|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
3
|
3
|
—
|
—
|
$4,505,000.00
|
$4,865,400.00
|
$4,505,000.00
|
2026-03-27
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,821,300.00
|
$3,821,300.00
|
$3,821,300.00
|
2026-03-27
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
4
|
4
|
—
|
—
|
$3,685,266.66
|
$3,980,087.99
|
$3,753,283.33
|
2026-03-27
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
4
|
4
|
—
|
—
|
$3,327,859.72
|
$3,594,088.50
|
$3,374,647.34
|
2026-03-27
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
3
|
3
|
—
|
—
|
$3,335,820.00
|
$3,602,685.60
|
$3,335,820.00
|
2026-03-27
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
4
|
4
|
—
|
—
|
$3,252,508.07
|
$3,512,708.72
|
$3,270,649.04
|
2026-03-27
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
3
|
3
|
—
|
—
|
$3,180,000.00
|
$3,434,400.00
|
$3,180,000.00
|
2026-03-27
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
4
|
4
|
—
|
—
|
$2,939,968.88
|
$3,175,166.39
|
$2,998,504.44
|
2026-03-27
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
4
|
4
|
—
|
—
|
$2,475,562.51
|
$2,796,099.72
|
$2,588,981.22
|
2026-03-27
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
4
|
4
|
—
|
—
|
$2,332,000.00
|
$2,518,560.00
|
$2,366,980.00
|
2026-03-27
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
3
|
3
|
—
|
—
|
$770,620.00
|
$832,269.60
|
$770,620.00
|
2026-03-27
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
4
|
4
|
—
|
—
|
$567,857.89
|
$634,661.54
|
$587,649.57
|
2026-03-27
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
4
|
4
|
—
|
—
|
$566,531.30
|
$611,853.80
|
$574,561.93
|
2026-03-27
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
4
|
4
|
—
|
—
|
$531,980.55
|
$607,177.34
|
$562,201.24
|
2026-03-27
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
4
|
4
|
—
|
—
|
$544,161.80
|
$602,728.26
|
$558,081.72
|
2026-03-27
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
4
|
4
|
—
|
—
|
$504,202.66
|
$574,767.62
|
$532,192.24
|
2026-03-27
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
9
|
7
|
—
|
—
|
$462,018.95
|
$609,270.01
|
$518,279.97
|
2026-03-27
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
4
|
4
|
—
|
—
|
$489,450.20
|
$528,606.22
|
$496,071.63
|
2026-03-27
|
|
0024
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$224,661.02
|
$505,487.30
|
$445,763.18
|
2026-03-27
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
9
|
7
|
—
|
—
|
$299,915.54
|
$506,142.89
|
$346,375.40
|
2026-03-27
|
|
5834
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$165,415.91
|
$372,185.80
|
$328,134.81
|
2026-03-27
|
|
5884
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$162,510.83
|
$365,649.37
|
$322,366.90
|
2026-03-27
|
|
5883
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$162,510.83
|
$365,649.37
|
$322,366.90
|
2026-03-27
|
|
1614
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$148,655.21
|
$334,474.22
|
$294,857.22
|
2026-03-27
|
|
0034
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$144,341.01
|
$324,767.27
|
$286,291.58
|
2026-03-27
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
3
|
3
|
—
|
—
|
$278,250.00
|
$300,510.00
|
$278,250.00
|
2026-03-27
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
3
|
3
|
—
|
—
|
$265,000.00
|
$286,200.00
|
$265,000.00
|
2026-03-27
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
9
|
7
|
—
|
—
|
$228,552.79
|
$346,763.93
|
$263,892.18
|
2026-03-27
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
9
|
7
|
—
|
—
|
$227,212.88
|
$340,470.58
|
$262,343.47
|
2026-03-27
|
|
5914
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$124,807.76
|
$280,817.46
|
$247,509.23
|
2026-03-27
|
|
5881
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$124,357.36
|
$279,804.06
|
$246,614.98
|
2026-03-27
|
|
5882
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$124,357.36
|
$279,804.06
|
$246,614.98
|
2026-03-27
|
|
8414
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$120,714.90
|
$271,608.53
|
$239,383.06
|
2026-03-27
|
|
0044
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$116,427.73
|
$261,962.39
|
$230,871.07
|
2026-03-27
|
|
0014
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$112,781.41
|
$253,758.17
|
$223,631.48
|
2026-03-27
|
|
5934
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$112,334.23
|
$252,752.02
|
$222,743.62
|
2026-03-27
|
|
6094
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$102,864.87
|
$231,445.96
|
$203,942.65
|
2026-03-27
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
3
|
3
|
—
|
—
|
$201,669.02
|
$217,802.54
|
$201,669.02
|
2026-03-27
|
|
6024
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$97,443.33
|
$219,247.49
|
$193,178.44
|
2026-03-27
|
|
0023
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$97,103.59
|
$218,483.08
|
$192,503.92
|
2026-03-27
|
|
8413
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$94,363.23
|
$212,317.27
|
$187,063.04
|
2026-03-27
|
|
5833
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$94,038.29
|
$211,586.15
|
$186,417.91
|
2026-03-27
|
|
5831
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$92,282.37
|
$207,635.33
|
$182,931.61
|
2026-03-27
|
|
5832
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$92,282.37
|
$207,635.33
|
$182,931.61
|
2026-03-27
|
|
6034
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$89,774.93
|
$201,993.59
|
$177,953.19
|
2026-03-27
|
|
0054
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$88,872.19
|
$199,962.43
|
$176,160.86
|
2026-03-27
|
|
5933
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$87,768.71
|
$197,479.60
|
$173,969.95
|
2026-03-27
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
9
|
7
|
—
|
—
|
$148,360.32
|
$218,459.31
|
$171,203.30
|
2026-03-27
|
|
0022
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$82,800.15
|
$186,300.34
|
$164,105.09
|
2026-03-27
|
|
6074
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$79,581.71
|
$179,058.85
|
$157,715.04
|
2026-03-27
|
|
7
|
MS_DRG
|
Lung Transplant
|
9
|
7
|
—
|
—
|
$138,723.24
|
$182,715.54
|
$156,396.23
|
2026-03-27
|
|
6304
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$78,834.69
|
$177,378.05
|
$156,231.86
|
2026-03-27
|
|
5891
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$78,251.74
|
$176,066.42
|
$155,074.44
|
2026-03-27
|
|
5892
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$78,251.74
|
$176,066.42
|
$155,074.44
|
2026-03-27
|
|
0021
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$78,002.09
|
$175,504.70
|
$154,578.77
|
2026-03-27
|
|
0033
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$76,219.79
|
$171,494.53
|
$151,040.10
|
2026-03-27
|
|
5913
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$76,166.38
|
$171,374.36
|
$150,934.07
|
2026-03-27
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
7
|
—
|
—
|
$128,753.58
|
$169,561.63
|
$148,541.24
|
2026-03-27
|
|
0904
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$72,406.18
|
$162,913.91
|
$143,468.36
|
2026-03-27
|
|
6023
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$71,966.72
|
$161,925.12
|
$142,595.82
|
2026-03-27
|
|
5932
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$71,838.03
|
$161,635.57
|
$142,340.32
|
2026-03-27
|
|
5912
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$71,064.63
|
$159,895.42
|
$140,804.77
|
2026-03-27
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
9
|
7
|
—
|
—
|
$121,416.69
|
$161,079.04
|
$140,061.05
|
2026-03-27
|
|
3034
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$70,244.90
|
$158,051.03
|
$139,177.23
|
2026-03-27
|
|
5931
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$69,654.87
|
$156,723.46
|
$138,005.77
|
2026-03-27
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
9
|
7
|
—
|
—
|
$116,522.23
|
$159,239.36
|
$134,403.88
|
2026-03-27
|
|
6314
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$67,792.78
|
$152,533.76
|
$134,308.68
|
2026-03-27
|
|
4404
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$66,960.83
|
$150,661.87
|
$132,656.87
|
2026-03-27
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
9
|
7
|
—
|
—
|
$26,741.81
|
$155,499.10
|
$132,276.44
|
2026-03-27
|
|
0043
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$64,943.68
|
$146,123.28
|
$128,651.91
|
2026-03-27
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
9
|
7
|
—
|
—
|
$110,495.31
|
$179,485.03
|
$127,437.78
|
2026-03-27
|
|
1604
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$64,128.45
|
$144,289.01
|
$127,033.32
|
2026-03-27
|
|
1613
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$63,457.35
|
$142,779.04
|
$125,700.89
|
2026-03-27
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
9
|
7
|
—
|
—
|
$106,715.12
|
$140,484.21
|
$123,068.52
|
2026-03-27
|
|
3614
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$61,918.91
|
$139,317.55
|
$122,646.38
|
2026-03-27
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
5
|
5
|
—
|
—
|
$7,005.78
|
$135,848.24
|
$121,277.68
|
2026-03-27
|
|
6022
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$61,169.32
|
$137,630.97
|
$121,158.10
|
2026-03-27
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
7
|
—
|
—
|
$104,852.29
|
$151,143.21
|
$120,915.41
|
2026-03-27
|
|
1624
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$60,530.39
|
$136,193.38
|
$119,889.54
|
2026-03-27
|
|
0053
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$59,552.38
|
$133,992.86
|
$117,947.74
|
2026-03-27
|
|
3044
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$59,227.44
|
$133,261.74
|
$117,302.60
|
2026-03-27
|
|
6073
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$59,014.47
|
$132,782.56
|
$116,879.75
|
2026-03-27
|
|
3124
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$58,069.91
|
$130,657.30
|
$115,004.38
|
2026-03-27
|
|
6033
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$57,916.78
|
$130,312.76
|
$114,700.33
|
2026-03-27
|
|
6814
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$57,869.81
|
$130,207.07
|
$114,607.08
|
2026-03-27
|
|
6804
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$57,709.59
|
$129,846.58
|
$114,288.98
|
2026-03-27
|
|
5911
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$57,343.48
|
$129,022.83
|
$113,562.08
|
2026-03-27
|
|
6904
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$56,466.49
|
$127,049.60
|
$111,820.85
|
2026-03-27
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
9
|
7
|
—
|
—
|
$96,583.99
|
$127,117.26
|
$111,358.66
|
2026-03-27
|
|
8424
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$55,723.97
|
$125,378.93
|
$110,346.61
|
2026-03-27
|
|
6124
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$54,668.10
|
$123,003.23
|
$108,250.24
|
2026-03-27
|
|
4054
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$54,117.97
|
$121,765.43
|
$107,157.97
|
2026-03-27
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
9
|
7
|
—
|
—
|
$92,840.15
|
$126,313.49
|
$107,031.42
|
2026-03-27
|
|
0013
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$53,978.99
|
$121,452.73
|
$106,882.03
|
2026-03-27
|
|
6114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$52,995.82
|
$119,240.60
|
$104,930.01
|
2026-03-27
|
|
8504
|
APR_DRG
|
—
|
6
|
4
|
—
|
—
|
$49,218.89
|
$110,742.50
|
$104,086.79
|
2026-03-27
|
|
9504
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$52,356.26
|
$117,801.59
|
$103,660.18
|
2026-03-27
|
|
0234
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$52,149.07
|
$117,335.41
|
$103,248.82
|
2026-03-27
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
9
|
7
|
—
|
—
|
$78,015.72
|
$118,938.22
|
$101,175.66
|
2026-03-27
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
9
|
7
|
—
|
—
|
$90,101.52
|
$118,564.33
|
$100,857.61
|
2026-03-27
|
|
0032
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$50,080.44
|
$112,680.99
|
$99,141.66
|
2026-03-27
|
|
0064
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$49,297.39
|
$110,919.13
|
$97,586.94
|
2026-03-27
|
|
4474
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$49,243.98
|
$110,798.96
|
$97,480.91
|
2026-03-27
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
9
|
7
|
—
|
—
|
$84,384.71
|
$171,504.75
|
$97,258.37
|
2026-03-27
|
|
9124
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$48,896.53
|
$110,017.19
|
$96,791.06
|
2026-03-27
|
|
5124
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$48,425.54
|
$108,957.47
|
$95,855.93
|
2026-03-27
|
|
6072
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$48,264.68
|
$108,595.53
|
$95,536.56
|
2026-03-27
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
7
|
—
|
—
|
$82,347.58
|
$108,333.83
|
$94,903.79
|
2026-03-27
|
|
2604
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$47,930.74
|
$107,844.17
|
$94,873.53
|
2026-03-27
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
9
|
7
|
—
|
—
|
$81,993.62
|
$107,866.81
|
$94,494.67
|
2026-03-27
|
|
6954
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$47,675.30
|
$107,269.43
|
$94,366.37
|
2026-03-27
|
|
0924
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$47,460.40
|
$106,785.90
|
$93,939.68
|
2026-03-27
|
|
0063
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$47,208.17
|
$106,218.38
|
$93,438.90
|
2026-03-27
|
|
6093
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$47,008.07
|
$105,768.16
|
$93,041.60
|
2026-03-27
|
|
0214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$46,739.76
|
$105,164.46
|
$92,508.88
|
2026-03-27
|
|
0042
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$46,400.02
|
$104,400.05
|
$91,834.36
|
2026-03-27
|
|
0041
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$46,400.02
|
$104,400.05
|
$91,834.36
|
2026-03-27
|
|
1694
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$46,363.35
|
$104,317.54
|
$91,761.54
|
2026-03-27
|
|
9104
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$46,360.77
|
$104,311.73
|
$91,756.43
|
2026-03-27
|
|
6084
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$46,360.13
|
$104,310.29
|
$91,755.16
|
2026-03-27
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
9
|
7
|
—
|
—
|
$81,723.07
|
$107,509.85
|
$91,454.04
|
2026-03-27
|
|
2204
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,750.80
|
$102,939.30
|
$90,545.36
|
2026-03-27
|
|
8412
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,713.48
|
$102,855.33
|
$90,471.27
|
2026-03-27
|
|
1654
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,679.38
|
$102,778.61
|
$90,403.56
|
2026-03-27
|
|
3214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,599.60
|
$102,599.10
|
$90,245.15
|
2026-03-27
|
|
1634
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,488.93
|
$102,350.09
|
$90,025.42
|
2026-03-27
|
|
3033
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,109.30
|
$101,495.93
|
$89,271.70
|
2026-03-27
|
|
4014
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$45,107.37
|
$101,491.58
|
$89,267.86
|
2026-03-27
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
9
|
7
|
—
|
—
|
$76,972.97
|
$116,543.58
|
$88,691.65
|
2026-03-27
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
9
|
7
|
—
|
—
|
$76,533.46
|
$115,875.93
|
$88,183.66
|
2026-03-27
|
|
6032
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$44,533.43
|
$100,200.22
|
$88,128.33
|
2026-03-27
|
|
3104
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$44,171.18
|
$99,385.16
|
$87,409.10
|
2026-03-27
|
|
6083
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$44,051.50
|
$99,115.88
|
$87,171.49
|
2026-03-27
|
|
0894
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$44,019.33
|
$99,043.49
|
$87,107.61
|
2026-03-27
|
|
0244
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$43,858.48
|
$98,681.58
|
$86,788.24
|
2026-03-27
|
|
6214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$43,848.82
|
$98,659.85
|
$86,769.07
|
2026-03-27
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
9
|
7
|
—
|
—
|
$20,046.81
|
$101,847.88
|
$86,637.64
|
2026-03-27
|
|
4414
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$43,663.52
|
$98,242.92
|
$86,401.15
|
2026-03-27
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
9
|
7
|
—
|
—
|
$45,305.83
|
$101,200.27
|
$86,086.75
|
2026-03-27
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
9
|
7
|
—
|
—
|
$76,488.55
|
$100,603.46
|
$85,755.01
|
2026-03-27
|
|
0204
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$43,191.88
|
$97,181.73
|
$85,464.75
|
2026-03-27
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
9
|
7
|
—
|
—
|
$74,150.93
|
$100,301.22
|
$85,429.85
|
2026-03-27
|
|
1674
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$42,813.55
|
$96,330.49
|
$84,713.58
|
2026-03-27
|
|
0031
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$42,777.51
|
$96,249.40
|
$84,642.04
|
2026-03-27
|
|
1814
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$42,718.96
|
$96,117.66
|
$84,525.78
|
2026-03-27
|
|
7914
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$42,681.64
|
$96,033.69
|
$84,451.69
|
2026-03-27
|
|
2214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$42,666.20
|
$95,998.95
|
$84,421.03
|
2026-03-27
|
|
4034
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$42,462.88
|
$95,541.48
|
$84,017.34
|
2026-03-27
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
7
|
—
|
—
|
$72,218.59
|
$131,818.04
|
$83,196.40
|
2026-03-27
|
|
6021
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$41,922.39
|
$94,325.38
|
$82,944.24
|
2026-03-27
|
|
9114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$41,906.95
|
$94,290.64
|
$82,913.58
|
2026-03-27
|
|
3134
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$41,784.70
|
$94,015.58
|
$82,670.85
|
2026-03-27
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
9
|
7
|
—
|
—
|
$71,741.66
|
$94,340.43
|
$82,645.14
|
2026-03-27
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
9
|
7
|
—
|
—
|
$71,689.26
|
$141,107.29
|
$82,584.58
|
2026-03-27
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
9
|
7
|
—
|
—
|
$19,870.35
|
$97,040.91
|
$82,548.56
|
2026-03-27
|
|
5104
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$41,385.77
|
$93,117.98
|
$81,878.80
|
2026-03-27
|
|
4424
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$41,170.87
|
$92,634.46
|
$81,452.12
|
2026-03-27
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
7
|
—
|
—
|
$70,552.53
|
$92,771.50
|
$81,270.71
|
2026-03-27
|
|
6123
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,959.18
|
$92,158.16
|
$81,031.82
|
2026-03-27
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
9
|
7
|
—
|
—
|
$70,296.95
|
$92,434.29
|
$80,975.30
|
2026-03-27
|
|
1774
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,905.13
|
$92,036.54
|
$80,924.51
|
2026-03-27
|
|
6914
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,893.55
|
$92,010.49
|
$80,901.52
|
2026-03-27
|
|
7104
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,813.76
|
$91,830.96
|
$80,743.11
|
2026-03-27
|
|
3174
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,798.32
|
$91,796.22
|
$80,712.45
|
2026-03-27
|
|
3054
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,694.09
|
$91,561.70
|
$80,505.49
|
2026-03-27
|
|
0264
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,527.44
|
$91,186.74
|
$80,174.62
|
2026-03-27
|
|
9514
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,522.29
|
$91,175.15
|
$80,164.40
|
2026-03-27
|
|
1824
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,502.34
|
$91,130.27
|
$80,124.80
|
2026-03-27
|
|
6113
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,462.45
|
$91,040.51
|
$80,045.59
|
2026-03-27
|
|
1664
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,239.83
|
$90,539.62
|
$79,603.58
|
2026-03-27
|
|
5114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$40,208.94
|
$90,470.12
|
$79,542.26
|
2026-03-27
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
9
|
7
|
—
|
—
|
$69,049.00
|
$90,787.76
|
$79,532.89
|
2026-03-27
|
|
4444
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,948.35
|
$89,883.79
|
$79,024.87
|
2026-03-27
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
7
|
—
|
—
|
$69,163.68
|
$92,771.50
|
$78,916.75
|
2026-03-27
|
|
0012
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,802.94
|
$89,556.62
|
$78,736.15
|
2026-03-27
|
|
0011
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,802.94
|
$89,556.62
|
$78,736.15
|
2026-03-27
|
|
2644
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,746.96
|
$89,430.66
|
$78,625.01
|
2026-03-27
|
|
2614
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,656.88
|
$89,227.98
|
$78,446.16
|
2026-03-27
|
|
1612
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,573.23
|
$89,039.77
|
$78,280.09
|
2026-03-27
|
|
1204
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,336.45
|
$88,507.01
|
$77,809.97
|
2026-03-27
|
|
1304
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,220.63
|
$88,246.42
|
$77,580.02
|
2026-03-27
|
|
6903
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,156.93
|
$88,103.09
|
$77,453.54
|
2026-03-27
|
|
1214
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,119.61
|
$88,019.12
|
$77,379.45
|
2026-03-27
|
|
3014
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,097.74
|
$87,969.92
|
$77,336.01
|
2026-03-27
|
|
2624
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,097.09
|
$87,968.45
|
$77,334.74
|
2026-03-27
|
|
5194
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,066.21
|
$87,898.97
|
$77,273.42
|
2026-03-27
|
|
6071
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$39,017.31
|
$87,788.95
|
$77,176.33
|
2026-03-27
|
|
7114
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,983.21
|
$87,712.22
|
$77,108.62
|
2026-03-27
|
|
5184
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,610.02
|
$86,872.55
|
$76,367.67
|
2026-03-27
|
|
0494
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,543.10
|
$86,721.98
|
$76,234.81
|
2026-03-27
|
|
1714
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,519.29
|
$86,668.40
|
$76,187.54
|
2026-03-27
|
|
9524
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,312.11
|
$86,202.25
|
$75,776.19
|
2026-03-27
|
|
6303
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,272.86
|
$86,113.94
|
$75,698.26
|
2026-03-27
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
9
|
7
|
—
|
—
|
$65,697.63
|
$92,444.75
|
$75,659.27
|
2026-03-27
|
|
S2235
|
HCPCS
|
Implant Auditory Brain Imp
|
5
|
3
|
—
|
—
|
$33,608.10
|
$75,618.23
|
$75,618.23
|
2026-03-27
|
|
0952T
|
HCPCS
|
Tot Impl Amei Rev/rplc Mstdc
|
5
|
3
|
—
|
—
|
$33,608.10
|
$75,618.23
|
$75,618.23
|
2026-03-27
|
|
0951T
|
HCPCS
|
Tot Impl Amei 1st Plmt
|
5
|
3
|
—
|
—
|
$33,608.10
|
$75,618.23
|
$75,618.23
|
2026-03-27
|
|
0434
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,222.67
|
$86,001.01
|
$75,598.61
|
2026-03-27
|
|
3814
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$38,126.80
|
$85,785.30
|
$75,408.27
|
2026-03-27
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
9
|
7
|
—
|
—
|
$65,069.91
|
$89,293.46
|
$74,933.74
|
2026-03-27
|
|
0052
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$37,745.89
|
$84,928.25
|
$74,651.99
|
2026-03-27
|
|
2294
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$37,380.42
|
$84,105.95
|
$73,926.37
|
2026-03-27
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
9
|
7
|
—
|
—
|
$64,005.90
|
$84,133.91
|
$73,703.92
|
2026-03-27
|
|
3084
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$37,264.60
|
$83,845.35
|
$73,696.42
|
2026-03-27
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
9
|
7
|
—
|
—
|
$55,315.40
|
$86,466.15
|
$73,553.06
|
2026-03-27
|
|
3094
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$37,112.11
|
$83,502.25
|
$73,393.65
|
2026-03-27
|
|
1623
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$37,058.06
|
$83,380.64
|
$73,286.34
|
2026-03-27
|
|
6504
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$36,841.23
|
$82,892.77
|
$72,855.82
|
2026-03-27
|
|
0051
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$36,796.83
|
$82,792.87
|
$72,767.67
|
2026-03-27
|
|
6082
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$36,731.84
|
$82,646.64
|
$72,638.65
|
2026-03-27
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
9
|
7
|
—
|
—
|
$62,995.35
|
$82,800.61
|
$72,535.90
|
2026-03-27
|
|
4403
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$36,644.34
|
$82,449.77
|
$72,464.91
|
2026-03-27
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
9
|
7
|
—
|
—
|
$58,540.43
|
$84,771.65
|
$72,111.62
|
2026-03-27
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
9
|
7
|
—
|
—
|
$49,613.33
|
$84,747.66
|
$72,091.21
|
2026-03-27
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
9
|
7
|
—
|
—
|
$9,672.45
|
$83,857.38
|
$71,333.89
|
2026-03-27
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
9
|
7
|
—
|
—
|
$61,909.95
|
$81,368.53
|
$71,281.36
|
2026-03-27
|
|
2234
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$36,040.16
|
$81,090.36
|
$71,265.33
|
2026-03-27
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
9
|
7
|
—
|
—
|
$63,648.73
|
$83,662.67
|
$71,168.26
|
2026-03-27
|
|
2244
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$35,976.46
|
$80,947.04
|
$71,138.86
|
2026-03-27
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
9
|
7
|
—
|
—
|
$61,516.42
|
$83,351.71
|
$70,826.51
|
2026-03-27
|
|
2224
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$35,753.83
|
$80,446.12
|
$70,696.85
|
2026-03-27
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
7
|
—
|
—
|
$61,187.06
|
$80,414.76
|
$70,445.82
|
2026-03-27
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
9
|
7
|
—
|
—
|
$62,954.71
|
$82,746.99
|
$70,389.33
|
2026-03-27
|
|
3024
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$35,167.02
|
$79,125.80
|
$69,531.77
|
2026-03-27
|
|
4234
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$35,138.07
|
$79,060.66
|
$69,474.28
|
2026-03-27
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
9
|
7
|
—
|
—
|
$60,172.24
|
$79,534.09
|
$69,272.86
|
2026-03-27
|
|
0224
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,811.21
|
$78,325.22
|
$68,825.31
|
2026-03-27
|
|
8411
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,678.02
|
$78,025.55
|
$68,560.87
|
2026-03-27
|
|
6334
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,595.01
|
$77,838.77
|
$68,396.07
|
2026-03-27
|
|
0504
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,547.40
|
$77,731.65
|
$68,301.53
|
2026-03-27
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
9
|
7
|
—
|
—
|
$59,299.64
|
$89,701.69
|
$68,264.28
|
2026-03-27
|
|
3043
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,425.79
|
$77,458.03
|
$68,060.09
|
2026-03-27
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
9
|
7
|
—
|
—
|
$58,945.68
|
$119,922.69
|
$67,855.16
|
2026-03-27
|
|
3644
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,308.04
|
$77,193.09
|
$67,826.30
|
2026-03-27
|
|
8634
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,241.77
|
$77,043.98
|
$67,694.72
|
2026-03-27
|
|
3032
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,173.57
|
$76,890.53
|
$67,559.31
|
2026-03-27
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
9
|
7
|
—
|
—
|
$58,654.81
|
$84,760.77
|
$67,518.97
|
2026-03-27
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
9
|
7
|
—
|
—
|
$15,232.31
|
$79,321.30
|
$67,475.24
|
2026-03-27
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
9
|
7
|
—
|
—
|
$58,562.85
|
$86,779.54
|
$67,412.68
|
2026-03-27
|
|
2274
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$34,078.98
|
$76,677.71
|
$67,371.51
|
2026-03-27
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
9
|
7
|
—
|
—
|
$58,329.73
|
$88,228.10
|
$67,143.23
|
2026-03-27
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
9
|
7
|
—
|
—
|
$42,973.63
|
$78,534.02
|
$66,805.53
|
2026-03-27
|
|
6134
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$33,463.86
|
$75,293.69
|
$66,150.22
|
2026-03-27
|
|
6031
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$33,438.77
|
$75,237.23
|
$66,100.40
|
2026-03-27
|
|
6224
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$33,405.31
|
$75,161.95
|
$66,033.97
|
2026-03-27
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
7
|
—
|
—
|
$57,265.71
|
$75,240.96
|
$65,913.41
|
2026-03-27
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
9
|
7
|
—
|
—
|
$57,231.49
|
$80,271.54
|
$65,873.86
|
2026-03-27
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
9
|
7
|
—
|
—
|
$58,738.22
|
$77,183.78
|
$65,656.94
|
2026-03-27
|
|
3154
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$33,176.25
|
$74,646.56
|
$65,579.18
|
2026-03-27
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
9
|
7
|
—
|
—
|
$56,848.66
|
$74,690.70
|
$65,431.37
|
2026-03-27
|
|
8444
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,830.73
|
$73,869.14
|
$64,893.16
|
2026-03-27
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
4
|
4
|
—
|
—
|
$64,274.79
|
$69,416.77
|
$64,789.44
|
2026-03-27
|
|
4434
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,754.16
|
$73,696.86
|
$64,741.14
|
2026-03-27
|
|
0061
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,674.38
|
$73,517.36
|
$64,582.73
|
2026-03-27
|
|
0062
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,674.38
|
$73,517.36
|
$64,582.73
|
2026-03-27
|
|
6133
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,624.83
|
$73,405.87
|
$64,484.36
|
2026-03-27
|
|
6144
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,550.19
|
$73,237.93
|
$64,336.17
|
2026-03-27
|
|
6143
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,550.19
|
$73,237.93
|
$64,336.17
|
2026-03-27
|
|
3204
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,341.08
|
$72,767.43
|
$63,920.99
|
2026-03-27
|
|
6604
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$32,176.36
|
$72,396.81
|
$63,593.95
|
2026-03-27
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
9
|
7
|
—
|
—
|
$4,809.22
|
$74,443.79
|
$63,326.15
|
2026-03-27
|
|
1754
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,743.33
|
$71,422.49
|
$62,734.19
|
2026-03-27
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
9
|
7
|
—
|
—
|
$55,903.35
|
$73,443.46
|
$62,475.21
|
2026-03-27
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
9
|
7
|
—
|
—
|
$48,108.14
|
$73,316.48
|
$62,367.19
|
2026-03-27
|
|
6313
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,520.06
|
$70,920.14
|
$62,290.90
|
2026-03-27
|
|
3464
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,510.41
|
$70,898.42
|
$62,271.73
|
2026-03-27
|
|
27000000S1-178
|
CDM
|
Icd Maximo Ii D284trk Sc Pm C1882 Defib
|
12
|
9
|
$77,175.00
|
$15,435.00
80% off
|
$23,152.50
|
$173,643.75
|
$62,183.76
|
2026-03-27
|
|
1653
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,426.12
|
$70,708.77
|
$62,104.38
|
2026-03-27
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
9
|
7
|
—
|
—
|
$53,572.14
|
$70,367.68
|
$61,644.26
|
2026-03-27
|
|
1804
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,153.95
|
$70,096.39
|
$61,564.00
|
2026-03-27
|
|
1704
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,111.48
|
$70,000.83
|
$61,479.68
|
2026-03-27
|
|
5134
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$31,041.35
|
$69,843.04
|
$61,340.44
|
2026-03-27
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
5
|
5
|
—
|
—
|
$24,289.79
|
$68,494.21
|
$61,266.19
|
2026-03-27
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
9
|
7
|
—
|
—
|
$53,144.39
|
$85,091.31
|
$61,149.86
|
2026-03-27
|
|
1603
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$30,903.01
|
$69,531.77
|
$61,065.77
|
2026-03-27
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
9
|
7
|
—
|
—
|
$53,050.29
|
$69,679.15
|
$61,041.10
|
2026-03-27
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
9
|
7
|
—
|
—
|
$52,650.35
|
$78,865.11
|
$60,578.83
|
2026-03-27
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
7
|
—
|
—
|
$54,136.76
|
$71,112.64
|
$60,492.48
|
2026-03-27
|
|
27800000S1-15059
|
CDM
|
Icd Hv Generator Cd3369-40q C1722
|
12
|
9
|
$74,040.00
|
$14,808.00
80% off
|
$22,212.00
|
$166,590.00
|
$59,657.73
|
2026-03-27
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
9
|
7
|
—
|
—
|
$51,614.14
|
$67,784.30
|
$59,381.15
|
2026-03-27
|
|
4402
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$30,036.31
|
$67,581.70
|
$59,344.98
|
2026-03-27
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
9
|
7
|
—
|
—
|
$52,114.08
|
$69,440.71
|
$59,070.24
|
2026-03-27
|
|
6614
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$29,526.07
|
$66,433.66
|
$58,331.92
|
2026-03-27
|
|
6122
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$29,423.12
|
$66,202.02
|
$58,127.52
|
2026-03-27
|
|
1633
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$29,394.17
|
$66,136.88
|
$58,070.04
|
2026-03-27
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
9
|
7
|
—
|
—
|
$51,875.06
|
$68,128.56
|
$58,011.05
|
2026-03-27
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
9
|
7
|
—
|
—
|
$50,411.11
|
$73,716.12
|
$57,990.65
|
2026-03-27
|
|
3123
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$29,279.00
|
$65,877.75
|
$57,841.36
|
2026-03-27
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
9
|
7
|
—
|
—
|
$50,261.40
|
$68,873.97
|
$57,817.61
|
2026-03-27
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
4
|
4
|
—
|
—
|
$56,824.54
|
$61,370.50
|
$57,676.92
|
2026-03-27
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
9
|
7
|
—
|
—
|
$49,825.10
|
$87,318.14
|
$57,313.32
|
2026-03-27
|
|
1622
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$28,985.59
|
$65,217.58
|
$57,258.82
|
2026-03-27
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
9
|
7
|
—
|
—
|
$5,329.40
|
$67,170.56
|
$57,139.12
|
2026-03-27
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
9
|
7
|
—
|
—
|
$49,627.26
|
$70,552.98
|
$57,084.66
|
2026-03-27
|
|
1934
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$28,870.42
|
$64,958.45
|
$57,030.15
|
2026-03-27
|
|
2284
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$28,816.37
|
$64,836.83
|
$56,922.84
|
2026-03-27
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
9
|
7
|
—
|
—
|
$49,266.89
|
$70,020.97
|
$56,668.13
|
2026-03-27
|
|
3031
|
APR_DRG
|
—
|
7
|
4
|
—
|
—
|
$28,584.73
|
$64,315.64
|
$56,462.94
|
2026-03-27
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
9
|
7
|
—
|
—
|
$34,845.87
|
$66,332.48
|
$56,426.20
|
2026-03-27
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
9
|
7
|
—
|
—
|
$49,027.35
|
$71,431.34
|
$56,391.26
|
2026-03-27
|