|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
113
|
37
|
$59,915.00
|
$49,618.05
|
$20,466.96
|
$48,032.96
|
$35,949.00
|
2026-04-01
|
|
63056
|
CPT
|
Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar
|
116
|
37
|
—
|
$52,283.23
|
$14,490.00
|
$50,613.00
|
$22,812.00
|
2026-04-01
|
|
63020
|
CPT
|
Laminotomy Dcmprn Nrv Root 1 Ntrspc Cervical
|
116
|
37
|
—
|
$52,283.23
|
$14,490.00
|
$50,613.00
|
$22,812.00
|
2026-04-01
|
|
22610
|
CPT
|
Arthrodesis Posterior/Pstlat Tq 1ntrspc Thoracic
|
101
|
35
|
—
|
$52,283.23
|
$12,441.00
|
$50,613.00
|
$21,217.29
|
2026-04-01
|
|
22849
|
CPT
|
Reinsertion Spinal Fixation Device
|
105
|
33
|
—
|
$69,037.46
|
$130.21
|
$66,832.00
|
$24,266.00
|
2026-04-01
|
|
SUP-HFX-D
|
CDM
|
Charger Remote Ipg Scs Hfx-iq
|
84
|
32
|
$105,019.74
|
$105,019.74
|
$35,874.74
|
$105,019.74
|
$70,573.27
|
2026-04-01
|
|
SUP-71060001
|
CDM
|
Hinge Exfix Cmps Unv Kit
|
84
|
32
|
$40,723.65
|
$40,723.65
|
$13,911.20
|
$40,723.65
|
$27,366.29
|
2026-04-01
|
|
SUP-71051701
|
CDM
|
Ank Sp Kit Std Cnt Bdy Tin Hp
|
84
|
32
|
$40,546.16
|
$40,546.16
|
$13,850.57
|
$40,546.16
|
$27,247.02
|
2026-04-01
|
|
SUP-AR-7000S
|
CDM
|
Glenoid Bone Loss Set
|
84
|
32
|
$31,790.51
|
$31,790.51
|
$10,859.64
|
$31,790.51
|
$21,363.22
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
90
|
31
|
—
|
$401,146.94
|
$102,700.03
|
$388,331.98
|
$265,447.00
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
90
|
31
|
—
|
$262,740.83
|
$67,265.86
|
$254,347.37
|
$179,775.00
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
90
|
31
|
—
|
$243,195.24
|
$62,261.87
|
$235,426.18
|
$169,784.00
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
90
|
31
|
—
|
$204,628.18
|
$52,388.09
|
$198,091.17
|
$139,419.00
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
90
|
31
|
—
|
$201,024.81
|
$51,465.56
|
$194,602.91
|
$139,027.00
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
90
|
31
|
—
|
$209,909.49
|
$53,740.19
|
$203,203.77
|
$138,531.00
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
90
|
31
|
—
|
$175,753.83
|
$44,995.79
|
$170,139.24
|
$136,246.60
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
90
|
31
|
—
|
$193,985.48
|
$49,663.38
|
$625,578.00
|
$130,416.00
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
90
|
31
|
—
|
$305,864.90
|
$78,306.31
|
$296,093.80
|
$130,270.00
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
90
|
31
|
—
|
$143,614.89
|
$17,158.87
|
$139,027.00
|
$128,588.68
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
90
|
31
|
—
|
$141,955.89
|
$27,138.01
|
$137,421.00
|
$117,193.00
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
90
|
31
|
—
|
$132,360.36
|
$24,786.96
|
$128,132.00
|
$114,819.29
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
90
|
31
|
—
|
$154,355.60
|
$39,517.51
|
$149,424.59
|
$103,407.00
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
90
|
31
|
—
|
$146,337.18
|
$37,464.66
|
$141,662.32
|
$99,507.00
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
90
|
31
|
—
|
$156,126.59
|
$38,881.99
|
$151,139.00
|
$92,654.00
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
90
|
31
|
—
|
$217,043.45
|
$55,566.61
|
$210,109.83
|
$92,654.00
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
90
|
31
|
—
|
$165,562.46
|
$26,777.57
|
$160,273.44
|
$86,800.82
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
90
|
31
|
—
|
$107,231.42
|
$27,452.95
|
$103,805.83
|
$82,305.00
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
90
|
31
|
—
|
$128,360.32
|
$32,862.29
|
$520,060.00
|
$79,236.84
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
90
|
31
|
—
|
$117,579.30
|
$30,102.18
|
$113,823.14
|
$78,148.00
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
90
|
31
|
—
|
$117,459.20
|
$30,071.43
|
$113,706.87
|
$77,463.00
|
2026-04-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
90
|
31
|
—
|
$141,955.89
|
$21,205.90
|
$137,421.00
|
$75,566.14
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
90
|
31
|
—
|
$100,021.03
|
$25,606.99
|
$239,735.00
|
$75,022.00
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
90
|
31
|
—
|
$133,638.00
|
$34,213.46
|
$129,368.83
|
$72,673.57
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
90
|
31
|
—
|
$115,191.62
|
$29,490.90
|
$111,511.73
|
$69,454.66
|
2026-04-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
90
|
31
|
—
|
$79,243.50
|
$17,158.87
|
$76,712.00
|
$68,940.00
|
2026-04-01
|
|
999
|
MS_DRG
|
Ungroupable
|
90
|
31
|
—
|
$79,243.50
|
$17,974.27
|
$76,712.00
|
$68,940.00
|
2026-04-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
90
|
31
|
—
|
$77,079.53
|
$19,733.59
|
$74,617.16
|
$65,563.74
|
2026-04-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
90
|
31
|
—
|
$77,945.79
|
$19,955.38
|
$75,455.75
|
$63,804.33
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
90
|
31
|
—
|
$113,368.08
|
$29,024.05
|
$1,422,956.00
|
$63,484.62
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
90
|
31
|
—
|
$136,029.33
|
$34,825.69
|
$131,683.77
|
$63,123.00
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
90
|
31
|
—
|
$88,857.84
|
$22,749.02
|
$86,019.21
|
$62,317.00
|
2026-04-01
|
|
27447
|
CPT
|
Arthrp Kne Condyle&Platu Medial&Lat Compartments,BILATERAL Procedure
|
109
|
31
|
—
|
$92,389.56
|
$119.96
|
$89,438.10
|
$60,632.00
|
2026-04-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
90
|
31
|
—
|
$76,111.35
|
$19,485.72
|
$73,679.91
|
$57,317.74
|
2026-04-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
90
|
31
|
—
|
$76,235.10
|
$19,517.40
|
$73,799.71
|
$53,950.00
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
90
|
31
|
—
|
$90,118.92
|
$23,189.75
|
$87,240.00
|
$53,780.00
|
2026-04-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
90
|
31
|
—
|
$72,802.79
|
$18,638.68
|
$70,477.05
|
$50,497.75
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
90
|
31
|
—
|
$109,804.75
|
$28,111.77
|
$106,296.95
|
$46,338.88
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
90
|
31
|
—
|
$92,308.34
|
$21,850.16
|
$89,359.48
|
$45,397.00
|
2026-04-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
90
|
31
|
—
|
$59,364.74
|
$15,198.32
|
$57,468.29
|
$43,444.46
|
2026-04-01
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
90
|
31
|
—
|
$66,378.59
|
$16,993.98
|
$64,258.07
|
$41,914.51
|
2026-04-01
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
90
|
31
|
—
|
$65,657.91
|
$16,809.47
|
$63,560.42
|
$40,510.90
|
2026-04-01
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
90
|
31
|
—
|
$64,383.99
|
$16,483.33
|
$62,327.19
|
$40,017.63
|
2026-04-01
|
|
C1820
|
HCPCS
|
Chrgr Neurostim Prdg 25.5- Ma2-1200hz
|
486
|
31
|
$66,713.17
|
$66,713.17
|
$3,355.94
|
$96,928.35
|
$36,494.33
|
2026-04-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
90
|
31
|
—
|
$73,032.10
|
$18,697.39
|
$70,699.03
|
$33,130.74
|
2026-04-01
|
|
497
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
90
|
31
|
—
|
$43,979.41
|
$11,259.43
|
$42,574.45
|
$31,774.69
|
2026-04-01
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc
|
90
|
31
|
—
|
$65,320.72
|
$14,594.49
|
$63,234.00
|
$30,810.65
|
2026-04-01
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/mcc
|
90
|
31
|
—
|
$54,374.61
|
$13,920.78
|
$52,637.57
|
$29,875.00
|
2026-04-01
|
|
489
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc
|
90
|
31
|
—
|
$50,318.46
|
$10,406.80
|
$48,711.00
|
$21,153.00
|
2026-04-01
|
|
22612
|
CPT
|
Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar
|
99
|
30
|
—
|
$135,171.15
|
$41.66
|
$130,853.00
|
$71,654.00
|
2026-04-01
|
|
SUP-MN10200
|
CDM
|
Neurostimulator Axium
|
68
|
30
|
$100,978.44
|
$100,978.44
|
$34,494.24
|
$100,978.44
|
$55,488.04
|
2026-04-01
|
|
SUP-HFX-IQ
|
CDM
|
Hfx Iq Bundle
|
68
|
30
|
$91,406.07
|
$91,406.07
|
$31,224.31
|
$91,406.07
|
$50,701.86
|
2026-04-01
|
|
C1767
|
HCPCS
|
Proclaim Drg/Ipg Dorsal Root Gang Implt Pulse Generator
|
218
|
30
|
$84,924.06
|
$84,924.06
|
$17,214.40
|
$106,985.15
|
$43,292.38
|
2026-04-01
|
|
SUP-3772
|
CDM
|
Prodigy MRI Ipg
|
68
|
30
|
$68,452.09
|
$68,452.09
|
$23,383.23
|
$68,452.09
|
$39,224.86
|
2026-04-01
|
|
SUP-TR12926
|
CDM
|
Axialif 1lvl System Kit
|
68
|
30
|
$56,359.09
|
$56,359.09
|
$19,252.27
|
$56,359.09
|
$33,178.36
|
2026-04-01
|
|
SUP-SPC-2628-0817
|
CDM
|
Cage Spira O 26mm X 28mm 8deglordotic 17mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-0813
|
CDM
|
Cage Spira O 26mm X 28mm 8deglordotic 13mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-2011
|
CDM
|
Cage Spira O 26mm X 28mm 20deglordotic 11mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-1515
|
CDM
|
Cage Spira O 26mm X 28mm 15deglordotic 15mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-1511
|
CDM
|
Cage Spira O 26mm X 28mm 15deglordotic 11mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-1517
|
CDM
|
Cage Spira O 26mm X 28mm 15deglordotic 17mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-0809
|
CDM
|
Cage Spira O 26mm X 28mm 8deglordotic 9mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-0815
|
CDM
|
Cage Spira O 26mm X 28mm 8deglordotic 15mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-0811
|
CDM
|
Cage Spira O 26mm X 28mm 8deglordotic 11mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPO-2628-2015
|
CDM
|
Cage Spira O 26mm X 28mm 20deglordotic 15mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-2013
|
CDM
|
Cage Spira O 26mm X 28mm 20deglordotic 13mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPC-2628-1513
|
CDM
|
Cage Spira O 26mm X 28mm 15deglordotic 13mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-SPO-2628-2017
|
CDM
|
Cage Spira O 26mm X 28mm 20deglordotic 17mm
|
68
|
30
|
$50,436.61
|
$50,436.61
|
$17,229.15
|
$50,436.61
|
$30,217.12
|
2026-04-01
|
|
SUP-9617.25.31P
|
CDM
|
Humeral Implant Custom Made
|
68
|
30
|
$48,990.69
|
$48,990.69
|
$16,735.22
|
$48,990.69
|
$29,494.17
|
2026-04-01
|
|
SUP-T12.5-50A240
|
CDM
|
Femur Retro (10 Bend) 12.5mm240mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-50C225
|
CDM
|
Tibia Ante (10 Bend) 8.5mm 22 5 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-50C240
|
CDM
|
Tibia Ante (10 Bend) 8.5mm 240 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80E345
|
CDM
|
Femur Strt Retro 10.7mm 345 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80C345
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 345 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-50A225
|
CDM
|
Femur Retro (10 Bend) 12.5mm225mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80E375
|
CDM
|
Femur Strt Retro 10.7mm 375 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-50E240
|
CDM
|
Femur Strt Retro 8.5mm 240 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-50E240
|
CDM
|
Femur Strt Retro 12.5mm 240 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-80A315
|
CDM
|
Femur Retro (10 Bend) 12.5mm315mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80C255
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 255 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-50A225
|
CDM
|
Femur Retro (10 Bend) 8.5mm225mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-P8.5-50P165
|
CDM
|
Nail Rtrgd Femur 10 8.5mm 50mm165 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80C285
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 285 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-50A240
|
CDM
|
Femur Retro (10 Bend) 8.5mm240mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-50A240
|
CDM
|
Femur Retro (10 Bend) 10.7mm240mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80C315
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 315 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80A345
|
CDM
|
Femur Retro (10 Bend) 8.5mm345mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80A285
|
CDM
|
Femur Retro (10 Bend) 10.7mm285mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80C315
|
CDM
|
Tibia Ante (10 Bend) 8.5mm 315 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80C255
|
CDM
|
Tibia Ante (10 Bend) 8.5mm 255 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80C285
|
CDM
|
Tibia Ante (10 Bend) 8.5mm 285 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-80E345
|
CDM
|
Femur Strt Retro 12.5mm 345 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80A255
|
CDM
|
Femur Retro (10 Bend) 8.5mm255mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80A315
|
CDM
|
Femur Retro (10 Bend) 8.5mm315mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80C345
|
CDM
|
Tibia Ante (10 Bend) 8.5mm 345 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-80E375
|
CDM
|
Femur Strt Retro 12.5mm 375 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T8.5-80E345
|
CDM
|
Femur Strt Retro 8.5mm 345 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-50E240
|
CDM
|
Femur Strt Retro 10.7mm 240 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-50C225
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 2 25 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-50C240
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 240 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-80E285
|
CDM
|
Femur Strt Retro 12.5mm 285 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T12.5-80A375
|
CDM
|
Femur Retro (10 Bend) 12.5mm375mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80A255
|
CDM
|
Femur Retro (10 Bend) 10.7mm255mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80A315
|
CDM
|
Femur Retro (10 Bend) 10.7mm315mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-T10.7-80C375
|
CDM
|
Tibia Ante (10 Bend) 10.7mm 375 Mm
|
68
|
30
|
$46,977.33
|
$46,977.33
|
$16,047.46
|
$46,977.33
|
$28,487.49
|
2026-04-01
|
|
SUP-PSTS-SM1209-26-SP
|
CDM
|
Cage Strt Post Spine Truss Sys26 X 9mm 12d 9mm
|
68
|
30
|
$46,539.84
|
$46,539.84
|
$15,898.01
|
$46,539.84
|
$28,268.74
|
2026-04-01
|
|
SUP-PSTS-SM1209-22-SP
|
CDM
|
Cage Strt Post Spine Truss Sys22 X 9mm 12d 9mm
|
68
|
30
|
$46,539.84
|
$46,539.84
|
$15,898.01
|
$46,539.84
|
$28,268.74
|
2026-04-01
|
|
SUP-PSTS-SM0607-26-SP
|
CDM
|
Cage Strt Post Spine Truss Sys26 X 9mm 6d 7mm
|
68
|
30
|
$46,539.84
|
$46,539.84
|
$15,898.01
|
$46,539.84
|
$28,268.74
|
2026-04-01
|
|
SUP-PSTS-SM1208-22-SP
|
CDM
|
Cage Strt Post Spine Truss Sys22 X 9mm 12d 8mm
|
68
|
30
|
$46,539.84
|
$46,539.84
|
$15,898.01
|
$46,539.84
|
$28,268.74
|
2026-04-01
|
|
SUP-PSTS-SM1208-26-SP
|
CDM
|
Cage Strt Post Spine Truss Sys26 X 9mm 12d 8mm
|
68
|
30
|
$46,539.84
|
$46,539.84
|
$15,898.01
|
$46,539.84
|
$28,268.74
|
2026-04-01
|
|
SUP-PSTS-SM0607-22-SP
|
CDM
|
Cage Strt Post Spine Truss Sys22 X 9mm 6d 7mm
|
68
|
30
|
$46,539.84
|
$46,539.84
|
$15,898.01
|
$46,539.84
|
$28,268.74
|
2026-04-01
|
|
SUP-LAA1065
|
CDM
|
Limb Actuator 64:1/10.7m/65m
|
68
|
30
|
$42,142.75
|
$42,142.75
|
$14,395.96
|
$42,142.75
|
$26,070.19
|
2026-04-01
|
|
SUP-BA-OI-0000
|
CDM
|
Patient Matched Osseointegration Implant System, 2 Each
|
68
|
30
|
$42,000.00
|
$42,000.00
|
$14,347.20
|
$42,000.00
|
$25,998.82
|
2026-04-01
|
|
SUP-188901085
|
CDM
|
X-mesh Alt Med 0deg 85-110mm
|
68
|
30
|
$39,091.51
|
$39,091.51
|
$13,353.66
|
$39,091.51
|
$24,544.58
|
2026-04-01
|
|
SUP-188902385
|
CDM
|
X-mesh Alt Lg 12deg 85-110mm
|
68
|
30
|
$39,091.51
|
$39,091.51
|
$13,353.66
|
$39,091.51
|
$24,544.58
|
2026-04-01
|
|
SUP-71420954
|
CDM
|
Fem Revision Gii Size 6 Rt
|
68
|
30
|
$37,258.04
|
$37,258.04
|
$12,727.35
|
$37,258.04
|
$23,627.84
|
2026-04-01
|
|
SUP-71420952
|
CDM
|
Fem Revision Gii Size 5 Rt
|
68
|
30
|
$37,258.04
|
$37,258.04
|
$12,727.35
|
$37,258.04
|
$23,627.84
|
2026-04-01
|
|
SUP-71420956
|
CDM
|
Fem Revision Gii Size 7 Rt
|
68
|
30
|
$37,258.04
|
$37,258.04
|
$12,727.35
|
$37,258.04
|
$23,627.84
|
2026-04-01
|
|
SUP-71420932
|
CDM
|
Fem Revision Gii Size 3 Lt
|
68
|
30
|
$37,258.04
|
$37,258.04
|
$12,727.35
|
$37,258.04
|
$23,627.84
|
2026-04-01
|
|
SUP-71420948
|
CDM
|
Femur, Revision Gen Ii Sz 3 Rt
|
68
|
30
|
$37,258.04
|
$37,258.04
|
$12,727.35
|
$37,258.04
|
$23,627.84
|
2026-04-01
|
|
SUP-71420950
|
CDM
|
Fem Revision Gii Size 4 Rt
|
68
|
30
|
$37,258.04
|
$37,258.04
|
$12,727.35
|
$37,258.04
|
$23,627.84
|
2026-04-01
|
|
SUP-32447002
|
CDM
|
Plateau Tib Fsh W/Meniscus Lt
|
68
|
30
|
$34,015.23
|
$34,015.23
|
$11,619.60
|
$34,015.23
|
$22,006.44
|
2026-04-01
|
|
SUP-SC-8452-70
|
CDM
|
Lead Surgical Paddle Coveredge X 32 MRI 70 Cm
|
68
|
30
|
$33,395.18
|
$33,395.18
|
$11,407.79
|
$33,395.18
|
$21,696.41
|
2026-04-01
|
|
SUP-SC-8436-70
|
CDM
|
Lead Surgical Paddle Coveredge 32 MRI 70 Cm
|
68
|
30
|
$33,395.18
|
$33,395.18
|
$11,407.79
|
$33,395.18
|
$21,696.41
|
2026-04-01
|
|
SUP-SC-8436-50
|
CDM
|
Lead Surgical Paddle Coveredge 32 MRI 50 Cm
|
68
|
30
|
$33,395.18
|
$33,395.18
|
$11,407.79
|
$33,395.18
|
$21,696.41
|
2026-04-01
|
|
SUP-SC-8452-50
|
CDM
|
Lead Surgical Paddle Coveredge X 32 MRI 50 Cm
|
68
|
30
|
$33,395.18
|
$33,395.18
|
$11,407.79
|
$33,395.18
|
$21,696.41
|
2026-04-01
|
|
SUP-188902365
|
CDM
|
X-mesh Alt Lg 12deg 65-90mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-188901265
|
CDM
|
X-mesh Alt Med 6deg 65-90mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-188902240
|
CDM
|
X-mesh Alt Lg 6deg 40-56mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-188900151
|
CDM
|
X-mesh Alt Sm -6deg 51-71mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-188901065
|
CDM
|
X-mesh Alt Med 0deg 65-90mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-188902265
|
CDM
|
X-mesh Alt Lg 6deg 65-90mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-188900051
|
CDM
|
X-mesh Alt Sm 0deg 51-71mm
|
68
|
30
|
$33,084.81
|
$33,084.81
|
$11,301.77
|
$33,084.81
|
$21,541.22
|
2026-04-01
|
|
SUP-422522
|
CDM
|
Femoral Hemi-condyle Oc Med Rt
|
68
|
30
|
$32,729.06
|
$32,729.06
|
$11,180.25
|
$32,729.06
|
$21,363.35
|
2026-04-01
|
|
SUP-463523
|
CDM
|
Femoral Hemi-condyle Oc Lat Rt
|
68
|
30
|
$32,729.06
|
$32,729.06
|
$11,180.25
|
$32,729.06
|
$21,363.35
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
74
|
29
|
—
|
$189,464.87
|
$48,506.04
|
$183,412.27
|
$130,667.00
|
2026-04-01
|
|
22840
|
CPT
|
Posterior Non-segmental Instrumentation
|
95
|
29
|
—
|
$135,171.15
|
$45.00
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
27702
|
CPT
|
Arthroplasty Ankle W/Implant
|
96
|
29
|
—
|
$85,163.62
|
$56.82
|
$82,443.00
|
$61,660.00
|
2026-04-01
|
|
12044
|
CPT
|
Repair Intermediate N/H/F/Xtrnl Gent 7.6-12.5cm
|
95
|
29
|
—
|
$90,118.92
|
$119.96
|
$87,240.00
|
$48,188.80
|
2026-04-01
|
|
23472
|
CPT
|
Arthroplasty Glenohumeral Joint Total Shoulder
|
95
|
29
|
—
|
$90,118.92
|
$119.96
|
$87,240.00
|
$48,188.80
|
2026-04-01
|
|
23470
|
CPT
|
Arthroplasty Glenohumrl Jt Hemiarthroplasty
|
95
|
29
|
—
|
$90,118.92
|
$119.96
|
$87,240.00
|
$47,617.00
|
2026-04-01
|
|
24363
|
CPT
|
Arthrp Elbow W/Distal Hum&Prox Ur Prostc Rplcm
|
95
|
29
|
—
|
$90,118.92
|
$70.35
|
$87,240.00
|
$47,052.00
|
2026-04-01
|
|
20936
|
CPT
|
Autograft Spine Surgery Local From Same Incision
|
95
|
29
|
—
|
$90,392.67
|
$89.99
|
$87,505.00
|
$46,567.00
|
2026-04-01
|
|
20930
|
CPT
|
Allograft For Spine Surgery Only Morselized
|
96
|
29
|
—
|
$90,392.67
|
$45.00
|
$87,505.00
|
$46,567.00
|
2026-04-01
|
|
63030
|
CPT
|
Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar
|
122
|
29
|
—
|
$52,283.23
|
$70.35
|
$50,613.00
|
$21,217.29
|
2026-04-01
|
|
22214
|
CPT
|
Osteotomy Spine Pst/Pstlat Appr 1 Vrt Sgm Lmbr
|
94
|
28
|
—
|
$135,171.15
|
$54.04
|
$130,853.00
|
$78,678.00
|
2026-04-01
|
|
22216
|
CPT
|
Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm
|
94
|
28
|
—
|
$135,171.15
|
$54.04
|
$130,853.00
|
$78,678.00
|
2026-04-01
|
|
22859
|
CPT
|
Insj Biomchn Dev Ntrvrt Disc Space Without Arthrd
|
94
|
28
|
—
|
$135,171.15
|
$41.66
|
$130,853.00
|
$71,654.00
|
2026-04-01
|
|
22633
|
CPT
|
Arthrodesis Combined Tq 1ntrspc Lumbar
|
94
|
28
|
—
|
$135,171.15
|
$70.35
|
$130,853.00
|
$71,250.00
|
2026-04-01
|
|
22614
|
CPT
|
Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc
|
94
|
28
|
—
|
$135,171.15
|
$70.35
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
22632
|
CPT
|
Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl
|
94
|
28
|
—
|
$135,171.15
|
$41.66
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
63053
|
CPT
|
Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm
|
94
|
28
|
—
|
$135,171.15
|
$78.13
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
22634
|
CPT
|
Arthrodesis Cmbn Tq 1ntrspc Each Additional
|
94
|
28
|
—
|
$135,171.15
|
$70.35
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
63052
|
CPT
|
Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm
|
93
|
28
|
—
|
$135,171.15
|
$2,974.00
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
22842
|
CPT
|
Posterior Segmental Instrumentation 3-6 Vrt Seg
|
94
|
28
|
—
|
$135,171.15
|
$78.13
|
$130,853.00
|
$70,789.00
|
2026-04-01
|
|
27130
|
CPT
|
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft
|
107
|
28
|
—
|
$85,336.13
|
$119.96
|
$93,155.00
|
$60,632.00
|
2026-04-01
|
|
22551
|
CPT
|
Arthrd Ant Interbody Decompress Cervical Belw C2
|
94
|
28
|
—
|
$90,392.67
|
$45.00
|
$87,505.00
|
$60,592.00
|
2026-04-01
|
|
20939
|
CPT
|
Bone Marrow Aspiration Bone Grfg Spi Surg Only
|
94
|
28
|
—
|
$90,392.67
|
$43.23
|
$87,505.00
|
$46,567.00
|
2026-04-01
|
|
20931
|
CPT
|
Allograft For Spine Surgery Only Structural
|
94
|
28
|
—
|
$90,392.67
|
$45.00
|
$87,505.00
|
$46,567.00
|
2026-04-01
|
|
37799
|
CPT
|
Unlisted Procedure Vascular Surgery
|
94
|
28
|
—
|
$90,392.67
|
$41.66
|
$87,505.00
|
$46,567.00
|
2026-04-01
|
|
22853
|
CPT
|
Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd
|
94
|
28
|
—
|
$90,392.67
|
$89.99
|
$87,505.00
|
$45,785.00
|
2026-04-01
|
|
27446
|
CPT
|
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt,BILATERAL Procedure
|
97
|
28
|
—
|
$79,504.85
|
$239.92
|
$76,965.00
|
$45,290.00
|
2026-04-01
|
|
22846
|
CPT
|
Anterior Instrumentation 4-7 Vertebral Segments
|
94
|
28
|
—
|
$69,037.46
|
$89.99
|
$66,832.00
|
$22,938.00
|
2026-04-01
|
|
22830
|
CPT
|
Exploration Spinal Fusion
|
94
|
28
|
—
|
$135,171.15
|
$41.66
|
$130,853.00
|
$22,938.00
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
71
|
23
|
—
|
$143,356.64
|
$26,745.69
|
$138,777.00
|
$101,131.50
|
2026-04-01
|
|
22558
|
CPT
|
Arthrd Ant Interbody Min Dsc Lumbar
|
84
|
22
|
—
|
$135,171.15
|
$41.66
|
$130,853.00
|
$73,111.00
|
2026-04-01
|
|
479
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc
|
67
|
22
|
—
|
$67,659.79
|
$4,735.00
|
$65,498.34
|
$44,615.93
|
2026-04-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
72
|
22
|
—
|
$75,638.17
|
$4,735.00
|
$73,221.85
|
$33,940.00
|
2026-04-01
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
72
|
22
|
—
|
$55,932.43
|
$4,735.00
|
$54,145.62
|
$23,643.00
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
70
|
21
|
—
|
$163,369.98
|
$4,735.00
|
$158,151.00
|
$33,940.00
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
53
|
20
|
—
|
$207,449.00
|
$53,110.27
|
$200,821.88
|
$160,817.09
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
53
|
20
|
—
|
$131,967.34
|
$33,785.76
|
$127,751.54
|
$102,302.75
|
2026-04-01
|
|
61783
|
CPT
|
Stereotactic Computer Assisted Px Spinal
|
79
|
20
|
—
|
$123,483.79
|
$44.44
|
$119,539.00
|
$70,789.00
|
2026-04-01
|
|
22630
|
CPT
|
Arthrodesis Posterior Interbody 1 Ntrspc Lumbar
|
78
|
19
|
—
|
$135,171.15
|
$20.14
|
$130,853.00
|
$83,795.00
|
2026-04-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
53
|
14
|
—
|
$79,900.35
|
$4,735.00
|
$77,347.87
|
$61,939.76
|
2026-04-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
53
|
14
|
—
|
$68,034.68
|
$4,735.00
|
$65,861.26
|
$52,741.35
|
2026-04-01
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
53
|
14
|
—
|
$65,253.90
|
$4,735.00
|
$63,169.31
|
$50,585.64
|
2026-04-01
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
53
|
14
|
—
|
$63,626.91
|
$4,735.00
|
$61,594.30
|
$49,324.39
|
2026-04-01
|
|
858
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc
|
53
|
14
|
—
|
$50,698.43
|
$4,735.00
|
$49,078.83
|
$39,302.07
|
2026-04-01
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/mcc
|
53
|
14
|
—
|
$48,987.74
|
$4,735.00
|
$47,422.79
|
$37,975.91
|
2026-04-01
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
53
|
14
|
—
|
$47,779.33
|
$4,735.00
|
$46,252.98
|
$37,039.14
|
2026-04-01
|
|
476
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc…
|
53
|
14
|
—
|
$86,507.55
|
$4,735.00
|
$83,744.00
|
$33,300.52
|
2026-04-01
|
|
903
|
MS_DRG
|
Wound Debridements For Injuries Without Cc/mcc
|
53
|
14
|
—
|
$42,570.82
|
$4,735.00
|
$41,210.86
|
$33,001.43
|
2026-04-01
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
53
|
14
|
—
|
$32,310.29
|
$4,735.00
|
$31,278.11
|
$25,047.34
|
2026-04-01
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
53
|
14
|
—
|
$29,394.83
|
$4,735.00
|
$28,455.79
|
$22,787.24
|
2026-04-01
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
53
|
14
|
—
|
$28,375.69
|
$4,735.00
|
$27,469.21
|
$21,997.19
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
51
|
13
|
—
|
$96,479.52
|
$4,735.00
|
$93,397.41
|
$74,792.15
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
51
|
13
|
—
|
$93,877.09
|
$4,735.00
|
$90,878.11
|
$72,774.71
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
51
|
13
|
—
|
$89,509.36
|
$4,735.00
|
$86,649.91
|
$69,388.79
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
51
|
13
|
—
|
$89,483.88
|
$4,735.00
|
$86,625.25
|
$69,369.04
|
2026-04-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
51
|
13
|
—
|
$85,057.91
|
$4,735.00
|
$82,340.67
|
$65,937.97
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
51
|
13
|
—
|
$80,027.74
|
$4,735.00
|
$77,471.19
|
$62,038.52
|
2026-04-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
51
|
13
|
—
|
$79,303.43
|
$4,735.00
|
$76,770.02
|
$61,477.02
|
2026-04-01
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
51
|
13
|
—
|
$77,916.67
|
$4,735.00
|
$75,427.56
|
$60,401.99
|
2026-04-01
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
51
|
13
|
—
|
$73,803.73
|
$4,735.00
|
$71,446.01
|
$57,213.58
|
2026-04-01
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
51
|
13
|
—
|
$72,726.35
|
$4,735.00
|
$70,403.05
|
$56,378.39
|
2026-04-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
51
|
13
|
—
|
$72,620.80
|
$4,735.00
|
$70,300.87
|
$56,296.56
|
2026-04-01
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
51
|
13
|
—
|
$71,692.66
|
$4,735.00
|
$69,402.38
|
$55,577.06
|
2026-04-01
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
51
|
13
|
—
|
$69,683.50
|
$4,735.00
|
$67,457.41
|
$54,019.53
|
2026-04-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
51
|
13
|
—
|
$68,074.72
|
$4,735.00
|
$65,900.02
|
$52,772.38
|
2026-04-01
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
51
|
13
|
—
|
$67,878.17
|
$4,735.00
|
$65,709.75
|
$52,620.02
|
2026-04-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
51
|
13
|
—
|
$66,637.01
|
$4,735.00
|
$64,508.24
|
$51,657.85
|
2026-04-01
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
51
|
13
|
—
|
$66,378.59
|
$4,735.00
|
$64,258.07
|
$51,457.52
|
2026-04-01
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
51
|
13
|
—
|
$64,296.64
|
$4,735.00
|
$62,242.63
|
$49,843.56
|
2026-04-01
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
51
|
13
|
—
|
$62,895.32
|
$4,735.00
|
$60,886.08
|
$48,757.25
|
2026-04-01
|
|
42
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc
|
51
|
13
|
—
|
$62,884.40
|
$4,735.00
|
$60,875.51
|
$48,748.78
|
2026-04-01
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
51
|
13
|
—
|
$62,385.75
|
$4,735.00
|
$60,392.79
|
$48,362.22
|
2026-04-01
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
51
|
13
|
—
|
$61,799.75
|
$4,735.00
|
$59,825.51
|
$47,907.95
|
2026-04-01
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
51
|
13
|
—
|
$61,494.00
|
$4,735.00
|
$59,529.53
|
$47,670.93
|
2026-04-01
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
51
|
13
|
—
|
$61,006.27
|
$4,735.00
|
$59,057.38
|
$47,292.84
|
2026-04-01
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
51
|
13
|
—
|
$59,823.35
|
$4,735.00
|
$57,912.25
|
$46,375.82
|
2026-04-01
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc
|
51
|
13
|
—
|
$58,469.35
|
$4,735.00
|
$56,601.50
|
$45,326.18
|
2026-04-01
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
51
|
13
|
—
|
$58,392.92
|
$4,735.00
|
$56,527.51
|
$45,266.93
|
2026-04-01
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc
|
51
|
13
|
—
|
$57,300.99
|
$4,735.00
|
$55,470.46
|
$44,420.45
|
2026-04-01
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
51
|
13
|
—
|
$53,581.13
|
$4,735.00
|
$51,869.44
|
$41,536.77
|
2026-04-01
|
|
506
|
MS_DRG
|
Major Thumb Or Joint Procedures
|
51
|
13
|
—
|
$49,107.85
|
$4,735.00
|
$47,539.06
|
$38,069.03
|
2026-04-01
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
51
|
13
|
—
|
$48,110.55
|
$4,735.00
|
$46,573.62
|
$37,295.91
|
2026-04-01
|
|
553
|
MS_DRG
|
Bone Diseases And Arthropathies With Mcc
|
51
|
13
|
—
|
$47,182.41
|
$4,735.00
|
$45,675.13
|
$36,576.40
|
2026-04-01
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
51
|
13
|
—
|
$46,203.31
|
$4,735.00
|
$44,727.31
|
$35,817.39
|
2026-04-01
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
51
|
13
|
—
|
$43,939.37
|
$4,735.00
|
$42,535.69
|
$34,062.36
|
2026-04-01
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
51
|
13
|
—
|
$43,302.41
|
$4,735.00
|
$41,919.08
|
$33,568.58
|
2026-04-01
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/mcc
|
51
|
13
|
—
|
$41,722.75
|
$4,735.00
|
$40,389.88
|
$32,344.00
|
2026-04-01
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
51
|
13
|
—
|
$40,987.51
|
$4,735.00
|
$39,678.13
|
$31,774.04
|
2026-04-01
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
51
|
13
|
—
|
$37,518.81
|
$4,735.00
|
$36,320.24
|
$29,085.05
|
2026-04-01
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
51
|
13
|
—
|
$37,416.89
|
$4,735.00
|
$36,221.58
|
$29,006.05
|
2026-04-01
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
51
|
13
|
—
|
$37,245.83
|
$4,735.00
|
$36,055.98
|
$28,873.43
|
2026-04-01
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
51
|
13
|
—
|
$37,234.91
|
$4,735.00
|
$36,045.41
|
$28,864.97
|
2026-04-01
|
|
514
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc
|
51
|
13
|
—
|
$37,209.42
|
$4,735.00
|
$36,020.74
|
$28,845.22
|
2026-04-01
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
51
|
13
|
—
|
$36,481.47
|
$4,735.00
|
$35,316.04
|
$28,280.90
|
2026-04-01
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
51
|
13
|
—
|
$36,321.32
|
$4,735.00
|
$35,161.01
|
$28,156.75
|
2026-04-01
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
51
|
13
|
—
|
$35,465.97
|
$4,735.00
|
$34,332.98
|
$27,493.67
|
2026-04-01
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
51
|
13
|
—
|
$35,061.96
|
$4,735.00
|
$33,941.88
|
$27,180.47
|
2026-04-01
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
51
|
13
|
—
|
$34,989.17
|
$4,735.00
|
$33,871.41
|
$27,124.04
|
2026-04-01
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
51
|
13
|
—
|
$34,253.93
|
$4,735.00
|
$33,159.66
|
$26,554.08
|
2026-04-01
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
51
|
13
|
—
|
$33,420.42
|
$4,735.00
|
$32,352.78
|
$25,907.93
|
2026-04-01
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
51
|
13
|
—
|
$32,990.92
|
$4,735.00
|
$31,937.00
|
$25,574.98
|
2026-04-01
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
51
|
13
|
—
|
$32,594.19
|
$4,735.00
|
$31,552.94
|
$25,267.43
|
2026-04-01
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
51
|
13
|
—
|
$32,230.21
|
$4,735.00
|
$31,200.59
|
$24,985.27
|
2026-04-01
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
51
|
13
|
—
|
$31,724.29
|
$4,735.00
|
$30,710.83
|
$24,593.07
|
2026-04-01
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
51
|
13
|
—
|
$31,698.80
|
$4,735.00
|
$30,686.16
|
$24,573.31
|
2026-04-01
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
51
|
13
|
—
|
$30,439.44
|
$4,735.00
|
$29,467.03
|
$23,597.04
|
2026-04-01
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
51
|
13
|
—
|
$30,231.97
|
$4,735.00
|
$29,266.19
|
$23,436.21
|
2026-04-01
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
51
|
13
|
—
|
$30,213.77
|
$4,735.00
|
$29,248.57
|
$23,422.10
|
2026-04-01
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
51
|
13
|
—
|
$29,340.23
|
$4,735.00
|
$28,402.93
|
$22,744.92
|
2026-04-01
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
51
|
13
|
—
|
$29,300.20
|
$4,735.00
|
$28,364.18
|
$22,713.88
|
2026-04-01
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
51
|
13
|
—
|
$29,260.16
|
$4,735.00
|
$28,325.42
|
$22,682.84
|
2026-04-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
51
|
13
|
—
|
$29,136.41
|
$4,735.00
|
$28,205.62
|
$22,586.91
|
2026-04-01
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
51
|
13
|
—
|
$28,983.53
|
$4,735.00
|
$28,057.63
|
$22,468.40
|
2026-04-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
51
|
13
|
—
|
$28,746.94
|
$4,735.00
|
$27,828.60
|
$22,285.00
|
2026-04-01
|
|
541
|
MS_DRG
|
Osteomyelitis Without Cc/mcc
|
51
|
13
|
—
|
$28,659.59
|
$4,735.00
|
$27,744.04
|
$22,217.28
|
2026-04-01
|
|
544
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
51
|
13
|
—
|
$27,465.74
|
$4,735.00
|
$26,588.33
|
$21,291.79
|
2026-04-01
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc
|
51
|
13
|
—
|
$27,272.84
|
$4,735.00
|
$26,401.59
|
$21,142.25
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
49
|
12
|
—
|
$218,688.63
|
$4,735.00
|
$211,702.45
|
$169,530.19
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
49
|
12
|
—
|
$179,753.95
|
$4,735.00
|
$174,011.57
|
$139,347.54
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
49
|
12
|
—
|
$170,770.98
|
$4,735.00
|
$165,315.57
|
$132,383.83
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
49
|
12
|
—
|
$152,746.82
|
$4,735.00
|
$147,867.20
|
$118,411.27
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
49
|
12
|
—
|
$140,539.01
|
$4,735.00
|
$136,049.38
|
$108,947.62
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
49
|
12
|
—
|
$139,741.91
|
$4,735.00
|
$135,277.74
|
$108,329.69
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
49
|
12
|
—
|
$133,692.60
|
$4,735.00
|
$129,421.68
|
$103,640.19
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
49
|
12
|
—
|
$126,933.53
|
$4,735.00
|
$122,878.54
|
$98,400.48
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
49
|
12
|
—
|
$126,351.17
|
$4,735.00
|
$122,314.78
|
$97,949.02
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
49
|
12
|
—
|
$125,739.68
|
$4,735.00
|
$121,722.83
|
$97,474.99
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
49
|
12
|
—
|
$124,786.06
|
$4,735.00
|
$120,799.67
|
$96,735.73
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
49
|
12
|
—
|
$124,174.59
|
$4,735.00
|
$120,207.73
|
$96,261.71
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
49
|
12
|
—
|
$107,158.63
|
$4,735.00
|
$103,735.36
|
$83,070.73
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
49
|
12
|
—
|
$107,049.44
|
$4,735.00
|
$103,629.66
|
$82,986.08
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
49
|
12
|
—
|
$103,751.80
|
$4,735.00
|
$100,437.37
|
$80,429.71
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
49
|
12
|
—
|
$101,589.78
|
$4,735.00
|
$98,344.41
|
$78,753.68
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
49
|
12
|
—
|
$100,046.50
|
$4,735.00
|
$96,850.44
|
$77,557.32
|
2026-04-01
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
39
|
12
|
—
|
$73,334.20
|
$18,774.73
|
$70,991.48
|
$56,849.60
|
2026-04-01
|
|
305
|
APR_DRG
|
Amputation Of Lower Limb Except Toes,minor
|
33
|
12
|
—
|
$66,396.96
|
$3,595.00
|
$64,275.86
|
$33,935.43
|
2026-04-01
|
|
308
|
APR_DRG
|
Hip & Femur Fracture Repair,minor
|
33
|
12
|
—
|
$65,148.24
|
$3,595.00
|
$63,067.03
|
$33,331.01
|
2026-04-01
|
|
309
|
APR_DRG
|
Other Significant Hip & Femur Surgery,minor
|
33
|
12
|
—
|
$60,748.45
|
$3,595.00
|
$324,695.77
|
$31,201.40
|
2026-04-01
|
|
26
|
APR_DRG
|
Other Nervous System & Related Procedures,minor
|
33
|
12
|
—
|
$59,836.29
|
$3,595.00
|
$57,924.77
|
$30,759.88
|
2026-04-01
|
|
313
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot,minor
|
33
|
12
|
—
|
$58,353.44
|
$3,595.00
|
$56,489.29
|
$30,042.15
|
2026-04-01
|
|
850
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service,minor
|
33
|
12
|
—
|
$56,636.44
|
$3,595.00
|
$57,429.99
|
$29,211.07
|
2026-04-01
|
|
711
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure,minor
|
33
|
12
|
—
|
$56,499.86
|
$3,595.00
|
$54,694.93
|
$29,144.97
|
2026-04-01
|
|
314
|
APR_DRG
|
Foot & Toe Procedures,minor
|
33
|
12
|
—
|
$51,626.91
|
$0.08
|
$49,977.65
|
$26,786.33
|
2026-04-01
|
|
320
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures,minor
|
33
|
12
|
—
|
$50,017.23
|
$3,595.00
|
$48,419.39
|
$26,007.19
|
2026-04-01
|
|
951
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis,minor
|
33
|
12
|
—
|
$44,929.65
|
$3,595.00
|
$43,494.34
|
$23,544.67
|
2026-04-01
|
|
317
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures,minor
|
33
|
12
|
—
|
$43,890.68
|
$3,595.00
|
$42,488.56
|
$23,041.78
|
2026-04-01
|
|
310
|
APR_DRG
|
Intervertebral Disc Excision & Decompression,minor
|
33
|
12
|
—
|
$42,041.98
|
$3,595.00
|
$40,698.92
|
$22,146.96
|
2026-04-01
|
|
791
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment,minor
|
33
|
12
|
—
|
$41,363.96
|
$3,595.00
|
$40,042.56
|
$21,818.78
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
37
|
11
|
—
|
$156,251.92
|
$40,003.00
|
$151,260.33
|
$121,128.47
|
2026-04-01
|
|
321
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp,minor
|
25
|
10
|
—
|
$79,591.48
|
$3,595.00
|
$213,192.47
|
$36,533.84
|
2026-04-01
|
|
303
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back,minor
|
24
|
8
|
—
|
$215,590.16
|
$3,595.00
|
$208,702.96
|
$83,018.39
|
2026-04-01
|
|
304
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back,minor
|
22
|
7
|
—
|
$149,559.02
|
$3,595.00
|
$167,265.41
|
$95,291.33
|
2026-04-01
|
|
301
|
APR_DRG
|
Hip Joint Replacement,minor
|
22
|
7
|
—
|
$90,015.40
|
$3,595.00
|
$87,139.79
|
$57,353.18
|
2026-04-01
|
|
302
|
APR_DRG
|
Knee Joint Replacement,minor
|
22
|
7
|
—
|
$86,488.73
|
$3,595.00
|
$83,725.78
|
$46,918.54
|
2026-04-01
|
|
23
|
APR_DRG
|
Spinal Procedures,minor
|
19
|
4
|
—
|
$80,045.12
|
$3,595.00
|
$77,488.02
|
$52,379.08
|
2026-04-01
|
|
322
|
APR_DRG
|
Shoulder & Elbow Joint Replacement,minor
|
19
|
4
|
—
|
$77,084.29
|
$3,595.00
|
$74,621.77
|
$50,441.60
|
2026-04-01
|