|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
12
|
10
|
—
|
—
|
$3,710,000.00
|
$4,452,000.00
|
$3,858,400.00
|
2025-09-15
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
12
|
10
|
—
|
—
|
$3,710,000.00
|
$4,452,000.00
|
$3,858,400.00
|
2025-09-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
13
|
11
|
—
|
—
|
$3,321,781.51
|
$4,650,494.11
|
$3,487,870.58
|
2025-09-15
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
13
|
11
|
—
|
—
|
$3,193,000.00
|
$4,470,200.00
|
$3,352,650.00
|
2025-09-15
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
13
|
11
|
—
|
—
|
$2,968,000.00
|
$4,155,200.00
|
$3,116,400.00
|
2025-09-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
18
|
12
|
—
|
—
|
$25,490.25
|
$3,364,842.25
|
$2,475,562.51
|
2025-09-15
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
13
|
11
|
—
|
—
|
$2,332,000.00
|
$3,264,800.00
|
$2,448,600.00
|
2025-09-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
18
|
12
|
—
|
—
|
$508,250.00
|
$791,873.37
|
$582,592.55
|
2025-09-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
13
|
11
|
—
|
—
|
$551,318.34
|
$771,845.67
|
$578,884.25
|
2025-09-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
13
|
11
|
—
|
—
|
$528,312.43
|
$739,637.40
|
$554,728.05
|
2025-09-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
13
|
11
|
—
|
—
|
$516,485.97
|
$723,080.35
|
$542,310.27
|
2025-09-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
13
|
11
|
—
|
—
|
$489,517.15
|
$685,324.01
|
$513,993.01
|
2025-09-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
13
|
11
|
—
|
—
|
$488,051.51
|
$683,272.11
|
$512,454.09
|
2025-09-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
11
|
—
|
—
|
$353,593.49
|
$495,030.89
|
$371,273.16
|
2025-09-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
15
|
11
|
—
|
—
|
$264,104.71
|
$369,746.59
|
$277,309.95
|
2025-09-15
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$240,998.51
|
$253,048.44
|
$245,818.48
|
2025-09-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
15
|
11
|
—
|
—
|
$222,423.90
|
$311,393.46
|
$233,545.10
|
2025-09-15
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$216,753.90
|
$227,591.60
|
$221,088.98
|
2025-09-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
12
|
8
|
—
|
—
|
$200,941.71
|
$281,318.39
|
$211,993.51
|
2025-09-15
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
3
|
3
|
—
|
—
|
$203,928.12
|
$209,926.01
|
$203,928.12
|
2025-09-15
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$182,241.79
|
$191,353.88
|
$185,886.63
|
2025-09-15
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$180,880.19
|
$189,924.20
|
$184,497.79
|
2025-09-15
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
3
|
3
|
—
|
—
|
$176,787.30
|
$181,986.92
|
$176,787.30
|
2025-09-15
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
5
|
5
|
—
|
—
|
$159,222.71
|
$167,183.85
|
$162,407.16
|
2025-09-15
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$157,563.98
|
$165,442.18
|
$160,715.26
|
2025-09-15
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$153,795.33
|
$161,485.10
|
$156,871.24
|
2025-09-15
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$142,965.59
|
$150,113.87
|
$145,824.90
|
2025-09-15
|
|
44
|
APR_DRG
|
Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure
|
5
|
5
|
—
|
—
|
$141,662.02
|
$148,745.12
|
$144,495.26
|
2025-09-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$139,803.21
|
$146,793.37
|
$142,599.27
|
2025-09-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
15
|
11
|
—
|
—
|
$132,482.22
|
$185,475.11
|
$139,106.33
|
2025-09-15
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
5
|
5
|
—
|
—
|
$132,343.94
|
$138,961.14
|
$134,990.82
|
2025-09-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
8
|
—
|
—
|
$122,841.87
|
$171,978.62
|
$129,598.17
|
2025-09-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
15
|
11
|
—
|
—
|
$122,532.47
|
$171,545.46
|
$128,659.09
|
2025-09-15
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
5
|
—
|
—
|
$122,507.63
|
$128,633.01
|
$124,957.78
|
2025-09-15
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$120,602.80
|
$126,632.94
|
$123,014.86
|
2025-09-15
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
5
|
—
|
—
|
$119,186.18
|
$125,145.49
|
$121,569.90
|
2025-09-15
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g
|
5
|
5
|
—
|
—
|
$115,517.57
|
$121,293.45
|
$117,827.92
|
2025-09-15
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
13
|
11
|
—
|
—
|
$111,860.00
|
$134,232.00
|
$115,215.80
|
2025-09-15
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$112,120.09
|
$117,726.09
|
$114,362.49
|
2025-09-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
15
|
11
|
—
|
—
|
$103,320.20
|
$144,648.28
|
$108,486.21
|
2025-09-15
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$105,789.32
|
$111,078.79
|
$107,905.11
|
2025-09-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
18
|
11
|
—
|
—
|
$79,600.54
|
$160,574.94
|
$107,247.72
|
2025-09-15
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g
|
5
|
5
|
—
|
—
|
$105,016.98
|
$110,267.83
|
$107,117.32
|
2025-09-15
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$104,777.87
|
$110,016.76
|
$106,873.43
|
2025-09-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
12
|
8
|
—
|
—
|
$99,848.27
|
$139,787.58
|
$105,339.92
|
2025-09-15
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
13
|
11
|
—
|
—
|
$99,999.99
|
$139,999.99
|
$104,999.99
|
2025-09-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
16
|
11
|
—
|
—
|
$99,336.36
|
$139,070.90
|
$104,303.18
|
2025-09-15
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
3
|
3
|
—
|
—
|
$103,435.55
|
$106,477.77
|
$103,435.55
|
2025-09-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
11
|
—
|
—
|
$86,773.38
|
$137,503.62
|
$103,127.71
|
2025-09-15
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
5
|
5
|
—
|
—
|
$99,783.69
|
$104,772.87
|
$101,779.36
|
2025-09-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$99,214.44
|
$104,175.16
|
$101,198.73
|
2025-09-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$97,370.63
|
$102,239.16
|
$99,318.04
|
2025-09-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$97,027.48
|
$101,878.85
|
$98,968.03
|
2025-09-15
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$96,713.34
|
$101,549.01
|
$98,647.61
|
2025-09-15
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
5
|
5
|
—
|
—
|
$96,366.19
|
$101,184.50
|
$98,293.51
|
2025-09-15
|
|
54
|
APR_DRG
|
Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$95,959.01
|
$100,756.96
|
$97,878.19
|
2025-09-15
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g
|
5
|
5
|
—
|
—
|
$95,470.80
|
$100,244.34
|
$97,380.22
|
2025-09-15
|
|
8424
|
APR_DRG
|
Full Thickness Burns W Skin Graft
|
5
|
5
|
—
|
—
|
$95,094.63
|
$99,849.36
|
$96,996.52
|
2025-09-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$90,488.28
|
$126,683.59
|
$95,465.14
|
2025-09-15
|
|
43
|
APR_DRG
|
Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure
|
5
|
5
|
—
|
—
|
$92,519.51
|
$97,145.49
|
$94,369.90
|
2025-09-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$92,843.31
|
$95,573.99
|
$92,843.31
|
2025-09-15
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$90,203.41
|
$92,856.46
|
$90,203.41
|
2025-09-15
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
5
|
5
|
—
|
—
|
$88,320.67
|
$92,736.70
|
$90,087.08
|
2025-09-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$88,266.64
|
$92,679.97
|
$90,031.97
|
2025-09-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
18
|
11
|
—
|
—
|
$44,476.43
|
$120,918.49
|
$89,825.17
|
2025-09-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$84,872.16
|
$89,115.77
|
$86,569.60
|
2025-09-15
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
3
|
3
|
—
|
—
|
$85,788.96
|
$88,312.16
|
$85,788.96
|
2025-09-15
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
13
|
11
|
—
|
—
|
$80,943.19
|
$113,320.47
|
$84,990.35
|
2025-09-15
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
5
|
—
|
—
|
$82,836.27
|
$86,978.08
|
$84,493.00
|
2025-09-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
12
|
8
|
—
|
—
|
$79,450.89
|
$111,231.25
|
$83,820.68
|
2025-09-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
11
|
—
|
—
|
$45,487.97
|
$111,169.56
|
$83,377.17
|
2025-09-15
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$81,697.77
|
$85,782.66
|
$83,331.73
|
2025-09-15
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
5
|
5
|
—
|
—
|
$81,637.74
|
$85,719.63
|
$83,270.49
|
2025-09-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
11
|
—
|
—
|
$78,201.07
|
$109,481.50
|
$82,502.12
|
2025-09-15
|
|
1654
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
5
|
5
|
—
|
—
|
$80,382.19
|
$84,401.30
|
$81,989.83
|
2025-09-15
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$79,542.82
|
$83,519.96
|
$81,133.68
|
2025-09-15
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$77,625.99
|
$81,507.29
|
$79,178.51
|
2025-09-15
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
3
|
3
|
—
|
—
|
$79,134.63
|
$81,462.12
|
$79,134.63
|
2025-09-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
20
|
11
|
—
|
—
|
$27,220.26
|
$105,812.71
|
$78,603.73
|
2025-09-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
15
|
11
|
—
|
—
|
$74,754.48
|
$104,656.27
|
$78,492.20
|
2025-09-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
15
|
11
|
—
|
—
|
$74,326.01
|
$104,056.41
|
$78,042.31
|
2025-09-15
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
5
|
5
|
—
|
—
|
$75,373.00
|
$79,141.65
|
$76,880.46
|
2025-09-15
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$75,289.96
|
$79,054.46
|
$76,795.76
|
2025-09-15
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
5
|
5
|
—
|
—
|
$74,871.78
|
$78,615.37
|
$76,369.22
|
2025-09-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
20
|
11
|
—
|
—
|
$35,112.99
|
$102,600.71
|
$76,217.67
|
2025-09-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
11
|
—
|
—
|
$31,800.70
|
$101,565.03
|
$75,448.30
|
2025-09-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic Procedures
|
5
|
5
|
—
|
—
|
$72,634.80
|
$76,266.54
|
$74,087.50
|
2025-09-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$72,145.59
|
$75,752.87
|
$73,588.50
|
2025-09-15
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
5
|
5
|
—
|
—
|
$71,944.50
|
$75,541.73
|
$73,383.39
|
2025-09-15
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
5
|
5
|
—
|
—
|
$71,474.29
|
$75,048.00
|
$72,903.78
|
2025-09-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
20
|
11
|
—
|
—
|
$32,827.33
|
$97,977.60
|
$72,783.36
|
2025-09-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
5
|
5
|
—
|
—
|
$71,307.22
|
$74,872.58
|
$72,733.36
|
2025-09-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$71,178.16
|
$74,737.07
|
$72,601.72
|
2025-09-15
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$70,779.99
|
$74,318.99
|
$72,195.59
|
2025-09-15
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
3
|
3
|
—
|
—
|
$71,465.96
|
$73,567.90
|
$71,465.96
|
2025-09-15
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$68,914.17
|
$72,359.88
|
$70,292.45
|
2025-09-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
11
|
—
|
—
|
$65,946.78
|
$103,491.68
|
$69,924.30
|
2025-09-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
18
|
11
|
—
|
—
|
$66,259.85
|
$92,763.79
|
$69,904.14
|
2025-09-15
|
|
42
|
APR_DRG
|
Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure
|
5
|
5
|
—
|
—
|
$67,531.57
|
$70,908.15
|
$68,882.20
|
2025-09-15
|
|
53
|
APR_DRG
|
Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$67,164.41
|
$70,522.63
|
$68,507.70
|
2025-09-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
20
|
11
|
—
|
—
|
$47,252.18
|
$100,838.19
|
$68,485.02
|
2025-09-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
5
|
5
|
—
|
—
|
$66,317.03
|
$69,632.88
|
$67,643.37
|
2025-09-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
20
|
11
|
—
|
—
|
$33,967.23
|
$89,630.56
|
$67,222.92
|
2025-09-15
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
5
|
—
|
—
|
$65,663.75
|
$68,946.94
|
$66,977.03
|
2025-09-15
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$65,615.73
|
$68,896.52
|
$66,928.04
|
2025-09-15
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
5
|
5
|
—
|
—
|
$65,459.66
|
$68,732.64
|
$66,768.85
|
2025-09-15
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
13
|
8
|
—
|
—
|
$63,402.04
|
$88,762.86
|
$66,572.15
|
2025-09-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
12
|
8
|
—
|
—
|
$62,862.97
|
$88,008.16
|
$66,320.43
|
2025-09-15
|
|
41
|
APR_DRG
|
Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure
|
5
|
5
|
—
|
—
|
$64,944.43
|
$68,191.65
|
$66,243.32
|
2025-09-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
12
|
8
|
—
|
—
|
$62,621.08
|
$87,669.51
|
$66,065.24
|
2025-09-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
3
|
3
|
—
|
—
|
$65,570.84
|
$67,499.40
|
$65,570.84
|
2025-09-15
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
5
|
5
|
—
|
—
|
$64,095.06
|
$67,299.81
|
$65,376.96
|
2025-09-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
5
|
5
|
—
|
—
|
$63,850.95
|
$67,043.50
|
$65,127.97
|
2025-09-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
20
|
11
|
—
|
—
|
$20,619.12
|
$110,704.40
|
$65,015.71
|
2025-09-15
|
|
1694
|
APR_DRG
|
Major Thoracic & Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$63,620.85
|
$66,801.89
|
$64,893.27
|
2025-09-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$63,365.74
|
$66,534.03
|
$64,633.05
|
2025-09-15
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
5
|
5
|
—
|
—
|
$63,266.70
|
$66,430.04
|
$64,532.03
|
2025-09-15
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
5
|
5
|
—
|
—
|
$63,007.59
|
$66,157.97
|
$64,267.74
|
2025-09-15
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$62,691.45
|
$65,826.02
|
$63,945.28
|
2025-09-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
20
|
11
|
—
|
—
|
$47,746.29
|
$101,892.64
|
$63,667.98
|
2025-09-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
11
|
—
|
—
|
$43,756.31
|
$93,377.86
|
$63,576.43
|
2025-09-15
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$62,323.29
|
$65,439.45
|
$63,569.76
|
2025-09-15
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$61,910.10
|
$65,005.61
|
$63,148.30
|
2025-09-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$61,868.09
|
$64,961.49
|
$63,105.45
|
2025-09-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$61,471.91
|
$64,545.51
|
$62,701.35
|
2025-09-15
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
5
|
5
|
—
|
—
|
$61,177.78
|
$64,236.67
|
$62,401.34
|
2025-09-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$60,587.53
|
$63,616.91
|
$61,799.28
|
2025-09-15
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$60,450.47
|
$63,472.99
|
$61,659.48
|
2025-09-15
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$60,118.32
|
$63,124.24
|
$61,320.69
|
2025-09-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
20
|
11
|
—
|
—
|
$12,868.97
|
$83,014.89
|
$61,075.24
|
2025-09-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
18
|
11
|
—
|
—
|
$42,571.16
|
$81,309.77
|
$60,982.33
|
2025-09-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
5
|
5
|
—
|
—
|
$59,633.11
|
$62,614.77
|
$60,825.77
|
2025-09-15
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
5
|
5
|
—
|
—
|
$59,566.08
|
$62,544.38
|
$60,757.40
|
2025-09-15
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
13
|
11
|
—
|
—
|
$57,614.51
|
$80,660.31
|
$60,495.24
|
2025-09-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
5
|
5
|
—
|
—
|
$59,194.92
|
$62,154.67
|
$60,378.82
|
2025-09-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
18
|
11
|
—
|
—
|
$44,088.23
|
$81,204.79
|
$60,323.55
|
2025-09-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
20
|
11
|
—
|
—
|
$46,136.37
|
$98,457.00
|
$60,138.63
|
2025-09-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
20
|
11
|
—
|
—
|
$8,706.47
|
$92,669.10
|
$60,048.56
|
2025-09-15
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
5
|
5
|
—
|
—
|
$58,731.71
|
$61,668.30
|
$59,906.34
|
2025-09-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
20
|
11
|
—
|
—
|
$17,080.29
|
$102,787.82
|
$59,838.93
|
2025-09-15
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
13
|
11
|
—
|
—
|
$56,824.55
|
$79,554.37
|
$59,665.78
|
2025-09-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
15
|
11
|
—
|
—
|
$56,592.32
|
$79,229.25
|
$59,421.94
|
2025-09-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
15
|
11
|
—
|
—
|
$56,592.32
|
$79,229.25
|
$59,421.94
|
2025-09-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
5
|
5
|
—
|
—
|
$58,063.42
|
$60,966.59
|
$59,224.69
|
2025-09-15
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$57,934.36
|
$60,831.08
|
$59,093.05
|
2025-09-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
20
|
11
|
—
|
—
|
$43,756.31
|
$93,377.86
|
$58,977.93
|
2025-09-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
20
|
11
|
—
|
—
|
$18,516.39
|
$79,801.55
|
$58,961.89
|
2025-09-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
12
|
8
|
—
|
—
|
$55,738.17
|
$78,033.44
|
$58,803.77
|
2025-09-15
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
5
|
5
|
—
|
—
|
$57,641.24
|
$60,523.30
|
$58,794.06
|
2025-09-15
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
5
|
5
|
—
|
—
|
$57,429.14
|
$60,300.60
|
$58,577.72
|
2025-09-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
11
|
—
|
—
|
$43,756.31
|
$93,377.86
|
$58,569.39
|
2025-09-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
20
|
11
|
—
|
—
|
$23,963.96
|
$77,237.97
|
$57,376.78
|
2025-09-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
23
|
12
|
—
|
—
|
$16,485.52
|
$77,751.10
|
$57,202.59
|
2025-09-15
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
23
|
12
|
—
|
—
|
$2,899.55
|
$98,667.43
|
$57,132.73
|
2025-09-15
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
5
|
5
|
—
|
—
|
$55,696.38
|
$58,481.20
|
$56,810.31
|
2025-09-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
20
|
11
|
—
|
—
|
$26,156.53
|
$88,392.54
|
$56,773.19
|
2025-09-15
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$55,446.27
|
$58,218.58
|
$56,555.20
|
2025-09-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
11
|
—
|
—
|
$45,487.97
|
$97,073.29
|
$56,502.96
|
2025-09-15
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$55,374.24
|
$58,142.95
|
$56,481.72
|
2025-09-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
20
|
11
|
—
|
—
|
$20,724.59
|
$74,887.06
|
$55,630.39
|
2025-09-15
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
13
|
11
|
—
|
—
|
$52,277.90
|
$73,189.06
|
$54,891.80
|
2025-09-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
12
|
8
|
—
|
—
|
$51,823.73
|
$72,553.22
|
$54,674.04
|
2025-09-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
11
|
—
|
—
|
$51,606.19
|
$103,491.68
|
$54,444.53
|
2025-09-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
20
|
11
|
—
|
—
|
$27,220.26
|
$75,252.83
|
$54,414.92
|
2025-09-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
20
|
11
|
—
|
—
|
$15,612.93
|
$73,174.07
|
$54,357.88
|
2025-09-15
|
|
1653
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
5
|
5
|
—
|
—
|
$53,276.32
|
$55,940.14
|
$54,341.85
|
2025-09-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
18
|
11
|
—
|
—
|
$51,291.16
|
$103,491.68
|
$54,112.18
|
2025-09-15
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
5
|
5
|
—
|
—
|
$53,036.22
|
$55,688.03
|
$54,096.94
|
2025-09-15
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$52,789.11
|
$55,428.57
|
$53,844.89
|
2025-09-15
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$52,707.08
|
$55,342.43
|
$53,761.22
|
2025-09-15
|
|
1734
|
APR_DRG
|
Other Vascular Procedures
|
5
|
5
|
—
|
—
|
$52,565.01
|
$55,193.26
|
$53,616.31
|
2025-09-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$52,526.00
|
$55,152.30
|
$53,576.52
|
2025-09-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
15
|
11
|
—
|
—
|
$51,015.50
|
$71,421.70
|
$53,566.28
|
2025-09-15
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
5
|
5
|
—
|
—
|
$52,463.97
|
$55,087.17
|
$53,513.25
|
2025-09-15
|
|
52
|
APR_DRG
|
Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$52,348.92
|
$54,966.37
|
$53,395.90
|
2025-09-15
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
5
|
5
|
—
|
—
|
$52,339.91
|
$54,956.91
|
$53,386.71
|
2025-09-15
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$52,271.89
|
$54,885.48
|
$53,317.33
|
2025-09-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
20
|
11
|
—
|
—
|
$24,818.72
|
$71,258.94
|
$53,204.21
|
2025-09-15
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
5
|
—
|
—
|
$51,935.74
|
$54,532.53
|
$52,974.45
|
2025-09-15
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
3
|
3
|
—
|
—
|
$52,961.18
|
$54,518.87
|
$52,961.18
|
2025-09-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$51,816.69
|
$54,407.52
|
$52,853.02
|
2025-09-15
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
5
|
—
|
—
|
$51,632.61
|
$54,214.24
|
$52,665.26
|
2025-09-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
11
|
—
|
—
|
$19,321.68
|
$70,895.34
|
$52,665.12
|
2025-09-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
20
|
11
|
—
|
—
|
$22,205.61
|
$73,419.43
|
$52,615.39
|
2025-09-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
20
|
11
|
—
|
—
|
$15,741.18
|
$84,448.67
|
$52,609.52
|
2025-09-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
20
|
11
|
—
|
—
|
$33,279.12
|
$71,019.07
|
$52,376.06
|
2025-09-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
11
|
—
|
—
|
$31,800.70
|
$73,683.11
|
$52,144.70
|
2025-09-15
|
|
6504
|
APR_DRG
|
Splenectomy
|
5
|
5
|
—
|
—
|
$50,847.26
|
$53,389.62
|
$51,864.21
|
2025-09-15
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$50,824.25
|
$53,365.46
|
$51,840.74
|
2025-09-15
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
5
|
5
|
—
|
—
|
$50,596.15
|
$53,125.96
|
$51,608.07
|
2025-09-15
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
5
|
5
|
—
|
—
|
$50,364.05
|
$52,882.25
|
$51,371.33
|
2025-09-15
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$50,263.01
|
$52,776.16
|
$51,268.27
|
2025-09-15
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$50,098.93
|
$52,603.88
|
$51,100.91
|
2025-09-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$50,035.91
|
$52,537.71
|
$51,036.63
|
2025-09-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
18
|
11
|
—
|
—
|
$48,287.10
|
$71,462.43
|
$50,942.90
|
2025-09-15
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
5
|
5
|
—
|
—
|
$49,908.85
|
$52,404.29
|
$50,907.03
|
2025-09-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
8
|
—
|
—
|
$48,126.77
|
$67,377.48
|
$50,773.74
|
2025-09-15
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$49,665.74
|
$52,149.03
|
$50,659.05
|
2025-09-15
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$49,522.68
|
$51,998.81
|
$50,513.13
|
2025-09-15
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
3
|
3
|
—
|
—
|
$50,390.68
|
$51,872.76
|
$50,390.68
|
2025-09-15
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
5
|
5
|
—
|
—
|
$49,332.60
|
$51,799.23
|
$50,319.25
|
2025-09-15
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
5
|
5
|
—
|
—
|
$49,326.60
|
$51,792.93
|
$50,313.13
|
2025-09-15
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
5
|
5
|
—
|
—
|
$49,246.56
|
$51,708.89
|
$50,231.49
|
2025-09-15
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
5
|
5
|
—
|
—
|
$49,125.51
|
$51,581.79
|
$50,108.02
|
2025-09-15
|
|
6934
|
APR_DRG
|
Chemotherapy
|
5
|
5
|
—
|
—
|
$49,104.50
|
$51,559.73
|
$50,086.59
|
2025-09-15
|
|
51
|
APR_DRG
|
Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$49,024.46
|
$51,475.68
|
$50,004.95
|
2025-09-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
20
|
11
|
—
|
—
|
$23,627.39
|
$66,668.67
|
$50,001.50
|
2025-09-15
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$48,872.40
|
$51,316.02
|
$49,849.85
|
2025-09-15
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
5
|
5
|
—
|
—
|
$48,848.39
|
$51,290.81
|
$49,825.36
|
2025-09-15
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
5
|
5
|
—
|
—
|
$48,817.37
|
$51,258.24
|
$49,793.72
|
2025-09-15
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
5
|
5
|
—
|
—
|
$48,741.34
|
$51,178.41
|
$49,716.17
|
2025-09-15
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
5
|
5
|
—
|
—
|
$48,430.20
|
$50,851.71
|
$49,398.80
|
2025-09-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
18
|
11
|
—
|
—
|
$42,107.14
|
$66,265.05
|
$49,256.26
|
2025-09-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
20
|
11
|
—
|
—
|
$16,429.29
|
$66,873.44
|
$49,199.74
|
2025-09-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
5
|
5
|
—
|
—
|
$48,165.09
|
$50,573.34
|
$49,128.39
|
2025-09-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
20
|
11
|
—
|
—
|
$24,472.39
|
$65,412.48
|
$49,059.36
|
2025-09-15
|
|
8444
|
APR_DRG
|
Partial Thickness Burns W Or Without Skin Graft
|
5
|
5
|
—
|
—
|
$48,041.03
|
$50,443.08
|
$49,001.85
|
2025-09-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
20
|
11
|
—
|
—
|
$21,662.68
|
$65,648.73
|
$48,767.63
|
2025-09-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
20
|
11
|
—
|
—
|
$17,485.86
|
$66,116.05
|
$48,642.52
|
2025-09-15
|
|
455
|
MS_DRG
|
Other Inpatient Services: Ms-DRG
|
2
|
1
|
—
|
—
|
$48,495.59
|
$48,495.59
|
$48,495.59
|
2025-09-15
|
|
453
|
MS_DRG
|
Other Inpatient Services: Ms-DRG
|
2
|
1
|
—
|
—
|
$48,495.59
|
$48,495.59
|
$48,495.59
|
2025-09-15
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
3
|
3
|
—
|
—
|
$48,455.92
|
$49,881.09
|
$48,455.92
|
2025-09-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
20
|
11
|
—
|
—
|
$7,788.56
|
$65,726.18
|
$48,355.69
|
2025-09-15
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$47,222.67
|
$49,583.80
|
$48,167.12
|
2025-09-15
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
5
|
—
|
—
|
$47,059.60
|
$49,412.58
|
$48,000.79
|
2025-09-15
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
3
|
3
|
—
|
—
|
$47,892.63
|
$49,301.24
|
$47,892.63
|
2025-09-15
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$46,895.53
|
$49,240.31
|
$47,833.44
|
2025-09-15
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
5
|
5
|
—
|
—
|
$46,823.50
|
$49,164.68
|
$47,759.97
|
2025-09-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
15
|
11
|
—
|
—
|
$45,465.87
|
$63,652.22
|
$47,739.16
|
2025-09-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
20
|
11
|
—
|
—
|
$21,028.60
|
$68,096.39
|
$47,651.15
|
2025-09-15
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
5
|
5
|
—
|
—
|
$46,540.38
|
$48,867.40
|
$47,471.19
|
2025-09-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
20
|
11
|
—
|
—
|
$20,116.55
|
$63,758.56
|
$47,363.50
|
2025-09-15
|
|
2624
|
APR_DRG
|
Cholecystectomy Except Laparoscopic
|
5
|
5
|
—
|
—
|
$46,382.31
|
$48,701.43
|
$47,309.96
|
2025-09-15
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
18
|
12
|
—
|
—
|
$44,578.75
|
$63,366.51
|
$46,713.67
|
2025-09-15
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
5
|
5
|
—
|
—
|
$45,722.02
|
$48,008.12
|
$46,636.46
|
2025-09-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
20
|
11
|
—
|
—
|
$13,176.24
|
$65,226.81
|
$46,565.87
|
2025-09-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
20
|
11
|
—
|
—
|
$12,885.89
|
$72,574.83
|
$46,364.03
|
2025-09-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
20
|
11
|
—
|
—
|
$14,435.93
|
$62,401.29
|
$46,355.24
|
2025-09-15
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$45,430.89
|
$47,702.43
|
$46,339.51
|
2025-09-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
20
|
11
|
—
|
—
|
$43,756.31
|
$93,377.86
|
$46,316.61
|
2025-09-15
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
3
|
3
|
—
|
—
|
$46,183.38
|
$47,541.71
|
$46,183.38
|
2025-09-15
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
18
|
11
|
—
|
—
|
$43,616.01
|
$61,062.41
|
$46,014.89
|
2025-09-15
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
5
|
5
|
—
|
—
|
$45,089.74
|
$47,344.23
|
$45,991.53
|
2025-09-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
20
|
11
|
—
|
—
|
$17,802.25
|
$61,424.71
|
$45,629.78
|
2025-09-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
12
|
8
|
—
|
—
|
$43,215.64
|
$60,501.90
|
$45,592.50
|
2025-09-15
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
3
|
3
|
—
|
—
|
$45,580.29
|
$46,920.89
|
$45,580.29
|
2025-09-15
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
5
|
5
|
—
|
—
|
$44,574.52
|
$46,803.25
|
$45,466.01
|
2025-09-15
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures
|
5
|
5
|
—
|
—
|
$44,561.51
|
$46,789.59
|
$45,452.74
|
2025-09-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
15
|
11
|
—
|
—
|
$43,197.82
|
$60,476.95
|
$45,357.71
|
2025-09-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
11
|
—
|
—
|
$31,800.70
|
$67,864.06
|
$45,213.00
|
2025-09-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
20
|
11
|
—
|
—
|
$22,002.50
|
$60,274.83
|
$45,206.12
|
2025-09-15
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
5
|
5
|
—
|
—
|
$44,267.38
|
$46,480.75
|
$45,152.73
|
2025-09-15
|
|
4834
|
APR_DRG
|
Testes & Scrotal Procedures
|
3
|
3
|
—
|
—
|
$45,147.63
|
$46,475.50
|
$45,147.63
|
2025-09-15
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$44,237.37
|
$46,449.24
|
$45,122.12
|
2025-09-15
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
5
|
5
|
—
|
—
|
$44,135.32
|
$46,342.09
|
$45,018.03
|
2025-09-15
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
3
|
3
|
—
|
—
|
$44,830.26
|
$46,148.80
|
$44,830.26
|
2025-09-15
|
|
1652
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
5
|
5
|
—
|
—
|
$43,879.21
|
$46,073.17
|
$44,756.79
|
2025-09-15
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
5
|
5
|
—
|
—
|
$43,487.04
|
$45,661.39
|
$44,356.78
|
2025-09-15
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
5
|
5
|
—
|
—
|
$43,396.00
|
$45,565.80
|
$44,263.92
|
2025-09-15
|
|
5464
|
APR_DRG
|
Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses
|
5
|
5
|
—
|
—
|
$43,396.00
|
$45,565.80
|
$44,263.92
|
2025-09-15
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
5
|
5
|
—
|
—
|
$43,367.99
|
$45,536.39
|
$44,235.35
|
2025-09-15
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
5
|
5
|
—
|
—
|
$43,103.87
|
$45,259.06
|
$43,965.95
|
2025-09-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
20
|
11
|
—
|
—
|
$41,186.69
|
$93,377.86
|
$43,657.89
|
2025-09-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
20
|
11
|
—
|
—
|
$15,612.28
|
$58,704.90
|
$43,609.35
|
2025-09-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
20
|
11
|
—
|
—
|
$12,458.84
|
$59,220.78
|
$43,569.58
|
2025-09-15
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
15
|
11
|
—
|
—
|
$41,401.36
|
$57,961.90
|
$43,471.43
|
2025-09-15
|
|
0266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
18
|
11
|
—
|
—
|
$19,643.77
|
$70,616.63
|
$43,471.43
|
2025-09-15
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
5
|
5
|
—
|
—
|
$42,589.65
|
$44,719.13
|
$43,441.44
|
2025-09-15
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
5
|
5
|
—
|
—
|
$42,584.64
|
$44,713.87
|
$43,436.33
|
2025-09-15
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$42,543.63
|
$44,670.81
|
$43,394.50
|
2025-09-15
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
5
|
5
|
—
|
—
|
$42,537.62
|
$44,664.50
|
$43,388.37
|
2025-09-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
20
|
11
|
—
|
—
|
$10,798.14
|
$58,867.69
|
$43,309.80
|
2025-09-15
|
|
3094
|
APR_DRG
|
Hip & Femur Procedures For Non-trauma Except Joint Replacement
|
5
|
5
|
—
|
—
|
$42,426.57
|
$44,547.90
|
$43,275.10
|
2025-09-15
|
|
31
|
APR_DRG
|
Bone Marrow Transplant
|
5
|
5
|
—
|
—
|
$42,420.57
|
$44,541.60
|
$43,268.98
|
2025-09-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
20
|
11
|
—
|
—
|
$8,084.77
|
$67,932.62
|
$43,201.76
|
2025-09-15
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
13
|
11
|
—
|
—
|
$41,141.33
|
$57,597.86
|
$43,198.40
|
2025-09-15
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
5
|
5
|
—
|
—
|
$42,173.46
|
$44,282.13
|
$43,016.93
|
2025-09-15
|
|
1754
|
APR_DRG
|
Percutaneous Cardiovascular Procedures Without Ami
|
5
|
5
|
—
|
—
|
$42,139.45
|
$44,246.42
|
$42,982.24
|
2025-09-15
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
5
|
5
|
—
|
—
|
$42,129.44
|
$44,235.91
|
$42,972.03
|
2025-09-15
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
5
|
5
|
—
|
—
|
$42,108.44
|
$44,213.86
|
$42,950.61
|
2025-09-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
8
|
—
|
—
|
$40,485.37
|
$56,679.52
|
$42,712.07
|
2025-09-15
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
16
|
11
|
—
|
—
|
$40,568.81
|
$56,796.33
|
$42,597.25
|
2025-09-15
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
5
|
5
|
—
|
—
|
$41,679.25
|
$43,763.21
|
$42,512.84
|
2025-09-15
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$42,478.13
|
$43,727.49
|
$42,478.13
|
2025-09-15
|
|
1673
|
APR_DRG
|
Other Cardiothoracic Procedures
|
5
|
5
|
—
|
—
|
$41,600.21
|
$43,680.22
|
$42,432.21
|
2025-09-15
|
|
704
|
APR_DRG
|
Orbital Procedures
|
5
|
5
|
—
|
—
|
$41,167.02
|
$43,225.37
|
$41,990.36
|
2025-09-15
|
|
4814
|
APR_DRG
|
Penis Procedures
|
5
|
5
|
—
|
—
|
$41,161.02
|
$43,219.07
|
$41,984.24
|
2025-09-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
18
|
11
|
—
|
—
|
$39,789.85
|
$61,836.05
|
$41,932.72
|
2025-09-15
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,652.77
|
$55,513.88
|
$41,833.68
|
2025-09-15
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
5
|
5
|
—
|
—
|
$40,959.93
|
$43,007.93
|
$41,779.13
|
2025-09-15
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
5
|
5
|
—
|
—
|
$40,759.84
|
$42,797.83
|
$41,575.04
|
2025-09-15
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
—
|
—
|
$40,707.82
|
$42,743.21
|
$41,521.98
|
2025-09-15
|
|
1744
|
APR_DRG
|
Percutaneous Cardiovascular Procedures W Ami
|
5
|
5
|
—
|
—
|
$40,686.81
|
$42,721.15
|
$41,500.55
|
2025-09-15
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
5
|
5
|
—
|
—
|
$40,573.76
|
$42,602.45
|
$41,385.24
|
2025-09-15
|
|
222
|
MS_DRG
|
Other Inpatient Services: Ms-DRG
|
2
|
1
|
—
|
—
|
$41,248.66
|
$41,248.66
|
$41,248.66
|
2025-09-15
|
|
223
|
MS_DRG
|
Other Inpatient Services: Ms-DRG
|
2
|
1
|
—
|
—
|
$41,248.66
|
$41,248.66
|
$41,248.66
|
2025-09-15
|
|
5134
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma
|
5
|
5
|
—
|
—
|
$40,404.69
|
$42,424.92
|
$41,212.78
|
2025-09-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
20
|
11
|
—
|
—
|
$14,666.38
|
$55,993.01
|
$41,194.86
|
2025-09-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
15
|
11
|
—
|
—
|
$39,102.41
|
$54,743.37
|
$41,057.53
|
2025-09-15
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
5
|
5
|
—
|
—
|
$40,242.62
|
$42,254.75
|
$41,047.47
|
2025-09-15
|