|
J1411
|
HCPCS
|
Etranacogene Dezaparvovec-drlb 19 X 10 Ml Supk 1 Each Box
|
24
|
14
|
—
|
—
|
$0.03
|
$4,818,240.00
|
$4,158,000.00
|
2026-04-01
|
|
0053019019
|
CDM
|
Hemgenix 19 X 10 Ml IV Supk [172230]
|
24
|
15
|
—
|
—
|
$2,759,400.00
|
$4,818,240.00
|
$4,158,000.00
|
2026-04-01
|
|
8320500102
|
CDM
|
Tecelra 10000000000 Cells IV Susp [179707]
|
72
|
23
|
$2,908,000.00
|
—
|
$636,852.00
|
$2,756,493.20
|
$1,430,299.80
|
2026-04-01
|
|
002 - 4
|
APR_DRG
|
Heart &/or Lung Transplant
|
38
|
21
|
$1,769,179.50
|
—
|
$614,966.79
|
$1,651,352.15
|
$1,063,011.50
|
2026-04-01
|
|
7377600111
|
CDM
|
Amtagvi 72000000000 Cells IV Susp [177327]
|
72
|
23
|
$2,060,000.00
|
—
|
$451,140.00
|
$1,952,674.00
|
$1,013,211.00
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
41
|
23
|
$1,789,151.38
|
—
|
$124,000.00
|
$1,669,993.89
|
$963,994.76
|
2026-04-01
|
|
0078084619
|
CDM
|
Kymriah 250000000 Cells IV Susp [167029]
|
72
|
23
|
$1,957,779.00
|
—
|
$428,753.60
|
$1,855,778.71
|
$962,933.60
|
2026-04-01
|
|
7128722001
|
CDM
|
Brexucabtagene Autoleucel 100000000 Cells IV Susp
|
72
|
23
|
$1,848,000.00
|
—
|
$404,712.00
|
$1,751,719.20
|
$908,938.80
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 100000000 Cells IV 70 Ml [168483]
|
276
|
23
|
$1,860,000.00
|
—
|
$366,606.00
|
$1,979,425.63
|
$884,624.01
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Yescarta 200000000 Cells IV Susp [167025]
|
139
|
23
|
$2,014,320.00
|
—
|
$360,672.30
|
$1,909,373.93
|
$866,157.60
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 250000000 Cells Susp
|
139
|
23
|
$1,573,243.75
|
—
|
$344,540.38
|
$1,855,778.71
|
$841,842.73
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp
|
139
|
23
|
$1,880,909.00
|
—
|
$370,727.17
|
$1,782,913.64
|
$840,202.05
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 200000000 Cells Susp
|
139
|
23
|
$1,848,000.00
|
—
|
$355,681.02
|
$1,751,719.20
|
$812,057.13
|
2026-04-01
|
|
7128722001
|
NDC
|
Brexucabtagene Autoleucel 100000000 Cells Susp
|
69
|
23
|
$1,663,200.00
|
—
|
$364,240.80
|
$1,576,547.28
|
$798,336.00
|
2026-04-01
|
|
004 - 4
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
38
|
21
|
$1,255,293.13
|
—
|
$436,339.89
|
$1,171,690.60
|
$754,242.88
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
38
|
21
|
$1,187,538.13
|
—
|
$412,788.25
|
$1,108,448.09
|
$713,532.28
|
2026-04-01
|
|
841 - 4
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
38
|
21
|
$1,160,574.38
|
—
|
$403,415.65
|
$1,083,280.12
|
$697,331.11
|
2026-04-01
|
|
181 - 4
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
38
|
21
|
$1,152,988.75
|
—
|
$400,778.89
|
$1,076,199.70
|
$692,773.29
|
2026-04-01
|
|
161 - 4
|
APR_DRG
|
Implantable Heart Assist Systems
|
38
|
21
|
$962,215.56
|
—
|
$334,466.13
|
$898,132.01
|
$578,147.22
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
38
|
21
|
$948,820.69
|
—
|
$329,810.07
|
$885,629.23
|
$570,098.91
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
38
|
21
|
$915,860.31
|
—
|
$318,353.04
|
$854,864.02
|
$550,294.67
|
2026-04-01
|
|
842 - 4
|
APR_DRG
|
Burns W Skin Graft Except Extensive 3rd Degree Burns
|
38
|
21
|
$915,708.06
|
—
|
$318,300.12
|
$854,721.91
|
$550,203.19
|
2026-04-01
|
|
261 - 4
|
APR_DRG
|
Major Biliary Tract Procedures
|
38
|
21
|
$878,621.19
|
—
|
$305,408.72
|
$820,105.02
|
$527,919.54
|
2026-04-01
|
|
001 - 4
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
38
|
21
|
$851,282.44
|
—
|
$295,905.78
|
$794,587.03
|
$511,493.05
|
2026-04-01
|
|
910 - 4
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
38
|
21
|
$842,776.94
|
—
|
$292,949.26
|
$786,647.99
|
$506,382.52
|
2026-04-01
|
|
005 - 4
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
38
|
21
|
$836,859.38
|
—
|
$290,892.32
|
$781,124.54
|
$502,826.96
|
2026-04-01
|
|
167 - 4
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
38
|
21
|
$813,958.38
|
—
|
$282,931.93
|
$759,748.75
|
$489,066.89
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
38
|
21
|
$783,314.06
|
—
|
$272,279.97
|
$731,145.35
|
$470,654.26
|
2026-04-01
|
|
911 - 4
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
38
|
21
|
$764,438.31
|
—
|
$265,718.76
|
$713,526.72
|
$459,312.76
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
38
|
21
|
$762,788.88
|
—
|
$265,145.41
|
$711,987.14
|
$458,321.70
|
2026-04-01
|
|
009 - 4
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
38
|
21
|
$739,709.13
|
—
|
$257,122.89
|
$690,444.50
|
$444,454.22
|
2026-04-01
|
|
002 - 3
|
APR_DRG
|
Heart &/or Lung Transplant
|
38
|
21
|
$739,477.31
|
—
|
$257,042.31
|
$690,228.12
|
$444,314.95
|
2026-04-01
|
|
246 - 4
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
38
|
21
|
$710,451.13
|
—
|
$246,952.81
|
$663,135.08
|
$426,874.55
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
38
|
21
|
$709,582.63
|
—
|
$246,650.92
|
$662,324.42
|
$426,352.72
|
2026-04-01
|
|
220 - 4
|
APR_DRG
|
Major Stomach Esophageal & Duodenal Procedures
|
38
|
21
|
$664,664.50
|
—
|
$231,037.38
|
$620,397.84
|
$399,363.67
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
38
|
21
|
$661,557.63
|
—
|
$229,957.43
|
$617,497.89
|
$397,496.90
|
2026-04-01
|
|
304 - 4
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
38
|
21
|
$644,049.69
|
—
|
$223,871.67
|
$601,155.98
|
$386,977.26
|
2026-04-01
|
|
007 - 3
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
38
|
21
|
$616,128.81
|
—
|
$214,166.38
|
$575,094.63
|
$370,201.00
|
2026-04-01
|
|
001 - 3
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
38
|
21
|
$597,567.13
|
—
|
$207,714.33
|
$557,769.15
|
$359,048.21
|
2026-04-01
|
|
007 - 4
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
38
|
21
|
$595,813.44
|
—
|
$207,104.75
|
$556,132.26
|
$357,994.51
|
2026-04-01
|
|
006 - 3
|
APR_DRG
|
Pancreas Transplant
|
38
|
21
|
$594,636.38
|
—
|
$206,695.60
|
$555,033.59
|
$357,287.27
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
38
|
21
|
$592,108.19
|
—
|
$205,816.81
|
$552,673.78
|
$355,768.20
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
38
|
21
|
$588,645.19
|
—
|
$204,613.07
|
$549,441.42
|
$353,687.46
|
2026-04-01
|
|
178 - 4
|
APR_DRG
|
External Heart Assist Systems
|
38
|
21
|
$580,138.00
|
—
|
$201,655.97
|
$541,500.81
|
$348,575.92
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
38
|
21
|
$571,856.00
|
—
|
$198,777.15
|
$533,770.39
|
$343,599.68
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
38
|
21
|
$568,429.56
|
—
|
$197,586.12
|
$530,572.15
|
$341,540.91
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
38
|
21
|
$556,582.25
|
—
|
$193,467.99
|
$519,513.87
|
$334,422.44
|
2026-04-01
|
|
162 - 4
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
38
|
21
|
$551,590.38
|
—
|
$191,732.81
|
$514,854.46
|
$331,423.07
|
2026-04-01
|
|
680 - 4
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
38
|
21
|
$541,197.25
|
—
|
$188,120.16
|
$505,153.51
|
$325,178.37
|
2026-04-01
|
|
440 - 4
|
APR_DRG
|
Kidney Transplant
|
38
|
21
|
$539,896.75
|
—
|
$187,668.11
|
$503,939.63
|
$324,396.96
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
38
|
21
|
$539,102.81
|
—
|
$187,392.14
|
$503,198.57
|
$323,919.92
|
2026-04-01
|
|
163 - 4
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
38
|
21
|
$533,375.25
|
—
|
$185,401.24
|
$497,852.46
|
$320,478.52
|
2026-04-01
|
|
950 - 4
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
38
|
21
|
$531,445.69
|
—
|
$184,730.52
|
$496,051.40
|
$319,319.14
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
38
|
21
|
$529,528.63
|
—
|
$184,064.15
|
$494,262.02
|
$318,167.27
|
2026-04-01
|
|
023 - 4
|
APR_DRG
|
Spinal Procedures
|
38
|
21
|
$528,764.13
|
—
|
$183,798.41
|
$493,548.43
|
$317,707.92
|
2026-04-01
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
38
|
21
|
$522,093.13
|
—
|
$181,479.57
|
$487,321.72
|
$313,699.66
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
38
|
21
|
$515,775.63
|
—
|
$179,283.61
|
$481,424.97
|
$309,903.79
|
2026-04-01
|
|
511 - 4
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
38
|
21
|
$510,541.28
|
—
|
$177,464.15
|
$476,539.23
|
$306,758.73
|
2026-04-01
|
|
007 - 2
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
38
|
21
|
$510,261.81
|
—
|
$177,367.01
|
$476,278.38
|
$306,590.81
|
2026-04-01
|
|
303 - 3
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
38
|
21
|
$504,699.47
|
—
|
$175,433.54
|
$471,086.48
|
$303,248.67
|
2026-04-01
|
|
930 - 4
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
38
|
21
|
$503,131.75
|
—
|
$174,888.60
|
$469,623.18
|
$302,306.71
|
2026-04-01
|
|
308 - 4
|
APR_DRG
|
Hip & Femur Fracture Repair
|
38
|
21
|
$481,480.91
|
—
|
$167,362.76
|
$449,414.28
|
$289,297.80
|
2026-04-01
|
|
314 - 4
|
APR_DRG
|
Foot & Toe Procedures
|
38
|
21
|
$473,477.03
|
—
|
$164,580.62
|
$441,943.46
|
$284,488.67
|
2026-04-01
|
|
792 - 4
|
APR_DRG
|
Extensive Or Procedures For Other Complications Of Treatment
|
38
|
21
|
$470,044.31
|
—
|
$163,387.40
|
$438,739.36
|
$282,426.12
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
38
|
21
|
$467,152.06
|
—
|
$162,382.06
|
$436,039.74
|
$280,688.32
|
2026-04-01
|
|
178 - 3
|
APR_DRG
|
External Heart Assist Systems
|
38
|
21
|
$459,430.88
|
—
|
$159,698.17
|
$428,832.78
|
$276,049.04
|
2026-04-01
|
|
020 - 4
|
APR_DRG
|
Open Craniotomy For Trauma
|
38
|
21
|
$459,292.34
|
—
|
$159,650.02
|
$428,703.47
|
$275,965.80
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
38
|
21
|
$454,695.50
|
—
|
$158,052.16
|
$424,412.78
|
$273,203.79
|
2026-04-01
|
|
021 - 4
|
APR_DRG
|
Open Craniotomy Except Trauma
|
38
|
21
|
$453,229.50
|
—
|
$157,542.57
|
$423,044.42
|
$272,322.95
|
2026-04-01
|
|
165 - 4
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
38
|
21
|
$446,531.56
|
—
|
$155,214.37
|
$416,792.56
|
$268,298.49
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
38
|
21
|
$445,935.22
|
—
|
$155,007.08
|
$416,235.93
|
$267,940.17
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
21
|
$440,695.16
|
—
|
$153,185.64
|
$411,344.86
|
$264,791.69
|
2026-04-01
|
|
089 - 4
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
38
|
21
|
$439,967.69
|
—
|
$152,932.77
|
$410,665.84
|
$264,354.58
|
2026-04-01
|
|
740 - 4
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
38
|
21
|
$433,901.41
|
—
|
$150,824.13
|
$405,003.57
|
$260,709.66
|
2026-04-01
|
|
710 - 4
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
38
|
21
|
$432,224.56
|
—
|
$150,241.26
|
$403,438.41
|
$259,702.13
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
21
|
$429,360.09
|
—
|
$149,245.57
|
$400,764.71
|
$257,981.02
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
38
|
21
|
$423,840.34
|
—
|
$147,326.90
|
$395,612.58
|
$254,664.47
|
2026-04-01
|
|
166 - 4
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
38
|
21
|
$413,446.31
|
—
|
$143,713.94
|
$385,910.79
|
$248,419.22
|
2026-04-01
|
|
260 - 4
|
APR_DRG
|
Major Pancreas Liver & Shunt Procedures
|
38
|
21
|
$410,070.56
|
—
|
$142,540.53
|
$382,759.86
|
$246,390.90
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
21
|
$410,051.72
|
—
|
$142,533.98
|
$382,742.27
|
$246,379.58
|
2026-04-01
|
|
165 - 3
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
38
|
21
|
$407,762.78
|
—
|
$141,738.34
|
$380,605.78
|
$245,004.27
|
2026-04-01
|
|
690 - 4
|
APR_DRG
|
Acute Leukemia
|
38
|
21
|
$402,985.97
|
—
|
$140,077.92
|
$376,147.10
|
$242,134.12
|
2026-04-01
|
|
912 - 3
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
38
|
21
|
$400,603.28
|
—
|
$139,249.70
|
$373,923.10
|
$240,702.48
|
2026-04-01
|
|
321 - 4
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc
|
38
|
21
|
$394,610.31
|
—
|
$137,166.54
|
$368,329.27
|
$237,101.61
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
38
|
21
|
$392,533.06
|
—
|
$136,444.49
|
$366,390.36
|
$235,853.49
|
2026-04-01
|
|
27803724
|
CDM
|
Hc Syncardia Tah-t 50cc
|
71
|
23
|
$477,000.00
|
—
|
$104,463.00
|
$452,148.30
|
$235,447.20
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
21
|
$391,316.16
|
—
|
$136,021.50
|
$365,254.50
|
$235,122.31
|
2026-04-01
|
|
443 - 4
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
38
|
21
|
$391,018.00
|
—
|
$135,917.86
|
$364,976.20
|
$234,943.16
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
38
|
21
|
$387,698.66
|
—
|
$134,764.05
|
$361,877.93
|
$232,948.73
|
2026-04-01
|
|
030 - 4
|
APR_DRG
|
Percutaneous Intra & Extracranial Vascular Procedures
|
38
|
21
|
$387,244.81
|
—
|
$134,606.30
|
$361,454.31
|
$232,676.05
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord…
|
38
|
21
|
$385,291.47
|
—
|
$133,927.31
|
$359,631.06
|
$231,502.38
|
2026-04-01
|
|
362 - 2
|
APR_DRG
|
Mastectomy Procedures
|
38
|
21
|
$385,095.84
|
—
|
$133,859.32
|
$359,448.46
|
$231,384.84
|
2026-04-01
|
|
171 - 4
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
38
|
21
|
$384,149.13
|
—
|
$133,530.24
|
$358,564.79
|
$230,816.01
|
2026-04-01
|
|
313 - 4
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
38
|
21
|
$383,860.41
|
—
|
$133,429.88
|
$358,295.30
|
$230,642.52
|
2026-04-01
|
|
167 - 3
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
38
|
21
|
$380,675.94
|
—
|
$132,322.96
|
$355,322.92
|
$228,729.14
|
2026-04-01
|
|
711 - 4
|
APR_DRG
|
Post-op Post-trauma Other Device Infections W O.r. Procedure
|
38
|
21
|
$380,369.91
|
—
|
$132,216.58
|
$355,037.27
|
$228,545.26
|
2026-04-01
|
|
912 - 4
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
38
|
21
|
$377,816.53
|
—
|
$131,329.03
|
$352,653.95
|
$227,011.07
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
38
|
21
|
$377,322.22
|
—
|
$131,157.20
|
$352,192.56
|
$226,714.05
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
38
|
21
|
$374,816.47
|
—
|
$130,286.20
|
$349,853.69
|
$225,208.48
|
2026-04-01
|
|
691 - 4
|
APR_DRG
|
Lymphoma Myeloma & Non-acute Leukemia
|
38
|
21
|
$374,385.88
|
—
|
$130,136.53
|
$349,451.78
|
$224,949.75
|
2026-04-01
|
|
303 - 2
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
38
|
21
|
$370,704.31
|
—
|
$128,856.82
|
$346,015.41
|
$222,737.68
|
2026-04-01
|
|
121 - 4
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
38
|
21
|
$369,714.97
|
—
|
$128,512.92
|
$345,091.95
|
$222,143.24
|
2026-04-01
|
|
27803725
|
CDM
|
Hc Syncardia Tah-t 70cc
|
71
|
23
|
$449,985.00
|
—
|
$98,546.71
|
$426,540.78
|
$222,112.60
|
2026-04-01
|
|
442 - 4
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
38
|
21
|
$365,312.47
|
—
|
$126,982.61
|
$340,982.66
|
$219,497.99
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
38
|
21
|
$364,252.09
|
—
|
$126,614.03
|
$339,992.90
|
$218,860.87
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
38
|
21
|
$361,890.00
|
—
|
$125,792.96
|
$337,788.13
|
$217,441.60
|
2026-04-01
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc/mcc
|
38
|
21
|
$358,429.47
|
—
|
$124,590.08
|
$334,558.07
|
$215,362.35
|
2026-04-01
|
|
024 - 4
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
38
|
21
|
$356,726.38
|
—
|
$123,998.09
|
$332,968.40
|
$214,339.04
|
2026-04-01
|
|
230 - 4
|
APR_DRG
|
Major Small Bowel Procedures
|
38
|
21
|
$354,364.38
|
—
|
$123,177.06
|
$330,763.71
|
$212,919.84
|
2026-04-01
|
|
091 - 4
|
APR_DRG
|
Other Major Head & Neck Procedures
|
38
|
21
|
$353,514.28
|
—
|
$122,881.56
|
$329,970.23
|
$212,409.05
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
38
|
21
|
$351,196.53
|
—
|
$122,075.91
|
$327,806.84
|
$211,016.43
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
38
|
21
|
$350,189.41
|
—
|
$121,725.84
|
$326,866.79
|
$210,411.30
|
2026-04-01
|
|
166 - 3
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
38
|
21
|
$348,061.56
|
—
|
$120,986.20
|
$324,880.66
|
$209,132.79
|
2026-04-01
|
|
304 - 3
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
38
|
21
|
$347,785.00
|
—
|
$120,890.07
|
$324,622.52
|
$208,966.61
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
38
|
21
|
$345,665.53
|
—
|
$120,153.34
|
$322,644.21
|
$207,693.14
|
2026-04-01
|
|
361 - 3
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
38
|
21
|
$342,658.97
|
—
|
$119,108.26
|
$319,837.88
|
$205,886.64
|
2026-04-01
|
|
089 - 3
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
38
|
21
|
$341,681.56
|
—
|
$118,768.51
|
$318,925.57
|
$205,299.37
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
38
|
21
|
$340,434.50
|
—
|
$118,335.03
|
$317,761.56
|
$204,550.07
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
38
|
21
|
$340,013.44
|
—
|
$118,188.67
|
$317,368.54
|
$204,297.08
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
38
|
21
|
$339,322.66
|
—
|
$117,948.56
|
$316,723.77
|
$203,882.02
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
38
|
21
|
$339,249.00
|
—
|
$117,922.95
|
$316,655.02
|
$203,837.76
|
2026-04-01
|
|
363 - 3
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
38
|
21
|
$335,619.81
|
—
|
$116,661.45
|
$313,267.53
|
$201,657.17
|
2026-04-01
|
|
440 - 3
|
APR_DRG
|
Kidney Transplant
|
38
|
21
|
$334,744.44
|
—
|
$116,357.17
|
$312,450.46
|
$201,131.20
|
2026-04-01
|
|
183 - 3
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
38
|
21
|
$334,003.94
|
—
|
$116,099.77
|
$311,759.28
|
$200,686.27
|
2026-04-01
|
|
163 - 3
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
38
|
21
|
$333,286.53
|
—
|
$115,850.40
|
$311,089.65
|
$200,255.22
|
2026-04-01
|
|
441 - 4
|
APR_DRG
|
Major Bladder Procedures
|
38
|
21
|
$332,099.56
|
—
|
$115,437.81
|
$309,981.73
|
$199,542.02
|
2026-04-01
|
|
091 - 3
|
APR_DRG
|
Other Major Head & Neck Procedures
|
38
|
21
|
$332,059.38
|
—
|
$115,423.84
|
$309,944.22
|
$199,517.88
|
2026-04-01
|
|
440 - 2
|
APR_DRG
|
Kidney Transplant
|
38
|
21
|
$324,888.53
|
—
|
$112,931.25
|
$303,250.96
|
$195,209.27
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
38
|
21
|
$323,749.38
|
—
|
$112,535.28
|
$302,187.67
|
$194,524.82
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
38
|
21
|
$322,955.50
|
—
|
$112,259.33
|
$301,446.66
|
$194,047.81
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
21
|
$322,923.97
|
—
|
$112,248.37
|
$301,417.23
|
$194,028.86
|
2026-04-01
|
|
890 - 4
|
APR_DRG
|
HIV W Multiple Major HIV Related Conditions
|
38
|
21
|
$322,216.88
|
—
|
$112,002.59
|
$300,757.23
|
$193,604.01
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
38
|
21
|
$322,136.94
|
—
|
$111,974.80
|
$300,682.62
|
$193,555.98
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
38
|
21
|
$320,257.75
|
—
|
$111,321.59
|
$298,928.58
|
$192,426.87
|
2026-04-01
|
|
680 - 3
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
38
|
21
|
$314,344.56
|
—
|
$109,266.17
|
$293,409.21
|
$188,873.93
|
2026-04-01
|
|
130 - 4
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
38
|
21
|
$313,709.78
|
—
|
$109,045.52
|
$292,816.71
|
$188,492.52
|
2026-04-01
|
|
169 - 4
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
38
|
21
|
$313,638.78
|
—
|
$109,020.84
|
$292,750.44
|
$188,449.86
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
21
|
$311,005.81
|
—
|
$108,105.62
|
$290,292.83
|
$186,867.85
|
2026-04-01
|
|
179 - 4
|
APR_DRG
|
Defibrillator Implants
|
38
|
21
|
$308,761.44
|
—
|
$107,325.48
|
$288,197.93
|
$185,519.31
|
2026-04-01
|
|
305 - 4
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
38
|
21
|
$308,022.25
|
—
|
$107,068.53
|
$287,507.97
|
$185,075.17
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
38
|
21
|
$306,605.19
|
—
|
$106,575.96
|
$286,185.28
|
$184,223.72
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
38
|
21
|
$302,511.00
|
—
|
$105,152.82
|
$282,363.77
|
$181,763.73
|
2026-04-01
|
|
192 - 4
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions
|
38
|
21
|
$301,641.69
|
—
|
$104,850.65
|
$281,552.35
|
$181,241.40
|
2026-04-01
|
|
169 - 3
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
38
|
21
|
$298,749.44
|
—
|
$103,845.30
|
$278,852.72
|
$179,503.60
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
38
|
21
|
$295,789.53
|
—
|
$102,816.44
|
$276,089.95
|
$177,725.14
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
38
|
21
|
$294,033.44
|
—
|
$102,206.02
|
$274,450.81
|
$176,669.99
|
2026-04-01
|
|
519 - 4
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
38
|
21
|
$292,646.44
|
—
|
$101,723.90
|
$273,156.18
|
$175,836.61
|
2026-04-01
|
|
008 - 3
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
38
|
21
|
$292,451.59
|
—
|
$101,656.17
|
$272,974.32
|
$175,719.54
|
2026-04-01
|
|
182 - 4
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
38
|
21
|
$292,067.19
|
—
|
$101,522.55
|
$272,615.51
|
$175,488.57
|
2026-04-01
|
|
008 - 4
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
38
|
21
|
$291,122.59
|
—
|
$101,194.21
|
$271,733.83
|
$174,921.01
|
2026-04-01
|
|
346 - 4
|
APR_DRG
|
Connective Tissue Disorders
|
38
|
21
|
$287,647.19
|
—
|
$99,986.16
|
$268,489.88
|
$172,832.81
|
2026-04-01
|
|
312 - 4
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses
|
38
|
21
|
$287,631.38
|
—
|
$99,980.67
|
$268,475.13
|
$172,823.31
|
2026-04-01
|
|
027 - 3
|
APR_DRG
|
Other Open Craniotomy
|
38
|
21
|
$286,351.50
|
—
|
$99,535.78
|
$267,280.49
|
$172,054.30
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma
|
38
|
21
|
$285,953.84
|
—
|
$99,397.56
|
$266,909.32
|
$171,815.37
|
2026-04-01
|
|
023 - 3
|
APR_DRG
|
Spinal Procedures
|
38
|
21
|
$285,693.19
|
—
|
$99,306.95
|
$266,666.02
|
$171,658.75
|
2026-04-01
|
|
005 - 3
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
38
|
21
|
$285,040.19
|
—
|
$99,079.97
|
$266,056.51
|
$171,266.39
|
2026-04-01
|
|
320 - 4
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
38
|
21
|
$283,783.63
|
—
|
$98,643.19
|
$264,883.64
|
$170,511.39
|
2026-04-01
|
|
098 - 4
|
APR_DRG
|
Other Ear Nose Mouth & Throat Procedures
|
38
|
21
|
$283,462.97
|
—
|
$98,531.73
|
$264,584.34
|
$170,318.73
|
2026-04-01
|
|
584
|
MS_DRG
|
Breast Biopsy Local Excision And Other Breast Procedures With Cc/mcc
|
38
|
21
|
$283,022.31
|
—
|
$98,378.56
|
$264,173.03
|
$170,053.96
|
2026-04-01
|
|
175 - 4
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
38
|
21
|
$280,459.38
|
—
|
$97,487.68
|
$261,780.78
|
$168,514.02
|
2026-04-01
|
|
309 - 3
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
38
|
21
|
$279,098.94
|
—
|
$97,014.79
|
$260,510.95
|
$167,696.59
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
38
|
21
|
$278,892.44
|
—
|
$96,943.01
|
$260,318.20
|
$167,572.52
|
2026-04-01
|
|
163 - 2
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
38
|
21
|
$278,182.19
|
—
|
$96,696.13
|
$259,655.25
|
$167,145.77
|
2026-04-01
|
|
951 - 4
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diag
|
38
|
21
|
$278,126.78
|
—
|
$96,676.87
|
$259,603.54
|
$167,112.48
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
1
|
1
|
—
|
—
|
$166,530.00
|
$166,530.00
|
$166,530.00
|
2026-04-01
|
|
317 - 4
|
APR_DRG
|
Tendon Muscle & Other Soft Tissue Procedures
|
38
|
21
|
$275,145.72
|
—
|
$95,640.65
|
$256,821.01
|
$165,321.30
|
2026-04-01
|
|
163 - 1
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
38
|
21
|
$273,125.88
|
—
|
$94,938.55
|
$254,935.69
|
$164,107.68
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
38
|
21
|
$272,251.75
|
—
|
$94,634.71
|
$254,119.78
|
$163,582.46
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
38
|
21
|
$271,581.97
|
—
|
$94,401.89
|
$253,494.61
|
$163,180.02
|
2026-04-01
|
|
229 - 4
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
38
|
21
|
$271,256.84
|
—
|
$94,288.88
|
$253,191.14
|
$162,984.67
|
2026-04-01
|
|
363 - 2
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
38
|
21
|
$270,841.22
|
—
|
$94,144.41
|
$252,803.19
|
$162,734.95
|
2026-04-01
|
|
723 - 4
|
APR_DRG
|
Viral Illness
|
38
|
21
|
$270,149.84
|
—
|
$93,904.09
|
$252,157.86
|
$162,319.54
|
2026-04-01
|
|
325 - 4
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
38
|
21
|
$269,538.88
|
—
|
$93,691.71
|
$251,587.59
|
$161,952.43
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
38
|
21
|
$269,108.78
|
—
|
$93,542.21
|
$251,186.14
|
$161,694.01
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
38
|
21
|
$267,960.72
|
—
|
$93,143.15
|
$250,114.53
|
$161,004.20
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
38
|
21
|
$267,864.63
|
—
|
$93,109.74
|
$250,024.84
|
$160,946.46
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
38
|
21
|
$267,672.34
|
—
|
$93,042.91
|
$249,845.37
|
$160,830.93
|
2026-04-01
|
|
308 - 3
|
APR_DRG
|
Hip & Femur Fracture Repair
|
38
|
21
|
$267,376.59
|
—
|
$92,940.10
|
$249,569.31
|
$160,653.23
|
2026-04-01
|
|
027 - 4
|
APR_DRG
|
Other Open Craniotomy
|
38
|
21
|
$266,957.16
|
—
|
$92,794.31
|
$249,177.81
|
$160,401.21
|
2026-04-01
|
|
021 - 3
|
APR_DRG
|
Open Craniotomy Except Trauma
|
38
|
21
|
$266,851.72
|
—
|
$92,757.66
|
$249,079.39
|
$160,337.85
|
2026-04-01
|
|
361 - 2
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
38
|
21
|
$264,502.97
|
—
|
$91,941.23
|
$246,887.07
|
$158,926.61
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
38
|
21
|
$264,130.41
|
—
|
$91,811.73
|
$246,539.32
|
$158,702.76
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
38
|
21
|
$263,421.03
|
—
|
$91,565.15
|
$245,877.19
|
$158,276.52
|
2026-04-01
|
|
166 - 2
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
38
|
21
|
$263,197.09
|
—
|
$91,487.31
|
$245,668.17
|
$158,141.98
|
2026-04-01
|
|
405 - 4
|
APR_DRG
|
Other Procedures For Endocrine Nutritional & Metabolic Disorders
|
38
|
21
|
$260,868.11
|
—
|
$90,677.75
|
$243,494.29
|
$156,742.60
|
2026-04-01
|
|
091 - 1
|
APR_DRG
|
Other Major Head & Neck Procedures
|
38
|
21
|
$260,728.08
|
—
|
$90,629.08
|
$243,363.59
|
$156,658.46
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
38
|
21
|
$260,598.41
|
—
|
$90,584.01
|
$243,242.55
|
$156,580.55
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
39
|
21
|
$259,549.53
|
—
|
$90,219.42
|
$242,263.53
|
$156,170.95
|
2026-04-01
|
|
131 - 4
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease
|
38
|
21
|
$259,745.56
|
—
|
$90,287.56
|
$242,446.51
|
$156,068.12
|
2026-04-01
|
|
165 - 2
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
38
|
21
|
$257,204.55
|
—
|
$89,404.30
|
$240,074.72
|
$154,541.36
|
2026-04-01
|
|
057 - 3
|
APR_DRG
|
Concussion Closed Skull Fx Nosuncomplicated Intracranial Injury Coma < 1
|
38
|
21
|
$256,741.94
|
—
|
$89,243.50
|
$239,642.92
|
$154,263.39
|
2026-04-01
|
|
325 - 3
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
38
|
21
|
$256,435.08
|
—
|
$89,136.83
|
$239,356.50
|
$154,079.02
|
2026-04-01
|
|
663 - 4
|
APR_DRG
|
Other Anemia & Disorders Of Blood & Blood-forming Organs
|
38
|
21
|
$255,850.98
|
—
|
$88,933.80
|
$238,811.31
|
$153,728.07
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
38
|
21
|
$255,610.28
|
—
|
$88,850.13
|
$238,586.64
|
$153,583.44
|
2026-04-01
|
|
310 - 4
|
APR_DRG
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
38
|
21
|
$255,571.00
|
—
|
$88,836.48
|
$238,549.97
|
$153,559.84
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
38
|
21
|
$254,921.05
|
—
|
$88,610.56
|
$237,943.31
|
$153,169.31
|
2026-04-01
|
|
167 - 2
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
38
|
21
|
$254,015.55
|
—
|
$88,295.80
|
$237,098.11
|
$152,625.24
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
38
|
21
|
$253,311.64
|
—
|
$88,051.13
|
$236,441.09
|
$152,202.29
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
38
|
21
|
$252,126.73
|
—
|
$87,639.25
|
$235,335.09
|
$151,490.35
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
38
|
21
|
$251,848.39
|
—
|
$87,542.50
|
$235,075.29
|
$151,323.10
|
2026-04-01
|
|
441 - 3
|
APR_DRG
|
Major Bladder Procedures
|
38
|
21
|
$251,195.77
|
—
|
$87,315.65
|
$234,466.13
|
$150,930.97
|
2026-04-01
|
|
441 - 2
|
APR_DRG
|
Major Bladder Procedures
|
38
|
21
|
$251,143.92
|
—
|
$87,297.63
|
$234,417.74
|
$150,899.83
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
38
|
21
|
$249,572.39
|
—
|
$86,751.36
|
$232,950.87
|
$149,955.57
|
2026-04-01
|
|
312 - 1
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal & Connective Tissue Diagnoses
|
38
|
21
|
$248,876.23
|
—
|
$86,509.38
|
$232,301.08
|
$149,537.28
|
2026-04-01
|
|
585
|
MS_DRG
|
Breast Biopsy Local Excision And Other Breast Procedures Without Cc/mcc
|
38
|
21
|
$248,708.20
|
—
|
$86,450.97
|
$232,144.24
|
$149,436.33
|
2026-04-01
|
|
220 - 3
|
APR_DRG
|
Major Stomach Esophageal & Duodenal Procedures
|
38
|
21
|
$248,652.08
|
—
|
$86,431.46
|
$232,091.85
|
$149,402.60
|
2026-04-01
|
|
263 - 4
|
APR_DRG
|
Cholecystectomy
|
38
|
21
|
$248,077.72
|
—
|
$86,231.82
|
$231,555.74
|
$149,057.49
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
38
|
21
|
$247,355.19
|
—
|
$85,980.66
|
$230,881.33
|
$148,623.36
|
2026-04-01
|
|
224 - 4
|
APR_DRG
|
Peritoneal Adhesiolysis
|
38
|
21
|
$246,804.83
|
—
|
$85,789.36
|
$230,367.63
|
$148,292.68
|
2026-04-01
|
|
81200006
|
CDM
|
Hc Lung Procurement Bilateral
|
72
|
23
|
$301,130.00
|
—
|
$65,947.47
|
$285,441.13
|
$148,110.79
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
38
|
21
|
$245,135.77
|
—
|
$85,209.19
|
$228,809.72
|
$147,289.83
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
38
|
21
|
$244,674.19
|
—
|
$85,048.75
|
$228,378.89
|
$147,012.48
|
2026-04-01
|
|
309 - 4
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
38
|
21
|
$244,539.16
|
—
|
$85,001.81
|
$228,252.85
|
$146,931.35
|
2026-04-01
|
|
050 - 3
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
38
|
21
|
$242,720.81
|
—
|
$84,369.75
|
$226,555.61
|
$145,838.80
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
38
|
21
|
$241,464.27
|
—
|
$83,932.98
|
$225,382.75
|
$145,083.80
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
38
|
21
|
$240,302.63
|
—
|
$83,529.19
|
$224,298.47
|
$144,385.83
|
2026-04-01
|
|
044 - 4
|
APR_DRG
|
Intracranial Hemorrhage
|
38
|
21
|
$239,634.39
|
—
|
$83,296.91
|
$223,674.74
|
$143,984.32
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
38
|
21
|
$239,499.11
|
—
|
$83,249.89
|
$223,548.47
|
$143,903.04
|
2026-04-01
|
|
518 - 4
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
38
|
21
|
$239,073.28
|
—
|
$83,101.87
|
$223,151.00
|
$143,647.18
|
2026-04-01
|
|
361 - 4
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
38
|
21
|
$238,764.56
|
—
|
$82,994.56
|
$222,862.84
|
$143,461.69
|
2026-04-01
|
|
183 - 2
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
38
|
21
|
$237,285.47
|
—
|
$82,480.43
|
$221,482.26
|
$142,572.98
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
38
|
21
|
$237,283.55
|
—
|
$82,479.76
|
$221,480.46
|
$142,571.82
|
2026-04-01
|
|
091 - 2
|
APR_DRG
|
Other Major Head & Neck Procedures
|
38
|
21
|
$236,555.30
|
—
|
$82,226.62
|
$220,800.71
|
$142,134.25
|
2026-04-01
|
|
850 - 3
|
APR_DRG
|
Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service
|
38
|
21
|
$236,406.03
|
—
|
$82,174.74
|
$220,661.39
|
$142,044.57
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
38
|
21
|
$236,302.92
|
—
|
$82,138.90
|
$220,565.15
|
$141,982.61
|
2026-04-01
|
|
177 - 4
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
38
|
21
|
$236,057.41
|
—
|
$82,053.55
|
$220,335.98
|
$141,835.09
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
38
|
21
|
$235,186.17
|
—
|
$81,750.71
|
$219,522.77
|
$141,311.61
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
38
|
21
|
$235,123.61
|
—
|
$81,728.97
|
$219,464.38
|
$141,274.03
|
2026-04-01
|
|
710 - 3
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
38
|
21
|
$234,463.59
|
—
|
$81,499.55
|
$218,848.32
|
$140,877.45
|
2026-04-01
|
|
401 - 3
|
APR_DRG
|
Adrenal Procedures
|
38
|
21
|
$234,050.16
|
—
|
$81,355.83
|
$218,462.42
|
$140,629.04
|
2026-04-01
|
|
304 - 2
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
38
|
21
|
$233,180.64
|
—
|
$81,053.59
|
$217,650.81
|
$140,106.59
|
2026-04-01
|
|
441 - 1
|
APR_DRG
|
Major Bladder Procedures
|
38
|
21
|
$232,960.44
|
—
|
$80,977.05
|
$217,445.27
|
$139,974.28
|
2026-04-01
|
|
27804433
|
CDM
|
Hc Heartmate Iii Implant Lvad
|
71
|
23
|
$282,000.00
|
—
|
$61,758.00
|
$267,307.80
|
$139,195.20
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
38
|
21
|
$231,534.22
|
—
|
$80,481.29
|
$216,114.04
|
$139,117.34
|
2026-04-01
|
|
047 - 4
|
APR_DRG
|
Transient Ischemia
|
38
|
21
|
$230,817.98
|
—
|
$80,232.33
|
$215,445.51
|
$138,686.98
|
2026-04-01
|
|
160 - 3
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
38
|
21
|
$230,096.42
|
—
|
$79,981.52
|
$214,772.00
|
$138,253.43
|
2026-04-01
|
|
842 - 3
|
APR_DRG
|
Burns W Skin Graft Except Extensive 3rd Degree Burns
|
38
|
21
|
$229,051.72
|
—
|
$79,618.38
|
$213,796.87
|
$137,625.73
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
38
|
21
|
$228,659.84
|
—
|
$79,482.16
|
$213,431.10
|
$137,390.27
|
2026-04-01
|
|
050 - 4
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
38
|
21
|
$228,637.88
|
—
|
$79,474.53
|
$213,410.59
|
$137,377.07
|
2026-04-01
|
|
850 - 2
|
APR_DRG
|
Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service
|
38
|
21
|
$228,566.75
|
—
|
$79,449.80
|
$213,344.20
|
$137,334.33
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
38
|
21
|
$228,340.31
|
—
|
$79,371.09
|
$213,132.85
|
$137,198.28
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
38
|
21
|
$227,435.08
|
—
|
$79,056.43
|
$212,287.90
|
$136,654.37
|
2026-04-01
|
|
661 - 4
|
APR_DRG
|
Coagulation & Platelet Disorders
|
38
|
21
|
$226,922.39
|
—
|
$78,878.22
|
$211,809.36
|
$136,346.32
|
2026-04-01
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc/mcc
|
38
|
21
|
$226,633.30
|
—
|
$78,777.73
|
$211,539.52
|
$136,172.61
|
2026-04-01
|
|
179 - 3
|
APR_DRG
|
Defibrillator Implants
|
38
|
21
|
$226,466.02
|
—
|
$78,719.59
|
$211,383.38
|
$136,072.10
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
38
|
21
|
$226,294.61
|
—
|
$78,660.01
|
$211,223.39
|
$135,969.12
|
2026-04-01
|
|
843 - 4
|
APR_DRG
|
Extensive 3rd Degree Burns Without Skin Graft
|
38
|
21
|
$226,220.91
|
—
|
$78,634.39
|
$211,154.59
|
$135,924.83
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
38
|
21
|
$225,648.11
|
—
|
$78,435.28
|
$210,619.95
|
$135,580.67
|
2026-04-01
|
|
321 - 3
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc
|
38
|
21
|
$225,318.83
|
—
|
$78,320.82
|
$210,312.59
|
$135,382.82
|
2026-04-01
|
|
581
|
MS_DRG
|
Other Skin Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
38
|
21
|
$225,115.56
|
—
|
$78,250.17
|
$210,122.87
|
$135,260.68
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
38
|
21
|
$224,778.84
|
—
|
$78,133.13
|
$209,808.57
|
$135,058.37
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc
|
38
|
21
|
$224,564.70
|
—
|
$78,058.69
|
$209,608.69
|
$134,929.70
|
2026-04-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
38
|
21
|
$224,378.08
|
—
|
$77,993.82
|
$209,434.50
|
$134,817.57
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
38
|
21
|
$224,192.89
|
—
|
$77,929.45
|
$209,261.64
|
$134,706.29
|
2026-04-01
|
|
690 - 3
|
APR_DRG
|
Acute Leukemia
|
38
|
21
|
$224,108.17
|
—
|
$77,900.00
|
$209,182.57
|
$134,655.40
|
2026-04-01
|
|
81200005
|
CDM
|
Hc Lung Procurement
|
72
|
23
|
$273,755.00
|
—
|
$59,952.35
|
$259,492.36
|
$134,646.40
|
2026-04-01
|
|
681 - 4
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
38
|
21
|
$222,845.67
|
—
|
$77,461.16
|
$208,004.15
|
$133,896.82
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
38
|
21
|
$222,490.03
|
—
|
$77,337.53
|
$207,672.20
|
$133,683.14
|
2026-04-01
|
|
023 - 2
|
APR_DRG
|
Spinal Procedures
|
38
|
21
|
$220,465.42
|
—
|
$76,633.78
|
$205,782.42
|
$132,466.65
|
2026-04-01
|
|
120 - 3
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
38
|
21
|
$219,358.59
|
—
|
$76,249.05
|
$204,749.31
|
$131,801.61
|
2026-04-01
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
38
|
21
|
$219,306.38
|
—
|
$76,230.90
|
$204,700.57
|
$131,770.23
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
38
|
21
|
$218,959.64
|
—
|
$76,110.37
|
$204,376.93
|
$131,561.90
|
2026-04-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
38
|
21
|
$218,559.38
|
—
|
$75,971.24
|
$204,003.32
|
$131,321.40
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
38
|
21
|
$218,060.25
|
—
|
$75,797.74
|
$203,537.44
|
$131,021.50
|
2026-04-01
|
|
362 - 1
|
APR_DRG
|
Mastectomy Procedures
|
38
|
21
|
$217,778.05
|
—
|
$75,699.65
|
$203,274.03
|
$130,851.94
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
38
|
21
|
$215,448.23
|
—
|
$74,889.81
|
$201,099.38
|
$129,452.07
|
2026-04-01
|
|
223 - 4
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
38
|
21
|
$215,235.88
|
—
|
$74,815.99
|
$200,901.17
|
$129,324.48
|
2026-04-01
|
|
793 - 4
|
APR_DRG
|
Moderately Extensive Or Procedures For Other Complications Of Treatment
|
38
|
21
|
$214,622.16
|
—
|
$74,602.66
|
$200,328.32
|
$128,955.72
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
38
|
21
|
$214,103.45
|
—
|
$74,422.36
|
$199,844.16
|
$128,644.06
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
38
|
21
|
$213,697.47
|
—
|
$74,281.24
|
$199,465.22
|
$128,400.12
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
38
|
21
|
$212,800.25
|
—
|
$73,969.37
|
$198,627.75
|
$127,861.03
|
2026-04-01
|
|
81200001
|
CDM
|
Hc Heart Procurement
|
72
|
23
|
$258,411.00
|
—
|
$56,592.01
|
$244,947.79
|
$127,099.45
|
2026-04-01
|
|
092 - 4
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
38
|
21
|
$210,909.88
|
—
|
$73,312.27
|
$196,863.28
|
$126,725.20
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear Nose Mouth And Throat O.r. Procedures With Mcc
|
38
|
21
|
$210,867.39
|
—
|
$73,297.50
|
$196,823.62
|
$126,699.67
|
2026-04-01
|
|
176 - 4
|
APR_DRG
|
Insertion Revision & Replacements Of Pacemaker & Other Cardiac Devices
|
38
|
21
|
$210,379.84
|
—
|
$73,128.03
|
$196,368.55
|
$126,406.73
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
38
|
21
|
$210,098.19
|
—
|
$73,030.13
|
$196,105.65
|
$126,237.49
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc
|
38
|
21
|
$209,519.00
|
—
|
$72,828.80
|
$195,565.03
|
$125,889.49
|
2026-04-01
|
|
27803104
|
CDM
|
Hc Implant Set Hvad Sterile
|
71
|
23
|
$252,600.00
|
—
|
$55,319.40
|
$239,439.54
|
$124,683.36
|
2026-04-01
|
|
513 - 3
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma
|
38
|
21
|
$207,079.09
|
—
|
$71,980.69
|
$193,287.63
|
$124,423.48
|
2026-04-01
|
|
026 - 4
|
APR_DRG
|
Other Nervous System & Related Procedures
|
38
|
21
|
$206,410.36
|
—
|
$71,748.24
|
$192,663.43
|
$124,021.67
|
2026-04-01
|
|
442 - 3
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
38
|
21
|
$206,181.41
|
—
|
$71,668.66
|
$192,449.72
|
$123,884.10
|
2026-04-01
|
|
750 - 4
|
APR_DRG
|
Schizophrenia
|
38
|
21
|
$205,897.66
|
—
|
$71,570.03
|
$192,184.87
|
$123,713.60
|
2026-04-01
|
|
547 - 4
|
APR_DRG
|
Antepartum W O.r. Procedure
|
38
|
21
|
$205,876.38
|
—
|
$71,562.63
|
$192,165.01
|
$123,700.82
|
2026-04-01
|
|
022 - 4
|
APR_DRG
|
Ventricular Shunt Procedures
|
38
|
21
|
$205,717.89
|
—
|
$71,507.54
|
$192,017.08
|
$123,605.59
|
2026-04-01
|
|
181 - 2
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
38
|
21
|
$205,445.03
|
—
|
$71,412.69
|
$191,762.39
|
$123,441.65
|
2026-04-01
|
|
040 - 4
|
APR_DRG
|
Spinal Disorders & Injuries
|
38
|
21
|
$205,437.88
|
—
|
$71,410.21
|
$191,755.71
|
$123,437.35
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
38
|
21
|
$204,914.33
|
—
|
$71,228.22
|
$191,267.03
|
$123,122.77
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
21
|
$204,157.16
|
—
|
$70,965.03
|
$190,560.29
|
$122,667.82
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
38
|
21
|
$203,734.31
|
—
|
$70,818.05
|
$190,165.61
|
$122,413.76
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
38
|
21
|
$203,268.47
|
—
|
$70,656.12
|
$189,730.79
|
$122,133.86
|
2026-04-01
|
|
181 - 3
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
38
|
21
|
$203,120.47
|
—
|
$70,604.67
|
$189,592.65
|
$122,044.93
|
2026-04-01
|
|
480 - 2
|
APR_DRG
|
Major Male Pelvic Procedures
|
38
|
21
|
$202,003.64
|
—
|
$70,216.47
|
$188,550.20
|
$121,373.88
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
38
|
21
|
$201,511.53
|
—
|
$70,045.41
|
$188,090.86
|
$121,078.21
|
2026-04-01
|
|
724 - 4
|
APR_DRG
|
Other Infectious & Parasitic Diseases
|
38
|
21
|
$201,138.89
|
—
|
$69,915.88
|
$187,743.04
|
$120,854.30
|
2026-04-01
|
|
841 - 3
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
38
|
21
|
$199,802.84
|
—
|
$69,451.47
|
$186,495.97
|
$120,051.54
|
2026-04-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
38
|
21
|
$199,690.75
|
—
|
$69,412.50
|
$186,391.35
|
$119,984.18
|
2026-04-01
|
|
283 - 4
|
APR_DRG
|
Other Disorders Of The Liver
|
38
|
21
|
$198,679.42
|
—
|
$69,060.97
|
$185,447.37
|
$119,376.53
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
21
|
$198,293.58
|
—
|
$68,926.85
|
$185,087.23
|
$119,144.70
|
2026-04-01
|
|
27803002
|
CDM
|
Hc Hm Heartmate Ii Implant Kit With Pc
|
71
|
23
|
$240,000.00
|
—
|
$52,560.00
|
$227,496.00
|
$118,464.00
|
2026-04-01
|
|
446 - 2
|
APR_DRG
|
Urethral & Transurethral Procedures
|
38
|
21
|
$196,686.22
|
—
|
$68,368.13
|
$183,586.92
|
$118,178.92
|
2026-04-01
|