,939.36
|
2025-08-06
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
28
|
11
|
—
|
—
|
$85,416.43
|
$365,907.02
|
$98,625.16
|
2025-08-06
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
43
|
26
|
$333,550.40
|
$86,891.93
74% off
|
$86,891.93
|
$373,330.94
|
$97,318.97
|
2026-07-05
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
28
|
11
|
—
|
—
|
$83,473.73
|
$357,530.54
|
$96,382.04
|
2025-08-06
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
28
|
11
|
—
|
—
|
$83,415.52
|
$357,279.55
|
$96,314.83
|
2025-08-06
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
45
|
36
|
$79,084.25
|
—
|
$1,657.21
|
$201,527.50
|
$93,787.98
|
2026-07-05
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
29
|
21
|
—
|
—
|
$1,657.21
|
$199,325.00
|
$92,772.34
|
2025-08-06
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
29
|
21
|
—
|
—
|
$1,657.21
|
$198,182.50
|
$92,245.50
|
2025-08-06
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
20
|
—
|
—
|
$84,599.33
|
$195,410.00
|
$91,876.69
|
2025-08-06
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
28
|
11
|
—
|
—
|
$79,316.89
|
$339,607.29
|
$91,582.39
|
2025-08-06
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
20
|
—
|
—
|
$83,753.42
|
$193,437.50
|
$90,958.01
|
2025-08-06
|
|
455
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion Without Cc/mcc
|
5
|
3
|
—
|
—
|
$65,989.04
|
$108,899.41
|
$90,315.82
|
2025-08-06
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
28
|
11
|
—
|
—
|
$77,854.61
|
$333,302.25
|
$89,893.98
|
2025-08-06
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
28
|
11
|
—
|
—
|
$76,961.10
|
$329,449.68
|
$88,862.30
|
2025-08-06
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
43
|
26
|
$304,781.02
|
$78,719.57
74% off
|
$78,719.57
|
$337,541.90
|
$88,165.92
|
2026-07-05
|
|
5931
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
28
|
11
|
—
|
—
|
$76,317.97
|
$326,676.67
|
$88,119.72
|
2025-08-06
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
43
|
26
|
$471,886.22
|
$78,581.47
83% off
|
$78,581.47
|
$336,937.10
|
$88,011.24
|
2026-07-05
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
45
|
36
|
$187,646.64
|
—
|
$1,657.21
|
$187,646.64
|
$86,906.77
|
2026-07-05
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
5
|
4
|
—
|
—
|
$1,657.21
|
$154,660.00
|
$86,826.12
|
2025-08-06
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
28
|
11
|
—
|
—
|
$74,288.30
|
$317,925.21
|
$85,776.19
|
2025-08-06
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
28
|
11
|
—
|
—
|
$73,381.47
|
$314,015.18
|
$84,729.12
|
2025-08-06
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
4
|
3
|
—
|
—
|
$68,146.12
|
$128,752.50
|
$84,016.15
|
2025-08-06
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
20
|
—
|
—
|
$76,564.80
|
$176,675.00
|
$83,151.01
|
2025-08-06
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
16
|
16
|
$222,977.88
|
—
|
$1,960.00
|
$222,977.88
|
$82,871.81
|
2026-07-05
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
28
|
11
|
—
|
—
|
$71,182.77
|
$304,534.94
|
$82,190.42
|
2025-08-06
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
28
|
11
|
—
|
—
|
$70,294.18
|
$300,703.53
|
$81,164.42
|
2025-08-06
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
45
|
36
|
$148,690.42
|
—
|
$1,657.21
|
$173,912.50
|
$81,053.87
|
2026-07-05
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
29
|
21
|
—
|
—
|
$1,657.21
|
$170,707.50
|
$79,575.95
|
2025-08-06
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
21
|
18
|
$78,704.07
|
—
|
$1,960.00
|
$209,527.80
|
$78,704.07
|
2026-07-05
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
28
|
11
|
—
|
—
|
$67,885.78
|
$290,319.12
|
$78,383.58
|
2025-08-06
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
42
|
34
|
$157,897.77
|
—
|
$58,801.85
|
$166,690.00
|
$78,336.12
|
2026-07-05
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
43
|
26
|
$191,948.67
|
$69,587.38
64% off
|
$69,562.69
|
$297,549.50
|
$77,937.86
|
2026-07-05
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$166,972.50
|
$77,853.63
|
2025-08-06
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
4
|
—
|
—
|
$1,657.21
|
$137,602.50
|
$77,250.04
|
2025-08-06
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
5
|
4
|
—
|
—
|
$1,657.21
|
$136,762.50
|
$76,778.47
|
2025-08-06
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
28
|
11
|
—
|
—
|
$66,372.30
|
$283,793.32
|
$76,636.06
|
2025-08-06
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
20
|
—
|
—
|
$70,034.47
|
$161,447.50
|
$76,058.94
|
2025-08-06
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
45
|
36
|
$111,768.63
|
—
|
$1,657.21
|
$163,339.66
|
$75,413.10
|
2026-07-05
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
43
|
26
|
$245,083.30
|
$67,131.87
73% off
|
$67,068.73
|
$286,796.16
|
$75,187.70
|
2026-07-05
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
28
|
11
|
—
|
—
|
$64,952.08
|
$277,669.72
|
$74,996.22
|
2025-08-06
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$162,502.63
|
$73,765.71
|
2025-08-06
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
28
|
11
|
—
|
—
|
$63,690.37
|
$272,229.55
|
$73,539.40
|
2025-08-06
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
28
|
11
|
—
|
—
|
$63,523.46
|
$271,509.84
|
$73,346.67
|
2025-08-06
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
28
|
11
|
—
|
—
|
$63,472.26
|
$271,289.08
|
$73,287.56
|
2025-08-06
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
43
|
26
|
$176,800.23
|
$65,396.58
63% off
|
$65,306.26
|
$279,196.84
|
$73,244.17
|
2026-07-05
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
28
|
11
|
—
|
—
|
$63,297.63
|
$270,536.11
|
$73,085.92
|
2025-08-06
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
28
|
20
|
—
|
—
|
$67,209.42
|
$154,860.00
|
$72,990.87
|
2025-08-06
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
28
|
11
|
—
|
—
|
$62,898.56
|
$268,815.45
|
$72,625.15
|
2025-08-06
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
43
|
26
|
$209,636.39
|
$64,819.30
69% off
|
$64,719.94
|
$276,668.78
|
$72,597.62
|
2026-07-05
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
28
|
20
|
—
|
—
|
$66,821.30
|
$153,955.00
|
$72,569.37
|
2025-08-06
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
16
|
16
|
$282,939.26
|
—
|
$1,960.00
|
$282,939.26
|
$72,519.67
|
2026-07-05
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
28
|
20
|
—
|
—
|
$66,290.60
|
$152,717.50
|
$71,993.02
|
2025-08-06
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$161,223.43
|
$71,603.01
|
2025-08-06
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
28
|
11
|
—
|
—
|
$61,942.65
|
$264,693.74
|
$71,521.41
|
2025-08-06
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
45
|
36
|
$324,454.98
|
—
|
$1,657.21
|
$324,454.98
|
$70,943.59
|
2026-07-05
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
20
|
—
|
—
|
$65,026.56
|
$149,770.00
|
$70,620.24
|
2025-08-06
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
28
|
11
|
—
|
—
|
$61,133.30
|
$261,204.04
|
$70,586.90
|
2025-08-06
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$150,897.50
|
$70,440.96
|
2025-08-06
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$150,897.50
|
$70,440.96
|
2025-08-06
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
20
|
—
|
—
|
$64,581.63
|
$148,732.50
|
$70,137.04
|
2025-08-06
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
45
|
36
|
$174,215.29
|
—
|
$1,657.21
|
$174,215.29
|
$69,390.73
|
2026-07-05
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
28
|
20
|
—
|
—
|
$63,883.67
|
$147,105.00
|
$69,379.04
|
2025-08-06
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
28
|
11
|
—
|
—
|
$59,231.27
|
$253,002.96
|
$68,390.75
|
2025-08-06
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$145,557.50
|
$67,978.52
|
2025-08-06
|
|
41320668-2306
|
CDM
|
Impella Cp Catheter
|
19
|
11
|
$135,762.00
|
—
|
$58,377.66
|
$138,884.53
|
$67,881.00
|
2025-08-06
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
20
|
—
|
—
|
$62,331.23
|
$143,650.47
|
$67,693.06
|
2025-08-06
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
43
|
26
|
$253,898.53
|
$60,154.81
76% off
|
$59,982.40
|
$256,241.66
|
$67,373.38
|
2026-07-05
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
28
|
11
|
—
|
—
|
$58,159.63
|
$248,382.28
|
$67,153.39
|
2025-08-06
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
45
|
36
|
$200,115.36
|
—
|
$1,657.21
|
$200,115.36
|
$66,627.41
|
2026-07-05
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
4
|
3
|
—
|
—
|
$54,032.87
|
$102,087.50
|
$66,616.17
|
2025-08-06
|
|
234
|
APR_DRG
|
Spinal Procedures
|
28
|
11
|
—
|
—
|
$57,236.66
|
$244,402.70
|
$66,087.69
|
2025-08-06
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
19
|
17
|
—
|
—
|
$14,479.25
|
$72,024.24
|
$65,476.58
|
2025-08-06
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
16
|
16
|
$349,263.91
|
—
|
$1,960.00
|
$349,263.91
|
$65,183.51
|
2026-07-05
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
42
|
34
|
$92,929.44
|
—
|
$46,300.00
|
$139,365.00
|
$65,122.97
|
2026-07-05
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
43
|
26
|
$112,682.43
|
$57,673.75
49% off
|
$57,462.50
|
$245,376.43
|
$64,594.60
|
2026-07-05
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$145,213.40
|
$64,577.69
|
2025-08-06
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
45
|
36
|
$37,183.07
|
—
|
$1,657.21
|
$138,182.50
|
$64,577.69
|
2026-07-05
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
28
|
20
|
—
|
—
|
$59,000.13
|
$135,717.50
|
$64,075.41
|
2025-08-06
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
42
|
25
|
$57,864.57
|
$59,564.41
|
$59,382.76
|
$253,656.14
|
$63,965.74
|
2026-07-05
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
29
|
21
|
—
|
—
|
$1,657.21
|
$136,027.50
|
$63,583.95
|
2025-08-06
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
26
|
19
|
—
|
—
|
$62,087.67
|
$78,618.53
|
$63,499.33
|
2025-08-06
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
28
|
11
|
—
|
—
|
$54,981.86
|
$234,680.54
|
$63,484.21
|
2025-08-06
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
45
|
36
|
$140,364.46
|
—
|
$1,657.21
|
$140,364.46
|
$63,121.67
|
2026-07-05
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
45
|
36
|
$112,566.38
|
—
|
$1,657.21
|
$134,897.50
|
$63,062.88
|
2026-07-05
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$134,882.50
|
$63,055.96
|
2025-08-06
|
|
C1721
|
HCPCS
|
Aicd 2 Chamber
|
20
|
12
|
$125,913.00
|
—
|
$500.00
|
$128,809.00
|
$62,956.50
|
2025-08-06
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
20
|
—
|
—
|
$57,836.88
|
$133,005.00
|
$62,812.09
|
2025-08-06
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
20
|
—
|
—
|
$57,584.92
|
$132,417.50
|
$62,538.46
|
2025-08-06
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
28
|
11
|
—
|
—
|
$54,128.34
|
$231,000.33
|
$62,498.70
|
2025-08-06
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
28
|
11
|
—
|
—
|
$54,070.13
|
$230,749.34
|
$62,431.49
|
2025-08-06
|
|
C1882
|
HCPCS
|
Aicd Not 1 Or 2 Chamber
|
20
|
12
|
$123,184.00
|
—
|
$500.00
|
$126,017.23
|
$61,592.00
|
2025-08-06
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
28
|
11
|
—
|
—
|
$53,178.02
|
$226,902.81
|
$61,401.42
|
2025-08-06
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
16
|
16
|
$239,110.17
|
—
|
$1,960.00
|
$239,110.17
|
$61,275.91
|
2026-07-05
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
28
|
11
|
—
|
—
|
$52,638.69
|
$224,577.36
|
$60,778.69
|
2025-08-06
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
42
|
34
|
$168,398.46
|
—
|
$44,077.67
|
$168,398.46
|
$60,632.42
|
2026-07-05
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia #
|
28
|
11
|
—
|
—
|
$52,360.26
|
$223,376.83
|
$60,457.21
|
2025-08-06
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
43
|
26
|
$104,069.24
|
$53,960.80
48% off
|
$53,691.40
|
$229,116.38
|
$60,436.09
|
2026-07-05
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
16
|
16
|
$211,261.78
|
—
|
$1,960.00
|
$211,261.78
|
$60,426.96
|
2026-07-05
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
28
|
11
|
—
|
—
|
$52,126.02
|
$222,366.81
|
$60,186.74
|
2025-08-06
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
42
|
34
|
$130,006.71
|
—
|
$45,706.21
|
$130,006.71
|
$60,003.67
|
2026-07-05
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
28
|
11
|
—
|
—
|
$51,851.09
|
$221,181.40
|
$59,869.30
|
2025-08-06
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
43
|
26
|
$250,765.23
|
$53,282.70
79% off
|
$53,002.69
|
$226,146.81
|
$59,676.63
|
2026-07-05
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
45
|
36
|
$218,776.43
|
—
|
$1,657.21
|
$218,776.43
|
$59,589.41
|
2026-07-05
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
45
|
36
|
$95,243.89
|
—
|
$1,657.21
|
$125,922.50
|
$58,924.23
|
2026-07-05
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
28
|
11
|
—
|
—
|
$50,970.21
|
$217,383.26
|
$58,852.20
|
2025-08-06
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
28
|
11
|
—
|
—
|
$50,970.21
|
$217,383.26
|
$58,852.20
|
2025-08-06
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
28
|
11
|
—
|
—
|
$50,930.24
|
$217,210.89
|
$58,806.05
|
2025-08-06
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
11
|
—
|
—
|
$50,927.43
|
$217,198.80
|
$58,802.80
|
2025-08-06
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
28
|
11
|
—
|
—
|
$50,926.73
|
$217,195.77
|
$58,801.99
|
2025-08-06
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
29
|
21
|
—
|
—
|
$1,657.21
|
$125,180.00
|
$58,581.84
|
2025-08-06
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
29
|
21
|
—
|
—
|
$1,657.21
|
$125,082.50
|
$58,536.88
|
2025-08-06
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
45
|
36
|
$129,014.97
|
—
|
$1,657.21
|
$129,014.97
|
$58,513.83
|
2026-07-05
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$124,582.50
|
$58,306.32
|
2025-08-06
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
42
|
25
|
$60,695.48
|
$54,306.75
|
$54,042.77
|
$230,631.40
|
$58,268.88
|
2026-07-05
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
43
|
26
|
$161,539.05
|
$51,934.11
68% off
|
$51,632.97
|
$220,240.94
|
$58,166.20
|
2026-07-05
|
|
8412
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
28
|
11
|
—
|
—
|
$50,221.89
|
$214,156.65
|
$57,988.16
|
2025-08-06
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
28
|
11
|
—
|
—
|
$50,184.72
|
$213,996.38
|
$57,945.24
|
2025-08-06
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
43
|
26
|
$224,745.04
|
$51,646.16
77% off
|
$51,340.52
|
$218,979.93
|
$57,843.70
|
2026-07-05
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
28
|
11
|
—
|
—
|
$49,977.12
|
$213,101.28
|
$57,705.54
|
2025-08-06
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
28
|
11
|
—
|
—
|
$49,563.32
|
$211,317.12
|
$57,227.76
|
2025-08-06
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
28
|
11
|
—
|
—
|
$49,561.22
|
$211,308.04
|
$57,225.32
|
2025-08-06
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
45
|
36
|
$204,116.22
|
—
|
$1,657.21
|
$204,116.22
|
$57,193.84
|
2026-07-05
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
42
|
34
|
$103,875.10
|
—
|
$42,709.06
|
$121,432.50
|
$56,853.76
|
2026-07-05
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$121,230.00
|
$56,760.38
|
2025-08-06
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
43
|
26
|
$368,299.98
|
$50,584.82
86% off
|
$50,262.56
|
$214,332.04
|
$56,655.00
|
2026-07-05
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
28
|
11
|
—
|
—
|
$48,935.63
|
$208,610.64
|
$56,502.99
|
2025-08-06
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
43
|
26
|
$328,184.91
|
$50,422.55
85% off
|
$50,097.75
|
$213,621.40
|
$56,473.25
|
2026-07-05
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
28
|
20
|
—
|
—
|
$51,775.06
|
$118,870.00
|
$56,228.83
|
2025-08-06
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
28
|
11
|
—
|
—
|
$48,540.78
|
$206,908.12
|
$56,047.08
|
2025-08-06
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
45
|
36
|
$144,774.12
|
—
|
$1,657.21
|
$144,774.12
|
$55,910.75
|
2026-07-05
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
28
|
11
|
—
|
—
|
$48,410.32
|
$206,345.66
|
$55,896.46
|
2025-08-06
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
28
|
11
|
—
|
—
|
$48,375.26
|
$206,194.46
|
$55,855.97
|
2025-08-06
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
45
|
36
|
$144,820.89
|
—
|
$1,657.21
|
$144,820.89
|
$55,661.74
|
2026-07-05
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
28
|
20
|
—
|
—
|
$51,237.93
|
$117,617.50
|
$55,645.50
|
2025-08-06
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
26
|
19
|
—
|
—
|
$53,914.93
|
$68,865.26
|
$55,512.78
|
2025-08-06
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
28
|
11
|
—
|
—
|
$47,987.42
|
$204,522.19
|
$55,408.16
|
2025-08-06
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
28
|
20
|
—
|
—
|
$50,671.84
|
$116,297.50
|
$55,030.71
|
2025-08-06
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
4
|
—
|
—
|
$1,657.21
|
$97,805.00
|
$54,907.73
|
2025-08-06
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
45
|
36
|
$79,362.01
|
—
|
$1,657.21
|
$116,987.50
|
$54,804.03
|
2026-07-05
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
43
|
26
|
$164,357.80
|
$48,553.99
70% off
|
$48,199.92
|
$205,438.46
|
$54,380.46
|
2026-07-05
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
43
|
26
|
$191,552.20
|
$48,543.63
75% off
|
$48,189.41
|
$205,393.10
|
$54,368.86
|
2026-07-05
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
20
|
—
|
—
|
$50,036.07
|
$114,815.00
|
$54,340.25
|
2025-08-06
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
42
|
34
|
$121,191.03
|
—
|
$41,326.31
|
$121,191.03
|
$54,332.10
|
2026-07-05
|
|
31
|
APR_DRG
|
Bone Marrow Transplant
|
28
|
11
|
—
|
—
|
$47,021.67
|
$200,358.14
|
$54,293.06
|
2025-08-06
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures #
|
28
|
11
|
—
|
—
|
$46,957.86
|
$200,082.96
|
$54,219.38
|
2025-08-06
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
45
|
36
|
$130,089.63
|
—
|
$1,657.21
|
$130,089.63
|
$53,993.60
|
2026-07-05
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$115,182.50
|
$53,971.69
|
2025-08-06
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
28
|
11
|
—
|
—
|
$46,678.72
|
$198,879.40
|
$53,897.08
|
2025-08-06
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
43
|
26
|
$174,999.46
|
$47,838.60
73% off
|
$47,473.34
|
$202,305.60
|
$53,579.23
|
2026-07-05
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
28
|
11
|
—
|
—
|
$46,089.60
|
$196,339.24
|
$53,216.86
|
2025-08-06
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
43
|
26
|
$69,714.36
|
$47,432.57
32% off
|
$47,060.95
|
$200,527.48
|
$53,124.48
|
2026-07-05
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
43
|
26
|
$185,229.49
|
$47,291.02
74% off
|
$46,917.17
|
$199,907.56
|
$52,965.94
|
2026-07-05
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
43
|
26
|
$302,656.09
|
$47,274.44
84% off
|
$46,900.34
|
$199,834.99
|
$52,947.38
|
2026-07-05
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
45
|
36
|
$151,909.93
|
—
|
$1,657.21
|
$151,909.93
|
$52,868.44
|
2026-07-05
|
|
C1722
|
HCPCS
|
Aicd Single Chamber
|
20
|
12
|
$105,250.00
|
—
|
$500.00
|
$107,670.75
|
$52,625.00
|
2025-08-06
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
45
|
36
|
$248,852.96
|
—
|
$1,657.21
|
$248,852.96
|
$52,558.33
|
2026-07-05
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
28
|
11
|
—
|
—
|
$45,504.68
|
$193,817.23
|
$52,541.48
|
2025-08-06
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
45
|
36
|
$154,191.48
|
—
|
$1,657.21
|
$154,191.48
|
$52,415.38
|
2026-07-05
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
21
|
18
|
$137,008.87
|
—
|
$1,960.00
|
$137,008.87
|
$52,410.39
|
2026-07-05
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
28
|
11
|
—
|
—
|
$45,270.43
|
$192,807.21
|
$52,271.02
|
2025-08-06
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
43
|
26
|
$684,608.53
|
$46,459.62
93% off
|
$46,072.77
|
$196,266.67
|
$52,034.78
|
2026-07-05
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
28
|
11
|
—
|
—
|
$44,980.78
|
$191,558.30
|
$51,936.57
|
2025-08-06
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$110,762.50
|
$51,933.50
|
2025-08-06
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma & Non-acute Leukemia
|
28
|
11
|
—
|
—
|
$44,968.16
|
$191,503.87
|
$51,922.00
|
2025-08-06
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
43
|
26
|
$147,113.12
|
$46,328.42
69% off
|
$45,939.51
|
$195,692.11
|
$51,887.84
|
2026-07-05
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$109,820.00
|
$51,498.88
|
2025-08-06
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
28
|
11
|
—
|
—
|
$44,569.09
|
$189,783.21
|
$51,461.22
|
2025-08-06
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
20
|
—
|
—
|
$47,092.01
|
$107,950.00
|
$51,142.93
|
2025-08-06
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
28
|
11
|
—
|
—
|
$44,255.60
|
$188,431.48
|
$51,099.25
|
2025-08-06
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
28
|
11
|
—
|
—
|
$44,221.93
|
$188,286.33
|
$51,060.37
|
2025-08-06
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
43
|
26
|
$194,100.89
|
$45,442.48
77% off
|
$45,039.69
|
$191,812.32
|
$50,895.58
|
2026-07-05
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
29
|
21
|
—
|
—
|
$1,657.21
|
$108,172.50
|
$50,739.17
|
2025-08-06
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedure Only
|
28
|
11
|
—
|
—
|
$43,937.90
|
$187,061.61
|
$50,732.42
|
2025-08-06
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
43
|
26
|
$154,907.11
|
$45,286.42
71% off
|
$44,881.19
|
$191,128.89
|
$50,720.79
|
2026-07-05
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
43
|
26
|
$92,427.46
|
$45,269.85
51% off
|
$44,864.36
|
$191,056.32
|
$50,702.23
|
2026-07-05
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
43
|
26
|
$148,564.23
|
$45,157.98
70% off
|
$44,750.75
|
$190,566.43
|
$50,576.94
|
2026-07-05
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
28
|
11
|
—
|
—
|
$43,779.39
|
$186,378.19
|
$50,549.40
|
2025-08-06
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
28
|
11
|
—
|
—
|
$43,779.39
|
$186,378.19
|
$50,549.40
|
2025-08-06
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
43
|
26
|
$115,625.01
|
$44,973.61
61% off
|
$44,563.49
|
$189,759.02
|
$50,370.45
|
2026-07-05
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
28
|
11
|
—
|
—
|
$43,620.18
|
$185,691.74
|
$50,365.57
|
2025-08-06
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures #
|
43
|
26
|
$82,787.39
|
$44,952.21
46% off
|
$44,541.74
|
$189,665.28
|
$50,346.47
|
2026-07-05
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
4
|
3
|
—
|
—
|
$40,833.95
|
$77,150.00
|
$50,343.46
|
2025-08-06
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
43
|
26
|
$368,585.04
|
$44,909.40
88% off
|
$44,498.27
|
$189,477.79
|
$50,298.52
|
2026-07-05
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
45
|
36
|
$100,693.20
|
—
|
$1,657.21
|
$106,642.50
|
$50,033.64
|
2026-07-05
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$106,485.00
|
$49,961.01
|
2025-08-06
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
28
|
11
|
—
|
—
|
$43,010.72
|
$183,063.88
|
$49,661.86
|
2025-08-06
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
28
|
11
|
—
|
—
|
$42,976.35
|
$182,915.71
|
$49,622.18
|
2025-08-06
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
44
|
36
|
$20,164.06
|
—
|
$1,657.21
|
$105,730.00
|
$49,612.86
|
2026-07-05
|
|
6071
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
28
|
11
|
—
|
—
|
$42,923.05
|
$182,685.88
|
$49,560.64
|
2025-08-06
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
43
|
26
|
$151,542.20
|
$44,141.53
71% off
|
$43,718.38
|
$186,115.10
|
$49,438.52
|
2026-07-05
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
28
|
20
|
—
|
—
|
$45,405.55
|
$104,017.50
|
$49,311.40
|
2025-08-06
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
43
|
26
|
$260,922.03
|
$43,955.09
83% off
|
$43,529.01
|
$185,298.62
|
$49,229.70
|
2026-07-05
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$104,765.00
|
$49,167.87
|
2025-08-06
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
45
|
36
|
$101,868.49
|
—
|
$1,657.21
|
$104,740.00
|
$49,156.34
|
2026-07-05
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
28
|
11
|
—
|
—
|
$42,479.11
|
$180,771.69
|
$49,048.05
|
2025-08-06
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
43
|
26
|
$208,587.62
|
$43,700.98
79% off
|
$43,270.92
|
$184,185.79
|
$48,945.09
|
2026-07-05
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
45
|
36
|
$27,082.62
|
—
|
$1,657.21
|
$104,262.50
|
$48,936.15
|
2026-07-05
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
43
|
26
|
$147,660.95
|
$43,576.68
70% off
|
$43,144.68
|
$183,641.47
|
$48,805.88
|
2026-07-05
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
16
|
16
|
$60,936.15
|
—
|
$1,960.00
|
$60,936.15
|
$48,749.91
|
2026-07-05
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
28
|
20
|
—
|
—
|
$44,884.50
|
$102,802.50
|
$48,745.53
|
2025-08-06
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
43
|
26
|
$80,811.01
|
$43,508.32
46% off
|
$43,075.25
|
$183,342.09
|
$48,729.32
|
2026-07-05
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
43
|
26
|
$203,534.91
|
$43,468.27
79% off
|
$43,034.56
|
$183,166.70
|
$48,684.46
|
2026-07-05
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
28
|
11
|
—
|
—
|
$42,154.39
|
$179,371.58
|
$48,673.11
|
2025-08-06
|
|
2624
|
APR_DRG
|
Cholecystectomy Except Laparoscopic
|
43
|
26
|
$303,589.08
|
$43,444.10
86% off
|
$43,010.02
|
$183,060.86
|
$48,657.39
|
2026-07-05
|
|
434
|
APR_DRG
|
Multiple Sclerosis & Other Demyelinating Diseases
|
28
|
11
|
—
|
—
|
$42,056.90
|
$178,951.24
|
$48,560.55
|
2025-08-06
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
43
|
26
|
$62,726.88
|
$43,321.88
31% off
|
$42,885.88
|
$182,525.61
|
$48,520.50
|
2026-07-05
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
28
|
11
|
—
|
—
|
$41,952.40
|
$178,500.67
|
$48,439.89
|
2025-08-06
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
45
|
36
|
$301,072.92
|
—
|
$1,657.21
|
$301,072.92
|
$48,236.39
|
2026-07-05
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
45
|
36
|
$58,850.15
|
—
|
$1,657.21
|
$102,592.50
|
$48,166.06
|
2026-07-05
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
43
|
26
|
$663,423.79
|
$42,849.56
94% off
|
$42,406.17
|
$180,457.20
|
$47,991.51
|
2026-07-05
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
43
|
26
|
$153,503.58
|
$42,824.01
72% off
|
$42,380.22
|
$180,345.31
|
$47,962.89
|
2026-07-05
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
28
|
11
|
—
|
—
|
$41,537.21
|
$176,710.46
|
$47,960.49
|
2025-08-06
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
42
|
34
|
$46,566.51
|
—
|
$23,283.26
|
$101,685.00
|
$47,747.59
|
2026-07-05
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
43
|
26
|
$85,376.79
|
$42,559.54
50% off
|
$42,111.61
|
$179,187.12
|
$47,666.68
|
2026-07-05
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
45
|
36
|
$38,654.99
|
—
|
$1,657.21
|
$101,497.50
|
$47,661.13
|
2026-07-05
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
28
|
11
|
—
|
—
|
$40,846.39
|
$173,731.82
|
$47,162.84
|
2025-08-06
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
28
|
11
|
—
|
—
|
$40,787.48
|
$173,477.80
|
$47,094.82
|
2025-08-06
|
|
6504
|
APR_DRG
|
Splenectomy
|
28
|
11
|
—
|
—
|
$40,551.13
|
$172,458.72
|
$46,821.92
|
2025-08-06
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
45
|
36
|
$98,912.57
|
—
|
$1,657.21
|
$99,592.50
|
$46,782.67
|
2026-07-05
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
28
|
11
|
—
|
—
|
$40,502.74
|
$172,250.06
|
$46,766.05
|
2025-08-06
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
45
|
36
|
$110,480.33
|
—
|
$1,657.21
|
$110,480.33
|
$46,750.39
|
2026-07-05
|
|
41320668
|
OTHER
|
Impella Cp Catheter
|
10
|
10
|
$85,000.00
|
—
|
$35,062.50
|
$68,000.00
|
$46,750.00
|
2026-07-05
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
43
|
26
|
$60,582.62
|
$41,601.78
31% off
|
$41,138.85
|
$174,992.83
|
$46,593.99
|
2026-07-05
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
28
|
11
|
—
|
—
|
$40,336.52
|
$171,533.37
|
$46,574.12
|
2025-08-06
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
43
|
26
|
$377,509.28
|
$41,477.49
89% off
|
$41,012.61
|
$174,448.51
|
$46,454.78
|
2026-07-05
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
28
|
20
|
—
|
—
|
$42,720.95
|
$97,757.50
|
$46,395.87
|
2025-08-06
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
45
|
36
|
$63,064.33
|
—
|
$1,657.21
|
$98,642.50
|
$46,344.60
|
2026-07-05
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
45
|
36
|
$189,003.42
|
—
|
$1,657.21
|
$189,003.42
|
$46,251.22
|
2026-07-05
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
43
|
35
|
$47,628.93
|
—
|
$1,328.00
|
$98,240.00
|
$46,158.99
|
2026-07-05
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
43
|
26
|
$118,644.32
|
$40,905.73
66% off
|
$40,431.90
|
$171,944.64
|
$45,814.42
|
2026-07-05
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
28
|
11
|
—
|
—
|
$39,677.97
|
$168,693.84
|
$45,813.73
|
2025-08-06
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
28
|
11
|
—
|
—
|
$39,608.53
|
$168,394.46
|
$45,733.56
|
2025-08-06
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
42
|
34
|
$189,632.65
|
—
|
$32,531.66
|
$189,632.65
|
$45,697.25
|
2026-07-05
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$97,217.50
|
$45,687.49
|
2025-08-06
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
29
|
21
|
—
|
—
|
$1,657.21
|
$96,625.00
|
$45,414.27
|
2025-08-06
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
29
|
21
|
—
|
—
|
$1,657.21
|
$96,527.50
|
$45,369.31
|
2025-08-06
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
26
|
19
|
—
|
—
|
$44,158.25
|
$56,124.63
|
$45,350.22
|
2025-08-06
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
38
|
18
|
—
|
$24,429.28
|
$24,429.28
|
$60,079.81
|
$45,000.50
|
2025-08-06
|