|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
4
|
3
|
—
|
—
|
$770,620.00
|
$1,664,539.20
|
$1,165,562.75
|
2026-04-01
|
|
5834
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$758,575.78
|
$758,575.78
|
$758,575.78
|
2026-04-01
|
|
5884
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$745,241.63
|
$745,241.63
|
$745,241.63
|
2026-04-01
|
|
5883
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$745,241.63
|
$745,241.63
|
$745,241.63
|
2026-04-01
|
|
1614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$681,645.27
|
$681,645.27
|
$681,645.27
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
4
|
3
|
—
|
—
|
$591,726.20
|
$1,278,128.59
|
$881,751.78
|
2026-04-01
|
|
5914
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$572,187.11
|
$572,187.11
|
$572,187.11
|
2026-04-01
|
|
5882
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$570,119.80
|
$570,119.80
|
$570,119.80
|
2026-04-01
|
|
5881
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$570,119.80
|
$570,119.80
|
$570,119.80
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
4
|
3
|
—
|
—
|
$565,868.94
|
$1,222,276.92
|
$843,542.79
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
4
|
3
|
—
|
—
|
$562,538.19
|
$1,215,082.48
|
$830,197.75
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
4
|
3
|
—
|
—
|
$557,317.93
|
$1,203,806.74
|
$827,086.60
|
2026-04-01
|
|
8414
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$553,401.17
|
$553,401.17
|
$553,401.17
|
2026-04-01
|
|
44
|
MS_DRG
|
Acute Major Eye Infections
|
1
|
1
|
—
|
—
|
$533,723.33
|
$533,723.33
|
$533,723.33
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
4
|
3
|
—
|
—
|
$533,230.17
|
$1,151,777.17
|
$806,358.86
|
2026-04-01
|
|
5934
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$514,934.43
|
$514,934.43
|
$514,934.43
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
4
|
3
|
—
|
—
|
$489,304.61
|
$1,056,897.95
|
$740,483.42
|
2026-04-01
|
|
6094
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$471,470.72
|
$471,470.72
|
$471,470.72
|
2026-04-01
|
|
6024
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$446,586.21
|
$446,586.21
|
$446,586.21
|
2026-04-01
|
|
8413
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$432,448.77
|
$432,448.77
|
$432,448.77
|
2026-04-01
|
|
5833
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$430,957.35
|
$430,957.35
|
$430,957.35
|
2026-04-01
|
|
5831
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$422,897.79
|
$422,897.79
|
$422,897.79
|
2026-04-01
|
|
5832
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$422,897.79
|
$422,897.79
|
$422,897.79
|
2026-04-01
|
|
6034
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$411,388.78
|
$411,388.78
|
$411,388.78
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
17
|
11
|
—
|
—
|
$405,361.96
|
$1,263,096.90
|
$405,361.96
|
2026-04-01
|
|
5933
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$402,180.39
|
$402,180.39
|
$402,180.39
|
2026-04-01
|
|
6074
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$364,602.60
|
$364,602.60
|
$364,602.60
|
2026-04-01
|
|
6304
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$361,173.82
|
$361,173.82
|
$361,173.82
|
2026-04-01
|
|
5892
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$358,498.13
|
$358,498.13
|
$358,498.13
|
2026-04-01
|
|
5891
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$358,498.13
|
$358,498.13
|
$358,498.13
|
2026-04-01
|
|
5913
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$348,926.49
|
$348,926.49
|
$348,926.49
|
2026-04-01
|
|
6023
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$329,650.30
|
$329,650.30
|
$329,650.30
|
2026-04-01
|
|
5932
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$329,059.64
|
$329,059.64
|
$329,059.64
|
2026-04-01
|
|
5912
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$325,509.77
|
$325,509.77
|
$325,509.77
|
2026-04-01
|
|
3034
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$321,747.27
|
$321,747.27
|
$321,747.27
|
2026-04-01
|
|
5931
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$319,039.09
|
$319,039.09
|
$319,039.09
|
2026-04-01
|
|
6314
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$310,492.24
|
$310,492.24
|
$310,492.24
|
2026-04-01
|
|
4404
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$306,673.63
|
$306,673.63
|
$306,673.63
|
2026-04-01
|
|
43
|
MS_DRG
|
Hyphema
|
1
|
1
|
—
|
—
|
$297,415.03
|
$297,415.03
|
$297,415.03
|
2026-04-01
|
|
1604
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$293,673.20
|
$293,673.20
|
$293,673.20
|
2026-04-01
|
|
1613
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$290,592.91
|
$290,592.91
|
$290,592.91
|
2026-04-01
|
|
3614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$283,531.57
|
$283,531.57
|
$283,531.57
|
2026-04-01
|
|
6022
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$280,090.97
|
$280,090.97
|
$280,090.97
|
2026-04-01
|
|
1624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$277,158.35
|
$277,158.35
|
$277,158.35
|
2026-04-01
|
|
3044
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$271,177.91
|
$271,177.91
|
$271,177.91
|
2026-04-01
|
|
6073
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$270,200.37
|
$270,200.37
|
$270,200.37
|
2026-04-01
|
|
3124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$265,864.93
|
$265,864.93
|
$265,864.93
|
2026-04-01
|
|
6033
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$265,162.04
|
$265,162.04
|
$265,162.04
|
2026-04-01
|
|
6814
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$264,946.45
|
$264,946.45
|
$264,946.45
|
2026-04-01
|
|
6804
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$264,211.08
|
$264,211.08
|
$264,211.08
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
17
|
11
|
—
|
—
|
$263,063.61
|
$819,699.08
|
$263,063.61
|
2026-04-01
|
|
5911
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$262,530.65
|
$262,530.65
|
$262,530.65
|
2026-04-01
|
|
6904
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$258,505.30
|
$258,505.30
|
$258,505.30
|
2026-04-01
|
|
8424
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$255,097.19
|
$255,097.19
|
$255,097.19
|
2026-04-01
|
|
6124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$250,250.83
|
$250,250.83
|
$250,250.83
|
2026-04-01
|
|
4054
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$247,725.76
|
$247,725.76
|
$247,725.76
|
2026-04-01
|
|
6114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$242,575.20
|
$242,575.20
|
$242,575.20
|
2026-04-01
|
|
9504
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$239,639.62
|
$239,639.62
|
$239,639.62
|
2026-04-01
|
|
4474
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$225,354.51
|
$225,354.51
|
$225,354.51
|
2026-04-01
|
|
8504
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$225,239.33
|
$225,239.33
|
$225,239.33
|
2026-04-01
|
|
9124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$223,759.73
|
$223,759.73
|
$223,759.73
|
2026-04-01
|
|
5124
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$221,597.91
|
$221,597.91
|
$221,597.91
|
2026-04-01
|
|
6072
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$220,859.59
|
$220,859.59
|
$220,859.59
|
2026-04-01
|
|
2604
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$219,326.82
|
$219,326.82
|
$219,326.82
|
2026-04-01
|
|
6954
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$218,154.36
|
$218,154.36
|
$218,154.36
|
2026-04-01
|
|
924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$217,167.96
|
$217,167.96
|
$217,167.96
|
2026-04-01
|
|
6093
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$215,091.79
|
$215,091.79
|
$215,091.79
|
2026-04-01
|
|
214
|
MS_DRG
|
No Longer Valid
|
1
|
1
|
—
|
—
|
$213,860.27
|
$213,860.27
|
$213,860.27
|
2026-04-01
|
|
1694
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$212,132.59
|
$212,132.59
|
$212,132.59
|
2026-04-01
|
|
9104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$212,120.77
|
$212,120.77
|
$212,120.77
|
2026-04-01
|
|
6084
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$212,117.82
|
$212,117.82
|
$212,117.82
|
2026-04-01
|
|
2204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$209,321.04
|
$209,321.04
|
$209,321.04
|
2026-04-01
|
|
8412
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$209,149.75
|
$209,149.75
|
$209,149.75
|
2026-04-01
|
|
1654
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$208,993.23
|
$208,993.23
|
$208,993.23
|
2026-04-01
|
|
3214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$208,627.02
|
$208,627.02
|
$208,627.02
|
2026-04-01
|
|
1634
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$208,119.05
|
$208,119.05
|
$208,119.05
|
2026-04-01
|
|
3033
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$206,376.60
|
$206,376.60
|
$206,376.60
|
2026-04-01
|
|
4014
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$206,367.74
|
$206,367.74
|
$206,367.74
|
2026-04-01
|
|
6032
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$203,733.40
|
$203,733.40
|
$203,733.40
|
2026-04-01
|
|
3104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$202,070.69
|
$202,070.69
|
$202,070.69
|
2026-04-01
|
|
6083
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$201,521.38
|
$201,521.38
|
$201,521.38
|
2026-04-01
|
|
6214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$200,591.09
|
$200,591.09
|
$200,591.09
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
17
|
11
|
—
|
—
|
$200,419.62
|
$624,502.13
|
$200,419.62
|
2026-04-01
|
|
4414
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$199,740.54
|
$199,740.54
|
$199,740.54
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
17
|
11
|
—
|
—
|
$199,243.42
|
$620,837.10
|
$199,243.42
|
2026-04-01
|
|
1674
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$195,839.23
|
$195,839.23
|
$195,839.23
|
2026-04-01
|
|
1814
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$195,405.09
|
$195,405.09
|
$195,405.09
|
2026-04-01
|
|
7914
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$195,233.80
|
$195,233.80
|
$195,233.80
|
2026-04-01
|
|
2214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$195,162.92
|
$195,162.92
|
$195,162.92
|
2026-04-01
|
|
4034
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$194,229.68
|
$194,229.68
|
$194,229.68
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
1
|
1
|
—
|
—
|
$193,278.49
|
$193,278.49
|
$193,278.49
|
2026-04-01
|
|
6021
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$191,748.91
|
$191,748.91
|
$191,748.91
|
2026-04-01
|
|
9114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$191,678.03
|
$191,678.03
|
$191,678.03
|
2026-04-01
|
|
3134
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$191,116.90
|
$191,116.90
|
$191,116.90
|
2026-04-01
|
|
5104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$189,285.86
|
$189,285.86
|
$189,285.86
|
2026-04-01
|
|
4424
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$188,299.45
|
$188,299.45
|
$188,299.45
|
2026-04-01
|
|
6123
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$187,327.82
|
$187,327.82
|
$187,327.82
|
2026-04-01
|
|
1774
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$187,079.74
|
$187,079.74
|
$187,079.74
|
2026-04-01
|
|
6914
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$187,026.58
|
$187,026.58
|
$187,026.58
|
2026-04-01
|
|
7104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$186,660.37
|
$186,660.37
|
$186,660.37
|
2026-04-01
|
|
3174
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$186,589.49
|
$186,589.49
|
$186,589.49
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$186,535.03
|
$186,535.03
|
$186,535.03
|
2026-04-01
|
|
3054
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$186,111.06
|
$186,111.06
|
$186,111.06
|
2026-04-01
|
|
9514
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$185,322.53
|
$185,322.53
|
$185,322.53
|
2026-04-01
|
|
1824
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$185,230.98
|
$185,230.98
|
$185,230.98
|
2026-04-01
|
|
6113
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$185,047.87
|
$185,047.87
|
$185,047.87
|
2026-04-01
|
|
1664
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$184,026.03
|
$184,026.03
|
$184,026.03
|
2026-04-01
|
|
5114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$183,884.27
|
$183,884.27
|
$183,884.27
|
2026-04-01
|
|
4444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$182,688.18
|
$182,688.18
|
$182,688.18
|
2026-04-01
|
|
2644
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$181,763.80
|
$181,763.80
|
$181,763.80
|
2026-04-01
|
|
2614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$181,350.34
|
$181,350.34
|
$181,350.34
|
2026-04-01
|
|
1612
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$180,966.41
|
$180,966.41
|
$180,966.41
|
2026-04-01
|
|
1204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,879.60
|
$179,879.60
|
$179,879.60
|
2026-04-01
|
|
1304
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,348.00
|
$179,348.00
|
$179,348.00
|
2026-04-01
|
|
6903
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,055.63
|
$179,055.63
|
$179,055.63
|
2026-04-01
|
|
1214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,884.33
|
$178,884.33
|
$178,884.33
|
2026-04-01
|
|
3014
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,783.92
|
$178,783.92
|
$178,783.92
|
2026-04-01
|
|
2624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,780.97
|
$178,780.97
|
$178,780.97
|
2026-04-01
|
|
5194
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,639.21
|
$178,639.21
|
$178,639.21
|
2026-04-01
|
|
6071
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,414.76
|
$178,414.76
|
$178,414.76
|
2026-04-01
|
|
7114
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,258.23
|
$178,258.23
|
$178,258.23
|
2026-04-01
|
|
5184
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$176,545.32
|
$176,545.32
|
$176,545.32
|
2026-04-01
|
|
1714
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$176,128.91
|
$176,128.91
|
$176,128.91
|
2026-04-01
|
|
9524
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$175,177.94
|
$175,177.94
|
$175,177.94
|
2026-04-01
|
|
6303
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$174,997.79
|
$174,997.79
|
$174,997.79
|
2026-04-01
|
|
3814
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$174,327.39
|
$174,327.39
|
$174,327.39
|
2026-04-01
|
|
2294
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$170,901.56
|
$170,901.56
|
$170,901.56
|
2026-04-01
|
|
3084
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$170,369.97
|
$170,369.97
|
$170,369.97
|
2026-04-01
|
|
3094
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$169,670.04
|
$169,670.04
|
$169,670.04
|
2026-04-01
|
|
1623
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$169,421.96
|
$169,421.96
|
$169,421.96
|
2026-04-01
|
|
6504
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$168,426.70
|
$168,426.70
|
$168,426.70
|
2026-04-01
|
|
51
|
MS_DRG
|
Salivary Gland Procedures Except Sialoadenectomy
|
1
|
1
|
—
|
—
|
$168,222.92
|
$168,222.92
|
$168,222.92
|
2026-04-01
|
|
6082
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$167,924.64
|
$167,924.64
|
$167,924.64
|
2026-04-01
|
|
4403
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$167,522.99
|
$167,522.99
|
$167,522.99
|
2026-04-01
|
|
2234
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,749.84
|
$164,749.84
|
$164,749.84
|
2026-04-01
|
|
2244
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,457.46
|
$164,457.46
|
$164,457.46
|
2026-04-01
|
|
2224
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$163,435.62
|
$163,435.62
|
$163,435.62
|
2026-04-01
|
|
3024
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$160,742.21
|
$160,742.21
|
$160,742.21
|
2026-04-01
|
|
4234
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$160,609.31
|
$160,609.31
|
$160,609.31
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
2
|
2
|
—
|
—
|
$159,109.04
|
$206,593.47
|
$182,851.26
|
2026-04-01
|
|
8411
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$158,497.70
|
$158,497.70
|
$158,497.70
|
2026-04-01
|
|
6334
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$158,116.73
|
$158,116.73
|
$158,116.73
|
2026-04-01
|
|
3043
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$157,340.01
|
$157,340.01
|
$157,340.01
|
2026-04-01
|
|
3644
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$156,799.56
|
$156,799.56
|
$156,799.56
|
2026-04-01
|
|
8634
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$156,495.37
|
$156,495.37
|
$156,495.37
|
2026-04-01
|
|
3032
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$156,182.32
|
$156,182.32
|
$156,182.32
|
2026-04-01
|
|
2274
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$155,748.18
|
$155,748.18
|
$155,748.18
|
2026-04-01
|
|
6134
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$152,924.83
|
$152,924.83
|
$152,924.83
|
2026-04-01
|
|
6031
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$152,809.65
|
$152,809.65
|
$152,809.65
|
2026-04-01
|
|
6224
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$152,656.08
|
$152,656.08
|
$152,656.08
|
2026-04-01
|
|
3154
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$151,604.70
|
$151,604.70
|
$151,604.70
|
2026-04-01
|
|
8444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$150,018.78
|
$150,018.78
|
$150,018.78
|
2026-04-01
|
|
4434
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$149,667.34
|
$149,667.34
|
$149,667.34
|
2026-04-01
|
|
6133
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$149,073.72
|
$149,073.72
|
$149,073.72
|
2026-04-01
|
|
6144
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$148,731.14
|
$148,731.14
|
$148,731.14
|
2026-04-01
|
|
6143
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$148,731.14
|
$148,731.14
|
$148,731.14
|
2026-04-01
|
|
3204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$147,771.32
|
$147,771.32
|
$147,771.32
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$147,391.49
|
$147,391.49
|
$147,391.49
|
2026-04-01
|
|
6604
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$147,015.27
|
$147,015.27
|
$147,015.27
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$146,313.24
|
$146,313.24
|
$146,313.24
|
2026-04-01
|
|
1754
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$145,027.70
|
$145,027.70
|
$145,027.70
|
2026-04-01
|
|
6313
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$144,002.91
|
$144,002.91
|
$144,002.91
|
2026-04-01
|
|
3464
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,958.61
|
$143,958.61
|
$143,958.61
|
2026-04-01
|
|
1653
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,571.73
|
$143,571.73
|
$143,571.73
|
2026-04-01
|
|
1804
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$142,322.48
|
$142,322.48
|
$142,322.48
|
2026-04-01
|
|
1704
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$142,127.56
|
$142,127.56
|
$142,127.56
|
2026-04-01
|
|
5134
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$141,805.65
|
$141,805.65
|
$141,805.65
|
2026-04-01
|
|
1603
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$141,170.69
|
$141,170.69
|
$141,170.69
|
2026-04-01
|
|
4402
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$137,192.60
|
$137,192.60
|
$137,192.60
|
2026-04-01
|
|
6614
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$134,850.63
|
$134,850.63
|
$134,850.63
|
2026-04-01
|
|
6122
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$134,378.10
|
$134,378.10
|
$134,378.10
|
2026-04-01
|
|
1633
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$134,245.20
|
$134,245.20
|
$134,245.20
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$134,216.40
|
$134,216.40
|
$134,216.40
|
2026-04-01
|
|
3123
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$133,716.56
|
$133,716.56
|
$133,716.56
|
2026-04-01
|
|
1622
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$132,369.86
|
$132,369.86
|
$132,369.86
|
2026-04-01
|
|
1934
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$131,841.22
|
$131,841.22
|
$131,841.22
|
2026-04-01
|
|
2284
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$131,593.14
|
$131,593.14
|
$131,593.14
|
2026-04-01
|
|
3031
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$130,529.95
|
$130,529.95
|
$130,529.95
|
2026-04-01
|
|
5893
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$129,942.25
|
$129,942.25
|
$129,942.25
|
2026-04-01
|
|
6964
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$129,779.82
|
$129,779.82
|
$129,779.82
|
2026-04-01
|
|
8423
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$128,867.25
|
$128,867.25
|
$128,867.25
|
2026-04-01
|
|
5464
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$127,219.30
|
$127,219.30
|
$127,219.30
|
2026-04-01
|
|
1303
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$126,383.52
|
$126,383.52
|
$126,383.52
|
2026-04-01
|
|
4834
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$126,342.17
|
$126,342.17
|
$126,342.17
|
2026-04-01
|
|
6081
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$125,349.87
|
$125,349.87
|
$125,349.87
|
2026-04-01
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
1
|
1
|
—
|
—
|
$122,901.58
|
$122,901.58
|
$122,901.58
|
2026-04-01
|
|
8633
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$122,606.25
|
$122,606.25
|
$122,606.25
|
2026-04-01
|
|
1924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$121,596.22
|
$121,596.22
|
$121,596.22
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
17
|
11
|
—
|
—
|
$121,565.03
|
$378,793.35
|
$121,565.03
|
2026-04-01
|
|
1813
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$120,798.83
|
$120,798.83
|
$120,798.83
|
2026-04-01
|
|
2254
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,968.95
|
$119,968.95
|
$119,968.95
|
2026-04-01
|
|
6112
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,162.70
|
$119,162.70
|
$119,162.70
|
2026-04-01
|
|
6344
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,121.36
|
$119,121.36
|
$119,121.36
|
2026-04-01
|
|
6132
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,947.11
|
$118,947.11
|
$118,947.11
|
2026-04-01
|
|
4624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,666.55
|
$118,666.55
|
$118,666.55
|
2026-04-01
|
|
1663
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,598.62
|
$118,598.62
|
$118,598.62
|
2026-04-01
|
|
1611
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,554.32
|
$118,554.32
|
$118,554.32
|
2026-04-01
|
|
9503
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$117,966.62
|
$117,966.62
|
$117,966.62
|
2026-04-01
|
|
6213
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$117,491.13
|
$117,491.13
|
$117,491.13
|
2026-04-01
|
|
1652
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,566.75
|
$116,566.75
|
$116,566.75
|
2026-04-01
|
|
2004
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,345.25
|
$116,345.25
|
$116,345.25
|
2026-04-01
|
|
9123
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,227.12
|
$116,227.12
|
$116,227.12
|
2026-04-01
|
|
1651
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,168.06
|
$116,168.06
|
$116,168.06
|
2026-04-01
|
|
7754
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$115,748.69
|
$115,748.69
|
$115,748.69
|
2026-04-01
|
|
9103
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,502.39
|
$114,502.39
|
$114,502.39
|
2026-04-01
|
|
6803
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,254.32
|
$114,254.32
|
$114,254.32
|
2026-04-01
|
|
3434
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$113,755.21
|
$113,755.21
|
$113,755.21
|
2026-04-01
|
|
3144
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$113,554.39
|
$113,554.39
|
$113,554.39
|
2026-04-01
|
|
6394
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$113,238.38
|
$113,238.38
|
$113,238.38
|
2026-04-01
|
|
1744
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$113,075.95
|
$113,075.95
|
$113,075.95
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
11
|
—
|
—
|
$112,813.42
|
$516,986.98
|
$112,813.42
|
2026-04-01
|
|
6813
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$112,795.39
|
$112,795.39
|
$112,795.39
|
2026-04-01
|
|
893
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$112,520.73
|
$112,520.73
|
$112,520.73
|
2026-04-01
|
|
8904
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,826.70
|
$111,826.70
|
$111,826.70
|
2026-04-01
|
|
6514
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,395.52
|
$111,395.52
|
$111,395.52
|
2026-04-01
|
|
9101
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,026.36
|
$111,026.36
|
$111,026.36
|
2026-04-01
|
|
9102
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,026.36
|
$111,026.36
|
$111,026.36
|
2026-04-01
|
|
3042
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,299.85
|
$110,299.85
|
$110,299.85
|
2026-04-01
|
|
1693
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,726.91
|
$109,726.91
|
$109,726.91
|
2026-04-01
|
|
4401
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,449.30
|
$109,449.30
|
$109,449.30
|
2026-04-01
|
|
2794
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,419.77
|
$109,419.77
|
$109,419.77
|
2026-04-01
|
|
3213
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,348.89
|
$109,348.89
|
$109,348.89
|
2026-04-01
|
|
1632
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$109,275.05
|
$109,275.05
|
$109,275.05
|
2026-04-01
|
|
1673
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,716.88
|
$108,716.88
|
$108,716.88
|
2026-04-01
|
|
2634
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,377.25
|
$108,377.25
|
$108,377.25
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
3
|
3
|
—
|
—
|
$108,243.35
|
$233,805.64
|
$113,655.52
|
2026-04-01
|
|
9304
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$107,913.58
|
$107,913.58
|
$107,913.58
|
2026-04-01
|
|
2264
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$107,172.30
|
$107,172.30
|
$107,172.30
|
2026-04-01
|
|
1104
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$107,136.86
|
$107,136.86
|
$107,136.86
|
2026-04-01
|
|
7244
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,927.18
|
$106,927.18
|
$106,927.18
|
2026-04-01
|
|
6223
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,490.09
|
$106,490.09
|
$106,490.09
|
2026-04-01
|
|
1703
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,407.40
|
$106,407.40
|
$106,407.40
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
17
|
11
|
—
|
—
|
$106,372.92
|
$331,455.15
|
$106,372.92
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
17
|
11
|
—
|
—
|
$106,250.89
|
$331,074.90
|
$106,250.89
|
2026-04-01
|
|
6092
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$106,174.09
|
$106,174.09
|
$106,174.09
|
2026-04-01
|
|
6302
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$105,926.01
|
$105,926.01
|
$105,926.01
|
2026-04-01
|
|
3494
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$105,474.16
|
$105,474.16
|
$105,474.16
|
2026-04-01
|
|
6091
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$105,364.88
|
$105,364.88
|
$105,364.88
|
2026-04-01
|
|
1764
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$104,874.64
|
$104,874.64
|
$104,874.64
|
2026-04-01
|
|
6121
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$103,903.00
|
$103,903.00
|
$103,903.00
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
11
|
—
|
—
|
$103,457.29
|
$322,370.10
|
$103,457.29
|
2026-04-01
|
|
484
|
MS_DRG
|
Major Joint & Limb Reattachment Proc Of Upper Extremity Without Cc/mcc
|
1
|
1
|
—
|
—
|
$102,901.83
|
$102,901.83
|
$102,901.83
|
2026-04-01
|
|
1621
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$102,246.20
|
$102,246.20
|
$102,246.20
|
2026-04-01
|
|
2824
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$102,089.67
|
$102,089.67
|
$102,089.67
|
2026-04-01
|
|
6301
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,853.41
|
$101,853.41
|
$101,853.41
|
2026-04-01
|
|
3444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,380.88
|
$101,380.88
|
$101,380.88
|
2026-04-01
|
|
1301
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,304.10
|
$101,304.10
|
$101,304.10
|
2026-04-01
|
|
1302
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,304.10
|
$101,304.10
|
$101,304.10
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
2
|
2
|
—
|
—
|
$101,008.77
|
$178,241.21
|
$139,624.99
|
2026-04-01
|
|
3224
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,955.61
|
$100,955.61
|
$100,955.61
|
2026-04-01
|
|
2804
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,775.46
|
$100,775.46
|
$100,775.46
|
2026-04-01
|
|
2064
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,545.10
|
$100,545.10
|
$100,545.10
|
2026-04-01
|
|
2203
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,494.89
|
$100,494.89
|
$100,494.89
|
2026-04-01
|
|
1602
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,347.23
|
$100,347.23
|
$100,347.23
|
2026-04-01
|
|
3053
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,877.65
|
$99,877.65
|
$99,877.65
|
2026-04-01
|
|
6944
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,862.89
|
$99,862.89
|
$99,862.89
|
2026-04-01
|
|
1763
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,366.73
|
$99,366.73
|
$99,366.73
|
2026-04-01
|
|
1203
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,357.87
|
$99,357.87
|
$99,357.87
|
2026-04-01
|
|
3613
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$98,634.31
|
$98,634.31
|
$98,634.31
|
2026-04-01
|
|
6624
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,822.16
|
$97,822.16
|
$97,822.16
|
2026-04-01
|
|
4694
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,497.29
|
$97,497.29
|
$97,497.29
|
2026-04-01
|
|
6142
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,408.69
|
$97,408.69
|
$97,408.69
|
2026-04-01
|
|
6254
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,290.56
|
$97,290.56
|
$97,290.56
|
2026-04-01
|
|
6253
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,290.56
|
$97,290.56
|
$97,290.56
|
2026-04-01
|
|
4464
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,131.08
|
$97,131.08
|
$97,131.08
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
17
|
11
|
—
|
—
|
$96,785.86
|
$301,582.13
|
$96,785.86
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
2
|
2
|
—
|
—
|
$96,553.93
|
$106,598.52
|
$101,576.23
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
20
|
11
|
—
|
—
|
$96,482.85
|
$405,153.45
|
$130,024.70
|
2026-04-01
|
|
1662
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,324.83
|
$96,324.83
|
$96,324.83
|
2026-04-01
|
|
8503
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,607.18
|
$95,607.18
|
$95,607.18
|
2026-04-01
|
|
2484
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,583.55
|
$95,583.55
|
$95,583.55
|
2026-04-01
|
|
4443
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,468.38
|
$95,468.38
|
$95,468.38
|
2026-04-01
|
|
1823
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,214.39
|
$95,214.39
|
$95,214.39
|
2026-04-01
|
|
4214
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$94,543.99
|
$94,543.99
|
$94,543.99
|
2026-04-01
|
|
7204
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$94,514.46
|
$94,514.46
|
$94,514.46
|
2026-04-01
|
|
4833
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,959.24
|
$93,959.24
|
$93,959.24
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
17
|
11
|
—
|
—
|
$93,467.52
|
$291,242.25
|
$93,467.52
|
2026-04-01
|
|
3474
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,185.47
|
$93,185.47
|
$93,185.47
|
2026-04-01
|
|
2424
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,182.52
|
$93,182.52
|
$93,182.52
|
2026-04-01
|
|
4413
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,961.02
|
$92,961.02
|
$92,961.02
|
2026-04-01
|
|
1601
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,916.72
|
$92,916.72
|
$92,916.72
|
2026-04-01
|
|
2603
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,887.19
|
$92,887.19
|
$92,887.19
|
2026-04-01
|
|
2414
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,429.43
|
$92,429.43
|
$92,429.43
|
2026-04-01
|
|
6233
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,293.58
|
$92,293.58
|
$92,293.58
|
2026-04-01
|
|
6234
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,293.58
|
$92,293.58
|
$92,293.58
|
2026-04-01
|
|
5144
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,293.58
|
$92,293.58
|
$92,293.58
|
2026-04-01
|
|
6924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,252.23
|
$92,252.23
|
$92,252.23
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
11
|
—
|
—
|
$91,832.28
|
$286,146.90
|
$91,832.28
|
2026-04-01
|
|
2213
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,593.65
|
$91,593.65
|
$91,593.65
|
2026-04-01
|
|
4013
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,519.81
|
$91,519.81
|
$91,519.81
|
2026-04-01
|
|
2613
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,206.76
|
$91,206.76
|
$91,206.76
|
2026-04-01
|
|
3514
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$90,976.41
|
$90,976.41
|
$90,976.41
|
2026-04-01
|
|
2444
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$90,751.96
|
$90,751.96
|
$90,751.96
|
2026-04-01
|
|
3041
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$90,551.13
|
$90,551.13
|
$90,551.13
|
2026-04-01
|
|
7404
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,366.86
|
$89,366.86
|
$89,366.86
|
2026-04-01
|
|
7401
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,366.86
|
$89,366.86
|
$89,366.86
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
18
|
11
|
—
|
—
|
$79,065.75
|
$318,067.43
|
$102,076.44
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
2
|
—
|
—
|
$78,912.18
|
$152,083.36
|
$115,497.77
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$50,835.15
|
$258,238.92
|
$154,537.04
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
2
|
—
|
—
|
$48,138.79
|
$223,128.64
|
$135,633.71
|
2026-04-01
|