|
J1303
|
HCPCS
|
Ultomiris 100 Mg/ml IV Solution
|
34
|
23
|
$367,168.22
|
$330,451.40
|
$213.56
|
$359,824.86
|
$341,466.44
|
2026-04-01
|
|
J2326
|
HCPCS
|
Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution
|
36
|
23
|
$248,566.21
|
$223,709.59
|
$1,221.84
|
$243,594.89
|
$224,952.42
|
2026-04-01
|
|
J9042
|
HCPCS
|
Adcetris 50 Mg IV Solr
|
34
|
23
|
$190,517.28
|
$171,465.55
|
$255.03
|
$186,706.93
|
$177,181.07
|
2026-04-01
|
|
J2350
|
HCPCS
|
Ocrevus 30 Mg/ml IV Solution
|
34
|
23
|
$161,988.61
|
$145,789.75
|
$56.35
|
$158,748.84
|
$150,649.41
|
2026-04-01
|
|
J7180
|
HCPCS
|
Corifact 1000-1600 Unit IV Solr
|
34
|
23
|
$141,941.65
|
$127,747.49
|
$10.22
|
$139,102.82
|
$132,005.73
|
2026-04-01
|
|
J1299
|
HCPCS
|
Soliris 300 Mg/30 Ml IV Solution
|
34
|
23
|
$123,997.02
|
$111,597.32
|
$42.78
|
$121,517.08
|
$115,317.23
|
2026-04-01
|
|
90396
|
HCPCS
|
Varizig 125 Unit/1.2 Ml IM Solution
|
34
|
23
|
$84,181.71
|
$75,763.54
|
$1,114.87
|
$82,498.08
|
$78,288.99
|
2026-04-01
|
|
38230
|
HCPCS
|
Bone Marrow Procur - US
|
34
|
23
|
$66,210.00
|
$59,589.00
|
$1,511.60
|
$64,885.80
|
$61,575.30
|
2026-04-01
|
|
J0567
|
HCPCS
|
Brineura 300 Mg/10 Ml (150mg/5ml X2) Intraventric Kit
|
33
|
22
|
$131,187.83
|
$118,069.05
|
$181.79
|
$128,564.07
|
$122,004.68
|
2026-04-01
|
|
J9118
|
HCPCS
|
Asparlas 750 Units/ml IV Solution
|
33
|
22
|
$108,036.17
|
$97,232.55
|
$123.11
|
$105,875.45
|
$100,473.64
|
2026-04-01
|
|
J9999
|
HCPCS
|
Unituxin 3.5 Mg/ml IV Solution
|
32
|
22
|
$88,581.65
|
$79,723.49
|
$189.46
|
$86,810.02
|
$82,380.93
|
2026-04-01
|
|
0484T
|
HCPCS
|
Tmvi W/prosthetic Valve, Transthoracic Exposure
|
32
|
22
|
$71,490.00
|
$64,341.00
|
$21,953.75
|
$70,060.20
|
$66,485.70
|
2026-04-01
|
|
0483T
|
HCPCS
|
Tmvi W/prosthetic Valve, Percutaneous Approach & Transseptal Pun
|
32
|
22
|
$71,490.00
|
$64,341.00
|
$21,953.75
|
$70,060.20
|
$66,485.70
|
2026-04-01
|
|
0646T
|
HCPCS
|
Transcatheter Tricuspid Valve Implantation
|
32
|
22
|
$65,670.00
|
$59,103.00
|
$21,953.75
|
$64,356.60
|
$61,073.10
|
2026-04-01
|
|
J9039
|
HCPCS
|
Blincyto 35 Mcg IV Kit
|
27
|
19
|
$135,730.28
|
$122,157.25
|
$155.50
|
$133,015.67
|
$127,586.46
|
2026-04-01
|
|
913508
|
CDM
|
Implantable Vad Set Up
|
25
|
17
|
$386,760.00
|
$348,084.00
|
$251,394.00
|
$379,024.80
|
$363,554.40
|
2026-04-01
|
|
913506
|
CDM
|
Paracorporeal Bi-vad Set Up
|
25
|
17
|
$354,530.00
|
$319,077.00
|
$230,444.50
|
$347,439.40
|
$333,258.20
|
2026-04-01
|
|
913523
|
CDM
|
Living Donor Liver
|
25
|
17
|
$233,550.00
|
$210,195.00
|
$151,807.50
|
$228,879.00
|
$219,537.00
|
2026-04-01
|
|
913505
|
CDM
|
Paracorporeal Mono-vad Set Up
|
25
|
17
|
$214,870.00
|
$193,383.00
|
$139,665.50
|
$210,572.60
|
$201,977.80
|
2026-04-01
|
|
912477
|
CDM
|
Cadaver Donor Heart
|
25
|
17
|
$146,000.00
|
$131,400.00
|
$94,900.00
|
$143,080.00
|
$137,240.00
|
2026-04-01
|
|
913502
|
CDM
|
Blood Pump Exchange
|
25
|
17
|
$139,730.00
|
$125,757.00
|
$90,824.50
|
$136,935.40
|
$131,346.20
|
2026-04-01
|
|
912655
|
CDM
|
Catheter Vad Set Up
|
25
|
17
|
$128,920.00
|
$116,028.00
|
$83,798.00
|
$126,341.60
|
$121,184.80
|
2026-04-01
|
|
912479
|
CDM
|
Cadaver Donor Liver
|
25
|
17
|
$123,000.00
|
$110,700.00
|
$79,950.00
|
$120,540.00
|
$115,620.00
|
2026-04-01
|
|
912476
|
CDM
|
Cadaver Donor Lung
|
25
|
17
|
$112,000.00
|
$100,800.00
|
$72,800.00
|
$109,760.00
|
$105,280.00
|
2026-04-01
|
|
0074357501
|
NDC
|
Lupron Depot-ped 45 Mg IM Sykt
|
25
|
17
|
$89,729.41
|
$80,756.47
|
$58,324.12
|
$87,934.82
|
$84,345.65
|
2026-04-01
|
|
913592
|
CDM
|
Stent Minima Sys 6mmx16mmx63cm
|
25
|
17
|
$88,920.00
|
$80,028.00
|
$57,798.00
|
$87,141.60
|
$83,584.80
|
2026-04-01
|
|
913593
|
CDM
|
Stent Minima Sys 8mmx16mmx63cm
|
25
|
17
|
$88,920.00
|
$80,028.00
|
$57,798.00
|
$87,141.60
|
$83,584.80
|
2026-04-01
|
|
912478
|
CDM
|
Cadaver Donor Kidney
|
25
|
17
|
$88,000.00
|
$79,200.00
|
$57,200.00
|
$86,240.00
|
$82,720.00
|
2026-04-01
|
|
913320
|
CDM
|
Valve Pulmonary Harmony Sys Tpv 22
|
25
|
17
|
$85,800.00
|
$77,220.00
|
$55,770.00
|
$84,084.00
|
$80,652.00
|
2026-04-01
|
|
913321
|
CDM
|
Valve Pulmonary Harmony Sys Tpv 25
|
25
|
17
|
$85,800.00
|
$77,220.00
|
$55,770.00
|
$84,084.00
|
$80,652.00
|
2026-04-01
|
|
906673
|
CDM
|
Living Donor Kidney
|
25
|
17
|
$78,000.00
|
$70,200.00
|
$50,700.00
|
$76,440.00
|
$73,320.00
|
2026-04-01
|
|
913465
|
CDM
|
Pancreatic Islet Cell Isolation
|
25
|
17
|
$75,000.00
|
$67,500.00
|
$48,750.00
|
$73,500.00
|
$70,500.00
|
2026-04-01
|
|
913322
|
CDM
|
Valve Pulmonary Melody 16mm
|
25
|
17
|
$66,300.00
|
$59,670.00
|
$43,095.00
|
$64,974.00
|
$62,322.00
|
2026-04-01
|
|
913323
|
CDM
|
Valve Pulmonary Melody 18mm
|
25
|
17
|
$66,300.00
|
$59,670.00
|
$43,095.00
|
$64,974.00
|
$62,322.00
|
2026-04-01
|
|
6840311006
|
NDC
|
Babybig 100 Mg IV Solr
|
25
|
17
|
$65,895.00
|
$59,305.50
|
$42,831.75
|
$64,577.10
|
$61,941.30
|
2026-04-01
|
|
33979
|
HCPCS
|
Pr Insj Ventr Assist Dev Impltable Icorp 1 Vntrc
|
8
|
8
|
—
|
—
|
$5,842.64
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
33975
|
HCPCS
|
Pr Insj Ventric Assist Dev Xtrcorp Single Ventricle
|
8
|
8
|
—
|
—
|
$3,919.32
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
33976
|
HCPCS
|
Pr Insj Ventric Assist Dev Xtrcorp Biventricular
|
8
|
8
|
—
|
—
|
$4,735.11
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
33991
|
HCPCS
|
Pr Insj Perq Vad W/rs&i L Hrt Arterial&ven Access
|
8
|
8
|
—
|
—
|
$1,360.78
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
33983
|
HCPCS
|
Pr Rplcmt Vad Pmp Impltbl Icorp 1 Vntr W/bypass
|
8
|
8
|
—
|
—
|
$6,860.68
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
33981
|
HCPCS
|
Pr Rplcmt Xtrcorp Vad 1/biventr Pump 1/ea Pump
|
8
|
8
|
—
|
—
|
$2,479.08
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
33982
|
HCPCS
|
Pr Plcmt Vad Pmp Impltbl Icorp 1 Ventr Without Bypass
|
8
|
8
|
—
|
—
|
$5,829.81
|
$104,765.21
|
$104,765.21
|
2026-04-01
|
|
5884
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$523,928.19
|
$523,928.19
|
$523,928.19
|
2026-04-01
|
|
5833
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$506,823.02
|
$506,823.02
|
$506,823.02
|
2026-04-01
|
|
5834
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$506,823.02
|
$506,823.02
|
$506,823.02
|
2026-04-01
|
|
5831
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$482,092.54
|
$482,092.54
|
$482,092.54
|
2026-04-01
|
|
5832
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$482,092.54
|
$482,092.54
|
$482,092.54
|
2026-04-01
|
|
1614
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$426,525.49
|
$426,525.49
|
$426,525.49
|
2026-04-01
|
|
0024
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$375,123.59
|
$375,123.59
|
$375,123.59
|
2026-04-01
|
|
6094
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$336,035.49
|
$336,035.49
|
$336,035.49
|
2026-04-01
|
|
1611
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$330,099.62
|
$330,099.62
|
$330,099.62
|
2026-04-01
|
|
1612
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$330,099.62
|
$330,099.62
|
$330,099.62
|
2026-04-01
|
|
1613
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$330,099.62
|
$330,099.62
|
$330,099.62
|
2026-04-01
|
|
6304
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$326,119.92
|
$326,119.92
|
$326,119.92
|
2026-04-01
|
|
0074
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$320,660.39
|
$320,660.39
|
$320,660.39
|
2026-04-01
|
|
8414
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$298,481.85
|
$298,481.85
|
$298,481.85
|
2026-04-01
|
|
8412
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$298,481.85
|
$298,481.85
|
$298,481.85
|
2026-04-01
|
|
8411
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$298,481.85
|
$298,481.85
|
$298,481.85
|
2026-04-01
|
|
8413
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$298,481.85
|
$298,481.85
|
$298,481.85
|
2026-04-01
|
|
6314
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$287,860.02
|
$287,860.02
|
$287,860.02
|
2026-04-01
|
|
5883
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$264,664.01
|
$264,664.01
|
$264,664.01
|
2026-04-01
|
|
5882
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$251,749.39
|
$251,749.39
|
$251,749.39
|
2026-04-01
|
|
5881
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$251,749.39
|
$251,749.39
|
$251,749.39
|
2026-04-01
|
|
5934
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$243,974.19
|
$243,974.19
|
$243,974.19
|
2026-04-01
|
|
5914
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$226,491.75
|
$226,491.75
|
$226,491.75
|
2026-04-01
|
|
1604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$185,047.34
|
$185,047.34
|
$185,047.34
|
2026-04-01
|
|
6024
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$166,986.94
|
$166,986.94
|
$166,986.94
|
2026-04-01
|
|
0021
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$166,274.33
|
$166,274.33
|
$166,274.33
|
2026-04-01
|
|
0023
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$166,274.33
|
$166,274.33
|
$166,274.33
|
2026-04-01
|
|
0022
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$166,274.33
|
$166,274.33
|
$166,274.33
|
2026-04-01
|
|
0094
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$166,007.57
|
$166,007.57
|
$166,007.57
|
2026-04-01
|
|
6074
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$165,147.61
|
$165,147.61
|
$165,147.61
|
2026-04-01
|
|
0073
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$156,499.76
|
$156,499.76
|
$156,499.76
|
2026-04-01
|
|
5933
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$152,659.79
|
$152,659.79
|
$152,659.79
|
2026-04-01
|
|
0044
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$150,755.69
|
$150,755.69
|
$150,755.69
|
2026-04-01
|
|
6303
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$144,050.05
|
$144,050.05
|
$144,050.05
|
2026-04-01
|
|
8504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$142,031.62
|
$142,031.62
|
$142,031.62
|
2026-04-01
|
|
6334
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$140,448.89
|
$140,448.89
|
$140,448.89
|
2026-04-01
|
|
3034
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$137,725.48
|
$137,725.48
|
$137,725.48
|
2026-04-01
|
|
8514
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$137,452.37
|
$137,452.37
|
$137,452.37
|
2026-04-01
|
|
6093
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$136,573.36
|
$136,573.36
|
$136,573.36
|
2026-04-01
|
|
6023
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$135,000.79
|
$135,000.79
|
$135,000.79
|
2026-04-01
|
|
0014
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$132,314.22
|
$132,314.22
|
$132,314.22
|
2026-04-01
|
|
6091
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$129,908.36
|
$129,908.36
|
$129,908.36
|
2026-04-01
|
|
6092
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$129,908.36
|
$129,908.36
|
$129,908.36
|
2026-04-01
|
|
6114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$129,465.05
|
$129,465.05
|
$129,465.05
|
2026-04-01
|
|
6214
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$127,126.52
|
$127,126.52
|
$127,126.52
|
2026-04-01
|
|
0084
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$125,592.05
|
$125,592.05
|
$125,592.05
|
2026-04-01
|
|
5913
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$125,463.77
|
$125,463.77
|
$125,463.77
|
2026-04-01
|
|
0072
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$125,279.57
|
$125,279.57
|
$125,279.57
|
2026-04-01
|
|
0071
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$125,279.57
|
$125,279.57
|
$125,279.57
|
2026-04-01
|
|
8424
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$124,626.67
|
$124,626.67
|
$124,626.67
|
2026-04-01
|
|
6124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$121,022.97
|
$121,022.97
|
$121,022.97
|
2026-04-01
|
|
6073
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$116,053.76
|
$116,053.76
|
$116,053.76
|
2026-04-01
|
|
5893
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$114,463.41
|
$114,463.41
|
$114,463.41
|
2026-04-01
|
|
5894
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$114,463.41
|
$114,463.41
|
$114,463.41
|
2026-04-01
|
|
1834
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$114,454.52
|
$114,454.52
|
$114,454.52
|
2026-04-01
|
|
0043
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$114,233.49
|
$114,233.49
|
$114,233.49
|
2026-04-01
|
|
8634
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$114,067.09
|
$114,067.09
|
$114,067.09
|
2026-04-01
|
|
1784
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$114,028.98
|
$114,028.98
|
$114,028.98
|
2026-04-01
|
|
6904
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$113,583.12
|
$113,583.12
|
$113,583.12
|
2026-04-01
|
|
6313
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$109,247.76
|
$109,247.76
|
$109,247.76
|
2026-04-01
|
|
5892
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$108,879.39
|
$108,879.39
|
$108,879.39
|
2026-04-01
|
|
5891
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$108,879.39
|
$108,879.39
|
$108,879.39
|
2026-04-01
|
|
0054
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$106,427.81
|
$106,427.81
|
$106,427.81
|
2026-04-01
|
|
3033
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$103,299.19
|
$103,299.19
|
$103,299.19
|
2026-04-01
|
|
6814
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$99,997.81
|
$99,997.81
|
$99,997.81
|
2026-04-01
|
|
6954
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$99,427.47
|
$99,427.47
|
$99,427.47
|
2026-04-01
|
|
3004
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$99,048.94
|
$99,048.94
|
$99,048.94
|
2026-04-01
|
|
6022
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$98,773.29
|
$98,773.29
|
$98,773.29
|
2026-04-01
|
|
1634
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$98,613.24
|
$98,613.24
|
$98,613.24
|
2026-04-01
|
|
1624
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$97,500.50
|
$97,500.50
|
$97,500.50
|
2026-04-01
|
|
6033
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$97,196.91
|
$97,196.91
|
$97,196.91
|
2026-04-01
|
|
6034
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$97,196.91
|
$97,196.91
|
$97,196.91
|
2026-04-01
|
|
5932
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$96,577.03
|
$96,577.03
|
$96,577.03
|
2026-04-01
|
|
5931
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$96,577.03
|
$96,577.03
|
$96,577.03
|
2026-04-01
|
|
0224
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,820.27
|
$94,820.27
|
$94,820.27
|
2026-04-01
|
|
5911
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,651.34
|
$94,651.34
|
$94,651.34
|
2026-04-01
|
|
5912
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,651.34
|
$94,651.34
|
$94,651.34
|
2026-04-01
|
|
6301
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,387.13
|
$94,387.13
|
$94,387.13
|
2026-04-01
|
|
6302
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,387.13
|
$94,387.13
|
$94,387.13
|
2026-04-01
|
|
0083
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,337.59
|
$94,337.59
|
$94,337.59
|
2026-04-01
|
|
0113
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$93,442.05
|
$93,442.05
|
$93,442.05
|
2026-04-01
|
|
0111
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$93,442.05
|
$93,442.05
|
$93,442.05
|
2026-04-01
|
|
0112
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$93,442.05
|
$93,442.05
|
$93,442.05
|
2026-04-01
|
|
0114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$93,442.05
|
$93,442.05
|
$93,442.05
|
2026-04-01
|
|
7924
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$91,772.95
|
$91,772.95
|
$91,772.95
|
2026-04-01
|
|
9504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$89,185.45
|
$89,185.45
|
$89,185.45
|
2026-04-01
|
|
8633
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$86,178.77
|
$86,178.77
|
$86,178.77
|
2026-04-01
|
|
2994
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$85,837.07
|
$85,837.07
|
$85,837.07
|
2026-04-01
|
|
0914
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$84,227.67
|
$84,227.67
|
$84,227.67
|
2026-04-01
|
|
2004
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$82,173.67
|
$82,173.67
|
$82,173.67
|
2026-04-01
|
|
6083
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$81,782.44
|
$81,782.44
|
$81,782.44
|
2026-04-01
|
|
6084
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$81,782.44
|
$81,782.44
|
$81,782.44
|
2026-04-01
|
|
3044
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$81,591.90
|
$81,591.90
|
$81,591.90
|
2026-04-01
|
|
6344
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$81,539.82
|
$81,539.82
|
$81,539.82
|
2026-04-01
|
|
6072
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$81,100.32
|
$81,100.32
|
$81,100.32
|
2026-04-01
|
|
9104
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$81,092.70
|
$81,092.70
|
$81,092.70
|
2026-04-01
|
|
6224
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$80,573.16
|
$80,573.16
|
$80,573.16
|
2026-04-01
|
|
1833
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$80,495.68
|
$80,495.68
|
$80,495.68
|
2026-04-01
|
|
1794
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$78,315.93
|
$78,315.93
|
$78,315.93
|
2026-04-01
|
|
1674
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$77,802.75
|
$77,802.75
|
$77,802.75
|
2026-04-01
|
|
0214
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$77,663.02
|
$77,663.02
|
$77,663.02
|
2026-04-01
|
|
1204
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$77,222.25
|
$77,222.25
|
$77,222.25
|
2026-04-01
|
|
0053
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$77,024.08
|
$77,024.08
|
$77,024.08
|
2026-04-01
|
|
6604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$76,997.41
|
$76,997.41
|
$76,997.41
|
2026-04-01
|
|
1603
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$75,861.81
|
$75,861.81
|
$75,861.81
|
2026-04-01
|
|
6123
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$75,389.28
|
$75,389.28
|
$75,389.28
|
2026-04-01
|
|
3124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$74,371.80
|
$74,371.80
|
$74,371.80
|
2026-04-01
|
|
2204
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$72,415.62
|
$72,415.62
|
$72,415.62
|
2026-04-01
|
|
1832
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$72,275.90
|
$72,275.90
|
$72,275.90
|
2026-04-01
|
|
6903
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$71,967.22
|
$71,967.22
|
$71,967.22
|
2026-04-01
|
|
3032
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$71,086.94
|
$71,086.94
|
$71,086.94
|
2026-04-01
|
|
1623
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$70,676.66
|
$70,676.66
|
$70,676.66
|
2026-04-01
|
|
1654
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$70,553.44
|
$70,553.44
|
$70,553.44
|
2026-04-01
|
|
1831
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$70,244.77
|
$70,244.77
|
$70,244.77
|
2026-04-01
|
|
6113
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$69,976.75
|
$69,976.75
|
$69,976.75
|
2026-04-01
|
|
9114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$69,676.97
|
$69,676.97
|
$69,676.97
|
2026-04-01
|
|
0264
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$69,201.89
|
$69,201.89
|
$69,201.89
|
2026-04-01
|
|
0093
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$68,073.92
|
$68,073.92
|
$68,073.92
|
2026-04-01
|
|
0092
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$68,073.92
|
$68,073.92
|
$68,073.92
|
2026-04-01
|
|
0091
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$68,073.92
|
$68,073.92
|
$68,073.92
|
2026-04-01
|
|
0234
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$67,780.48
|
$67,780.48
|
$67,780.48
|
2026-04-01
|
|
1304
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$67,725.86
|
$67,725.86
|
$67,725.86
|
2026-04-01
|
|
1781
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$67,643.30
|
$67,643.30
|
$67,643.30
|
2026-04-01
|
|
1783
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$67,643.30
|
$67,643.30
|
$67,643.30
|
2026-04-01
|
|
1782
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$67,643.30
|
$67,643.30
|
$67,643.30
|
2026-04-01
|
|
2993
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$67,121.23
|
$67,121.23
|
$67,121.23
|
2026-04-01
|
|
6804
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$66,733.80
|
$66,733.80
|
$66,733.80
|
2026-04-01
|
|
6213
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$66,671.56
|
$66,671.56
|
$66,671.56
|
2026-04-01
|
|
2304
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$65,707.44
|
$65,707.44
|
$65,707.44
|
2026-04-01
|
|
0204
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$65,525.80
|
$65,525.80
|
$65,525.80
|
2026-04-01
|
|
8423
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$65,488.95
|
$65,488.95
|
$65,488.95
|
2026-04-01
|
|
0894
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$65,064.69
|
$65,064.69
|
$65,064.69
|
2026-04-01
|
|
1664
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$65,018.96
|
$65,018.96
|
$65,018.96
|
2026-04-01
|
|
2604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,763.64
|
$64,763.64
|
$64,763.64
|
2026-04-01
|
|
0304
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,175.52
|
$64,175.52
|
$64,175.52
|
2026-04-01
|
|
0274
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,103.11
|
$64,103.11
|
$64,103.11
|
2026-04-01
|
|
1694
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$63,995.14
|
$63,995.14
|
$63,995.14
|
2026-04-01
|
|
9124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$62,857.00
|
$62,857.00
|
$62,857.00
|
2026-04-01
|
|
0294
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$62,378.12
|
$62,378.12
|
$62,378.12
|
2026-04-01
|
|
0504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$62,359.06
|
$62,359.06
|
$62,359.06
|
2026-04-01
|
|
1814
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$62,084.68
|
$62,084.68
|
$62,084.68
|
2026-04-01
|
|
6122
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,809.05
|
$61,809.05
|
$61,809.05
|
2026-04-01
|
|
3214
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,656.61
|
$61,656.61
|
$61,656.61
|
2026-04-01
|
|
4054
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,236.16
|
$61,236.16
|
$61,236.16
|
2026-04-01
|
|
7504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,087.54
|
$61,087.54
|
$61,087.54
|
2026-04-01
|
|
1824
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,960.52
|
$60,960.52
|
$60,960.52
|
2026-04-01
|
|
6143
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,909.70
|
$60,909.70
|
$60,909.70
|
2026-04-01
|
|
6144
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,909.70
|
$60,909.70
|
$60,909.70
|
2026-04-01
|
|
3003
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,472.74
|
$60,472.74
|
$60,472.74
|
2026-04-01
|
|
6071
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,274.58
|
$60,274.58
|
$60,274.58
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
6
|
5
|
—
|
—
|
$10,227.12
|
$513,981.00
|
$121,114.50
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
5
|
4
|
—
|
—
|
$59,918.72
|
$217,677.00
|
$173,543.00
|
2026-04-01
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
4
|
3
|
—
|
—
|
$22,571.20
|
$178,280.00
|
$177,216.00
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
4
|
3
|
—
|
—
|
$33,879.33
|
$143,107.00
|
$125,953.50
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
4
|
3
|
—
|
—
|
$4,202.49
|
$102,337.00
|
$74,322.00
|
2026-04-01
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/mcc
|
4
|
3
|
—
|
—
|
$24,663.58
|
$82,383.00
|
$69,762.50
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
2
|
2
|
—
|
—
|
$78,018.54
|
$655,255.00
|
$366,636.77
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
3
|
2
|
—
|
—
|
$93,535.98
|
$305,802.00
|
$305,802.00
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
2
|
2
|
—
|
—
|
$33,580.42
|
$530,203.00
|
$281,891.71
|
2026-04-01
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
3
|
2
|
—
|
—
|
$18,172.16
|
$251,661.00
|
$251,661.00
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
3
|
2
|
—
|
—
|
$66,790.94
|
$232,933.00
|
$232,933.00
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
2
|
2
|
—
|
—
|
$6,223.90
|
$369,853.00
|
$188,038.45
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
2
|
2
|
—
|
—
|
$111,022.98
|
$222,191.00
|
$166,606.99
|
2026-04-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
3
|
2
|
—
|
—
|
$16,620.27
|
$156,046.00
|
$156,046.00
|
2026-04-01
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
2
|
2
|
—
|
—
|
$18,183.08
|
$260,960.00
|
$139,571.54
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
2
|
2
|
—
|
—
|
$49,897.69
|
$180,414.00
|
$115,155.85
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$70,313.73
|
$159,694.00
|
$115,003.86
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
3
|
2
|
—
|
—
|
$38,402.57
|
$108,144.00
|
$108,144.00
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
2
|
2
|
—
|
—
|
$43,673.78
|
$152,614.00
|
$98,143.89
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
2
|
2
|
—
|
—
|
$36,502.65
|
$144,461.00
|
$90,481.83
|
2026-04-01
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
3
|
2
|
—
|
—
|
$8,605.63
|
$85,261.00
|
$85,261.00
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous Intracardiac Procedures Without Mcc
|
3
|
2
|
—
|
—
|
$50,704.34
|
$84,790.00
|
$84,790.00
|
2026-04-01
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
2
|
2
|
—
|
—
|
$5,832.18
|
$157,407.00
|
$81,619.59
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
2
|
2
|
—
|
—
|
$35,233.29
|
$126,738.00
|
$80,985.64
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
3
|
2
|
—
|
—
|
$33,482.14
|
$80,263.00
|
$80,263.00
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
2
|
2
|
—
|
—
|
$45,334.86
|
$103,369.00
|
$74,351.93
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
2
|
2
|
—
|
—
|
$43,365.31
|
$95,096.00
|
$69,230.65
|
2026-04-01
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
3
|
2
|
—
|
—
|
$27,256.87
|
$64,320.00
|
$64,320.00
|
2026-04-01
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
3
|
2
|
—
|
—
|
$19,489.28
|
$62,439.00
|
$62,439.00
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
1
|
1
|
—
|
—
|
$520,927.09
|
$520,927.09
|
$520,927.09
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$457,903.24
|
$457,903.24
|
$457,903.24
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
1
|
1
|
—
|
—
|
$323,466.91
|
$323,466.91
|
$323,466.91
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$322,739.43
|
$322,739.43
|
$322,739.43
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
1
|
1
|
—
|
—
|
$252,033.97
|
$252,033.97
|
$252,033.97
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
1
|
1
|
—
|
—
|
$225,874.47
|
$225,874.47
|
$225,874.47
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
1
|
1
|
—
|
—
|
$193,705.35
|
$193,705.35
|
$193,705.35
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
1
|
1
|
—
|
—
|
$171,680.09
|
$171,680.09
|
$171,680.09
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$165,345.64
|
$165,345.64
|
$165,345.64
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$163,604.04
|
$163,604.04
|
$163,604.04
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$153,325.05
|
$153,325.05
|
$153,325.05
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
1
|
1
|
—
|
—
|
$149,201.71
|
$149,201.71
|
$149,201.71
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
1
|
1
|
—
|
—
|
$148,089.32
|
$148,089.32
|
$148,089.32
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$142,295.35
|
$142,295.35
|
$142,295.35
|
2026-04-01
|
|
Q0480NU
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$141,900.52
|
$141,900.52
|
$141,900.52
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$136,498.66
|
$136,498.66
|
$136,498.66
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
1
|
1
|
—
|
—
|
$134,926.31
|
$134,926.31
|
$134,926.31
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
1
|
1
|
—
|
—
|
$127,715.59
|
$127,715.59
|
$127,715.59
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$127,303.39
|
$127,303.39
|
$127,303.39
|
2026-04-01
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
1
|
1
|
—
|
—
|
$123,516.29
|
$123,516.29
|
$123,516.29
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$119,654.54
|
$119,654.54
|
$119,654.54
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$115,685.44
|
$115,685.44
|
$115,685.44
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$114,169.05
|
$114,169.05
|
$114,169.05
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$108,713.58
|
$108,713.58
|
$108,713.58
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
1
|
1
|
—
|
—
|
$108,091.19
|
$108,091.19
|
$108,091.19
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$107,998.37
|
$107,998.37
|
$107,998.37
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
1
|
1
|
—
|
—
|
$107,923.30
|
$107,923.30
|
$107,923.30
|
2026-04-01
|
|
Q0480UE
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$106,425.40
|
$106,425.40
|
$106,425.40
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$105,605.72
|
$105,605.72
|
$105,605.72
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
1
|
1
|
—
|
—
|
$104,977.86
|
$104,977.86
|
$104,977.86
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
1
|
1
|
—
|
—
|
$103,808.16
|
$103,808.16
|
$103,808.16
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$99,617.94
|
$99,617.94
|
$99,617.94
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$99,256.24
|
$99,256.24
|
$99,256.24
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$94,447.74
|
$94,447.74
|
$94,447.74
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
1
|
1
|
—
|
—
|
$93,340.81
|
$93,340.81
|
$93,340.81
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$92,738.89
|
$92,738.89
|
$92,738.89
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
1
|
1
|
—
|
—
|
$92,573.74
|
$92,573.74
|
$92,573.74
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$91,995.02
|
$91,995.02
|
$91,995.02
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$91,992.30
|
$91,992.30
|
$91,992.30
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
1
|
1
|
—
|
—
|
$91,850.34
|
$91,850.34
|
$91,850.34
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
1
|
1
|
—
|
—
|
$89,498.64
|
$89,498.64
|
$89,498.64
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$86,828.91
|
$86,828.91
|
$86,828.91
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
1
|
1
|
—
|
—
|
$86,461.75
|
$86,461.75
|
$86,461.75
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$85,859.84
|
$85,859.84
|
$85,859.84
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
1
|
1
|
—
|
—
|
$84,911.24
|
$84,911.24
|
$84,911.24
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
1
|
1
|
—
|
—
|
$84,429.43
|
$84,429.43
|
$84,429.43
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
1
|
1
|
—
|
—
|
$83,674.64
|
$83,674.64
|
$83,674.64
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
1
|
1
|
—
|
—
|
$83,217.41
|
$83,217.41
|
$83,217.41
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
1
|
1
|
—
|
—
|
$82,301.57
|
$82,301.57
|
$82,301.57
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
1
|
1
|
—
|
—
|
$81,236.95
|
$81,236.95
|
$81,236.95
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$80,768.80
|
$80,768.80
|
$80,768.80
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$78,649.12
|
$78,649.12
|
$78,649.12
|
2026-04-01
|
|
L7181NU
|
HCPCS
|
Electronic Elbo Simultaneous
|
1
|
1
|
—
|
—
|
$75,638.97
|
$75,638.97
|
$75,638.97
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
1
|
1
|
—
|
—
|
$74,518.96
|
$74,518.96
|
$74,518.96
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$74,254.17
|
$74,254.17
|
$74,254.17
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$73,944.34
|
$73,944.34
|
$73,944.34
|
2026-04-01
|
|
L7180NU
|
HCPCS
|
Electronic Elbow Sequential
|
1
|
1
|
—
|
—
|
$73,464.84
|
$73,464.84
|
$73,464.84
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
1
|
1
|
—
|
—
|
$72,309.20
|
$72,309.20
|
$72,309.20
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
1
|
1
|
—
|
—
|
$71,742.77
|
$71,742.77
|
$71,742.77
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
1
|
1
|
—
|
—
|
$71,520.29
|
$71,520.29
|
$71,520.29
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
1
|
1
|
—
|
—
|
$70,014.82
|
$70,014.82
|
$70,014.82
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
1
|
1
|
—
|
—
|
$69,122.17
|
$69,122.17
|
$69,122.17
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$69,119.45
|
$69,119.45
|
$69,119.45
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
—
|
—
|
$69,002.06
|
$69,002.06
|
$69,002.06
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$68,614.44
|
$68,614.44
|
$68,614.44
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
1
|
1
|
—
|
—
|
$67,843.27
|
$67,843.27
|
$67,843.27
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
1
|
1
|
—
|
—
|
$67,613.97
|
$67,613.97
|
$67,613.97
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
—
|
—
|
$67,369.66
|
$67,369.66
|
$67,369.66
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
1
|
1
|
—
|
—
|
$67,272.75
|
$67,272.75
|
$67,272.75
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
1
|
1
|
—
|
—
|
$66,827.80
|
$66,827.80
|
$66,827.80
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
1
|
1
|
—
|
—
|
$65,108.03
|
$65,108.03
|
$65,108.03
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
1
|
1
|
—
|
—
|
$64,941.51
|
$64,941.51
|
$64,941.51
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$63,986.09
|
$63,986.09
|
$63,986.09
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$63,683.09
|
$63,683.09
|
$63,683.09
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
1
|
1
|
—
|
—
|
$63,657.15
|
$63,657.15
|
$63,657.15
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
1
|
1
|
—
|
—
|
$63,579.35
|
$63,579.35
|
$63,579.35
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$62,049.31
|
$62,049.31
|
$62,049.31
|
2026-04-01
|
|
E0194NU
|
HCPCS
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$60,944.68
|
$60,944.68
|
$60,944.68
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$60,375.96
|
$60,375.96
|
$60,375.96
|
2026-04-01
|