|
RX-213069
|
CDM
|
Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension
|
46
|
13
|
—
|
—
|
$51.38
|
$3,901,474.58
|
$1,912,864.23
|
2026-04-13
|
|
J3590
|
HCPCS
|
Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension
|
47
|
13
|
—
|
—
|
$517,658.20
|
$4,243,100.00
|
$1,756,643.40
|
2026-04-13
|
|
C9399
|
HCPCS
|
Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution
|
50
|
14
|
$196,951.08
|
$196,951.08
|
$471,667.68
|
$4,793,999.34
|
$1,612,175.58
|
2026-04-13
|
|
RX-4082206
|
CDM
|
Inv - Obecabtagene Autoleucel Intravenous Syringe 10 X 10exp6 Cell (irb# Ea25-10…
|
50
|
14
|
$3,963,750.00
|
—
|
$51.38
|
$2,457,525.00
|
$764,012.81
|
2026-04-13
|
|
RX-4082207
|
CDM
|
Inv - Obecabtagene Autoleucel Intravenous Suspension 300 X 10exp6 Cell (irb# Ea2…
|
50
|
14
|
$3,963,750.00
|
—
|
$51.38
|
$2,457,525.00
|
$764,012.81
|
2026-04-13
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
12
|
4
|
—
|
—
|
$425,335.18
|
$825,755.88
|
$602,375.14
|
2026-04-13
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
70
|
19
|
—
|
—
|
$310,000.00
|
$2,850,963.80
|
$596,782.48
|
2026-04-13
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension
|
71
|
20
|
—
|
—
|
$312,500.00
|
$4,277,882.01
|
$591,726.20
|
2026-04-13
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp
|
71
|
20
|
—
|
—
|
$328,240.00
|
$4,974,502.44
|
$573,445.26
|
2026-04-13
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension
|
71
|
20
|
—
|
—
|
$335,600.00
|
$4,946,060.97
|
$569,243.36
|
2026-04-13
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Intravenous Suspension
|
71
|
20
|
—
|
—
|
$245,394.70
|
$4,371,074.40
|
$542,836.08
|
2026-04-13
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension
|
71
|
20
|
—
|
—
|
$308,800.00
|
$4,010,160.00
|
$499,239.20
|
2026-04-13
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$299,653.29
|
$581,754.05
|
$424,379.88
|
2026-04-13
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$284,395.14
|
$552,131.51
|
$402,770.72
|
2026-04-13
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$267,680.87
|
$519,682.03
|
$379,099.38
|
2026-04-13
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
63
|
52
|
—
|
$626,763.51
|
$37.71
|
$971,397.09
|
$372,235.74
|
2026-04-13
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
12
|
4
|
—
|
—
|
$257,186.02
|
$499,307.08
|
$364,236.18
|
2026-04-13
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With McC
|
58
|
45
|
$2,873,713.64
|
$303,151.53
89% off
|
$28.17
|
$630,397.63
|
$304,051.61
|
2026-04-13
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
4
|
—
|
—
|
$214,256.36
|
$415,962.41
|
$303,437.64
|
2026-04-13
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$209,295.96
|
$406,332.17
|
$296,412.55
|
2026-04-13
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$206,248.08
|
$400,414.94
|
$292,096.02
|
2026-04-13
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$206,239.83
|
$400,398.94
|
$292,084.34
|
2026-04-13
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
4
|
—
|
—
|
$198,062.93
|
$384,524.11
|
$280,503.92
|
2026-04-13
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
12
|
4
|
—
|
—
|
$197,471.64
|
$383,376.16
|
$279,666.52
|
2026-04-13
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
12
|
4
|
—
|
—
|
$195,523.16
|
$379,593.32
|
$276,907.00
|
2026-04-13
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$184,259.40
|
$357,725.61
|
$260,954.86
|
2026-04-13
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
4
|
—
|
—
|
$175,686.06
|
$341,081.12
|
$248,812.98
|
2026-04-13
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$175,006.34
|
$339,761.49
|
$247,850.34
|
2026-04-13
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$174,561.19
|
$338,897.25
|
$247,219.90
|
2026-04-13
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$171,309.46
|
$332,584.28
|
$242,614.68
|
2026-04-13
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
12
|
4
|
—
|
—
|
$168,454.93
|
$327,042.42
|
$238,571.99
|
2026-04-13
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
60
|
46
|
$1,738,668.86
|
$255,416.83
85% off
|
$23.72
|
$531,865.18
|
$237,688.05
|
2026-04-13
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
73
|
55
|
$2,309,576.80
|
$230,814.49
90% off
|
$21.43
|
$480,496.47
|
$232,874.33
|
2026-04-13
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$158,055.25
|
$306,852.24
|
$223,843.59
|
2026-04-13
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$157,147.71
|
$305,090.31
|
$222,558.29
|
2026-04-13
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
4
|
—
|
—
|
$154,731.59
|
$300,399.59
|
$219,136.49
|
2026-04-13
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
4
|
—
|
—
|
$150,998.73
|
$293,152.55
|
$213,849.90
|
2026-04-13
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$148,585.61
|
$288,467.65
|
$210,432.34
|
2026-04-13
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$146,090.80
|
$283,624.16
|
$206,899.09
|
2026-04-13
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$139,115.21
|
$270,081.60
|
$197,020.02
|
2026-04-13
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$134,037.91
|
$260,224.39
|
$189,829.35
|
2026-04-13
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
12
|
4
|
—
|
—
|
$131,034.24
|
$254,393.00
|
$185,575.45
|
2026-04-13
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
12
|
4
|
—
|
—
|
$130,937.56
|
$254,205.31
|
$185,438.54
|
2026-04-13
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
12
|
4
|
—
|
—
|
$130,842.39
|
$254,020.54
|
$185,303.74
|
2026-04-13
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$125,979.41
|
$244,579.44
|
$178,416.62
|
2026-04-13
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
4
|
—
|
—
|
$125,424.10
|
$243,501.33
|
$177,630.16
|
2026-04-13
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$168,913.94
|
$168,913.94
|
$168,913.94
|
2026-04-08
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$116,581.71
|
$226,334.52
|
$165,107.26
|
2026-04-13
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$115,875.76
|
$224,963.97
|
$164,107.46
|
2026-04-13
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
4
|
—
|
—
|
$114,677.44
|
$222,637.52
|
$162,410.36
|
2026-04-13
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
65
|
47
|
$1,221,086.40
|
$152,411.69
88% off
|
$14.13
|
$316,794.60
|
$158,282.19
|
2026-04-13
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
12
|
4
|
—
|
—
|
$111,105.72
|
$215,703.29
|
$157,351.95
|
2026-04-13
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
4
|
—
|
—
|
$105,770.61
|
$205,345.58
|
$149,796.17
|
2026-04-13
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$104,685.45
|
$203,238.83
|
$148,259.34
|
2026-04-13
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
142
|
89
|
$561,039.40
|
$561,039.40
|
$410.09
|
$365,239.19
|
$147,273.86
|
2026-04-13
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
27
|
16
|
—
|
—
|
$97,680.12
|
$306,970.00
|
$146,800.58
|
2026-04-13
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$103,373.97
|
$200,692.69
|
$146,401.97
|
2026-04-13
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$146,172.69
|
$146,172.69
|
$146,172.69
|
2026-04-08
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
12
|
4
|
—
|
—
|
$101,531.15
|
$197,115.00
|
$143,792.10
|
2026-04-13
|
|
7
|
MS_DRG
|
Lung Transplant
|
66
|
53
|
$1,892,709.56
|
$141,016.80
93% off
|
$13.07
|
$471,896.00
|
$141,066.21
|
2026-04-13
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$99,576.67
|
$193,320.52
|
$141,024.09
|
2026-04-13
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
4
|
—
|
—
|
$98,488.51
|
$191,207.95
|
$139,483.01
|
2026-04-13
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$97,775.07
|
$189,822.85
|
$138,472.60
|
2026-04-13
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
16
|
—
|
—
|
$95,002.74
|
$247,921.89
|
$138,375.15
|
2026-04-13
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$138,232.56
|
$138,232.56
|
$138,232.56
|
2026-04-08
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
4
|
—
|
—
|
$97,051.88
|
$188,418.84
|
$137,448.40
|
2026-04-13
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
23
|
16
|
—
|
—
|
$97,568.06
|
$254,616.41
|
$134,414.05
|
2026-04-13
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$94,712.20
|
$183,876.52
|
$134,134.86
|
2026-04-13
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
12
|
4
|
—
|
—
|
$94,372.71
|
$183,217.43
|
$133,654.06
|
2026-04-13
|
|
8513
|
APR_DRG
|
Gender Related Procedures
|
12
|
4
|
—
|
—
|
$94,372.71
|
$183,217.43
|
$133,654.06
|
2026-04-13
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
4
|
—
|
—
|
$92,966.05
|
$180,486.51
|
$131,661.90
|
2026-04-13
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
67
|
50
|
$1,098,593.04
|
$141,371.14
87% off
|
$13.10
|
$341,759.00
|
$129,683.07
|
2026-04-13
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$91,414.76
|
$177,474.79
|
$129,464.90
|
2026-04-13
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$90,194.70
|
$175,106.15
|
$127,737.01
|
2026-04-13
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$88,715.35
|
$172,234.11
|
$125,641.90
|
2026-04-13
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
1
|
1
|
—
|
—
|
$123,789.94
|
$123,789.94
|
$123,789.94
|
2026-04-08
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$120,692.21
|
$120,692.21
|
$120,692.21
|
2026-04-08
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
70
|
54
|
$2,965,799.90
|
$231,697.07
92% off
|
$10.89
|
$244,612.88
|
$118,605.44
|
2026-04-13
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
12
|
4
|
—
|
—
|
$83,479.92
|
$162,069.91
|
$118,227.29
|
2026-04-13
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
12
|
4
|
—
|
—
|
$83,174.91
|
$161,477.75
|
$117,795.32
|
2026-04-13
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
12
|
4
|
—
|
—
|
$82,345.30
|
$159,867.13
|
$116,620.40
|
2026-04-13
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$80,753.54
|
$156,776.84
|
$114,366.10
|
2026-04-13
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
26
|
16
|
—
|
—
|
$77,662.75
|
$202,670.95
|
$113,320.82
|
2026-04-13
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
67
|
49
|
$723,588.62
|
$114,451.59
84% off
|
$10.59
|
$327,807.00
|
$112,987.88
|
2026-04-13
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
4
|
—
|
—
|
$79,718.59
|
$154,767.57
|
$112,900.36
|
2026-04-13
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
1
|
1
|
—
|
—
|
$112,016.71
|
$112,016.71
|
$112,016.71
|
2026-04-08
|
|
5
|
MS_DRG
|
Liver Transplant With McC Or Intestinal Transplant
|
68
|
54
|
$1,231,196.44
|
$115,037.86
91% off
|
$10.65
|
$532,400.00
|
$111,394.07
|
2026-04-13
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$78,586.22
|
$152,569.16
|
$111,296.66
|
2026-04-13
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
26
|
16
|
—
|
—
|
$74,644.89
|
$206,530.80
|
$108,960.36
|
2026-04-13
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$76,236.04
|
$148,006.48
|
$107,968.26
|
2026-04-13
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
71
|
53
|
$1,411,513.30
|
$104,318.37
93% off
|
$9.65
|
$220,064.09
|
$107,856.36
|
2026-04-13
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$106,602.56
|
$106,602.56
|
$106,602.56
|
2026-04-08
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$74,722.22
|
$145,067.50
|
$105,824.32
|
2026-04-13
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
4
|
—
|
—
|
$74,312.29
|
$144,271.65
|
$105,243.76
|
2026-04-13
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
12
|
4
|
—
|
—
|
$74,178.14
|
$144,011.22
|
$105,053.78
|
2026-04-13
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$74,033.51
|
$143,730.42
|
$104,848.94
|
2026-04-13
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$73,843.15
|
$143,360.86
|
$104,579.35
|
2026-04-13
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$73,277.34
|
$142,262.38
|
$103,778.04
|
2026-04-13
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$103,278.70
|
$103,278.70
|
$103,278.70
|
2026-04-08
|
|
A9513
|
HCPCS
|
Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution
|
142
|
89
|
$342,695.41
|
$29,624.90
91% off
|
$320.77
|
$424,942.31
|
$102,808.62
|
2026-04-13
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
30
|
16
|
—
|
—
|
$56,679.09
|
$147,911.37
|
$102,338.21
|
2026-04-13
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
4
|
—
|
—
|
$70,288.66
|
$136,460.09
|
$99,545.36
|
2026-04-13
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$70,170.26
|
$136,230.21
|
$99,377.66
|
2026-04-13
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$69,598.45
|
$135,120.09
|
$98,567.86
|
2026-04-13
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
4
|
—
|
—
|
$68,469.08
|
$132,927.50
|
$96,968.40
|
2026-04-13
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
12
|
4
|
—
|
—
|
$68,106.36
|
$132,223.31
|
$96,454.70
|
2026-04-13
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$68,075.63
|
$132,163.66
|
$96,411.18
|
2026-04-13
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$67,966.22
|
$131,951.24
|
$96,256.23
|
2026-04-13
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$95,820.24
|
$95,820.24
|
$95,820.24
|
2026-04-08
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
12
|
4
|
—
|
—
|
$67,565.28
|
$131,172.85
|
$95,688.40
|
2026-04-13
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
30
|
16
|
—
|
—
|
$52,259.61
|
$136,957.05
|
$94,871.59
|
2026-04-13
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With McC
|
73
|
55
|
$733,480.92
|
$91,677.88
88% off
|
$8.47
|
$189,984.84
|
$93,074.79
|
2026-04-13
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
76
|
55
|
$434,556.64
|
$91,627.41
79% off
|
$8.47
|
$199,722.00
|
$91,875.59
|
2026-04-13
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
12
|
4
|
—
|
—
|
$64,635.05
|
$125,484.04
|
$91,538.51
|
2026-04-13
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
16
|
—
|
—
|
$62,224.33
|
$162,382.41
|
$91,014.04
|
2026-04-13
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
12
|
4
|
—
|
—
|
$62,356.82
|
$121,061.03
|
$88,312.00
|
2026-04-13
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
1
|
1
|
—
|
—
|
$87,900.33
|
$87,900.33
|
$87,900.33
|
2026-04-08
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC
|
65
|
47
|
$712,041.42
|
$84,617.81
88% off
|
$7.82
|
$175,243.69
|
$87,815.05
|
2026-04-13
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$61,925.91
|
$120,224.44
|
$87,701.72
|
2026-04-13
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
12
|
4
|
—
|
—
|
$61,703.33
|
$119,792.32
|
$87,386.49
|
2026-04-13
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC
|
73
|
55
|
$496,688.36
|
$87,245.33
82% off
|
$8.06
|
$200,537.00
|
$86,944.29
|
2026-04-13
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
4
|
—
|
—
|
$61,103.80
|
$118,628.37
|
$86,537.42
|
2026-04-13
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$61,085.06
|
$118,592.00
|
$86,510.88
|
2026-04-13
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
12
|
4
|
—
|
—
|
$60,598.69
|
$117,647.74
|
$85,822.07
|
2026-04-13
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
71
|
53
|
$999,692.61
|
$83,770.59
92% off
|
$7.74
|
$173,474.75
|
$84,862.91
|
2026-04-13
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With McC
|
73
|
55
|
$490,964.16
|
$80,835.97
84% off
|
$7.46
|
$171,409.65
|
$84,224.85
|
2026-04-13
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
27
|
16
|
—
|
—
|
$26,462.54
|
$178,754.66
|
$82,484.21
|
2026-04-13
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
12
|
4
|
—
|
—
|
$58,046.92
|
$112,693.68
|
$82,208.16
|
2026-04-13
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$58,043.92
|
$112,687.86
|
$82,203.91
|
2026-04-13
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
12
|
4
|
—
|
—
|
$57,619.75
|
$111,864.36
|
$81,603.18
|
2026-04-13
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
4
|
—
|
—
|
$57,607.01
|
$111,839.63
|
$81,585.15
|
2026-04-13
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
4
|
—
|
—
|
$57,560.55
|
$111,749.42
|
$81,519.34
|
2026-04-13
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$57,347.71
|
$111,336.22
|
$81,217.92
|
2026-04-13
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
4
|
—
|
—
|
$56,976.00
|
$110,614.57
|
$80,691.48
|
2026-04-13
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
4
|
—
|
—
|
$55,760.45
|
$108,254.66
|
$78,969.97
|
2026-04-13
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
68
|
54
|
$2,263,969.99
|
$109,132.86
95% off
|
$7.93
|
$177,730.07
|
$78,305.04
|
2026-04-13
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And McC
|
70
|
54
|
$634,807.76
|
$76,570.92
88% off
|
$7.07
|
$171,756.00
|
$78,103.35
|
2026-04-13
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
4
|
—
|
—
|
$54,867.14
|
$106,520.38
|
$77,704.83
|
2026-04-13
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$54,213.65
|
$105,251.67
|
$76,779.34
|
2026-04-13
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
12
|
4
|
—
|
—
|
$54,121.47
|
$105,072.71
|
$76,648.79
|
2026-04-13
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$53,976.08
|
$104,790.45
|
$76,442.89
|
2026-04-13
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
12
|
4
|
—
|
—
|
$53,692.05
|
$104,239.03
|
$76,040.64
|
2026-04-13
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
12
|
4
|
—
|
—
|
$53,480.72
|
$103,828.74
|
$75,741.33
|
2026-04-13
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
76
|
55
|
$488,467.22
|
$75,384.40
85% off
|
$6.96
|
$155,964.73
|
$75,738.36
|
2026-04-13
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
12
|
4
|
—
|
—
|
$53,358.56
|
$103,591.59
|
$75,568.33
|
2026-04-13
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$52,989.10
|
$102,874.30
|
$75,045.09
|
2026-04-13
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
12
|
4
|
—
|
—
|
$52,880.43
|
$102,663.34
|
$74,891.19
|
2026-04-13
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
73
|
55
|
$426,332.33
|
$74,007.83
83% off
|
$6.83
|
$153,090.49
|
$74,513.96
|
2026-04-13
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
12
|
4
|
—
|
—
|
$52,101.04
|
$101,150.20
|
$73,787.39
|
2026-04-13
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
12
|
4
|
—
|
—
|
$52,074.06
|
$101,097.82
|
$73,749.17
|
2026-04-13
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
12
|
4
|
—
|
—
|
$52,019.35
|
$100,991.61
|
$73,671.70
|
2026-04-13
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
4
|
—
|
—
|
$51,992.37
|
$100,939.23
|
$73,633.49
|
2026-04-13
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
12
|
4
|
—
|
—
|
$51,526.23
|
$100,034.26
|
$72,973.33
|
2026-04-13
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
26
|
16
|
—
|
—
|
$49,712.40
|
$129,730.91
|
$72,935.71
|
2026-04-13
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension
|
146
|
90
|
$817,563.60
|
$63,402.04
92% off
|
$34,882.71
|
$390,898.93
|
$72,927.68
|
2026-04-13
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
12
|
4
|
—
|
—
|
$51,438.55
|
$99,864.03
|
$72,849.15
|
2026-04-13
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
71
|
53
|
$784,713.85
|
$70,030.57
91% off
|
$6.46
|
$147,911.37
|
$72,811.72
|
2026-04-13
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With McC
|
73
|
55
|
$651,279.09
|
$66,812.47
90% off
|
$6.16
|
$147,373.74
|
$72,550.58
|
2026-04-13
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall…
|
66
|
53
|
$1,035,188.83
|
$72,680.64
93% off
|
$6.70
|
$150,319.37
|
$72,522.67
|
2026-04-13
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$72,262.74
|
$72,262.74
|
$72,262.74
|
2026-04-08
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
33
|
16
|
—
|
—
|
$27,590.00
|
$137,584.81
|
$72,134.63
|
2026-04-13
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
12
|
4
|
—
|
—
|
$50,913.21
|
$98,844.12
|
$72,105.14
|
2026-04-13
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
4
|
—
|
—
|
$50,857.00
|
$98,735.00
|
$72,025.54
|
2026-04-13
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$50,518.27
|
$98,077.37
|
$71,545.81
|
2026-04-13
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
12
|
4
|
—
|
—
|
$50,502.53
|
$98,046.82
|
$71,523.52
|
2026-04-13
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$50,280.70
|
$97,616.16
|
$71,209.36
|
2026-04-13
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
4
|
—
|
—
|
$49,930.72
|
$96,936.70
|
$70,713.71
|
2026-04-13
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With McC
|
65
|
47
|
$560,649.28
|
$65,014.96
88% off
|
$5.99
|
$190,974.00
|
$70,592.83
|
2026-04-13
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
76
|
55
|
$459,572.34
|
$65,790.23
86% off
|
$6.47
|
$144,994.62
|
$70,576.76
|
2026-04-13
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
12
|
4
|
—
|
—
|
$49,752.36
|
$96,590.42
|
$70,461.10
|
2026-04-13
|
|
234
|
APR_DRG
|
Spinal Procedures
|
12
|
4
|
—
|
—
|
$49,397.89
|
$95,902.24
|
$69,959.08
|
2026-04-13
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
12
|
4
|
—
|
—
|
$48,791.61
|
$94,725.19
|
$69,100.45
|
2026-04-13
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
12
|
4
|
—
|
—
|
$48,567.53
|
$94,290.17
|
$68,783.10
|
2026-04-13
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
12
|
4
|
—
|
—
|
$48,419.15
|
$94,002.09
|
$68,572.96
|
2026-04-13
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
12
|
4
|
—
|
—
|
$48,243.03
|
$93,660.18
|
$68,323.54
|
2026-04-13
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
12
|
4
|
—
|
—
|
$48,186.83
|
$93,551.06
|
$68,243.93
|
2026-04-13
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With McC
|
78
|
57
|
$759,233.52
|
$72,282.27
90% off
|
$6.67
|
$154,718.36
|
$68,003.00
|
2026-04-13
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$47,962.00
|
$93,114.58
|
$67,925.53
|
2026-04-13
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
12
|
4
|
—
|
—
|
$47,911.04
|
$93,015.64
|
$67,853.36
|
2026-04-13
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
26
|
16
|
—
|
—
|
$45,941.15
|
$119,889.35
|
$67,486.66
|
2026-04-13
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$47,558.82
|
$92,331.82
|
$67,354.53
|
2026-04-13
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
146
|
90
|
$918,996.00
|
$55,015.23
94% off
|
$54,404.11
|
$528,875.77
|
$67,292.89
|
2026-04-13
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With McC
|
76
|
55
|
$344,233.19
|
$68,596.00
80% off
|
$6.32
|
$141,790.81
|
$67,186.17
|
2026-04-13
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
12
|
4
|
—
|
—
|
$47,373.71
|
$91,972.45
|
$67,092.37
|
2026-04-13
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
12
|
4
|
—
|
—
|
$47,278.53
|
$91,787.67
|
$66,957.58
|
2026-04-13
|
|
28
|
MS_DRG
|
Spinal Procedures With McC
|
71
|
53
|
$538,271.61
|
$65,967.42
88% off
|
$6.08
|
$136,302.39
|
$66,616.76
|
2026-04-13
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
59
|
45
|
$804,586.75
|
$64,521.02
92% off
|
$5.94
|
$133,699.03
|
$66,554.93
|
2026-04-13
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
12
|
4
|
—
|
—
|
$46,874.60
|
$91,003.46
|
$66,385.51
|
2026-04-13
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
12
|
4
|
—
|
—
|
$46,767.43
|
$90,795.41
|
$66,233.74
|
2026-04-13
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
4
|
—
|
—
|
$46,744.20
|
$90,750.30
|
$66,200.84
|
2026-04-13
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
4
|
—
|
—
|
$46,605.56
|
$90,481.14
|
$66,004.49
|
2026-04-13
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator
|
70
|
54
|
$405,973.17
|
$67,201.17
83% off
|
$6.19
|
$147,760.00
|
$65,945.24
|
2026-04-13
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$46,488.65
|
$90,254.17
|
$65,838.91
|
2026-04-13
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
30
|
16
|
—
|
—
|
$27,590.00
|
$307,780.00
|
$65,808.74
|
2026-04-13
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
23
|
16
|
—
|
—
|
$49,193.48
|
$128,376.72
|
$65,806.96
|
2026-04-13
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
4
|
—
|
—
|
$46,339.51
|
$89,964.64
|
$65,627.71
|
2026-04-13
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$46,175.39
|
$89,646.00
|
$65,395.26
|
2026-04-13
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
12
|
4
|
—
|
—
|
$46,010.52
|
$89,325.92
|
$65,161.77
|
2026-04-13
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With McC
|
73
|
55
|
$664,107.82
|
$63,870.32
90% off
|
$5.88
|
$132,014.16
|
$65,090.39
|
2026-04-13
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With McC
|
76
|
55
|
$216,151.77
|
$63,205.64
71% off
|
$5.82
|
$131,928.68
|
$65,048.44
|
2026-04-13
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
78
|
57
|
$266,003.20
|
$62,315.49
77% off
|
$5.74
|
$146,701.00
|
$64,826.37
|
2026-04-13
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$45,563.86
|
$88,458.78
|
$64,529.20
|
2026-04-13
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/McC
|
69
|
53
|
$400,714.73
|
$65,499.22
84% off
|
$6.04
|
$341,759.00
|
$64,468.62
|
2026-04-13
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
12
|
4
|
—
|
—
|
$45,505.41
|
$88,345.29
|
$64,446.41
|
2026-04-13
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
12
|
4
|
—
|
—
|
$45,046.77
|
$87,454.87
|
$63,796.86
|
2026-04-13
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
12
|
4
|
—
|
—
|
$44,950.09
|
$87,267.18
|
$63,659.96
|
2026-04-13
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC
|
70
|
56
|
$346,505.98
|
$72,403.61
79% off
|
$6.68
|
$161,349.89
|
$63,640.94
|
2026-04-13
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
73
|
55
|
$543,670.95
|
$61,947.18
89% off
|
$5.71
|
$128,903.10
|
$63,579.36
|
2026-04-13
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
12
|
4
|
—
|
—
|
$44,773.23
|
$86,923.82
|
$63,409.48
|
2026-04-13
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$44,744.00
|
$86,867.07
|
$63,368.08
|
2026-04-13
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$44,724.52
|
$86,829.24
|
$63,340.49
|
2026-04-13
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
12
|
4
|
—
|
—
|
$44,522.92
|
$86,437.87
|
$63,054.98
|
2026-04-13
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
12
|
4
|
—
|
—
|
$44,370.04
|
$86,141.06
|
$62,838.47
|
2026-04-13
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
12
|
4
|
—
|
—
|
$44,274.87
|
$85,956.28
|
$62,703.68
|
2026-04-13
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
76
|
55
|
$340,864.11
|
$58,681.83
83% off
|
$5.40
|
$128,210.25
|
$62,622.83
|
2026-04-13
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
12
|
4
|
—
|
—
|
$44,106.25
|
$85,628.92
|
$62,464.87
|
2026-04-13
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
66
|
53
|
$1,696,256.43
|
$59,112.43
97% off
|
$5.44
|
$197,018.00
|
$62,205.99
|
2026-04-13
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
12
|
4
|
—
|
—
|
$43,699.31
|
$84,838.89
|
$61,888.56
|
2026-04-13
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With McC
|
76
|
55
|
$496,629.65
|
$60,038.01
88% off
|
$5.53
|
$123,922.07
|
$61,251.57
|
2026-04-13
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
66
|
53
|
$1,309,500.21
|
$83,121.47
94% off
|
$5.50
|
$126,466.89
|
$61,172.65
|
2026-04-13
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
12
|
4
|
—
|
—
|
$43,176.22
|
$83,823.34
|
$61,147.73
|
2026-04-13
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With McC
|
76
|
55
|
$305,990.61
|
$55,551.71
82% off
|
$5.43
|
$123,058.90
|
$61,038.57
|
2026-04-13
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
12
|
4
|
—
|
—
|
$43,054.81
|
$83,587.64
|
$60,975.79
|
2026-04-13
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC
|
76
|
55
|
$426,954.98
|
$58,627.06
86% off
|
$5.40
|
$122,689.98
|
$60,858.54
|
2026-04-13
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
12
|
4
|
—
|
—
|
$42,964.13
|
$83,411.60
|
$60,847.37
|
2026-04-13
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
12
|
4
|
—
|
—
|
$42,952.89
|
$83,389.77
|
$60,831.45
|
2026-04-13
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
27
|
16
|
—
|
—
|
$39,970.94
|
$475,052.00
|
$60,746.04
|
2026-04-13
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
66
|
53
|
$429,323.55
|
$67,115.28
84% off
|
$6.19
|
$150,412.82
|
$60,668.12
|
2026-04-13
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC
|
73
|
55
|
$652,775.28
|
$57,814.22
91% off
|
$5.32
|
$122,883.44
|
$60,655.61
|
2026-04-13
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
70
|
54
|
$107,204.63
|
$54,411.42
49% off
|
$5.00
|
$125,211.67
|
$60,495.85
|
2026-04-13
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
12
|
4
|
—
|
—
|
$42,604.41
|
$82,713.23
|
$60,337.92
|
2026-04-13
|
|
653
|
MS_DRG
|
Major Bladder Procedures With McC
|
65
|
47
|
$354,096.47
|
$59,953.31
83% off
|
$5.57
|
$124,982.53
|
$60,010.62
|
2026-04-13
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
12
|
4
|
—
|
—
|
$42,276.17
|
$82,075.96
|
$59,873.04
|
2026-04-13
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
12
|
4
|
—
|
—
|
$42,224.46
|
$81,975.57
|
$59,799.81
|
2026-04-13
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
12
|
4
|
—
|
—
|
$41,906.71
|
$81,358.68
|
$59,349.80
|
2026-04-13
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
12
|
4
|
—
|
—
|
$41,892.47
|
$81,331.03
|
$59,329.64
|
2026-04-13
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
71
|
53
|
$723,201.29
|
$57,561.89
92% off
|
$5.30
|
$119,961.34
|
$59,236.33
|
2026-04-13
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
73
|
55
|
$255,857.10
|
$60,038.01
77% off
|
$5.53
|
$151,969.00
|
$58,810.22
|
2026-04-13
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
12
|
4
|
—
|
—
|
$41,328.15
|
$80,235.47
|
$58,530.43
|
2026-04-13
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$41,325.16
|
$80,229.65
|
$58,526.18
|
2026-04-13
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
12
|
4
|
—
|
—
|
$41,130.31
|
$79,851.36
|
$58,250.24
|
2026-04-13
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
1
|
1
|
—
|
—
|
$58,134.49
|
$58,134.49
|
$58,134.49
|
2026-04-08
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With McC
|
76
|
55
|
$635,339.05
|
$55,804.11
91% off
|
$5.13
|
$118,690.37
|
$58,044.33
|
2026-04-13
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
12
|
4
|
—
|
—
|
$40,952.70
|
$79,506.54
|
$57,998.69
|
2026-04-13
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
12
|
4
|
—
|
—
|
$40,909.23
|
$79,422.16
|
$57,937.14
|
2026-04-13
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With McC
|
70
|
49
|
$303,672.65
|
$55,224.29
82% off
|
$5.08
|
$114,361.00
|
$57,909.43
|
2026-04-13
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
4
|
—
|
—
|
$40,680.66
|
$78,978.40
|
$57,613.43
|
2026-04-13
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
1
|
1
|
—
|
—
|
$57,437.72
|
$57,437.72
|
$57,437.72
|
2026-04-08
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With McC
|
76
|
55
|
$802,218.54
|
$55,391.78
93% off
|
$5.09
|
$117,095.47
|
$57,277.28
|
2026-04-13
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
12
|
4
|
—
|
—
|
$40,338.17
|
$78,313.49
|
$57,128.38
|
2026-04-13
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
12
|
4
|
—
|
—
|
$40,308.95
|
$78,256.75
|
$57,086.99
|
2026-04-13
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
12
|
4
|
—
|
—
|
$40,125.34
|
$77,900.29
|
$56,826.96
|
2026-04-13
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
12
|
4
|
—
|
—
|
$40,073.63
|
$77,799.90
|
$56,753.73
|
2026-04-13
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
12
|
4
|
—
|
—
|
$39,890.02
|
$77,443.44
|
$56,493.70
|
2026-04-13
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
12
|
4
|
—
|
—
|
$39,612.74
|
$76,905.11
|
$56,101.00
|
2026-04-13
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
12
|
4
|
—
|
—
|
$39,584.26
|
$76,849.83
|
$56,060.67
|
2026-04-13
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
69
|
51
|
$368,334.60
|
$49,207.48
87% off
|
$4.59
|
$113,379.30
|
$56,039.45
|
2026-04-13
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
12
|
4
|
—
|
—
|
$39,537.05
|
$76,758.16
|
$55,993.80
|
2026-04-13
|
|
1814
|
APR_DRG
|
Lower Vascular Procedures
|
12
|
4
|
—
|
—
|
$39,350.44
|
$76,395.88
|
$55,729.52
|
2026-04-13
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
12
|
4
|
—
|
—
|
$39,260.51
|
$76,221.29
|
$55,602.16
|
2026-04-13
|
|
5114
|
APR_DRG
|
Gynecologic Procedures For Malignancy
|
12
|
4
|
—
|
—
|
$39,199.06
|
$76,101.99
|
$55,515.13
|
2026-04-13
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
12
|
4
|
—
|
—
|
$39,188.57
|
$76,081.62
|
$55,500.27
|
2026-04-13
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
12
|
4
|
—
|
—
|
$39,185.57
|
$76,075.80
|
$55,496.03
|
2026-04-13
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
12
|
4
|
—
|
—
|
$38,970.49
|
$75,658.23
|
$55,191.42
|
2026-04-13
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$38,700.69
|
$75,134.45
|
$54,809.33
|
2026-04-13
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
33
|
16
|
—
|
—
|
$6,157.00
|
$111,790.00
|
$54,776.66
|
2026-04-13
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC
|
73
|
55
|
$489,942.17
|
$54,772.21
89% off
|
$5.04
|
$112,927.30
|
$54,744.73
|
2026-04-13
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
12
|
4
|
—
|
—
|
$38,607.02
|
$74,952.59
|
$54,676.66
|
2026-04-13
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
4
|
—
|
—
|
$38,565.80
|
$74,872.56
|
$54,618.29
|
2026-04-13
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
12
|
4
|
—
|
—
|
$38,531.33
|
$74,805.64
|
$54,569.46
|
2026-04-13
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
12
|
4
|
—
|
—
|
$38,498.35
|
$74,741.62
|
$54,522.76
|
2026-04-13
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With McC
|
73
|
55
|
$256,607.26
|
$58,620.63
77% off
|
$5.40
|
$120,962.63
|
$54,520.74
|
2026-04-13
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With McC
|
76
|
55
|
$671,001.66
|
$54,196.68
92% off
|
$4.98
|
$155,279.00
|
$54,486.05
|
2026-04-13
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
12
|
4
|
—
|
—
|
$38,406.92
|
$74,564.12
|
$54,393.28
|
2026-04-13
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
76
|
55
|
$452,069.51
|
$54,389.95
88% off
|
$5.00
|
$112,129.15
|
$54,390.85
|
2026-04-13
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
68
|
47
|
$271,070.87
|
$51,965.37
81% off
|
$4.78
|
$108,102.00
|
$54,377.54
|
2026-04-13
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
12
|
4
|
—
|
—
|
$38,379.19
|
$74,510.28
|
$54,354.01
|
2026-04-13
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
12
|
4
|
—
|
—
|
$38,336.48
|
$74,427.35
|
$54,293.51
|
2026-04-13
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
12
|
4
|
—
|
—
|
$38,332.73
|
$74,420.08
|
$54,288.21
|
2026-04-13
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
12
|
4
|
—
|
—
|
$38,322.24
|
$74,399.71
|
$54,273.35
|
2026-04-13
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
12
|
4
|
—
|
—
|
$38,246.55
|
$74,252.76
|
$54,166.15
|
2026-04-13
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
12
|
4
|
—
|
—
|
$38,089.92
|
$73,948.68
|
$53,944.33
|
2026-04-13
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
26
|
16
|
—
|
—
|
$36,555.70
|
$95,396.80
|
$53,925.74
|
2026-04-13
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With McC
|
73
|
55
|
$763,667.89
|
$52,843.72
93% off
|
$4.86
|
$108,900.67
|
$53,728.63
|
2026-04-13
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC
|
73
|
55
|
$431,541.93
|
$51,205.15
88% off
|
$4.70
|
$143,395.00
|
$53,506.24
|
2026-04-13
|
|
2992
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
12
|
4
|
—
|
—
|
$37,669.50
|
$73,132.46
|
$53,348.91
|
2026-04-13
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
76
|
55
|
$325,967.66
|
$54,453.31
83% off
|
$5.01
|
$137,264.00
|
$52,937.89
|
2026-04-13
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
12
|
4
|
—
|
—
|
$37,217.60
|
$72,255.13
|
$52,708.91
|
2026-04-13
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
12
|
4
|
—
|
—
|
$37,168.88
|
$72,160.56
|
$52,639.93
|
2026-04-13
|
|
4484
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Percutaneous Procedures
|
12
|
4
|
—
|
—
|
$37,162.14
|
$72,147.47
|
$52,630.37
|
2026-04-13
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
221
|
90
|
$368,220.57
|
$27,551.07
93% off
|
$212.00
|
$239,266.43
|
$52,584.05
|
2026-04-13
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
76
|
55
|
$432,888.70
|
$51,733.43
88% off
|
$4.75
|
$106,582.44
|
$52,488.90
|
2026-04-13
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With McC
|
66
|
53
|
$1,275,990.10
|
$50,159.28
96% off
|
$4.61
|
$178,206.00
|
$52,337.77
|
2026-04-13
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With McC
|
73
|
52
|
$346,444.81
|
$49,993.92
86% off
|
$4.59
|
$107,838.00
|
$52,195.40
|
2026-04-13
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
12
|
4
|
—
|
—
|
$36,716.24
|
$71,281.78
|
$51,998.87
|
2026-04-13
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
12
|
4
|
—
|
—
|
$36,582.09
|
$71,021.34
|
$51,808.89
|
2026-04-13
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Non-percutaneous Procedures
|
12
|
4
|
—
|
—
|
$36,489.16
|
$70,840.93
|
$51,677.28
|
2026-04-13
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without McC
|
70
|
54
|
$349,746.41
|
$50,638.19
86% off
|
$4.65
|
$118,847.00
|
$51,432.01
|
2026-04-13
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$51,426.09
|
$51,426.09
|
$51,426.09
|
2026-04-08
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
12
|
4
|
—
|
—
|
$36,263.59
|
$70,402.99
|
$51,357.81
|
2026-04-13
|