|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
6
|
2
|
—
|
—
|
$3,748,500.00
|
$4,284,000.00
|
$4,016,250.00
|
2025-12-08
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
6
|
2
|
—
|
—
|
$3,427,200.00
|
$3,916,800.00
|
$3,672,000.00
|
2025-12-08
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
6
|
2
|
—
|
—
|
$3,320,100.00
|
$3,794,400.00
|
$3,557,250.00
|
2025-12-08
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
6
|
2
|
—
|
—
|
$2,998,800.00
|
$3,427,200.00
|
$3,213,000.00
|
2025-12-08
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
6
|
2
|
—
|
—
|
$2,561,516.80
|
$2,927,447.77
|
$2,744,482.29
|
2025-12-08
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
6
|
2
|
—
|
—
|
$2,356,200.00
|
$2,692,800.00
|
$2,524,500.00
|
2025-12-08
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
6
|
2
|
—
|
—
|
$916,020.00
|
$1,046,880.00
|
$981,450.00
|
2025-12-08
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
9
|
3
|
—
|
—
|
$810,332.46
|
$926,094.24
|
$926,094.24
|
2025-12-08
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
3
|
—
|
—
|
$788,292.16
|
$900,905.33
|
$900,905.33
|
2025-12-08
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
9
|
3
|
—
|
—
|
$686,159.74
|
$784,182.56
|
$784,182.56
|
2025-12-08
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
3
|
—
|
—
|
$660,066.25
|
$754,361.42
|
$754,361.42
|
2025-12-08
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
6
|
2
|
—
|
—
|
$593,905.03
|
$678,748.61
|
$636,326.82
|
2025-12-08
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
6
|
2
|
—
|
—
|
$578,884.26
|
$661,582.01
|
$620,233.14
|
2025-12-08
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
6
|
2
|
—
|
—
|
$554,728.05
|
$633,974.92
|
$594,351.49
|
2025-12-08
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
3
|
—
|
—
|
$512,927.15
|
$586,202.46
|
$586,202.46
|
2025-12-08
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
6
|
2
|
—
|
—
|
$542,310.27
|
$619,783.16
|
$581,046.72
|
2025-12-08
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
3
|
—
|
—
|
$498,087.45
|
$569,242.80
|
$569,242.80
|
2025-12-08
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
6
|
2
|
—
|
—
|
$513,993.01
|
$587,420.58
|
$550,706.79
|
2025-12-08
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
6
|
2
|
—
|
—
|
$512,454.09
|
$585,661.81
|
$549,057.95
|
2025-12-08
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
3
|
—
|
—
|
$466,629.51
|
$533,290.87
|
$533,290.87
|
2025-12-08
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
3
|
—
|
—
|
$381,651.99
|
$436,173.71
|
$436,173.71
|
2025-12-08
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
3
|
—
|
—
|
$358,633.15
|
$505,014.60
|
$432,475.74
|
2025-12-08
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
3
|
—
|
—
|
$378,269.88
|
$432,308.44
|
$432,308.44
|
2025-12-08
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
9
|
3
|
—
|
—
|
$341,897.73
|
$390,740.27
|
$390,740.27
|
2025-12-08
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
3
|
—
|
—
|
$324,654.28
|
$371,033.46
|
$371,033.46
|
2025-12-08
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
9
|
3
|
—
|
—
|
$301,693.23
|
$344,792.27
|
$344,792.27
|
2025-12-08
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
9
|
3
|
—
|
—
|
$301,047.76
|
$344,054.58
|
$344,054.58
|
2025-12-08
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
3
|
—
|
—
|
$278,158.20
|
$317,895.08
|
$317,895.08
|
2025-12-08
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
3
|
—
|
—
|
$275,219.91
|
$314,537.04
|
$314,537.04
|
2025-12-08
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
3
|
—
|
—
|
$273,962.02
|
$313,099.45
|
$313,099.45
|
2025-12-08
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
3
|
—
|
—
|
$273,253.60
|
$312,289.82
|
$312,289.82
|
2025-12-08
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
3
|
—
|
—
|
$272,078.92
|
$310,947.34
|
$310,947.34
|
2025-12-08
|
|
0100T
|
CPT
|
Prosth Retina Receive&gen
|
12
|
2
|
—
|
—
|
$7,875.00
|
$362,951.19
|
$308,051.01
|
2025-12-08
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
3
|
—
|
—
|
$269,361.49
|
$307,841.70
|
$307,841.70
|
2025-12-08
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
9
|
3
|
—
|
—
|
$262,265.45
|
$299,731.94
|
$299,731.94
|
2025-12-08
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$259,916.11
|
$297,046.98
|
$297,046.98
|
2025-12-08
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
3
|
—
|
—
|
$259,609.91
|
$296,697.04
|
$296,697.04
|
2025-12-08
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
3
|
—
|
—
|
$258,237.85
|
$295,128.97
|
$295,128.97
|
2025-12-08
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
3
|
—
|
—
|
$236,447.21
|
$270,225.38
|
$270,225.38
|
2025-12-08
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
3
|
—
|
—
|
$235,499.80
|
$269,142.62
|
$269,142.62
|
2025-12-08
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
3
|
—
|
—
|
$231,315.36
|
$264,360.41
|
$264,360.41
|
2025-12-08
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
3
|
—
|
—
|
$231,186.26
|
$264,212.87
|
$264,212.87
|
2025-12-08
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
3
|
—
|
—
|
$229,254.08
|
$262,004.66
|
$262,004.66
|
2025-12-08
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
6
|
2
|
—
|
—
|
$232,738.49
|
$280,659.36
|
$256,698.92
|
2025-12-08
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
9
|
3
|
—
|
—
|
$224,186.25
|
$256,212.85
|
$256,212.85
|
2025-12-08
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
3
|
—
|
—
|
$223,029.71
|
$254,891.10
|
$254,891.10
|
2025-12-08
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
9
|
3
|
—
|
—
|
$216,443.65
|
$247,364.17
|
$247,364.17
|
2025-12-08
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
3
|
—
|
—
|
$216,426.59
|
$247,344.67
|
$247,344.67
|
2025-12-08
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$215,778.97
|
$246,604.54
|
$246,604.54
|
2025-12-08
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
3
|
—
|
—
|
$209,761.58
|
$239,727.52
|
$239,727.52
|
2025-12-08
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$201,671.17
|
$230,481.34
|
$230,481.34
|
2025-12-08
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$198,361.61
|
$226,698.98
|
$226,698.98
|
2025-12-08
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
3
|
—
|
—
|
$196,751.64
|
$224,859.01
|
$224,859.01
|
2025-12-08
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
3
|
—
|
—
|
$188,366.77
|
$215,276.30
|
$215,276.30
|
2025-12-08
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
3
|
—
|
—
|
$186,891.22
|
$213,589.97
|
$213,589.97
|
2025-12-08
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
3
|
—
|
—
|
$186,619.16
|
$213,279.04
|
$213,279.04
|
2025-12-08
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
15
|
3
|
—
|
—
|
$176,275.29
|
$257,637.67
|
$212,570.38
|
2025-12-08
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
3
|
—
|
—
|
$184,485.33
|
$210,840.37
|
$210,840.37
|
2025-12-08
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
9
|
3
|
—
|
—
|
$181,623.87
|
$207,570.13
|
$207,570.13
|
2025-12-08
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
3
|
—
|
—
|
$179,879.47
|
$205,576.54
|
$205,576.54
|
2025-12-08
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
9
|
3
|
—
|
—
|
$176,991.33
|
$202,275.80
|
$202,275.80
|
2025-12-08
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
9
|
3
|
—
|
—
|
$176,553.90
|
$201,775.88
|
$201,775.88
|
2025-12-08
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
3
|
—
|
—
|
$175,747.31
|
$200,854.07
|
$200,854.07
|
2025-12-08
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
3
|
—
|
—
|
$175,687.56
|
$200,785.79
|
$200,785.79
|
2025-12-08
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$171,154.25
|
$195,604.86
|
$195,604.86
|
2025-12-08
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
9
|
3
|
—
|
—
|
$171,154.25
|
$195,604.86
|
$195,604.86
|
2025-12-08
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
6
|
2
|
—
|
—
|
$177,315.90
|
$213,825.26
|
$195,570.58
|
2025-12-08
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
3
|
—
|
—
|
$170,668.81
|
$195,050.06
|
$195,050.06
|
2025-12-08
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
9
|
3
|
—
|
—
|
$167,083.97
|
$190,953.11
|
$190,953.11
|
2025-12-08
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
3
|
—
|
—
|
$162,574.13
|
$185,799.00
|
$185,799.00
|
2025-12-08
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
3
|
—
|
—
|
$159,180.28
|
$181,920.32
|
$181,920.32
|
2025-12-08
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
9
|
3
|
—
|
—
|
$156,492.72
|
$178,848.83
|
$178,848.83
|
2025-12-08
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
3
|
—
|
—
|
$81,246.15
|
$220,191.97
|
$176,159.60
|
2025-12-08
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$154,113.51
|
$176,129.72
|
$176,129.72
|
2025-12-08
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
3
|
—
|
—
|
$153,936.39
|
$175,927.31
|
$175,927.31
|
2025-12-08
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
3
|
—
|
—
|
$153,255.71
|
$175,149.38
|
$175,149.38
|
2025-12-08
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
9
|
3
|
—
|
—
|
$151,879.39
|
$173,576.45
|
$173,576.45
|
2025-12-08
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
9
|
3
|
—
|
—
|
$150,949.04
|
$172,513.19
|
$172,513.19
|
2025-12-08
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
3
|
—
|
—
|
$150,779.40
|
$172,319.32
|
$172,319.32
|
2025-12-08
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
9
|
3
|
—
|
—
|
$146,225.81
|
$167,115.22
|
$167,115.22
|
2025-12-08
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
3
|
—
|
—
|
$143,152.03
|
$163,602.32
|
$163,602.32
|
2025-12-08
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
3
|
—
|
—
|
$142,279.31
|
$162,604.92
|
$162,604.92
|
2025-12-08
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$141,314.82
|
$161,502.65
|
$161,502.65
|
2025-12-08
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$139,932.09
|
$159,922.39
|
$159,922.39
|
2025-12-08
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
9
|
3
|
—
|
—
|
$139,874.48
|
$159,856.55
|
$159,856.55
|
2025-12-08
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
15
|
3
|
—
|
—
|
$65,350.38
|
$197,519.40
|
$158,011.38
|
2025-12-08
|
|
453
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$140,447.77
|
$175,564.30
|
$158,006.04
|
2025-12-08
|
|
222
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$139,516.20
|
$174,389.28
|
$156,952.74
|
2025-12-08
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
15
|
3
|
—
|
—
|
$70,010.32
|
$191,165.83
|
$152,937.90
|
2025-12-08
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
9
|
3
|
—
|
—
|
$133,342.84
|
$152,391.82
|
$152,391.82
|
2025-12-08
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
3
|
—
|
—
|
$132,616.27
|
$151,561.45
|
$151,561.45
|
2025-12-08
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
9
|
3
|
—
|
—
|
$132,305.80
|
$151,206.62
|
$151,206.62
|
2025-12-08
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
3
|
—
|
—
|
$130,600.87
|
$149,258.14
|
$149,258.14
|
2025-12-08
|
|
234
|
APR_DRG
|
Spinal Procedures
|
9
|
3
|
—
|
—
|
$130,345.88
|
$148,966.72
|
$148,966.72
|
2025-12-08
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
3
|
—
|
—
|
$129,874.30
|
$148,427.77
|
$148,427.77
|
2025-12-08
|
|
224
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$131,937.65
|
$164,916.42
|
$148,427.03
|
2025-12-08
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
3
|
—
|
—
|
$128,205.65
|
$146,520.74
|
$146,520.74
|
2025-12-08
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$128,200.32
|
$146,514.65
|
$146,514.65
|
2025-12-08
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
3
|
—
|
—
|
$126,602.08
|
$144,688.09
|
$144,688.09
|
2025-12-08
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
9
|
3
|
—
|
—
|
$126,514.59
|
$144,588.11
|
$144,588.11
|
2025-12-08
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
3
|
—
|
—
|
$126,018.48
|
$144,021.12
|
$144,021.12
|
2025-12-08
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
9
|
3
|
—
|
—
|
$124,881.15
|
$142,721.32
|
$142,721.32
|
2025-12-08
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
3
|
—
|
—
|
$63,768.28
|
$176,727.34
|
$141,386.71
|
2025-12-08
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
3
|
—
|
—
|
$122,719.58
|
$140,250.95
|
$140,250.95
|
2025-12-08
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
3
|
—
|
—
|
$121,823.37
|
$139,226.71
|
$139,226.71
|
2025-12-08
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
3
|
—
|
—
|
$121,679.34
|
$139,062.11
|
$139,062.11
|
2025-12-08
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
9
|
3
|
—
|
—
|
$121,605.72
|
$138,977.96
|
$138,977.96
|
2025-12-08
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
15
|
3
|
—
|
—
|
$115,035.88
|
$160,774.91
|
$138,721.77
|
2025-12-08
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$121,080.80
|
$138,378.06
|
$138,378.06
|
2025-12-08
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
3
|
—
|
—
|
$120,362.77
|
$137,557.45
|
$137,557.45
|
2025-12-08
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
9
|
3
|
—
|
—
|
$120,265.68
|
$137,446.49
|
$137,446.49
|
2025-12-08
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$120,194.19
|
$137,364.79
|
$137,364.79
|
2025-12-08
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
9
|
3
|
—
|
—
|
$118,226.81
|
$135,116.35
|
$135,116.35
|
2025-12-08
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
3
|
—
|
—
|
$118,198.00
|
$135,083.42
|
$135,083.42
|
2025-12-08
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
9
|
3
|
—
|
—
|
$117,864.05
|
$134,701.78
|
$134,701.78
|
2025-12-08
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
9
|
3
|
—
|
—
|
$117,712.56
|
$134,528.64
|
$134,528.64
|
2025-12-08
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
3
|
—
|
—
|
$117,592.00
|
$134,390.86
|
$134,390.86
|
2025-12-08
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
3
|
—
|
—
|
$115,616.07
|
$132,132.65
|
$132,132.65
|
2025-12-08
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
9
|
3
|
—
|
—
|
$115,228.79
|
$131,690.04
|
$131,690.04
|
2025-12-08
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
3
|
—
|
—
|
$69,790.24
|
$164,328.80
|
$131,459.60
|
2025-12-08
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
3
|
—
|
—
|
$114,869.23
|
$131,279.12
|
$131,279.12
|
2025-12-08
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
3
|
—
|
—
|
$113,662.55
|
$129,900.06
|
$129,900.06
|
2025-12-08
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$113,469.44
|
$129,679.36
|
$129,679.36
|
2025-12-08
|
|
226
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$115,196.06
|
$143,990.15
|
$129,593.10
|
2025-12-08
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
3
|
—
|
—
|
$113,200.57
|
$129,372.08
|
$129,372.08
|
2025-12-08
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
9
|
3
|
—
|
—
|
$112,791.96
|
$128,905.09
|
$128,905.09
|
2025-12-08
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
9
|
3
|
—
|
—
|
$112,347.05
|
$128,396.63
|
$128,396.63
|
2025-12-08
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
9
|
3
|
—
|
—
|
$111,731.43
|
$127,693.07
|
$127,693.07
|
2025-12-08
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
3
|
—
|
—
|
$111,045.42
|
$126,909.05
|
$126,909.05
|
2025-12-08
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
9
|
3
|
—
|
—
|
$110,030.78
|
$125,749.46
|
$125,749.46
|
2025-12-08
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
9
|
3
|
—
|
—
|
$108,059.12
|
$123,496.14
|
$123,496.14
|
2025-12-08
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
9
|
3
|
—
|
—
|
$108,051.66
|
$123,487.61
|
$123,487.61
|
2025-12-08
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
9
|
3
|
—
|
—
|
$107,684.64
|
$123,068.16
|
$123,068.16
|
2025-12-08
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
9
|
3
|
—
|
—
|
$107,247.20
|
$122,568.23
|
$122,568.23
|
2025-12-08
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
15
|
3
|
—
|
—
|
$57,120.96
|
$152,726.06
|
$122,185.03
|
2025-12-08
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
9
|
3
|
—
|
—
|
$106,839.64
|
$122,102.45
|
$122,102.45
|
2025-12-08
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
9
|
3
|
—
|
—
|
$105,693.78
|
$120,792.89
|
$120,792.89
|
2025-12-08
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
9
|
3
|
—
|
—
|
$105,554.01
|
$120,633.16
|
$120,633.16
|
2025-12-08
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
3
|
—
|
—
|
$105,527.34
|
$120,602.68
|
$120,602.68
|
2025-12-08
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$103,955.78
|
$118,806.60
|
$118,806.60
|
2025-12-08
|
|
7
|
MS_DRG
|
Lung Transplant
|
6
|
2
|
—
|
—
|
$107,551.41
|
$129,696.25
|
$118,623.83
|
2025-12-08
|
|
C1822
|
HCPCS
|
Charger Kit (l54705)
|
72
|
13
|
$247,002.31
|
$247,002.31
|
$34,580.32
|
$222,302.08
|
$118,561.11
|
2025-12-08
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
3
|
—
|
—
|
$101,889.17
|
$116,444.76
|
$116,444.76
|
2025-12-08
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
9
|
3
|
—
|
—
|
$101,333.31
|
$115,809.49
|
$115,809.49
|
2025-12-08
|
|
459
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$102,928.28
|
$128,663.72
|
$115,796.00
|
2025-12-08
|
|
C2624
|
HCPCS
|
Wireless Press Sens
|
72
|
13
|
$240,941.19
|
$240,941.19
|
$33,731.77
|
$216,847.07
|
$115,651.77
|
2025-12-08
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
9
|
3
|
—
|
—
|
$101,159.39
|
$115,610.74
|
$115,610.74
|
2025-12-08
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
15
|
3
|
—
|
—
|
$43,965.01
|
$144,141.20
|
$115,309.94
|
2025-12-08
|
|
223
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$101,748.03
|
$127,180.69
|
$114,464.36
|
2025-12-08
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
9
|
3
|
—
|
—
|
$100,146.89
|
$114,453.59
|
$114,453.59
|
2025-12-08
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
9
|
3
|
—
|
—
|
$100,089.28
|
$114,387.74
|
$114,387.74
|
2025-12-08
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
3
|
—
|
—
|
$99,723.33
|
$113,969.52
|
$113,969.52
|
2025-12-08
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
15
|
3
|
—
|
—
|
$82,692.89
|
$142,380.02
|
$113,904.02
|
2025-12-08
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
3
|
—
|
—
|
$54,607.87
|
$142,202.61
|
$113,765.97
|
2025-12-08
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
9
|
3
|
—
|
—
|
$98,917.81
|
$113,048.93
|
$113,048.93
|
2025-12-08
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$98,632.95
|
$112,723.37
|
$112,723.37
|
2025-12-08
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
3
|
—
|
—
|
$97,697.26
|
$111,654.01
|
$111,654.01
|
2025-12-08
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
9
|
3
|
—
|
—
|
$97,541.49
|
$111,475.99
|
$111,475.99
|
2025-12-08
|
|
C1605
|
HCPCS
|
Pmkr, Dual, Leadless [cath]
|
72
|
13
|
$231,928.17
|
$231,928.17
|
$32,469.94
|
$208,735.35
|
$111,325.52
|
2025-12-08
|
|
225
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$98,575.54
|
$123,215.21
|
$110,895.37
|
2025-12-08
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$96,861.87
|
$110,699.28
|
$110,699.28
|
2025-12-08
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
9
|
3
|
—
|
—
|
$96,590.88
|
$110,389.57
|
$110,389.57
|
2025-12-08
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
2
|
—
|
—
|
$99,808.66
|
$120,359.27
|
$110,083.96
|
2025-12-08
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
9
|
3
|
—
|
—
|
$96,071.28
|
$109,795.75
|
$109,795.75
|
2025-12-08
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
9
|
3
|
—
|
—
|
$95,090.79
|
$108,675.19
|
$108,675.19
|
2025-12-08
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
9
|
3
|
—
|
—
|
$94,444.25
|
$107,936.28
|
$107,936.28
|
2025-12-08
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
9
|
3
|
—
|
—
|
$94,262.87
|
$107,728.99
|
$107,728.99
|
2025-12-08
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
15
|
3
|
—
|
—
|
$54,607.87
|
$133,995.28
|
$107,199.89
|
2025-12-08
|
|
J1412
|
HCPCS
|
Inj Roctavian Ml 2x10^13vc G
|
6
|
2
|
—
|
—
|
$99,972.50
|
$114,254.28
|
$107,113.39
|
2025-12-08
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
3
|
—
|
—
|
$93,571.51
|
$106,938.86
|
$106,938.86
|
2025-12-08
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
9
|
3
|
—
|
—
|
$93,533.10
|
$106,894.97
|
$106,894.97
|
2025-12-08
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
9
|
3
|
—
|
—
|
$93,247.16
|
$106,568.18
|
$106,568.18
|
2025-12-08
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
9
|
3
|
—
|
—
|
$92,940.96
|
$106,218.24
|
$106,218.24
|
2025-12-08
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
3
|
—
|
—
|
$92,921.76
|
$106,196.29
|
$106,196.29
|
2025-12-08
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
9
|
3
|
—
|
—
|
$92,817.20
|
$106,076.80
|
$106,076.80
|
2025-12-08
|
|
454
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$93,139.13
|
$116,426.95
|
$104,783.04
|
2025-12-08
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
15
|
3
|
—
|
—
|
$50,349.89
|
$130,584.70
|
$104,471.33
|
2025-12-08
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
6
|
2
|
—
|
—
|
$94,110.60
|
$113,487.98
|
$103,799.29
|
2025-12-08
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
6
|
2
|
—
|
—
|
$94,002.63
|
$113,357.78
|
$103,680.21
|
2025-12-08
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
3
|
—
|
—
|
$90,450.78
|
$103,372.32
|
$103,372.32
|
2025-12-08
|
|
11
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
9
|
3
|
—
|
—
|
$90,058.16
|
$102,923.62
|
$102,923.62
|
2025-12-08
|
|
227
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$91,456.72
|
$114,316.99
|
$102,886.85
|
2025-12-08
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
9
|
3
|
—
|
—
|
$89,015.79
|
$101,732.33
|
$101,732.33
|
2025-12-08
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$88,697.85
|
$101,368.97
|
$101,368.97
|
2025-12-08
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
2
|
—
|
—
|
$91,531.07
|
$110,377.32
|
$100,954.20
|
2025-12-08
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Premixed In Lr Total Vol 250ml [8900-06]
|
75
|
13
|
$188,606.18
|
$188,606.18
|
$33,949.11
|
$167,859.50
|
$100,904.30
|
2025-12-08
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
9
|
3
|
—
|
—
|
$88,229.47
|
$100,833.68
|
$100,833.68
|
2025-12-08
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
9
|
3
|
—
|
—
|
$87,883.79
|
$100,438.62
|
$100,438.62
|
2025-12-08
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
3
|
—
|
—
|
$87,328.99
|
$99,804.56
|
$99,804.56
|
2025-12-08
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
6
|
2
|
—
|
—
|
$90,309.40
|
$108,904.11
|
$99,606.76
|
2025-12-08
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
3
|
—
|
—
|
$49,523.55
|
$124,123.66
|
$99,296.33
|
2025-12-08
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
9
|
3
|
—
|
—
|
$86,446.66
|
$98,796.18
|
$98,796.18
|
2025-12-08
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
9
|
3
|
—
|
—
|
$85,952.67
|
$98,231.63
|
$98,231.63
|
2025-12-08
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
9
|
3
|
—
|
—
|
$85,806.51
|
$98,064.59
|
$98,064.59
|
2025-12-08
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
3
|
—
|
—
|
$85,053.27
|
$97,203.73
|
$97,203.73
|
2025-12-08
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$84,728.93
|
$96,833.06
|
$96,833.06
|
2025-12-08
|
|
C1882
|
HCPCS
|
Icd-biventricular St-j Cd3365/cd3369[cl]
|
891
|
13
|
$233,960.64
|
$233,960.64
|
$16,022.31
|
$267,360.08
|
$95,902.78
|
2025-12-08
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
9
|
3
|
—
|
—
|
$83,751.63
|
$95,716.15
|
$95,716.15
|
2025-12-08
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
9
|
3
|
—
|
—
|
$83,236.31
|
$95,127.22
|
$95,127.22
|
2025-12-08
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
15
|
3
|
—
|
—
|
$37,890.73
|
$118,828.61
|
$95,066.14
|
2025-12-08
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
3
|
—
|
—
|
$44,288.90
|
$118,554.44
|
$94,846.80
|
2025-12-08
|
|
82
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
3
|
—
|
—
|
$82,861.83
|
$94,699.24
|
$94,699.24
|
2025-12-08
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
6
|
2
|
—
|
—
|
$85,628.70
|
$103,259.66
|
$94,444.18
|
2025-12-08
|
|
6944
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
9
|
3
|
—
|
—
|
$82,393.46
|
$94,163.95
|
$94,163.95
|
2025-12-08
|
|
7234
|
APR_DRG
|
Viral Illness
|
9
|
3
|
—
|
—
|
$82,281.43
|
$94,035.92
|
$94,035.92
|
2025-12-08
|
|
C2616
|
HCPCS
|
Sir Spheres Y-90 Resin Microsphrs Yttrium-90 Per Source
|
72
|
13
|
$190,924.38
|
$190,924.38
|
$34,366.39
|
$171,831.94
|
$93,552.95
|
2025-12-08
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
15
|
3
|
—
|
—
|
$41,088.16
|
$116,909.47
|
$93,530.77
|
2025-12-08
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
9
|
3
|
—
|
—
|
$81,396.96
|
$93,025.09
|
$93,025.09
|
2025-12-08
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$80,497.55
|
$91,997.20
|
$91,997.20
|
2025-12-08
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$80,338.58
|
$91,815.52
|
$91,815.52
|
2025-12-08
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
15
|
3
|
—
|
—
|
$43,819.67
|
$113,766.47
|
$91,016.29
|
2025-12-08
|
|
6614
|
APR_DRG
|
Coagulation And Platelet Disorders
|
9
|
3
|
—
|
—
|
$79,608.81
|
$90,981.49
|
$90,981.49
|
2025-12-08
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
9
|
3
|
—
|
—
|
$78,791.56
|
$90,047.50
|
$90,047.50
|
2025-12-08
|
|
923
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
9
|
3
|
—
|
—
|
$78,509.89
|
$89,725.58
|
$89,725.58
|
2025-12-08
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
9
|
3
|
—
|
—
|
$78,046.85
|
$89,196.40
|
$89,196.40
|
2025-12-08
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
15
|
3
|
—
|
—
|
$49,898.93
|
$111,267.79
|
$89,011.91
|
2025-12-08
|
|
C1820
|
HCPCS
|
Generator Restore And Recharger Sys
|
198
|
13
|
$224,306.28
|
$224,306.28
|
$20,510.26
|
$203,832.51
|
$88,825.29
|
2025-12-08
|
|
5134
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
9
|
3
|
—
|
—
|
$76,940.46
|
$87,931.96
|
$87,931.96
|
2025-12-08
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
9
|
3
|
—
|
—
|
$76,893.52
|
$87,878.30
|
$87,878.30
|
2025-12-08
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
9
|
3
|
—
|
—
|
$76,788.96
|
$87,758.81
|
$87,758.81
|
2025-12-08
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
3
|
—
|
—
|
$76,415.54
|
$87,332.04
|
$87,332.04
|
2025-12-08
|
|
1714
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
9
|
3
|
—
|
—
|
$76,011.18
|
$86,869.92
|
$86,869.92
|
2025-12-08
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
15
|
3
|
—
|
—
|
$47,590.14
|
$108,378.67
|
$86,700.66
|
2025-12-08
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
9
|
3
|
—
|
—
|
$75,821.27
|
$86,652.88
|
$86,652.88
|
2025-12-08
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
9
|
3
|
—
|
—
|
$75,422.25
|
$86,196.85
|
$86,196.85
|
2025-12-08
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$75,178.98
|
$85,918.84
|
$85,918.84
|
2025-12-08
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
15
|
3
|
—
|
—
|
$63,493.39
|
$106,832.22
|
$85,465.77
|
2025-12-08
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
9
|
3
|
—
|
—
|
$74,370.26
|
$84,994.58
|
$84,994.58
|
2025-12-08
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
9
|
3
|
—
|
—
|
$74,296.65
|
$84,910.45
|
$84,910.45
|
2025-12-08
|
|
4013
|
APR_DRG
|
Adrenal Procedures
|
9
|
3
|
—
|
—
|
$74,018.19
|
$84,592.21
|
$84,592.21
|
2025-12-08
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
9
|
3
|
—
|
—
|
$74,010.72
|
$84,583.68
|
$84,583.68
|
2025-12-08
|
|
33221
|
CPT
|
Insert Pulse Gen Mult Leads -- Cl
|
75
|
13
|
$157,263.96
|
$157,263.96
|
$15,750.00
|
$139,964.92
|
$84,136.21
|
2025-12-08
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision And Decompression
|
9
|
3
|
—
|
—
|
$73,226.54
|
$83,687.47
|
$83,687.47
|
2025-12-08
|
|
2334
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$73,176.39
|
$83,630.16
|
$83,630.16
|
2025-12-08
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
9
|
3
|
—
|
—
|
$73,070.76
|
$83,509.44
|
$83,509.44
|
2025-12-08
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
3
|
—
|
—
|
$72,909.66
|
$83,325.32
|
$83,325.32
|
2025-12-08
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
9
|
3
|
—
|
—
|
$72,801.91
|
$83,202.18
|
$83,202.18
|
2025-12-08
|
|
4804
|
APR_DRG
|
Major Male Pelvic Procedures
|
9
|
3
|
—
|
—
|
$72,493.56
|
$82,849.79
|
$82,849.79
|
2025-12-08
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
6
|
2
|
—
|
—
|
$74,824.73
|
$90,231.14
|
$82,527.93
|
2025-12-08
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
9
|
3
|
—
|
—
|
$72,060.40
|
$82,354.74
|
$82,354.74
|
2025-12-08
|
|
455
|
MS_DRG
|
Other Inpatient Ms-DRG
|
9
|
1
|
—
|
—
|
$73,086.95
|
$91,361.08
|
$82,224.02
|
2025-12-08
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
9
|
3
|
—
|
—
|
$71,872.63
|
$82,140.14
|
$82,140.14
|
2025-12-08
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
9
|
3
|
—
|
—
|
$71,653.90
|
$81,890.17
|
$81,890.17
|
2025-12-08
|
|
3464
|
APR_DRG
|
Connective Tissue Disorders
|
9
|
3
|
—
|
—
|
$71,635.77
|
$81,869.45
|
$81,869.45
|
2025-12-08
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
9
|
3
|
—
|
—
|
$71,411.72
|
$81,613.39
|
$81,613.39
|
2025-12-08
|
|
4434
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
9
|
3
|
—
|
—
|
$70,871.86
|
$80,996.41
|
$80,996.41
|
2025-12-08
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
9
|
3
|
—
|
—
|
$70,836.64
|
$80,956.16
|
$80,956.16
|
2025-12-08
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
9
|
3
|
—
|
—
|
$70,783.30
|
$80,895.20
|
$80,895.20
|
2025-12-08
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
9
|
3
|
—
|
—
|
$70,641.41
|
$80,733.04
|
$80,733.04
|
2025-12-08
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
3
|
—
|
—
|
$41,858.86
|
$100,450.95
|
$80,363.51
|
2025-12-08
|
|
4684
|
APR_DRG
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
9
|
3
|
—
|
—
|
$70,285.06
|
$80,325.78
|
$80,325.78
|
2025-12-08
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
9
|
1
|
—
|
—
|
$71,128.17
|
$89,097.39
|
$80,112.78
|
2025-12-08
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
9
|
3
|
—
|
—
|
$70,087.68
|
$80,100.20
|
$80,100.20
|
2025-12-08
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
15
|
3
|
—
|
—
|
$63,283.27
|
$100,070.84
|
$80,056.67
|
2025-12-08
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
9
|
3
|
—
|
—
|
$69,501.94
|
$79,430.78
|
$79,430.78
|
2025-12-08
|
|
8154
|
APR_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
9
|
3
|
—
|
—
|
$69,463.53
|
$79,386.89
|
$79,386.89
|
2025-12-08
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
6
|
2
|
—
|
—
|
$71,917.15
|
$86,724.89
|
$79,321.02
|
2025-12-08
|
|
81
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
9
|
3
|
—
|
—
|
$69,401.65
|
$79,316.17
|
$79,316.17
|
2025-12-08
|
|
33289
|
CPT
|
Cc-imp Press Sen Ang
|
75
|
13
|
$160,113.43
|
$160,113.43
|
$15,750.00
|
$142,500.95
|
$79,125.48
|
2025-12-08
|
|
913
|
APR_DRG
|
Other Major Head And Neck Procedures
|
9
|
3
|
—
|
—
|
$68,930.07
|
$78,777.23
|
$78,777.23
|
2025-12-08
|
|
33264
|
CPT
|
Remv&replc Cvd Gen Mult Lead - Ep
|
78
|
13
|
$150,527.81
|
$150,527.81
|
$15,750.00
|
$133,969.75
|
$78,682.53
|
2025-12-08
|
|
1754
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami
|
9
|
3
|
—
|
—
|
$68,820.18
|
$78,651.64
|
$78,651.64
|
2025-12-08
|
|
C1767
|
HCPCS
|
Generator - Implant - Nonrecharg
|
513
|
13
|
$201,641.76
|
$201,641.76
|
$1,204.71
|
$345,403.29
|
$78,640.29
|
2025-12-08
|
|
6924
|
APR_DRG
|
Radiotherapy
|
9
|
3
|
—
|
—
|
$68,772.18
|
$78,596.77
|
$78,596.77
|
2025-12-08
|
|
984
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures
|
9
|
3
|
—
|
—
|
$68,682.55
|
$78,494.34
|
$78,494.34
|
2025-12-08
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
9
|
3
|
—
|
—
|
$68,421.16
|
$78,195.61
|
$78,195.61
|
2025-12-08
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
9
|
3
|
—
|
—
|
$68,348.61
|
$78,112.69
|
$78,112.69
|
2025-12-08
|
|
8104
|
APR_DRG
|
Hemorrhage Or Hematoma Due To Complication
|
9
|
3
|
—
|
—
|
$68,321.94
|
$78,082.21
|
$78,082.21
|
2025-12-08
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab Rx =< 40 Mci
|
66
|
13
|
$145,584.98
|
$145,584.98
|
$26,205.30
|
$129,570.63
|
$77,887.96
|
2025-12-08
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
3
|
—
|
—
|
$68,128.82
|
$77,861.51
|
$77,861.51
|
2025-12-08
|
|
1602
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
9
|
3
|
—
|
—
|
$67,882.36
|
$77,579.84
|
$77,579.84
|
2025-12-08
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
9
|
3
|
—
|
—
|
$67,694.59
|
$77,365.25
|
$77,365.25
|
2025-12-08
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
3
|
—
|
—
|
$67,640.17
|
$77,303.05
|
$77,303.05
|
2025-12-08
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
9
|
3
|
—
|
—
|
$67,512.14
|
$77,156.74
|
$77,156.74
|
2025-12-08
|
|
C1721
|
HCPCS
|
Medtronic Icd {cath Lab}
|
702
|
13
|
$189,697.81
|
$189,697.81
|
$17,164.05
|
$198,044.52
|
$77,013.13
|
2025-12-08
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
15
|
3
|
—
|
—
|
$40,102.35
|
$95,916.43
|
$76,731.13
|
2025-12-08
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
9
|
3
|
—
|
—
|
$67,110.99
|
$76,698.28
|
$76,698.28
|
2025-12-08
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
15
|
3
|
—
|
—
|
$34,653.44
|
$95,685.22
|
$76,546.17
|
2025-12-08
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
9
|
3
|
—
|
—
|
$66,848.52
|
$76,398.31
|
$76,398.31
|
2025-12-08
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
9
|
3
|
—
|
—
|
$66,571.12
|
$76,081.28
|
$76,081.28
|
2025-12-08
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
15
|
3
|
—
|
—
|
$50,896.36
|
$95,040.93
|
$76,032.75
|
2025-12-08
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
9
|
3
|
—
|
—
|
$66,429.23
|
$75,919.12
|
$75,919.12
|
2025-12-08
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
15
|
3
|
—
|
—
|
$35,073.68
|
$94,643.09
|
$75,717.06
|
2025-12-08
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
9
|
3
|
—
|
—
|
$66,190.24
|
$75,645.98
|
$75,645.98
|
2025-12-08
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
9
|
3
|
—
|
—
|
$66,051.54
|
$75,487.48
|
$75,487.48
|
2025-12-08
|
|
33249
|
CPT
|
Insert Icd Dual System (cath Lab)
|
81
|
13
|
$150,527.81
|
$150,527.81
|
$15,750.00
|
$133,969.75
|
$74,859.88
|
2025-12-08
|
|
6613
|
APR_DRG
|
Coagulation And Platelet Disorders
|
9
|
3
|
—
|
—
|
$65,270.56
|
$74,594.93
|
$74,594.93
|
2025-12-08
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
9
|
3
|
—
|
—
|
$65,192.67
|
$74,505.91
|
$74,505.91
|
2025-12-08
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
9
|
3
|
—
|
—
|
$65,150.00
|
$74,457.14
|
$74,457.14
|
2025-12-08
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
3
|
—
|
—
|
$64,930.22
|
$74,205.96
|
$74,205.96
|
2025-12-08
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
9
|
3
|
—
|
—
|
$64,787.25
|
$74,042.57
|
$74,042.57
|
2025-12-08
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
15
|
3
|
—
|
—
|
$26,388.31
|
$92,536.22
|
$74,027.04
|
2025-12-08
|
|
7934
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
9
|
3
|
—
|
—
|
$64,375.42
|
$73,571.90
|
$73,571.90
|
2025-12-08
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
9
|
3
|
—
|
—
|
$64,354.08
|
$73,547.52
|
$73,547.52
|
2025-12-08
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
3
|
—
|
—
|
$64,332.74
|
$73,523.14
|
$73,523.14
|
2025-12-08
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
9
|
3
|
—
|
—
|
$64,222.85
|
$73,397.54
|
$73,397.54
|
2025-12-08
|
|
1801
|
APR_DRG
|
Other Circulatory System Procedures
|
9
|
3
|
—
|
—
|
$64,175.91
|
$73,343.89
|
$73,343.89
|
2025-12-08
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
9
|
3
|
—
|
—
|
$63,960.39
|
$73,097.59
|
$73,097.59
|
2025-12-08
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
3
|
—
|
—
|
$63,814.22
|
$72,930.54
|
$72,930.54
|
2025-12-08
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
9
|
3
|
—
|
—
|
$63,471.74
|
$72,539.14
|
$72,539.14
|
2025-12-08
|