|
0845
|
RC
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
15
|
14
|
$4,505,000.00
|
$3,604,000.00
20% off
|
$4,324,800.00
|
$4,955,500.00
|
$4,640,150.00
|
2026-07-15
|
|
9138
|
OTHER
|
Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi…
|
15
|
14
|
$3,685,266.67
|
$2,948,213.33
20% off
|
$3,537,856.00
|
$4,053,793.33
|
$3,795,824.67
|
2026-07-15
|
|
0714
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
15
|
14
|
$3,316,462.59
|
$2,653,170.07
20% off
|
$3,183,804.08
|
$3,648,108.85
|
$3,415,956.47
|
2026-07-15
|
|
0748
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
14
|
14
|
$3,248,445.71
|
$2,598,756.57
|
$3,248,445.71
|
$3,573,290.29
|
$3,345,899.09
|
2026-07-15
|
|
0746
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
15
|
15
|
$2,945,740.00
|
$2,356,592.00
20% off
|
$2,945,740.00
|
$4,713,184.00
|
$3,048,840.90
|
2026-07-15
|
|
9141
|
OTHER
|
Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi…
|
15
|
15
|
$2,455,110.60
|
$1,964,088.48
20% off
|
$2,455,110.60
|
$3,928,176.97
|
$2,528,763.92
|
2026-07-15
|
|
0824
|
RC
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
15
|
15
|
$2,332,000.00
|
$1,865,600.00
20% off
|
$2,332,000.00
|
$3,731,200.00
|
$2,413,620.00
|
2026-07-15
|
|
2067
|
OTHER
|
Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps
|
21
|
15
|
$770,620.00
|
$616,496.00
20% off
|
$739,795.20
|
$2,668,502.94
|
$809,151.00
|
2026-07-15
|
|
9194
|
OTHER
|
Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi…
|
21
|
15
|
$591,726.20
|
$473,380.96
|
$568,057.15
|
$2,049,029.49
|
$621,312.51
|
2026-07-15
|
|
9498
|
OTHER
|
Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn…
|
21
|
15
|
$565,868.94
|
$452,695.16
|
$543,234.19
|
$1,959,490.98
|
$594,162.39
|
2026-07-15
|
|
9413
|
OTHER
|
Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn…
|
21
|
15
|
$562,538.19
|
$450,030.55
20% off
|
$540,036.66
|
$1,947,957.23
|
$590,665.09
|
2026-07-15
|
|
9422
|
OTHER
|
Pulmonary Function Testing, Cardiac Stress Testing, Or Related Physiologic Diagn…
|
21
|
15
|
$557,317.93
|
$445,854.35
|
$535,025.22
|
$1,929,880.54
|
$585,183.83
|
2026-07-15
|
|
9035
|
OTHER
|
Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi…
|
21
|
15
|
$533,230.17
|
$426,584.14
|
$511,900.96
|
$1,846,469.44
|
$559,891.68
|
2026-07-15
|
|
9391
|
OTHER
|
Cardiac Catheterization / Electrophysiology / Vascular Diagnostic Study
|
21
|
15
|
$489,304.61
|
$391,443.69
|
$469,732.42
|
$1,694,364.00
|
$513,769.84
|
2026-07-15
|
|
0831
|
RC
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
21
|
15
|
$278,250.00
|
$222,600.00
20% off
|
$278,250.00
|
$963,524.10
|
$292,162.50
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
8
|
4
|
$509,022.61
|
$407,218.09
|
$107,605.04
|
$306,637.85
|
$284,701.70
|
2026-07-15
|
|
0897
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
21
|
15
|
$257,500.00
|
$206,000.00
20% off
|
$257,500.00
|
$891,671.00
|
$270,375.00
|
2026-07-15
|
|
0886
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
21
|
15
|
$205,640.00
|
$164,512.00
20% off
|
$205,640.00
|
$712,090.19
|
$215,922.00
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
35
|
19
|
$606,157.35
|
$484,925.88
|
$207,272.18
|
$504,578.76
|
$207,272.18
|
2026-07-15
|
|
J3357
|
HCPCS
|
Ustekinumab 90 Mg/ml Sc Sosy
|
49
|
25
|
$228,076.25
|
$182,461.00
20% off
|
$14,029.47
|
$228,076.25
|
$193,864.81
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
35
|
19
|
$389,301.76
|
$311,441.41
|
$157,701.19
|
$383,904.25
|
$157,701.19
|
2026-07-15
|
|
4
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme
|
11
|
8
|
$475,719.17
|
$380,575.34
|
$117,887.50
|
$338,074.77
|
$147,359.37
|
2026-07-15
|
|
J2840
|
HCPCS
|
Sebelipase Alfa 20 Mg/10ml IV Soln
|
41
|
19
|
$141,872.25
|
$113,497.80
20% off
|
$21,394.34
|
$141,872.25
|
$141,872.25
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
6
|
3
|
$150,206.15
|
$120,164.92
20% off
|
$35,936.99
|
$141,435.99
|
$138,442.63
|
2026-07-15
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml IV Soln
|
49
|
25
|
$130,199.75
|
$104,159.80
20% off
|
$19,634.12
|
$130,199.75
|
$130,199.75
|
2026-07-15
|
|
J0202
|
HCPCS
|
Alemtuzumab 12 Mg/1.2ml IV Soln
|
39
|
18
|
$123,793.75
|
$99,035.00
20% off
|
$18,668.10
|
$123,793.75
|
$123,793.75
|
2026-07-15
|
|
J9272
|
HCPCS
|
Dostarlimab-gxly 500 Mg/10ml IV Soln
|
41
|
19
|
$167,165.50
|
$133,732.40
20% off
|
$12,191.15
|
$167,165.50
|
$122,030.82
|
2026-07-15
|
|
J3241
|
HCPCS
|
Teprotumumab-trbw 500 Mg IV Solr
|
45
|
23
|
$153,559.50
|
$122,847.60
|
$17,954.45
|
$153,559.50
|
$107,491.65
|
2026-07-15
|
|
5
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme
|
11
|
8
|
$231,829.97
|
$185,463.98
|
$90,097.71
|
$257,960.18
|
$106,315.29
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
35
|
17
|
$231,829.97
|
$185,463.98
|
$100,526.23
|
$253,110.69
|
$103,854.66
|
2026-07-15
|
|
J7504
|
HCPCS
|
Lymphocyte,anti-thymo Imm Glob 50 Mg/ml IV Soln
|
47
|
24
|
$91,618.75
|
$73,295.00
20% off
|
$4,791.31
|
$91,618.75
|
$91,618.75
|
2026-07-15
|
|
J1640
|
HCPCS
|
Hemin 350 Mg IV Solr
|
49
|
25
|
$88,701.25
|
$70,961.00
20% off
|
$11,383.68
|
$88,701.25
|
$88,701.25
|
2026-07-15
|
|
J9345
|
HCPCS
|
Retifanlimab-dlwr 500 Mg/20ml IV Soln
|
41
|
19
|
$118,335.25
|
$94,668.20
20% off
|
$14,991.00
|
$118,335.25
|
$86,384.73
|
2026-07-15
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10ml IV Soln
|
49
|
25
|
$171,773.00
|
$137,418.40
20% off
|
$17,629.80
|
$171,773.00
|
$85,886.50
|
2026-07-15
|
|
37231
|
CPT
|
Tib/per Revasc Stent & Ather
|
60
|
30
|
$81,218.00
|
$64,974.40
20% off
|
$4,730.00
|
$81,218.00
|
$81,218.00
|
2026-07-15
|
|
37229
|
CPT
|
Tib/per Revasc With Ather
|
60
|
30
|
$80,692.00
|
$64,553.60
20% off
|
$4,730.00
|
$80,692.00
|
$80,692.00
|
2026-07-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
34
|
18
|
$312,842.95
|
$250,274.36
20% off
|
$80,161.12
|
$260,893.36
|
$80,161.12
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
18
|
$200,328.10
|
$160,262.48
20% off
|
$6,738.74
|
$187,645.84
|
$77,081.65
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
36
|
20
|
$819,075.73
|
$655,260.58
20% off
|
$73,267.08
|
$337,141.28
|
$74,655.33
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
35
|
19
|
$249,591.32
|
$199,673.06
|
$71,985.26
|
$172,880.15
|
$73,349.22
|
2026-07-15
|
|
61623
|
CPT
|
Endovasc Temp B Vessel Occl
|
61
|
30
|
$67,860.00
|
$54,288.00
20% off
|
$4,186.00
|
$67,860.00
|
$67,860.00
|
2026-07-15
|
|
312
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,extreme
|
11
|
8
|
$73,289.45
|
$58,631.56
20% off
|
$59,033.56
|
$84,699.68
|
$67,495.24
|
2026-07-15
|
|
0717
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
21
|
15
|
$63,342.28
|
$50,673.83
|
$60,808.59
|
$219,341.65
|
$66,509.40
|
2026-07-15
|
|
J2329
|
HCPCS
|
Ublituximab-xiiy 150 Mg/6ml IV Soln
|
41
|
19
|
$89,174.75
|
$71,339.80
|
$10,785.60
|
$89,174.75
|
$65,097.57
|
2026-07-15
|
|
J3101
|
HCPCS
|
Tenecteplase 25 Mg IV Kit
|
98
|
25
|
$72,141.88
|
$57,713.50
20% off
|
$4,022.20
|
$79,367.25
|
$64,916.50
|
2026-07-15
|
|
J9298
|
HCPCS
|
Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln
|
45
|
23
|
$91,073.00
|
$72,858.40
20% off
|
$13,733.81
|
$91,073.00
|
$63,751.10
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
19
|
$275,943.79
|
$220,755.03
20% off
|
$19,780.78
|
$171,046.73
|
$63,205.48
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
34
|
19
|
$197,290.31
|
$157,832.25
|
$61,835.15
|
$164,622.21
|
$63,006.79
|
2026-07-15
|
|
5244
|
OTHER
|
Level 4 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End…
|
21
|
15
|
$59,142.33
|
$47,313.86
20% off
|
$56,776.64
|
$204,798.06
|
$62,099.45
|
2026-07-15
|
|
1643
|
OTHER
|
New Technology Apc Û Mid Cost Band (Temporary Payment Classification For Emergin…
|
21
|
15
|
$56,824.55
|
$45,459.64
20% off
|
$54,551.57
|
$196,772.05
|
$59,665.78
|
2026-07-15
|
|
912
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma,extreme
|
11
|
8
|
$214,404.87
|
$171,523.90
|
$49,782.20
|
$73,621.40
|
$58,742.99
|
2026-07-15
|
|
9273
|
OTHER
|
Diagnostic Imaging Apc Û Ct, Mri, Nuclear Medicine, Or Advanced Radiologic Studi…
|
21
|
15
|
$55,272.32
|
$44,217.86
|
$53,061.43
|
$191,397.00
|
$58,035.94
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
37
|
20
|
$259,436.65
|
$207,549.32
|
$14,170.31
|
$140,015.17
|
$57,515.80
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
19
|
$257,148.49
|
$205,718.79
20% off
|
$56,935.23
|
$138,601.84
|
$56,935.23
|
2026-07-15
|
|
950
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis,major
|
11
|
8
|
$114,313.37
|
$91,450.70
|
$9,458.25
|
$74,723.24
|
$56,812.35
|
2026-07-15
|
|
169
|
APR_DRG
|
Major Abdominal Vascular Procedures,extreme
|
11
|
8
|
$134,389.89
|
$107,511.91
20% off
|
$47,227.48
|
$134,370.51
|
$55,728.42
|
2026-07-15
|
|
910
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma,extreme
|
11
|
8
|
$272,701.39
|
$218,161.11
20% off
|
$47,224.88
|
$134,363.03
|
$55,725.36
|
2026-07-15
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
11
|
5
|
$146,853.63
|
$117,482.90
20% off
|
$29,007.66
|
$63,612.65
|
$54,942.05
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
32
|
17
|
$159,356.24
|
$127,484.99
20% off
|
$54,924.19
|
$138,561.86
|
$54,924.19
|
2026-07-15
|
|
321
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,majo…
|
11
|
8
|
$106,860.51
|
$85,488.41
|
$46,457.23
|
$69,264.54
|
$54,819.54
|
2026-07-15
|
|
221
|
APR_DRG
|
Major Small & Large Bowel Procedures,extreme
|
11
|
8
|
$248,466.13
|
$198,772.90
20% off
|
$43,498.90
|
$97,872.52
|
$54,373.62
|
2026-07-15
|
|
911
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,extre…
|
11
|
8
|
$159,356.24
|
$127,484.99
20% off
|
$42,733.20
|
$121,414.04
|
$53,416.50
|
2026-07-15
|
|
C2616
|
HCPCS
|
Bs Therasphere Yttrium Y90
|
122
|
30
|
$69,473.51
|
$55,578.81
|
$10,212.61
|
$75,936.26
|
$53,039.30
|
2026-07-15
|
|
J9228
|
HCPCS
|
Ipilimumab 200 Mg/40ml IV Soln
|
98
|
25
|
$192,527.38
|
$154,021.90
20% off
|
$9,002.55
|
$308,661.00
|
$52,950.72
|
2026-07-15
|
|
36906
|
CPT
|
Thrmbc/Nfs Dialysis Circuit W/Stenting
|
69
|
30
|
$118,024.37
|
$94,419.50
|
$6,432.00
|
$118,024.37
|
$52,933.93
|
2026-07-15
|
|
C1824
|
HCPCS
|
Optimizer Smart Mini Ipg
|
58
|
27
|
$92,066.00
|
$73,652.80
|
$13,533.70
|
$92,066.00
|
$52,799.85
|
2026-07-15
|
|
441
|
APR_DRG
|
Major Bladder Procedures,major
|
11
|
8
|
$244,758.63
|
$195,806.90
20% off
|
$44,504.69
|
$96,194.42
|
$52,515.54
|
2026-07-15
|
|
182
|
APR_DRG
|
Other Upper Vascular Procedures,extreme
|
10
|
7
|
$185,844.91
|
$148,675.93
|
$41,316.65
|
$92,962.46
|
$52,444.41
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
35
|
18
|
$311,619.59
|
$249,295.67
20% off
|
$21,806.97
|
$127,230.67
|
$52,264.15
|
2026-07-15
|
|
177
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme
|
11
|
8
|
$75,534.97
|
$60,427.98
|
$41,722.86
|
$118,501.36
|
$52,153.57
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
34
|
18
|
$129,152.03
|
$103,321.62
20% off
|
$52,001.45
|
$149,551.17
|
$52,001.45
|
2026-07-15
|
|
305
|
APR_DRG
|
Amputation Of Lower Limb Except Toes,extreme
|
11
|
8
|
$143,034.70
|
$114,427.76
20% off
|
$41,510.02
|
$93,397.55
|
$51,887.53
|
2026-07-15
|
|
447
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures,extreme
|
11
|
8
|
$245,355.08
|
$196,284.06
20% off
|
$41,690.46
|
$64,776.16
|
$51,636.58
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
35
|
19
|
$436,916.22
|
$349,532.98
|
$51,188.35
|
$125,592.06
|
$51,188.35
|
2026-07-15
|
|
161
|
APR_DRG
|
Implantable Heart Assist Systems,moderate
|
11
|
8
|
$112,536.90
|
$90,029.52
|
$40,379.64
|
$90,854.18
|
$50,474.55
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
33
|
18
|
$272,701.39
|
$218,161.11
20% off
|
$50,245.01
|
$144,479.18
|
$50,245.01
|
2026-07-15
|
|
120
|
APR_DRG
|
Major Respiratory And Chest Procedures,moderate
|
11
|
8
|
$141,619.07
|
$113,295.26
|
$40,140.84
|
$90,316.89
|
$50,176.05
|
2026-07-15
|
|
130
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours,extreme
|
11
|
8
|
$100,704.99
|
$80,563.99
20% off
|
$40,024.04
|
$90,054.09
|
$50,030.05
|
2026-07-15
|
|
690
|
APR_DRG
|
Acute Leukemia,major
|
11
|
8
|
$111,889.11
|
$89,511.29
|
$39,959.80
|
$113,418.67
|
$49,949.75
|
2026-07-15
|
|
181
|
APR_DRG
|
Lower Vascular Procedures,extreme
|
10
|
7
|
$357,866.88
|
$286,293.50
20% off
|
$9,929.36
|
$94,106.48
|
$49,649.40
|
2026-07-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
34
|
19
|
$137,006.62
|
$109,605.30
|
$49,335.52
|
$120,101.29
|
$49,335.52
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
17
|
$60,091.79
|
$48,073.43
20% off
|
$49,145.68
|
$119,639.14
|
$49,145.68
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
36
|
20
|
$274,467.43
|
$219,573.94
20% off
|
$49,062.53
|
$140,850.88
|
$49,062.53
|
2026-07-15
|
|
37227
|
CPT
|
Fem/Popl Revasc Stnt & Ather
|
56
|
30
|
$81,183.54
|
$64,946.83
20% off
|
$4,730.00
|
$81,183.54
|
$48,710.12
|
2026-07-15
|
|
J9223
|
HCPCS
|
Lurbinectedin 4 Mg IV Solr
|
41
|
19
|
$66,219.00
|
$52,975.20
20% off
|
$8,245.00
|
$66,219.00
|
$48,339.87
|
2026-07-15
|
|
951
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,extreme
|
11
|
8
|
$156,107.25
|
$124,885.80
20% off
|
$9,641.24
|
$89,250.75
|
$48,316.14
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
38
|
19
|
$167,601.57
|
$134,081.26
|
$10,892.28
|
$136,605.52
|
$48,245.92
|
2026-07-15
|
|
264
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures,minor
|
11
|
8
|
$61,264.59
|
$49,011.67
20% off
|
$9,273.32
|
$87,536.88
|
$47,854.71
|
2026-07-15
|
|
J9356
|
HCPCS
|
Trastuzumab-hyaluronidase-oysk 600-10000 Mg-unt/5ml Sc Soln
|
41
|
19
|
$65,497.00
|
$52,397.60
20% off
|
$3,778.38
|
$65,497.00
|
$47,812.81
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
35
|
19
|
$178,833.90
|
$143,067.12
20% off
|
$47,519.48
|
$115,680.36
|
$47,519.48
|
2026-07-15
|
|
37230
|
CPT
|
Tib/per Revasc With Stent
|
56
|
30
|
$79,179.00
|
$63,343.20
20% off
|
$4,730.00
|
$79,179.00
|
$47,507.40
|
2026-07-15
|
|
1142
|
OTHER
|
Medicine, Laboratory, Or Ancillary Diagnostic Service Under Opps
|
21
|
15
|
$45,020.65
|
$36,016.52
20% off
|
$43,219.82
|
$155,897.51
|
$47,271.68
|
2026-07-15
|
|
1580
|
OTHER
|
New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin…
|
21
|
15
|
$45,000.50
|
$36,000.40
|
$43,200.48
|
$155,827.73
|
$47,250.53
|
2026-07-15
|
|
J9119
|
HCPCS
|
Cemiplimab-rwlc 350 Mg/7ml IV Soln
|
41
|
19
|
$63,871.25
|
$51,097.00
20% off
|
$9,631.78
|
$63,871.25
|
$46,626.01
|
2026-07-15
|
|
J9273
|
HCPCS
|
Tisotumab Vedotin-tftv 40 Mg IV Solr
|
41
|
19
|
$63,070.50
|
$50,456.40
20% off
|
$7,545.92
|
$63,070.50
|
$46,041.47
|
2026-07-15
|
|
224
|
APR_DRG
|
Peritoneal Adhesiolysis,moderate
|
11
|
8
|
$80,053.72
|
$64,042.98
|
$36,752.29
|
$99,215.75
|
$45,940.36
|
2026-07-15
|
|
710
|
MS_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme
|
3
|
3
|
$272,217.20
|
$217,773.76
20% off
|
$45,410.04
|
$60,322.69
|
$45,729.72
|
2026-07-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
34
|
18
|
$123,702.45
|
$98,961.96
|
$45,580.56
|
$128,876.78
|
$45,580.56
|
2026-07-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
33
|
18
|
$233,199.36
|
$186,559.49
|
$45,521.69
|
$149,406.25
|
$45,521.69
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
32
|
19
|
$143,991.34
|
$115,193.07
20% off
|
$45,155.98
|
$152,981.95
|
$45,155.98
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
35
|
19
|
$158,307.96
|
$126,646.37
|
$44,949.95
|
$115,206.57
|
$44,949.95
|
2026-07-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
36
|
20
|
$165,843.26
|
$132,674.61
|
$44,735.08
|
$108,902.08
|
$44,735.08
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
35
|
19
|
$322,675.71
|
$258,140.57
|
$44,082.40
|
$107,453.67
|
$44,082.40
|
2026-07-15
|
|
304
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,minor
|
11
|
8
|
$162,295.85
|
$129,836.68
20% off
|
$35,188.44
|
$99,663.41
|
$43,985.55
|
2026-07-15
|
|
303
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate
|
11
|
8
|
$311,414.59
|
$249,131.67
20% off
|
$34,934.07
|
$98,930.10
|
$43,667.58
|
2026-07-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
35
|
19
|
$231,584.85
|
$185,267.88
20% off
|
$43,298.00
|
$105,403.67
|
$43,298.00
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
36
|
20
|
$111,889.11
|
$89,511.29
|
$5,742.22
|
$114,965.04
|
$42,842.52
|
2026-07-15
|
|
J9024
|
HCPCS
|
Atezolizumab-hyaluronidas-tqjs 1875-30000 Mg-ut/15ml Sc Soln
|
41
|
19
|
$58,239.00
|
$46,591.20
20% off
|
$8,782.44
|
$58,239.00
|
$42,514.47
|
2026-07-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
19
|
$145,359.83
|
$116,287.86
20% off
|
$42,232.51
|
$117,189.23
|
$42,232.51
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
37
|
20
|
$164,270.71
|
$131,416.57
|
$41,980.12
|
$103,371.93
|
$41,980.12
|
2026-07-15
|
|
J9063
|
HCPCS
|
Mirvetuximab Soravtansine-gynx 100 Mg/20ml IV Soln
|
41
|
19
|
$57,222.00
|
$45,777.60
20% off
|
$6,952.00
|
$57,222.00
|
$41,772.06
|
2026-07-15
|
|
301
|
APR_DRG
|
Hip Joint Replacement,extreme
|
11
|
8
|
$175,801.57
|
$140,641.26
|
$34,171.22
|
$89,775.22
|
$41,097.10
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
35
|
19
|
$160,946.69
|
$128,757.35
20% off
|
$41,019.85
|
$132,306.41
|
$41,019.85
|
2026-07-15
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg IV Solr
|
49
|
25
|
$75,127.75
|
$60,102.20
20% off
|
$6,501.00
|
$75,127.75
|
$40,696.70
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
35
|
19
|
$120,098.57
|
$96,078.86
|
$40,671.80
|
$166,433.77
|
$40,671.80
|
2026-07-15
|
|
47540
|
CPT
|
Perq Plmt Bile Stent; New Access W/Sep Bil Drain
|
60
|
30
|
$40,612.00
|
$32,489.60
20% off
|
$5,969.96
|
$40,612.00
|
$40,612.00
|
2026-07-15
|
|
J9042
|
HCPCS
|
Brentuximab Vedotin 50 Mg IV Solr
|
49
|
25
|
$74,855.75
|
$59,884.60
20% off
|
$11,288.25
|
$74,855.75
|
$40,549.36
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
30
|
18
|
$162,295.85
|
$129,836.68
20% off
|
$40,501.09
|
$98,594.94
|
$40,501.09
|
2026-07-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
30
|
18
|
$92,754.56
|
$74,203.65
|
$40,253.85
|
$97,993.07
|
$40,253.85
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
32
|
19
|
$439,305.99
|
$351,444.79
20% off
|
$39,946.27
|
$102,437.14
|
$39,946.27
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
31
|
16
|
$99,014.09
|
$79,211.27
20% off
|
$8,839.77
|
$96,748.11
|
$39,742.44
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
35
|
19
|
$180,685.34
|
$144,548.27
20% off
|
$39,704.92
|
$100,908.39
|
$39,704.92
|
2026-07-15
|
|
0236T
|
CPT
|
Trluml Perip Athrc Abd Aorta
|
59
|
30
|
$39,615.00
|
$31,692.00
20% off
|
$5,973.94
|
$39,615.00
|
$39,615.00
|
2026-07-15
|
|
0235T
|
CPT
|
Trluml Perip Athrc Visceral
|
59
|
30
|
$39,615.00
|
$31,692.00
20% off
|
$5,973.94
|
$39,615.00
|
$39,615.00
|
2026-07-15
|
|
0234T
|
CPT
|
Trluml Perip Athrc Renal Art
|
59
|
30
|
$39,615.00
|
$31,692.00
20% off
|
$5,973.94
|
$39,615.00
|
$39,615.00
|
2026-07-15
|
|
0238T
|
CPT
|
Trluml Perip Athrc Iliac
|
59
|
30
|
$39,615.00
|
$31,692.00
20% off
|
$5,973.94
|
$39,615.00
|
$39,615.00
|
2026-07-15
|
|
0237T
|
CPT
|
Trluml Perip Athrc Brchiocph
|
59
|
30
|
$39,615.00
|
$31,692.00
20% off
|
$5,973.94
|
$39,615.00
|
$39,615.00
|
2026-07-15
|
|
C1882
|
HCPCS
|
Icd, Promote 3207-36
|
520
|
27
|
$51,857.95
|
$41,486.36
|
$7,287.38
|
$59,743.75
|
$39,549.57
|
2026-07-15
|
|
J9043
|
HCPCS
|
Cabazitaxel 60 Mg/1.5ml IV Soln
|
49
|
25
|
$72,505.50
|
$58,004.40
20% off
|
$10,933.83
|
$72,505.50
|
$39,276.23
|
2026-07-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
35
|
19
|
$200,042.42
|
$160,033.94
|
$39,147.89
|
$95,300.74
|
$39,147.89
|
2026-07-15
|
|
J0491
|
HCPCS
|
Anifrolumab-fnia 300 Mg/2ml IV Soln
|
41
|
19
|
$53,390.50
|
$42,712.40
20% off
|
$5,431.20
|
$53,390.50
|
$38,975.07
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
19
|
$221,776.19
|
$177,420.95
20% off
|
$15,443.95
|
$94,879.79
|
$38,974.97
|
2026-07-15
|
|
47539
|
CPT
|
Perq Plmt Bile Stent; New Access Without Sep Bil Drain
|
61
|
30
|
$38,923.00
|
$31,138.40
|
$1,976.00
|
$38,923.00
|
$38,923.00
|
2026-07-15
|
|
J1299
|
HCPCS
|
Eculizumab 300 Mg/30ml IV Soln
|
41
|
19
|
$52,886.00
|
$42,308.80
|
$6,715.65
|
$52,886.00
|
$38,606.78
|
2026-07-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
34
|
19
|
$136,034.39
|
$108,827.51
20% off
|
$37,896.23
|
$92,253.74
|
$37,896.23
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
36
|
19
|
$190,161.94
|
$152,129.55
20% off
|
$37,770.41
|
$91,947.43
|
$37,770.41
|
2026-07-15
|
|
163
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,major
|
11
|
8
|
$228,219.17
|
$182,575.34
|
$30,114.04
|
$85,034.54
|
$37,642.55
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
32
|
19
|
$175,801.57
|
$140,641.26
|
$37,487.84
|
$91,259.57
|
$37,487.84
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
37
|
20
|
$197,193.30
|
$157,754.64
|
$37,058.67
|
$90,980.13
|
$37,373.05
|
2026-07-15
|
|
162
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate
|
11
|
8
|
$164,850.38
|
$131,880.30
20% off
|
$29,701.99
|
$83,846.64
|
$37,127.48
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
35
|
19
|
$102,633.69
|
$82,106.95
20% off
|
$37,063.27
|
$90,225.99
|
$37,063.27
|
2026-07-15
|
|
J9144
|
HCPCS
|
Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln
|
45
|
23
|
$52,860.25
|
$42,288.20
20% off
|
$7,971.33
|
$52,860.25
|
$37,002.18
|
2026-07-15
|
|
47556
|
CPT
|
Perc Dil Biliary Stricture W Stent
|
62
|
30
|
$36,909.00
|
$29,527.20
20% off
|
$1,976.00
|
$36,909.00
|
$36,909.00
|
2026-07-15
|
|
37237
|
CPT
|
Open/Perq Place Stent Ea Add Artery
|
59
|
30
|
$36,857.00
|
$29,485.60
20% off
|
$1,976.00
|
$36,857.00
|
$36,857.00
|
2026-07-15
|
|
37239
|
CPT
|
Open/Perq Place Stent Ea Add Vein
|
67
|
30
|
$36,857.00
|
$29,485.60
20% off
|
$1,976.00
|
$36,857.00
|
$36,857.00
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
36
|
20
|
$44,836.64
|
$35,869.31
20% off
|
$36,844.72
|
$89,693.97
|
$36,844.72
|
2026-07-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
34
|
18
|
$171,726.32
|
$137,381.06
|
$36,816.03
|
$111,004.06
|
$36,816.03
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
36
|
19
|
$136,321.84
|
$109,057.47
20% off
|
$36,801.31
|
$89,588.29
|
$36,801.31
|
2026-07-15
|
|
1579
|
OTHER
|
New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin…
|
21
|
15
|
$35,000.50
|
$28,000.40
|
$33,600.48
|
$121,199.73
|
$36,750.53
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
36
|
20
|
$210,591.33
|
$168,473.06
20% off
|
$36,064.74
|
$132,185.65
|
$36,748.09
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
36
|
20
|
$115,658.78
|
$92,527.02
20% off
|
$36,668.86
|
$123,732.34
|
$36,668.86
|
2026-07-15
|
|
36903
|
CPT
|
Intro Cath Dialysis Circuit W/Stenting
|
69
|
30
|
$72,854.55
|
$58,283.64
20% off
|
$6,432.00
|
$72,854.55
|
$36,427.28
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
32
|
19
|
$143,391.50
|
$114,713.20
20% off
|
$35,531.26
|
$87,008.81
|
$36,204.50
|
2026-07-15
|
|
J9316
|
HCPCS
|
Pertuz-trastuz-hyaluron-zzxf 60-60-2000 Mg-mg-u/ml Sc Soln
|
90
|
23
|
$57,694.25
|
$46,155.40
20% off
|
$6,960.06
|
$69,234.25
|
$36,060.66
|
2026-07-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
38
|
19
|
$50,190.76
|
$40,152.61
|
$5,991.78
|
$116,293.42
|
$35,958.78
|
2026-07-15
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 25 Mg/1.25ml IV Soln
|
82
|
19
|
$190,901.75
|
$152,721.40
20% off
|
$3,529.13
|
$352,705.25
|
$35,723.88
|
2026-07-15
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
6
|
2
|
$45,747.68
|
$36,598.14
20% off
|
$14,596.65
|
$36,494.16
|
$35,721.79
|
2026-07-15
|
|
546
|
APR_DRG
|
Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses,extreme
|
11
|
8
|
$195,589.53
|
$156,471.62
20% off
|
$28,570.31
|
$80,584.14
|
$35,712.88
|
2026-07-15
|
|
23
|
APR_DRG
|
Spinal Procedures,major
|
11
|
8
|
$111,861.52
|
$89,489.22
|
$28,496.98
|
$80,372.75
|
$35,621.22
|
2026-07-15
|
|
650
|
APR_DRG
|
Splenic Procedures,extreme
|
11
|
8
|
$161,616.30
|
$129,293.04
20% off
|
$9,048.80
|
$81,113.77
|
$35,356.05
|
2026-07-15
|
|
J0717
|
HCPCS
|
Certolizumab 200 Mg/ml Subq Syringe
|
48
|
22
|
$48,154.75
|
$38,523.80
|
$7,261.74
|
$48,154.75
|
$35,152.97
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
35
|
19
|
$176,093.01
|
$140,874.41
|
$35,139.80
|
$116,679.86
|
$35,139.80
|
2026-07-15
|
|
20983
|
CPT
|
Ablate Bone Tumor(S) Perq
|
62
|
30
|
$35,020.00
|
$28,016.00
20% off
|
$1,976.00
|
$35,020.00
|
$35,020.00
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
20
|
$207,325.49
|
$165,860.39
20% off
|
$34,987.48
|
$98,183.72
|
$34,987.48
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
35
|
19
|
$473,816.75
|
$379,053.40
|
$34,980.86
|
$94,677.09
|
$34,980.86
|
2026-07-15
|
|
193
|
APR_DRG
|
Acute And Subacute Endocarditis,extreme
|
11
|
8
|
$94,738.80
|
$75,791.04
20% off
|
$9,560.13
|
$83,511.79
|
$34,911.28
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
35
|
19
|
$160,230.95
|
$128,184.76
20% off
|
$34,618.82
|
$96,778.35
|
$34,618.82
|
2026-07-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
35
|
19
|
$189,241.75
|
$151,393.40
20% off
|
$34,433.39
|
$86,561.91
|
$34,433.39
|
2026-07-15
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
35
|
19
|
$180,709.12
|
$144,567.30
|
$34,230.30
|
$99,459.25
|
$34,230.30
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
37
|
20
|
$165,816.01
|
$132,652.81
|
$19,533.47
|
$82,564.60
|
$33,916.10
|
2026-07-15
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
20
|
11
|
$75,901.85
|
$60,721.48
20% off
|
$18,750.54
|
$45,645.91
|
$33,889.49
|
2026-07-15
|
|
C9797
|
HCPCS
|
Vascular Emb Or Occlusion W/Use Of Press -gen Cath; Rad S/i
|
71
|
30
|
$53,184.00
|
$42,547.20
20% off
|
$6,432.00
|
$59,826.49
|
$33,822.27
|
2026-07-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
19
|
$375,813.18
|
$300,650.54
20% off
|
$33,793.95
|
$82,267.24
|
$33,793.95
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
36
|
19
|
$237,512.17
|
$190,009.74
|
$21,273.52
|
$82,254.70
|
$33,788.80
|
2026-07-15
|
|
363
|
APR_DRG
|
Breast Procedures Except Mastectomy,major
|
6
|
4
|
$373,302.10
|
$298,641.68
|
$19,389.80
|
$42,938.18
|
$33,773.85
|
2026-07-15
|
|
C9765
|
HCPCS
|
Ivl W/Stent Fem/Pop
|
61
|
30
|
$33,711.50
|
$26,969.20
20% off
|
$1,976.00
|
$33,711.50
|
$33,711.50
|
2026-07-15
|
|
5232
|
OTHER
|
Level 2 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End…
|
21
|
15
|
$32,061.58
|
$25,649.26
20% off
|
$32,061.58
|
$111,022.84
|
$33,664.66
|
2026-07-15
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
32
|
19
|
$113,928.85
|
$91,143.08
20% off
|
$32,969.08
|
$75,066.22
|
$33,593.77
|
2026-07-15
|
|
5166
|
OTHER
|
Level 6 Urinary And Male Genital System Procedure Û Includes Renal, Ureteral, Bl…
|
21
|
15
|
$31,807.82
|
$25,446.26
|
$31,807.82
|
$110,144.12
|
$33,398.21
|
2026-07-15
|
|
166
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis,major
|
11
|
8
|
$192,274.70
|
$153,819.76
20% off
|
$26,676.17
|
$75,123.57
|
$33,345.21
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
36
|
20
|
$190,762.36
|
$152,609.89
|
$33,197.93
|
$88,636.96
|
$33,197.93
|
2026-07-15
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg IV Solr
|
49
|
25
|
$38,916.00
|
$31,132.80
20% off
|
$5,069.98
|
$38,916.00
|
$33,078.60
|
2026-07-15
|
|
J0896
|
HCPCS
|
Luspatercept 50 Mg/ml Sq Syringe
|
120
|
19
|
$95,529.50
|
$76,423.60
|
$4,196.20
|
$99,042.50
|
$33,014.25
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
35
|
19
|
$86,544.41
|
$69,235.53
|
$32,999.99
|
$80,334.43
|
$32,999.99
|
2026-07-15
|
|
61635
|
CPT
|
Intracran Angioplsty W/Stent
|
61
|
30
|
$32,956.00
|
$26,364.80
20% off
|
$1,976.00
|
$32,956.00
|
$32,956.00
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
36
|
20
|
$188,275.55
|
$150,620.44
|
$32,908.74
|
$80,112.31
|
$32,908.74
|
2026-07-15
|
|
165
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis,moderate
|
11
|
8
|
$157,631.15
|
$126,104.92
20% off
|
$26,229.72
|
$73,836.53
|
$32,787.15
|
2026-07-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
35
|
19
|
$177,531.32
|
$142,025.06
|
$32,323.76
|
$104,845.22
|
$32,323.76
|
2026-07-15
|
|
37242
|
CPT
|
Vasc Embolize/Occlude Artery
|
70
|
30
|
$50,035.00
|
$40,028.00
20% off
|
$4,186.00
|
$59,826.49
|
$32,006.24
|
2026-07-15
|
|
5465
|
OTHER
|
Level 5 Abdominal / Peritoneal / Hernia Procedure Û Includes Laparoscopic And Op…
|
21
|
15
|
$30,473.59
|
$24,378.87
20% off
|
$6,404.07
|
$105,523.95
|
$31,997.27
|
2026-07-15
|
|
174
|
APR_DRG
|
Percutaneous Cardiac Intervention With Ami,extreme
|
11
|
8
|
$98,189.98
|
$78,551.98
20% off
|
$25,462.72
|
$71,625.36
|
$31,828.40
|
2026-07-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
19
|
$281,849.07
|
$225,479.26
|
$31,773.35
|
$108,226.55
|
$31,773.35
|
2026-07-15
|
|
681
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,major
|
11
|
8
|
$37,466.88
|
$29,973.50
20% off
|
$25,401.08
|
$71,447.65
|
$31,751.35
|
2026-07-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
35
|
19
|
$421,238.34
|
$336,990.67
20% off
|
$30,880.05
|
$79,363.55
|
$31,465.16
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
35
|
19
|
$163,218.00
|
$130,574.40
20% off
|
$31,388.51
|
$76,411.48
|
$31,388.51
|
2026-07-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
38
|
19
|
$93,730.53
|
$74,984.42
20% off
|
$31,342.15
|
$97,874.40
|
$31,342.15
|
2026-07-15
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
34
|
16
|
$212,611.50
|
$170,089.20
|
$8,782.59
|
$96,609.28
|
$31,119.93
|
2026-07-15
|
|
J0480
|
HCPCS
|
Basiliximab 20 Mg IV Solr
|
49
|
25
|
$36,383.75
|
$29,107.00
20% off
|
$4,657.58
|
$36,383.75
|
$30,926.19
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
36
|
20
|
$126,801.51
|
$101,441.21
|
$30,820.59
|
$75,048.30
|
$30,828.54
|
2026-07-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
30
|
16
|
$11,735.65
|
$9,388.52
|
$17,602.54
|
$33,697.93
|
$30,687.99
|
2026-07-15
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
35
|
19
|
$200,415.66
|
$160,332.53
|
$30,615.88
|
$74,530.62
|
$30,615.88
|
2026-07-15
|
|
J2327
|
HCPCS
|
Risankizumab-rzaa 600 Mg/10ml IV Soln
|
45
|
23
|
$43,451.75
|
$34,761.40
|
$6,552.52
|
$43,451.75
|
$30,416.23
|
2026-07-15
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
35
|
19
|
$168,475.04
|
$134,780.03
20% off
|
$30,258.27
|
$73,660.05
|
$30,258.27
|
2026-07-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
32
|
17
|
$268,586.15
|
$214,868.92
20% off
|
$30,241.34
|
$80,064.94
|
$30,241.34
|
2026-07-15
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
35
|
19
|
$148,568.16
|
$118,854.53
|
$30,196.46
|
$82,045.43
|
$30,196.46
|
2026-07-15
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
30
|
18
|
$208,906.57
|
$167,125.26
|
$30,047.82
|
$73,147.74
|
$30,047.82
|
2026-07-15
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
36
|
20
|
$142,133.57
|
$113,706.86
|
$29,929.35
|
$84,729.92
|
$29,929.35
|
2026-07-15
|
|
J9205
|
HCPCS
|
Irinotecan Hcl Liposome 43 Mg/10ml IV Susp
|
39
|
18
|
$40,980.50
|
$32,784.40
|
$2,805.97
|
$40,980.50
|
$29,915.77
|
2026-07-15
|
|
5200
|
OTHER
|
Level 0 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End…
|
21
|
15
|
$28,428.33
|
$22,742.66
20% off
|
$28,428.33
|
$98,441.62
|
$29,849.75
|
2026-07-15
|
|
0843
|
RC
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
21
|
15
|
$28,424.06
|
$22,739.25
|
$28,424.06
|
$98,426.83
|
$29,845.26
|
2026-07-15
|
|
37236
|
CPT
|
Open/Perq Place Stent 1st Artery
|
67
|
30
|
$73,272.00
|
$58,617.60
20% off
|
$4,186.00
|
$73,272.00
|
$29,570.00
|
2026-07-15
|
|
36226
|
CPT
|
Place Cath Vertebral Art
|
62
|
30
|
$29,537.00
|
$23,629.60
20% off
|
$1,976.00
|
$29,537.00
|
$29,537.00
|
2026-07-15
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
6
|
3
|
$57,020.70
|
$45,616.56
20% off
|
$9,654.22
|
$30,045.49
|
$29,409.60
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
36
|
20
|
$102,960.49
|
$82,368.39
20% off
|
$29,313.45
|
$71,360.02
|
$29,313.45
|
2026-07-15
|
|
47538
|
CPT
|
Perq Plmt Bile Duct Stent; Each Stent; Existing Access
|
72
|
30
|
$40,039.00
|
$32,031.20
20% off
|
$5,885.73
|
$40,039.00
|
$29,228.47
|
2026-07-15
|
|
J9289
|
HCPCS
|
Nivolumab-hyaluronidase-nvhy 600-10000 Mg-ut/5ml Sc Soln
|
41
|
19
|
$39,915.75
|
$31,932.60
20% off
|
$6,019.30
|
$39,915.75
|
$29,138.50
|
2026-07-15
|
|
121
|
APR_DRG
|
Other Respiratory And Chest Procedures,extreme
|
11
|
8
|
$94,971.94
|
$75,977.55
20% off
|
$8,460.89
|
$89,824.86
|
$28,995.39
|
2026-07-15
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
25
|
17
|
$117,723.28
|
$94,178.62
20% off
|
$28,915.37
|
$85,226.38
|
$28,915.37
|
2026-07-15
|
|
1592
|
OTHER
|
New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin…
|
21
|
15
|
$27,500.50
|
$22,000.40
|
$8,250.50
|
$95,228.73
|
$28,875.53
|
2026-07-15
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
30
|
18
|
$121,791.52
|
$97,433.22
|
$28,787.33
|
$70,079.24
|
$28,787.33
|
2026-07-15
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
35
|
19
|
$86,239.87
|
$68,991.90
|
$28,773.35
|
$88,566.56
|
$28,773.35
|
2026-07-15
|
|
37211
|
CPT
|
Thrombolytic Art Therapy
|
62
|
30
|
$28,693.00
|
$22,954.40
|
$1,976.00
|
$28,693.00
|
$28,693.00
|
2026-07-15
|
|
35372
|
CPT
|
Teaec W/wo Patch Graft Deep Profund Femoral
|
59
|
29
|
$28,693.00
|
$22,954.40
|
$4,186.00
|
$28,693.00
|
$28,693.00
|
2026-07-15
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
35
|
19
|
$343,341.95
|
$274,673.56
20% off
|
$28,614.41
|
$94,701.25
|
$28,614.41
|
2026-07-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
32
|
19
|
$187,943.56
|
$150,354.85
|
$28,440.02
|
$69,233.75
|
$28,440.02
|
2026-07-15
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
36
|
20
|
$89,065.00
|
$71,252.00
20% off
|
$28,411.32
|
$70,573.08
|
$28,411.32
|
2026-07-15
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
35
|
19
|
$136,511.66
|
$109,209.33
|
$28,331.85
|
$68,970.42
|
$28,331.85
|
2026-07-15
|
|
694
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,major
|
11
|
8
|
$43,124.24
|
$34,499.39
20% off
|
$22,559.54
|
$63,255.85
|
$28,199.43
|
2026-07-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
33
|
18
|
$100,784.52
|
$80,627.62
|
$28,126.55
|
$114,916.74
|
$28,126.55
|
2026-07-15
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
32
|
17
|
$120,362.11
|
$96,289.69
|
$27,974.24
|
$73,471.36
|
$27,974.24
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
35
|
19
|
$246,904.29
|
$197,523.43
20% off
|
$27,423.09
|
$70,679.32
|
$27,942.70
|
2026-07-15
|
|
361
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses,major
|
11
|
8
|
$113,053.89
|
$90,443.11
20% off
|
$22,289.60
|
$62,477.64
|
$27,862.00
|
2026-07-15
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
35
|
19
|
$217,983.46
|
$174,386.77
|
$14,717.62
|
$67,569.63
|
$27,756.43
|
2026-07-15
|
|
37233
|
CPT
|
Tib/per Revasc With Ather Add-on
|
61
|
30
|
$27,749.00
|
$22,199.20
20% off
|
$1,976.00
|
$27,749.00
|
$27,749.00
|
2026-07-15
|
|
49419
|
CPT
|
Insert Tun Ip Cath W/Port
|
62
|
30
|
$27,221.00
|
$21,776.80
20% off
|
$1,976.00
|
$27,221.00
|
$27,221.00
|
2026-07-15
|
|
32994
|
CPT
|
Ablate Pulm Tumor Perq Crybl
|
61
|
30
|
$27,175.00
|
$21,740.00
20% off
|
$1,976.00
|
$27,175.00
|
$27,175.00
|
2026-07-15
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 1100 Mg/11ml IV Soln
|
90
|
23
|
$64,278.25
|
$51,422.60
|
$4,089.96
|
$101,434.75
|
$27,121.75
|
2026-07-15
|
|
J0139
|
HCPCS
|
Adalimumab 40 Mg/0.8ml Sc Ajkt
|
43
|
20
|
$27,080.75
|
$21,664.60
20% off
|
$3,980.87
|
$27,080.75
|
$27,080.75
|
2026-07-15
|
|
J9319
|
HCPCS
|
Romidepsin 10 Mg IV Solr
|
41
|
19
|
$26,986.75
|
$21,589.40
|
$4,069.60
|
$26,986.75
|
$26,986.75
|
2026-07-15
|
|
J9271
|
HCPCS
|
Pembrolizumab 100 Mg/4ml IV Soln
|
49
|
25
|
$49,758.50
|
$39,806.80
|
$5,760.30
|
$49,758.50
|
$26,954.18
|
2026-07-15
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
36
|
20
|
$126,144.90
|
$100,915.92
20% off
|
$26,848.41
|
$68,713.35
|
$26,848.41
|
2026-07-15
|
|
J9332
|
HCPCS
|
Efgartigimod Alfa-fcab 400 Mg/20ml IV Soln
|
41
|
19
|
$26,741.50
|
$21,393.20
20% off
|
$4,032.62
|
$26,741.50
|
$26,741.50
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
34
|
19
|
$113,317.24
|
$90,653.79
20% off
|
$26,189.84
|
$67,030.45
|
$26,686.08
|
2026-07-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
31
|
18
|
$110,632.43
|
$88,505.94
20% off
|
$26,662.24
|
$64,905.96
|
$26,662.24
|
2026-07-15
|
|
J9301
|
HCPCS
|
Obinutuzumab 1000 Mg/40ml IV Soln
|
49
|
25
|
$53,150.50
|
$42,520.40
20% off
|
$7,482.70
|
$53,150.50
|
$26,575.25
|
2026-07-15
|
|
36225
|
CPT
|
Place Cath Subclavian Art
|
62
|
30
|
$26,554.00
|
$21,243.20
20% off
|
$1,976.00
|
$26,554.00
|
$26,554.00
|
2026-07-15
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
35
|
20
|
$81,722.34
|
$65,377.87
20% off
|
$26,378.21
|
$86,223.78
|
$26,378.21
|
2026-07-15
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
36
|
20
|
$74,374.57
|
$59,499.66
|
$26,376.74
|
$78,134.03
|
$26,376.74
|
2026-07-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
36
|
20
|
$123,808.98
|
$99,047.18
20% off
|
$26,372.32
|
$64,200.19
|
$26,372.32
|
2026-07-15
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
34
|
19
|
$50,447.07
|
$40,357.66
|
$24,366.07
|
$65,556.94
|
$26,368.20
|
2026-07-15
|
|
42182
|
CPT
|
Repair Laceration Of Palate > 2cm Or Complex
|
60
|
30
|
$26,344.00
|
$21,075.20
20% off
|
$3,872.57
|
$26,344.00
|
$26,344.00
|
2026-07-15
|
|
260
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures,major
|
11
|
8
|
$210,216.64
|
$168,173.31
20% off
|
$21,026.84
|
$58,837.26
|
$26,283.55
|
2026-07-15
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
35
|
19
|
$126,280.02
|
$101,024.02
|
$26,248.70
|
$83,881.01
|
$26,248.70
|
2026-07-15
|
|
36516
|
CPT
|
Therapeutic Leukopheresis Or White Blood Cell Depletion
|
58
|
29
|
$26,076.00
|
$20,860.80
20% off
|
$3,833.17
|
$26,076.00
|
$26,076.00
|
2026-07-15
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
35
|
19
|
$84,070.64
|
$67,256.51
20% off
|
$25,905.80
|
$86,368.70
|
$25,905.80
|
2026-07-15
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
35
|
19
|
$88,284.05
|
$70,627.24
|
$25,782.18
|
$74,920.50
|
$25,782.18
|
2026-07-15
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
34
|
19
|
$245,430.56
|
$196,344.45
|
$25,774.09
|
$62,743.87
|
$25,774.09
|
2026-07-15
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
36
|
20
|
$150,414.15
|
$120,331.32
|
$25,763.79
|
$82,166.19
|
$25,763.79
|
2026-07-15
|
|
5213
|
OTHER
|
Level 3 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End…
|
21
|
15
|
$24,532.30
|
$19,625.84
20% off
|
$24,532.30
|
$84,950.45
|
$25,758.92
|
2026-07-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
36
|
20
|
$105,342.48
|
$84,273.98
20% off
|
$25,718.17
|
$62,607.73
|
$25,718.17
|
2026-07-15
|
|
J9022
|
HCPCS
|
Atezolizumab 1200 Mg/20ml IV Soln
|
98
|
25
|
$57,592.25
|
$46,073.80
|
$7,152.29
|
$67,755.50
|
$25,692.29
|
2026-07-15
|
|
61645
|
CPT
|
Perq Art M-thrombect &/Nfs
|
60
|
30
|
$25,630.00
|
$20,504.00
20% off
|
$1,976.00
|
$25,630.00
|
$25,630.00
|
2026-07-15
|
|
37248
|
CPT
|
Trluml Balo Angiop 1st Vein
|
61
|
30
|
$30,072.00
|
$24,057.60
20% off
|
$1,976.00
|
$30,072.00
|
$25,561.20
|
2026-07-15
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
39
|
20
|
$217,829.58
|
$174,263.66
20% off
|
$6,723.49
|
$104,332.70
|
$25,545.66
|
2026-07-15
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
35
|
19
|
$120,551.62
|
$96,441.30
|
$25,523.91
|
$91,160.31
|
$25,523.91
|
2026-07-15
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
35
|
19
|
$71,349.08
|
$57,079.26
20% off
|
$25,495.94
|
$78,615.80
|
$25,495.94
|
2026-07-15
|
|
0856
|
OTHER
|
Clinic Visit, Minor Procedure, Observation, Or Diagnostic Ancillary Service
|
21
|
15
|
$24,228.42
|
$19,382.74
|
$24,228.42
|
$83,898.17
|
$25,439.84
|
2026-07-15
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
36
|
19
|
$113,942.06
|
$91,153.65
|
$15,930.78
|
$69,751.90
|
$25,345.10
|
2026-07-15
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
35
|
19
|
$108,840.49
|
$87,072.39
20% off
|
$25,305.36
|
$61,602.81
|
$25,305.36
|
2026-07-15
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
35
|
19
|
$110,966.01
|
$88,772.81
|
$25,287.41
|
$51,299.25
|
$25,287.41
|
2026-07-15
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
33
|
20
|
$50,174.04
|
$40,139.23
20% off
|
$25,265.63
|
$74,753.35
|
$25,265.63
|
2026-07-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
38
|
19
|
$350,689.18
|
$280,551.34
20% off
|
$12,864.13
|
$71,225.19
|
$25,242.08
|
2026-07-15
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
35
|
19
|
$140,397.12
|
$112,317.70
|
$25,203.82
|
$61,355.61
|
$25,203.82
|
2026-07-15
|
|
J2356
|
HCPCS
|
Tezepelumab-ekko 210 Mg/1.91ml Sc Sosy
|
44
|
22
|
$35,064.00
|
$28,051.20
20% off
|
$3,843.21
|
$78,894.00
|
$25,070.76
|
2026-07-15
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
32
|
19
|
$157,841.49
|
$126,273.19
20% off
|
$25,064.01
|
$68,417.52
|
$25,064.01
|
2026-07-15
|
|
V2785
|
HCPCS
|
Supplies With HCPCS Code V2785
|
70
|
30
|
$27,006.53
|
$21,605.22
20% off
|
$3,969.96
|
$27,006.53
|
$24,981.04
|
2026-07-15
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
35
|
19
|
$84,471.71
|
$67,577.37
|
$24,959.52
|
$63,689.67
|
$24,959.52
|
2026-07-15
|
|
37225
|
CPT
|
Fem/Popl Revasc With Ather
|
56
|
30
|
$50,202.64
|
$40,162.11
20% off
|
$4,730.00
|
$50,202.64
|
$24,724.80
|
2026-07-15
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
34
|
19
|
$105,321.65
|
$84,257.32
|
$24,699.77
|
$60,128.57
|
$24,699.77
|
2026-07-15
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
32
|
19
|
$195,036.77
|
$156,029.42
|
$24,224.42
|
$66,880.84
|
$24,683.42
|
2026-07-15
|
|
C1721
|
HCPCS
|
Atlas Ii + Dr Model # V-268
|
394
|
27
|
$32,854.25
|
$26,283.40
|
$4,554.50
|
$38,366.74
|
$24,681.48
|
2026-07-15
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
8
|
4
|
$48,619.20
|
$38,895.36
|
$13,889.88
|
$26,567.55
|
$24,666.97
|
2026-07-15
|
|
J2506
|
HCPCS
|
Pegfilgrastim Inf Dev 6 Mg/0.6ml Sc Sosy
|
32
|
18
|
$26,602.75
|
$21,282.20
20% off
|
$4,011.69
|
$26,602.75
|
$24,607.54
|
2026-07-15
|
|
748
|
MS_DRG
|
Female Reproductive System Reconstructive Procedures
|
14
|
8
|
$76,580.69
|
$61,264.55
20% off
|
$10,323.73
|
$32,557.33
|
$24,402.88
|
2026-07-15
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
35
|
19
|
$69,915.60
|
$55,932.48
20% off
|
$24,296.53
|
$59,146.93
|
$24,296.53
|
2026-07-15
|
|
36904
|
CPT
|
Thrmbc/Nfs Dialysis Circuit
|
61
|
30
|
$24,284.85
|
$19,427.88
|
$1,976.00
|
$24,284.85
|
$24,284.85
|
2026-07-15
|
|
36905
|
CPT
|
Throbc/Nfs Dialysis Circuit W/Angioplasty
|
70
|
30
|
$49,298.25
|
$39,438.60
20% off
|
$6,432.00
|
$49,298.25
|
$24,279.39
|
2026-07-15
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
35
|
19
|
$190,000.98
|
$152,000.78
20% off
|
$7,040.93
|
$58,552.22
|
$24,052.24
|
2026-07-15
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
36
|
20
|
$91,929.89
|
$73,543.91
20% off
|
$23,983.80
|
$58,385.63
|
$23,983.80
|
2026-07-15
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
35
|
19
|
$128,690.06
|
$102,952.05
|
$23,973.50
|
$58,400.31
|
$23,973.50
|
2026-07-15
|
|
138
|
APR_DRG
|
Bronchiolitis And Rsv Pneumonia,extreme
|
11
|
8
|
$75,946.41
|
$60,757.13
|
$9,473.83
|
$56,564.36
|
$23,881.35
|
2026-07-15
|
|
290
|
MS_DRG
|
Acute And Subacute Endocarditis Without Cc/mcc
|
7
|
3
|
$47,674.77
|
$38,139.82
|
$9,685.45
|
$24,369.69
|
$23,853.93
|
2026-07-15
|
|
45
|
MS_DRG
|
Cva And Precerebral Occlusion With Infarction,extreme
|
3
|
3
|
$96,566.94
|
$77,253.55
20% off
|
$23,592.31
|
$31,340.02
|
$23,758.40
|
2026-07-15
|
|
37238
|
CPT
|
Open/Perq Place Stent 1st Vein
|
67
|
30
|
$58,067.00
|
$46,453.60
20% off
|
$3,893.00
|
$58,067.00
|
$23,721.62
|
2026-07-15
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
36
|
20
|
$189,607.93
|
$151,686.34
20% off
|
$23,688.73
|
$92,427.74
|
$23,688.73
|
2026-07-15
|
|
1577
|
OTHER
|
New Technology Apc Û Low Cost Band (Temporary Payment Classification For Emergin…
|
21
|
15
|
$22,500.50
|
$18,000.40
|
$22,500.50
|
$77,914.73
|
$23,625.53
|
2026-07-15
|
|
J9999
|
HCPCS
|
Telisotuzumab Vedotin-tllv 20 Mg IV Solr
|
73
|
19
|
$23,589.75
|
$18,871.80
20% off
|
$3,557.33
|
$117,947.75
|
$23,589.75
|
2026-07-15
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
37
|
18
|
$82,031.59
|
$65,625.27
20% off
|
$7,533.22
|
$77,335.73
|
$23,579.09
|
2026-07-15
|
|
5231
|
OTHER
|
Level 1 Gastrointestinal / Hepatobiliary Procedure Û Includes Upper/lower Gi End…
|
21
|
15
|
$22,446.19
|
$17,956.95
20% off
|
$8,275.98
|
$77,726.67
|
$23,568.50
|
2026-07-15
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
34
|
18
|
$68,468.15
|
$54,774.52
20% off
|
$23,510.66
|
$73,036.62
|
$23,510.66
|
2026-07-15
|