|
J3391
|
HCPCS
|
Inj Atidarsagene Autotemcel
|
14
|
14
|
—
|
—
|
$4,377,500.00
|
$4,640,150.00
|
$4,505,000.00
|
2026-10-03
|
|
J1411
|
HCPCS
|
Inj Hemgenix Per Tx Dose
|
30
|
15
|
—
|
—
|
$3,672,900.00
|
$3,895,500.00
|
$3,710,000.00
|
2026-10-03
|
|
J1414
|
HCPCS
|
Inj- Beqvez- Per Tx Dose
|
15
|
14
|
—
|
—
|
$3,710,000.00
|
$3,895,500.00
|
$3,710,000.00
|
2026-10-03
|
|
C9172
|
HCPCS
|
Inj- Beqvez- Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,605,000.00
|
$3,605,000.00
|
$3,605,000.00
|
2026-09-21
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
30
|
15
|
—
|
—
|
$3,296,000.00
|
$3,487,870.59
|
$3,321,781.51
|
2026-10-03
|
|
J3394
|
HCPCS
|
Inj Lovotibeglogene Autotem
|
29
|
15
|
—
|
—
|
$3,193,000.00
|
$3,352,650.00
|
$3,248,445.72
|
2026-10-03
|
|
J3393
|
HCPCS
|
Inj Betibeglogene Autotemce
|
29
|
15
|
—
|
—
|
$2,945,740.00
|
$3,116,400.00
|
$2,968,000.00
|
2026-10-03
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
41
|
18
|
—
|
—
|
$23,921.96
|
$2,528,763.93
|
$2,403,458.75
|
2026-10-03
|
|
J3392
|
HCPCS
|
Inj Exagamglogene Autotem
|
28
|
15
|
—
|
—
|
$2,332,000.00
|
$2,448,600.00
|
$2,332,000.00
|
2026-10-03
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
15
|
15
|
—
|
—
|
$770,620.00
|
$1,864,900.40
|
$770,620.00
|
2026-10-03
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
42
|
18
|
—
|
—
|
$508,250.00
|
$1,431,977.40
|
$580,681.78
|
2026-10-03
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
36
|
18
|
—
|
—
|
$5,272.76
|
$1,369,402.86
|
$557,861.77
|
2026-10-03
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
36
|
18
|
—
|
—
|
$484,690.30
|
$1,348,709.39
|
$542,355.55
|
2026-10-03
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
36
|
18
|
—
|
—
|
$473,853.52
|
$1,361,342.42
|
$531,957.91
|
2026-10-03
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
36
|
18
|
—
|
—
|
$449,440.00
|
$1,290,417.01
|
$504,202.58
|
2026-10-03
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
36
|
18
|
—
|
—
|
$449,440.00
|
$1,184,117.16
|
$489,304.61
|
2026-10-03
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
15
|
15
|
—
|
—
|
$270,375.00
|
$673,365.00
|
$278,250.00
|
2026-10-03
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
11
|
6
|
—
|
—
|
$248,285.52
|
$290,129.60
|
$260,699.70
|
2026-10-03
|
|
J3403
|
HCPCS
|
Revakinagene Per Implant
|
14
|
14
|
—
|
—
|
$257,500.00
|
$623,150.00
|
$257,500.00
|
2026-10-03
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
32
|
16
|
—
|
—
|
$223,880.05
|
$1,193,380.83
|
$249,830.32
|
2026-10-03
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
11
|
6
|
—
|
—
|
$223,307.83
|
$260,942.37
|
$234,473.14
|
2026-10-03
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
11
|
6
|
—
|
—
|
$205,974.75
|
$240,688.11
|
$216,273.41
|
2026-10-03
|
|
612
|
MS_DRG
|
Neonate- Birth Weight <750 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$215,963.27
|
$215,963.27
|
$215,963.27
|
2026-09-21
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
14
|
14
|
—
|
—
|
$205,640.00
|
$497,648.80
|
$205,640.00
|
2026-10-03
|
|
636
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu…
|
1
|
1
|
—
|
—
|
$198,174.40
|
$198,174.40
|
$198,174.40
|
2026-09-21
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
11
|
6
|
—
|
—
|
$187,752.19
|
$219,394.46
|
$197,139.72
|
2026-10-03
|
|
24
|
APR_DRG
|
Heart /or Lung Transplant
|
11
|
6
|
—
|
—
|
$186,349.42
|
$217,755.28
|
$195,666.82
|
2026-10-03
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
11
|
6
|
—
|
—
|
$178,561.54
|
$208,654.89
|
$187,489.55
|
2026-10-03
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
4
|
2
|
—
|
—
|
$122,022.12
|
$264,055.85
|
$185,762.83
|
2026-10-03
|
|
633
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar…
|
1
|
1
|
—
|
—
|
$178,047.54
|
$178,047.54
|
$178,047.54
|
2026-09-21
|
|
631
|
MS_DRG
|
Neonate- Birth Weight 750-999 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$173,448.65
|
$173,448.65
|
$173,448.65
|
2026-09-21
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
11
|
6
|
—
|
—
|
$164,037.09
|
$191,682.60
|
$172,238.88
|
2026-10-03
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
30
|
16
|
—
|
—
|
$167,219.63
|
$322,807.37
|
$171,706.05
|
2026-10-03
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
11
|
6
|
—
|
—
|
$162,328.21
|
$189,685.72
|
$170,444.55
|
2026-10-03
|
|
14
|
APR_DRG
|
Liver Transplant /or Intestinal Transplant
|
11
|
6
|
—
|
—
|
$158,445.60
|
$185,148.77
|
$166,367.82
|
2026-10-03
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
4
|
2
|
—
|
—
|
$111,292.18
|
$234,044.76
|
$166,219.28
|
2026-10-03
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
11
|
6
|
—
|
—
|
$147,288.41
|
$172,111.23
|
$154,652.77
|
2026-10-03
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
11
|
6
|
—
|
—
|
$145,945.42
|
$170,541.91
|
$153,242.64
|
2026-10-03
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
11
|
6
|
—
|
—
|
$144,030.40
|
$168,304.15
|
$151,231.87
|
2026-10-03
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
4
|
2
|
—
|
—
|
$89,916.66
|
$211,625.04
|
$144,939.45
|
2026-10-03
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
11
|
6
|
—
|
—
|
$136,345.59
|
$159,324.20
|
$143,162.82
|
2026-10-03
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
4
|
2
|
—
|
—
|
$104,647.75
|
$189,955.29
|
$142,067.23
|
2026-10-03
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
32
|
16
|
—
|
—
|
$130,817.27
|
$750,682.39
|
$140,829.15
|
2026-10-03
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
11
|
6
|
—
|
—
|
$126,211.87
|
$147,482.62
|
$132,522.41
|
2026-10-03
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
4
|
2
|
—
|
—
|
$95,746.13
|
$178,750.18
|
$132,322.62
|
2026-10-03
|
|
23
|
APR_DRG
|
Heart /or Lung Transplant
|
11
|
6
|
—
|
—
|
$124,249.44
|
$145,189.46
|
$130,461.86
|
2026-10-03
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
32
|
16
|
—
|
—
|
$127,227.57
|
$678,179.84
|
$130,049.54
|
2026-10-03
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
11
|
6
|
—
|
—
|
$122,789.98
|
$143,484.04
|
$128,929.44
|
2026-10-03
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
5
|
3
|
—
|
—
|
$86,808.83
|
$280,409.43
|
$128,227.00
|
2026-10-03
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
11
|
6
|
—
|
—
|
$119,010.45
|
$139,067.53
|
$124,960.93
|
2026-10-03
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
11
|
6
|
—
|
—
|
$115,510.23
|
$134,977.42
|
$121,285.70
|
2026-10-03
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
4
|
2
|
—
|
—
|
$76,668.19
|
$165,472.39
|
$116,510.63
|
2026-10-03
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
11
|
6
|
—
|
—
|
$108,988.04
|
$127,356.02
|
$114,437.40
|
2026-10-03
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
11
|
6
|
—
|
—
|
$108,192.35
|
$126,426.23
|
$113,601.93
|
2026-10-03
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
11
|
6
|
—
|
—
|
$107,946.02
|
$126,138.38
|
$113,343.27
|
2026-10-03
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
11
|
6
|
—
|
—
|
$104,473.63
|
$122,080.79
|
$109,697.27
|
2026-10-03
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
11
|
6
|
—
|
—
|
$102,800.82
|
$120,126.06
|
$107,940.82
|
2026-10-03
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
11
|
6
|
—
|
—
|
$102,214.36
|
$119,440.76
|
$107,325.04
|
2026-10-03
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
6
|
—
|
—
|
$100,314.80
|
$117,221.06
|
$105,330.50
|
2026-10-03
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad Rep
|
37
|
16
|
—
|
—
|
$55,266.96
|
$264,545.40
|
$104,999.92
|
2026-10-03
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$99,961.28
|
$116,807.96
|
$104,959.30
|
2026-10-03
|
|
22
|
APR_DRG
|
Heart /or Lung Transplant
|
11
|
6
|
—
|
—
|
$99,637.64
|
$116,429.78
|
$104,619.48
|
2026-10-03
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
11
|
6
|
—
|
—
|
$99,279.99
|
$116,011.86
|
$104,243.95
|
2026-10-03
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
11
|
6
|
—
|
—
|
$98,860.50
|
$115,521.67
|
$103,803.49
|
2026-10-03
|
|
5893
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
11
|
6
|
—
|
—
|
$98,357.53
|
$114,933.92
|
$103,275.36
|
2026-10-03
|
|
8424
|
APR_DRG
|
Full Thickness Burns W Skin Graft
|
11
|
6
|
—
|
—
|
$97,969.99
|
$114,481.07
|
$102,868.45
|
2026-10-03
|
|
681
|
MS_DRG
|
Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip…
|
1
|
1
|
—
|
—
|
$102,193.50
|
$102,193.50
|
$102,193.50
|
2026-09-21
|
|
454
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Cc
|
5
|
3
|
—
|
—
|
$47,520.05
|
$193,543.71
|
$100,087.05
|
2026-10-03
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
11
|
6
|
—
|
—
|
$95,317.00
|
$111,380.97
|
$100,082.81
|
2026-10-03
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
11
|
6
|
—
|
—
|
$93,775.09
|
$109,579.20
|
$98,463.80
|
2026-10-03
|
|
13
|
APR_DRG
|
Liver Transplant /or Intestinal Transplant
|
11
|
6
|
—
|
—
|
$91,108.70
|
$106,463.44
|
$95,664.10
|
2026-10-03
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
11
|
6
|
—
|
—
|
$90,991.20
|
$106,326.13
|
$95,540.72
|
2026-10-03
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$90,935.54
|
$106,261.10
|
$95,482.28
|
2026-10-03
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
11
|
6
|
—
|
—
|
$87,438.42
|
$102,174.60
|
$91,810.30
|
2026-10-03
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
11
|
6
|
—
|
—
|
$86,649.94
|
$101,253.24
|
$90,982.40
|
2026-10-03
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
11
|
6
|
—
|
—
|
$85,340.97
|
$99,723.66
|
$89,607.98
|
2026-10-03
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
11
|
6
|
—
|
—
|
$84,168.04
|
$98,353.06
|
$88,376.41
|
2026-10-03
|
|
21
|
APR_DRG
|
Heart /or Lung Transplant
|
11
|
6
|
—
|
—
|
$84,106.20
|
$98,280.80
|
$88,311.48
|
2026-10-03
|
|
1654
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
11
|
6
|
—
|
—
|
$82,812.69
|
$96,769.28
|
$86,953.29
|
2026-10-03
|
|
455
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion Without Cc/mcc
|
5
|
3
|
—
|
—
|
$34,589.42
|
$145,739.24
|
$86,723.34
|
2026-10-03
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
11
|
6
|
—
|
—
|
$81,947.94
|
$95,758.80
|
$86,045.31
|
2026-10-03
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
32
|
16
|
—
|
—
|
$83,882.00
|
$447,128.59
|
$84,869.31
|
2026-10-03
|
|
635
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- Died
|
1
|
1
|
—
|
—
|
$84,456.81
|
$84,456.81
|
$84,456.81
|
2026-09-21
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
11
|
6
|
—
|
—
|
$79,973.14
|
$93,451.18
|
$83,971.77
|
2026-10-03
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
11
|
6
|
—
|
—
|
$79,928.82
|
$93,399.40
|
$83,925.23
|
2026-10-03
|
|
131
|
MS_DRG
|
Cranial/facial Procedures W Cc/mcc
|
2
|
1
|
—
|
—
|
$80,410.07
|
$85,099.99
|
$82,755.03
|
2026-10-03
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
11
|
6
|
—
|
—
|
$77,652.03
|
$90,738.89
|
$81,534.61
|
2026-10-03
|
|
12
|
APR_DRG
|
Liver Transplant /or Intestinal Transplant
|
11
|
6
|
—
|
—
|
$77,566.49
|
$90,638.93
|
$81,444.78
|
2026-10-03
|
|
11
|
APR_DRG
|
Liver Transplant /or Intestinal Transplant
|
11
|
6
|
—
|
—
|
$77,135.66
|
$90,135.49
|
$80,992.41
|
2026-10-03
|
|
634
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc…
|
1
|
1
|
—
|
—
|
$80,163.99
|
$80,163.99
|
$80,163.99
|
2026-09-21
|
|
7
|
MS_DRG
|
Lung Transplant
|
30
|
16
|
—
|
—
|
$77,582.24
|
$149,173.39
|
$79,347.55
|
2026-10-03
|
|
1674
|
APR_DRG
|
Other Cardiothoracic Procedures
|
11
|
6
|
—
|
—
|
$74,831.04
|
$87,442.47
|
$78,572.56
|
2026-10-03
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
6
|
—
|
—
|
$74,327.03
|
$86,853.52
|
$78,043.36
|
2026-10-03
|
|
4014
|
APR_DRG
|
Pituitary Adrenal Procedures
|
11
|
6
|
—
|
—
|
$74,119.87
|
$86,611.44
|
$77,825.83
|
2026-10-03
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
30
|
16
|
—
|
—
|
$73,635.22
|
$138,434.22
|
$77,778.15
|
2026-10-03
|
|
904
|
APR_DRG
|
Major Larynx Trachea Procedures
|
11
|
6
|
—
|
—
|
$73,635.44
|
$86,045.38
|
$77,317.19
|
2026-10-03
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
11
|
6
|
—
|
—
|
$73,463.32
|
$85,844.24
|
$77,136.46
|
2026-10-03
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
11
|
6
|
—
|
—
|
$73,330.36
|
$85,688.88
|
$76,996.85
|
2026-10-03
|
|
613
|
MS_DRG
|
Neonate- Birth Weight <750 Grams- Died
|
1
|
1
|
—
|
—
|
$76,597.81
|
$76,597.81
|
$76,597.81
|
2026-09-21
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
11
|
6
|
—
|
—
|
$72,920.15
|
$85,209.53
|
$76,566.12
|
2026-10-03
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
11
|
6
|
—
|
—
|
$72,183.20
|
$84,348.39
|
$75,792.34
|
2026-10-03
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
11
|
6
|
—
|
—
|
$70,997.91
|
$82,963.34
|
$74,547.78
|
2026-10-03
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
5
|
3
|
—
|
—
|
$39,723.35
|
$209,871.97
|
$74,030.85
|
2026-10-03
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
11
|
6
|
—
|
—
|
$69,573.50
|
$81,298.87
|
$73,052.15
|
2026-10-03
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
11
|
6
|
—
|
—
|
$69,195.24
|
$80,856.86
|
$72,654.97
|
2026-10-03
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
11
|
6
|
—
|
—
|
$68,322.25
|
$79,836.74
|
$71,738.33
|
2026-10-03
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
11
|
6
|
—
|
—
|
$67,649.21
|
$79,050.27
|
$71,031.64
|
2026-10-03
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
11
|
6
|
—
|
—
|
$67,599.73
|
$78,992.46
|
$70,979.69
|
2026-10-03
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
11
|
6
|
—
|
—
|
$67,438.95
|
$78,804.57
|
$70,810.87
|
2026-10-03
|
|
129
|
MS_DRG
|
Major Head & Neck Procedures W Cc/mcc Or Major Device
|
2
|
1
|
—
|
—
|
$68,450.07
|
$72,442.43
|
$70,446.25
|
2026-10-03
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
11
|
6
|
—
|
—
|
$66,908.14
|
$78,184.31
|
$70,253.52
|
2026-10-03
|
|
234
|
APR_DRG
|
Spinal Procedures
|
11
|
6
|
—
|
—
|
$66,228.92
|
$77,390.62
|
$69,540.34
|
2026-10-03
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
4
|
2
|
—
|
—
|
$44,173.07
|
$100,399.83
|
$69,519.90
|
2026-10-03
|
|
209
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Age 0-17
|
19
|
15
|
—
|
—
|
$3,671.32
|
$358,171.20
|
$69,351.75
|
2026-10-03
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
11
|
6
|
—
|
—
|
$66,033.09
|
$77,161.78
|
$69,334.72
|
2026-10-03
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
11
|
6
|
—
|
—
|
$65,781.60
|
$76,867.91
|
$69,070.65
|
2026-10-03
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
30
|
16
|
—
|
—
|
$65,417.87
|
$130,531.03
|
$69,060.08
|
2026-10-03
|
|
1694
|
APR_DRG
|
Major Thoracic Abdominal Vascular Procedures
|
11
|
6
|
—
|
—
|
$65,544.54
|
$76,590.90
|
$68,821.74
|
2026-10-03
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$65,281.72
|
$76,283.78
|
$68,545.78
|
2026-10-03
|
|
914
|
APR_DRG
|
Other Major Head & Neck Procedures
|
11
|
6
|
—
|
—
|
$65,179.68
|
$76,164.55
|
$68,438.64
|
2026-10-03
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
11
|
6
|
—
|
—
|
$64,912.73
|
$75,852.61
|
$68,158.34
|
2026-10-03
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
11
|
6
|
—
|
—
|
$64,587.03
|
$75,472.02
|
$67,816.36
|
2026-10-03
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
16
|
—
|
—
|
$11,834.06
|
$331,482.72
|
$67,528.31
|
2026-10-03
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
30
|
16
|
—
|
—
|
$65,871.74
|
$163,235.44
|
$67,452.66
|
2026-10-03
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
11
|
6
|
—
|
—
|
$64,207.74
|
$75,028.80
|
$67,418.10
|
2026-10-03
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
11
|
6
|
—
|
—
|
$63,782.07
|
$74,531.39
|
$66,971.14
|
2026-10-03
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
11
|
6
|
—
|
—
|
$63,738.78
|
$74,480.81
|
$66,925.69
|
2026-10-03
|
|
212
|
MS_DRG
|
Testes Procedures Age 0-17
|
38
|
16
|
—
|
—
|
$7,147.17
|
$344,725.70
|
$66,627.01
|
2026-10-03
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
11
|
6
|
—
|
—
|
$63,330.62
|
$74,003.87
|
$66,497.13
|
2026-10-03
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
11
|
6
|
—
|
—
|
$63,027.60
|
$73,649.78
|
$66,178.96
|
2026-10-03
|
|
133
|
MS_DRG
|
Other Ear- Nose- Mouth & Throat O.r. Procedures W Cc/mcc
|
2
|
1
|
—
|
—
|
$64,192.31
|
$67,936.33
|
$66,064.32
|
2026-10-03
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
11
|
6
|
—
|
—
|
$62,419.50
|
$72,939.18
|
$65,540.45
|
2026-10-03
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
4
|
2
|
—
|
—
|
$38,294.89
|
$97,985.40
|
$65,440.12
|
2026-10-03
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
11
|
6
|
—
|
—
|
$62,278.29
|
$72,774.18
|
$65,392.18
|
2026-10-03
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
11
|
6
|
—
|
—
|
$61,936.10
|
$72,374.32
|
$65,032.88
|
2026-10-03
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
11
|
6
|
—
|
—
|
$61,436.22
|
$71,790.19
|
$64,508.01
|
2026-10-03
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood & Blood-forming Organs
|
11
|
6
|
—
|
—
|
$61,367.16
|
$71,709.50
|
$64,435.50
|
2026-10-03
|
|
632
|
MS_DRG
|
Neonate- Birth Weight 750-999 Grams- Died
|
1
|
1
|
—
|
—
|
$64,378.23
|
$64,378.23
|
$64,378.23
|
2026-09-21
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
4
|
2
|
—
|
—
|
$41,450.19
|
$92,086.97
|
$64,231.09
|
2026-10-03
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
11
|
6
|
—
|
—
|
$60,984.78
|
$71,262.67
|
$64,033.99
|
2026-10-03
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
11
|
6
|
—
|
—
|
$60,507.57
|
$70,705.04
|
$63,532.92
|
2026-10-03
|
|
J9029
|
HCPCS
|
Instill Adstiladrin Tx Dose
|
48
|
18
|
—
|
—
|
$61,800.00
|
$153,288.32
|
$63,431.05
|
2026-10-03
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
30
|
16
|
—
|
—
|
$63,173.76
|
$118,766.67
|
$63,219.60
|
2026-10-03
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
33
|
16
|
—
|
—
|
$61,007.82
|
$335,261.00
|
$62,895.47
|
2026-10-03
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
11
|
6
|
—
|
—
|
$59,819.07
|
$69,900.50
|
$62,810.00
|
2026-10-03
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
11
|
6
|
—
|
—
|
$59,686.11
|
$69,745.14
|
$62,670.39
|
2026-10-03
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
11
|
6
|
—
|
—
|
$59,384.12
|
$69,392.25
|
$62,353.30
|
2026-10-03
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
11
|
6
|
—
|
—
|
$59,165.61
|
$69,136.92
|
$62,123.87
|
2026-10-03
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
11
|
6
|
—
|
—
|
$57,380.46
|
$67,050.91
|
$60,249.46
|
2026-10-03
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
11
|
6
|
—
|
—
|
$57,122.79
|
$66,749.81
|
$59,978.91
|
2026-10-03
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
16
|
—
|
—
|
$57,293.25
|
$305,398.64
|
$59,940.48
|
2026-10-03
|
|
2214
|
APR_DRG
|
Major Small Large Bowel Procedures
|
11
|
6
|
—
|
—
|
$57,048.58
|
$66,663.10
|
$59,900.99
|
2026-10-03
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
50
|
18
|
—
|
—
|
$5,915.59
|
$141,026.44
|
$57,864.93
|
2026-10-03
|
|
1653
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
11
|
6
|
—
|
—
|
$54,887.23
|
$64,137.49
|
$57,631.57
|
2026-10-03
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
11
|
6
|
—
|
—
|
$54,639.86
|
$63,848.43
|
$57,371.83
|
2026-10-03
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
11
|
6
|
—
|
—
|
$54,385.28
|
$63,550.95
|
$57,104.53
|
2026-10-03
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
11
|
6
|
—
|
—
|
$54,300.77
|
$63,452.19
|
$57,015.78
|
2026-10-03
|
|
1734
|
APR_DRG
|
Other Vascular Procedures
|
11
|
6
|
—
|
—
|
$54,154.41
|
$63,281.16
|
$56,862.11
|
2026-10-03
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab Rx
|
37
|
16
|
—
|
—
|
$40,876.50
|
$137,515.41
|
$56,824.55
|
2026-10-03
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
11
|
6
|
—
|
—
|
$54,114.21
|
$63,234.19
|
$56,819.90
|
2026-10-03
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
11
|
6
|
—
|
—
|
$54,050.31
|
$63,159.52
|
$56,752.80
|
2026-10-03
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
11
|
6
|
—
|
—
|
$53,931.78
|
$63,021.02
|
$56,628.35
|
2026-10-03
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
11
|
6
|
—
|
—
|
$53,922.50
|
$63,010.18
|
$56,618.61
|
2026-10-03
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
11
|
6
|
—
|
—
|
$53,852.42
|
$62,928.28
|
$56,545.02
|
2026-10-03
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
11
|
6
|
—
|
—
|
$53,506.11
|
$62,523.60
|
$56,181.39
|
2026-10-03
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
11
|
6
|
—
|
—
|
$53,492.71
|
$62,507.94
|
$56,167.32
|
2026-10-03
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$53,383.45
|
$62,380.28
|
$56,052.61
|
2026-10-03
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
11
|
6
|
—
|
—
|
$53,193.81
|
$62,158.67
|
$55,853.48
|
2026-10-03
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
48
|
18
|
—
|
—
|
$52,361.56
|
$133,759.01
|
$55,272.32
|
2026-10-03
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
37
|
15
|
—
|
—
|
$49,513.53
|
$263,929.28
|
$55,202.98
|
2026-10-03
|
|
92928/C9600
|
OTHER
|
Perc Des Sgl Art Lc
|
12
|
11
|
$55,174.00
|
$33,104.40
40% off
|
$19,608.84
|
$55,174.00
|
$55,174.00
|
2026-09-21
|
|
6504
|
APR_DRG
|
Splenectomy
|
11
|
6
|
—
|
—
|
$52,384.72
|
$61,213.22
|
$55,003.93
|
2026-10-03
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
11
|
6
|
—
|
—
|
$52,361.01
|
$61,185.52
|
$54,979.04
|
2026-10-03
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
11
|
6
|
—
|
—
|
$52,126.01
|
$60,910.92
|
$54,732.30
|
2026-10-03
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
37
|
15
|
—
|
—
|
$46,234.00
|
$291,500.63
|
$54,649.61
|
2026-10-03
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
11
|
6
|
—
|
—
|
$51,886.90
|
$60,631.50
|
$54,481.22
|
2026-10-03
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
11
|
6
|
—
|
—
|
$51,782.80
|
$60,509.86
|
$54,371.92
|
2026-10-03
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
11
|
6
|
—
|
—
|
$51,613.76
|
$60,312.34
|
$54,194.43
|
2026-10-03
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
11
|
6
|
—
|
—
|
$51,548.83
|
$60,236.46
|
$54,126.25
|
2026-10-03
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
11
|
6
|
—
|
—
|
$51,417.93
|
$60,083.50
|
$53,988.81
|
2026-10-03
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
11
|
6
|
—
|
—
|
$51,167.48
|
$59,790.84
|
$53,725.83
|
2026-10-03
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$51,020.09
|
$59,618.61
|
$53,571.07
|
2026-10-03
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
11
|
6
|
—
|
—
|
$50,896.40
|
$59,474.08
|
$53,441.20
|
2026-10-03
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
11
|
6
|
—
|
—
|
$50,824.26
|
$59,389.77
|
$53,365.45
|
2026-10-03
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
11
|
6
|
—
|
—
|
$50,818.07
|
$59,382.55
|
$53,358.96
|
2026-10-03
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
11
|
6
|
—
|
—
|
$50,735.62
|
$59,286.20
|
$53,272.38
|
2026-10-03
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
11
|
6
|
—
|
—
|
$50,610.90
|
$59,140.46
|
$53,141.43
|
2026-10-03
|
|
6934
|
APR_DRG
|
Chemotherapy
|
11
|
6
|
—
|
—
|
$50,589.26
|
$59,115.17
|
$53,118.70
|
2026-10-03
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
11
|
6
|
—
|
—
|
$50,506.80
|
$59,018.82
|
$53,032.12
|
2026-10-03
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
5
|
3
|
—
|
—
|
$28,090.22
|
$115,750.30
|
$53,029.54
|
2026-10-03
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
11
|
6
|
—
|
—
|
$50,350.14
|
$58,835.75
|
$52,867.63
|
2026-10-03
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
11
|
6
|
—
|
—
|
$50,325.40
|
$58,806.85
|
$52,841.65
|
2026-10-03
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
11
|
6
|
—
|
—
|
$50,293.45
|
$58,769.51
|
$52,808.10
|
2026-10-03
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
11
|
6
|
—
|
—
|
$50,215.12
|
$58,677.98
|
$52,725.86
|
2026-10-03
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
4
|
2
|
—
|
—
|
$28,627.02
|
$80,948.31
|
$52,557.10
|
2026-10-03
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
11
|
6
|
—
|
—
|
$49,894.58
|
$58,303.41
|
$52,389.28
|
2026-10-03
|
|
361
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
1
|
1
|
—
|
—
|
$52,153.99
|
$52,153.99
|
$52,153.99
|
2026-09-21
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
11
|
6
|
—
|
—
|
$49,621.44
|
$57,984.25
|
$52,102.50
|
2026-10-03
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
11
|
6
|
—
|
—
|
$49,493.64
|
$57,834.90
|
$51,968.30
|
2026-10-03
|
|
647
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…
|
1
|
1
|
—
|
—
|
$51,778.60
|
$51,778.60
|
$51,778.60
|
2026-09-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
38
|
16
|
—
|
—
|
$50,304.86
|
$268,147.41
|
$51,651.08
|
2026-10-03
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
38
|
16
|
—
|
—
|
$47,667.25
|
$267,998.69
|
$51,488.72
|
2026-10-03
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
11
|
6
|
—
|
—
|
$48,942.22
|
$57,190.55
|
$51,389.31
|
2026-10-03
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
11
|
6
|
—
|
—
|
$48,650.54
|
$56,849.71
|
$51,083.04
|
2026-10-03
|
|
3031
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
11
|
6
|
—
|
—
|
$48,482.53
|
$56,653.40
|
$50,906.64
|
2026-10-03
|
|
6344
|
APR_DRG
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
11
|
6
|
—
|
—
|
$48,373.28
|
$56,525.73
|
$50,791.93
|
2026-10-03
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
11
|
6
|
—
|
—
|
$48,313.50
|
$56,455.88
|
$50,729.16
|
2026-10-03
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
11
|
6
|
—
|
—
|
$48,239.29
|
$56,369.16
|
$50,651.24
|
2026-10-03
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
11
|
6
|
—
|
—
|
$47,947.61
|
$56,028.32
|
$50,344.97
|
2026-10-03
|
|
2624
|
APR_DRG
|
Cholecystectomy Except Laparoscopic
|
11
|
6
|
—
|
—
|
$47,784.76
|
$55,838.02
|
$50,173.98
|
2026-10-03
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
11
|
6
|
—
|
—
|
$47,104.50
|
$55,043.12
|
$49,459.71
|
2026-10-03
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
11
|
6
|
—
|
—
|
$46,804.57
|
$54,692.65
|
$49,144.78
|
2026-10-03
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
11
|
6
|
—
|
—
|
$46,646.88
|
$54,508.37
|
$48,979.20
|
2026-10-03
|
|
132
|
MS_DRG
|
Cranial/facial Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$47,526.05
|
$50,298.01
|
$48,912.03
|
2026-10-03
|
|
1764
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
11
|
6
|
—
|
—
|
$46,453.11
|
$54,281.95
|
$48,775.75
|
2026-10-03
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
37
|
16
|
—
|
—
|
$28,299.22
|
$117,691.35
|
$48,632.79
|
2026-10-03
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
11
|
6
|
—
|
—
|
$46,037.74
|
$53,796.58
|
$48,339.61
|
2026-10-03
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
11
|
6
|
—
|
—
|
$45,922.30
|
$53,661.69
|
$48,218.40
|
2026-10-03
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
38
|
16
|
—
|
—
|
$47,854.30
|
$255,084.80
|
$48,213.15
|
2026-10-03
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
11
|
6
|
—
|
—
|
$45,908.90
|
$53,646.03
|
$48,204.33
|
2026-10-03
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
11
|
6
|
—
|
—
|
$45,605.88
|
$53,291.94
|
$47,886.16
|
2026-10-03
|
|
4834
|
APR_DRG
|
Testes Scrotal Procedures
|
11
|
6
|
—
|
—
|
$45,600.73
|
$53,285.92
|
$47,880.75
|
2026-10-03
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures W Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$45,574.96
|
$53,255.81
|
$47,853.69
|
2026-10-03
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
11
|
6
|
—
|
—
|
$45,469.83
|
$53,132.96
|
$47,743.31
|
2026-10-03
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
11
|
6
|
—
|
—
|
$45,280.19
|
$52,911.35
|
$47,544.18
|
2026-10-03
|
|
1652
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
11
|
6
|
—
|
—
|
$45,205.98
|
$52,824.63
|
$47,466.26
|
2026-10-03
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
30
|
16
|
—
|
—
|
$41,612.75
|
$82,656.91
|
$47,331.30
|
2026-10-03
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
32
|
16
|
—
|
—
|
$43,714.61
|
$250,850.85
|
$47,060.00
|
2026-10-03
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
16
|
—
|
—
|
$45,933.26
|
$244,844.83
|
$47,045.93
|
2026-10-03
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
11
|
6
|
—
|
—
|
$44,801.95
|
$52,352.51
|
$47,042.03
|
2026-10-03
|
|
5464
|
APR_DRG
|
Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses
|
11
|
6
|
—
|
—
|
$44,708.15
|
$52,242.91
|
$46,943.54
|
2026-10-03
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
11
|
6
|
—
|
—
|
$44,708.15
|
$52,242.91
|
$46,943.54
|
2026-10-03
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
11
|
6
|
—
|
—
|
$44,679.29
|
$52,209.19
|
$46,913.24
|
2026-10-03
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
38
|
16
|
—
|
—
|
$46,401.65
|
$247,341.54
|
$46,843.13
|
2026-10-03
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
38
|
16
|
—
|
—
|
$44,310.83
|
$236,196.55
|
$46,688.11
|
2026-10-03
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
11
|
6
|
—
|
—
|
$44,407.19
|
$51,891.23
|
$46,627.53
|
2026-10-03
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
4
|
2
|
—
|
—
|
$32,326.42
|
$64,385.88
|
$46,581.97
|
2026-10-03
|
|
646
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without…
|
1
|
1
|
—
|
—
|
$46,435.16
|
$46,435.16
|
$46,435.16
|
2026-09-21
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
11
|
6
|
—
|
—
|
$43,877.42
|
$51,272.17
|
$46,071.27
|
2026-10-03
|
|
1663
|
APR_DRG
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
11
|
6
|
—
|
—
|
$43,872.27
|
$51,266.15
|
$46,065.86
|
2026-10-03
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
11
|
6
|
—
|
—
|
$43,830.01
|
$51,216.77
|
$46,021.49
|
2026-10-03
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
11
|
6
|
—
|
—
|
$43,823.82
|
$51,209.54
|
$46,015.00
|
2026-10-03
|
|
3094
|
APR_DRG
|
Other Significant Hip & Femur Surgery
|
11
|
6
|
—
|
—
|
$43,709.42
|
$51,075.86
|
$45,894.87
|
2026-10-03
|
|
31
|
APR_DRG
|
Bone Marrow Transplant
|
11
|
6
|
—
|
—
|
$43,703.23
|
$51,068.63
|
$45,888.38
|
2026-10-03
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
11
|
6
|
—
|
—
|
$43,448.65
|
$50,771.14
|
$45,621.07
|
2026-10-03
|
|
1754
|
APR_DRG
|
Percutaneous Coronary Intervention Without Ami
|
11
|
6
|
—
|
—
|
$43,413.61
|
$50,730.20
|
$45,584.27
|
2026-10-03
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
11
|
6
|
—
|
—
|
$43,403.30
|
$50,718.15
|
$45,573.45
|
2026-10-03
|
|
1632
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$43,381.66
|
$50,692.86
|
$45,550.72
|
2026-10-03
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
48
|
18
|
—
|
—
|
$26,366.35
|
$108,949.97
|
$45,141.23
|
2026-10-03
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
11
|
6
|
—
|
—
|
$42,939.49
|
$50,176.18
|
$45,086.45
|
2026-10-03
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
6
|
—
|
—
|
$42,904.45
|
$50,135.23
|
$45,049.66
|
2026-10-03
|
|
1673
|
APR_DRG
|
Other Cardiothoracic Procedures
|
11
|
6
|
—
|
—
|
$42,858.07
|
$50,081.03
|
$45,000.96
|
2026-10-03
|
|
704
|
APR_DRG
|
Orbital Procedures
|
11
|
6
|
—
|
—
|
$42,411.78
|
$49,559.53
|
$44,532.35
|
2026-10-03
|
|
4814
|
APR_DRG
|
Penis Procedures
|
11
|
6
|
—
|
—
|
$42,405.60
|
$49,552.30
|
$44,525.86
|
2026-10-03
|
|
130
|
MS_DRG
|
Major Head & Neck Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$43,223.44
|
$45,744.45
|
$44,483.94
|
2026-10-03
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
11
|
6
|
—
|
—
|
$42,198.43
|
$49,310.22
|
$44,308.33
|
2026-10-03
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
16
|
—
|
—
|
$11,390.92
|
$224,757.27
|
$44,229.29
|
2026-10-03
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
11
|
6
|
—
|
—
|
$41,992.29
|
$49,069.34
|
$44,091.89
|
2026-10-03
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
11
|
6
|
—
|
—
|
$41,938.69
|
$49,006.71
|
$44,035.61
|
2026-10-03
|
|
0266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
36
|
15
|
—
|
—
|
$19,126.05
|
$107,304.87
|
$44,028.55
|
2026-10-03
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
30
|
15
|
—
|
—
|
$5,949.90
|
$107,304.87
|
$44,028.55
|
2026-10-03
|
|
1744
|
APR_DRG
|
Percutaneous Coronary Intervention W Ami
|
11
|
6
|
—
|
—
|
$41,917.05
|
$48,981.42
|
$44,012.89
|
2026-10-03
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
11
|
6
|
—
|
—
|
$41,800.58
|
$48,845.32
|
$43,890.60
|
2026-10-03
|
|
5134
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma
|
11
|
6
|
—
|
—
|
$41,626.40
|
$48,641.78
|
$43,707.70
|
2026-10-03
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
38
|
16
|
—
|
—
|
$40,599.52
|
$223,627.58
|
$43,688.88
|
2026-10-03
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
11
|
6
|
—
|
—
|
$41,459.42
|
$48,446.67
|
$43,532.38
|
2026-10-03
|
|
1611
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
11
|
6
|
—
|
—
|
$41,328.53
|
$48,293.71
|
$43,394.94
|
2026-10-03
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
11
|
6
|
—
|
—
|
$41,217.21
|
$48,163.64
|
$43,278.06
|
2026-10-03
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
11
|
6
|
—
|
—
|
$40,984.28
|
$47,891.44
|
$43,033.48
|
2026-10-03
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
11
|
6
|
—
|
—
|
$40,946.14
|
$47,846.88
|
$42,993.43
|
2026-10-03
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
16
|
—
|
—
|
$36,910.28
|
$211,346.58
|
$42,789.72
|
2026-10-03
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
11
|
6
|
—
|
—
|
$40,642.09
|
$47,491.59
|
$42,674.18
|
2026-10-03
|
|
0316T
|
CPT
|
Replc Vagus Nerve Pls Gen
|
4
|
2
|
—
|
—
|
$18,072.00
|
$42,643.90
|
$42,643.90
|
2026-10-03
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
4
|
2
|
—
|
—
|
$27,561.39
|
$60,648.74
|
$42,433.86
|
2026-10-03
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
11
|
6
|
—
|
—
|
$40,378.23
|
$47,183.26
|
$42,397.13
|
2026-10-03
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
38
|
16
|
—
|
—
|
$41,296.90
|
$220,130.93
|
$42,349.49
|
2026-10-03
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
16
|
—
|
—
|
$12,968.01
|
$210,989.00
|
$42,141.78
|
2026-10-03
|
|
6234
|
APR_DRG
|
Neonate Bwt 2000-2499g W Congenital/perinatal Infection
|
11
|
6
|
—
|
—
|
$40,125.71
|
$46,888.19
|
$42,131.98
|
2026-10-03
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedure Only
|
11
|
6
|
—
|
—
|
$40,020.58
|
$46,765.34
|
$42,021.60
|
2026-10-03
|
|
8423
|
APR_DRG
|
Full Thickness Burns W Skin Graft
|
11
|
6
|
—
|
—
|
$39,906.18
|
$46,631.65
|
$41,901.47
|
2026-10-03
|
|
6092
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
11
|
6
|
—
|
—
|
$39,813.42
|
$46,523.25
|
$41,804.07
|
2026-10-03
|
|
1651
|
APR_DRG
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
11
|
6
|
—
|
—
|
$39,623.77
|
$46,301.65
|
$41,604.94
|
2026-10-03
|
|
3624
|
APR_DRG
|
Mastectomy Procedures
|
11
|
6
|
—
|
—
|
$39,431.03
|
$46,076.42
|
$41,402.57
|
2026-10-03
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
38
|
16
|
—
|
—
|
$40,535.84
|
$216,074.18
|
$41,242.32
|
2026-10-03
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
11
|
6
|
—
|
—
|
$39,269.21
|
$45,887.34
|
$41,232.66
|
2026-10-03
|
|
1631
|
APR_DRG
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
11
|
6
|
—
|
—
|
$39,245.51
|
$45,859.63
|
$41,207.77
|
2026-10-03
|
|
317
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
38
|
16
|
—
|
—
|
$36,725.24
|
$195,761.95
|
$40,969.05
|
2026-10-03
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
37
|
15
|
—
|
—
|
$39,802.10
|
$212,162.99
|
$40,939.02
|
2026-10-03
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis W O.r. Procedure
|
11
|
6
|
—
|
—
|
$38,913.63
|
$45,471.82
|
$40,859.29
|
2026-10-03
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
4
|
2
|
—
|
—
|
$30,119.14
|
$54,304.13
|
$40,715.26
|
2026-10-03
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
11
|
6
|
—
|
—
|
$38,754.90
|
$45,286.34
|
$40,692.63
|
2026-10-03
|
|
213
|
APR_DRG
|
Craniotomy Except For Trauma
|
11
|
6
|
—
|
—
|
$38,648.74
|
$45,162.29
|
$40,581.16
|
2026-10-03
|
|
6313
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
11
|
6
|
—
|
—
|
$38,630.19
|
$45,140.61
|
$40,561.68
|
2026-10-03
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
11
|
6
|
—
|
—
|
$38,409.62
|
$44,882.87
|
$40,330.09
|
2026-10-03
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
16
|
—
|
—
|
$35,317.71
|
$188,259.17
|
$40,287.71
|
2026-10-03
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
16
|
—
|
—
|
$38,336.98
|
$204,353.27
|
$40,287.71
|
2026-10-03
|
|
233
|
APR_DRG
|
Spinal Procedures
|
11
|
6
|
—
|
—
|
$38,270.48
|
$44,720.28
|
$40,183.99
|
2026-10-03
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
38
|
16
|
—
|
—
|
$36,557.83
|
$194,869.59
|
$40,141.27
|
2026-10-03
|
|
2634
|
APR_DRG
|
Laparoscopic Cholecystectomy
|
11
|
6
|
—
|
—
|
$37,853.05
|
$44,232.50
|
$39,745.69
|
2026-10-03
|
|
4844
|
APR_DRG
|
Other Male Reproductive System & Related Procedures
|
11
|
6
|
—
|
—
|
$37,675.77
|
$44,025.35
|
$39,559.54
|
2026-10-03
|