|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
3
|
3
|
—
|
—
|
$770,620.00
|
$1,522,051.56
|
$809,151.00
|
2026-04-01
|
|
5834
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$696,031.10
|
$696,031.10
|
$696,031.10
|
2026-04-01
|
|
5884
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$683,796.35
|
$683,796.35
|
$683,796.35
|
2026-04-01
|
|
5883
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$683,796.35
|
$683,796.35
|
$683,796.35
|
2026-04-01
|
|
1614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$625,443.52
|
$625,443.52
|
$625,443.52
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
3
|
3
|
—
|
—
|
$591,726.20
|
$1,142,248.88
|
$621,312.51
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
3
|
3
|
—
|
—
|
$565,868.94
|
$1,092,978.53
|
$594,162.39
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
3
|
3
|
—
|
—
|
$562,538.19
|
$1,069,784.59
|
$590,665.09
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
3
|
3
|
—
|
—
|
$557,317.93
|
$1,069,043.51
|
$585,183.83
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
3
|
3
|
—
|
—
|
$533,230.17
|
$1,052,879.35
|
$559,891.68
|
2026-04-01
|
|
5914
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$525,010.20
|
$525,010.20
|
$525,010.20
|
2026-04-01
|
|
5882
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$523,113.34
|
$523,113.34
|
$523,113.34
|
2026-04-01
|
|
5881
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$523,113.34
|
$523,113.34
|
$523,113.34
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
3
|
3
|
—
|
—
|
$489,304.61
|
$967,245.97
|
$513,769.84
|
2026-04-01
|
|
8414
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$507,773.16
|
$507,773.16
|
$507,773.16
|
2026-04-01
|
|
44
|
MS_DRG
|
Acute Major Eye Infections
|
1
|
1
|
—
|
—
|
$489,717.77
|
$489,717.77
|
$489,717.77
|
2026-04-01
|
|
5934
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$472,478.02
|
$472,478.02
|
$472,478.02
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
18
|
11
|
—
|
—
|
$463,268.47
|
$1,710,988.90
|
$463,268.47
|
2026-04-01
|
|
6094
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$432,597.89
|
$432,597.89
|
$432,597.89
|
2026-04-01
|
|
6024
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$409,765.12
|
$409,765.12
|
$409,765.12
|
2026-04-01
|
|
8413
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$396,793.30
|
$396,793.30
|
$396,793.30
|
2026-04-01
|
|
5833
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$395,424.86
|
$395,424.86
|
$395,424.86
|
2026-04-01
|
|
5832
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$388,029.81
|
$388,029.81
|
$388,029.81
|
2026-04-01
|
|
5831
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$388,029.81
|
$388,029.81
|
$388,029.81
|
2026-04-01
|
|
6034
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$377,469.72
|
$377,469.72
|
$377,469.72
|
2026-04-01
|
|
5933
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$369,020.56
|
$369,020.56
|
$369,020.56
|
2026-04-01
|
|
6074
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$334,541.07
|
$334,541.07
|
$334,541.07
|
2026-04-01
|
|
6304
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$331,394.99
|
$331,394.99
|
$331,394.99
|
2026-04-01
|
|
5891
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$328,939.91
|
$328,939.91
|
$328,939.91
|
2026-04-01
|
|
5892
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$328,939.91
|
$328,939.91
|
$328,939.91
|
2026-04-01
|
|
5913
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$320,157.45
|
$320,157.45
|
$320,157.45
|
2026-04-01
|
|
6023
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$302,470.59
|
$302,470.59
|
$302,470.59
|
2026-04-01
|
|
5932
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$301,928.63
|
$301,928.63
|
$301,928.63
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
18
|
11
|
—
|
—
|
$300,733.33
|
$1,110,362.97
|
$300,733.33
|
2026-04-01
|
|
5912
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$298,671.45
|
$298,671.45
|
$298,671.45
|
2026-04-01
|
|
3034
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$295,219.16
|
$295,219.16
|
$295,219.16
|
2026-04-01
|
|
5931
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$292,734.27
|
$292,734.27
|
$292,734.27
|
2026-04-01
|
|
6314
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$284,892.11
|
$284,892.11
|
$284,892.11
|
2026-04-01
|
|
4404
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$281,388.34
|
$281,388.34
|
$281,388.34
|
2026-04-01
|
|
43
|
MS_DRG
|
Hyphema
|
1
|
1
|
—
|
—
|
$272,893.12
|
$272,893.12
|
$272,893.12
|
2026-04-01
|
|
1604
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$269,459.80
|
$269,459.80
|
$269,459.80
|
2026-04-01
|
|
1613
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$266,633.48
|
$266,633.48
|
$266,633.48
|
2026-04-01
|
|
3614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$260,154.35
|
$260,154.35
|
$260,154.35
|
2026-04-01
|
|
6022
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$256,997.43
|
$256,997.43
|
$256,997.43
|
2026-04-01
|
|
1624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$254,306.60
|
$254,306.60
|
$254,306.60
|
2026-04-01
|
|
3044
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$248,819.26
|
$248,819.26
|
$248,819.26
|
2026-04-01
|
|
6073
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$247,922.31
|
$247,922.31
|
$247,922.31
|
2026-04-01
|
|
3124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$243,944.33
|
$243,944.33
|
$243,944.33
|
2026-04-01
|
|
6033
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$243,299.39
|
$243,299.39
|
$243,299.39
|
2026-04-01
|
|
6814
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$243,101.58
|
$243,101.58
|
$243,101.58
|
2026-04-01
|
|
6804
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$242,426.84
|
$242,426.84
|
$242,426.84
|
2026-04-01
|
|
5911
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$240,884.96
|
$240,884.96
|
$240,884.96
|
2026-04-01
|
|
6904
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$237,191.50
|
$237,191.50
|
$237,191.50
|
2026-04-01
|
|
8424
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$234,064.39
|
$234,064.39
|
$234,064.39
|
2026-04-01
|
|
6124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$229,617.61
|
$229,617.61
|
$229,617.61
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
18
|
11
|
—
|
—
|
$229,180.50
|
$845,949.51
|
$229,180.50
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
18
|
11
|
—
|
—
|
$227,837.03
|
$840,984.87
|
$227,837.03
|
2026-04-01
|
|
4054
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$227,300.73
|
$227,300.73
|
$227,300.73
|
2026-04-01
|
|
6114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$222,574.84
|
$222,574.84
|
$222,574.84
|
2026-04-01
|
|
9504
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$219,881.30
|
$219,881.30
|
$219,881.30
|
2026-04-01
|
|
4474
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$206,774.00
|
$206,774.00
|
$206,774.00
|
2026-04-01
|
|
8504
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$206,668.32
|
$206,668.32
|
$206,668.32
|
2026-04-01
|
|
9124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$205,310.71
|
$205,310.71
|
$205,310.71
|
2026-04-01
|
|
5124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$203,327.13
|
$203,327.13
|
$203,327.13
|
2026-04-01
|
|
6072
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$202,649.68
|
$202,649.68
|
$202,649.68
|
2026-04-01
|
|
2604
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$201,243.30
|
$201,243.30
|
$201,243.30
|
2026-04-01
|
|
6954
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$200,167.51
|
$200,167.51
|
$200,167.51
|
2026-04-01
|
|
924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$199,262.43
|
$199,262.43
|
$199,262.43
|
2026-04-01
|
|
6093
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$197,357.44
|
$197,357.44
|
$197,357.44
|
2026-04-01
|
|
214
|
MS_DRG
|
No Longer Valid
|
1
|
1
|
—
|
—
|
$196,227.46
|
$196,227.46
|
$196,227.46
|
2026-04-01
|
|
1694
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$194,642.22
|
$194,642.22
|
$194,642.22
|
2026-04-01
|
|
9104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$194,631.39
|
$194,631.39
|
$194,631.39
|
2026-04-01
|
|
6084
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$194,628.68
|
$194,628.68
|
$194,628.68
|
2026-04-01
|
|
2204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$192,062.49
|
$192,062.49
|
$192,062.49
|
2026-04-01
|
|
8412
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$191,905.33
|
$191,905.33
|
$191,905.33
|
2026-04-01
|
|
1654
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$191,761.71
|
$191,761.71
|
$191,761.71
|
2026-04-01
|
|
3214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$191,425.69
|
$191,425.69
|
$191,425.69
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
1
|
1
|
—
|
—
|
$191,036.77
|
$191,036.77
|
$191,036.77
|
2026-04-01
|
|
1634
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$190,959.61
|
$190,959.61
|
$190,959.61
|
2026-04-01
|
|
3033
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$189,360.82
|
$189,360.82
|
$189,360.82
|
2026-04-01
|
|
4014
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$189,352.69
|
$189,352.69
|
$189,352.69
|
2026-04-01
|
|
6032
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$186,935.55
|
$186,935.55
|
$186,935.55
|
2026-04-01
|
|
3104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$185,409.94
|
$185,409.94
|
$185,409.94
|
2026-04-01
|
|
6083
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$184,905.91
|
$184,905.91
|
$184,905.91
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$184,371.52
|
$184,371.52
|
$184,371.52
|
2026-04-01
|
|
6214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$184,052.33
|
$184,052.33
|
$184,052.33
|
2026-04-01
|
|
4414
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$183,271.90
|
$183,271.90
|
$183,271.90
|
2026-04-01
|
|
1674
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,692.26
|
$179,692.26
|
$179,692.26
|
2026-04-01
|
|
1814
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,293.92
|
$179,293.92
|
$179,293.92
|
2026-04-01
|
|
7914
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,136.75
|
$179,136.75
|
$179,136.75
|
2026-04-01
|
|
2214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,071.71
|
$179,071.71
|
$179,071.71
|
2026-04-01
|
|
4034
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,215.42
|
$178,215.42
|
$178,215.42
|
2026-04-01
|
|
6021
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$175,939.18
|
$175,939.18
|
$175,939.18
|
2026-04-01
|
|
9114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$175,874.15
|
$175,874.15
|
$175,874.15
|
2026-04-01
|
|
3134
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$175,359.29
|
$175,359.29
|
$175,359.29
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
2
|
2
|
—
|
—
|
$145,990.48
|
$204,197.32
|
$175,093.90
|
2026-04-01
|
|
5104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$173,679.21
|
$173,679.21
|
$173,679.21
|
2026-04-01
|
|
4424
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$172,774.14
|
$172,774.14
|
$172,774.14
|
2026-04-01
|
|
6123
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$171,882.61
|
$171,882.61
|
$171,882.61
|
2026-04-01
|
|
1774
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$171,654.99
|
$171,654.99
|
$171,654.99
|
2026-04-01
|
|
6914
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$171,606.21
|
$171,606.21
|
$171,606.21
|
2026-04-01
|
|
7104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$171,270.20
|
$171,270.20
|
$171,270.20
|
2026-04-01
|
|
3174
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$171,205.16
|
$171,205.16
|
$171,205.16
|
2026-04-01
|
|
3054
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$170,766.18
|
$170,766.18
|
$170,766.18
|
2026-04-01
|
|
9514
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$170,042.66
|
$170,042.66
|
$170,042.66
|
2026-04-01
|
|
1824
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$169,958.66
|
$169,958.66
|
$169,958.66
|
2026-04-01
|
|
6113
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$169,790.65
|
$169,790.65
|
$169,790.65
|
2026-04-01
|
|
1664
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$168,853.06
|
$168,853.06
|
$168,853.06
|
2026-04-01
|
|
5114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$168,722.99
|
$168,722.99
|
$168,722.99
|
2026-04-01
|
|
4444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$167,625.52
|
$167,625.52
|
$167,625.52
|
2026-04-01
|
|
2644
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$166,777.35
|
$166,777.35
|
$166,777.35
|
2026-04-01
|
|
2614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$166,397.98
|
$166,397.98
|
$166,397.98
|
2026-04-01
|
|
1612
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$166,045.70
|
$166,045.70
|
$166,045.70
|
2026-04-01
|
|
1204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$165,048.50
|
$165,048.50
|
$165,048.50
|
2026-04-01
|
|
1304
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,560.73
|
$164,560.73
|
$164,560.73
|
2026-04-01
|
|
6903
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,292.46
|
$164,292.46
|
$164,292.46
|
2026-04-01
|
|
1214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,135.30
|
$164,135.30
|
$164,135.30
|
2026-04-01
|
|
3014
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,043.16
|
$164,043.16
|
$164,043.16
|
2026-04-01
|
|
2624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,040.45
|
$164,040.45
|
$164,040.45
|
2026-04-01
|
|
5194
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$163,910.38
|
$163,910.38
|
$163,910.38
|
2026-04-01
|
|
6071
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$163,704.44
|
$163,704.44
|
$163,704.44
|
2026-04-01
|
|
7114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$163,560.82
|
$163,560.82
|
$163,560.82
|
2026-04-01
|
|
5184
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$161,989.13
|
$161,989.13
|
$161,989.13
|
2026-04-01
|
|
1714
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$161,607.05
|
$161,607.05
|
$161,607.05
|
2026-04-01
|
|
9524
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$160,734.50
|
$160,734.50
|
$160,734.50
|
2026-04-01
|
|
6303
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$160,569.20
|
$160,569.20
|
$160,569.20
|
2026-04-01
|
|
3814
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$159,954.07
|
$159,954.07
|
$159,954.07
|
2026-04-01
|
|
2294
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$156,810.71
|
$156,810.71
|
$156,810.71
|
2026-04-01
|
|
3084
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$156,322.94
|
$156,322.94
|
$156,322.94
|
2026-04-01
|
|
3094
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$155,680.72
|
$155,680.72
|
$155,680.72
|
2026-04-01
|
|
1623
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$155,453.10
|
$155,453.10
|
$155,453.10
|
2026-04-01
|
|
6504
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$154,539.89
|
$154,539.89
|
$154,539.89
|
2026-04-01
|
|
51
|
MS_DRG
|
Salivary Gland Procedures Except Sialoadenectomy
|
1
|
1
|
—
|
—
|
$154,352.92
|
$154,352.92
|
$154,352.92
|
2026-04-01
|
|
6082
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$154,079.23
|
$154,079.23
|
$154,079.23
|
2026-04-01
|
|
4403
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$153,710.70
|
$153,710.70
|
$153,710.70
|
2026-04-01
|
|
2234
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$151,166.19
|
$151,166.19
|
$151,166.19
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$46,643.79
|
$255,243.77
|
$150,943.78
|
2026-04-01
|
|
2244
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$150,897.92
|
$150,897.92
|
$150,897.92
|
2026-04-01
|
|
2224
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$149,960.33
|
$149,960.33
|
$149,960.33
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
19
|
11
|
—
|
—
|
$148,774.45
|
$548,820.17
|
$148,774.45
|
2026-04-01
|
|
3024
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$147,488.99
|
$147,488.99
|
$147,488.99
|
2026-04-01
|
|
4234
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$147,367.05
|
$147,367.05
|
$147,367.05
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$145,681.99
|
$145,681.99
|
$145,681.99
|
2026-04-01
|
|
8411
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$145,429.55
|
$145,429.55
|
$145,429.55
|
2026-04-01
|
|
6334
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$145,079.98
|
$145,079.98
|
$145,079.98
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$144,616.24
|
$144,616.24
|
$144,616.24
|
2026-04-01
|
|
3043
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$144,367.30
|
$144,367.30
|
$144,367.30
|
2026-04-01
|
|
3644
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,871.41
|
$143,871.41
|
$143,871.41
|
2026-04-01
|
|
8634
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,592.30
|
$143,592.30
|
$143,592.30
|
2026-04-01
|
|
3032
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,305.06
|
$143,305.06
|
$143,305.06
|
2026-04-01
|
|
2274
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$142,906.72
|
$142,906.72
|
$142,906.72
|
2026-04-01
|
|
6134
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$140,316.15
|
$140,316.15
|
$140,316.15
|
2026-04-01
|
|
6031
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$140,210.47
|
$140,210.47
|
$140,210.47
|
2026-04-01
|
|
6224
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$140,069.56
|
$140,069.56
|
$140,069.56
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
18
|
11
|
—
|
—
|
$139,111.70
|
$513,112.82
|
$139,111.70
|
2026-04-01
|
|
3154
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$139,104.87
|
$139,104.87
|
$139,104.87
|
2026-04-01
|
|
8444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$137,649.71
|
$137,649.71
|
$137,649.71
|
2026-04-01
|
|
4434
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$137,327.24
|
$137,327.24
|
$137,327.24
|
2026-04-01
|
|
6133
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$136,782.57
|
$136,782.57
|
$136,782.57
|
2026-04-01
|
|
6144
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$136,468.24
|
$136,468.24
|
$136,468.24
|
2026-04-01
|
|
6143
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$136,468.24
|
$136,468.24
|
$136,468.24
|
2026-04-01
|
|
3204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$135,587.55
|
$135,587.55
|
$135,587.55
|
2026-04-01
|
|
6604
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$134,893.84
|
$134,893.84
|
$134,893.84
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
2
|
2
|
—
|
—
|
$92,680.58
|
$176,173.91
|
$134,427.24
|
2026-04-01
|
|
1754
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$133,070.15
|
$133,070.15
|
$133,070.15
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$132,659.70
|
$132,659.70
|
$132,659.70
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
2
|
—
|
—
|
$44,169.74
|
$220,540.71
|
$132,355.23
|
2026-04-01
|
|
6313
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$132,129.85
|
$132,129.85
|
$132,129.85
|
2026-04-01
|
|
3464
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$132,089.20
|
$132,089.20
|
$132,089.20
|
2026-04-01
|
|
1653
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$131,734.22
|
$131,734.22
|
$131,734.22
|
2026-04-01
|
|
1804
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$130,587.97
|
$130,587.97
|
$130,587.97
|
2026-04-01
|
|
1704
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$130,409.13
|
$130,409.13
|
$130,409.13
|
2026-04-01
|
|
5134
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$130,113.76
|
$130,113.76
|
$130,113.76
|
2026-04-01
|
|
1603
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$129,531.15
|
$129,531.15
|
$129,531.15
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
11
|
—
|
—
|
$129,115.49
|
$476,173.23
|
$129,115.49
|
2026-04-01
|
|
4402
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$125,881.05
|
$125,881.05
|
$125,881.05
|
2026-04-01
|
|
6614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$123,732.18
|
$123,732.18
|
$123,732.18
|
2026-04-01
|
|
6122
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$123,298.61
|
$123,298.61
|
$123,298.61
|
2026-04-01
|
|
1633
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$123,176.67
|
$123,176.67
|
$123,176.67
|
2026-04-01
|
|
3123
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$122,691.61
|
$122,691.61
|
$122,691.61
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
18
|
11
|
—
|
—
|
$121,759.06
|
$448,988.58
|
$121,759.06
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
18
|
11
|
—
|
—
|
$121,619.68
|
$448,473.49
|
$121,619.68
|
2026-04-01
|
|
1622
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$121,455.95
|
$121,455.95
|
$121,455.95
|
2026-04-01
|
|
1934
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$120,970.89
|
$120,970.89
|
$120,970.89
|
2026-04-01
|
|
2284
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$120,743.27
|
$120,743.27
|
$120,743.27
|
2026-04-01
|
|
3031
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,767.74
|
$119,767.74
|
$119,767.74
|
2026-04-01
|
|
5893
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,228.49
|
$119,228.49
|
$119,228.49
|
2026-04-01
|
|
6964
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,079.45
|
$119,079.45
|
$119,079.45
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
11
|
—
|
—
|
$89,749.82
|
$436,681.99
|
$118,428.78
|
2026-04-01
|
|
8423
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,242.12
|
$118,242.12
|
$118,242.12
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
19
|
11
|
—
|
—
|
$72,546.77
|
$430,853.59
|
$116,851.56
|
2026-04-01
|
|
5464
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,730.05
|
$116,730.05
|
$116,730.05
|
2026-04-01
|
|
1303
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$115,963.18
|
$115,963.18
|
$115,963.18
|
2026-04-01
|
|
4834
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$115,925.24
|
$115,925.24
|
$115,925.24
|
2026-04-01
|
|
6081
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$115,014.75
|
$115,014.75
|
$115,014.75
|
2026-04-01
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
1
|
1
|
—
|
—
|
$112,768.33
|
$112,768.33
|
$112,768.33
|
2026-04-01
|
|
8633
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$112,497.35
|
$112,497.35
|
$112,497.35
|
2026-04-01
|
|
1924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,570.60
|
$111,570.60
|
$111,570.60
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
2
|
—
|
—
|
$72,405.86
|
$150,319.43
|
$111,362.64
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
2
|
2
|
—
|
—
|
$108,243.35
|
$113,655.52
|
$110,949.43
|
2026-04-01
|
|
1813
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,838.95
|
$110,838.95
|
$110,838.95
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
18
|
11
|
—
|
—
|
$110,808.59
|
$408,522.63
|
$110,808.59
|
2026-04-01
|
|
2254
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,077.50
|
$110,077.50
|
$110,077.50
|
2026-04-01
|
|
6112
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,337.72
|
$109,337.72
|
$109,337.72
|
2026-04-01
|
|
6344
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,299.78
|
$109,299.78
|
$109,299.78
|
2026-04-01
|
|
6132
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,139.90
|
$109,139.90
|
$109,139.90
|
2026-04-01
|
|
4624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,882.47
|
$108,882.47
|
$108,882.47
|
2026-04-01
|
|
1663
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,820.15
|
$108,820.15
|
$108,820.15
|
2026-04-01
|
|
1611
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,779.50
|
$108,779.50
|
$108,779.50
|
2026-04-01
|
|
9503
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,240.25
|
$108,240.25
|
$108,240.25
|
2026-04-01
|
|
6213
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$107,803.97
|
$107,803.97
|
$107,803.97
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
18
|
11
|
—
|
—
|
$107,018.33
|
$394,516.25
|
$107,018.33
|
2026-04-01
|
|
1652
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,955.81
|
$106,955.81
|
$106,955.81
|
2026-04-01
|
|
2004
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,752.57
|
$106,752.57
|
$106,752.57
|
2026-04-01
|
|
9123
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,644.18
|
$106,644.18
|
$106,644.18
|
2026-04-01
|
|
1651
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,589.98
|
$106,589.98
|
$106,589.98
|
2026-04-01
|
|
7754
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,205.19
|
$106,205.19
|
$106,205.19
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
11
|
—
|
—
|
$105,150.54
|
$387,614.10
|
$105,150.54
|
2026-04-01
|
|
9103
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$105,061.66
|
$105,061.66
|
$105,061.66
|
2026-04-01
|
|
6803
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$104,834.03
|
$104,834.03
|
$104,834.03
|
2026-04-01
|
|
3434
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$104,376.08
|
$104,376.08
|
$104,376.08
|
2026-04-01
|
|
3144
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$104,191.81
|
$104,191.81
|
$104,191.81
|
2026-04-01
|
|
6394
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$103,901.86
|
$103,901.86
|
$103,901.86
|
2026-04-01
|
|
1744
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$103,752.82
|
$103,752.82
|
$103,752.82
|
2026-04-01
|
|
6813
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$103,495.39
|
$103,495.39
|
$103,495.39
|
2026-04-01
|
|
893
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$103,243.38
|
$103,243.38
|
$103,243.38
|
2026-04-01
|
|
8904
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$102,606.58
|
$102,606.58
|
$102,606.58
|
2026-04-01
|
|
6514
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$102,210.95
|
$102,210.95
|
$102,210.95
|
2026-04-01
|
|
9102
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,872.22
|
$101,872.22
|
$101,872.22
|
2026-04-01
|
|
9101
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,872.22
|
$101,872.22
|
$101,872.22
|
2026-04-01
|
|
3042
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,205.61
|
$101,205.61
|
$101,205.61
|
2026-04-01
|
|
1693
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,679.91
|
$100,679.91
|
$100,679.91
|
2026-04-01
|
|
4401
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,425.19
|
$100,425.19
|
$100,425.19
|
2026-04-01
|
|
2794
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,398.09
|
$100,398.09
|
$100,398.09
|
2026-04-01
|
|
3213
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,333.05
|
$100,333.05
|
$100,333.05
|
2026-04-01
|
|
1632
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,265.31
|
$100,265.31
|
$100,265.31
|
2026-04-01
|
|
1673
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,753.16
|
$99,753.16
|
$99,753.16
|
2026-04-01
|
|
2634
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,441.53
|
$99,441.53
|
$99,441.53
|
2026-04-01
|
|
9304
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,016.09
|
$99,016.09
|
$99,016.09
|
2026-04-01
|
|
2264
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$98,335.93
|
$98,335.93
|
$98,335.93
|
2026-04-01
|
|
1104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$98,303.41
|
$98,303.41
|
$98,303.41
|
2026-04-01
|
|
7244
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$98,111.02
|
$98,111.02
|
$98,111.02
|
2026-04-01
|
|
6223
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,709.97
|
$97,709.97
|
$97,709.97
|
2026-04-01
|
|
1703
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,634.09
|
$97,634.09
|
$97,634.09
|
2026-04-01
|
|
6092
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,420.02
|
$97,420.02
|
$97,420.02
|
2026-04-01
|
|
6302
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,192.40
|
$97,192.40
|
$97,192.40
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
11
|
—
|
—
|
$96,860.22
|
$356,978.37
|
$96,860.22
|
2026-04-01
|
|
3494
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,777.80
|
$96,777.80
|
$96,777.80
|
2026-04-01
|
|
6091
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,677.53
|
$96,677.53
|
$96,677.53
|
2026-04-01
|
|
1764
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,227.71
|
$96,227.71
|
$96,227.71
|
2026-04-01
|
|
6121
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,336.18
|
$95,336.18
|
$95,336.18
|
2026-04-01
|
|
484
|
MS_DRG
|
Major Joint & Limb Reattachment Proc Of Upper Extremity Without Cc/mcc
|
1
|
1
|
—
|
—
|
$94,417.56
|
$94,417.56
|
$94,417.56
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$82,833.15
|
$105,362.15
|
$94,097.65
|
2026-04-01
|
|
1621
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,815.99
|
$93,815.99
|
$93,815.99
|
2026-04-01
|
|
2824
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,672.37
|
$93,672.37
|
$93,672.37
|
2026-04-01
|
|
6301
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,455.58
|
$93,455.58
|
$93,455.58
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
18
|
11
|
—
|
—
|
$93,106.41
|
$343,106.71
|
$93,106.41
|
2026-04-01
|
|
3444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,022.01
|
$93,022.01
|
$93,022.01
|
2026-04-01
|
|
1302
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,951.56
|
$92,951.56
|
$92,951.56
|
2026-04-01
|
|
1301
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,951.56
|
$92,951.56
|
$92,951.56
|
2026-04-01
|
|
3224
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,631.80
|
$92,631.80
|
$92,631.80
|
2026-04-01
|
|
2804
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,466.51
|
$92,466.51
|
$92,466.51
|
2026-04-01
|
|
2064
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,255.14
|
$92,255.14
|
$92,255.14
|
2026-04-01
|
|
2203
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,209.07
|
$92,209.07
|
$92,209.07
|
2026-04-01
|
|
1602
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,073.58
|
$92,073.58
|
$92,073.58
|
2026-04-01
|
|
3053
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,642.73
|
$91,642.73
|
$91,642.73
|
2026-04-01
|
|
6944
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,629.18
|
$91,629.18
|
$91,629.18
|
2026-04-01
|
|
1763
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,173.93
|
$91,173.93
|
$91,173.93
|
2026-04-01
|
|
1203
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,165.80
|
$91,165.80
|
$91,165.80
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
19
|
11
|
—
|
—
|
$44,467.82
|
$334,009.50
|
$90,644.62
|
2026-04-01
|
|
3613
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$90,501.90
|
$90,501.90
|
$90,501.90
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
11
|
—
|
—
|
$90,360.48
|
$332,959.51
|
$90,360.48
|
2026-04-01
|
|
6624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,756.71
|
$89,756.71
|
$89,756.71
|
2026-04-01
|
|
4694
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,458.63
|
$89,458.63
|
$89,458.63
|
2026-04-01
|
|
6142
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,377.33
|
$89,377.33
|
$89,377.33
|
2026-04-01
|
|
6253
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,268.94
|
$89,268.94
|
$89,268.94
|
2026-04-01
|
|
6254
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,268.94
|
$89,268.94
|
$89,268.94
|
2026-04-01
|
|
4464
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,122.61
|
$89,122.61
|
$89,122.61
|
2026-04-01
|
|
1662
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$88,382.84
|
$88,382.84
|
$88,382.84
|
2026-04-01
|
|
8503
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,724.36
|
$87,724.36
|
$87,724.36
|
2026-04-01
|
|
2484
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,702.68
|
$87,702.68
|
$87,702.68
|
2026-04-01
|
|
4443
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,596.99
|
$87,596.99
|
$87,596.99
|
2026-04-01
|
|
1823
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,363.95
|
$87,363.95
|
$87,363.95
|
2026-04-01
|
|
4214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,748.83
|
$86,748.83
|
$86,748.83
|
2026-04-01
|
|
7204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,721.73
|
$86,721.73
|
$86,721.73
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
1
|
1
|
—
|
—
|
$86,694.28
|
$86,694.28
|
$86,694.28
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
1
|
1
|
—
|
—
|
$86,279.50
|
$86,279.50
|
$86,279.50
|
2026-04-01
|
|
4833
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,212.29
|
$86,212.29
|
$86,212.29
|
2026-04-01
|
|
3474
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,502.32
|
$85,502.32
|
$85,502.32
|
2026-04-01
|
|
2424
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,499.61
|
$85,499.61
|
$85,499.61
|
2026-04-01
|
|
4413
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,296.37
|
$85,296.37
|
$85,296.37
|
2026-04-01
|
|
1601
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,255.73
|
$85,255.73
|
$85,255.73
|
2026-04-01
|
|
2603
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,228.63
|
$85,228.63
|
$85,228.63
|
2026-04-01
|
|
2414
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,808.61
|
$84,808.61
|
$84,808.61
|
2026-04-01
|
|
6233
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,683.96
|
$84,683.96
|
$84,683.96
|
2026-04-01
|
|
6234
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,683.96
|
$84,683.96
|
$84,683.96
|
2026-04-01
|
|
5144
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,683.96
|
$84,683.96
|
$84,683.96
|
2026-04-01
|
|
6924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,646.02
|
$84,646.02
|
$84,646.02
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
18
|
11
|
—
|
—
|
$84,628.45
|
$311,777.59
|
$84,628.45
|
2026-04-01
|
|
2213
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,041.74
|
$84,041.74
|
$84,041.74
|
2026-04-01
|