|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
1
|
—
|
—
|
$1,067,269.09
|
$1,123,441.14
|
$1,095,355.11
|
2025-10-08
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
20
|
12
|
—
|
—
|
$6,527.00
|
$443,615.67
|
$385,824.19
|
2025-10-08
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$331,343.71
|
$288,178.33
|
2025-10-08
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
20
|
12
|
—
|
—
|
$8,835.00
|
$279,051.30
|
$242,698.24
|
2025-10-08
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$252,099.91
|
$219,257.91
|
2025-10-08
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
20
|
12
|
—
|
—
|
$8,835.00
|
$166,211.19
|
$144,558.24
|
2025-10-08
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
20
|
12
|
—
|
—
|
$6,527.00
|
$154,116.47
|
$134,039.14
|
2025-10-08
|
|
7
|
MS_DRG
|
Lung Transplant
|
20
|
12
|
—
|
—
|
$8,835.00
|
$153,728.29
|
$133,701.53
|
2025-10-08
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
2
|
1
|
—
|
—
|
$122,736.79
|
$129,196.62
|
$125,966.70
|
2025-10-08
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$129,624.73
|
$112,738.03
|
2025-10-08
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
20
|
12
|
—
|
—
|
$6,527.00
|
$128,144.95
|
$111,451.02
|
2025-10-08
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
2
|
1
|
—
|
—
|
$107,510.27
|
$113,168.71
|
$110,339.49
|
2025-10-08
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
20
|
12
|
—
|
—
|
$8,835.00
|
$125,268.89
|
$108,949.65
|
2025-10-08
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
20
|
12
|
—
|
—
|
$8,835.00
|
$124,626.63
|
$108,391.05
|
2025-10-08
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$123,222.13
|
$107,169.52
|
2025-10-08
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
11
|
—
|
—
|
$60,715.07
|
$113,525.89
|
$98,736.45
|
2025-10-08
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
20
|
12
|
—
|
—
|
$6,527.00
|
$108,359.58
|
$94,243.17
|
2025-10-08
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
2
|
1
|
—
|
—
|
$87,620.01
|
$92,231.59
|
$89,925.80
|
2025-10-08
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
17
|
11
|
—
|
—
|
$53,309.30
|
$99,678.49
|
$86,693.00
|
2025-10-08
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
11
|
—
|
—
|
$53,279.74
|
$99,623.20
|
$86,644.91
|
2025-10-08
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$98,110.48
|
$85,329.26
|
2025-10-08
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$94,822.72
|
$82,469.81
|
2025-10-08
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
20
|
12
|
—
|
—
|
$8,835.00
|
$93,786.40
|
$81,568.49
|
2025-10-08
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
20
|
12
|
—
|
—
|
$8,835.00
|
$93,248.83
|
$81,100.96
|
2025-10-08
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
17
|
11
|
—
|
—
|
$49,172.97
|
$91,944.31
|
$79,966.38
|
2025-10-08
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
11
|
—
|
—
|
$48,676.61
|
$91,016.21
|
$79,159.19
|
2025-10-08
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$87,801.38
|
$76,363.17
|
2025-10-08
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$83,549.06
|
$72,664.81
|
2025-10-08
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
17
|
11
|
—
|
—
|
$44,458.50
|
$83,129.12
|
$72,299.58
|
2025-10-08
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
20
|
12
|
—
|
—
|
$6,527.00
|
$81,829.31
|
$71,169.10
|
2025-10-08
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
20
|
12
|
—
|
—
|
$8,835.00
|
$80,321.29
|
$69,857.54
|
2025-10-08
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
17
|
11
|
—
|
—
|
$42,179.27
|
$78,867.39
|
$68,593.04
|
2025-10-08
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$78,563.90
|
$68,329.09
|
2025-10-08
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
17
|
11
|
—
|
—
|
$41,945.87
|
$78,430.98
|
$68,213.48
|
2025-10-08
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
20
|
12
|
—
|
—
|
$6,527.00
|
$76,073.67
|
$66,163.27
|
2025-10-08
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
11
|
—
|
—
|
$40,626.65
|
$75,964.28
|
$66,068.13
|
2025-10-08
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$74,392.74
|
$64,701.32
|
2025-10-08
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
17
|
11
|
—
|
—
|
$38,968.97
|
$72,864.73
|
$63,372.37
|
2025-10-08
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
20
|
12
|
—
|
—
|
$6,527.00
|
$72,770.62
|
$63,290.52
|
2025-10-08
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
18
|
12
|
—
|
—
|
$11,442.00
|
$72,438.91
|
$63,002.02
|
2025-10-08
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$72,186.00
|
$62,782.06
|
2025-10-08
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
18
|
12
|
—
|
—
|
$11,442.00
|
$71,856.64
|
$62,495.61
|
2025-10-08
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$71,513.16
|
$62,196.87
|
2025-10-08
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$71,000.29
|
$61,750.82
|
2025-10-08
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$71,000.29
|
$61,750.82
|
2025-10-08
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
18
|
12
|
—
|
—
|
$11,442.00
|
$70,469.78
|
$61,289.42
|
2025-10-08
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
11
|
—
|
—
|
$37,427.05
|
$69,981.62
|
$60,864.85
|
2025-10-08
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
15
|
11
|
—
|
—
|
$37,398.74
|
$69,928.68
|
$60,818.81
|
2025-10-08
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
18
|
12
|
—
|
—
|
$11,442.00
|
$69,215.84
|
$60,198.84
|
2025-10-08
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$68,487.71
|
$59,565.56
|
2025-10-08
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
12
|
—
|
—
|
$9,417.00
|
$67,512.56
|
$58,717.45
|
2025-10-08
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$67,109.09
|
$58,366.54
|
2025-10-08
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
19
|
12
|
—
|
—
|
$9,417.00
|
$65,574.02
|
$57,031.45
|
2025-10-08
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$65,017.63
|
$56,547.54
|
2025-10-08
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$65,017.63
|
$56,547.54
|
2025-10-08
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$64,744.73
|
$56,310.19
|
2025-10-08
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$64,349.49
|
$55,966.44
|
2025-10-08
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
20
|
12
|
—
|
—
|
$8,835.00
|
$64,003.66
|
$55,665.66
|
2025-10-08
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
19
|
12
|
—
|
—
|
$9,417.00
|
$63,857.80
|
$55,538.80
|
2025-10-08
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
12
|
—
|
—
|
$13,824.00
|
$63,531.96
|
$55,255.42
|
2025-10-08
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$63,471.97
|
$55,203.24
|
2025-10-08
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$63,464.91
|
$55,197.10
|
2025-10-08
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
12
|
—
|
—
|
$11,442.00
|
$62,581.51
|
$54,428.78
|
2025-10-08
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
12
|
—
|
—
|
$11,442.00
|
$62,305.08
|
$54,188.37
|
2025-10-08
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
2
|
1
|
—
|
—
|
$52,404.47
|
$55,162.60
|
$53,783.54
|
2025-10-08
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
17
|
11
|
—
|
—
|
$32,399.28
|
$60,580.63
|
$52,688.56
|
2025-10-08
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
19
|
12
|
—
|
—
|
$9,417.00
|
$60,379.48
|
$52,513.62
|
2025-10-08
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$76,785.81
|
$52,120.76
|
2025-10-08
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$59,744.28
|
$51,961.17
|
2025-10-08
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$59,249.05
|
$51,530.46
|
2025-10-08
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$58,899.69
|
$51,226.61
|
2025-10-08
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
20
|
12
|
—
|
—
|
$6,527.00
|
$58,853.82
|
$51,186.71
|
2025-10-08
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$58,830.29
|
$51,166.25
|
2025-10-08
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$58,618.56
|
$50,982.10
|
2025-10-08
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
20
|
12
|
—
|
—
|
$8,835.00
|
$57,483.43
|
$49,994.85
|
2025-10-08
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$57,136.42
|
$49,693.04
|
2025-10-08
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$57,041.14
|
$49,610.18
|
2025-10-08
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
20
|
12
|
—
|
—
|
$8,835.00
|
$56,174.21
|
$48,856.18
|
2025-10-08
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$55,930.71
|
$48,644.41
|
2025-10-08
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$55,920.13
|
$48,635.20
|
2025-10-08
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$55,341.39
|
$48,131.86
|
2025-10-08
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$55,044.96
|
$47,874.05
|
2025-10-08
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
18
|
12
|
—
|
—
|
$8,452.00
|
$54,720.30
|
$47,591.68
|
2025-10-08
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$54,218.02
|
$47,154.84
|
2025-10-08
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$54,195.67
|
$47,135.40
|
2025-10-08
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$54,022.75
|
$46,985.01
|
2025-10-08
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$54,014.52
|
$46,977.85
|
2025-10-08
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$53,069.95
|
$46,156.33
|
2025-10-08
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$52,753.53
|
$45,881.13
|
2025-10-08
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$52,607.66
|
$45,754.27
|
2025-10-08
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$52,115.97
|
$45,326.63
|
2025-10-08
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$51,672.51
|
$44,940.94
|
2025-10-08
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
20
|
12
|
—
|
—
|
$6,527.00
|
$50,897.32
|
$44,266.74
|
2025-10-08
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$50,792.63
|
$44,175.69
|
2025-10-08
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$50,177.43
|
$43,640.63
|
2025-10-08
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$50,103.32
|
$43,576.18
|
2025-10-08
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$49,748.08
|
$43,267.21
|
2025-10-08
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$49,294.03
|
$42,872.31
|
2025-10-08
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$49,282.26
|
$42,862.08
|
2025-10-08
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
15
|
11
|
—
|
—
|
$26,236.62
|
$49,057.59
|
$42,666.68
|
2025-10-08
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$48,942.31
|
$42,566.42
|
2025-10-08
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$48,370.63
|
$42,069.21
|
2025-10-08
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$48,343.58
|
$42,045.68
|
2025-10-08
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$48,271.82
|
$41,983.27
|
2025-10-08
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
18
|
12
|
—
|
—
|
$8,452.00
|
$48,034.21
|
$41,776.61
|
2025-10-08
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$47,844.83
|
$41,611.90
|
2025-10-08
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
15
|
11
|
—
|
—
|
$25,540.83
|
$47,756.60
|
$41,535.17
|
2025-10-08
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$46,860.26
|
$40,755.60
|
2025-10-08
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$46,827.33
|
$40,726.96
|
2025-10-08
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$46,413.27
|
$40,366.84
|
2025-10-08
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$46,317.99
|
$40,283.97
|
2025-10-08
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
20
|
12
|
—
|
—
|
$8,835.00
|
$46,223.88
|
$40,202.13
|
2025-10-08
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
20
|
12
|
—
|
—
|
$6,527.00
|
$46,019.21
|
$40,024.11
|
2025-10-08
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$45,996.86
|
$40,004.68
|
2025-10-08
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$45,742.78
|
$39,783.70
|
2025-10-08
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$45,464.00
|
$39,541.23
|
2025-10-08
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$45,418.12
|
$39,501.33
|
2025-10-08
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$45,291.08
|
$39,390.84
|
2025-10-08
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
20
|
12
|
—
|
—
|
$8,835.00
|
$44,962.89
|
$39,105.41
|
2025-10-08
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$44,719.40
|
$38,893.63
|
2025-10-08
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$44,371.21
|
$38,590.81
|
2025-10-08
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$44,017.15
|
$38,282.87
|
2025-10-08
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$42,919.66
|
$37,328.35
|
2025-10-08
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$42,622.05
|
$37,069.52
|
2025-10-08
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$42,168.00
|
$36,674.62
|
2025-10-08
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$42,165.65
|
$36,672.57
|
2025-10-08
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$42,158.59
|
$36,666.43
|
2025-10-08
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
20
|
12
|
—
|
—
|
$8,835.00
|
$41,960.97
|
$36,494.56
|
2025-10-08
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$41,772.77
|
$36,330.87
|
2025-10-08
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$41,528.10
|
$36,118.07
|
2025-10-08
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$41,517.51
|
$36,108.87
|
2025-10-08
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
20
|
12
|
—
|
—
|
$13,824.00
|
$41,412.82
|
$36,017.82
|
2025-10-08
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$41,215.20
|
$35,845.94
|
2025-10-08
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$41,202.26
|
$35,834.69
|
2025-10-08
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$41,185.79
|
$35,820.36
|
2025-10-08
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
20
|
12
|
—
|
—
|
$8,219.00
|
$41,112.86
|
$35,756.94
|
2025-10-08
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,847.02
|
$35,525.72
|
2025-10-08
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,802.32
|
$35,486.85
|
2025-10-08
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,757.62
|
$35,447.97
|
2025-10-08
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,516.48
|
$35,238.24
|
2025-10-08
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,452.96
|
$35,183.00
|
2025-10-08
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,389.44
|
$35,127.75
|
2025-10-08
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,351.80
|
$35,095.02
|
2025-10-08
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$51,624.61
|
$35,041.82
|
2025-10-08
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$40,067.13
|
$34,847.44
|
2025-10-08
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$39,900.10
|
$34,702.16
|
2025-10-08
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
20
|
12
|
—
|
—
|
$8,835.00
|
$39,484.86
|
$34,341.02
|
2025-10-08
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$39,063.75
|
$33,974.77
|
2025-10-08
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$38,840.25
|
$33,780.39
|
2025-10-08
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
20
|
12
|
—
|
—
|
$13,824.00
|
$49,265.85
|
$33,440.73
|
2025-10-08
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$38,340.32
|
$33,345.59
|
2025-10-08
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$38,323.85
|
$33,331.26
|
2025-10-08
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$37,868.63
|
$32,935.34
|
2025-10-08
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
20
|
12
|
—
|
—
|
$6,527.00
|
$37,693.36
|
$32,782.90
|
2025-10-08
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$37,583.96
|
$32,687.76
|
2025-10-08
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$37,512.21
|
$32,625.35
|
2025-10-08
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$37,411.05
|
$32,537.37
|
2025-10-08
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$37,335.76
|
$32,471.89
|
2025-10-08
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$37,273.42
|
$32,417.67
|
2025-10-08
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$36,712.32
|
$31,929.67
|
2025-10-08
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$36,695.85
|
$31,915.35
|
2025-10-08
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$36,539.41
|
$31,779.28
|
2025-10-08
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$36,375.90
|
$31,637.08
|
2025-10-08
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$36,300.62
|
$31,571.60
|
2025-10-08
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$36,274.74
|
$31,549.09
|
2025-10-08
|
|
652
|
MS_DRG
|
Kidney Transplant
|
20
|
12
|
—
|
—
|
$8,835.00
|
$36,128.88
|
$31,422.23
|
2025-10-08
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$36,095.94
|
$31,393.59
|
2025-10-08
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$35,978.31
|
$31,291.28
|
2025-10-08
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$35,408.98
|
$30,796.12
|
2025-10-08
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$35,126.67
|
$30,550.59
|
2025-10-08
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
12
|
—
|
—
|
$13,824.00
|
$34,684.38
|
$30,165.92
|
2025-10-08
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$44,326.75
|
$30,088.17
|
2025-10-08
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$34,500.88
|
$30,006.32
|
2025-10-08
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$34,304.44
|
$29,835.47
|
2025-10-08
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$34,285.62
|
$29,819.10
|
2025-10-08
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$34,275.03
|
$29,809.89
|
2025-10-08
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$34,256.21
|
$29,793.52
|
2025-10-08
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$34,079.76
|
$29,640.07
|
2025-10-08
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$33,725.70
|
$29,332.12
|
2025-10-08
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$33,686.88
|
$29,298.36
|
2025-10-08
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
20
|
12
|
—
|
—
|
$8,835.00
|
$33,666.88
|
$29,280.97
|
2025-10-08
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$33,619.83
|
$29,240.05
|
2025-10-08
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$33,486.91
|
$29,124.44
|
2025-10-08
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$33,196.36
|
$28,871.75
|
2025-10-08
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$33,035.21
|
$28,731.59
|
2025-10-08
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$33,001.10
|
$28,701.92
|
2025-10-08
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$32,188.27
|
$27,994.99
|
2025-10-08
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
20
|
12
|
—
|
—
|
$8,219.00
|
$32,130.63
|
$27,944.86
|
2025-10-08
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$32,071.82
|
$27,893.70
|
2025-10-08
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$31,956.54
|
$27,793.44
|
2025-10-08
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$31,800.09
|
$27,657.38
|
2025-10-08
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,695.40
|
$27,566.32
|
2025-10-08
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
20
|
12
|
—
|
—
|
$6,527.00
|
$31,569.54
|
$27,456.86
|
2025-10-08
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,549.54
|
$27,439.47
|
2025-10-08
|
|
849
|
MS_DRG
|
Radiotherapy
|
20
|
12
|
—
|
—
|
$6,527.00
|
$31,420.15
|
$27,326.93
|
2025-10-08
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,322.52
|
$27,242.02
|
2025-10-08
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,210.77
|
$27,144.82
|
2025-10-08
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,171.95
|
$27,111.06
|
2025-10-08
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,131.96
|
$27,076.28
|
2025-10-08
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$31,100.20
|
$27,048.66
|
2025-10-08
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$39,538.38
|
$26,837.91
|
2025-10-08
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$30,777.89
|
$26,768.34
|
2025-10-08
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$30,449.70
|
$26,482.91
|
2025-10-08
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$30,399.12
|
$26,438.91
|
2025-10-08
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$30,040.35
|
$26,126.88
|
2025-10-08
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$30,030.94
|
$26,118.70
|
2025-10-08
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
20
|
12
|
—
|
—
|
$13,824.00
|
$29,974.48
|
$26,069.59
|
2025-10-08
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$29,820.38
|
$25,935.57
|
2025-10-08
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$29,723.92
|
$25,851.68
|
2025-10-08
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$29,700.40
|
$25,831.22
|
2025-10-08
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$29,607.47
|
$25,750.40
|
2025-10-08
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$29,455.73
|
$25,618.42
|
2025-10-08
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$29,433.38
|
$25,598.98
|
2025-10-08
|
|
77301
|
CPT
|
Hc Imrt Planning
|
76
|
30
|
$45,609.00
|
$22,804.50
50% off
|
$1,324.45
|
$42,142.72
|
$25,518.24
|
2025-10-08
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$29,146.36
|
$25,349.36
|
2025-10-08
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$29,028.73
|
$25,247.05
|
2025-10-08
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
15
|
11
|
—
|
—
|
$15,411.06
|
$28,815.82
|
$25,061.88
|
2025-10-08
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$28,799.35
|
$25,047.55
|
2025-10-08
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$28,561.74
|
$24,840.90
|
2025-10-08
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$28,451.17
|
$24,744.73
|
2025-10-08
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$28,361.77
|
$24,666.98
|
2025-10-08
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
20
|
12
|
—
|
—
|
$13,824.00
|
$28,242.96
|
$24,563.65
|
2025-10-08
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$28,198.26
|
$24,524.77
|
2025-10-08
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$28,198.26
|
$24,524.77
|
2025-10-08
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,954.77
|
$24,313.00
|
2025-10-08
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,847.73
|
$24,219.90
|
2025-10-08
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,840.67
|
$24,213.76
|
2025-10-08
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,804.20
|
$24,182.05
|
2025-10-08
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,759.50
|
$24,143.17
|
2025-10-08
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,508.95
|
$23,925.26
|
2025-10-08
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$27,292.51
|
$23,737.01
|
2025-10-08
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,228.99
|
$23,681.77
|
2025-10-08
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,203.11
|
$23,659.26
|
2025-10-08
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$27,153.71
|
$23,616.29
|
2025-10-08
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$26,985.50
|
$23,470.00
|
2025-10-08
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$26,940.80
|
$23,431.12
|
2025-10-08
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,858.46
|
$23,359.51
|
2025-10-08
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,807.88
|
$23,315.51
|
2025-10-08
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,758.47
|
$23,272.55
|
2025-10-08
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$26,654.96
|
$23,182.52
|
2025-10-08
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,564.38
|
$23,103.74
|
2025-10-08
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,563.21
|
$23,102.72
|
2025-10-08
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,544.39
|
$23,086.35
|
2025-10-08
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,499.69
|
$23,047.47
|
2025-10-08
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,490.28
|
$23,039.29
|
2025-10-08
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,456.16
|
$23,009.62
|
2025-10-08
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,432.64
|
$22,989.16
|
2025-10-08
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,259.72
|
$22,838.77
|
2025-10-08
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$26,177.38
|
$22,767.15
|
2025-10-08
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$26,035.05
|
$22,643.36
|
2025-10-08
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,871.54
|
$22,501.16
|
2025-10-08
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
20
|
12
|
—
|
—
|
$6,527.00
|
$25,836.25
|
$22,470.47
|
2025-10-08
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,672.75
|
$22,328.26
|
2025-10-08
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,630.40
|
$22,291.43
|
2025-10-08
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$25,517.48
|
$22,193.22
|
2025-10-08
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,376.32
|
$22,070.45
|
2025-10-08
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
20
|
12
|
—
|
—
|
$8,219.00
|
$25,331.62
|
$22,031.58
|
2025-10-08
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,272.81
|
$21,980.42
|
2025-10-08
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
20
|
12
|
—
|
—
|
$6,527.00
|
$25,241.05
|
$21,952.80
|
2025-10-08
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$25,223.40
|
$21,937.45
|
2025-10-08
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$25,124.59
|
$21,851.52
|
2025-10-08
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,123.42
|
$21,850.49
|
2025-10-08
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,121.06
|
$21,848.45
|
2025-10-08
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$25,074.01
|
$21,807.53
|
2025-10-08
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,999.90
|
$21,743.07
|
2025-10-08
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
20
|
12
|
—
|
—
|
$13,342.58
|
$24,948.15
|
$21,698.06
|
2025-10-08
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$24,879.92
|
$21,638.72
|
2025-10-08
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,846.98
|
$21,610.08
|
2025-10-08
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,836.40
|
$21,600.87
|
2025-10-08
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$24,836.40
|
$21,600.87
|
2025-10-08
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,797.58
|
$21,567.11
|
2025-10-08
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,735.24
|
$21,512.88
|
2025-10-08
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,661.13
|
$21,448.43
|
2025-10-08
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$24,590.55
|
$21,387.05
|
2025-10-08
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,435.28
|
$21,252.00
|
2025-10-08
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
20
|
12
|
—
|
—
|
$13,053.20
|
$31,272.89
|
$21,227.45
|
2025-10-08
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$24,188.26
|
$21,037.16
|
2025-10-08
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$24,083.57
|
$20,946.11
|
2025-10-08
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,857.72
|
$20,749.68
|
2025-10-08
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,789.49
|
$20,690.35
|
2025-10-08
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,727.15
|
$20,636.12
|
2025-10-08
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,697.74
|
$20,610.55
|
2025-10-08
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,673.04
|
$20,589.06
|
2025-10-08
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,663.63
|
$20,580.88
|
2025-10-08
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,507.18
|
$20,444.81
|
2025-10-08
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,503.65
|
$20,441.74
|
2025-10-08
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,487.18
|
$20,427.42
|
2025-10-08
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,398.96
|
$20,350.69
|
2025-10-08
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,382.49
|
$20,336.37
|
2025-10-08
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,353.08
|
$20,310.79
|
2025-10-08
|
|
585
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,350.73
|
$20,308.74
|
2025-10-08
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,268.39
|
$20,237.13
|
2025-10-08
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
20
|
12
|
—
|
—
|
$12,412.14
|
$23,208.40
|
$20,184.95
|
2025-10-08
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
20
|
12
|
—
|
—
|
$8,835.00
|
$23,195.46
|
$20,173.70
|
2025-10-08
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
20
|
12
|
—
|
—
|
$12,364.33
|
$23,119.00
|
$20,107.20
|
2025-10-08
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,080.18
|
$20,073.44
|
2025-10-08
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
20
|
12
|
—
|
—
|
$12,337.91
|
$23,069.60
|
$20,064.23
|
2025-10-08
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,044.89
|
$20,042.75
|
2025-10-08
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
20
|
12
|
—
|
—
|
$6,527.00
|
$23,001.37
|
$20,004.90
|
2025-10-08
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
20
|
12
|
—
|
—
|
$8,835.00
|
$22,988.43
|
$19,993.64
|
2025-10-08
|