|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
2
|
2
|
—
|
—
|
$2,945,740.00
|
$4,897,200.00
|
$3,921,470.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,685,266.67
|
$3,685,266.67
|
$3,685,266.67
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
1
|
1
|
—
|
—
|
$3,316,462.59
|
$3,316,462.59
|
$3,316,462.59
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
1
|
1
|
—
|
—
|
$3,248,445.72
|
$3,248,445.72
|
$3,248,445.72
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
2
|
2
|
—
|
—
|
$2,455,110.60
|
$3,965,706.94
|
$3,210,408.77
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
2
|
2
|
—
|
—
|
$2,332,000.00
|
$3,847,800.00
|
$3,089,900.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
2
|
2
|
—
|
—
|
$591,726.20
|
$933,279.34
|
$762,502.77
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
2
|
—
|
—
|
$565,868.94
|
$909,675.26
|
$737,772.10
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
2
|
2
|
—
|
—
|
$557,317.93
|
$871,715.51
|
$714,516.72
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
2
|
2
|
—
|
—
|
$562,538.19
|
$852,201.85
|
$707,370.02
|
2026-04-01
|
|
5834
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$703,103.99
|
$703,103.99
|
$703,103.99
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
2
|
2
|
—
|
—
|
$533,230.17
|
$807,703.30
|
$670,466.74
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
2
|
2
|
—
|
—
|
$489,304.61
|
$805,284.99
|
$647,294.80
|
2026-04-01
|
|
5833
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$556,871.85
|
$556,871.85
|
$556,871.85
|
2026-04-01
|
|
1614
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$551,427.82
|
$551,427.82
|
$551,427.82
|
2026-04-01
|
|
5884
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$526,280.43
|
$526,280.43
|
$526,280.43
|
2026-04-01
|
|
1613
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$422,451.63
|
$422,451.63
|
$422,451.63
|
2026-04-01
|
|
6304
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$418,616.54
|
$418,616.54
|
$418,616.54
|
2026-04-01
|
|
5914
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$413,197.74
|
$413,197.74
|
$413,197.74
|
2026-04-01
|
|
5934
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$410,705.71
|
$410,705.71
|
$410,705.71
|
2026-04-01
|
|
5832
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$410,639.72
|
$410,639.72
|
$410,639.72
|
2026-04-01
|
|
8414
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$388,869.38
|
$388,869.38
|
$388,869.38
|
2026-04-01
|
|
5883
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$376,974.01
|
$376,974.01
|
$376,974.01
|
2026-04-01
|
|
4404
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$364,890.38
|
$364,890.38
|
$364,890.38
|
2026-04-01
|
|
5882
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$363,822.92
|
$363,822.92
|
$363,822.92
|
2026-04-01
|
|
6094
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$360,909.73
|
$360,909.73
|
$360,909.73
|
2026-04-01
|
|
5831
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$354,865.97
|
$354,865.97
|
$354,865.97
|
2026-04-01
|
|
6024
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$341,214.14
|
$341,214.14
|
$341,214.14
|
2026-04-01
|
|
1612
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$339,189.85
|
$339,189.85
|
$339,189.85
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$333,410.89
|
$389,543.35
|
$333,410.89
|
2026-04-01
|
|
44
|
MS_DRG
|
Acute Major Eye Infections
|
1
|
1
|
—
|
—
|
$331,092.69
|
$331,092.69
|
$331,092.69
|
2026-04-01
|
|
1611
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$322,230.85
|
$322,230.85
|
$322,230.85
|
2026-04-01
|
|
5933
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$314,649.95
|
$314,649.95
|
$314,649.95
|
2026-04-01
|
|
6034
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$302,354.77
|
$302,354.77
|
$302,354.77
|
2026-04-01
|
|
6023
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$300,089.81
|
$300,089.81
|
$300,089.81
|
2026-04-01
|
|
6314
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$296,831.15
|
$296,831.15
|
$296,831.15
|
2026-04-01
|
|
6074
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$278,496.09
|
$278,496.09
|
$278,496.09
|
2026-04-01
|
|
4403
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$240,523.68
|
$240,523.68
|
$240,523.68
|
2026-04-01
|
|
5881
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$239,483.39
|
$239,483.39
|
$239,483.39
|
2026-04-01
|
|
1604
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$233,332.89
|
$233,332.89
|
$233,332.89
|
2026-04-01
|
|
43
|
MS_DRG
|
Hyphema
|
1
|
1
|
—
|
—
|
$219,069.70
|
$219,069.70
|
$219,069.70
|
2026-04-01
|
|
6073
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$216,657.24
|
$216,657.24
|
$216,657.24
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
5
|
5
|
—
|
—
|
$216,370.25
|
$290,956.66
|
$216,370.25
|
2026-04-01
|
|
3034
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$210,244.72
|
$210,244.72
|
$210,244.72
|
2026-04-01
|
|
4402
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$206,287.36
|
$206,287.36
|
$206,287.36
|
2026-04-01
|
|
6124
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$203,552.73
|
$203,552.73
|
$203,552.73
|
2026-04-01
|
|
9114
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$202,477.51
|
$202,477.51
|
$202,477.51
|
2026-04-01
|
|
6303
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$202,265.96
|
$202,265.96
|
$202,265.96
|
2026-04-01
|
|
5913
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$200,851.09
|
$200,851.09
|
$200,851.09
|
2026-04-01
|
|
5932
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$198,298.89
|
$198,298.89
|
$198,298.89
|
2026-04-01
|
|
8424
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$196,523.03
|
$196,523.03
|
$196,523.03
|
2026-04-01
|
|
8514
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$195,321.65
|
$195,321.65
|
$195,321.65
|
2026-04-01
|
|
6022
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$189,916.43
|
$189,916.43
|
$189,916.43
|
2026-04-01
|
|
6334
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$184,282.19
|
$184,282.19
|
$184,282.19
|
2026-04-01
|
|
1624
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,808.57
|
$179,808.57
|
$179,808.57
|
2026-04-01
|
|
6093
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$179,806.63
|
$179,806.63
|
$179,806.63
|
2026-04-01
|
|
5931
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$178,469.39
|
$178,469.39
|
$178,469.39
|
2026-04-01
|
|
1784
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$174,859.44
|
$174,859.44
|
$174,859.44
|
2026-04-01
|
|
6021
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$170,925.37
|
$170,925.37
|
$170,925.37
|
2026-04-01
|
|
1304
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$170,543.02
|
$170,543.02
|
$170,543.02
|
2026-04-01
|
|
1674
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$169,714.29
|
$169,714.29
|
$169,714.29
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
5
|
5
|
—
|
—
|
$164,845.47
|
$245,054.63
|
$164,845.47
|
2026-04-01
|
|
2604
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,528.38
|
$164,528.38
|
$164,528.38
|
2026-04-01
|
|
3044
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,167.38
|
$164,167.38
|
$164,167.38
|
2026-04-01
|
|
1634
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$164,060.64
|
$164,060.64
|
$164,060.64
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
7
|
5
|
—
|
—
|
$159,686.49
|
$267,541.75
|
$163,878.04
|
2026-04-01
|
|
1834
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$161,657.89
|
$161,657.89
|
$161,657.89
|
2026-04-01
|
|
3033
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$160,376.94
|
$160,376.94
|
$160,376.94
|
2026-04-01
|
|
6114
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$159,117.33
|
$159,117.33
|
$159,117.33
|
2026-04-01
|
|
8634
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$158,612.72
|
$158,612.72
|
$158,612.72
|
2026-04-01
|
|
1694
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$155,239.55
|
$155,239.55
|
$155,239.55
|
2026-04-01
|
|
214
|
MS_DRG
|
No Longer Valid
|
1
|
1
|
—
|
—
|
$152,295.30
|
$152,295.30
|
$152,295.30
|
2026-04-01
|
|
6134
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$147,647.01
|
$147,647.01
|
$147,647.01
|
2026-04-01
|
|
6033
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$147,134.63
|
$147,134.63
|
$147,134.63
|
2026-04-01
|
|
3124
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,342.24
|
$143,342.24
|
$143,342.24
|
2026-04-01
|
|
6123
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$143,152.03
|
$143,152.03
|
$143,152.03
|
2026-04-01
|
|
8413
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$142,709.52
|
$142,709.52
|
$142,709.52
|
2026-04-01
|
|
6804
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$142,515.44
|
$142,515.44
|
$142,515.44
|
2026-04-01
|
|
1794
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$139,852.62
|
$139,852.62
|
$139,852.62
|
2026-04-01
|
|
9104
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$138,783.22
|
$138,783.22
|
$138,783.22
|
2026-04-01
|
|
1783
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$137,515.85
|
$137,515.85
|
$137,515.85
|
2026-04-01
|
|
6214
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$137,440.16
|
$137,440.16
|
$137,440.16
|
2026-04-01
|
|
8504
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$136,954.95
|
$136,954.95
|
$136,954.95
|
2026-04-01
|
|
7924
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$136,789.98
|
$136,789.98
|
$136,789.98
|
2026-04-01
|
|
9504
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$135,844.79
|
$135,844.79
|
$135,844.79
|
2026-04-01
|
|
4414
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$134,709.41
|
$134,709.41
|
$134,709.41
|
2026-04-01
|
|
7404
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$131,316.83
|
$131,316.83
|
$131,316.83
|
2026-04-01
|
|
6084
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$131,122.75
|
$131,122.75
|
$131,122.75
|
2026-04-01
|
|
6313
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$129,358.53
|
$129,358.53
|
$129,358.53
|
2026-04-01
|
|
6302
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$128,329.88
|
$128,329.88
|
$128,329.88
|
2026-04-01
|
|
1782
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$128,120.27
|
$128,120.27
|
$128,120.27
|
2026-04-01
|
|
1623
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$127,858.26
|
$127,858.26
|
$127,858.26
|
2026-04-01
|
|
6904
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$126,115.39
|
$126,115.39
|
$126,115.39
|
2026-04-01
|
|
6113
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$125,934.90
|
$125,934.90
|
$125,934.90
|
2026-04-01
|
|
1603
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$125,255.60
|
$125,255.60
|
$125,255.60
|
2026-04-01
|
|
6083
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$124,877.14
|
$124,877.14
|
$124,877.14
|
2026-04-01
|
|
6122
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$124,087.22
|
$124,087.22
|
$124,087.22
|
2026-04-01
|
|
1664
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$123,536.02
|
$123,536.02
|
$123,536.02
|
2026-04-01
|
|
404
|
MS_DRG
|
Lymphoma & Non-acute Leukemia Without Cc
|
1
|
1
|
—
|
—
|
$123,077.99
|
$123,077.99
|
$123,077.99
|
2026-04-01
|
|
7594
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$122,878.08
|
$122,878.08
|
$122,878.08
|
2026-04-01
|
|
3614
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$121,391.40
|
$121,391.40
|
$121,391.40
|
2026-04-01
|
|
2304
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$120,900.37
|
$120,900.37
|
$120,900.37
|
2026-04-01
|
|
9124
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$120,320.06
|
$120,320.06
|
$120,320.06
|
2026-04-01
|
|
1303
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,803.80
|
$119,803.80
|
$119,803.80
|
2026-04-01
|
|
6072
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$119,077.93
|
$119,077.93
|
$119,077.93
|
2026-04-01
|
|
8904
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,703.35
|
$118,703.35
|
$118,703.35
|
2026-04-01
|
|
6144
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$118,650.95
|
$118,650.95
|
$118,650.95
|
2026-04-01
|
|
3254
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$117,478.68
|
$117,478.68
|
$117,478.68
|
2026-04-01
|
|
1764
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$117,272.95
|
$117,272.95
|
$117,272.95
|
2026-04-01
|
|
6814
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$117,267.13
|
$117,267.13
|
$117,267.13
|
2026-04-01
|
|
2614
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,919.72
|
$116,919.72
|
$116,919.72
|
2026-04-01
|
|
6954
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$116,399.58
|
$116,399.58
|
$116,399.58
|
2026-04-01
|
|
1654
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,656.71
|
$114,656.71
|
$114,656.71
|
2026-04-01
|
|
6903
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,650.89
|
$114,650.89
|
$114,650.89
|
2026-04-01
|
|
3214
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,452.92
|
$114,452.92
|
$114,452.92
|
2026-04-01
|
|
5104
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,340.35
|
$114,340.35
|
$114,340.35
|
2026-04-01
|
|
1781
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$114,272.42
|
$114,272.42
|
$114,272.42
|
2026-04-01
|
|
3032
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$113,851.26
|
$113,851.26
|
$113,851.26
|
2026-04-01
|
|
5912
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$113,232.14
|
$113,232.14
|
$113,232.14
|
2026-04-01
|
|
5891
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$112,680.94
|
$112,680.94
|
$112,680.94
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$112,341.97
|
$112,341.97
|
$112,341.97
|
2026-04-01
|
|
1814
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$112,327.71
|
$112,327.71
|
$112,327.71
|
2026-04-01
|
|
4014
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$112,021.06
|
$112,021.06
|
$112,021.06
|
2026-04-01
|
|
9103
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,780.39
|
$111,780.39
|
$111,780.39
|
2026-04-01
|
|
6514
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$111,314.59
|
$111,314.59
|
$111,314.59
|
2026-04-01
|
|
4054
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,852.67
|
$110,852.67
|
$110,852.67
|
2026-04-01
|
|
1833
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,322.83
|
$110,322.83
|
$110,322.83
|
2026-04-01
|
|
4044
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$110,086.05
|
$110,086.05
|
$110,086.05
|
2026-04-01
|
|
1622
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,609.07
|
$108,609.07
|
$108,609.07
|
2026-04-01
|
|
1204
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$108,463.51
|
$108,463.51
|
$108,463.51
|
2026-04-01
|
|
2644
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$107,834.68
|
$107,834.68
|
$107,834.68
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
6
|
6
|
—
|
—
|
$106,945.53
|
$291,329.98
|
$106,945.53
|
2026-04-01
|
|
2294
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$105,160.21
|
$105,160.21
|
$105,160.21
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$102,959.30
|
$102,959.30
|
$102,959.30
|
2026-04-01
|
|
9123
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$102,904.96
|
$102,904.96
|
$102,904.96
|
2026-04-01
|
|
51
|
MS_DRG
|
Salivary Gland Procedures Except Sialoadenectomy
|
1
|
1
|
—
|
—
|
$101,930.66
|
$101,930.66
|
$101,930.66
|
2026-04-01
|
|
1704
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,806.45
|
$101,806.45
|
$101,806.45
|
2026-04-01
|
|
6333
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$101,148.50
|
$101,148.50
|
$101,148.50
|
2026-04-01
|
|
4401
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,898.14
|
$100,898.14
|
$100,898.14
|
2026-04-01
|
|
4424
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$100,275.13
|
$100,275.13
|
$100,275.13
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
5
|
5
|
—
|
—
|
$99,987.44
|
$134,990.36
|
$99,987.44
|
2026-04-01
|
|
1621
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,871.44
|
$99,871.44
|
$99,871.44
|
2026-04-01
|
|
6504
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,312.48
|
$99,312.48
|
$99,312.48
|
2026-04-01
|
|
1832
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$99,017.47
|
$99,017.47
|
$99,017.47
|
2026-04-01
|
|
8633
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$98,992.24
|
$98,992.24
|
$98,992.24
|
2026-04-01
|
|
893
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$98,637.07
|
$98,637.07
|
$98,637.07
|
2026-04-01
|
|
3644
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,744.28
|
$97,744.28
|
$97,744.28
|
2026-04-01
|
|
924
|
MS_DRG
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,567.67
|
$97,567.67
|
$97,567.67
|
2026-04-01
|
|
6082
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$97,328.94
|
$97,328.94
|
$97,328.94
|
2026-04-01
|
|
7104
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,824.33
|
$96,824.33
|
$96,824.33
|
2026-04-01
|
|
6133
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,278.95
|
$96,278.95
|
$96,278.95
|
2026-04-01
|
|
1633
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$96,273.13
|
$96,273.13
|
$96,273.13
|
2026-04-01
|
|
4474
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,974.24
|
$95,974.24
|
$95,974.24
|
2026-04-01
|
|
1673
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,688.94
|
$95,688.94
|
$95,688.94
|
2026-04-01
|
|
3094
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$95,520.09
|
$95,520.09
|
$95,520.09
|
2026-04-01
|
|
3134
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$94,904.84
|
$94,904.84
|
$94,904.84
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
2
|
—
|
—
|
$69,113.10
|
$120,116.70
|
$94,614.90
|
2026-04-01
|
|
112
|
MS_DRG
|
No Longer Valid
|
1
|
1
|
—
|
—
|
$94,582.66
|
$94,582.66
|
$94,582.66
|
2026-04-01
|
|
7934
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$94,015.94
|
$94,015.94
|
$94,015.94
|
2026-04-01
|
|
2324
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,967.42
|
$93,967.42
|
$93,967.42
|
2026-04-01
|
|
6344
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,757.81
|
$93,757.81
|
$93,757.81
|
2026-04-01
|
|
2224
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,744.22
|
$93,744.22
|
$93,744.22
|
2026-04-01
|
|
5892
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,542.38
|
$93,542.38
|
$93,542.38
|
2026-04-01
|
|
6143
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$93,018.35
|
$93,018.35
|
$93,018.35
|
2026-04-01
|
|
3234
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,872.79
|
$92,872.79
|
$92,872.79
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$92,789.23
|
$340,179.68
|
$92,789.23
|
2026-04-01
|
|
2204
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$92,022.70
|
$92,022.70
|
$92,022.70
|
2026-04-01
|
|
1831
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,894.61
|
$91,894.61
|
$91,894.61
|
2026-04-01
|
|
1693
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,733.52
|
$91,733.52
|
$91,733.52
|
2026-04-01
|
|
5124
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,657.83
|
$91,657.83
|
$91,657.83
|
2026-04-01
|
|
3464
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,362.82
|
$91,362.82
|
$91,362.82
|
2026-04-01
|
|
1824
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$91,133.80
|
$91,133.80
|
$91,133.80
|
2026-04-01
|
|
2234
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$90,099.34
|
$90,099.34
|
$90,099.34
|
2026-04-01
|
|
6234
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,433.63
|
$89,433.63
|
$89,433.63
|
2026-04-01
|
|
3624
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,152.21
|
$89,152.21
|
$89,152.21
|
2026-04-01
|
|
6614
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$89,010.53
|
$89,010.53
|
$89,010.53
|
2026-04-01
|
|
3154
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$88,942.60
|
$88,942.60
|
$88,942.60
|
2026-04-01
|
|
8503
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$88,816.45
|
$88,816.45
|
$88,816.45
|
2026-04-01
|
|
6224
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$88,707.76
|
$88,707.76
|
$88,707.76
|
2026-04-01
|
|
4034
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$88,688.35
|
$88,688.35
|
$88,688.35
|
2026-04-01
|
|
2274
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$88,193.44
|
$88,193.44
|
$88,193.44
|
2026-04-01
|
|
5144
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,985.77
|
$87,985.77
|
$87,985.77
|
2026-04-01
|
|
7114
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,683.00
|
$87,683.00
|
$87,683.00
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
5
|
5
|
—
|
—
|
$87,491.91
|
$113,832.62
|
$87,491.91
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
4
|
4
|
—
|
—
|
$87,391.53
|
$87,391.53
|
$87,391.53
|
2026-04-01
|
|
1214
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$87,106.57
|
$87,106.57
|
$87,106.57
|
2026-04-01
|
|
6213
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,887.26
|
$86,887.26
|
$86,887.26
|
2026-04-01
|
|
4844
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,281.72
|
$86,281.72
|
$86,281.72
|
2026-04-01
|
|
3031
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,161.38
|
$86,161.38
|
$86,161.38
|
2026-04-01
|
|
7524
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$86,112.86
|
$86,112.86
|
$86,112.86
|
2026-04-01
|
|
2244
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,854.73
|
$85,854.73
|
$85,854.73
|
2026-04-01
|
|
6092
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,406.40
|
$85,406.40
|
$85,406.40
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
5
|
5
|
—
|
—
|
$85,093.79
|
$108,274.09
|
$85,093.79
|
2026-04-01
|
|
4804
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$85,066.75
|
$85,066.75
|
$85,066.75
|
2026-04-01
|
|
3043
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$84,418.52
|
$84,418.52
|
$84,418.52
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
6
|
6
|
—
|
—
|
$46,294.71
|
$112,524.85
|
$83,958.04
|
2026-04-01
|
|
3054
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$83,502.44
|
$83,502.44
|
$83,502.44
|
2026-04-01
|
|
3104
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$83,401.52
|
$83,401.52
|
$83,401.52
|
2026-04-01
|
|
6254
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$82,390.34
|
$82,390.34
|
$82,390.34
|
2026-04-01
|
|
1793
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$82,376.76
|
$82,376.76
|
$82,376.76
|
2026-04-01
|
|
6223
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$81,988.59
|
$81,988.59
|
$81,988.59
|
2026-04-01
|
|
1653
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$81,813.92
|
$81,813.92
|
$81,813.92
|
2026-04-01
|
|
8423
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$81,689.70
|
$81,689.70
|
$81,689.70
|
2026-04-01
|
|
6091
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$81,136.57
|
$81,136.57
|
$81,136.57
|
2026-04-01
|
|
3244
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$80,521.32
|
$80,521.32
|
$80,521.32
|
2026-04-01
|
|
3224
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$80,263.19
|
$80,263.19
|
$80,263.19
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$79,606.53
|
$109,999.19
|
$79,606.53
|
2026-04-01
|
|
6944
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$79,079.28
|
$79,079.28
|
$79,079.28
|
2026-04-01
|
|
9524
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$78,980.30
|
$78,980.30
|
$78,980.30
|
2026-04-01
|
|
9514
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$78,970.59
|
$78,970.59
|
$78,970.59
|
2026-04-01
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
1
|
1
|
—
|
—
|
$78,689.17
|
$78,689.17
|
$78,689.17
|
2026-04-01
|
|
4434
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$78,613.48
|
$78,613.48
|
$78,613.48
|
2026-04-01
|
|
6222
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$78,211.73
|
$78,211.73
|
$78,211.73
|
2026-04-01
|
|
1203
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$77,874.02
|
$77,874.02
|
$77,874.02
|
2026-04-01
|
|
4834
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$77,625.60
|
$77,625.60
|
$77,625.60
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
5
|
5
|
—
|
—
|
$76,877.19
|
$109,437.24
|
$76,877.19
|
2026-04-01
|
|
6924
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$76,818.21
|
$76,818.21
|
$76,818.21
|
2026-04-01
|
|
3204
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$76,614.42
|
$76,614.42
|
$76,614.42
|
2026-04-01
|
|
1714
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$76,078.75
|
$76,078.75
|
$76,078.75
|
2026-04-01
|
|
403
|
MS_DRG
|
Lymphoma & Non-acute Leukemia W Cc
|
1
|
1
|
—
|
—
|
$75,919.60
|
$75,919.60
|
$75,919.60
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
5
|
—
|
—
|
$75,532.20
|
$99,687.86
|
$75,532.20
|
2026-04-01
|
|
1394
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$75,294.66
|
$75,294.66
|
$75,294.66
|
2026-04-01
|
|
1302
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$75,061.75
|
$75,061.75
|
$75,061.75
|
2026-04-01
|
|
4444
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$74,902.61
|
$74,902.61
|
$74,902.61
|
2026-04-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$74,614.73
|
$74,614.73
|
$74,614.73
|
2026-04-01
|
|
9102
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$74,539.67
|
$74,539.67
|
$74,539.67
|
2026-04-01
|
|
9503
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$74,456.21
|
$74,456.21
|
$74,456.21
|
2026-04-01
|
|
1804
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$74,201.97
|
$74,201.97
|
$74,201.97
|
2026-04-01
|
|
1301
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$74,036.99
|
$74,036.99
|
$74,036.99
|
2026-04-01
|
|
1774
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$73,870.08
|
$73,870.08
|
$73,870.08
|
2026-04-01
|
|
4454
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$73,866.20
|
$73,866.20
|
$73,866.20
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
2
|
2
|
—
|
—
|
$55,272.32
|
$91,635.23
|
$73,453.77
|
2026-04-01
|
|
1602
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$73,293.66
|
$73,293.66
|
$73,293.66
|
2026-04-01
|
|
3174
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$72,792.92
|
$72,792.92
|
$72,792.92
|
2026-04-01
|
|
6032
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$72,594.95
|
$72,594.95
|
$72,594.95
|
2026-04-01
|
|
8502
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$72,449.39
|
$72,449.39
|
$72,449.39
|
2026-04-01
|
|
1703
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$72,404.75
|
$72,404.75
|
$72,404.75
|
2026-04-01
|
|
1652
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$72,222.31
|
$72,222.31
|
$72,222.31
|
2026-04-01
|
|
3634
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$72,047.64
|
$72,047.64
|
$72,047.64
|
2026-04-01
|
|
3253
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$71,477.03
|
$71,477.03
|
$71,477.03
|
2026-04-01
|
|
3164
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$71,345.06
|
$71,345.06
|
$71,345.06
|
2026-04-01
|
|
6364
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$71,327.59
|
$71,327.59
|
$71,327.59
|
2026-04-01
|
|
1663
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,892.84
|
$70,892.84
|
$70,892.84
|
2026-04-01
|
|
1763
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,805.51
|
$70,805.51
|
$70,805.51
|
2026-04-01
|
|
3123
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,681.29
|
$70,681.29
|
$70,681.29
|
2026-04-01
|
|
9101
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,502.74
|
$70,502.74
|
$70,502.74
|
2026-04-01
|
|
3084
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,456.16
|
$70,456.16
|
$70,456.16
|
2026-04-01
|
|
2414
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,370.76
|
$70,370.76
|
$70,370.76
|
2026-04-01
|
|
1692
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$70,201.91
|
$70,201.91
|
$70,201.91
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
3
|
3
|
—
|
—
|
$56,824.55
|
$93,760.51
|
$70,144.88
|
2026-04-01
|
|
1672
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$69,877.79
|
$69,877.79
|
$69,877.79
|
2026-04-01
|
|
1744
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$69,854.50
|
$69,854.50
|
$69,854.50
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
5
|
5
|
—
|
—
|
$69,562.39
|
$86,151.53
|
$69,562.39
|
2026-04-01
|
|
6121
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$69,479.92
|
$69,479.92
|
$69,479.92
|
2026-04-01
|
|
4694
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$69,140.27
|
$69,140.27
|
$69,140.27
|
2026-04-01
|
|
6914
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$69,027.70
|
$69,027.70
|
$69,027.70
|
2026-04-01
|
|
5134
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$68,907.37
|
$68,907.37
|
$68,907.37
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
1
|
1
|
—
|
—
|
$68,801.71
|
$68,801.71
|
$68,801.71
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
3
|
3
|
—
|
—
|
$63,342.28
|
$104,613.37
|
$68,604.67
|
2026-04-01
|
|
3042
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$68,540.55
|
$68,540.55
|
$68,540.55
|
2026-04-01
|
|
7923
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$68,282.42
|
$68,282.42
|
$68,282.42
|
2026-04-01
|
|
3264
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$68,272.72
|
$68,272.72
|
$68,272.72
|
2026-04-01
|
|
6112
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,869.02
|
$67,869.02
|
$67,869.02
|
2026-04-01
|
|
1813
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,665.24
|
$67,665.24
|
$67,665.24
|
2026-04-01
|
|
1213
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,379.93
|
$67,379.93
|
$67,379.93
|
2026-04-01
|
|
1671
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,224.67
|
$67,224.67
|
$67,224.67
|
2026-04-01
|
|
6233
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,181.97
|
$67,181.97
|
$67,181.97
|
2026-04-01
|
|
7204
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,094.63
|
$67,094.63
|
$67,094.63
|
2026-04-01
|
|
5484
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$67,024.76
|
$67,024.76
|
$67,024.76
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
6
|
5
|
—
|
—
|
$66,859.30
|
$95,151.99
|
$66,859.30
|
2026-04-01
|
|
2634
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$66,801.57
|
$66,801.57
|
$66,801.57
|
2026-04-01
|
|
4013
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$66,718.11
|
$66,718.11
|
$66,718.11
|
2026-04-01
|
|
2334
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$66,386.23
|
$66,386.23
|
$66,386.23
|
2026-04-01
|
|
6312
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$66,384.29
|
$66,384.29
|
$66,384.29
|
2026-04-01
|
|
9113
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$66,180.50
|
$66,180.50
|
$66,180.50
|
2026-04-01
|
|
1601
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$65,906.84
|
$65,906.84
|
$65,906.84
|
2026-04-01
|
|
2484
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$65,714.70
|
$65,714.70
|
$65,714.70
|
2026-04-01
|
|
6031
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$65,334.29
|
$65,334.29
|
$65,334.29
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
6
|
6
|
—
|
—
|
$26,410.87
|
$87,529.54
|
$65,086.57
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
5
|
5
|
—
|
—
|
$64,881.97
|
$87,479.96
|
$64,881.97
|
2026-04-01
|
|
1324
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,730.70
|
$64,730.70
|
$64,730.70
|
2026-04-01
|
|
6913
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,730.70
|
$64,730.70
|
$64,730.70
|
2026-04-01
|
|
6803
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,410.46
|
$64,410.46
|
$64,410.46
|
2026-04-01
|
|
3213
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,394.93
|
$64,394.93
|
$64,394.93
|
2026-04-01
|
|
1632
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,090.22
|
$64,090.22
|
$64,090.22
|
2026-04-01
|
|
2064
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,084.40
|
$64,084.40
|
$64,084.40
|
2026-04-01
|
|
7514
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,080.52
|
$64,080.52
|
$64,080.52
|
2026-04-01
|
|
1823
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$64,041.70
|
$64,041.70
|
$64,041.70
|
2026-04-01
|
|
4274
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$63,971.83
|
$63,971.83
|
$63,971.83
|
2026-04-01
|
|
1754
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$63,847.62
|
$63,847.62
|
$63,847.62
|
2026-04-01
|
|
111
|
MS_DRG
|
Major Cardiovascular Procedures Without Cc
|
1
|
1
|
—
|
—
|
$63,744.75
|
$63,744.75
|
$63,744.75
|
2026-04-01
|
|
8513
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$63,441.98
|
$63,441.98
|
$63,441.98
|
2026-04-01
|
|
6142
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$63,430.34
|
$63,430.34
|
$63,430.34
|
2026-04-01
|
|
5893
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$63,098.45
|
$63,098.45
|
$63,098.45
|
2026-04-01
|
|
2284
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$62,848.09
|
$62,848.09
|
$62,848.09
|
2026-04-01
|
|
2264
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$62,415.28
|
$62,415.28
|
$62,415.28
|
2026-04-01
|
|
3093
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$62,232.84
|
$62,232.84
|
$62,232.84
|
2026-04-01
|
|
7504
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$62,215.37
|
$62,215.37
|
$62,215.37
|
2026-04-01
|
|
2344
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$62,188.20
|
$62,188.20
|
$62,188.20
|
2026-04-01
|
|
1792
|
OTHER
|
Description Not Available
|
1
|
1
|
—
|
—
|
$62,021.29
|
$62,021.29
|
$62,021.29
|
2026-04-01
|