|
845
|
OTHER
|
Inj, Atidarsagene Autotemcel
|
11
|
11
|
—
|
—
|
$4,505,000.00
|
$4,820,350.00
|
$4,685,200.00
|
2026-08-13
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
11
|
11
|
—
|
—
|
$3,685,266.67
|
$3,943,235.33
|
$3,832,677.33
|
2026-08-13
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
11
|
11
|
—
|
—
|
$3,316,462.59
|
$3,548,614.97
|
$3,449,121.09
|
2026-08-13
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Autotem
|
11
|
11
|
—
|
—
|
$3,248,445.72
|
$3,475,836.92
|
$3,378,383.54
|
2026-08-13
|
|
746
|
OTHER
|
Inj, Betibeglogene Autotemce
|
11
|
11
|
—
|
—
|
$2,945,740.00
|
$3,151,941.80
|
$3,063,569.60
|
2026-08-13
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
13
|
13
|
—
|
—
|
$2,455,110.61
|
$4,787,465.68
|
$2,614,692.79
|
2026-08-13
|
|
824
|
OTHER
|
Inj, Exagamglogene Autotem
|
13
|
13
|
—
|
—
|
$2,332,000.00
|
$4,547,400.00
|
$2,483,580.00
|
2026-08-13
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
13
|
13
|
—
|
—
|
$701,541.62
|
$1,368,006.17
|
$747,141.83
|
2026-08-13
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
13
|
13
|
—
|
—
|
$591,726.20
|
$1,153,866.09
|
$630,188.40
|
2026-08-13
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
13
|
13
|
—
|
—
|
$565,868.95
|
$1,103,444.44
|
$602,650.43
|
2026-08-13
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
13
|
13
|
—
|
—
|
$562,538.19
|
$1,096,949.46
|
$599,103.17
|
2026-08-13
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
13
|
13
|
—
|
—
|
$557,317.93
|
$1,086,769.97
|
$593,543.60
|
2026-08-13
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
13
|
13
|
—
|
—
|
$533,230.17
|
$1,039,798.83
|
$567,890.13
|
2026-08-13
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$544,599.17
|
$582,721.11
|
$560,937.14
|
2026-08-13
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
13
|
13
|
—
|
—
|
$489,304.61
|
$954,143.99
|
$521,109.41
|
2026-08-13
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
15
|
—
|
—
|
$315,482.64
|
$1,228,982.49
|
$390,795.94
|
2026-08-13
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$344,207.09
|
$368,301.58
|
$354,533.30
|
2026-08-13
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$328,814.91
|
$351,831.96
|
$338,679.36
|
2026-08-13
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$308,435.09
|
$330,025.55
|
$317,688.15
|
2026-08-13
|
|
633
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar…
|
1
|
1
|
—
|
—
|
$295,570.85
|
$295,570.85
|
$295,570.85
|
2026-08-13
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$280,104.73
|
$299,712.06
|
$288,507.87
|
2026-08-13
|
|
897
|
OTHER
|
Revakinagene, Per Implant
|
13
|
13
|
—
|
—
|
$257,500.00
|
$502,125.00
|
$274,237.50
|
2026-08-13
|
|
612
|
MS_DRG
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$270,849.83
|
$270,849.83
|
$270,849.83
|
2026-08-13
|
|
831
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
13
|
13
|
—
|
—
|
$253,307.67
|
$493,949.96
|
$269,772.67
|
2026-08-13
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
20
|
16
|
—
|
—
|
$238,132.25
|
$797,560.19
|
$254,801.51
|
2026-08-13
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$242,048.06
|
$258,991.42
|
$249,309.50
|
2026-08-13
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$240,733.42
|
$257,584.76
|
$247,955.43
|
2026-08-13
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$236,835.33
|
$253,413.81
|
$243,940.39
|
2026-08-13
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$232,901.39
|
$249,204.49
|
$239,888.43
|
2026-08-13
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$224,145.13
|
$239,835.29
|
$230,869.49
|
2026-08-13
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$222,817.55
|
$238,414.78
|
$229,502.08
|
2026-08-13
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$214,893.89
|
$229,936.46
|
$221,340.71
|
2026-08-13
|
|
886
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
13
|
13
|
—
|
—
|
$205,640.00
|
$400,998.00
|
$219,006.60
|
2026-08-13
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$209,056.72
|
$223,690.69
|
$215,328.42
|
2026-08-13
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$206,586.80
|
$221,047.87
|
$212,784.40
|
2026-08-13
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$206,338.81
|
$220,782.53
|
$212,528.97
|
2026-08-13
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$203,428.69
|
$217,668.70
|
$209,531.55
|
2026-08-13
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$199,246.76
|
$213,194.03
|
$205,224.16
|
2026-08-13
|
|
631
|
MS_DRG
|
Neonate, Birth Weight 750-999 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$196,395.81
|
$196,395.81
|
$196,395.81
|
2026-08-13
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
20
|
16
|
—
|
—
|
$150,132.00
|
$607,635.23
|
$194,125.00
|
2026-08-13
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$187,410.07
|
$200,528.77
|
$193,032.37
|
2026-08-13
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
20
|
16
|
—
|
—
|
$180,360.50
|
$604,069.19
|
$192,985.74
|
2026-08-13
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$182,812.83
|
$195,609.73
|
$188,297.22
|
2026-08-13
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$182,812.83
|
$195,609.73
|
$188,297.22
|
2026-08-13
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$182,812.83
|
$195,609.73
|
$188,297.22
|
2026-08-13
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$179,951.51
|
$192,548.12
|
$185,350.06
|
2026-08-13
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$175,543.50
|
$187,831.55
|
$180,809.81
|
2026-08-13
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$174,098.40
|
$186,285.29
|
$179,321.35
|
2026-08-13
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$172,550.72
|
$184,629.27
|
$177,727.24
|
2026-08-13
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$171,235.09
|
$183,221.54
|
$176,372.14
|
2026-08-13
|
|
636
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu…
|
1
|
1
|
—
|
—
|
$173,672.49
|
$173,672.49
|
$173,672.49
|
2026-08-13
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$158,805.82
|
$169,922.23
|
$163,569.99
|
2026-08-13
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$152,692.77
|
$163,381.26
|
$157,273.55
|
2026-08-13
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$151,470.76
|
$162,073.71
|
$156,014.88
|
2026-08-13
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$149,346.43
|
$159,800.68
|
$153,826.82
|
2026-08-13
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$146,118.60
|
$156,346.91
|
$150,502.16
|
2026-08-13
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$142,928.62
|
$152,933.63
|
$147,216.48
|
2026-08-13
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
14
|
14
|
—
|
—
|
$133,288.33
|
$270,719.19
|
$146,118.95
|
2026-08-13
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
14
|
14
|
—
|
—
|
$133,288.33
|
$270,719.19
|
$146,118.95
|
2026-08-13
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
14
|
14
|
—
|
—
|
$120,178.05
|
$244,091.16
|
$131,746.64
|
2026-08-13
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
14
|
14
|
—
|
—
|
$120,178.05
|
$244,091.16
|
$131,746.64
|
2026-08-13
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$126,803.44
|
$135,679.68
|
$130,607.54
|
2026-08-13
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$126,666.00
|
$135,532.62
|
$130,465.98
|
2026-08-13
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$126,666.00
|
$135,532.62
|
$130,465.98
|
2026-08-13
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$123,135.41
|
$131,754.89
|
$126,829.47
|
2026-08-13
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
20
|
16
|
—
|
—
|
$117,701.86
|
$394,210.84
|
$125,940.99
|
2026-08-13
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$121,807.83
|
$130,334.38
|
$125,462.07
|
2026-08-13
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$116,914.80
|
$125,098.84
|
$120,422.25
|
2026-08-13
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$116,119.05
|
$124,247.38
|
$119,602.62
|
2026-08-13
|
|
681
|
MS_DRG
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
1
|
1
|
—
|
—
|
$118,292.96
|
$118,292.96
|
$118,292.96
|
2026-08-13
|
|
7
|
MS_DRG
|
Lung Transplant
|
20
|
16
|
—
|
—
|
$102,497.00
|
$368,562.69
|
$117,471.90
|
2026-08-13
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
14
|
14
|
—
|
—
|
$107,067.76
|
$217,463.13
|
$117,374.33
|
2026-08-13
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
14
|
14
|
—
|
—
|
$107,067.76
|
$217,463.13
|
$117,374.33
|
2026-08-13
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$113,658.09
|
$121,614.16
|
$117,067.84
|
2026-08-13
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$113,508.70
|
$121,454.31
|
$116,913.96
|
2026-08-13
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$110,436.24
|
$118,166.78
|
$113,749.33
|
2026-08-13
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$107,091.89
|
$114,588.33
|
$110,304.65
|
2026-08-13
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$106,551.10
|
$114,009.68
|
$109,747.63
|
2026-08-13
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$106,436.57
|
$113,887.13
|
$109,629.67
|
2026-08-13
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
20
|
16
|
—
|
—
|
$79,118.00
|
$342,029.43
|
$109,014.96
|
2026-08-13
|
|
634
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc…
|
1
|
1
|
—
|
—
|
$105,942.01
|
$105,942.01
|
$105,942.01
|
2026-08-13
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$102,806.39
|
$110,002.83
|
$105,890.58
|
2026-08-13
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
20
|
16
|
—
|
—
|
$96,291.63
|
$444,362.24
|
$103,032.04
|
2026-08-13
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
14
|
14
|
—
|
—
|
$93,957.48
|
$190,835.10
|
$103,002.02
|
2026-08-13
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
14
|
14
|
—
|
—
|
$93,957.48
|
$190,835.10
|
$103,002.02
|
2026-08-13
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
20
|
15
|
—
|
—
|
$4,620.75
|
$322,133.05
|
$102,673.39
|
2026-08-13
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
15
|
—
|
—
|
$17,637.89
|
$313,663.35
|
$100,207.98
|
2026-08-13
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
20
|
15
|
—
|
—
|
$92,402.34
|
$309,476.89
|
$98,870.50
|
2026-08-13
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$95,779.07
|
$102,483.60
|
$98,652.44
|
2026-08-13
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$95,337.87
|
$102,011.52
|
$98,198.01
|
2026-08-13
|
|
632
|
MS_DRG
|
Neonate, Birth Weight 750-999 Grams, Died
|
1
|
1
|
—
|
—
|
$96,386.95
|
$96,386.95
|
$96,386.95
|
2026-08-13
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$93,015.35
|
$99,526.42
|
$95,805.81
|
2026-08-13
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$91,382.02
|
$97,778.76
|
$94,123.48
|
2026-08-13
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$91,142.99
|
$97,523.00
|
$93,877.28
|
2026-08-13
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
20
|
16
|
—
|
—
|
$87,613.16
|
$293,436.83
|
$93,746.09
|
2026-08-13
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$89,623.19
|
$95,896.82
|
$92,311.89
|
2026-08-13
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$88,553.56
|
$94,752.31
|
$91,210.17
|
2026-08-13
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
14
|
14
|
—
|
—
|
$83,032.24
|
$168,645.08
|
$91,025.10
|
2026-08-13
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
14
|
14
|
—
|
—
|
$83,032.24
|
$168,645.08
|
$91,025.10
|
2026-08-13
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
21
|
16
|
—
|
—
|
$84,609.31
|
$327,714.25
|
$90,531.96
|
2026-08-13
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$87,700.04
|
$93,839.05
|
$90,331.05
|
2026-08-13
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
16
|
—
|
—
|
$83,129.05
|
$278,418.49
|
$88,948.08
|
2026-08-13
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
5
|
5
|
—
|
—
|
$85,939.23
|
$91,954.98
|
$88,517.41
|
2026-08-13
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$85,936.24
|
$91,951.78
|
$88,514.33
|
2026-08-13
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$85,270.96
|
$91,239.93
|
$87,829.09
|
2026-08-13
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$81,770.25
|
$87,494.16
|
$84,223.35
|
2026-08-13
|
|
365
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$83,969.12
|
$83,969.12
|
$83,969.12
|
2026-08-13
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
5
|
5
|
—
|
—
|
$80,156.83
|
$85,767.81
|
$82,561.54
|
2026-08-13
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$79,819.21
|
$85,406.56
|
$82,213.79
|
2026-08-13
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
20
|
15
|
—
|
—
|
$76,558.81
|
$256,413.22
|
$81,917.92
|
2026-08-13
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
14
|
14
|
—
|
—
|
$74,292.05
|
$150,893.06
|
$81,443.56
|
2026-08-13
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
14
|
14
|
—
|
—
|
$74,292.05
|
$150,893.06
|
$81,443.56
|
2026-08-13
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$77,810.41
|
$83,257.14
|
$80,144.72
|
2026-08-13
|
|
2994
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$77,148.11
|
$82,548.48
|
$79,462.56
|
2026-08-13
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$77,071.43
|
$82,466.43
|
$79,383.57
|
2026-08-13
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$76,518.68
|
$81,874.99
|
$78,814.24
|
2026-08-13
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
20
|
15
|
—
|
—
|
$37,818.00
|
$246,449.37
|
$78,734.71
|
2026-08-13
|
|
1784
|
APR_DRG
|
External Heart Assist Devices
|
5
|
5
|
—
|
—
|
$76,268.70
|
$81,607.51
|
$78,556.76
|
2026-08-13
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$74,977.97
|
$80,226.43
|
$77,227.31
|
2026-08-13
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
21
|
16
|
—
|
—
|
$51,456.23
|
$239,914.95
|
$76,647.12
|
2026-08-13
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$74,330.61
|
$79,533.76
|
$76,560.53
|
2026-08-13
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
16
|
—
|
—
|
$61,607.12
|
$239,160.76
|
$76,406.17
|
2026-08-13
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$73,309.78
|
$78,441.46
|
$75,509.07
|
2026-08-13
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$70,787.08
|
$75,742.17
|
$72,910.69
|
2026-08-13
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$70,761.18
|
$75,714.46
|
$72,884.02
|
2026-08-13
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$70,190.51
|
$75,103.85
|
$72,296.23
|
2026-08-13
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
14
|
14
|
—
|
—
|
$65,551.86
|
$133,141.04
|
$71,862.02
|
2026-08-13
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
14
|
14
|
—
|
—
|
$65,551.86
|
$133,141.04
|
$71,862.02
|
2026-08-13
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$69,583.99
|
$74,454.87
|
$71,671.51
|
2026-08-13
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
16
|
—
|
—
|
$66,864.89
|
$223,946.05
|
$71,545.43
|
2026-08-13
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$68,710.55
|
$73,520.29
|
$70,771.87
|
2026-08-13
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
16
|
—
|
—
|
$65,246.12
|
$218,524.42
|
$69,813.35
|
2026-08-13
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$67,677.77
|
$72,415.21
|
$69,708.10
|
2026-08-13
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
21
|
16
|
—
|
—
|
$64,964.86
|
$217,582.39
|
$69,512.40
|
2026-08-13
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
21
|
16
|
—
|
—
|
$57,928.76
|
$216,862.35
|
$69,282.36
|
2026-08-13
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$66,624.07
|
$71,287.75
|
$68,622.79
|
2026-08-13
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$65,628.13
|
$70,222.10
|
$67,596.98
|
2026-08-13
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$65,576.34
|
$70,166.69
|
$67,543.63
|
2026-08-13
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
13
|
13
|
—
|
—
|
$63,342.28
|
$123,517.45
|
$67,459.53
|
2026-08-13
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
15
|
—
|
—
|
$13,222.12
|
$205,441.36
|
$65,633.63
|
2026-08-13
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$63,694.03
|
$68,152.61
|
$65,604.85
|
2026-08-13
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$63,391.26
|
$67,828.65
|
$65,293.00
|
2026-08-13
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
20
|
16
|
—
|
—
|
$47,467.00
|
$204,220.42
|
$65,243.57
|
2026-08-13
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$63,329.51
|
$67,762.58
|
$65,229.40
|
2026-08-13
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
20
|
16
|
—
|
—
|
$29,882.01
|
$204,135.04
|
$65,063.92
|
2026-08-13
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$63,013.80
|
$67,424.77
|
$64,904.22
|
2026-08-13
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
20
|
16
|
—
|
—
|
$60,626.05
|
$203,050.72
|
$64,869.87
|
2026-08-13
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
20
|
15
|
—
|
—
|
$56,560.77
|
$208,663.34
|
$64,831.69
|
2026-08-13
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$62,677.18
|
$67,064.58
|
$64,557.49
|
2026-08-13
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
5
|
5
|
—
|
—
|
$62,220.04
|
$66,575.45
|
$64,086.64
|
2026-08-13
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$62,193.15
|
$66,546.67
|
$64,058.95
|
2026-08-13
|
|
366
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$63,907.07
|
$63,907.07
|
$63,907.07
|
2026-08-13
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
5
|
—
|
—
|
$62,008.90
|
$66,349.53
|
$63,869.17
|
2026-08-13
|
|
1783
|
APR_DRG
|
External Heart Assist Devices
|
5
|
5
|
—
|
—
|
$61,846.57
|
$66,175.83
|
$63,701.96
|
2026-08-13
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$61,131.49
|
$65,410.69
|
$62,965.43
|
2026-08-13
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$61,025.92
|
$65,297.73
|
$62,856.69
|
2026-08-13
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
16
|
—
|
—
|
$58,732.81
|
$196,709.83
|
$62,844.11
|
2026-08-13
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
21
|
16
|
—
|
—
|
$13,105.74
|
$195,745.03
|
$62,535.88
|
2026-08-13
|
|
2993
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$60,484.13
|
$64,718.02
|
$62,298.65
|
2026-08-13
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
14
|
14
|
—
|
—
|
$56,811.67
|
$115,389.02
|
$62,280.49
|
2026-08-13
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
14
|
14
|
—
|
—
|
$56,811.67
|
$115,389.02
|
$62,280.49
|
2026-08-13
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$60,252.08
|
$64,469.72
|
$62,059.64
|
2026-08-13
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$60,157.46
|
$64,368.48
|
$61,962.19
|
2026-08-13
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
16
|
—
|
—
|
$57,197.32
|
$191,567.11
|
$61,201.13
|
2026-08-13
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
20
|
15
|
—
|
—
|
$44,675.00
|
$190,297.79
|
$60,795.62
|
2026-08-13
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
20
|
15
|
—
|
—
|
$56,776.70
|
$190,158.34
|
$60,751.06
|
2026-08-13
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$58,948.40
|
$63,074.78
|
$60,716.85
|
2026-08-13
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
13
|
13
|
—
|
—
|
$56,824.55
|
$110,807.87
|
$60,518.14
|
2026-08-13
|
|
3004
|
APR_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$58,334.90
|
$62,418.34
|
$60,084.95
|
2026-08-13
|
|
33270
|
CPT
|
Hc Ep Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd
|
7
|
4
|
$51,118.00
|
$36,293.78
29% off
|
$15,900.00
|
$139,520.41
|
$59,942.02
|
2026-08-13
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$58,144.68
|
$62,214.80
|
$59,889.02
|
2026-08-13
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
16
|
—
|
—
|
$55,873.41
|
$187,304.68
|
$59,784.55
|
2026-08-13
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
16
|
—
|
—
|
$45,617.76
|
$207,014.07
|
$59,784.55
|
2026-08-13
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
21
|
16
|
—
|
—
|
$33,534.00
|
$186,452.84
|
$59,567.25
|
2026-08-13
|
|
5931
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$57,563.05
|
$61,592.46
|
$59,289.94
|
2026-08-13
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$57,548.11
|
$61,576.48
|
$59,274.56
|
2026-08-13
|
|
647
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$59,087.42
|
$59,087.42
|
$59,087.42
|
2026-08-13
|
|
635
|
MS_DRG
|
Neonate, Birth Weight 1000-1499 Grams, Died
|
1
|
1
|
—
|
—
|
$58,964.08
|
$58,964.08
|
$58,964.08
|
2026-08-13
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$57,236.38
|
$61,242.93
|
$58,953.48
|
2026-08-13
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$57,166.67
|
$61,168.34
|
$58,881.67
|
2026-08-13
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
13
|
13
|
—
|
—
|
$55,272.32
|
$107,781.03
|
$58,865.03
|
2026-08-13
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$57,132.81
|
$61,132.10
|
$58,846.79
|
2026-08-13
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$56,926.65
|
$60,911.51
|
$58,634.45
|
2026-08-13
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
16
|
—
|
—
|
$54,678.67
|
$183,131.56
|
$58,506.18
|
2026-08-13
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$56,299.21
|
$60,240.15
|
$57,988.19
|
2026-08-13
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$55,895.86
|
$59,808.57
|
$57,572.73
|
2026-08-13
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$55,657.83
|
$59,553.88
|
$57,327.56
|
2026-08-13
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$55,657.83
|
$59,553.88
|
$57,327.56
|
2026-08-13
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
5
|
5
|
—
|
—
|
$55,205.67
|
$59,070.07
|
$56,861.84
|
2026-08-13
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$55,157.87
|
$59,018.92
|
$56,812.60
|
2026-08-13
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
14
|
14
|
—
|
—
|
$51,691.52
|
$104,989.58
|
$56,667.45
|
2026-08-13
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$54,367.10
|
$58,172.79
|
$55,998.11
|
2026-08-13
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
5
|
5
|
—
|
—
|
$54,309.33
|
$58,110.98
|
$55,938.61
|
2026-08-13
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$54,123.09
|
$57,911.71
|
$55,746.78
|
2026-08-13
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
21
|
16
|
—
|
—
|
$36,483.96
|
$254,053.91
|
$55,721.21
|
2026-08-13
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$54,080.27
|
$57,865.89
|
$55,702.67
|
2026-08-13
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$54,046.40
|
$57,829.65
|
$55,667.80
|
2026-08-13
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$52,015.56
|
$174,212.20
|
$55,656.65
|
2026-08-13
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
21
|
16
|
—
|
—
|
$51,516.76
|
$172,541.60
|
$55,122.93
|
2026-08-13
|
|
646
|
MS_DRG
|
Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without…
|
1
|
1
|
—
|
—
|
$55,019.07
|
$55,019.07
|
$55,019.07
|
2026-08-13
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
21
|
16
|
—
|
—
|
$38,611.06
|
$170,996.22
|
$54,629.22
|
2026-08-13
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
20
|
15
|
—
|
—
|
$32,723.08
|
$170,947.84
|
$54,613.77
|
2026-08-13
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$52,785.55
|
$56,480.54
|
$54,369.12
|
2026-08-13
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
16
|
—
|
—
|
$50,671.26
|
$169,709.83
|
$54,218.25
|
2026-08-13
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$52,567.44
|
$56,247.16
|
$54,144.46
|
2026-08-13
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
5
|
5
|
—
|
—
|
$52,436.97
|
$56,107.56
|
$54,010.08
|
2026-08-13
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
20
|
16
|
—
|
—
|
$43,627.01
|
$177,056.79
|
$53,914.57
|
2026-08-13
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
5
|
5
|
—
|
—
|
$52,161.10
|
$55,812.38
|
$53,725.93
|
2026-08-13
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$51,912.12
|
$55,545.96
|
$53,469.48
|
2026-08-13
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$51,812.52
|
$55,439.40
|
$53,366.90
|
2026-08-13
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
21
|
16
|
—
|
—
|
$49,868.25
|
$167,020.36
|
$53,359.03
|
2026-08-13
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$42,859.20
|
$166,912.21
|
$53,324.48
|
2026-08-13
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
19
|
16
|
—
|
—
|
$6,379.59
|
$169,152.01
|
$53,246.47
|
2026-08-13
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$51,527.69
|
$55,134.62
|
$53,073.52
|
2026-08-13
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
14
|
14
|
—
|
—
|
$48,071.48
|
$97,637.00
|
$52,698.94
|
2026-08-13
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
14
|
14
|
—
|
—
|
$48,071.48
|
$97,637.00
|
$52,698.94
|
2026-08-13
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$50,987.89
|
$54,557.04
|
$52,517.52
|
2026-08-13
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
20
|
15
|
—
|
—
|
$49,005.76
|
$177,299.81
|
$52,436.16
|
2026-08-13
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$50,881.32
|
$54,443.02
|
$52,407.76
|
2026-08-13
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$50,651.26
|
$54,196.85
|
$52,170.80
|
2026-08-13
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
21
|
16
|
—
|
—
|
$48,693.05
|
$163,084.34
|
$52,101.57
|
2026-08-13
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
21
|
16
|
—
|
—
|
$48,337.00
|
$162,207.77
|
$51,821.52
|
2026-08-13
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
20
|
15
|
—
|
—
|
$16,020.63
|
$162,418.37
|
$51,767.57
|
2026-08-13
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$50,152.30
|
$53,662.96
|
$51,656.87
|
2026-08-13
|
|
3124
|
APR_DRG
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$50,065.65
|
$53,570.25
|
$51,567.62
|
2026-08-13
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$50,041.75
|
$53,544.67
|
$51,543.00
|
2026-08-13
|
|
1782
|
APR_DRG
|
External Heart Assist Devices
|
5
|
5
|
—
|
—
|
$49,856.51
|
$53,346.46
|
$51,352.20
|
2026-08-13
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
15
|
—
|
—
|
$10,046.66
|
$160,002.12
|
$51,116.87
|
2026-08-13
|
|
5204
|
APR_DRG
|
Other GYN Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$49,494.98
|
$52,959.63
|
$50,979.83
|
2026-08-13
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
20
|
16
|
—
|
—
|
$47,624.92
|
$159,506.92
|
$50,958.66
|
2026-08-13
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$49,329.66
|
$52,782.73
|
$50,809.55
|
2026-08-13
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$49,179.27
|
$52,621.82
|
$50,654.65
|
2026-08-13
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
20
|
15
|
—
|
—
|
$28,343.79
|
$158,414.05
|
$50,491.27
|
2026-08-13
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
21
|
16
|
—
|
—
|
$46,787.00
|
$157,184.58
|
$50,216.73
|
2026-08-13
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$48,566.77
|
$51,966.44
|
$50,023.77
|
2026-08-13
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
21
|
16
|
—
|
—
|
$44,367.00
|
$156,242.55
|
$49,915.78
|
2026-08-13
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
21
|
16
|
—
|
—
|
$41,696.20
|
$155,690.43
|
$49,739.39
|
2026-08-13
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
21
|
16
|
—
|
—
|
$46,419.13
|
$155,468.44
|
$49,668.47
|
2026-08-13
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
21
|
16
|
—
|
—
|
$46,346.05
|
$155,223.69
|
$49,590.27
|
2026-08-13
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
20
|
16
|
—
|
—
|
$46,160.81
|
$177,056.79
|
$49,392.06
|
2026-08-13
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$47,903.48
|
$51,256.72
|
$49,340.58
|
2026-08-13
|
|
4854
|
APR_DRG
|
Prostatectomy Procedures
|
5
|
5
|
—
|
—
|
$47,758.07
|
$51,101.14
|
$49,190.81
|
2026-08-13
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$47,686.36
|
$51,024.41
|
$49,116.95
|
2026-08-13
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$47,596.73
|
$50,928.50
|
$49,024.63
|
2026-08-13
|
|
367
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$48,970.41
|
$48,970.41
|
$48,970.41
|
2026-08-13
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$47,142.58
|
$50,442.56
|
$48,556.86
|
2026-08-13
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
16
|
—
|
—
|
$45,315.31
|
$156,402.62
|
$48,487.38
|
2026-08-13
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
20
|
15
|
—
|
—
|
$45,288.12
|
$151,680.42
|
$48,458.28
|
2026-08-13
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$46,752.18
|
$50,024.83
|
$48,154.74
|
2026-08-13
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
21
|
16
|
—
|
—
|
$44,983.91
|
$183,006.74
|
$48,132.78
|
2026-08-13
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
20
|
15
|
—
|
—
|
$44,835.20
|
$150,163.50
|
$47,973.67
|
2026-08-13
|
|
1142
|
OTHER
|
Supprelin La Implant
|
13
|
13
|
—
|
—
|
$45,020.65
|
$87,790.27
|
$47,946.99
|
2026-08-13
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$46,485.27
|
$49,739.23
|
$47,879.82
|
2026-08-13
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$46,274.13
|
$49,513.32
|
$47,662.35
|
2026-08-13
|
|
3214
|
APR_DRG
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
5
|
5
|
—
|
—
|
$46,145.65
|
$49,375.85
|
$47,530.02
|
2026-08-13
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$46,019.17
|
$49,240.51
|
$47,399.74
|
2026-08-13
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
21
|
16
|
—
|
—
|
$40,958.79
|
$148,145.68
|
$47,329.02
|
2026-08-13
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
21
|
16
|
—
|
—
|
$31,730.31
|
$147,889.54
|
$47,247.19
|
2026-08-13
|
|
1781
|
APR_DRG
|
External Heart Assist Devices
|
5
|
5
|
—
|
—
|
$45,742.30
|
$48,944.26
|
$47,114.57
|
2026-08-13
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$45,626.77
|
$48,820.64
|
$46,995.57
|
2026-08-13
|
|
403
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$46,843.30
|
$46,843.30
|
$46,843.30
|
2026-08-13
|
|
2992
|
APR_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
—
|
—
|
$45,316.04
|
$48,488.16
|
$46,675.52
|
2026-08-13
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$45,198.52
|
$48,362.41
|
$46,554.47
|
2026-08-13
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$45,121.83
|
$48,280.36
|
$46,475.49
|
2026-08-13
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$45,079.01
|
$48,234.54
|
$46,431.38
|
2026-08-13
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
5
|
5
|
—
|
—
|
$44,959.49
|
$48,106.66
|
$46,308.28
|
2026-08-13
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$44,941.57
|
$48,087.48
|
$46,289.81
|
2026-08-13
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
5
|
5
|
—
|
—
|
$44,908.70
|
$48,052.31
|
$46,255.96
|
2026-08-13
|
|
1814
|
APR_DRG
|
Lower Extremity Vascular Procedures
|
5
|
5
|
—
|
—
|
$44,869.86
|
$48,010.75
|
$46,215.96
|
2026-08-13
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$44,770.27
|
$47,904.18
|
$46,113.37
|
2026-08-13
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$44,621.87
|
$47,745.40
|
$45,960.53
|
2026-08-13
|
|
A4300
|
HCPCS
|
Vlv Aor Od26 Mm Sapien 3 Ult Vlv Cmndr
|
3
|
3
|
$58,757.00
|
$41,717.47
29% off
|
$38,192.05
|
$47,005.60
|
$45,830.46
|
2026-08-13
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
16
|
—
|
—
|
$37,898.84
|
$143,444.09
|
$45,826.97
|
2026-08-13
|
|
1652
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$44,412.73
|
$47,521.62
|
$45,745.11
|
2026-08-13
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
5
|
—
|
—
|
$44,363.92
|
$47,469.40
|
$45,694.84
|
2026-08-13
|
|
691
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
—
|
—
|
$45,641.21
|
$45,641.21
|
$45,641.21
|
2026-08-13
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
5
|
5
|
—
|
—
|
$44,147.81
|
$47,238.15
|
$45,472.24
|
2026-08-13
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
21
|
16
|
—
|
—
|
$41,968.93
|
$141,941.40
|
$45,346.90
|
2026-08-13
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
5
|
5
|
—
|
—
|
$43,931.69
|
$47,006.91
|
$45,249.64
|
2026-08-13
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$43,810.18
|
$46,876.90
|
$45,124.49
|
2026-08-13
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$43,806.20
|
$46,872.64
|
$45,120.39
|
2026-08-13
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
21
|
16
|
—
|
—
|
$42,040.38
|
$184,041.63
|
$44,983.21
|
2026-08-13
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
21
|
16
|
—
|
—
|
$41,187.22
|
$140,552.56
|
$44,903.20
|
2026-08-13
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
21
|
16
|
—
|
—
|
$34,372.48
|
$140,071.58
|
$44,749.54
|
2026-08-13
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
16
|
—
|
—
|
$30,219.00
|
$139,488.15
|
$44,563.15
|
2026-08-13
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$43,146.89
|
$46,167.17
|
$44,441.30
|
2026-08-13
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
21
|
16
|
—
|
—
|
$38,261.90
|
$137,424.80
|
$43,903.95
|
2026-08-13
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$42,549.33
|
$45,527.78
|
$43,825.81
|
2026-08-13
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
5
|
5
|
—
|
—
|
$42,495.55
|
$45,470.24
|
$43,770.42
|
2026-08-13
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$42,483.60
|
$45,457.45
|
$43,758.11
|
2026-08-13
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
21
|
16
|
—
|
—
|
$40,824.40
|
$136,730.38
|
$43,682.10
|
2026-08-13
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$42,302.34
|
$45,263.50
|
$43,571.41
|
2026-08-13
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
5
|
5
|
—
|
—
|
$42,299.35
|
$45,260.31
|
$43,568.33
|
2026-08-13
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$42,252.54
|
$45,210.22
|
$43,520.12
|
2026-08-13
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
20
|
15
|
—
|
—
|
$40,454.76
|
$207,014.07
|
$43,286.59
|
2026-08-13
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$42,003.56
|
$44,943.81
|
$43,263.67
|
2026-08-13
|
|
4284
|
APR_DRG
|
Genetic Disorders
|
5
|
5
|
—
|
—
|
$41,981.65
|
$44,920.36
|
$43,241.10
|
2026-08-13
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
5
|
5
|
—
|
—
|
$41,973.68
|
$44,911.84
|
$43,232.89
|
2026-08-13
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
14
|
14
|
—
|
—
|
$39,331.29
|
$79,884.98
|
$43,117.40
|
2026-08-13
|
|
1594
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
14
|
14
|
—
|
—
|
$39,331.29
|
$79,884.98
|
$43,117.40
|
2026-08-13
|