|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
8
|
7
|
—
|
—
|
$4,505,000.00
|
$4,955,500.00
|
$4,707,725.00
|
2026-04-21
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
10
|
8
|
—
|
—
|
$3,685,266.67
|
$4,164,351.33
|
$3,869,530.00
|
2026-04-21
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
10
|
8
|
—
|
—
|
$3,335,820.00
|
$3,769,476.60
|
$3,502,611.00
|
2026-04-21
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
10
|
8
|
—
|
—
|
$3,316,462.59
|
$3,747,602.72
|
$3,482,285.72
|
2026-04-21
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
10
|
8
|
—
|
—
|
$3,248,445.72
|
$3,670,743.66
|
$3,410,868.00
|
2026-04-21
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
10
|
8
|
—
|
—
|
$3,090,000.00
|
$3,491,700.00
|
$3,244,500.00
|
2026-04-21
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
10
|
8
|
—
|
—
|
$2,945,740.00
|
$3,328,686.20
|
$3,093,027.00
|
2026-04-21
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
10
|
8
|
—
|
—
|
$2,455,110.61
|
$2,774,274.98
|
$2,577,866.14
|
2026-04-21
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
8
|
—
|
—
|
$2,332,000.00
|
$2,635,160.00
|
$2,448,600.00
|
2026-04-21
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
10
|
8
|
—
|
—
|
$770,620.00
|
$870,800.60
|
$809,151.00
|
2026-04-21
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
10
|
8
|
—
|
—
|
$591,726.20
|
$668,650.61
|
$621,312.51
|
2026-04-21
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
10
|
8
|
—
|
—
|
$565,868.95
|
$639,431.91
|
$594,162.39
|
2026-04-21
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
10
|
8
|
—
|
—
|
$562,538.19
|
$635,668.15
|
$590,665.09
|
2026-04-21
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
10
|
8
|
—
|
—
|
$557,317.93
|
$629,769.27
|
$585,183.83
|
2026-04-21
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
10
|
8
|
—
|
—
|
$533,230.17
|
$602,550.09
|
$559,891.68
|
2026-04-21
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
10
|
8
|
—
|
—
|
$489,304.61
|
$552,914.21
|
$513,769.84
|
2026-04-21
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
17
|
10
|
—
|
—
|
$414,840.80
|
$2,731,764.38
|
$479,698.21
|
2026-04-21
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
12
|
9
|
—
|
—
|
$283,004.40
|
$638,575.36
|
$297,154.62
|
2026-04-21
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
10
|
8
|
—
|
—
|
$278,250.00
|
$314,422.50
|
$292,162.50
|
2026-04-21
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
10
|
8
|
—
|
—
|
$257,500.00
|
$290,975.00
|
$270,375.00
|
2026-04-21
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$270,110.21
|
$297,121.23
|
$270,110.21
|
2026-04-21
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$262,763.46
|
$289,039.81
|
$262,763.46
|
2026-04-21
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$228,719.40
|
$251,591.34
|
$228,719.40
|
2026-04-21
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
8
|
—
|
—
|
$215,611.87
|
$243,641.41
|
$226,392.46
|
2026-04-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
10
|
8
|
—
|
—
|
$214,346.50
|
$242,211.55
|
$225,063.83
|
2026-04-21
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$220,021.59
|
$242,023.75
|
$220,021.59
|
2026-04-21
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
10
|
8
|
—
|
—
|
$205,640.00
|
$232,373.20
|
$215,922.00
|
2026-04-21
|
|
0100T
|
CPT
|
Prosth Retina Receive&gen
|
7
|
4
|
—
|
—
|
$47,367.00
|
$1,274,294.18
|
$191,693.13
|
2026-04-21
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$170,975.33
|
$188,072.86
|
$170,975.33
|
2026-04-21
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$166,028.78
|
$182,631.66
|
$166,028.78
|
2026-04-21
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
21
|
12
|
—
|
—
|
$109,814.06
|
$605,308.66
|
$155,782.77
|
2026-04-21
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$155,542.82
|
$171,097.10
|
$155,542.82
|
2026-04-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
21
|
12
|
—
|
—
|
$100,552.56
|
$588,689.47
|
$151,505.64
|
2026-04-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
10
|
8
|
—
|
—
|
$139,880.86
|
$158,065.37
|
$146,874.90
|
2026-04-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
12
|
—
|
—
|
$98,793.37
|
$536,253.72
|
$138,010.73
|
2026-04-21
|
|
7
|
MS_DRG
|
Lung Transplant
|
12
|
9
|
—
|
—
|
$130,779.93
|
$296,269.70
|
$137,318.93
|
2026-04-21
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
9
|
—
|
—
|
$121,364.93
|
$297,017.81
|
$127,433.18
|
2026-04-21
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$127,217.05
|
$139,938.76
|
$127,217.05
|
2026-04-21
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$126,089.68
|
$138,698.65
|
$126,089.68
|
2026-04-21
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
12
|
—
|
—
|
$111,299.57
|
$552,985.89
|
$125,768.51
|
2026-04-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
21
|
12
|
—
|
—
|
$85,130.86
|
$470,843.78
|
$121,176.77
|
2026-04-21
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
9
|
—
|
—
|
$114,436.22
|
$213,200.02
|
$120,158.03
|
2026-04-21
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
10
|
8
|
—
|
—
|
$114,304.94
|
$129,164.58
|
$120,020.19
|
2026-04-21
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
10
|
8
|
—
|
—
|
$111,492.17
|
$125,986.15
|
$117,066.78
|
2026-04-21
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$113,965.65
|
$125,362.22
|
$113,965.65
|
2026-04-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
21
|
12
|
—
|
—
|
$77,206.43
|
$434,310.45
|
$111,774.52
|
2026-04-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
12
|
—
|
—
|
$77,540.69
|
$429,926.45
|
$110,646.25
|
2026-04-21
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
12
|
9
|
—
|
—
|
$104,122.44
|
$241,421.90
|
$109,328.56
|
2026-04-21
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$108,217.85
|
$119,039.64
|
$108,217.85
|
2026-04-21
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
21
|
12
|
—
|
—
|
$90,985.07
|
$440,291.93
|
$102,813.13
|
2026-04-21
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
21
|
12
|
—
|
—
|
$55,775.01
|
$497,643.77
|
$101,861.57
|
2026-04-21
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
21
|
12
|
—
|
—
|
$87,449.52
|
$667,273.19
|
$101,330.90
|
2026-04-21
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
21
|
12
|
—
|
—
|
$72,007.63
|
$392,670.79
|
$101,058.10
|
2026-04-21
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
8
|
8
|
—
|
—
|
$100,564.19
|
$110,620.61
|
$100,564.19
|
2026-04-21
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
8
|
—
|
—
|
$100,349.03
|
$110,383.93
|
$100,349.03
|
2026-04-21
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
10
|
8
|
—
|
—
|
$95,081.03
|
$107,441.56
|
$99,835.08
|
2026-04-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
12
|
—
|
—
|
$84,863.25
|
$447,080.60
|
$95,895.47
|
2026-04-21
|
|
J9226
|
HCPCS
|
Supprelin La 50 Mg (65 Mcg/day) Implant Kit [91426]
|
132
|
24
|
$156,396.80
|
$93,838.08
40% off
|
$15,764.80
|
$342,206.87
|
$95,855.60
|
2026-04-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
21
|
12
|
—
|
—
|
$69,457.71
|
$370,478.53
|
$95,346.68
|
2026-04-21
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$92,719.19
|
$101,991.11
|
$92,719.19
|
2026-04-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
12
|
—
|
—
|
$66,401.85
|
$358,826.76
|
$92,347.97
|
2026-04-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
21
|
12
|
—
|
—
|
$57,557.43
|
$448,650.27
|
$91,833.20
|
2026-04-21
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$91,739.76
|
$100,913.74
|
$91,739.76
|
2026-04-21
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$91,320.47
|
$100,452.52
|
$91,320.47
|
2026-04-21
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$91,084.33
|
$100,192.76
|
$91,084.33
|
2026-04-21
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
8
|
—
|
—
|
$90,692.77
|
$99,762.05
|
$90,692.77
|
2026-04-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
12
|
—
|
—
|
$79,464.49
|
$379,540.77
|
$89,794.87
|
2026-04-21
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
8
|
—
|
—
|
$89,786.96
|
$98,765.66
|
$89,786.96
|
2026-04-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
21
|
12
|
—
|
—
|
$60,658.73
|
$344,185.64
|
$88,579.92
|
2026-04-21
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
21
|
12
|
—
|
—
|
$67,524.82
|
$343,741.13
|
$88,465.52
|
2026-04-21
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
8
|
—
|
—
|
$87,421.62
|
$96,163.78
|
$87,421.62
|
2026-04-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
21
|
12
|
—
|
—
|
$61,224.26
|
$339,423.81
|
$87,354.41
|
2026-04-21
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$86,638.51
|
$95,302.36
|
$86,638.51
|
2026-04-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
21
|
12
|
—
|
—
|
$52,567.67
|
$423,198.23
|
$86,623.48
|
2026-04-21
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$86,536.44
|
$95,190.08
|
$86,536.44
|
2026-04-21
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$86,079.09
|
$94,687.00
|
$86,079.09
|
2026-04-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
21
|
12
|
—
|
—
|
$61,888.75
|
$332,872.81
|
$85,668.44
|
2026-04-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
12
|
—
|
—
|
$66,401.85
|
$330,566.91
|
$85,074.99
|
2026-04-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
21
|
12
|
—
|
—
|
$59,265.11
|
$326,949.69
|
$84,144.06
|
2026-04-21
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
12
|
—
|
—
|
$72,898.33
|
$374,944.43
|
$82,375.11
|
2026-04-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
8
|
—
|
—
|
$76,950.93
|
$86,954.55
|
$80,798.48
|
2026-04-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
12
|
—
|
—
|
$69,800.06
|
$503,901.03
|
$78,874.07
|
2026-04-21
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$78,815.56
|
$86,697.12
|
$78,815.56
|
2026-04-21
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
8
|
—
|
—
|
$78,499.76
|
$86,349.74
|
$78,499.76
|
2026-04-21
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
8
|
—
|
—
|
$77,104.95
|
$84,815.45
|
$77,104.95
|
2026-04-21
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
8
|
—
|
—
|
$77,061.91
|
$84,768.10
|
$77,061.91
|
2026-04-21
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$76,417.86
|
$84,059.65
|
$76,417.86
|
2026-04-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
21
|
12
|
—
|
—
|
$43,352.62
|
$372,535.06
|
$76,253.35
|
2026-04-21
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
12
|
9
|
—
|
—
|
$72,465.10
|
$180,747.91
|
$76,088.36
|
2026-04-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
21
|
12
|
—
|
—
|
$55,166.06
|
$295,611.59
|
$76,078.86
|
2026-04-21
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
8
|
—
|
—
|
$72,434.80
|
$81,851.32
|
$76,056.54
|
2026-04-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
12
|
—
|
—
|
$53,854.24
|
$294,305.84
|
$75,742.81
|
2026-04-21
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
9
|
—
|
—
|
$72,050.04
|
$179,711.89
|
$75,652.54
|
2026-04-21
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
17
|
12
|
—
|
—
|
$67,475.34
|
$233,567.62
|
$74,897.63
|
2026-04-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
21
|
12
|
—
|
—
|
$66,160.49
|
$446,075.38
|
$74,761.35
|
2026-04-21
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
8
|
8
|
—
|
—
|
$74,728.58
|
$82,201.44
|
$74,728.58
|
2026-04-21
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$74,343.07
|
$81,777.38
|
$74,343.07
|
2026-04-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
12
|
—
|
—
|
$64,981.98
|
$468,458.10
|
$73,429.64
|
2026-04-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
21
|
12
|
—
|
—
|
$53,283.67
|
$285,210.01
|
$73,401.90
|
2026-04-21
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
10
|
8
|
—
|
—
|
$68,801.71
|
$77,745.93
|
$72,241.80
|
2026-04-21
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$72,147.72
|
$79,362.49
|
$72,147.72
|
2026-04-21
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$72,142.03
|
$79,356.23
|
$72,142.03
|
2026-04-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
21
|
12
|
—
|
—
|
$49,702.67
|
$279,870.31
|
$72,027.67
|
2026-04-21
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$71,926.16
|
$79,118.78
|
$71,926.16
|
2026-04-21
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
21
|
12
|
—
|
—
|
$56,211.27
|
$278,003.36
|
$71,547.19
|
2026-04-21
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$67,975.22
|
$76,812.00
|
$71,373.98
|
2026-04-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
21
|
12
|
—
|
—
|
$49,962.21
|
$276,892.08
|
$71,261.19
|
2026-04-21
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$69,920.37
|
$76,912.41
|
$69,920.37
|
2026-04-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
21
|
12
|
—
|
—
|
$46,074.22
|
$271,530.16
|
$69,881.24
|
2026-04-21
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$61,817.05
|
$458,106.99
|
$69,853.27
|
2026-04-21
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
12
|
—
|
—
|
$60,219.44
|
$302,977.19
|
$68,047.97
|
2026-04-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
17
|
12
|
—
|
—
|
$60,675.90
|
$211,789.76
|
$67,350.25
|
2026-04-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
21
|
12
|
—
|
—
|
$48,077.80
|
$261,411.95
|
$67,277.21
|
2026-04-21
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$67,223.57
|
$73,945.93
|
$67,223.57
|
2026-04-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$59,226.74
|
$421,744.12
|
$66,926.22
|
2026-04-21
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
21
|
12
|
—
|
—
|
$46,640.75
|
$258,478.17
|
$66,522.17
|
2026-04-21
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
10
|
8
|
—
|
—
|
$63,342.28
|
$71,576.78
|
$66,509.40
|
2026-04-21
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
17
|
10
|
—
|
—
|
$9,883.00
|
$312,814.21
|
$66,456.45
|
2026-04-21
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$66,120.39
|
$72,732.43
|
$66,120.39
|
2026-04-21
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
21
|
12
|
—
|
—
|
$58,240.10
|
$288,782.22
|
$65,811.31
|
2026-04-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
12
|
—
|
—
|
$50,899.37
|
$255,183.23
|
$65,674.18
|
2026-04-21
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
8
|
—
|
—
|
$65,583.73
|
$72,142.10
|
$65,583.73
|
2026-04-21
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
12
|
—
|
—
|
$56,774.78
|
$290,555.93
|
$64,155.50
|
2026-04-21
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
8
|
—
|
—
|
$60,021.50
|
$67,824.30
|
$63,022.58
|
2026-04-21
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
12
|
9
|
—
|
—
|
$59,882.14
|
$136,833.85
|
$62,876.25
|
2026-04-21
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$62,788.78
|
$69,067.66
|
$62,788.78
|
2026-04-21
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
21
|
12
|
—
|
—
|
$55,440.74
|
$400,375.50
|
$62,648.04
|
2026-04-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
21
|
12
|
—
|
—
|
$55,244.83
|
$393,233.31
|
$62,426.66
|
2026-04-21
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$62,296.93
|
$68,526.62
|
$62,296.93
|
2026-04-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
21
|
12
|
—
|
—
|
$55,079.21
|
$390,857.41
|
$62,239.51
|
2026-04-21
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$62,206.25
|
$68,426.88
|
$62,206.25
|
2026-04-21
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$61,494.97
|
$67,644.47
|
$61,494.97
|
2026-04-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
21
|
12
|
—
|
—
|
$52,476.78
|
$403,801.73
|
$61,320.60
|
2026-04-21
|
|
33249
|
CPT
|
Insrt/replace Sgl Chbr Icd+gen
|
77
|
21
|
$86,388.00
|
$51,832.80
40% off
|
$21,852.74
|
$269,753.74
|
$60,946.74
|
2026-04-21
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
21
|
12
|
—
|
—
|
$43,701.03
|
$236,669.30
|
$60,909.42
|
2026-04-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
8
|
—
|
—
|
$57,868.47
|
$65,391.37
|
$60,761.89
|
2026-04-21
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
8
|
—
|
—
|
$60,541.15
|
$66,595.27
|
$60,541.15
|
2026-04-21
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
10
|
8
|
—
|
—
|
$57,632.16
|
$65,124.34
|
$60,513.77
|
2026-04-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
21
|
12
|
—
|
—
|
$53,460.39
|
$251,465.59
|
$60,410.24
|
2026-04-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
21
|
12
|
—
|
—
|
$37,078.31
|
$294,991.08
|
$60,381.05
|
2026-04-21
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
8
|
—
|
—
|
$59,959.69
|
$65,955.66
|
$59,959.69
|
2026-04-21
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
21
|
12
|
—
|
—
|
$36,614.78
|
$292,449.20
|
$59,860.76
|
2026-04-21
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
17
|
12
|
—
|
—
|
$53,821.92
|
$179,410.40
|
$59,742.33
|
2026-04-21
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
10
|
8
|
—
|
—
|
$56,824.55
|
$64,211.74
|
$59,665.78
|
2026-04-21
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
21
|
12
|
—
|
—
|
$42,648.75
|
$231,185.13
|
$59,498.01
|
2026-04-21
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
12
|
9
|
—
|
—
|
$56,599.06
|
$123,349.74
|
$59,429.01
|
2026-04-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
12
|
—
|
—
|
$49,495.65
|
$390,813.95
|
$59,348.30
|
2026-04-21
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$58,996.98
|
$64,896.68
|
$58,996.98
|
2026-04-21
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
8
|
—
|
—
|
$58,851.17
|
$64,736.29
|
$58,851.17
|
2026-04-21
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
21
|
12
|
—
|
—
|
$42,301.35
|
$228,484.72
|
$58,803.03
|
2026-04-21
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$58,582.30
|
$64,440.53
|
$58,582.30
|
2026-04-21
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$58,562.39
|
$64,418.63
|
$58,562.39
|
2026-04-21
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
21
|
12
|
—
|
—
|
$34,886.90
|
$285,670.85
|
$58,473.32
|
2026-04-21
|
|
J0202
|
HCPCS
|
Lemtrada 12 Mg/1.2 Ml Intravenous Soln [127557]
|
132
|
24
|
$95,033.99
|
$57,020.40
40% off
|
$2,429.89
|
$89,426.98
|
$58,246.33
|
2026-04-21
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
21
|
12
|
—
|
—
|
$35,614.00
|
$284,524.51
|
$58,238.68
|
2026-04-21
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
10
|
8
|
—
|
—
|
$55,272.32
|
$62,457.73
|
$58,035.94
|
2026-04-21
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Soln [108958]
|
132
|
24
|
$94,484.28
|
$56,690.57
40% off
|
$3,627.97
|
$88,909.71
|
$57,909.42
|
2026-04-21
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
12
|
9
|
—
|
—
|
$54,859.06
|
$136,833.85
|
$57,602.01
|
2026-04-21
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
8
|
—
|
—
|
$57,051.29
|
$62,756.42
|
$57,051.29
|
2026-04-21
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$57,051.29
|
$62,756.42
|
$57,051.29
|
2026-04-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
21
|
12
|
—
|
—
|
$50,366.16
|
$367,902.44
|
$56,913.76
|
2026-04-21
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
8
|
—
|
—
|
$56,889.47
|
$62,578.42
|
$56,889.47
|
2026-04-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$49,873.34
|
$362,274.17
|
$56,356.87
|
2026-04-21
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
21
|
12
|
—
|
—
|
$41,662.10
|
$217,271.91
|
$55,917.29
|
2026-04-21
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
8
|
—
|
—
|
$55,694.53
|
$61,263.98
|
$55,694.53
|
2026-04-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
21
|
12
|
—
|
—
|
$30,631.32
|
$271,524.37
|
$55,577.71
|
2026-04-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
21
|
12
|
—
|
—
|
$48,763.50
|
$256,412.01
|
$55,102.76
|
2026-04-21
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
21
|
12
|
—
|
—
|
$48,517.09
|
$362,701.54
|
$55,079.20
|
2026-04-21
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
21
|
12
|
—
|
—
|
$32,589.45
|
$267,420.81
|
$54,737.76
|
2026-04-21
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$54,191.25
|
$59,610.38
|
$54,191.25
|
2026-04-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
21
|
12
|
—
|
—
|
$31,960.30
|
$263,217.57
|
$53,877.41
|
2026-04-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
12
|
—
|
—
|
$47,380.99
|
$344,353.50
|
$53,540.52
|
2026-04-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
21
|
12
|
—
|
—
|
$47,239.61
|
$345,918.12
|
$53,380.76
|
2026-04-21
|
|
83
|
APR_DRG
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
8
|
—
|
—
|
$53,059.97
|
$58,365.97
|
$53,059.97
|
2026-04-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$32,183.48
|
$256,879.48
|
$52,580.08
|
2026-04-21
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
10
|
8
|
—
|
—
|
$50,007.15
|
$56,508.08
|
$52,507.51
|
2026-04-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
21
|
12
|
—
|
—
|
$46,418.58
|
$332,618.87
|
$52,453.00
|
2026-04-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
21
|
12
|
—
|
—
|
$46,300.43
|
$338,964.26
|
$52,319.49
|
2026-04-21
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
21
|
12
|
—
|
—
|
$45,735.91
|
$344,418.69
|
$52,302.80
|
2026-04-21
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$52,164.12
|
$57,380.53
|
$52,164.12
|
2026-04-21
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
10
|
8
|
—
|
—
|
$49,600.83
|
$56,048.94
|
$52,080.87
|
2026-04-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$45,935.87
|
$326,802.26
|
$51,907.53
|
2026-04-21
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$51,371.05
|
$56,508.16
|
$51,371.05
|
2026-04-21
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$51,312.02
|
$56,443.22
|
$51,312.02
|
2026-04-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
21
|
12
|
—
|
—
|
$45,260.26
|
$333,872.01
|
$51,144.09
|
2026-04-21
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
8
|
—
|
—
|
$51,085.12
|
$56,193.63
|
$51,085.12
|
2026-04-21
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
21
|
12
|
—
|
—
|
$36,539.04
|
$198,207.90
|
$51,010.96
|
2026-04-21
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
21
|
12
|
—
|
—
|
$45,069.40
|
$318,196.86
|
$50,928.42
|
2026-04-21
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
8
|
—
|
—
|
$50,626.35
|
$55,688.99
|
$50,626.35
|
2026-04-21
|
|
33230
|
CPT
|
Insrt Icd Pulse Gen Dual Lead
|
77
|
21
|
$71,587.50
|
$42,952.50
40% off
|
$16,993.10
|
$189,788.91
|
$50,504.99
|
2026-04-21
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
8
|
8
|
—
|
—
|
$50,316.23
|
$55,347.85
|
$50,316.23
|
2026-04-21
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$50,259.69
|
$55,285.66
|
$50,259.69
|
2026-04-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
21
|
12
|
—
|
—
|
$31,454.36
|
$244,934.30
|
$50,135.05
|
2026-04-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$44,361.48
|
$308,990.25
|
$50,128.47
|
2026-04-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
21
|
12
|
—
|
—
|
$29,410.39
|
$244,302.99
|
$50,005.82
|
2026-04-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
21
|
12
|
—
|
—
|
$33,735.65
|
$194,201.74
|
$49,979.93
|
2026-04-21
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
13
|
10
|
—
|
—
|
$47,477.93
|
$104,447.49
|
$49,851.83
|
2026-04-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
21
|
12
|
—
|
—
|
$35,913.94
|
$191,384.64
|
$49,254.92
|
2026-04-21
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
12
|
9
|
—
|
—
|
$46,827.58
|
$109,931.36
|
$49,168.96
|
2026-04-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
21
|
12
|
—
|
—
|
$35,227.23
|
$190,606.75
|
$49,054.72
|
2026-04-21
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$48,741.83
|
$53,616.01
|
$48,741.83
|
2026-04-21
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
21
|
12
|
—
|
—
|
$42,380.12
|
$320,927.70
|
$48,735.50
|
2026-04-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
21
|
12
|
—
|
—
|
$32,848.99
|
$189,262.10
|
$48,708.66
|
2026-04-21
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
21
|
12
|
—
|
—
|
$26,862.49
|
$237,890.14
|
$48,693.19
|
2026-04-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
21
|
12
|
—
|
—
|
$43,073.90
|
$306,346.33
|
$48,673.51
|
2026-04-21
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
21
|
12
|
—
|
—
|
$30,503.06
|
$237,416.65
|
$48,596.27
|
2026-04-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
21
|
12
|
—
|
—
|
$32,243.07
|
$188,473.09
|
$48,505.60
|
2026-04-21
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
21
|
12
|
—
|
—
|
$42,826.48
|
$215,563.88
|
$48,393.92
|
2026-04-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
8
|
—
|
—
|
$45,915.67
|
$51,884.71
|
$48,211.45
|
2026-04-21
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
21
|
12
|
—
|
—
|
$42,576.03
|
$297,255.61
|
$48,110.91
|
2026-04-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
21
|
12
|
—
|
—
|
$42,430.61
|
$303,477.87
|
$47,946.59
|
2026-04-21
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
8
|
—
|
—
|
$47,717.24
|
$52,488.96
|
$47,717.24
|
2026-04-21
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
12
|
—
|
—
|
$42,137.75
|
$227,942.90
|
$47,615.66
|
2026-04-21
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
10
|
8
|
—
|
—
|
$45,247.14
|
$51,129.27
|
$47,509.50
|
2026-04-21
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$47,426.33
|
$52,168.96
|
$47,426.33
|
2026-04-21
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$41,939.82
|
$294,626.19
|
$47,392.00
|
2026-04-21
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$47,104.83
|
$51,815.31
|
$47,104.83
|
2026-04-21
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$46,643.93
|
$51,308.32
|
$46,643.93
|
2026-04-21
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$46,624.72
|
$51,287.19
|
$46,624.72
|
2026-04-21
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
25
|
13
|
—
|
—
|
$32,454.62
|
$376,024.18
|
$46,536.10
|
2026-04-21
|
|
64654
|
CPT
|
1st Opn Implt Bat Modulj Sys
|
10
|
8
|
—
|
—
|
$44,320.09
|
$50,081.70
|
$46,536.10
|
2026-04-21
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
25
|
13
|
—
|
—
|
$19,861.72
|
$243,316.19
|
$46,092.90
|
2026-04-21
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
21
|
12
|
—
|
—
|
$40,601.74
|
$206,521.13
|
$45,879.97
|
2026-04-21
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
21
|
12
|
—
|
—
|
$36,419.88
|
$178,049.28
|
$45,822.92
|
2026-04-21
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
21
|
12
|
—
|
—
|
$31,820.94
|
$177,532.54
|
$45,689.93
|
2026-04-21
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
21
|
12
|
—
|
—
|
$39,432.80
|
$259,668.57
|
$45,464.59
|
2026-04-21
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
17
|
10
|
—
|
—
|
$14,351.00
|
$134,230.78
|
$45,206.49
|
2026-04-21
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
21
|
12
|
—
|
—
|
$28,186.43
|
$219,847.77
|
$45,000.14
|
2026-04-21
|
|
509
|
MS_DRG
|
Orthopedic
|
11
|
6
|
—
|
—
|
$29,869.17
|
$145,925.56
|
$44,976.94
|
2026-04-21
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) Intravenous Solr [138459]
|
132
|
24
|
$73,377.12
|
$44,026.28
40% off
|
$2,698.05
|
$69,047.87
|
$44,972.84
|
2026-04-21
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
8
|
—
|
—
|
$42,554.83
|
$48,086.96
|
$44,682.57
|
2026-04-21
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
21
|
12
|
—
|
—
|
$33,241.82
|
$173,415.24
|
$44,630.30
|
2026-04-21
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
21
|
12
|
—
|
—
|
$27,751.17
|
$217,912.28
|
$44,603.97
|
2026-04-21
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
8
|
—
|
—
|
$44,447.51
|
$48,892.26
|
$44,447.51
|
2026-04-21
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
21
|
12
|
—
|
—
|
$31,805.79
|
$172,598.45
|
$44,420.09
|
2026-04-21
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
10
|
8
|
—
|
—
|
$42,107.46
|
$47,581.43
|
$44,212.83
|
2026-04-21
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
8
|
—
|
—
|
$44,205.32
|
$48,625.85
|
$44,205.32
|
2026-04-21
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
21
|
12
|
—
|
—
|
$39,088.96
|
$183,091.66
|
$44,170.52
|
2026-04-21
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
8
|
8
|
—
|
—
|
$44,101.83
|
$48,512.01
|
$44,101.83
|
2026-04-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
21
|
12
|
—
|
—
|
$38,993.02
|
$177,601.78
|
$44,062.11
|
2026-04-21
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
21
|
12
|
—
|
—
|
$30,057.71
|
$170,503.69
|
$43,880.98
|
2026-04-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
21
|
12
|
—
|
—
|
$38,771.86
|
$288,563.29
|
$43,820.70
|
2026-04-21
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
21
|
12
|
—
|
—
|
$36,181.55
|
$288,360.47
|
$43,789.90
|
2026-04-21
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
8
|
8
|
—
|
—
|
$43,533.53
|
$47,886.88
|
$43,533.53
|
2026-04-21
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
8
|
—
|
—
|
$43,448.53
|
$47,793.38
|
$43,448.53
|
2026-04-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$37,635.76
|
$285,810.73
|
$43,402.70
|
2026-04-21
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
21
|
12
|
—
|
—
|
$27,992.53
|
$211,673.88
|
$43,327.04
|
2026-04-21
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
21
|
12
|
—
|
—
|
$36,097.73
|
$285,223.99
|
$43,313.60
|
2026-04-21
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$43,291.34
|
$47,620.47
|
$43,291.34
|
2026-04-21
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
10
|
8
|
—
|
—
|
$40,990.54
|
$46,319.31
|
$43,040.07
|
2026-04-21
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
21
|
12
|
—
|
—
|
$30,465.70
|
$209,738.39
|
$42,930.87
|
2026-04-21
|
|
33262
|
CPT
|
Remove/replce Icd Gen Sng Lead
|
77
|
21
|
$60,724.75
|
$36,434.85
40% off
|
$16,178.06
|
$189,788.91
|
$42,841.31
|
2026-04-21
|
|
33263
|
CPT
|
Remove/rplce Icd Gen Dual Lead
|
77
|
21
|
$60,724.75
|
$36,434.85
40% off
|
$16,336.46
|
$189,788.91
|
$42,841.31
|
2026-04-21
|
|
33264
|
CPT
|
Remove/rplce Icd Gen Mult Lead
|
77
|
21
|
$60,724.75
|
$36,434.85
40% off
|
$17,610.18
|
$269,753.74
|
$42,841.31
|
2026-04-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$36,320.90
|
$239,176.43
|
$42,754.35
|
2026-04-21
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
8
|
8
|
—
|
—
|
$42,735.12
|
$47,008.63
|
$42,735.12
|
2026-04-21
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
8
|
—
|
—
|
$42,733.34
|
$47,006.67
|
$42,733.34
|
2026-04-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$37,745.84
|
$278,900.33
|
$42,652.80
|
2026-04-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
21
|
12
|
—
|
—
|
$37,741.80
|
$189,195.78
|
$42,648.23
|
2026-04-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
21
|
12
|
—
|
—
|
$35,218.14
|
$279,965.14
|
$42,515.00
|
2026-04-21
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
21
|
12
|
—
|
—
|
$37,093.46
|
$279,682.64
|
$42,472.10
|
2026-04-21
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$42,200.60
|
$46,420.66
|
$42,200.60
|
2026-04-21
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$42,171.44
|
$46,388.58
|
$42,171.44
|
2026-04-21
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
8
|
—
|
—
|
$42,006.06
|
$46,206.67
|
$42,006.06
|
2026-04-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
21
|
12
|
—
|
—
|
$28,786.29
|
$161,813.48
|
$41,644.46
|
2026-04-21
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
8
|
8
|
—
|
—
|
$41,626.96
|
$45,789.66
|
$41,626.96
|
2026-04-21
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
10
|
8
|
—
|
—
|
$39,525.62
|
$44,663.95
|
$41,501.90
|
2026-04-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
8
|
—
|
—
|
$39,505.03
|
$44,640.68
|
$41,480.28
|
2026-04-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
21
|
12
|
—
|
—
|
$34,914.00
|
$229,911.86
|
$41,406.66
|
2026-04-21
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
21
|
12
|
—
|
—
|
$36,564.29
|
$251,258.75
|
$41,317.65
|
2026-04-21
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
10
|
8
|
—
|
—
|
$39,326.28
|
$44,438.70
|
$41,292.59
|
2026-04-21
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
21
|
12
|
—
|
—
|
$36,474.41
|
$259,654.09
|
$41,216.08
|
2026-04-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
21
|
12
|
—
|
—
|
$35,943.22
|
$271,055.51
|
$41,162.00
|
2026-04-21
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
26
|
11
|
—
|
—
|
$30,043.91
|
$166,331.50
|
$40,981.91
|
2026-04-21
|
|
J9274
|
HCPCS
|
Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Soln [152604]
|
132
|
24
|
$66,858.00
|
$40,114.80
40% off
|
$217.09
|
$62,913.38
|
$40,977.27
|
2026-04-21
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
21
|
12
|
—
|
—
|
$32,420.80
|
$159,029.72
|
$40,928.03
|
2026-04-21
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$40,906.43
|
$44,997.07
|
$40,906.43
|
2026-04-21
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
21
|
12
|
—
|
—
|
$36,061.38
|
$262,464.60
|
$40,749.36
|
2026-04-21
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
21
|
12
|
—
|
—
|
$27,476.49
|
$158,179.60
|
$40,709.24
|
2026-04-21
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
21
|
12
|
—
|
—
|
$36,007.85
|
$253,620.17
|
$40,688.87
|
2026-04-21
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
21
|
12
|
—
|
—
|
$35,977.56
|
$253,801.26
|
$40,654.64
|
2026-04-21
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
8
|
8
|
—
|
—
|
$40,607.70
|
$44,668.47
|
$40,607.70
|
2026-04-21
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
8
|
—
|
—
|
$40,559.69
|
$44,615.66
|
$40,559.69
|
2026-04-21
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
8
|
8
|
—
|
—
|
$40,535.15
|
$44,588.67
|
$40,535.15
|
2026-04-21
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
8
|
—
|
—
|
$40,360.18
|
$44,396.20
|
$40,360.18
|
2026-04-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
21
|
12
|
—
|
—
|
$35,541.29
|
$264,297.23
|
$40,161.66
|
2026-04-21
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$40,120.83
|
$44,132.91
|
$40,120.83
|
2026-04-21
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
21
|
12
|
—
|
—
|
$31,731.06
|
$155,884.80
|
$40,118.65
|
2026-04-21
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
8
|
8
|
—
|
—
|
$40,088.47
|
$44,097.32
|
$40,088.47
|
2026-04-21
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$40,064.64
|
$44,071.10
|
$40,064.64
|
2026-04-21
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$38,001.33
|
$42,941.50
|
$39,901.40
|
2026-04-21
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
21
|
12
|
—
|
—
|
$24,834.67
|
$194,262.82
|
$39,763.22
|
2026-04-21
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
21
|
12
|
—
|
—
|
$35,056.56
|
$250,983.50
|
$39,613.91
|
2026-04-21
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
8
|
—
|
—
|
$39,408.85
|
$43,349.74
|
$39,408.85
|
2026-04-21
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
8
|
—
|
—
|
$39,399.25
|
$43,339.18
|
$39,399.25
|
2026-04-21
|
|
33225
|
CPT
|
L Ventric Pacing Lead Add-on
|
69
|
21
|
$55,705.75
|
$33,423.45
40% off
|
$387.84
|
$52,419.11
|
$39,300.40
|
2026-04-21
|
|
33224
|
CPT
|
Insert Pacing Lead Connect
|
77
|
21
|
$55,705.75
|
$33,423.45
40% off
|
$6,252.51
|
$85,665.21
|
$39,300.40
|
2026-04-21
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
13
|
10
|
—
|
—
|
$37,423.69
|
$78,721.58
|
$39,294.87
|
2026-04-21
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
8
|
8
|
—
|
—
|
$39,287.93
|
$43,216.72
|
$39,287.93
|
2026-04-21
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
8
|
—
|
—
|
$39,237.43
|
$43,161.17
|
$39,237.43
|
2026-04-21
|