|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With McC
|
46
|
23
|
$2,873,713.64
|
$303,151.53
89% off
|
$28.17
|
$638,997.89
|
$196,865.62
|
2025-01-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC
|
60
|
31
|
$426,954.98
|
$58,627.06
86% off
|
$5.40
|
$137,390.29
|
$37,711.44
|
2025-01-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/McC
|
59
|
30
|
$136,984.38
|
$24,918.04
82% off
|
$2.26
|
$51,190.97
|
$15,771.17
|
2025-01-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
61
|
31
|
$363,090.56
|
$44,751.75
88% off
|
$4.10
|
$107,548.76
|
$28,680.38
|
2025-01-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC
|
61
|
31
|
$208,103.81
|
$29,142.25
86% off
|
$2.65
|
$88,630.35
|
$18,520.60
|
2025-01-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
52
|
26
|
$1,098,593.04
|
$141,371.14
87% off
|
$13.10
|
$358,846.95
|
$91,567.26
|
2025-01-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With McC
|
50
|
25
|
$296,009.45
|
$46,099.32
84% off
|
$4.23
|
$95,939.40
|
$29,557.48
|
2025-01-01
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
56
|
28
|
$230,009.74
|
$23,757.31
90% off
|
$2.15
|
$48,738.72
|
$15,015.67
|
2025-01-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With McC
|
56
|
28
|
$333,991.69
|
$36,142.20
89% off
|
$3.30
|
$74,903.60
|
$23,076.67
|
2025-01-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With McC
|
61
|
31
|
$136,778.19
|
$25,320.70
81% off
|
$2.29
|
$58,735.82
|
$16,033.25
|
2025-01-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/McC
|
54
|
27
|
$400,714.73
|
$65,499.22
84% off
|
$6.04
|
$358,846.95
|
$42,184.34
|
2025-01-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With McC
|
61
|
31
|
$381,008.48
|
$44,359.37
88% off
|
$4.61
|
$133,978.88
|
$32,213.27
|
2025-01-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
61
|
31
|
$278,453.29
|
$27,714.15
90% off
|
$2.52
|
$93,005.56
|
$17,591.08
|
2025-01-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With McC
|
60
|
31
|
$365,434.74
|
$42,030.80
88% off
|
$3.85
|
$108,227.73
|
$26,909.39
|
2025-01-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
54
|
27
|
$158,063.12
|
$33,637.09
79% off
|
$3.07
|
$69,611.19
|
$21,446.16
|
2025-01-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
56
|
28
|
—
|
$626,763.51
|
$37.71
|
$855,514.87
|
$263,571.23
|
2025-01-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
58
|
29
|
$2,263,969.99
|
$109,132.86
95% off
|
$7.93
|
$179,830.80
|
$55,403.16
|
2025-01-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC
|
65
|
33
|
$496,688.36
|
$87,245.33
82% off
|
$8.06
|
$255,269.32
|
$56,338.27
|
2025-01-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
60
|
31
|
$372,808.55
|
$49,512.75
87% off
|
$6.47
|
$169,679.43
|
$45,198.66
|
2025-01-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
60
|
31
|
$236,110.64
|
$29,505.21
88% off
|
$2.68
|
$74,398.49
|
$18,756.83
|
2025-01-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
65
|
33
|
$255,857.10
|
$60,038.01
77% off
|
$5.53
|
$221,976.63
|
$38,629.78
|
2025-01-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
54
|
27
|
$2,965,799.90
|
$231,697.07
92% off
|
$10.89
|
$247,128.12
|
$76,136.45
|
2025-01-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
61
|
31
|
$723,588.62
|
$114,451.59
84% off
|
$10.59
|
$397,498.51
|
$74,046.07
|
2025-01-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
31
|
$1,411,513.30
|
$104,318.37
93% off
|
$9.65
|
$202,268.00
|
$67,450.64
|
2025-01-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
60
|
30
|
$784,713.85
|
$70,030.57
91% off
|
$6.46
|
$134,418.00
|
$45,133.66
|
2025-01-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
61
|
31
|
$975,982.54
|
$83,770.59
91% off
|
$7.74
|
$163,675.00
|
$54,076.66
|
2025-01-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
61
|
31
|
$261,119.64
|
$38,595.80
85% off
|
$3.53
|
$185,756.10
|
$24,673.64
|
2025-01-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
62
|
31
|
$723,201.29
|
$57,561.89
92% off
|
$5.30
|
$110,557.00
|
$37,018.14
|
2025-01-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
60
|
30
|
$368,334.60
|
$49,207.48
87% off
|
$4.59
|
$98,433.00
|
$32,097.25
|
2025-01-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With McC
|
67
|
34
|
$671,001.66
|
$54,196.68
92% off
|
$4.98
|
$223,231.90
|
$34,827.82
|
2025-01-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without McC
|
65
|
33
|
$426,455.26
|
$34,041.91
92% off
|
$3.11
|
$176,171.04
|
$21,709.64
|
2025-01-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
61
|
31
|
$543,670.95
|
$61,947.18
89% off
|
$5.71
|
$155,785.40
|
$39,872.41
|
2025-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With McC
|
67
|
34
|
$733,480.92
|
$91,677.88
88% off
|
$8.47
|
$241,756.17
|
$59,223.30
|
2025-01-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC
|
63
|
34
|
$754,539.92
|
$84,617.81
89% off
|
$7.82
|
$213,613.72
|
$54,628.09
|
2025-01-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC
|
67
|
34
|
$652,775.28
|
$57,814.22
91% off
|
$5.32
|
$163,005.66
|
$37,182.38
|
2025-01-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With McC
|
67
|
34
|
$664,448.46
|
$63,870.32
90% off
|
$5.88
|
$170,176.24
|
$41,124.12
|
2025-01-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without McC
|
67
|
34
|
$401,404.43
|
$44,841.94
89% off
|
$4.11
|
$123,562.50
|
$28,739.08
|
2025-01-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC
|
61
|
31
|
$514,050.83
|
$54,772.21
89% off
|
$5.04
|
$130,673.46
|
$35,202.42
|
2025-01-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
53
|
27
|
$308,986.63
|
$41,508.95
87% off
|
$3.80
|
$129,096.93
|
$26,569.73
|
2025-01-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
56
|
30
|
$284,520.45
|
$31,957.70
89% off
|
$2.91
|
$99,305.08
|
$20,353.09
|
2025-01-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With McC
|
67
|
34
|
$238,423.10
|
$37,109.69
84% off
|
$3.39
|
$107,926.33
|
$23,706.37
|
2025-01-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
67
|
34
|
$187,018.04
|
$24,877.24
87% off
|
$2.25
|
$84,400.87
|
$15,744.61
|
2025-01-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/McC
|
67
|
34
|
$157,676.11
|
$24,877.24
84% off
|
$2.25
|
$84,400.87
|
$15,744.61
|
2025-01-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
67
|
34
|
$287,364.27
|
$53,160.47
82% off
|
$4.89
|
$117,626.24
|
$34,153.39
|
2025-01-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With McC
|
67
|
34
|
$465,082.39
|
$48,709.70
90% off
|
$4.47
|
$140,304.89
|
$31,256.49
|
2025-01-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC
|
67
|
34
|
$216,865.30
|
$25,519.35
88% off
|
$2.31
|
$82,370.58
|
$16,162.55
|
2025-01-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With McC
|
67
|
34
|
$268,201.59
|
$37,522.01
86% off
|
$3.43
|
$91,293.24
|
$23,974.74
|
2025-01-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
67
|
34
|
$273,766.39
|
$28,100.71
90% off
|
$2.55
|
$74,640.27
|
$17,842.68
|
2025-01-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With McC
|
60
|
31
|
$337,308.58
|
$28,782.55
91% off
|
$2.62
|
$71,162.62
|
$18,286.47
|
2025-01-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
62
|
34
|
$359,253.76
|
$33,529.71
91% off
|
$3.06
|
$124,419.00
|
$21,376.27
|
2025-01-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With McC
|
59
|
30
|
$438,105.50
|
$37,262.16
91% off
|
$3.41
|
$79,549.00
|
$23,805.61
|
2025-01-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
61
|
31
|
$205,429.18
|
$33,322.90
84% off
|
$3.50
|
$82,271.22
|
$24,426.93
|
2025-01-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
61
|
31
|
$259,944.63
|
$38,990.95
85% off
|
$3.57
|
$73,179.66
|
$24,930.83
|
2025-01-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With McC
|
52
|
26
|
$560,649.28
|
$65,014.96
88% off
|
$5.99
|
$190,974.00
|
$41,869.14
|
2025-01-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC
|
60
|
30
|
$431,541.93
|
$51,205.15
88% off
|
$4.70
|
$143,395.00
|
$32,880.71
|
2025-01-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With McC
|
66
|
33
|
$759,233.52
|
$72,282.27
90% off
|
$6.67
|
$151,254.51
|
$46,599.23
|
2025-01-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC
|
65
|
33
|
$373,753.46
|
$45,363.79
88% off
|
$4.16
|
$94,385.48
|
$29,078.74
|
2025-01-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/McC
|
65
|
33
|
$221,609.90
|
$27,185.84
88% off
|
$2.47
|
$113,756.00
|
$17,247.22
|
2025-01-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With McC
|
65
|
33
|
$665,661.00
|
$55,804.11
92% off
|
$5.13
|
$116,442.11
|
$35,874.06
|
2025-01-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
62
|
33
|
$353,523.81
|
$37,672.34
89% off
|
$3.44
|
$78,136.21
|
$24,072.59
|
2025-01-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/McC
|
66
|
33
|
$135,675.01
|
$27,555.23
80% off
|
$2.50
|
$65,764.00
|
$17,487.64
|
2025-01-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With McC
|
60
|
30
|
$369,594.79
|
$42,675.06
88% off
|
$3.91
|
$88,705.16
|
$27,328.72
|
2025-01-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without McC
|
56
|
30
|
$239,277.78
|
$34,199.76
86% off
|
$3.12
|
$71,355.60
|
$21,812.38
|
2025-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And McC
|
54
|
27
|
$634,978.08
|
$76,570.92
88% off
|
$7.07
|
$172,624.72
|
$49,390.60
|
2025-01-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator
|
53
|
29
|
$401,077.84
|
$67,201.17
83% off
|
$6.19
|
$142,533.17
|
$43,292.08
|
2025-01-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without McC
|
54
|
27
|
$349,746.41
|
$50,638.19
86% off
|
$4.65
|
$113,160.27
|
$32,511.69
|
2025-01-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
56
|
28
|
$107,204.63
|
$54,411.42
49% off
|
$5.00
|
$113,499.86
|
$34,967.60
|
2025-01-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
54
|
27
|
$243,845.56
|
$35,095.28
86% off
|
$3.20
|
$72,691.81
|
$22,395.25
|
2025-01-01
|
|
28
|
MS_DRG
|
Spinal Procedures With McC
|
60
|
31
|
$678,621.43
|
$65,967.42
90% off
|
$6.08
|
$137,913.46
|
$42,489.06
|
2025-01-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With McC
|
63
|
34
|
$188,503.75
|
$24,453.10
87% off
|
$2.21
|
$55,201.87
|
$15,468.55
|
2025-01-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With McC
|
60
|
31
|
$194,223.00
|
$30,017.40
85% off
|
$2.73
|
$96,522.96
|
$19,090.20
|
2025-01-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
62
|
31
|
$471,512.00
|
$36,730.64
92% off
|
$3.36
|
$113,756.00
|
$23,459.66
|
2025-01-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
60
|
31
|
$2,010,418.58
|
$230,814.49
89% off
|
$21.43
|
$621,694.22
|
$149,783.45
|
2025-01-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/McC
|
59
|
30
|
$276,494.10
|
$24,583.01
91% off
|
$2.23
|
$85,319.00
|
$15,553.11
|
2025-01-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With McC
|
67
|
34
|
$317,999.14
|
$45,684.85
86% off
|
$4.19
|
$106,733.99
|
$29,287.71
|
2025-01-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With McC
|
61
|
31
|
$228,575.12
|
$23,810.97
90% off
|
$2.15
|
$51,687.79
|
$15,050.61
|
2025-01-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
58
|
29
|
$429,323.55
|
$67,115.28
84% off
|
$6.19
|
$140,338.48
|
$43,236.17
|
2025-01-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With McC
|
58
|
29
|
$480,907.17
|
$47,856.03
90% off
|
$4.39
|
$99,650.67
|
$30,700.87
|
2025-01-01
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
67
|
34
|
$220,545.39
|
$23,618.77
89% off
|
$2.14
|
$88,873.00
|
$14,925.51
|
2025-01-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A…
|
54
|
27
|
$224,183.62
|
$31,255.47
86% off
|
$2.85
|
$68,654.75
|
$19,896.02
|
2025-01-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With McC
|
50
|
25
|
$209,943.71
|
$46,423.62
78% off
|
$4.26
|
$96,624.49
|
$29,768.55
|
2025-01-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without McC
|
54
|
27
|
$237,665.07
|
$34,995.43
85% off
|
$3.20
|
$72,480.84
|
$22,330.26
|
2025-01-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With McC
|
57
|
31
|
$404,600.32
|
$55,224.29
86% off
|
$5.08
|
$171,100.30
|
$35,496.66
|
2025-01-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
60
|
31
|
$233,098.89
|
$26,759.56
89% off
|
$2.43
|
$114,093.00
|
$16,969.76
|
2025-01-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With McC
|
60
|
31
|
$375,803.48
|
$49,993.92
87% off
|
$4.59
|
$149,237.48
|
$32,092.36
|
2025-01-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
60
|
31
|
$228,341.39
|
$26,068.06
89% off
|
$2.36
|
$119,657.00
|
$16,519.68
|
2025-01-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
61
|
31
|
$554,834.31
|
$23,508.17
96% off
|
$2.13
|
$85,407.73
|
$14,853.52
|
2025-01-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With McC
|
60
|
31
|
$235,876.23
|
$39,594.40
83% off
|
$3.62
|
$115,209.52
|
$25,323.60
|
2025-01-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
60
|
31
|
$228,401.82
|
$23,368.57
90% off
|
$2.11
|
$82,059.25
|
$14,762.67
|
2025-01-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With McC
|
61
|
31
|
$341,398.94
|
$42,443.13
88% off
|
$3.89
|
$88,215.16
|
$27,177.76
|
2025-01-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With McC
|
61
|
31
|
$133,726.65
|
$29,620.11
78% off
|
$2.69
|
$83,317.83
|
$18,831.61
|
2025-01-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With McC
|
61
|
31
|
$255,832.27
|
$26,101.33
90% off
|
$2.37
|
$58,484.11
|
$16,541.34
|
2025-01-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
61
|
31
|
$267,923.64
|
$25,113.47
91% off
|
$2.27
|
$62,915.63
|
$15,898.36
|
2025-01-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With McC
|
61
|
31
|
$177,066.57
|
$26,658.63
85% off
|
$2.42
|
$60,709.80
|
$16,904.07
|
2025-01-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With McC
|
57
|
29
|
$227,689.04
|
$32,181.07
86% off
|
$2.93
|
$67,039.12
|
$20,498.46
|
2025-01-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With McC
|
61
|
31
|
$211,689.88
|
$36,377.73
83% off
|
$4.27
|
$111,914.03
|
$29,812.58
|
2025-01-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
61
|
31
|
$126,717.77
|
$24,868.65
80% off
|
$2.25
|
$82,622.30
|
$15,739.02
|
2025-01-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With McC
|
53
|
27
|
$372,738.31
|
$36,346.23
90% off
|
$3.32
|
$75,334.62
|
$23,209.46
|
2025-01-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With McC
|
60
|
31
|
$214,867.98
|
$23,358.92
89% off
|
$2.11
|
$57,063.24
|
$14,756.38
|
2025-01-01
|
|
397
|
MS_DRG
|
Appendix Procedures With McC
|
56
|
28
|
$242,119.55
|
$27,293.23
89% off
|
$2.48
|
$60,732.38
|
$17,317.11
|
2025-01-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
53
|
27
|
$1,221,086.40
|
$152,411.69
88% off
|
$14.13
|
$378,298.58
|
$98,753.25
|
2025-01-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With McC
|
62
|
31
|
$348,026.33
|
$41,191.10
88% off
|
$3.77
|
$85,570.09
|
$26,362.85
|
2025-01-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
54
|
27
|
$385,809.35
|
$42,695.47
89% off
|
$3.91
|
$103,807.14
|
$27,342.00
|
2025-01-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With McC
|
60
|
31
|
$305,990.61
|
$55,551.71
82% off
|
$5.43
|
$159,882.40
|
$37,940.68
|
2025-01-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
61
|
31
|
$183,802.62
|
$30,843.13
83% off
|
$2.81
|
$109,791.01
|
$19,627.65
|
2025-01-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/McC
|
53
|
27
|
$175,903.50
|
$23,620.93
87% off
|
$2.14
|
$74,332.25
|
$14,926.91
|
2025-01-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
61
|
31
|
$75,945.39
|
$38,283.33
50% off
|
$3.50
|
$127,646.25
|
$24,470.26
|
2025-01-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
53
|
27
|
$154,557.74
|
$23,198.93
85% off
|
$2.10
|
$96,466.65
|
$14,652.24
|
2025-01-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
63
|
33
|
$276,512.13
|
$24,935.21
91% off
|
$2.26
|
$71,096.00
|
$15,782.35
|
2025-01-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
61
|
31
|
$180,392.49
|
$23,575.81
87% off
|
$2.13
|
$87,378.40
|
$14,897.55
|
2025-01-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With McC
|
61
|
31
|
$334,465.05
|
$38,310.15
89% off
|
$3.50
|
$102,481.33
|
$24,487.73
|
2025-01-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With McC
|
66
|
34
|
$308,982.31
|
$26,205.50
92% off
|
$2.38
|
$70,748.61
|
$16,609.14
|
2025-01-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With McC
|
61
|
31
|
$94,790.75
|
$38,586.12
59% off
|
$3.53
|
$115,428.12
|
$24,667.35
|
2025-01-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With McC
|
61
|
31
|
$452,669.78
|
$44,361.96
90% off
|
$4.07
|
$131,133.84
|
$28,426.68
|
2025-01-01
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
61
|
31
|
$231,206.22
|
$25,204.73
89% off
|
$2.28
|
$99,705.83
|
$15,957.77
|
2025-01-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
54
|
27
|
$1,309,500.21
|
$83,121.47
94% off
|
$5.50
|
$124,860.51
|
$38,467.64
|
2025-01-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall…
|
54
|
27
|
$1,035,188.83
|
$72,680.64
93% off
|
$6.70
|
$152,096.12
|
$46,858.52
|
2025-01-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without McC
|
56
|
28
|
$245,004.14
|
$33,823.94
86% off
|
$3.09
|
$85,339.70
|
$21,567.77
|
2025-01-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
67
|
34
|
$434,556.64
|
$91,627.41
79% off
|
$8.47
|
$224,122.84
|
$59,190.45
|
2025-01-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
67
|
34
|
$266,003.20
|
$62,315.49
77% off
|
$5.74
|
$181,003.31
|
$40,112.13
|
2025-01-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC
|
67
|
34
|
$462,836.12
|
$31,437.99
93% off
|
$2.86
|
$102,650.24
|
$20,014.83
|
2025-01-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
58
|
30
|
$299,674.55
|
$58,681.83
80% off
|
$5.40
|
$131,206.70
|
$37,747.08
|
2025-01-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
58
|
30
|
$446,343.61
|
$32,348.57
93% off
|
$2.95
|
$95,456.48
|
$20,607.49
|
2025-01-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With McC
|
67
|
34
|
$802,218.54
|
$55,391.78
93% off
|
$5.09
|
$117,272.92
|
$35,605.68
|
2025-01-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
66
|
34
|
$374,715.82
|
$37,466.18
90% off
|
$3.43
|
$91,157.44
|
$23,938.40
|
2025-01-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/McC
|
67
|
34
|
$237,770.96
|
$28,855.57
88% off
|
$2.62
|
$81,294.17
|
$18,334.00
|
2025-01-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC…
|
67
|
34
|
$298,668.98
|
$35,785.73
88% off
|
$3.27
|
$88,312.39
|
$22,844.64
|
2025-01-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With McC
|
65
|
33
|
$763,667.89
|
$52,843.72
93% off
|
$4.86
|
$115,004.17
|
$33,947.22
|
2025-01-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
67
|
34
|
$357,151.61
|
$31,796.65
91% off
|
$2.90
|
$82,201.67
|
$20,248.26
|
2025-01-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/McC
|
65
|
33
|
$299,527.89
|
$26,107.77
91% off
|
$2.37
|
$64,406.05
|
$16,545.54
|
2025-01-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With McC
|
61
|
31
|
$514,726.89
|
$48,842.83
91% off
|
$4.48
|
$101,735.42
|
$31,343.15
|
2025-01-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
60
|
31
|
$289,699.32
|
$23,851.78
92% off
|
$2.16
|
$70,573.08
|
$15,077.17
|
2025-01-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With McC
|
61
|
31
|
$358,412.51
|
$37,614.37
90% off
|
$3.44
|
$87,951.38
|
$24,034.85
|
2025-01-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
56
|
28
|
$227,770.87
|
$18,071.78
92% off
|
$2.34
|
$53,051.14
|
$16,344.26
|
2025-01-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With McC
|
62
|
31
|
$494,139.85
|
$32,266.96
93% off
|
$2.94
|
$71,096.00
|
$20,554.37
|
2025-01-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
61
|
31
|
$242,057.38
|
$28,049.17
88% off
|
$2.55
|
$65,926.28
|
$17,809.13
|
2025-01-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With McC
|
67
|
34
|
$427,116.39
|
$35,255.27
92% off
|
$3.22
|
$97,248.29
|
$22,499.39
|
2025-01-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
66
|
34
|
$270,626.53
|
$23,460.91
91% off
|
$2.12
|
$77,442.26
|
$14,822.77
|
2025-01-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC
|
61
|
31
|
$312,937.09
|
$38,819.13
88% off
|
$3.55
|
$80,558.97
|
$24,819.00
|
2025-01-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
54
|
27
|
$244,659.48
|
$26,468.56
89% off
|
$2.40
|
$54,466.69
|
$16,780.36
|
2025-01-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
54
|
27
|
$464,318.09
|
$38,490.54
92% off
|
$3.52
|
$79,864.81
|
$24,605.14
|
2025-01-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
61
|
31
|
$240,929.96
|
$27,798.98
88% off
|
$2.52
|
$58,169.46
|
$17,646.29
|
2025-01-01
|
|
5
|
MS_DRG
|
Liver Transplant With McC Or Intestinal Transplant
|
56
|
28
|
$1,231,196.44
|
$115,037.86
91% off
|
$10.65
|
$559,020.00
|
$74,427.66
|
2025-01-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With McC
|
61
|
31
|
$503,525.58
|
$34,711.95
93% off
|
$3.17
|
$79,807.06
|
$22,145.75
|
2025-01-01
|
|
503
|
MS_DRG
|
Foot Procedures With McC
|
61
|
31
|
$197,136.49
|
$29,105.77
85% off
|
$2.65
|
$60,038.12
|
$18,496.84
|
2025-01-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC
|
61
|
31
|
$587,901.88
|
$31,376.79
95% off
|
$2.86
|
$64,836.00
|
$19,974.99
|
2025-01-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC
|
52
|
28
|
$397,871.81
|
$33,892.66
91% off
|
$3.09
|
$70,151.09
|
$21,612.49
|
2025-01-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost…
|
66
|
33
|
$560,280.90
|
$39,171.34
93% off
|
$3.58
|
$81,303.04
|
$25,048.24
|
2025-01-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With McC
|
58
|
29
|
$314,724.71
|
$31,984.56
90% off
|
$2.91
|
$66,570.48
|
$20,370.57
|
2025-01-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC
|
58
|
29
|
$225,570.54
|
$23,323.47
90% off
|
$2.11
|
$47,822.25
|
$14,733.31
|
2025-01-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With McC
|
60
|
31
|
$191,772.93
|
$27,820.47
85% off
|
$2.53
|
$60,709.80
|
$17,660.27
|
2025-01-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With McC
|
55
|
30
|
$173,850.30
|
$27,575.64
84% off
|
$2.50
|
$56,805.51
|
$17,500.92
|
2025-01-01
|
|
570
|
MS_DRG
|
Skin Debridement With McC
|
58
|
29
|
$196,899.45
|
$29,328.44
85% off
|
$3.01
|
$68,286.39
|
$21,038.01
|
2025-01-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With McC
|
59
|
30
|
$651,279.09
|
$66,812.47
90% off
|
$6.16
|
$139,698.77
|
$43,039.08
|
2025-01-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
61
|
31
|
$242,370.07
|
$37,892.47
84% off
|
$3.46
|
$78,601.26
|
$24,215.86
|
2025-01-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With McC
|
61
|
31
|
$256,607.26
|
$58,620.63
77% off
|
$5.40
|
$122,392.38
|
$37,707.25
|
2025-01-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
61
|
31
|
$173,891.41
|
$29,279.71
83% off
|
$2.66
|
$60,405.62
|
$18,610.06
|
2025-01-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With McC
|
60
|
31
|
$198,939.16
|
$35,685.87
82% off
|
$3.26
|
$76,485.08
|
$22,779.64
|
2025-01-01
|
|
595
|
MS_DRG
|
Major Skin Disorders With McC
|
61
|
31
|
$89,291.61
|
$23,398.66
74% off
|
$2.12
|
$47,981.04
|
$14,782.24
|
2025-01-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
61
|
31
|
$320,226.84
|
$29,715.66
91% off
|
$2.70
|
$84,592.97
|
$18,893.81
|
2025-01-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/McC
|
60
|
31
|
$148,496.16
|
$25,158.57
83% off
|
$2.28
|
$72,792.15
|
$15,927.72
|
2025-01-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
60
|
31
|
$457,683.58
|
$42,188.64
91% off
|
$3.87
|
$104,160.53
|
$27,012.12
|
2025-01-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With McC
|
59
|
30
|
$171,865.40
|
$29,963.70
83% off
|
$2.73
|
$91,495.27
|
$19,055.25
|
2025-01-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
61
|
31
|
$211,967.37
|
$36,403.85
83% off
|
$3.74
|
$90,276.44
|
$26,152.49
|
2025-01-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With McC
|
61
|
31
|
$301,619.79
|
$31,473.43
90% off
|
$2.87
|
$65,040.16
|
$20,037.89
|
2025-01-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC
|
61
|
31
|
$353,562.95
|
$43,055.18
88% off
|
$3.95
|
$101,355.23
|
$27,576.13
|
2025-01-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
56
|
31
|
$158,973.04
|
$24,837.50
84% off
|
$2.25
|
$81,906.90
|
$15,718.75
|
2025-01-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With McC
|
54
|
27
|
$1,275,990.10
|
$50,159.28
96% off
|
$4.61
|
$187,116.30
|
$32,199.99
|
2025-01-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without McC
|
54
|
27
|
$898,796.84
|
$37,974.07
96% off
|
$3.47
|
$187,116.30
|
$24,268.98
|
2025-01-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
46
|
23
|
$823,281.71
|
$33,667.17
96% off
|
$3.07
|
$187,116.30
|
$21,465.73
|
2025-01-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With McC
|
53
|
27
|
$354,096.47
|
$59,953.31
83% off
|
$5.57
|
$151,393.62
|
$38,960.36
|
2025-01-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
60
|
31
|
$269,466.57
|
$30,990.23
88% off
|
$2.82
|
$105,521.79
|
$19,723.39
|
2025-01-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With McC
|
61
|
31
|
$241,800.11
|
$35,670.83
85% off
|
$3.26
|
$88,110.36
|
$22,769.86
|
2025-01-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With McC
|
61
|
31
|
$252,462.14
|
$28,436.80
89% off
|
$2.58
|
$93,131.42
|
$18,061.43
|
2025-01-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With McC
|
53
|
27
|
$170,762.33
|
$34,184.73
80% off
|
$3.12
|
$70,768.13
|
$21,802.59
|
2025-01-01
|
|
665
|
MS_DRG
|
Prostatectomy With McC
|
53
|
27
|
$212,062.29
|
$37,556.38
82% off
|
$3.43
|
$77,891.22
|
$23,997.11
|
2025-01-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With McC
|
61
|
31
|
$135,055.85
|
$32,001.72
76% off
|
$2.92
|
$66,156.27
|
$20,381.75
|
2025-01-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With McC
|
53
|
27
|
$277,065.14
|
$45,674.11
84% off
|
$4.19
|
$95,041.08
|
$29,280.72
|
2025-01-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
57
|
31
|
$206,411.41
|
$25,474.25
88% off
|
$2.31
|
$69,632.46
|
$16,133.19
|
2025-01-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
54
|
27
|
$1,892,709.56
|
$141,016.80
93% off
|
$13.07
|
$495,490.80
|
$91,336.62
|
2025-01-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/McC
|
61
|
31
|
$241,348.07
|
$24,816.03
90% off
|
$2.25
|
$53,436.55
|
$15,704.77
|
2025-01-01
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC
|
61
|
31
|
$245,197.07
|
$24,936.30
90% off
|
$2.26
|
$51,229.54
|
$15,783.05
|
2025-01-01
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC
|
61
|
31
|
$112,906.99
|
$23,266.57
79% off
|
$2.10
|
$66,853.65
|
$14,696.27
|
2025-01-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC
|
55
|
28
|
$304,581.79
|
$42,968.21
86% off
|
$3.94
|
$106,343.17
|
$27,519.52
|
2025-01-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
61
|
31
|
$222,425.32
|
$43,433.15
80% off
|
$3.98
|
$90,306.72
|
$27,822.14
|
2025-01-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/McC
|
57
|
29
|
$198,850.60
|
$28,482.96
86% off
|
$2.59
|
$75,557.71
|
$18,091.48
|
2025-01-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
46
|
23
|
$804,586.75
|
$64,521.02
92% off
|
$5.94
|
$134,857.79
|
$41,547.65
|
2025-01-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
54
|
27
|
$97,246.03
|
$44,281.43
54% off
|
$4.06
|
$92,098.83
|
$28,374.26
|
2025-01-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
52
|
26
|
$25,891.48
|
$25,891.48
|
$2.45
|
$55,571.44
|
$17,120.72
|
2025-01-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
44
|
22
|
$20,229.82
|
$20,229.82
|
$4.17
|
$30,093.41
|
$29,147.23
|
2025-01-01
|
|
799
|
MS_DRG
|
Splenectomy With McC
|
61
|
31
|
$256,595.19
|
$51,743.09
80% off
|
$4.75
|
$130,868.87
|
$33,230.85
|
2025-01-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
54
|
27
|
$1,696,256.43
|
$59,112.43
97% off
|
$5.44
|
$206,868.90
|
$38,027.34
|
2025-01-01
|
|
800
|
MS_DRG
|
Splenectomy With Cc
|
61
|
31
|
$114,426.82
|
$31,974.90
72% off
|
$2.91
|
$91,468.77
|
$20,364.28
|
2025-01-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With McC
|
61
|
31
|
$202,957.29
|
$39,179.92
81% off
|
$3.58
|
$92,538.57
|
$25,053.83
|
2025-01-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
61
|
31
|
$175,206.39
|
$25,279.91
86% off
|
$2.29
|
$53,559.10
|
$16,006.69
|
2025-01-01
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With McC
|
61
|
31
|
$146,829.91
|
$23,134.51
84% off
|
$2.09
|
$47,422.99
|
$14,610.31
|
2025-01-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With McC
|
58
|
29
|
$141,587.01
|
$27,908.50
80% off
|
$2.54
|
$59,386.55
|
$17,717.58
|
2025-01-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With McC
|
57
|
31
|
$237,764.43
|
$25,600.97
89% off
|
$2.32
|
$55,390.66
|
$16,215.66
|
2025-01-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With McC
|
59
|
30
|
$216,151.77
|
$63,205.64
71% off
|
$5.82
|
$148,942.71
|
$40,691.51
|
2025-01-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
61
|
31
|
$129,834.55
|
$24,658.19
81% off
|
$2.23
|
$88,918.50
|
$15,602.03
|
2025-01-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With McC
|
60
|
31
|
$521,338.67
|
$50,934.55
90% off
|
$4.68
|
$116,544.27
|
$32,704.59
|
2025-01-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
53
|
27
|
$221,563.05
|
$24,303.83
89% off
|
$2.20
|
$83,344.33
|
$15,371.40
|
2025-01-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
53
|
27
|
$271,070.87
|
$51,965.37
81% off
|
$4.78
|
$131,753.19
|
$33,375.52
|
2025-01-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
61
|
31
|
$234,532.45
|
$26,027.25
89% off
|
$2.36
|
$80,250.87
|
$16,493.12
|
2025-01-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
61
|
31
|
$151,112.38
|
$33,800.32
78% off
|
$3.08
|
$82,450.07
|
$21,552.39
|
2025-01-01
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With McC
|
61
|
31
|
$496,629.65
|
$60,038.01
88% off
|
$5.53
|
$131,399.74
|
$38,629.78
|
2025-01-01
|
|
835
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Cc
|
61
|
31
|
$270,404.34
|
$23,622.01
91% off
|
$2.14
|
$84,874.49
|
$14,927.61
|
2025-01-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
61
|
31
|
$325,967.66
|
$54,453.31
83% off
|
$5.01
|
$158,276.05
|
$34,994.85
|
2025-01-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With McC
|
60
|
31
|
$250,700.63
|
$34,929.92
86% off
|
$3.19
|
$72,342.47
|
$22,287.62
|
2025-01-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC
|
60
|
31
|
$103,450.79
|
$28,109.30
73% off
|
$2.55
|
$58,031.52
|
$17,848.27
|
2025-01-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
61
|
31
|
$438,320.42
|
$29,368.85
93% off
|
$2.67
|
$60,593.90
|
$18,668.07
|
2025-01-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With McC
|
59
|
30
|
$311,053.98
|
$25,018.98
92% off
|
$2.27
|
$56,125.93
|
$15,836.86
|
2025-01-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
57
|
30
|
$530,458.19
|
$54,389.95
90% off
|
$5.00
|
$171,696.46
|
$34,953.62
|
2025-01-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With McC
|
61
|
31
|
$489,874.39
|
$49,131.68
90% off
|
$4.51
|
$130,020.99
|
$31,531.15
|
2025-01-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
61
|
31
|
$211,347.54
|
$24,083.72
89% off
|
$2.18
|
$82,532.87
|
$15,228.13
|
2025-01-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With McC
|
60
|
31
|
$230,262.36
|
$23,712.19
90% off
|
$2.14
|
$72,768.96
|
$14,986.31
|
2025-01-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
60
|
31
|
$488,467.22
|
$75,384.40
85% off
|
$6.96
|
$190,704.30
|
$48,618.33
|
2025-01-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With McC
|
56
|
29
|
$836,026.32
|
$48,260.85
94% off
|
$4.43
|
$100,505.89
|
$30,964.35
|
2025-01-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/McC
|
59
|
30
|
$179,983.77
|
$42,146.77
77% off
|
$3.86
|
$87,589.05
|
$26,984.87
|
2025-01-01
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
59
|
30
|
$297,856.16
|
$24,122.36
92% off
|
$2.18
|
$49,510.01
|
$15,253.29
|
2025-01-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With McC
|
59
|
30
|
$401,756.10
|
$43,463.21
89% off
|
$3.98
|
$102,772.79
|
$27,841.71
|
2025-01-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
48
|
24
|
$1,738,668.86
|
$255,416.83
85% off
|
$23.72
|
$538,151.72
|
$165,796.43
|
2025-01-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC
|
54
|
27
|
$346,505.98
|
$72,403.61
79% off
|
$6.68
|
$151,510.85
|
$46,678.21
|
2025-01-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC
|
54
|
27
|
$174,942.42
|
$34,837.59
80% off
|
$3.18
|
$72,147.37
|
$22,227.52
|
2025-01-01
|
|
92924
|
CPT
|
Hc Atherectomy With Ptca, Single
|
87
|
44
|
$26,873.00
|
$26,873.00
|
$4,381.16
|
$26,105.10
|
$15,243.13
|
2025-01-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
52
|
26
|
$461,017.87
|
$47,148.42
90% off
|
$4.33
|
$98,155.73
|
$30,240.30
|
2025-01-01
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
56
|
28
|
$109,342.51
|
$23,728.31
78% off
|
$2.15
|
$48,677.47
|
$14,996.80
|
2025-01-01
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
58
|
29
|
$92,799.10
|
$24,271.63
74% off
|
$2.20
|
$49,825.33
|
$15,350.43
|
2025-01-01
|
|
93653
|
CPT
|
Hc Ablation Svt With Comp Ep Eval
|
87
|
44
|
$36,644.00
|
$25,730.46
30% off
|
$6,365.54
|
$25,288.00
|
$15,826.77
|
2025-01-01
|
|
93654
|
CPT
|
Hc Ablation Vt / Comp Ep Eval
|
87
|
44
|
$36,644.00
|
$25,730.46
30% off
|
$6,365.54
|
$25,288.00
|
$15,826.77
|
2025-01-01
|
|
93656
|
CPT
|
Hc Ablation Afib, W/Comp Ep Eval
|
87
|
44
|
$35,288.00
|
$25,730.46
27% off
|
$6,365.54
|
$25,288.00
|
$15,826.77
|
2025-01-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With McC
|
61
|
31
|
$39,183.56
|
$34,768.85
|
$3.17
|
$73,266.18
|
$22,182.79
|
2025-01-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With McC
|
59
|
30
|
$223,152.26
|
$39,866.06
82% off
|
$3.65
|
$104,326.14
|
$25,500.42
|
2025-01-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
61
|
31
|
$181,966.36
|
$23,358.92
87% off
|
$2.11
|
$55,718.55
|
$14,756.38
|
2025-01-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
60
|
31
|
$235,965.85
|
$26,427.77
89% off
|
$2.40
|
$85,050.03
|
$16,753.81
|
2025-01-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
59
|
30
|
$426,672.97
|
$74,007.83
83% off
|
$6.83
|
$169,007.08
|
$47,722.35
|
2025-01-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
59
|
30
|
$366,338.27
|
$40,405.49
89% off
|
$3.82
|
$115,438.05
|
$26,714.40
|
2025-01-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With McC
|
60
|
31
|
$490,964.16
|
$80,835.97
84% off
|
$7.46
|
$191,966.19
|
$52,166.60
|
2025-01-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
61
|
31
|
$340,084.02
|
$44,817.25
87% off
|
$4.11
|
$148,333.29
|
$28,723.01
|
2025-01-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/McC
|
59
|
30
|
$194,864.71
|
$29,076.77
85% off
|
$2.64
|
$122,505.96
|
$18,477.97
|
2025-01-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC
|
61
|
31
|
$33,759.78
|
$26,427.77
22% off
|
$2.40
|
$77,773.46
|
$16,753.81
|
2025-01-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With McC
|
61
|
31
|
$231,873.35
|
$29,858.48
87% off
|
$2.72
|
$76,127.38
|
$18,986.76
|
2025-01-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With McC
|
61
|
31
|
$344,233.19
|
$68,596.00
80% off
|
$6.32
|
$170,222.60
|
$44,199.94
|
2025-01-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC
|
61
|
31
|
$764,021.91
|
$39,177.78
95% off
|
$3.58
|
$88,315.71
|
$25,052.43
|
2025-01-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without McC
|
59
|
30
|
$259,766.59
|
$29,177.71
89% off
|
$2.65
|
$122,045.58
|
$18,543.67
|
2025-01-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With McC
|
61
|
31
|
$257,344.43
|
$32,752.29
87% off
|
$2.99
|
$70,818.17
|
$20,870.27
|
2025-01-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
61
|
31
|
$285,541.28
|
$23,980.62
92% off
|
$2.17
|
$68,122.16
|
$15,161.03
|
2025-01-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
61
|
31
|
$572,070.72
|
$51,733.43
91% off
|
$4.75
|
$149,598.49
|
$33,224.56
|
2025-01-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
60
|
31
|
$144,207.48
|
$26,976.46
81% off
|
$2.45
|
$117,302.73
|
$17,110.94
|
2025-01-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
60
|
31
|
$362,783.86
|
$38,298.35
89% off
|
$3.50
|
$94,393.31
|
$24,480.04
|
2025-01-01
|
|
A9557
|
CPT
|
Hc Rn Tc99m Neuro(U/T 25mci)P/Dz
|
87
|
44
|
$4,593.00
|
$4,593.00
|
$26,141.26
|
$26,141.26
|
$26,141.26
|
2025-01-01
|
|
A9582
|
CPT
|
Hc Rn I-123,per St Ds, Up 15 Mil
|
87
|
44
|
$5,657.00
|
$2,074.81
63% off
|
$2,074.81
|
$35,729.64
|
$18,902.22
|
2025-01-01
|
|
A9591
|
HCPCS
|
Fluoroestradiol F-18 148 Mbq/ml To 3,700 Mbq/ml Intravenous Solution
|
87
|
44
|
$63,550.72
|
$2,992.02
95% off
|
$2,992.02
|
$32,313.60
|
$17,652.81
|
2025-01-01
|
|
C1762
|
CPT
|
Denovo Nt Graft 1 Unit
|
6
|
6
|
$41,958.00
|
$41,958.00
|
$15,682.25
|
$15,682.25
|
$15,682.25
|
2025-01-01
|
|
C1776
|
CPT
|
Bf Humeral Stem 8mm X 130mm
|
8
|
8
|
$23,310.00
|
$23,310.00
|
$27,786.02
|
$27,786.02
|
$27,786.02
|
2025-01-01
|
|
C1813
|
CPT
|
Titan Narrow Base Rear Tip Extender Kit
|
42
|
42
|
$3,906.00
|
$3,906.00
|
$57,323.66
|
$57,323.66
|
$57,323.66
|
2025-01-01
|
|
C1817
|
CPT
|
Lvad Kit Heartmate 3
|
7
|
7
|
$951,858.00
|
$951,858.00
|
$40,888.15
|
$40,888.15
|
$40,888.15
|
2025-01-01
|
|
C1896
|
CPT
|
Electrode Emblem S-icd
|
4
|
4
|
$36,000.00
|
$36,000.00
|
$22,601.59
|
$22,601.59
|
$22,601.59
|
2025-01-01
|
|
G0339
|
CPT
|
Hc Stereo Rad,Sgl Tx,(image-guid)
|
87
|
44
|
$248,801.00
|
$248,801.00
|
$7,670.53
|
$24,572.74
|
$16,121.64
|
2025-01-01
|
|
J0391
|
HCPCS
|
Artesunate 110 Mg Intravenous Solution
|
87
|
44
|
$73,287.77
|
$73,287.77
|
$5,079.80
|
$31,342.37
|
$18,211.08
|
2025-01-01
|
|
J0480
|
HCPCS
|
Basiliximab 20 Mg Intravenous Solution
|
87
|
44
|
$59,384.42
|
$4,588.77
92% off
|
$4,588.77
|
$28,312.71
|
$16,450.74
|
2025-01-01
|
|
J0491
|
HCPCS
|
Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution
|
87
|
44
|
$71,255.71
|
$5,187.30
93% off
|
$5,187.00
|
$32,003.79
|
$18,595.40
|
2025-01-01
|
|
J0896
|
HCPCS
|
Luspatercept-aamt 25 Mg Subcutaneous Solution
|
107
|
44
|
$53,869.54
|
$4,061.50
92% off
|
$4,062.00
|
$75,187.62
|
$14,562.27
|
2025-01-01
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg Intravenous Solution
|
87
|
44
|
$317,729.75
|
$317,729.75
|
$24,440.50
|
$150,797.89
|
$87,619.20
|
2025-01-01
|
|
J1300
|
HCPCS
|
Eculizumab 300 Mg/30 Ml Intravenous Solution
|
87
|
44
|
$88,882.66
|
$6,738.99
92% off
|
$6,724.77
|
$41,579.01
|
$24,151.89
|
2025-01-01
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
40
|
10
|
$87,261.31
|
$6,622.56
92% off
|
$6,617.64
|
$149,823.03
|
$24,264.68
|
2025-01-01
|
|
J1640
|
HCPCS
|
Hemin 350 Mg Intravenous Powder For Solution
|
87
|
44
|
$145,724.18
|
$145,724.18
|
$11,270.00
|
$69,535.90
|
$40,402.95
|
2025-01-01
|
|
J1746
|
HCPCS
|
Ibalizumab-uiyk 200 Mg/1.33 Ml (150 Mg/ml) Intravenous Solution
|
87
|
44
|
$69,465.68
|
$6,165.12
91% off
|
$6,164.80
|
$38,036.82
|
$22,100.81
|
2025-01-01
|
|
J1747
|
HCPCS
|
Spesolimab-sbzo 60 Mg/ml Intravenous Solution
|
87
|
44
|
$355,338.08
|
$355,338.08
|
$27,642.60
|
$170,560.40
|
$99,101.50
|
2025-01-01
|
|
J1950
|
HCPCS
|
Leuprolide 11.25 Mg Intramuscular Kit
|
107
|
44
|
$46,811.11
|
$4,852.94
90% off
|
$1,617.65
|
$29,942.70
|
$17,397.83
|
2025-01-01
|
|
J2267
|
HCPCS
|
Mirikizumab-mrkz 100 Mg/ml Subcutaneous Pen Injector
|
103
|
44
|
$137,649.78
|
$137,649.78
|
$7,908.00
|
$73,188.54
|
$28,350.18
|
2025-01-01
|
|
J2323
|
HCPCS
|
Natalizumab 300 Mg/15 Ml Intravenous Solution
|
87
|
44
|
$111,861.10
|
$7,246.20
94% off
|
$7,164.00
|
$44,701.65
|
$25,932.83
|
2025-01-01
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
87
|
44
|
$387,103.97
|
$147,828.24
62% off
|
$139,765.20
|
$893,899.73
|
$516,832.47
|
2025-01-01
|
|
J2327
|
HCPCS
|
Risankizumab-rzaa 60 Mg/ml Intravenous Solution
|
87
|
44
|
$134,448.48
|
$9,048.00
93% off
|
$8,778.00
|
$54,160.26
|
$31,469.13
|
2025-01-01
|
|
J2997
|
HCPCS
|
Alteplase 50 Mg Intravenous Soln One-step Code
|
107
|
44
|
$58,459.89
|
$4,573.50
92% off
|
$4,573.50
|
$56,436.99
|
$16,396.00
|
2025-01-01
|
|
J3101
|
HCPCS
|
Tenecteplase 50 Mg Intravenous Solution
|
87
|
44
|
$103,995.87
|
$103,995.87
|
$7,886.00
|
$48,656.62
|
$28,271.31
|
2025-01-01
|
|
J3241
|
HCPCS
|
Teprotumumab-trbw 500 Mg Intravenous Solution
|
87
|
44
|
$231,883.12
|
$17,194.25
93% off
|
$17,194.50
|
$106,090.07
|
$61,642.29
|
2025-01-01
|
|
J7189
|
HCPCS
|
Coagulation Factor Viia Recomb 2 Mg (2,000 Mcg) Intravenous Solution
|
135
|
44
|
$57,253.17
|
$57,253.17
|
$2,520.00
|
$124,387.20
|
$18,068.40
|
2025-01-01
|
|
J9026
|
HCPCS
|
Tarlatamab-dlle 10 Mg Intravenous Solution
|
91
|
44
|
$204,390.90
|
$204,390.90
|
$1,575.42
|
$16,830.00
|
$16,292.10
|
2025-01-01
|
|
J9037
|
HCPCS
|
Belantamab Mafodotin-blmf 100 Mg Intravenous Solution
|
87
|
44
|
$114,474.72
|
$9,356.00
92% off
|
$8,346.00
|
$55,554.68
|
$31,950.34
|
2025-01-01
|
|
J9043
|
HCPCS
|
Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution
|
87
|
44
|
$188,981.88
|
$12,987.30
93% off
|
$12,987.60
|
$80,133.49
|
$46,560.54
|
2025-01-01
|
|
J9063
|
HCPCS
|
Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution
|
87
|
44
|
$88,394.44
|
$6,811.00
92% off
|
$6,676.00
|
$41,190.92
|
$23,933.46
|
2025-01-01
|
|
J9144
|
HCPCS
|
Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln
|
87
|
44
|
$131,417.84
|
$9,253.98
93% off
|
$9,249.48
|
$57,095.95
|
$33,172.71
|
2025-01-01
|
|
J9228
|
HCPCS
|
Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution
|
87
|
44
|
$474,356.95
|
$35,376.80
93% off
|
$35,376.00
|
$218,269.92
|
$126,822.96
|
2025-01-01
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Injection Solution
|
87
|
44
|
$277,162.38
|
$135,352.67
51% off
|
$135,352.65
|
$835,125.85
|
$485,239.25
|
2025-01-01
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
|
87
|
44
|
$438,066.80
|
$33,903.40
92% off
|
$33,889.00
|
$209,181.51
|
$121,535.26
|
2025-01-01
|
|
J9271
|
HCPCS
|
Pembrolizumab 25 Mg/ml Intravenous Solution
|
87
|
44
|
$77,241.78
|
$5,821.60
92% off
|
$5,760.00
|
$35,921.74
|
$20,840.87
|
2025-01-01
|
|
J9272
|
HCPCS
|
Dostarlimab-gxly 50 Mg/ml Intravenous Solution
|
87
|
44
|
$157,559.77
|
$11,820.10
92% off
|
$11,820.00
|
$72,929.40
|
$42,374.70
|
2025-01-01
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
87
|
44
|
$316,492.50
|
$24,587.36
92% off
|
$24,587.20
|
$151,703.02
|
$88,145.11
|
2025-01-01
|
|
J9298
|
HCPCS
|
Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution
|
87
|
44
|
$201,980.73
|
$15,508.80
92% off
|
$15,236.80
|
$94,011.06
|
$54,623.93
|
2025-01-01
|
|
J9302
|
HCPCS
|
Ofatumumab 1,000 Mg/50 Ml Intravenous Solution
|
87
|
44
|
$77,825.25
|
$77,825.25
|
$6,154.00
|
$37,970.18
|
$22,062.09
|
2025-01-01
|
|
J9303
|
HCPCS
|
Panitumumab 400 Mg/20 Ml (20 Mg/ml) Intravenous Solution
|
107
|
44
|
$91,683.22
|
$6,373.04
93% off
|
$1,593.30
|
$39,322.64
|
$22,847.92
|
2025-01-01
|
|
J9306
|
HCPCS
|
Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution
|
87
|
44
|
$88,934.38
|
$6,769.56
92% off
|
$6,770.40
|
$41,773.37
|
$24,271.88
|
2025-01-01
|
|
J9309
|
HCPCS
|
Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution
|
87
|
44
|
$246,213.78
|
$18,169.34
93% off
|
$18,169.20
|
$112,103.96
|
$65,136.58
|
2025-01-01
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
87
|
44
|
$542,044.67
|
$41,529.00
92% off
|
$40,635.00
|
$250,717.95
|
$145,676.48
|
2025-01-01
|
|
Q0224
|
HCPCS
|
Pemivibart 125 Mg/ml Intravenous Solution (eua)
|
87
|
44
|
$8,743.41
|
$8,743.41
|
$6,479.55
|
$40,620.20
|
$23,549.88
|
2025-01-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 0.6 X 10exp8 To 6 X10exp8 Cell Intravenous Suspension
|
87
|
44
|
$255,886.99
|
$255,886.99
|
$565,623.84
|
$1,046,404.10
|
$806,013.97
|
2025-01-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension
|
87
|
44
|
—
|
—
|
$462,000.00
|
$902,895.29
|
$682,447.65
|
2025-01-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 300 X 10exp6 To 460 X 10exp6 Cell IV Suspension
|
87
|
44
|
—
|
—
|
$498,407.95
|
$977,377.99
|
$737,892.97
|
2025-01-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
87
|
44
|
—
|
—
|
$522,055.50
|
$1,019,938.92
|
$770,997.21
|
2025-01-01
|