|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
4
|
4
|
—
|
—
|
$1,550,150.00
|
$4,866,750.00
|
$3,208,450.00
|
2025-07-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
5
|
—
|
—
|
$1,002,760.00
|
$4,477,440.00
|
$3,148,200.00
|
2025-07-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
4
|
4
|
—
|
—
|
$1,412,980.00
|
$4,436,100.00
|
$2,924,540.00
|
2025-07-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
4
|
4
|
—
|
—
|
$1,276,240.00
|
$4,006,800.00
|
$2,641,520.00
|
2025-07-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
5
|
4
|
—
|
—
|
$1,579,347.00
|
$4,958,415.00
|
$1,780,800.00
|
2025-07-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
5
|
4
|
—
|
—
|
$1,429,945.55
|
$4,489,363.93
|
$1,582,080.00
|
2025-07-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
6
|
5
|
—
|
—
|
$226,663.07
|
$1,058,531.21
|
$477,535.33
|
2025-07-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
17
|
16
|
—
|
—
|
$233,494.66
|
$537,520.54
|
$380,371.30
|
2025-07-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
17
|
16
|
—
|
—
|
$171,740.36
|
$401,482.78
|
$284,105.47
|
2025-07-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
17
|
16
|
—
|
—
|
$151,707.31
|
$338,121.07
|
$239,268.16
|
2025-07-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
17
|
16
|
—
|
—
|
$135,119.75
|
$305,464.59
|
$216,159.12
|
2025-07-01
|
|
5884
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$180,147.36
|
$187,353.25
|
$180,147.36
|
2025-07-01
|
|
5834
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$174,289.44
|
$181,261.02
|
$174,289.44
|
2025-07-01
|
|
5833
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$174,289.44
|
$181,261.02
|
$174,289.44
|
2025-07-01
|
|
5832
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$165,819.96
|
$172,452.76
|
$165,819.96
|
2025-07-01
|
|
5831
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$165,819.96
|
$172,452.76
|
$165,819.96
|
2025-07-01
|
|
1614
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$165,180.29
|
$171,787.50
|
$165,180.29
|
2025-07-01
|
|
0024
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$145,360.37
|
$151,174.78
|
$145,360.37
|
2025-07-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
17
|
16
|
—
|
—
|
$90,361.35
|
$201,394.89
|
$142,515.18
|
2025-07-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
17
|
16
|
—
|
—
|
$72,634.71
|
$186,739.96
|
$132,144.75
|
2025-07-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
17
|
16
|
—
|
—
|
$77,739.66
|
$186,269.61
|
$131,811.92
|
2025-07-01
|
|
1613
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$127,999.69
|
$133,119.68
|
$127,999.69
|
2025-07-01
|
|
1612
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$127,999.69
|
$133,119.68
|
$127,999.69
|
2025-07-01
|
|
1611
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$127,999.69
|
$133,119.68
|
$127,999.69
|
2025-07-01
|
|
0074
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$124,360.05
|
$129,334.45
|
$124,360.05
|
2025-07-01
|
|
8413
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$115,808.28
|
$120,440.61
|
$115,808.28
|
2025-07-01
|
|
8414
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$115,808.28
|
$120,440.61
|
$115,808.28
|
2025-07-01
|
|
8412
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$115,808.28
|
$120,440.61
|
$115,808.28
|
2025-07-01
|
|
8411
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$115,808.28
|
$120,440.61
|
$115,808.28
|
2025-07-01
|
|
6094
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$115,799.46
|
$120,431.44
|
$115,799.46
|
2025-07-01
|
|
6304
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$112,403.74
|
$116,899.89
|
$112,403.74
|
2025-07-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
17
|
16
|
—
|
—
|
$70,470.98
|
$157,063.78
|
$111,144.69
|
2025-07-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
17
|
16
|
—
|
—
|
$68,260.50
|
$155,270.76
|
$109,875.88
|
2025-07-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
17
|
16
|
—
|
—
|
$65,594.26
|
$151,785.90
|
$107,409.85
|
2025-07-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
17
|
16
|
—
|
—
|
$64,737.42
|
$151,007.68
|
$106,859.15
|
2025-07-01
|
|
6314
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$99,300.82
|
$103,272.85
|
$99,300.82
|
2025-07-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
16
|
—
|
—
|
$61,508.41
|
$137,557.13
|
$97,340.99
|
2025-07-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$91,389.88
|
$91,389.88
|
$91,389.88
|
2025-07-01
|
|
5883
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$91,356.88
|
$95,011.16
|
$91,356.88
|
2025-07-01
|
|
5881
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$86,934.06
|
$90,411.42
|
$86,934.06
|
2025-07-01
|
|
5882
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$86,934.06
|
$90,411.42
|
$86,934.06
|
2025-07-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
17
|
16
|
—
|
—
|
$51,430.97
|
$120,778.50
|
$85,467.76
|
2025-07-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
16
|
—
|
—
|
$53,422.25
|
$120,711.51
|
$85,420.35
|
2025-07-01
|
|
5934
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$84,271.55
|
$87,642.41
|
$84,271.55
|
2025-07-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
17
|
16
|
—
|
—
|
$51,550.73
|
$114,894.86
|
$81,304.25
|
2025-07-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
17
|
16
|
—
|
—
|
$30,506.72
|
$113,639.17
|
$80,415.68
|
2025-07-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$80,367.97
|
$80,367.97
|
$80,367.97
|
2025-07-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
17
|
16
|
—
|
—
|
$50,659.69
|
$112,987.81
|
$79,954.75
|
2025-07-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
17
|
16
|
—
|
—
|
$49,430.82
|
$111,407.15
|
$78,836.21
|
2025-07-01
|
|
5914
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$78,284.33
|
$81,415.70
|
$78,284.33
|
2025-07-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
16
|
—
|
—
|
$48,870.58
|
$110,282.59
|
$78,040.43
|
2025-07-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
17
|
16
|
—
|
—
|
$45,836.76
|
$106,387.24
|
$75,283.92
|
2025-07-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$72,767.35
|
$72,767.35
|
$72,767.35
|
2025-07-01
|
|
1604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$72,069.36
|
$74,952.13
|
$72,069.36
|
2025-07-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
17
|
16
|
—
|
—
|
$44,590.16
|
$100,725.95
|
$71,277.76
|
2025-07-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
17
|
16
|
—
|
—
|
$44,140.82
|
$99,150.99
|
$70,163.26
|
2025-07-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
17
|
16
|
—
|
—
|
$38,597.31
|
$97,323.76
|
$68,870.23
|
2025-07-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
17
|
16
|
—
|
—
|
$42,711.57
|
$95,194.36
|
$67,363.39
|
2025-07-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
17
|
16
|
—
|
—
|
$42,639.30
|
$95,033.30
|
$67,249.41
|
2025-07-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
17
|
16
|
—
|
—
|
$41,357.74
|
$92,177.00
|
$65,228.18
|
2025-07-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
16
|
—
|
—
|
$40,340.79
|
$92,044.45
|
$65,134.38
|
2025-07-01
|
|
0022
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,830.73
|
$67,423.96
|
$64,830.73
|
2025-07-01
|
|
0021
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,830.73
|
$67,423.96
|
$64,830.73
|
2025-07-01
|
|
0023
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,830.73
|
$67,423.96
|
$64,830.73
|
2025-07-01
|
|
0094
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,727.87
|
$67,316.98
|
$64,727.87
|
2025-07-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$40,443.90
|
$90,140.25
|
$63,786.89
|
2025-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
17
|
16
|
—
|
—
|
$39,357.83
|
$88,288.78
|
$62,476.72
|
2025-07-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
17
|
16
|
—
|
—
|
$39,381.69
|
$87,772.82
|
$62,111.61
|
2025-07-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$61,968.75
|
$61,968.75
|
$61,968.75
|
2025-07-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
17
|
16
|
—
|
—
|
$39,244.20
|
$87,466.39
|
$61,894.76
|
2025-07-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
17
|
16
|
—
|
—
|
$37,699.91
|
$87,067.30
|
$61,612.35
|
2025-07-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
17
|
16
|
—
|
—
|
$38,191.07
|
$86,651.11
|
$61,317.84
|
2025-07-01
|
|
0073
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,061.78
|
$63,504.25
|
$61,061.78
|
2025-07-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
17
|
16
|
—
|
—
|
$38,599.58
|
$86,029.68
|
$60,878.09
|
2025-07-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
17
|
16
|
—
|
—
|
$38,599.58
|
$86,029.68
|
$60,878.09
|
2025-07-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
17
|
16
|
—
|
—
|
$38,311.17
|
$85,386.87
|
$60,423.21
|
2025-07-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
17
|
16
|
—
|
—
|
$36,103.46
|
$84,795.37
|
$60,004.64
|
2025-07-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
17
|
16
|
—
|
—
|
$37,268.95
|
$83,867.50
|
$59,348.04
|
2025-07-01
|
|
0044
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$58,846.94
|
$61,200.82
|
$58,846.94
|
2025-07-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$37,233.61
|
$82,985.24
|
$58,723.72
|
2025-07-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$58,496.88
|
$58,496.88
|
$58,496.88
|
2025-07-01
|
|
6024
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$57,905.56
|
$60,221.78
|
$57,905.56
|
2025-07-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
16
|
—
|
—
|
$36,703.46
|
$81,803.67
|
$57,887.59
|
2025-07-01
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
6
|
5
|
—
|
—
|
$27,242.55
|
$121,731.92
|
$57,596.47
|
2025-07-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
17
|
16
|
—
|
—
|
$35,926.64
|
$81,314.79
|
$57,541.64
|
2025-07-01
|
|
6074
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$57,275.69
|
$59,566.72
|
$57,275.69
|
2025-07-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
17
|
16
|
—
|
—
|
$34,309.29
|
$79,454.77
|
$56,225.42
|
2025-07-01
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$35,347.08
|
$78,780.61
|
$55,748.35
|
2025-07-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
17
|
16
|
—
|
—
|
$35,347.08
|
$78,780.61
|
$55,748.35
|
2025-07-01
|
|
8504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$55,483.05
|
$57,702.37
|
$55,483.05
|
2025-07-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
10
|
—
|
—
|
$38,017.00
|
$84,136.75
|
$55,482.82
|
2025-07-01
|
|
0452T
|
HCPCS
|
Insj/rplcmt Dev Vasc Seal
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33982
|
HCPCS
|
Replace Vad Intra Without Bp
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
0451T
|
HCPCS
|
Insj/rplcmt Aortic Ventr Sys
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33991
|
HCPCS
|
Insj Perq Vad L Hrt Artl&ven
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
0453T
|
HCPCS
|
Insj/rplcmt Mech-elec Ntrfce
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33975
|
HCPCS
|
Implant Ventricular Device
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
0459T
|
HCPCS
|
Relocaj Rplcmt Aortic Ventr
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
0454T
|
HCPCS
|
Insj/rplcmt Subq Electrode
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33983
|
HCPCS
|
Replace Vad Intra W/bp
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33995
|
HCPCS
|
Insj Perq Vad R Hrt Venous
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33979
|
HCPCS
|
Insert Intracorporeal Device
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33981
|
HCPCS
|
Replace Vad Pump Ext
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
33976
|
HCPCS
|
Implant Ventricular Device
|
7
|
7
|
—
|
—
|
$54,884.12
|
$54,884.12
|
$54,884.12
|
2025-07-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
17
|
16
|
—
|
—
|
$33,346.60
|
$77,552.00
|
$54,878.93
|
2025-07-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
17
|
16
|
—
|
—
|
$34,716.54
|
$77,375.26
|
$54,753.87
|
2025-07-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
16
|
—
|
—
|
$34,539.40
|
$76,980.45
|
$54,474.49
|
2025-07-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
17
|
16
|
—
|
—
|
$32,678.62
|
$76,907.76
|
$54,423.05
|
2025-07-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
17
|
16
|
—
|
—
|
$34,502.94
|
$76,899.21
|
$54,417.00
|
2025-07-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$53,975.58
|
$53,975.58
|
$53,975.58
|
2025-07-01
|
|
3034
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$53,822.65
|
$55,975.56
|
$53,822.65
|
2025-07-01
|
|
8514
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$53,717.35
|
$55,866.04
|
$53,717.35
|
2025-07-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
17
|
16
|
—
|
—
|
$32,942.26
|
$75,828.81
|
$53,659.54
|
2025-07-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
16
|
—
|
—
|
$33,238.23
|
$75,493.87
|
$53,422.52
|
2025-07-01
|
|
5933
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$52,998.82
|
$55,118.77
|
$52,998.82
|
2025-07-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
17
|
16
|
—
|
—
|
$32,048.66
|
$73,160.65
|
$51,771.44
|
2025-07-01
|
|
0014
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$51,736.14
|
$53,805.59
|
$51,736.14
|
2025-07-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
17
|
16
|
—
|
—
|
$32,579.97
|
$72,613.33
|
$51,384.14
|
2025-07-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
17
|
16
|
—
|
—
|
$32,188.72
|
$72,390.99
|
$51,226.79
|
2025-07-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
17
|
16
|
—
|
—
|
$30,463.62
|
$71,790.94
|
$50,802.17
|
2025-07-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
17
|
16
|
—
|
—
|
$30,145.48
|
$71,367.62
|
$50,502.62
|
2025-07-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
17
|
16
|
—
|
—
|
$28,268.28
|
$71,312.03
|
$50,463.28
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$31,683.61
|
$71,283.53
|
$50,443.11
|
2025-07-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
17
|
16
|
—
|
—
|
$31,868.20
|
$71,026.97
|
$50,261.56
|
2025-07-01
|
|
6303
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$50,050.27
|
$52,052.28
|
$50,050.27
|
2025-07-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
17
|
16
|
—
|
—
|
$28,718.25
|
$69,651.56
|
$49,288.26
|
2025-07-01
|
|
0084
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$49,144.16
|
$51,109.93
|
$49,144.16
|
2025-07-01
|
|
0071
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$49,023.67
|
$50,984.62
|
$49,023.67
|
2025-07-01
|
|
0072
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$49,023.67
|
$50,984.62
|
$49,023.67
|
2025-07-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
17
|
16
|
—
|
—
|
$31,062.43
|
$69,231.10
|
$48,990.73
|
2025-07-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
17
|
16
|
—
|
—
|
$30,654.39
|
$69,115.65
|
$48,909.03
|
2025-07-01
|
|
6334
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$48,816.98
|
$50,769.66
|
$48,816.98
|
2025-07-01
|
|
8424
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$48,771.92
|
$50,722.80
|
$48,771.92
|
2025-07-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
17
|
16
|
—
|
—
|
$27,814.50
|
$68,065.20
|
$48,165.69
|
2025-07-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$48,023.67
|
$48,023.67
|
$48,023.67
|
2025-07-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
17
|
16
|
—
|
—
|
$30,406.95
|
$67,770.16
|
$47,956.91
|
2025-07-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
17
|
16
|
—
|
—
|
$30,042.81
|
$67,757.34
|
$47,947.84
|
2025-07-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
1
|
1
|
—
|
—
|
$47,730.56
|
$47,730.56
|
$47,730.56
|
2025-07-01
|
|
6093
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$47,489.64
|
$49,389.23
|
$47,489.64
|
2025-07-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
17
|
16
|
—
|
—
|
$30,086.56
|
$67,056.09
|
$47,451.60
|
2025-07-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
17
|
16
|
—
|
—
|
$28,531.29
|
$66,696.91
|
$47,197.44
|
2025-07-01
|
|
6023
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$46,951.36
|
$48,829.41
|
$46,951.36
|
2025-07-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
17
|
16
|
—
|
—
|
$29,748.90
|
$66,303.53
|
$46,919.06
|
2025-07-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
17
|
16
|
—
|
—
|
$29,475.83
|
$65,694.93
|
$46,488.39
|
2025-07-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
17
|
16
|
—
|
—
|
$28,503.40
|
$65,667.85
|
$46,469.23
|
2025-07-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
16
|
—
|
—
|
$29,369.68
|
$65,458.33
|
$46,320.96
|
2025-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
17
|
16
|
—
|
—
|
$28,625.72
|
$65,448.35
|
$46,313.90
|
2025-07-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$28,065.47
|
$64,303.83
|
$45,504.00
|
2025-07-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
17
|
16
|
—
|
—
|
$27,269.47
|
$63,920.43
|
$45,232.68
|
2025-07-01
|
|
6091
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,207.21
|
$47,015.50
|
$45,207.21
|
2025-07-01
|
|
6092
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,207.21
|
$47,015.50
|
$45,207.21
|
2025-07-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
17
|
16
|
—
|
—
|
$27,986.89
|
$63,743.69
|
$45,107.62
|
2025-07-01
|
|
6114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,055.38
|
$46,857.60
|
$45,055.38
|
2025-07-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
1
|
1
|
—
|
—
|
$44,935.61
|
$44,935.61
|
$44,935.61
|
2025-07-01
|
|
1834
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,849.66
|
$46,643.65
|
$44,849.66
|
2025-07-01
|
|
0043
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,764.44
|
$46,555.02
|
$44,764.44
|
2025-07-01
|
|
8634
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,700.28
|
$46,488.29
|
$44,700.28
|
2025-07-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
17
|
16
|
—
|
—
|
$27,427.91
|
$63,147.92
|
$44,686.02
|
2025-07-01
|
|
1784
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,685.58
|
$46,473.00
|
$44,685.58
|
2025-07-01
|
|
6904
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,513.67
|
$46,294.22
|
$44,513.67
|
2025-07-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
17
|
16
|
—
|
—
|
$27,644.02
|
$62,610.58
|
$44,305.78
|
2025-07-01
|
|
6214
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,254.57
|
$46,024.75
|
$44,254.57
|
2025-07-01
|
|
5913
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$43,684.94
|
$45,432.34
|
$43,684.94
|
2025-07-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
17
|
16
|
—
|
—
|
$19,215.63
|
$61,671.31
|
$43,641.11
|
2025-07-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
16
|
—
|
—
|
$27,613.61
|
$61,544.45
|
$43,551.35
|
2025-07-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$27,116.73
|
$60,799.02
|
$43,023.85
|
2025-07-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
17
|
16
|
—
|
—
|
$26,237.71
|
$60,709.23
|
$42,960.31
|
2025-07-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
17
|
16
|
—
|
—
|
$23,944.12
|
$60,278.79
|
$42,655.71
|
2025-07-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
17
|
16
|
—
|
—
|
$26,089.41
|
$59,728.62
|
$42,266.39
|
2025-07-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
17
|
16
|
—
|
—
|
$23,436.48
|
$59,714.37
|
$42,256.31
|
2025-07-01
|
|
6124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$42,164.13
|
$43,850.70
|
$42,164.13
|
2025-07-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
17
|
16
|
—
|
—
|
$26,355.58
|
$59,302.46
|
$41,964.82
|
2025-07-01
|
|
0054
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$41,754.67
|
$43,424.86
|
$41,754.67
|
2025-07-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
17
|
16
|
—
|
—
|
$25,611.55
|
$58,609.76
|
$41,474.64
|
2025-07-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
17
|
16
|
—
|
—
|
$25,634.36
|
$58,576.98
|
$41,451.44
|
2025-07-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Cc
|
17
|
16
|
—
|
—
|
$25,381.49
|
$58,490.04
|
$41,389.92
|
2025-07-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$24,785.76
|
$57,972.65
|
$41,023.80
|
2025-07-01
|
|
3033
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$40,548.31
|
$42,170.24
|
$40,548.31
|
2025-07-01
|
|
6073
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$40,462.60
|
$42,081.10
|
$40,462.60
|
2025-07-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
17
|
16
|
—
|
—
|
$23,572.74
|
$56,779.68
|
$40,179.60
|
2025-07-01
|
|
739
|
MS_DRG
|
Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
17
|
16
|
—
|
—
|
$22,918.70
|
$56,739.77
|
$40,151.36
|
2025-07-01
|
|
5894
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,917.95
|
$41,514.67
|
$39,917.95
|
2025-07-01
|
|
5893
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,917.95
|
$41,514.67
|
$39,917.95
|
2025-07-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$25,232.75
|
$56,238.06
|
$39,796.33
|
2025-07-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
17
|
16
|
—
|
—
|
$24,635.56
|
$56,122.61
|
$39,714.63
|
2025-07-01
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
17
|
16
|
—
|
—
|
$24,697.67
|
$55,733.51
|
$39,439.29
|
2025-07-01
|
|
6814
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,275.34
|
$40,846.35
|
$39,275.34
|
2025-07-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
17
|
16
|
—
|
—
|
$24,725.55
|
$55,425.64
|
$39,221.43
|
2025-07-01
|
|
6954
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,055.42
|
$40,617.64
|
$39,055.42
|
2025-07-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
17
|
16
|
—
|
—
|
$24,716.68
|
$55,087.85
|
$38,982.39
|
2025-07-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
17
|
16
|
—
|
—
|
$20,636.53
|
$55,032.26
|
$38,943.05
|
2025-07-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$24,622.67
|
$54,878.33
|
$38,834.13
|
2025-07-01
|
|
1634
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,741.47
|
$40,291.13
|
$38,741.47
|
2025-07-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
17
|
16
|
—
|
—
|
$24,444.25
|
$54,480.67
|
$38,552.73
|
2025-07-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
17
|
16
|
—
|
—
|
$24,011.94
|
$54,185.63
|
$38,343.95
|
2025-07-01
|
|
1624
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,312.41
|
$39,844.91
|
$38,312.41
|
2025-07-01
|
|
6313
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,131.68
|
$39,656.95
|
$38,131.68
|
2025-07-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
17
|
16
|
—
|
—
|
$24,122.58
|
$53,763.74
|
$38,045.40
|
2025-07-01
|
|
5892
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,005.31
|
$39,525.52
|
$38,005.31
|
2025-07-01
|
|
5891
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,005.31
|
$39,525.52
|
$38,005.31
|
2025-07-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
17
|
16
|
—
|
—
|
$23,930.09
|
$53,334.73
|
$37,741.81
|
2025-07-01
|
|
0224
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$37,278.95
|
$38,770.11
|
$37,278.95
|
2025-07-01
|
|
0083
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$37,092.83
|
$38,576.54
|
$37,092.83
|
2025-07-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
17
|
16
|
—
|
—
|
$22,959.26
|
$52,004.92
|
$36,800.79
|
2025-07-01
|
|
0113
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,747.52
|
$38,217.42
|
$36,747.52
|
2025-07-01
|
|
0111
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,747.52
|
$38,217.42
|
$36,747.52
|
2025-07-01
|
|
0114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,747.52
|
$38,217.42
|
$36,747.52
|
2025-07-01
|
|
0112
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,747.52
|
$38,217.42
|
$36,747.52
|
2025-07-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
17
|
16
|
—
|
—
|
$22,656.96
|
$51,644.32
|
$36,545.61
|
2025-07-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
5
|
5
|
—
|
—
|
$26,676.90
|
$59,025.09
|
$36,390.25
|
2025-07-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
17
|
16
|
—
|
—
|
$21,486.40
|
$51,094.15
|
$36,156.29
|
2025-07-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
17
|
16
|
—
|
—
|
$22,923.52
|
$51,091.30
|
$36,154.28
|
2025-07-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
17
|
16
|
—
|
—
|
$22,919.68
|
$51,082.75
|
$36,148.22
|
2025-07-01
|
|
7924
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,103.94
|
$37,548.10
|
$36,103.94
|
2025-07-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
17
|
16
|
—
|
—
|
$22,397.75
|
$50,843.30
|
$35,978.78
|
2025-07-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
17
|
16
|
—
|
—
|
$21,941.44
|
$50,615.25
|
$35,817.40
|
2025-07-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$35,631.33
|
$35,631.33
|
$35,631.33
|
2025-07-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
17
|
16
|
—
|
—
|
$22,033.97
|
$50,318.79
|
$35,607.61
|
2025-07-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
17
|
16
|
—
|
—
|
$20,285.42
|
$50,305.96
|
$35,598.54
|
2025-07-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
17
|
16
|
—
|
—
|
$22,514.24
|
$50,179.11
|
$35,508.77
|
2025-07-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
13
|
13
|
—
|
—
|
$23,648.79
|
$55,615.63
|
$35,456.78
|
2025-07-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
5
|
5
|
—
|
—
|
$25,969.62
|
$57,459.76
|
$35,425.46
|
2025-07-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
17
|
16
|
—
|
—
|
$22,341.34
|
$49,939.66
|
$35,339.33
|
2025-07-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
17
|
16
|
—
|
—
|
$21,400.21
|
$49,923.98
|
$35,328.23
|
2025-07-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
17
|
16
|
—
|
—
|
$22,390.81
|
$49,904.03
|
$35,314.11
|
2025-07-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
17
|
16
|
—
|
—
|
$20,698.63
|
$49,815.66
|
$35,251.58
|
2025-07-01
|
|
9504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$35,106.23
|
$36,510.48
|
$35,106.23
|
2025-07-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
17
|
16
|
—
|
—
|
$21,917.99
|
$49,493.54
|
$35,023.64
|
2025-07-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
17
|
16
|
—
|
—
|
$22,182.34
|
$49,439.38
|
$34,985.31
|
2025-07-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
17
|
16
|
—
|
—
|
$21,584.63
|
$49,385.22
|
$34,946.98
|
2025-07-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
17
|
16
|
—
|
—
|
$21,904.05
|
$49,093.03
|
$34,740.22
|
2025-07-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
17
|
16
|
—
|
—
|
$21,351.41
|
$49,016.07
|
$34,685.75
|
2025-07-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
17
|
16
|
—
|
—
|
$19,577.51
|
$48,939.10
|
$34,631.29
|
2025-07-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
17
|
16
|
—
|
—
|
$21,255.08
|
$48,893.49
|
$34,599.01
|
2025-07-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
17
|
16
|
—
|
—
|
$21,904.15
|
$48,819.38
|
$34,546.57
|
2025-07-01
|
|
6022
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$34,544.44
|
$35,926.22
|
$34,544.44
|
2025-07-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
17
|
16
|
—
|
—
|
$21,010.44
|
$48,548.57
|
$34,354.93
|
2025-07-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
17
|
16
|
—
|
—
|
$21,691.84
|
$48,346.18
|
$34,211.71
|
2025-07-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
1
|
1
|
—
|
—
|
$34,137.02
|
$34,137.02
|
$34,137.02
|
2025-07-01
|
|
6033
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$34,004.69
|
$35,364.88
|
$34,004.69
|
2025-07-01
|
|
6034
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$34,004.69
|
$35,364.88
|
$34,004.69
|
2025-07-01
|
|
8633
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,946.89
|
$35,304.77
|
$33,946.89
|
2025-07-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
17
|
16
|
—
|
—
|
$21,466.10
|
$47,843.05
|
$33,855.68
|
2025-07-01
|
|
5932
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,792.12
|
$35,143.80
|
$33,792.12
|
2025-07-01
|
|
5931
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,792.12
|
$35,143.80
|
$33,792.12
|
2025-07-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
17
|
16
|
—
|
—
|
$21,237.16
|
$47,332.79
|
$33,494.60
|
2025-07-01
|
|
33270
|
HCPCS
|
Insrt/repl Sub Defib Sys
|
27
|
24
|
$85,439.00
|
$64,079.25
25% off
|
$3,505.00
|
$68,351.20
|
$33,321.21
|
2025-07-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$21,076.36
|
$47,061.98
|
$33,302.96
|
2025-07-01
|
|
0914
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,194.57
|
$34,522.35
|
$33,194.57
|
2025-07-01
|
|
5911
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,132.86
|
$34,458.17
|
$33,132.86
|
2025-07-01
|
|
5912
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,132.86
|
$34,458.17
|
$33,132.86
|
2025-07-01
|
|
L5991
|
HCPCS
|
Low Pros Ext Osseo Connector
|
1
|
1
|
—
|
—
|
$33,075.46
|
$33,075.46
|
$33,075.46
|
2025-07-01
|
|
6301
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,042.25
|
$34,363.94
|
$33,042.25
|
2025-07-01
|
|
6302
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$33,042.25
|
$34,363.94
|
$33,042.25
|
2025-07-01
|
|
469
|
MS_DRG
|
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc
|
17
|
16
|
—
|
—
|
$20,903.34
|
$46,588.78
|
$32,968.11
|
2025-07-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
17
|
16
|
—
|
—
|
$20,843.86
|
$46,456.23
|
$32,874.31
|
2025-07-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
17
|
16
|
—
|
—
|
$19,884.89
|
$46,436.27
|
$32,860.19
|
2025-07-01
|
|
5604568
|
CDM
|
Tavr Medtronic Valve/kit
|
15
|
15
|
$65,000.00
|
$48,750.00
25% off
|
$24,050.00
|
$42,900.00
|
$32,500.00
|
2025-07-01
|
|
5604569
|
CDM
|
Tavr Edwards Valve/kit
|
15
|
15
|
$65,000.00
|
$48,750.00
25% off
|
$24,050.00
|
$42,900.00
|
$32,500.00
|
2025-07-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
17
|
16
|
—
|
—
|
$20,587.42
|
$45,884.68
|
$32,469.86
|
2025-07-01
|
|
2004
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$32,402.58
|
$33,698.68
|
$32,402.58
|
2025-07-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
17
|
16
|
—
|
—
|
$20,284.15
|
$45,672.31
|
$32,319.58
|
2025-07-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
17
|
16
|
—
|
—
|
$18,813.83
|
$45,539.76
|
$32,225.78
|
2025-07-01
|
|
3044
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$32,178.25
|
$33,465.38
|
$32,178.25
|
2025-07-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
17
|
16
|
—
|
—
|
$19,806.30
|
$45,452.82
|
$32,164.25
|
2025-07-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
17
|
16
|
—
|
—
|
$20,338.66
|
$45,330.24
|
$32,077.51
|
2025-07-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
17
|
16
|
—
|
—
|
$20,297.73
|
$45,239.02
|
$32,012.96
|
2025-07-01
|
|
9104
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$31,985.77
|
$33,265.20
|
$31,985.77
|
2025-07-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
17
|
16
|
—
|
—
|
$20,263.84
|
$45,163.48
|
$31,959.51
|
2025-07-01
|
|
1833
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$31,755.56
|
$33,025.78
|
$31,755.56
|
2025-07-01
|
|
274
|
MS_DRG
|
Percutaneous Intracardiac Procedures Without Mcc
|
17
|
16
|
—
|
—
|
$19,958.80
|
$44,483.61
|
$31,478.41
|
2025-07-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
17
|
16
|
—
|
—
|
$18,991.92
|
$44,463.66
|
$31,464.29
|
2025-07-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
17
|
16
|
—
|
—
|
$19,864.79
|
$44,274.09
|
$31,330.14
|
2025-07-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
17
|
16
|
—
|
—
|
$19,775.90
|
$44,075.98
|
$31,189.95
|
2025-07-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
17
|
16
|
—
|
—
|
$19,720.90
|
$43,953.40
|
$31,103.21
|
2025-07-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
17
|
16
|
—
|
—
|
$19,040.72
|
$43,776.66
|
$30,978.14
|
2025-07-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
17
|
16
|
—
|
—
|
$19,488.15
|
$43,736.76
|
$30,949.90
|
2025-07-01
|
|
1794
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$30,915.08
|
$32,151.68
|
$30,915.08
|
2025-07-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
17
|
16
|
—
|
—
|
$18,715.60
|
$43,594.23
|
$30,849.04
|
2025-07-01
|
|
1674
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$30,717.21
|
$31,945.90
|
$30,717.21
|
2025-07-01
|
|
93654
|
HCPCS
|
Eps W/3d Map Vt Ablation
|
27
|
24
|
$80,050.00
|
$60,037.50
25% off
|
$6,105.00
|
$64,040.00
|
$30,702.27
|
2025-07-01
|
|
0214
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$30,663.33
|
$31,889.86
|
$30,663.33
|
2025-07-01
|
|
1204
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$30,493.37
|
$31,713.10
|
$30,493.37
|
2025-07-01
|
|
0053
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$30,416.96
|
$31,633.64
|
$30,416.96
|
2025-07-01
|
|
6604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$30,406.68
|
$31,622.95
|
$30,406.68
|
2025-07-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
17
|
16
|
—
|
—
|
$18,519.76
|
$42,904.38
|
$30,360.88
|
2025-07-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
17
|
16
|
—
|
—
|
$18,483.64
|
$42,562.31
|
$30,118.81
|
2025-07-01
|
|
1603
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$29,968.80
|
$31,167.55
|
$29,968.80
|
2025-07-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
16
|
—
|
—
|
$18,856.30
|
$42,026.40
|
$29,739.58
|
2025-07-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
17
|
16
|
—
|
—
|
$18,688.98
|
$41,918.07
|
$29,662.93
|
2025-07-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
17
|
16
|
—
|
—
|
$18,533.07
|
$41,804.05
|
$29,582.24
|
2025-07-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
17
|
16
|
—
|
—
|
$17,859.38
|
$41,566.02
|
$29,413.80
|
2025-07-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
17
|
16
|
—
|
—
|
$18,639.51
|
$41,543.22
|
$29,397.66
|
2025-07-01
|
|
3124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$29,394.28
|
$30,570.05
|
$29,394.28
|
2025-07-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
17
|
16
|
—
|
—
|
$17,857.48
|
$41,530.39
|
$29,388.59
|
2025-07-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
17
|
16
|
—
|
—
|
$17,803.61
|
$41,507.59
|
$29,372.45
|
2025-07-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
17
|
16
|
—
|
—
|
$18,527.59
|
$41,293.79
|
$29,221.16
|
2025-07-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
17
|
16
|
—
|
—
|
$18,335.10
|
$40,864.78
|
$28,917.57
|
2025-07-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc
|
17
|
16
|
—
|
—
|
$18,038.74
|
$40,817.74
|
$28,884.29
|
2025-07-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
17
|
16
|
—
|
—
|
$16,758.54
|
$40,793.51
|
$28,867.14
|
2025-07-01
|