|
Q2041
|
HCPCS
|
Hc Yescarta (including Apheresis)
|
24
|
19
|
$2,914,876.00
|
$1,748,925.60
40% off
|
$512,754.06
|
$2,623,388.40
|
$1,880,095.02
|
2026-02-21
|
|
5834
|
APR_DRG
|
Inpatient Aprdrg 5834: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$262,733.08
|
$262,733.08
|
$262,733.08
|
2026-02-21
|
|
74
|
APR_DRG
|
Inpatient Aprdrg 0074: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$255,586.99
|
$255,586.99
|
$255,586.99
|
2026-02-21
|
|
5833
|
APR_DRG
|
Inpatient Aprdrg 5833: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$222,472.72
|
$222,472.72
|
$222,472.72
|
2026-02-21
|
|
81200003
|
CDM
|
Hc Std Acq Chg Cadaver Kidney/pancreas
|
18
|
13
|
$316,385.45
|
$189,831.27
40% off
|
$98,079.49
|
$284,746.91
|
$218,305.96
|
2026-02-21
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$306,762.00
|
$184,057.20
40% off
|
$95,096.22
|
$276,085.80
|
$214,733.40
|
2026-02-21
|
|
24
|
APR_DRG
|
Inpatient Aprdrg 0024: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$214,012.46
|
$214,012.46
|
$214,012.46
|
2026-02-21
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
26
|
17
|
$294,778.75
|
$176,867.25
40% off
|
$91,381.41
|
$265,300.88
|
$206,345.12
|
2026-02-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$292,241.30
|
$196,146.80
|
2026-02-21
|
|
81200017
|
CDM
|
Hc Std Acq Chg Cadaver Liver/kidney
|
18
|
13
|
$249,395.20
|
$149,637.12
40% off
|
$77,312.51
|
$224,455.68
|
$172,082.69
|
2026-02-21
|
|
5884
|
APR_DRG
|
Inpatient Aprdrg 5884: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$166,305.73
|
$166,305.73
|
$166,305.73
|
2026-02-21
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
26
|
17
|
$233,525.34
|
$140,115.20
40% off
|
$72,392.86
|
$210,172.81
|
$163,467.74
|
2026-02-21
|
|
1614
|
APR_DRG
|
Inpatient Aprdrg 1614: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$161,494.27
|
$161,494.27
|
$161,494.27
|
2026-02-21
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
18
|
13
|
$220,688.76
|
$132,413.26
40% off
|
$68,413.52
|
$198,619.88
|
$152,275.24
|
2026-02-21
|
|
94
|
APR_DRG
|
Inpatient Aprdrg 0094: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$151,294.70
|
$151,294.70
|
$151,294.70
|
2026-02-21
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
26
|
17
|
$215,250.00
|
$129,150.00
40% off
|
$66,727.50
|
$193,725.00
|
$150,675.00
|
2026-02-21
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
26
|
17
|
$215,250.00
|
$129,150.00
40% off
|
$66,727.50
|
$193,725.00
|
$150,675.00
|
2026-02-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$192,676.68
|
$145,251.49
|
2026-02-21
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
26
|
17
|
$207,132.00
|
$124,279.20
40% off
|
$64,210.92
|
$186,418.80
|
$144,992.40
|
2026-02-21
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$207,132.00
|
$124,279.20
40% off
|
$64,210.92
|
$186,418.80
|
$144,992.40
|
2026-02-21
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$199,260.00
|
$119,556.00
40% off
|
$61,770.60
|
$179,334.00
|
$139,482.00
|
2026-02-21
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
24
|
17
|
$198,613.80
|
$119,168.28
40% off
|
$61,570.28
|
$178,752.42
|
$139,029.66
|
2026-02-21
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$157,488.16
|
$133,142.16
|
2026-02-21
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$157,488.16
|
$133,142.16
|
2026-02-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$157,488.16
|
$133,142.16
|
2026-02-21
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
18
|
13
|
$185,810.00
|
$111,486.00
40% off
|
$57,601.10
|
$167,229.00
|
$128,208.90
|
2026-02-21
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
26
|
17
|
$179,580.00
|
$107,748.00
40% off
|
$55,669.80
|
$161,622.00
|
$125,706.00
|
2026-02-21
|
|
27201912-261835
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
19
|
14
|
$183,639.00
|
$110,183.40
40% off
|
$56,928.09
|
$165,275.10
|
$124,874.52
|
2026-02-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$147,368.29
|
$124,586.72
|
2026-02-21
|
|
6304
|
APR_DRG
|
Inpatient Aprdrg 6304: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$123,742.55
|
$123,742.55
|
$123,742.55
|
2026-02-21
|
|
6094
|
APR_DRG
|
Inpatient Aprdrg 6094: Neonate Bwt 1500-2499g W Major Procedure
|
1
|
1
|
—
|
—
|
$122,645.97
|
$122,645.97
|
$122,645.97
|
2026-02-21
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
25
|
19
|
$187,807.50
|
$112,684.50
40% off
|
$57,633.95
|
$169,026.75
|
$122,074.88
|
2026-02-21
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$141,684.04
|
$119,781.20
|
2026-02-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$137,938.16
|
$116,614.39
|
2026-02-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$137,938.16
|
$116,614.39
|
2026-02-21
|
|
5832
|
APR_DRG
|
Inpatient Aprdrg 5832: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$110,853.08
|
$110,853.08
|
$110,853.08
|
2026-02-21
|
|
114
|
APR_DRG
|
Inpatient Aprdrg 0114: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$105,262.25
|
$105,262.25
|
$105,262.25
|
2026-02-21
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
24
|
18
|
$161,632.27
|
$96,979.36
40% off
|
$226.76
|
$145,469.04
|
$105,060.98
|
2026-02-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
8
|
8
|
—
|
—
|
$94,858.83
|
$121,355.14
|
$102,594.92
|
2026-02-21
|
|
2004
|
APR_DRG
|
Inpatient Aprdrg 2004: Cardiac Structural & Valvular Disorders
|
1
|
1
|
—
|
—
|
$97,817.62
|
$97,817.62
|
$97,817.62
|
2026-02-21
|
|
5831
|
APR_DRG
|
Inpatient Aprdrg 5831: Neonate W Ecmo
|
1
|
1
|
—
|
—
|
$97,608.34
|
$97,608.34
|
$97,608.34
|
2026-02-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
8
|
8
|
—
|
—
|
$88,186.74
|
$114,790.89
|
$97,045.44
|
2026-02-21
|
|
73
|
APR_DRG
|
Inpatient Aprdrg 0073: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$90,186.88
|
$90,186.88
|
$90,186.88
|
2026-02-21
|
|
5883
|
APR_DRG
|
Inpatient Aprdrg 5883: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$89,234.21
|
$89,234.21
|
$89,234.21
|
2026-02-21
|
|
5882
|
APR_DRG
|
Inpatient Aprdrg 5882: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$88,826.36
|
$88,826.36
|
$88,826.36
|
2026-02-21
|
|
44
|
APR_DRG
|
Inpatient Aprdrg 0044: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$88,596.67
|
$88,596.67
|
$88,596.67
|
2026-02-21
|
|
8414
|
APR_DRG
|
Inpatient Aprdrg 8414: Extensive 3rd Degree Burns W Skin Graft
|
1
|
1
|
—
|
—
|
$88,215.81
|
$88,215.81
|
$88,215.81
|
2026-02-21
|
|
6314
|
APR_DRG
|
Inpatient Aprdrg 6314: Neonate Birthwt >2499g W Other Major Procedure
|
1
|
1
|
—
|
—
|
$87,334.74
|
$87,334.74
|
$87,334.74
|
2026-02-21
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
18
|
13
|
$123,509.00
|
$74,105.40
40% off
|
$38,287.79
|
$111,158.10
|
$85,221.21
|
2026-02-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$100,717.03
|
$85,147.25
|
2026-02-21
|
|
8504
|
APR_DRG
|
Inpatient Aprdrg 8504: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Hea…
|
1
|
1
|
—
|
—
|
$85,034.00
|
$85,034.00
|
$85,034.00
|
2026-02-21
|
|
5914
|
APR_DRG
|
Inpatient Aprdrg 5914: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$84,272.28
|
$84,272.28
|
$84,272.28
|
2026-02-21
|
|
1613
|
APR_DRG
|
Inpatient Aprdrg 1613: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$84,173.00
|
$84,173.00
|
$84,173.00
|
2026-02-21
|
|
5881
|
APR_DRG
|
Inpatient Aprdrg 5881: Neonate Bwt <1500g W Major Procedure
|
1
|
1
|
—
|
—
|
$83,728.14
|
$83,728.14
|
$83,728.14
|
2026-02-21
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,363.09
|
$78,084.74
|
2026-02-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,363.09
|
$78,084.74
|
2026-02-21
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
750
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
241
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$93,348.74
|
$78,064.63
|
2026-02-21
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
553
|
MS_DRG
|
Bone Diseases And Arthropathies With Mcc
|
8
|
8
|
—
|
—
|
$17,808.62
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
33
|
MS_DRG
|
Ventricular Shunt Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$21,756.24
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
738
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
9
|
8
|
—
|
—
|
$24,608.89
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
8
|
8
|
—
|
—
|
$18,362.24
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$128,520.46
|
$78,064.63
|
2026-02-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$33,650.92
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
9
|
8
|
—
|
—
|
$73,867.00
|
$107,010.06
|
$78,064.63
|
2026-02-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
9
|
8
|
—
|
—
|
$26,688.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
747
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
9
|
8
|
—
|
—
|
$73,867.00
|
$142,149.05
|
$78,064.63
|
2026-02-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
9
|
8
|
—
|
—
|
$26,688.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
9
|
8
|
—
|
—
|
$73,867.00
|
$154,106.35
|
$78,064.63
|
2026-02-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$112,651.36
|
$78,064.63
|
2026-02-21
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
81
|
MS_DRG
|
Nontraumatic Stupor And Coma Without Mcc
|
8
|
8
|
—
|
—
|
$12,337.85
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
9
|
8
|
—
|
—
|
$26,688.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
748
|
MS_DRG
|
Female Reproductive System Reconstructive Procedures
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
497
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
9
|
8
|
—
|
—
|
$29,121.04
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
9
|
8
|
—
|
—
|
$35,454.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$109,921.16
|
$78,064.63
|
2026-02-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
9
|
8
|
—
|
—
|
$36,390.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$18,196.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
9
|
8
|
—
|
—
|
$35,454.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
8
|
8
|
—
|
—
|
$20,418.55
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$121,256.97
|
$78,064.63
|
2026-02-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
9
|
8
|
—
|
—
|
$35,454.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
9
|
8
|
—
|
—
|
$29,548.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
8
|
8
|
—
|
—
|
$25,817.04
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
489
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
8
|
8
|
—
|
—
|
$27,105.64
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
9
|
8
|
—
|
—
|
$29,548.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
9
|
8
|
—
|
—
|
$29,548.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
259
|
MS_DRG
|
Cardiac Pacemaker Device Replacement Without Mcc
|
9
|
8
|
—
|
—
|
$23,968.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
9
|
8
|
—
|
—
|
$36,028.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$18,196.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
9
|
8
|
—
|
—
|
$35,454.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
735
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
9
|
8
|
—
|
—
|
$35,454.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
9
|
8
|
—
|
—
|
$34,289.70
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
9
|
8
|
—
|
—
|
$36,390.00
|
$115,486.01
|
$78,064.63
|
2026-02-21
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
9
|
8
|
—
|
—
|
$15,775.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
618
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
9
|
8
|
—
|
—
|
$29,548.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
9
|
8
|
—
|
—
|
$26,688.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
8
|
8
|
—
|
—
|
$24,880.25
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
9
|
8
|
—
|
—
|
$9,424.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
9
|
8
|
—
|
—
|
$37,178.55
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
9
|
8
|
—
|
—
|
$14,859.15
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
8
|
8
|
—
|
—
|
$12,632.39
|
$92,339.31
|
$78,064.63
|
2026-02-21
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
20
|
14
|
$115,440.00
|
$69,264.00
40% off
|
$35,786.40
|
$103,896.00
|
$76,767.60
|
2026-02-21
|
|
14
|
APR_DRG
|
Inpatient Aprdrg 0014: Liver Transplant &/or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$76,662.99
|
$76,662.99
|
$76,662.99
|
2026-02-21
|
|
84
|
APR_DRG
|
Inpatient Aprdrg 0084: Autologous Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$76,355.80
|
$76,355.80
|
$76,355.80
|
2026-02-21
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$90,103.66
|
$76,174.59
|
2026-02-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
137
|
MS_DRG
|
Mouth Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
116
|
MS_DRG
|
Intraocular Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$89,960.95
|
$76,053.95
|
2026-02-21
|
|
6814
|
APR_DRG
|
Inpatient Aprdrg 6814: Other O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$74,999.09
|
$74,999.09
|
$74,999.09
|
2026-02-21
|
|
1604
|
APR_DRG
|
Inpatient Aprdrg 1604: Major Cardiothoracic Repair Of Heart Anomaly
|
1
|
1
|
—
|
—
|
$74,957.23
|
$74,957.23
|
$74,957.23
|
2026-02-21
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
801
|
MS_DRG
|
Splenic Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/mcc
|
9
|
8
|
—
|
—
|
$19,933.10
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
9
|
8
|
—
|
—
|
$21,776.69
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$88,575.58
|
$74,882.73
|
2026-02-21
|
|
93
|
APR_DRG
|
Inpatient Aprdrg 0093: Extracorporeal Membrane Oxygenation (ecmo)
|
1
|
1
|
—
|
—
|
$74,330.77
|
$74,330.77
|
$74,330.77
|
2026-02-21
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
8
|
8
|
—
|
—
|
$25,742.04
|
$87,112.89
|
$73,646.16
|
2026-02-21
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
8
|
8
|
—
|
—
|
$27,124.73
|
$86,405.33
|
$73,047.99
|
2026-02-21
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
8
|
8
|
—
|
—
|
$36,863.56
|
$86,405.33
|
$73,047.99
|
2026-02-21
|
|
2464
|
APR_DRG
|
Inpatient Aprdrg 2464: Gastrointestinal Vascular Insufficiency
|
1
|
1
|
—
|
—
|
$72,687.63
|
$72,687.63
|
$72,687.63
|
2026-02-21
|
|
6034
|
APR_DRG
|
Inpatient Aprdrg 6034: Neonate Birthwt 1000-1249g W Or Without Other Significant Con…
|
1
|
1
|
—
|
—
|
$72,312.64
|
$72,312.64
|
$72,312.64
|
2026-02-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$84,241.03
|
$71,218.27
|
2026-02-21
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
18
|
13
|
$102,432.00
|
$61,459.20
40% off
|
$31,753.92
|
$92,188.80
|
$70,678.08
|
2026-02-21
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
26
|
17
|
$100,860.00
|
$60,516.00
40% off
|
$31,266.60
|
$90,774.00
|
$70,602.00
|
2026-02-21
|
|
64
|
APR_DRG
|
Inpatient Aprdrg 0064: Pancreas Transplant
|
1
|
1
|
—
|
—
|
$70,177.26
|
$70,177.26
|
$70,177.26
|
2026-02-21
|
|
5891
|
APR_DRG
|
Inpatient Aprdrg 5891: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$70,171.72
|
$70,171.72
|
$70,171.72
|
2026-02-21
|
|
5934
|
APR_DRG
|
Inpatient Aprdrg 5934: Neonate Birthwt 750-999g Without Major Procedure
|
1
|
1
|
—
|
—
|
$69,961.75
|
$69,961.75
|
$69,961.75
|
2026-02-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$81,815.12
|
$69,167.37
|
2026-02-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
8
|
—
|
—
|
$9,424.00
|
$81,725.93
|
$69,091.97
|
2026-02-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
9
|
8
|
—
|
—
|
$6,368.00
|
$80,578.38
|
$68,121.82
|
2026-02-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$80,578.38
|
$68,121.82
|
2026-02-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$80,578.38
|
$68,121.82
|
2026-02-21
|
|
5892
|
APR_DRG
|
Inpatient Aprdrg 5892: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$68,010.73
|
$68,010.73
|
$68,010.73
|
2026-02-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$79,222.72
|
$66,975.73
|
2026-02-21
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$78,741.11
|
$66,568.57
|
2026-02-21
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
9
|
8
|
—
|
—
|
$6,368.00
|
$78,741.11
|
$66,568.57
|
2026-02-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$78,741.11
|
$66,568.57
|
2026-02-21
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$78,205.98
|
$66,116.17
|
2026-02-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$77,914.63
|
$65,869.86
|
2026-02-21
|
|
1624
|
APR_DRG
|
Inpatient Aprdrg 1624: Cardiac Valve Procedures W Ami Or Complex Pdx
|
1
|
1
|
—
|
—
|
$65,387.59
|
$65,387.59
|
$65,387.59
|
2026-02-21
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$76,868.16
|
$64,985.16
|
2026-02-21
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$76,868.16
|
$64,985.16
|
2026-02-21
|
|
33270
|
HCPCS
|
Hc Ins/rep Subq Defibrilllator
|
24
|
19
|
$99,435.35
|
$59,661.21
40% off
|
$21,943.90
|
$89,491.82
|
$64,632.98
|
2026-02-21
|
|
6024
|
APR_DRG
|
Inpatient Aprdrg 6024: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or M…
|
1
|
1
|
—
|
—
|
$64,314.54
|
$64,314.54
|
$64,314.54
|
2026-02-21
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
8
|
8
|
—
|
—
|
$40,719.82
|
$75,696.82
|
$63,994.90
|
2026-02-21
|
|
5893
|
APR_DRG
|
Inpatient Aprdrg 5893: Neonate Bwt <500g Or Ga <24 Weeks
|
1
|
1
|
—
|
—
|
$63,792.54
|
$63,792.54
|
$63,792.54
|
2026-02-21
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$91,020.00
|
$54,612.00
40% off
|
$28,216.20
|
$81,918.00
|
$63,714.00
|
2026-02-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
9
|
8
|
—
|
—
|
$35,454.00
|
$74,424.42
|
$62,919.19
|
2026-02-21
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$74,222.26
|
$62,748.28
|
2026-02-21
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$73,568.21
|
$62,195.34
|
2026-02-21
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$88,560.00
|
$53,136.00
40% off
|
$27,453.60
|
$79,704.00
|
$61,992.00
|
2026-02-21
|
|
27800973
|
CDM
|
Hc Corevalue Aortic
|
26
|
17
|
$88,500.00
|
$53,100.00
40% off
|
$27,435.00
|
$79,650.00
|
$61,950.00
|
2026-02-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
8
|
—
|
—
|
$52,123.07
|
$96,325.79
|
$61,795.39
|
2026-02-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
8
|
—
|
—
|
$52,123.07
|
$140,714.17
|
$61,795.39
|
2026-02-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
8
|
—
|
—
|
$52,123.07
|
$175,514.90
|
$61,795.39
|
2026-02-21
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$74,782.65
|
$61,795.39
|
2026-02-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
8
|
—
|
—
|
$52,123.07
|
$83,521.02
|
$61,795.39
|
2026-02-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$90,626.29
|
$61,795.39
|
2026-02-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$85,559.67
|
$61,795.39
|
2026-02-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
8
|
—
|
—
|
$52,123.07
|
$108,193.97
|
$61,795.39
|
2026-02-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$96,753.16
|
$61,795.39
|
2026-02-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$111,092.82
|
$61,795.39
|
2026-02-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
8
|
—
|
—
|
$52,123.07
|
$117,443.37
|
$61,795.39
|
2026-02-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$108,948.69
|
$61,795.39
|
2026-02-21
|
|
6214
|
APR_DRG
|
Inpatient Aprdrg 6214: Neonate Bwt 2000-2499g W Major Anomaly
|
1
|
1
|
—
|
—
|
$61,073.92
|
$61,073.92
|
$61,073.92
|
2026-02-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
9
|
8
|
—
|
—
|
$6,368.00
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
9
|
8
|
—
|
—
|
$6,368.00
|
$90,990.01
|
$60,998.98
|
2026-02-21
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
9
|
8
|
—
|
—
|
$20,696.72
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
9
|
8
|
—
|
—
|
$6,368.00
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
9
|
8
|
—
|
—
|
$25,875.67
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
9
|
8
|
—
|
—
|
$6,368.00
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
9
|
8
|
—
|
—
|
$29,548.00
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
9
|
8
|
—
|
—
|
$29,548.00
|
$72,153.08
|
$60,998.98
|
2026-02-21
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$72,016.34
|
$60,883.38
|
2026-02-21
|
|
72
|
APR_DRG
|
Inpatient Aprdrg 0072: Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$60,595.51
|
$60,595.51
|
$60,595.51
|
2026-02-21
|
|
1612
|
APR_DRG
|
Inpatient Aprdrg 1612: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$60,507.30
|
$60,507.30
|
$60,507.30
|
2026-02-21
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
26
|
17
|
$86,100.00
|
$51,660.00
40% off
|
$26,691.00
|
$77,490.00
|
$60,270.00
|
2026-02-21
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$86,100.00
|
$51,660.00
40% off
|
$26,691.00
|
$77,490.00
|
$60,270.00
|
2026-02-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
8
|
8
|
—
|
—
|
$49,753.67
|
$71,154.18
|
$60,154.50
|
2026-02-21
|
|
113
|
APR_DRG
|
Inpatient Aprdrg 0113: Chimeric Antigen Receptor (car) T-cell And Other Immunoth…
|
1
|
1
|
—
|
—
|
$59,815.45
|
$59,815.45
|
$59,815.45
|
2026-02-21
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
26
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
24
|
17
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$59,482.50
|
2026-02-21
|
|
0424T
|
HCPCS
|
Hc Insj/rplc Nstim System Sleep Apnea Complete
|
19
|
14
|
$86,663.76
|
$51,998.26
40% off
|
$26,865.77
|
$77,997.38
|
$58,931.36
|
2026-02-21
|
|
8634
|
APR_DRG
|
Inpatient Aprdrg 8634: Neonatal Aftercare
|
1
|
1
|
—
|
—
|
$58,887.68
|
$58,887.68
|
$58,887.68
|
2026-02-21
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$69,626.10
|
$58,862.64
|
2026-02-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
9
|
8
|
—
|
—
|
$9,424.00
|
$69,626.10
|
$58,862.64
|
2026-02-21
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
18
|
13
|
$84,975.00
|
$50,985.00
40% off
|
$26,342.25
|
$76,477.50
|
$58,632.75
|
2026-02-21
|
|
6303
|
APR_DRG
|
Inpatient Aprdrg 6303: Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
1
|
1
|
—
|
—
|
$58,322.09
|
$58,322.09
|
$58,322.09
|
2026-02-21
|
|
27800246
|
CDM
|
Hc Kit, Catheter Impella Pump
|
26
|
17
|
$82,850.63
|
$49,710.38
40% off
|
$25,683.70
|
$74,565.57
|
$57,995.44
|
2026-02-21
|
|
33263
|
HCPCS
|
Hc Remove&replace Cvd Gen D (ep Lab)
|
25
|
19
|
$89,186.55
|
$53,511.93
40% off
|
$12,944.00
|
$80,267.90
|
$57,971.26
|
2026-02-21
|
|
33276
|
HCPCS
|
Hc Insertion Phrenic Nerve Stimulator System
|
24
|
19
|
$86,663.76
|
$51,998.26
40% off
|
$32,454.62
|
$77,997.38
|
$57,631.40
|
2026-02-21
|
|
1611
|
APR_DRG
|
Inpatient Aprdrg 1611: Cardiac Defibrillator & Heart Assist Implant
|
1
|
1
|
—
|
—
|
$57,385.68
|
$57,385.68
|
$57,385.68
|
2026-02-21
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
8
|
8
|
—
|
—
|
$21,958.05
|
$67,836.39
|
$57,349.60
|
2026-02-21
|
|
4404
|
APR_DRG
|
Inpatient Aprdrg 4404: Kidney Transplant
|
1
|
1
|
—
|
—
|
$57,243.85
|
$57,243.85
|
$57,243.85
|
2026-02-21
|
|
54
|
APR_DRG
|
Inpatient Aprdrg 0054: Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
1
|
1
|
—
|
—
|
$56,982.33
|
$56,982.33
|
$56,982.33
|
2026-02-21
|
|
43
|
APR_DRG
|
Inpatient Aprdrg 0043: Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
1
|
1
|
—
|
—
|
$56,962.96
|
$56,962.96
|
$56,962.96
|
2026-02-21
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
8
|
8
|
—
|
—
|
$22,581.22
|
$67,075.32
|
$56,706.18
|
2026-02-21
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
9
|
8
|
—
|
—
|
$52,123.07
|
$73,867.00
|
$56,491.17
|
2026-02-21
|
|
92973
|
HCPCS
|
Hc Percut Coronary Thrombectomy
|
19
|
14
|
$82,311.10
|
$49,386.66
40% off
|
$1,603.00
|
$74,079.99
|
$55,971.55
|
2026-02-21
|
|
6804
|
APR_DRG
|
Inpatient Aprdrg 6804: Major O.r. Procedures For Lymphatic/hematopoietic/other N…
|
1
|
1
|
—
|
—
|
$55,493.13
|
$55,493.13
|
$55,493.13
|
2026-02-21
|
|
5913
|
APR_DRG
|
Inpatient Aprdrg 5913: Neonate Birthwt 500-749g Without Major Procedure
|
1
|
1
|
—
|
—
|
$55,493.13
|
$55,493.13
|
$55,493.13
|
2026-02-21
|
|
6084
|
APR_DRG
|
Inpatient Aprdrg 6084: Neonate Bwt 1250-1499g W Or Without Other Significant Conditi…
|
1
|
1
|
—
|
—
|
$55,335.73
|
$55,335.73
|
$55,335.73
|
2026-02-21
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
8
|
8
|
—
|
—
|
$24,866.61
|
$64,804.00
|
$54,785.99
|
2026-02-21
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
8
|
8
|
—
|
—
|
$27,442.45
|
$64,453.19
|
$54,489.41
|
2026-02-21
|
|
4414
|
APR_DRG
|
Inpatient Aprdrg 4414: Major Bladder Procedures
|
1
|
1
|
—
|
—
|
$54,173.43
|
$54,173.43
|
$54,173.43
|
2026-02-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
8
|
—
|
—
|
$9,424.00
|
$63,347.27
|
$53,554.45
|
2026-02-21
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
8
|
8
|
—
|
—
|
$36,596.30
|
$63,317.53
|
$53,529.32
|
2026-02-21
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
24
|
19
|
$82,301.19
|
$49,380.71
40% off
|
$22,505.85
|
$74,071.07
|
$53,495.77
|
2026-02-21
|
|
53
|
MS_DRG
|
Spinal Disorders And Injuries Without Cc/mcc
|
8
|
8
|
—
|
—
|
$12,564.21
|
$63,121.32
|
$53,363.44
|
2026-02-21
|
|
23
|
APR_DRG
|
Inpatient Aprdrg 0023: Heart &/or Lung Transplant
|
1
|
1
|
—
|
—
|
$52,711.21
|
$52,711.21
|
$52,711.21
|
2026-02-21
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
26
|
17
|
$75,075.00
|
$45,045.00
40% off
|
$23,273.25
|
$67,567.50
|
$52,552.50
|
2026-02-21
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
18
|
13
|
$76,137.60
|
$45,682.56
40% off
|
$23,602.66
|
$68,523.84
|
$52,534.94
|
2026-02-21
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$77,461.45
|
$52,242.48
|
2026-02-21
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
168
|
MS_DRG
|
Other Respiratory System O.r. Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
9
|
8
|
—
|
—
|
$9,424.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
9
|
8
|
—
|
—
|
$9,424.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
740
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
142
|
MS_DRG
|
Major Head And Neck Procedures Without Cc/mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
144
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
9
|
8
|
—
|
—
|
$24,262.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
9
|
8
|
—
|
—
|
$21,971.69
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
9
|
8
|
—
|
—
|
$6,368.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
9
|
8
|
—
|
—
|
$24,262.00
|
$61,795.39
|
$52,242.48
|
2026-02-21
|