|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
7
|
6
|
—
|
—
|
$4,250,000.00
|
$4,955,500.00
|
$4,505,000.00
|
2026-09-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
9
|
7
|
—
|
—
|
$3,500,000.00
|
$4,164,351.34
|
$3,728,364.50
|
2026-09-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
11
|
9
|
—
|
—
|
$3,151,052.27
|
$4,975,345.69
|
$3,482,741.98
|
2026-09-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
11
|
9
|
—
|
—
|
$3,121,493.56
|
$4,928,674.05
|
$3,450,071.84
|
2026-09-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
11
|
9
|
—
|
—
|
$3,073,538.78
|
$4,852,955.97
|
$3,397,069.18
|
2026-09-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
11
|
9
|
—
|
—
|
$3,000,000.00
|
$4,770,000.00
|
$3,339,000.00
|
2026-09-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
12
|
10
|
—
|
—
|
$2,783,747.33
|
$4,688,416.55
|
$3,150,029.87
|
2026-09-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
12
|
10
|
—
|
—
|
$2,546,035.51
|
$4,288,059.81
|
$2,869,794.02
|
2026-09-01
|
|
J3405
|
HCPCS
|
Inj Onase Abepar-brve Treat
|
10
|
9
|
—
|
—
|
$2,531,017.16
|
$4,262,765.75
|
$2,744,155.45
|
2026-09-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
12
|
10
|
—
|
—
|
$2,185,861.33
|
$3,681,450.67
|
$2,473,474.67
|
2026-09-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
12
|
10
|
—
|
—
|
$773,269.01
|
$1,302,347.80
|
$875,014.93
|
2026-09-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
10
|
9
|
—
|
—
|
$581,108.51
|
$978,709.07
|
$735,835.81
|
2026-09-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
12
|
10
|
—
|
—
|
$558,578.87
|
$940,764.41
|
$632,076.08
|
2026-09-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
12
|
10
|
—
|
—
|
$550,592.08
|
$927,312.98
|
$623,038.41
|
2026-09-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
12
|
10
|
—
|
—
|
$539,578.89
|
$908,764.45
|
$610,576.11
|
2026-09-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
12
|
10
|
—
|
—
|
$534,375.85
|
$900,001.43
|
$604,688.46
|
2026-09-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
12
|
10
|
—
|
—
|
$484,598.72
|
$816,166.27
|
$548,361.71
|
2026-09-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
23
|
14
|
—
|
—
|
$329,112.67
|
$694,621.53
|
$463,081.02
|
2026-09-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
21
|
14
|
—
|
—
|
$204,807.86
|
$487,962.03
|
$325,308.02
|
2026-09-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
12
|
10
|
—
|
—
|
$262,500.00
|
$445,200.00
|
$299,118.75
|
2026-09-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
12
|
10
|
—
|
—
|
$248,500.67
|
$418,527.44
|
$281,198.12
|
2026-09-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
23
|
14
|
—
|
—
|
$99,668.88
|
$396,984.34
|
$264,656.23
|
2026-09-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
23
|
14
|
—
|
—
|
$155,150.55
|
$395,276.14
|
$263,517.43
|
2026-09-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
12
|
10
|
—
|
—
|
$193,476.77
|
$325,855.62
|
$218,934.24
|
2026-09-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
26
|
14
|
—
|
—
|
$99,093.64
|
$294,750.00
|
$196,500.00
|
2026-09-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
21
|
14
|
—
|
—
|
$108,449.83
|
$282,464.06
|
$188,309.37
|
2026-09-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
14
|
—
|
—
|
$85,977.91
|
$269,754.12
|
$179,836.08
|
2026-09-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
21
|
14
|
—
|
—
|
$80,251.44
|
$260,400.58
|
$173,600.39
|
2026-09-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
23
|
14
|
—
|
—
|
$83,987.65
|
$260,223.36
|
$173,482.24
|
2026-09-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
14
|
—
|
—
|
$72,340.00
|
$256,166.22
|
$170,777.48
|
2026-09-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
23
|
14
|
—
|
—
|
$83,443.59
|
$254,160.82
|
$169,440.55
|
2026-09-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
21
|
14
|
—
|
—
|
$76,387.61
|
$246,477.33
|
$164,318.22
|
2026-09-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
23
|
14
|
—
|
—
|
$73,962.69
|
$241,658.10
|
$161,105.40
|
2026-09-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
14
|
—
|
—
|
$72,071.61
|
$239,283.26
|
$159,522.17
|
2026-09-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
23
|
14
|
—
|
—
|
$64,479.60
|
$228,742.32
|
$152,494.88
|
2026-09-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
23
|
14
|
—
|
—
|
$61,316.63
|
$223,969.44
|
$149,312.96
|
2026-09-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
1
|
—
|
—
|
$148,326.41
|
$148,326.41
|
$148,326.41
|
2026-09-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
23
|
14
|
—
|
—
|
$63,995.35
|
$220,839.33
|
$147,226.22
|
2026-09-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
23
|
14
|
—
|
—
|
$55,580.68
|
$220,478.06
|
$146,985.37
|
2026-09-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
23
|
14
|
—
|
—
|
$58,047.90
|
$213,189.92
|
$142,126.61
|
2026-09-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
14
|
—
|
—
|
$55,721.44
|
$210,592.86
|
$140,395.24
|
2026-09-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
23
|
14
|
—
|
—
|
$58,457.77
|
$210,141.62
|
$140,094.41
|
2026-09-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
23
|
14
|
—
|
—
|
$55,063.61
|
$209,796.69
|
$139,864.46
|
2026-09-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
10
|
9
|
—
|
—
|
$105,927.48
|
$178,404.18
|
$139,378.26
|
2026-09-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
14
|
—
|
—
|
$48,879.87
|
$204,325.82
|
$136,217.21
|
2026-09-01
|
|
10
|
MS_DRG
|
Pancreas Or Islet Cell Transplant
|
21
|
14
|
—
|
—
|
$54,863.05
|
$203,740.96
|
$135,827.31
|
2026-09-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
23
|
14
|
—
|
—
|
$45,834.92
|
$203,700.08
|
$135,800.05
|
2026-09-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis
|
21
|
14
|
—
|
—
|
$55,033.71
|
$203,180.66
|
$135,453.77
|
2026-09-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
23
|
14
|
—
|
—
|
$52,196.73
|
$203,123.40
|
$135,415.60
|
2026-09-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
14
|
—
|
—
|
$50,636.76
|
$200,143.24
|
$133,428.83
|
2026-09-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
23
|
14
|
—
|
—
|
$52,259.45
|
$199,681.10
|
$133,120.73
|
2026-09-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
23
|
14
|
—
|
—
|
$47,591.93
|
$197,679.80
|
$131,786.53
|
2026-09-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
23
|
14
|
—
|
—
|
$51,700.08
|
$197,071.77
|
$131,381.18
|
2026-09-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc
|
23
|
14
|
—
|
—
|
$50,800.12
|
$197,004.96
|
$131,336.64
|
2026-09-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
14
|
—
|
—
|
$49,630.32
|
$195,555.78
|
$130,370.52
|
2026-09-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
14
|
—
|
—
|
$49,630.32
|
$195,555.78
|
$130,370.52
|
2026-09-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
23
|
14
|
—
|
—
|
$46,344.83
|
$195,229.96
|
$130,153.31
|
2026-09-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
15
|
—
|
—
|
$46,656.24
|
$193,639.00
|
$129,092.67
|
2026-09-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
23
|
14
|
—
|
—
|
$43,301.46
|
$189,463.24
|
$126,308.83
|
2026-09-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$52,322.90
|
$189,366.46
|
$126,244.31
|
2026-09-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
23
|
14
|
—
|
—
|
$45,416.43
|
$188,566.22
|
$125,710.81
|
2026-09-01
|
|
J3404
|
HCPCS
|
Inj Zopapogene Per Ther Dose
|
10
|
9
|
—
|
—
|
$115,000.00
|
$195,040.00
|
$125,557.00
|
2026-09-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
23
|
14
|
—
|
—
|
$35,427.25
|
$187,825.95
|
$125,217.30
|
2026-09-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
23
|
14
|
—
|
—
|
$45,232.64
|
$187,802.76
|
$125,201.84
|
2026-09-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
23
|
14
|
—
|
—
|
$39,140.07
|
$187,209.74
|
$124,806.49
|
2026-09-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
23
|
14
|
—
|
—
|
$36,457.72
|
$186,942.52
|
$124,628.35
|
2026-09-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
21
|
14
|
—
|
—
|
$43,857.18
|
$186,754.40
|
$124,502.93
|
2026-09-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
23
|
14
|
—
|
—
|
$42,682.28
|
$185,921.43
|
$123,947.62
|
2026-09-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$45,547.70
|
$185,869.62
|
$123,913.08
|
2026-09-01
|
|
523
|
MS_DRG
|
Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc
|
3
|
2
|
—
|
—
|
$100,193.42
|
$132,313.57
|
$123,644.70
|
2026-09-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
23
|
14
|
—
|
—
|
$42,985.67
|
$184,537.70
|
$123,025.13
|
2026-09-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
23
|
14
|
—
|
—
|
$41,877.86
|
$184,036.00
|
$122,690.67
|
2026-09-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
23
|
14
|
—
|
—
|
$42,645.82
|
$183,716.98
|
$122,477.99
|
2026-09-01
|
|
463
|
MS_DRG
|
Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T…
|
24
|
14
|
—
|
—
|
$37,410.17
|
$183,616.11
|
$122,410.74
|
2026-09-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
23
|
14
|
—
|
—
|
$43,174.56
|
$182,559.56
|
$121,706.37
|
2026-09-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant
|
21
|
14
|
—
|
—
|
$40,200.47
|
$182,322.34
|
$121,548.23
|
2026-09-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
23
|
14
|
—
|
—
|
$46,296.69
|
$181,798.84
|
$121,199.23
|
2026-09-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
23
|
14
|
—
|
—
|
$36,251.32
|
$181,209.90
|
$120,806.60
|
2026-09-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
23
|
14
|
—
|
—
|
$40,167.66
|
$180,758.66
|
$120,505.77
|
2026-09-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
23
|
14
|
—
|
—
|
$34,540.88
|
$180,494.18
|
$120,329.45
|
2026-09-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
23
|
14
|
—
|
—
|
$40,141.40
|
$180,387.84
|
$120,258.56
|
2026-09-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
23
|
14
|
—
|
—
|
$40,934.88
|
$180,270.60
|
$120,180.40
|
2026-09-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
21
|
14
|
—
|
—
|
$35,656.21
|
$179,973.40
|
$119,982.27
|
2026-09-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
14
|
—
|
—
|
$40,156.72
|
$178,616.92
|
$119,077.95
|
2026-09-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc
|
23
|
14
|
—
|
—
|
$38,170.83
|
$178,573.30
|
$119,048.87
|
2026-09-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
23
|
14
|
—
|
—
|
$39,894.90
|
$178,085.25
|
$118,723.50
|
2026-09-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
23
|
14
|
—
|
—
|
$38,408.58
|
$177,846.68
|
$118,564.45
|
2026-09-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
20
|
14
|
—
|
—
|
$40,496.13
|
$176,880.10
|
$117,920.07
|
2026-09-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
23
|
14
|
—
|
—
|
$38,027.89
|
$176,757.40
|
$117,838.27
|
2026-09-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
14
|
—
|
—
|
$34,374.83
|
$174,627.94
|
$116,418.63
|
2026-09-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
26
|
15
|
—
|
—
|
$5,342.21
|
$173,908.14
|
$115,938.76
|
2026-09-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
23
|
14
|
—
|
—
|
$36,217.04
|
$173,362.82
|
$115,575.21
|
2026-09-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$781.00
|
$173,242.84
|
$115,495.23
|
2026-09-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
23
|
14
|
—
|
—
|
$36,473.02
|
$173,012.46
|
$115,341.64
|
2026-09-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
23
|
14
|
—
|
—
|
$28,324.87
|
$172,732.98
|
$115,155.32
|
2026-09-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
23
|
14
|
—
|
—
|
$35,998.98
|
$171,744.60
|
$114,496.40
|
2026-09-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
23
|
14
|
—
|
—
|
$34,352.95
|
$171,411.94
|
$114,274.63
|
2026-09-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
23
|
14
|
—
|
—
|
$34,430.98
|
$170,818.92
|
$113,879.28
|
2026-09-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
23
|
14
|
—
|
—
|
$34,219.49
|
$170,009.13
|
$113,339.42
|
2026-09-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
23
|
14
|
—
|
—
|
$34,595.07
|
$169,878.26
|
$113,252.17
|
2026-09-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
23
|
14
|
—
|
—
|
$34,685.51
|
$169,687.40
|
$113,124.93
|
2026-09-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
21
|
14
|
—
|
—
|
$33,369.12
|
$169,131.16
|
$112,754.11
|
2026-09-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
23
|
14
|
—
|
—
|
$34,211.46
|
$168,878.97
|
$112,585.98
|
2026-09-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
29
|
16
|
—
|
—
|
$2,158.80
|
$236,829.22
|
$112,386.03
|
2026-09-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
23
|
14
|
—
|
—
|
$33,584.99
|
$168,419.54
|
$112,279.69
|
2026-09-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
23
|
14
|
—
|
—
|
$33,884.74
|
$168,114.16
|
$112,076.11
|
2026-09-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$3,016.00
|
$167,927.38
|
$111,951.59
|
2026-09-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
23
|
14
|
—
|
—
|
$33,630.21
|
$167,900.12
|
$111,933.41
|
2026-09-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
23
|
14
|
—
|
—
|
$35,340.42
|
$167,657.46
|
$111,771.64
|
2026-09-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
23
|
14
|
—
|
—
|
$32,733.90
|
$167,015.36
|
$111,343.57
|
2026-09-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
23
|
14
|
—
|
—
|
$31,065.99
|
$166,997.62
|
$111,331.75
|
2026-09-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
23
|
14
|
—
|
—
|
$31,114.86
|
$166,757.68
|
$111,171.79
|
2026-09-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$31,637.03
|
$165,802.02
|
$110,534.68
|
2026-09-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
23
|
14
|
—
|
—
|
$32,347.37
|
$164,910.44
|
$109,940.29
|
2026-09-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O…
|
23
|
14
|
—
|
—
|
$30,728.33
|
$164,440.10
|
$109,626.73
|
2026-09-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
23
|
14
|
—
|
—
|
$31,432.10
|
$164,063.84
|
$109,375.89
|
2026-09-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
23
|
14
|
—
|
—
|
$31,722.36
|
$163,729.83
|
$109,153.22
|
2026-09-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
23
|
14
|
—
|
—
|
$31,058.70
|
$163,489.89
|
$108,993.26
|
2026-09-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
23
|
14
|
—
|
—
|
$31,936.78
|
$163,391.73
|
$108,927.82
|
2026-09-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
23
|
14
|
—
|
—
|
$29,718.98
|
$163,363.10
|
$108,908.73
|
2026-09-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
24
|
14
|
—
|
—
|
$3,650.00
|
$163,195.41
|
$108,796.94
|
2026-09-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
23
|
14
|
—
|
—
|
$32,628.88
|
$163,127.25
|
$108,751.50
|
2026-09-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
23
|
14
|
—
|
—
|
$31,634.85
|
$163,020.92
|
$108,680.61
|
2026-09-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
23
|
14
|
—
|
—
|
$29,442.57
|
$162,800.06
|
$108,533.37
|
2026-09-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
25
|
15
|
—
|
—
|
$3,602.47
|
$162,759.16
|
$108,506.11
|
2026-09-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$30,386.28
|
$162,532.86
|
$108,355.24
|
2026-09-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
23
|
14
|
—
|
—
|
$31,348.23
|
$162,157.95
|
$108,105.30
|
2026-09-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
24
|
14
|
—
|
—
|
$960.19
|
$161,251.36
|
$107,500.91
|
2026-09-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
23
|
14
|
—
|
—
|
$29,865.56
|
$160,726.50
|
$107,151.00
|
2026-09-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
23
|
14
|
—
|
—
|
$26,985.56
|
$160,230.26
|
$106,820.17
|
2026-09-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
23
|
14
|
—
|
—
|
$28,945.92
|
$159,245.97
|
$106,163.98
|
2026-09-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
23
|
14
|
—
|
—
|
$25,560.51
|
$159,004.66
|
$106,003.11
|
2026-09-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
23
|
14
|
—
|
—
|
$28,381.44
|
$158,684.30
|
$105,789.53
|
2026-09-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
23
|
14
|
—
|
—
|
$26,840.43
|
$158,605.22
|
$105,736.81
|
2026-09-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
23
|
14
|
—
|
—
|
$27,106.62
|
$158,554.78
|
$105,703.19
|
2026-09-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
23
|
14
|
—
|
—
|
$28,414.99
|
$158,256.22
|
$105,504.15
|
2026-09-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
23
|
14
|
—
|
—
|
$27,938.75
|
$157,216.04
|
$104,810.69
|
2026-09-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$28,078.05
|
$156,992.44
|
$104,661.63
|
2026-09-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$28,248.71
|
$156,871.12
|
$104,580.75
|
2026-09-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
23
|
14
|
—
|
—
|
$27,208.72
|
$156,865.66
|
$104,577.11
|
2026-09-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion…
|
23
|
14
|
—
|
—
|
$27,000.87
|
$156,722.52
|
$104,481.68
|
2026-09-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
23
|
14
|
—
|
—
|
$27,479.29
|
$156,436.23
|
$104,290.82
|
2026-09-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
23
|
14
|
—
|
—
|
$24,498.05
|
$155,990.43
|
$103,993.62
|
2026-09-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In…
|
23
|
14
|
—
|
—
|
$26,922.84
|
$155,969.98
|
$103,979.99
|
2026-09-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
23
|
14
|
—
|
—
|
$23,816.75
|
$155,382.40
|
$103,588.27
|
2026-09-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
23
|
14
|
—
|
—
|
$24,329.45
|
$155,344.23
|
$103,562.82
|
2026-09-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
23
|
14
|
—
|
—
|
$27,618.59
|
$155,276.07
|
$103,517.38
|
2026-09-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
23
|
14
|
—
|
—
|
$23,748.93
|
$155,241.99
|
$103,494.66
|
2026-09-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
24
|
15
|
—
|
—
|
$25,423.31
|
$539,944.63
|
$103,436.49
|
2026-09-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
23
|
14
|
—
|
—
|
$30,129.57
|
$155,081.12
|
$103,387.41
|
2026-09-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
20
|
14
|
—
|
—
|
$17,060.57
|
$154,759.38
|
$103,172.92
|
2026-09-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
20
|
14
|
—
|
—
|
$26,993.61
|
$154,646.24
|
$103,097.49
|
2026-09-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
24
|
14
|
—
|
—
|
$25,548.11
|
$154,597.16
|
$103,064.77
|
2026-09-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
23
|
14
|
—
|
—
|
$24,227.35
|
$154,524.90
|
$103,016.60
|
2026-09-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
24
|
14
|
—
|
—
|
$26,565.48
|
$154,484.00
|
$102,989.33
|
2026-09-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
23
|
14
|
—
|
—
|
$27,614.94
|
$154,437.64
|
$102,958.43
|
2026-09-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
23
|
14
|
—
|
—
|
$26,235.84
|
$154,398.12
|
$102,932.08
|
2026-09-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
20
|
14
|
—
|
—
|
$34,988.07
|
$153,993.22
|
$102,662.15
|
2026-09-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
23
|
14
|
—
|
—
|
$24,876.42
|
$153,895.06
|
$102,596.71
|
2026-09-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
23
|
14
|
—
|
—
|
$25,395.68
|
$153,471.08
|
$102,314.05
|
2026-09-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
24
|
15
|
—
|
—
|
$22,937.94
|
$153,458.80
|
$102,305.87
|
2026-09-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
23
|
14
|
—
|
—
|
$17,705.62
|
$153,240.69
|
$102,160.46
|
2026-09-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O…
|
23
|
14
|
—
|
—
|
$24,815.16
|
$153,011.66
|
$102,007.77
|
2026-09-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
23
|
14
|
—
|
—
|
$24,639.40
|
$152,793.52
|
$101,862.35
|
2026-09-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
23
|
14
|
—
|
—
|
$24,446.87
|
$152,654.48
|
$101,769.65
|
2026-09-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
23
|
14
|
—
|
—
|
$25,648.75
|
$152,425.44
|
$101,616.96
|
2026-09-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
23
|
14
|
—
|
—
|
$16,444.12
|
$152,364.09
|
$101,576.06
|
2026-09-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
20
|
14
|
—
|
—
|
$35,750.92
|
$151,457.50
|
$100,971.67
|
2026-09-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
23
|
14
|
—
|
—
|
$21,682.09
|
$150,948.99
|
$100,632.66
|
2026-09-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
23
|
14
|
—
|
—
|
$24,964.67
|
$150,796.30
|
$100,530.87
|
2026-09-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
23
|
14
|
—
|
—
|
$24,300.28
|
$150,790.86
|
$100,527.24
|
2026-09-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
20
|
14
|
—
|
—
|
$63,919.11
|
$150,260.54
|
$100,173.69
|
2026-09-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
23
|
14
|
—
|
—
|
$23,693.50
|
$150,065.58
|
$100,043.72
|
2026-09-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
23
|
14
|
—
|
—
|
$23,875.09
|
$150,016.50
|
$100,011.00
|
2026-09-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
23
|
14
|
—
|
—
|
$23,772.26
|
$149,955.16
|
$99,970.11
|
2026-09-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
23
|
14
|
—
|
—
|
$23,187.36
|
$149,942.90
|
$99,961.93
|
2026-09-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
20
|
14
|
—
|
—
|
$28,887.57
|
$149,910.16
|
$99,940.11
|
2026-09-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$13,853.64
|
$149,824.29
|
$99,882.86
|
2026-09-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
23
|
14
|
—
|
—
|
$24,325.07
|
$149,682.50
|
$99,788.33
|
2026-09-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
23
|
14
|
—
|
—
|
$22,779.69
|
$149,442.56
|
$99,628.37
|
2026-09-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$23,258.84
|
$149,362.12
|
$99,574.75
|
2026-09-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
23
|
14
|
—
|
—
|
$23,907.91
|
$149,319.87
|
$99,546.58
|
2026-09-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
23
|
14
|
—
|
—
|
$24,445.41
|
$149,232.62
|
$99,488.41
|
2026-09-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
23
|
14
|
—
|
—
|
$24,505.21
|
$149,060.84
|
$99,373.89
|
2026-09-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
23
|
14
|
—
|
—
|
$22,803.75
|
$148,995.40
|
$99,330.27
|
2026-09-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
23
|
14
|
—
|
—
|
$23,271.23
|
$148,872.70
|
$99,248.47
|
2026-09-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
23
|
14
|
—
|
—
|
$25,090.84
|
$148,852.26
|
$99,234.84
|
2026-09-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
20
|
14
|
—
|
—
|
$26,220.47
|
$148,751.37
|
$99,167.58
|
2026-09-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
23
|
14
|
—
|
—
|
$23,713.19
|
$148,466.44
|
$98,977.63
|
2026-09-01
|
|
464
|
MS_DRG
|
Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T…
|
23
|
14
|
—
|
—
|
$23,163.30
|
$148,377.84
|
$98,918.56
|
2026-09-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
23
|
14
|
—
|
—
|
$23,270.50
|
$148,302.86
|
$98,868.57
|
2026-09-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
23
|
14
|
—
|
—
|
$22,234.90
|
$147,652.56
|
$98,435.04
|
2026-09-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
23
|
14
|
—
|
—
|
$23,643.91
|
$147,596.67
|
$98,397.78
|
2026-09-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
23
|
14
|
—
|
—
|
$22,668.10
|
$147,266.76
|
$98,177.84
|
2026-09-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
23
|
14
|
—
|
—
|
$17,558.08
|
$147,093.62
|
$98,062.41
|
2026-09-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
23
|
14
|
—
|
—
|
$22,628.72
|
$147,088.17
|
$98,058.78
|
2026-09-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
23
|
14
|
—
|
—
|
$23,253.73
|
$147,043.17
|
$98,028.78
|
2026-09-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
23
|
14
|
—
|
—
|
$21,547.90
|
$146,492.40
|
$97,661.60
|
2026-09-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
23
|
14
|
—
|
—
|
$21,739.70
|
$146,079.33
|
$97,386.22
|
2026-09-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$19,773.51
|
$146,052.06
|
$97,368.04
|
2026-09-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
24
|
15
|
—
|
—
|
$20,849.23
|
$146,011.17
|
$97,340.78
|
2026-09-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
23
|
14
|
—
|
—
|
$20,944.77
|
$145,723.52
|
$97,149.01
|
2026-09-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-…
|
23
|
14
|
—
|
—
|
$21,291.91
|
$145,618.54
|
$97,079.03
|
2026-09-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
23
|
14
|
—
|
—
|
$20,078.36
|
$145,478.12
|
$96,985.41
|
2026-09-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
23
|
14
|
—
|
—
|
$21,499.76
|
$145,453.58
|
$96,969.05
|
2026-09-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
24
|
14
|
—
|
—
|
$18,952.32
|
$145,279.08
|
$96,852.72
|
2026-09-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
25
|
15
|
—
|
—
|
$7,540.00
|
$145,260.00
|
$96,840.00
|
2026-09-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$19,906.97
|
$145,202.73
|
$96,801.82
|
2026-09-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
23
|
14
|
—
|
—
|
$20,796.72
|
$145,044.60
|
$96,696.40
|
2026-09-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
23
|
14
|
—
|
—
|
$21,494.66
|
$144,776.02
|
$96,517.35
|
2026-09-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
23
|
14
|
—
|
—
|
$22,964.20
|
$144,215.72
|
$96,143.81
|
2026-09-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
23
|
14
|
—
|
—
|
$20,563.34
|
$144,078.03
|
$96,052.02
|
2026-09-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
23
|
14
|
—
|
—
|
$20,242.45
|
$143,966.24
|
$95,977.49
|
2026-09-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
23
|
14
|
—
|
—
|
$21,117.61
|
$143,704.48
|
$95,802.99
|
2026-09-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
23
|
14
|
—
|
—
|
$19,844.98
|
$143,502.72
|
$95,668.48
|
2026-09-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
27
|
15
|
—
|
—
|
$12,498.79
|
$143,388.20
|
$95,592.13
|
2026-09-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
20
|
14
|
—
|
—
|
$31,521.52
|
$143,378.66
|
$95,585.77
|
2026-09-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
23
|
14
|
—
|
—
|
$19,225.08
|
$143,185.06
|
$95,456.71
|
2026-09-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
25
|
14
|
—
|
—
|
$19,798.31
|
$143,007.84
|
$95,338.56
|
2026-09-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
23
|
14
|
—
|
—
|
$10,166.35
|
$142,853.79
|
$95,235.86
|
2026-09-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
23
|
14
|
—
|
—
|
$19,183.51
|
$142,808.80
|
$95,205.87
|
2026-09-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
23
|
14
|
—
|
—
|
$20,634.08
|
$142,688.84
|
$95,125.89
|
2026-09-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
23
|
14
|
—
|
—
|
$20,804.74
|
$142,178.96
|
$94,785.97
|
2026-09-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
23
|
14
|
—
|
—
|
$20,594.70
|
$142,052.18
|
$94,701.45
|
2026-09-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
23
|
14
|
—
|
—
|
$22,940.13
|
$141,870.86
|
$94,580.57
|
2026-09-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
25
|
15
|
—
|
—
|
$11,974.78
|
$141,301.00
|
$94,200.67
|
2026-09-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
23
|
14
|
—
|
—
|
$18,444.73
|
$141,258.75
|
$94,172.50
|
2026-09-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
23
|
14
|
—
|
—
|
$20,569.91
|
$141,126.51
|
$94,084.34
|
2026-09-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$14,452.94
|
$141,077.43
|
$94,051.62
|
2026-09-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
23
|
14
|
—
|
—
|
$17,136.36
|
$141,077.43
|
$94,051.62
|
2026-09-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
23
|
14
|
—
|
—
|
$13,143.40
|
$140,919.28
|
$93,946.19
|
2026-09-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$18,126.02
|
$140,720.25
|
$93,813.50
|
2026-09-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
23
|
14
|
—
|
—
|
$17,794.19
|
$140,555.28
|
$93,703.52
|
2026-09-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
24
|
14
|
—
|
—
|
$412.50
|
$140,489.85
|
$93,659.90
|
2026-09-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
23
|
14
|
—
|
—
|
$18,342.62
|
$140,324.90
|
$93,549.93
|
2026-09-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$19,204.66
|
$140,309.90
|
$93,539.93
|
2026-09-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
23
|
14
|
—
|
—
|
$18,793.33
|
$139,887.27
|
$93,258.18
|
2026-09-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
23
|
14
|
—
|
—
|
$17,432.46
|
$139,748.22
|
$93,165.48
|
2026-09-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
23
|
14
|
—
|
—
|
$17,748.97
|
$139,441.48
|
$92,960.99
|
2026-09-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
24
|
14
|
—
|
—
|
$1,600.00
|
$139,431.93
|
$92,954.62
|
2026-09-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
24
|
15
|
—
|
—
|
$2,482.00
|
$139,385.58
|
$92,923.72
|
2026-09-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
25
|
15
|
—
|
—
|
$2,086.40
|
$139,305.15
|
$92,870.10
|
2026-09-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
23
|
14
|
—
|
—
|
$17,853.99
|
$139,236.99
|
$92,824.66
|
2026-09-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$17,886.08
|
$139,197.45
|
$92,798.30
|
2026-09-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
23
|
14
|
—
|
—
|
$19,095.99
|
$138,937.06
|
$92,624.71
|
2026-09-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
23
|
14
|
—
|
—
|
$17,064.89
|
$138,829.36
|
$92,552.91
|
2026-09-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
23
|
14
|
—
|
—
|
$15,787.89
|
$138,706.66
|
$92,471.11
|
2026-09-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
25
|
16
|
—
|
—
|
$17,692.82
|
$138,596.24
|
$92,397.49
|
2026-09-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
23
|
14
|
—
|
—
|
$17,379.95
|
$138,564.88
|
$92,376.59
|
2026-09-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
23
|
14
|
—
|
—
|
$17,541.85
|
$138,504.90
|
$92,336.60
|
2026-09-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
24
|
14
|
—
|
—
|
$17,509.76
|
$138,449.01
|
$92,299.34
|
2026-09-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
23
|
14
|
—
|
—
|
$15,517.32
|
$137,967.76
|
$91,978.51
|
2026-09-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
23
|
14
|
—
|
—
|
$15,520.23
|
$137,846.43
|
$91,897.62
|
2026-09-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
3
|
1
|
—
|
—
|
$58,905.00
|
$91,891.80
|
$91,891.80
|
2026-09-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
26
|
14
|
—
|
—
|
$2,000.00
|
$137,797.35
|
$91,864.90
|
2026-09-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
23
|
14
|
—
|
—
|
$15,397.71
|
$137,774.18
|
$91,849.45
|
2026-09-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
23
|
14
|
—
|
—
|
$15,274.46
|
$137,640.57
|
$91,760.38
|
2026-09-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
25
|
15
|
—
|
—
|
$16,660.86
|
$137,618.76
|
$91,745.84
|
2026-09-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
24
|
14
|
—
|
—
|
$12,228.44
|
$137,586.04
|
$91,724.03
|
2026-09-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
23
|
14
|
—
|
—
|
$17,420.06
|
$137,423.82
|
$91,615.88
|
2026-09-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
23
|
14
|
—
|
—
|
$17,199.08
|
$137,211.14
|
$91,474.09
|
2026-09-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
23
|
14
|
—
|
—
|
$15,520.01
|
$137,201.60
|
$91,467.73
|
2026-09-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
23
|
14
|
—
|
—
|
$16,724.31
|
$137,074.82
|
$91,383.21
|
2026-09-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
23
|
14
|
—
|
—
|
$14,975.45
|
$137,020.28
|
$91,346.85
|
2026-09-01
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
23
|
14
|
—
|
—
|
$16,228.38
|
$136,939.84
|
$91,293.23
|
2026-09-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
23
|
14
|
—
|
—
|
$16,368.41
|
$136,888.04
|
$91,258.69
|
2026-09-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
23
|
14
|
—
|
—
|
$16,419.46
|
$136,802.16
|
$91,201.44
|
2026-09-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
23
|
14
|
—
|
—
|
$16,065.02
|
$136,434.06
|
$90,956.04
|
2026-09-01
|
|
715
|
MS_DRG
|
Male Reproductive System And Other O.r. Procedures For Malignancy With Cc/Mcc
|
23
|
14
|
—
|
—
|
$15,447.96
|
$136,416.34
|
$90,944.23
|
2026-09-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$15,825.81
|
$136,175.04
|
$90,783.36
|
2026-09-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
26
|
15
|
—
|
—
|
$1,508.00
|
$136,082.34
|
$90,721.56
|
2026-09-01
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
23
|
14
|
—
|
—
|
$14,509.42
|
$136,052.34
|
$90,701.56
|
2026-09-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
23
|
14
|
—
|
—
|
$15,830.19
|
$136,015.53
|
$90,677.02
|
2026-09-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
23
|
14
|
—
|
—
|
$15,895.09
|
$135,890.12
|
$90,593.41
|
2026-09-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$16,454.47
|
$135,842.40
|
$90,561.60
|
2026-09-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
23
|
14
|
—
|
—
|
$14,807.71
|
$135,796.05
|
$90,530.70
|
2026-09-01
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
23
|
14
|
—
|
—
|
$15,742.67
|
$135,742.88
|
$90,495.25
|
2026-09-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
24
|
14
|
—
|
—
|
$17,059.79
|
$135,669.26
|
$90,446.17
|
2026-09-01
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
23
|
14
|
—
|
—
|
$16,299.13
|
$135,650.18
|
$90,433.45
|
2026-09-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
23
|
14
|
—
|
—
|
$15,631.09
|
$135,618.82
|
$90,412.55
|
2026-09-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
23
|
14
|
—
|
—
|
$16,278.71
|
$135,598.36
|
$90,398.91
|
2026-09-01
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/Mcc
|
23
|
14
|
—
|
—
|
$13,229.18
|
$135,498.86
|
$90,332.57
|
2026-09-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
25
|
15
|
—
|
—
|
$15,812.68
|
$135,110.31
|
$90,073.54
|
2026-09-01
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc
|
23
|
14
|
—
|
—
|
$14,798.96
|
$135,099.40
|
$90,066.27
|
2026-09-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
24
|
14
|
—
|
—
|
$3,200.00
|
$135,072.14
|
$90,048.09
|
2026-09-01
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
23
|
14
|
—
|
—
|
$14,895.22
|
$134,967.16
|
$89,978.11
|
2026-09-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
23
|
14
|
—
|
—
|
$15,372.19
|
$134,965.80
|
$89,977.20
|
2026-09-01
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc
|
23
|
14
|
—
|
—
|
$13,980.68
|
$134,953.53
|
$89,969.02
|
2026-09-01
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
23
|
14
|
—
|
—
|
$14,738.86
|
$134,908.54
|
$89,939.03
|
2026-09-01
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
23
|
14
|
—
|
—
|
$14,753.74
|
$134,826.75
|
$89,884.50
|
2026-09-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
23
|
14
|
—
|
—
|
$15,429.80
|
$134,785.84
|
$89,857.23
|
2026-09-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
23
|
14
|
—
|
—
|
$15,553.78
|
$134,781.76
|
$89,854.51
|
2026-09-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/Mcc
|
23
|
14
|
—
|
—
|
$14,982.01
|
$134,770.86
|
$89,847.24
|
2026-09-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
24
|
14
|
—
|
—
|
$12,350.47
|
$134,663.16
|
$89,775.44
|
2026-09-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
23
|
14
|
—
|
—
|
$15,697.45
|
$134,578.64
|
$89,719.09
|
2026-09-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
23
|
14
|
—
|
—
|
$15,509.29
|
$134,469.57
|
$89,646.38
|
2026-09-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
23
|
14
|
—
|
—
|
$15,938.85
|
$134,451.84
|
$89,634.56
|
2026-09-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
20
|
14
|
—
|
—
|
$16,657.99
|
$134,423.22
|
$89,615.48
|
2026-09-01
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
23
|
14
|
—
|
—
|
$15,735.38
|
$134,372.78
|
$89,581.85
|
2026-09-01
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
23
|
14
|
—
|
—
|
$16,797.97
|
$134,350.96
|
$89,567.31
|
2026-09-01
|