|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2)
|
31
|
19
|
$1,503,721.63
|
$1,503,721.63
|
$300,744.33
|
$1,480,263.57
|
$751,860.81
|
2026-02-19
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension
|
31
|
19
|
$1,495,124.18
|
$1,495,124.18
|
$299,024.84
|
$1,471,800.24
|
$747,562.09
|
2026-02-19
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Intravenous Suspension
|
31
|
19
|
$1,425,131.40
|
$1,425,131.40
|
$285,026.28
|
$1,402,899.35
|
$712,565.70
|
2026-02-19
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension
|
31
|
19
|
$1,307,460.00
|
$1,307,460.00
|
$261,492.00
|
$1,287,063.62
|
$653,730.00
|
2026-02-19
|
|
C2699
|
HCPCS
|
Civasheet Large 5 X 15cm - Trial Item
|
47
|
19
|
$113,200.00
|
$113,200.00
|
$35.38
|
$111,434.08
|
$67,829.44
|
2026-02-19
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
29
|
19
|
$233,288.60
|
$233,288.60
|
$1,280.25
|
$229,649.30
|
$65,320.81
|
2026-02-19
|
|
J2351
|
HCPCS
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln
|
31
|
19
|
$123,880.19
|
$123,880.19
|
$47.23
|
$121,947.66
|
$59,462.49
|
2026-02-19
|
|
J9226
|
HCPCS
|
Histrelin 50 Mg (65 Mcg/day) Implant Kit
|
31
|
19
|
$146,309.49
|
$146,309.49
|
$29,261.90
|
$144,027.06
|
$50,652.12
|
2026-02-19
|
|
33231
|
CPT
|
Pr Insj Implntbl Defib Pulse Gen W/exist Multileads
|
32
|
19
|
$90,509.00
|
$90,509.00
|
$18,101.80
|
$89,097.06
|
$49,123.72
|
2026-02-19
|
|
33270
|
CPT
|
Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd
|
32
|
19
|
$78,323.00
|
$78,323.00
|
$15,664.60
|
$77,101.16
|
$45,772.57
|
2026-02-19
|
|
J7330
|
HCPCS
|
Graft Cartilage Membrane Collagen Maci 3 X 5cm St
|
20
|
15
|
$158,963.93
|
$158,963.93
|
$31,792.79
|
$156,484.09
|
$127,171.14
|
2026-02-19
|
|
A9699
|
HCPCS
|
Hc - Lu-177 Pluvicto (lutetium Lu 177 Vipvotide Tetraxtean)
|
22
|
15
|
$132,904.00
|
$132,904.00
|
$26,580.80
|
$130,830.70
|
$106,323.20
|
2026-02-19
|
|
0811
|
RC
|
—
|
22
|
15
|
$120,000.00
|
$120,000.00
|
$24,000.00
|
$118,128.00
|
$96,000.00
|
2026-02-19
|
|
0812
|
RC
|
—
|
22
|
15
|
$120,000.00
|
$120,000.00
|
$24,000.00
|
$118,128.00
|
$96,000.00
|
2026-02-19
|
|
J0802
|
HCPCS
|
Corticotropin 80 Unit/ml Injection Gel
|
22
|
15
|
$98,423.46
|
$98,423.46
|
$3,760.16
|
$96,888.05
|
$77,754.54
|
2026-02-19
|
|
C1822
|
HCPCS
|
Ipg Kit
|
58
|
15
|
$84,900.00
|
$84,900.00
|
$11,574.70
|
$93,604.63
|
$51,652.10
|
2026-02-19
|
|
L8614
|
HCPCS
|
Hc - Cochlear Device, Includes All Internal And External Components, Hifocus Mid…
|
158
|
15
|
$62,304.77
|
$62,304.77
|
$9,840.94
|
$92,613.34
|
$44,556.58
|
2026-02-19
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
19
|
14
|
$123,556.43
|
$123,556.43
|
$24,711.29
|
$121,628.95
|
$98,845.14
|
2026-02-19
|
|
L8688
|
HCPCS
|
Generator Neurostimulator Sentiva Duo Epilepsy Vagus Nerve Permanent Ti MRI Comp…
|
19
|
14
|
$113,548.09
|
$113,548.09
|
$22,709.62
|
$111,776.74
|
$90,838.47
|
2026-02-19
|
|
C2624
|
HCPCS
|
Sensor And Delivery System Cardiomems Pa Cm Patient System
|
19
|
14
|
$70,608.50
|
$70,608.50
|
$14,121.70
|
$69,507.01
|
$56,486.80
|
2026-02-19
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
18
|
12
|
—
|
—
|
$236,754.80
|
$840,712.31
|
$269,308.59
|
2026-02-19
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
18
|
12
|
—
|
—
|
$213,888.48
|
$759,514.47
|
$243,298.14
|
2026-02-19
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
18
|
12
|
—
|
—
|
$141,018.14
|
$500,753.07
|
$160,408.13
|
2026-02-19
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
18
|
12
|
—
|
—
|
$108,721.67
|
$386,068.92
|
$123,670.90
|
2026-02-19
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
18
|
12
|
—
|
—
|
$105,736.65
|
$375,469.12
|
$120,275.44
|
2026-02-19
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
12
|
—
|
—
|
$104,545.04
|
$371,237.70
|
$118,919.99
|
2026-02-19
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
12
|
—
|
—
|
$96,318.47
|
$342,025.33
|
$109,562.26
|
2026-02-19
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
18
|
12
|
—
|
—
|
$91,935.23
|
$326,460.52
|
$104,576.32
|
2026-02-19
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
18
|
12
|
—
|
—
|
$84,569.97
|
$300,306.54
|
$96,198.34
|
2026-02-19
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
12
|
—
|
—
|
$84,523.05
|
$300,139.98
|
$96,144.97
|
2026-02-19
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
12
|
—
|
—
|
$83,239.63
|
$295,582.52
|
$94,685.08
|
2026-02-19
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
18
|
12
|
—
|
—
|
$80,450.19
|
$285,677.32
|
$91,512.09
|
2026-02-19
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
12
|
—
|
—
|
$78,008.09
|
$277,005.40
|
$88,734.20
|
2026-02-19
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
12
|
—
|
—
|
$77,220.66
|
$274,209.26
|
$87,838.50
|
2026-02-19
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
18
|
12
|
—
|
—
|
$74,493.09
|
$264,523.78
|
$84,735.89
|
2026-02-19
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
12
|
—
|
—
|
$70,885.31
|
$251,712.59
|
$80,632.04
|
2026-02-19
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
18
|
12
|
—
|
—
|
$70,529.03
|
$250,447.41
|
$80,226.77
|
2026-02-19
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
18
|
12
|
—
|
—
|
$69,426.23
|
$246,531.40
|
$78,972.34
|
2026-02-19
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
18
|
12
|
—
|
—
|
$68,146.80
|
$241,988.12
|
$77,516.99
|
2026-02-19
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
18
|
12
|
—
|
—
|
$66,913.24
|
$237,607.86
|
$76,113.81
|
2026-02-19
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
18
|
12
|
—
|
—
|
$66,655.78
|
$236,693.54
|
$75,820.95
|
2026-02-19
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
18
|
12
|
—
|
—
|
$66,543.00
|
$236,293.08
|
$75,692.66
|
2026-02-19
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
18
|
12
|
—
|
—
|
$64,542.99
|
$229,191.10
|
$73,417.65
|
2026-02-19
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
12
|
—
|
—
|
$64,450.18
|
$228,861.52
|
$73,312.08
|
2026-02-19
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$63,116.85
|
$224,126.87
|
$71,795.41
|
2026-02-19
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
18
|
12
|
—
|
—
|
$61,820.42
|
$219,523.34
|
$70,320.73
|
2026-02-19
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
18
|
12
|
—
|
—
|
$61,740.59
|
$219,239.83
|
$70,229.92
|
2026-02-19
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
18
|
12
|
—
|
—
|
$61,459.15
|
$218,240.45
|
$69,909.79
|
2026-02-19
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
18
|
12
|
—
|
—
|
$61,244.58
|
$217,478.51
|
$69,665.71
|
2026-02-19
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
18
|
12
|
—
|
—
|
$60,965.15
|
$216,486.22
|
$69,347.86
|
2026-02-19
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
18
|
12
|
—
|
—
|
$60,673.71
|
$215,451.40
|
$69,016.35
|
2026-02-19
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
18
|
12
|
—
|
—
|
$59,788.50
|
$212,307.96
|
$68,009.41
|
2026-02-19
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
12
|
—
|
—
|
$59,374.32
|
$210,837.24
|
$67,538.29
|
2026-02-19
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
18
|
12
|
—
|
—
|
$59,329.40
|
$210,677.77
|
$67,487.20
|
2026-02-19
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
18
|
12
|
—
|
—
|
$58,724.63
|
$208,530.16
|
$66,799.27
|
2026-02-19
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$58,106.86
|
$206,336.49
|
$66,096.55
|
2026-02-19
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
12
|
—
|
—
|
$57,279.52
|
$203,398.60
|
$65,155.46
|
2026-02-19
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
12
|
—
|
—
|
$56,937.20
|
$202,183.04
|
$64,766.07
|
2026-02-19
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
18
|
12
|
—
|
—
|
$55,634.78
|
$197,558.25
|
$63,284.57
|
2026-02-19
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
18
|
12
|
—
|
—
|
$55,162.73
|
$195,881.98
|
$62,747.61
|
2026-02-19
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
18
|
12
|
—
|
—
|
$55,162.73
|
$195,881.98
|
$62,747.61
|
2026-02-19
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
12
|
—
|
—
|
$54,931.21
|
$195,059.80
|
$62,484.25
|
2026-02-19
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
18
|
12
|
—
|
—
|
$54,595.88
|
$193,869.05
|
$62,102.82
|
2026-02-19
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
18
|
12
|
—
|
—
|
$54,178.72
|
$192,387.70
|
$61,628.29
|
2026-02-19
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
18
|
12
|
—
|
—
|
$53,902.24
|
$191,406.04
|
$61,313.80
|
2026-02-19
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
18
|
12
|
—
|
—
|
$53,851.37
|
$191,225.30
|
$61,255.93
|
2026-02-19
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
18
|
12
|
—
|
—
|
$53,845.38
|
$191,204.04
|
$61,249.12
|
2026-02-19
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
12
|
—
|
—
|
$53,095.88
|
$188,542.57
|
$60,396.57
|
2026-02-19
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
12
|
—
|
—
|
$52,861.33
|
$187,709.75
|
$60,129.76
|
2026-02-19
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
18
|
12
|
—
|
—
|
$51,398.27
|
$182,514.39
|
$58,465.54
|
2026-02-19
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
18
|
12
|
—
|
—
|
$51,227.62
|
$181,908.39
|
$58,271.42
|
2026-02-19
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
18
|
12
|
—
|
—
|
$50,844.39
|
$180,547.53
|
$57,835.49
|
2026-02-19
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
18
|
12
|
—
|
—
|
$50,688.68
|
$179,994.68
|
$57,658.38
|
2026-02-19
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
18
|
12
|
—
|
—
|
$50,268.53
|
$178,502.70
|
$57,180.45
|
2026-02-19
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
18
|
12
|
—
|
—
|
$49,972.09
|
$177,450.16
|
$56,843.25
|
2026-02-19
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
18
|
12
|
—
|
—
|
$49,933.20
|
$177,311.95
|
$56,799.01
|
2026-02-19
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$49,913.25
|
$177,241.07
|
$56,776.32
|
2026-02-19
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
18
|
12
|
—
|
—
|
$49,733.59
|
$176,603.17
|
$56,571.96
|
2026-02-19
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
18
|
12
|
—
|
—
|
$48,770.52
|
$173,183.31
|
$55,476.46
|
2026-02-19
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
18
|
12
|
—
|
—
|
$48,476.11
|
$172,137.85
|
$55,141.57
|
2026-02-19
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
18
|
12
|
—
|
—
|
$47,659.72
|
$169,238.94
|
$54,212.93
|
2026-02-19
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
18
|
12
|
—
|
—
|
$47,453.17
|
$168,505.36
|
$53,977.98
|
2026-02-19
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
12
|
—
|
—
|
$47,444.18
|
$168,473.46
|
$53,967.75
|
2026-02-19
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
18
|
12
|
—
|
—
|
$46,953.16
|
$166,729.86
|
$53,409.22
|
2026-02-19
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
18
|
12
|
—
|
—
|
$46,701.66
|
$165,836.80
|
$53,123.13
|
2026-02-19
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
18
|
12
|
—
|
—
|
$46,426.20
|
$164,858.68
|
$52,809.81
|
2026-02-19
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
18
|
12
|
—
|
—
|
$46,000.06
|
$163,345.44
|
$52,325.07
|
2026-02-19
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
12
|
—
|
—
|
$45,834.39
|
$162,757.15
|
$52,136.62
|
2026-02-19
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
18
|
12
|
—
|
—
|
$45,827.41
|
$162,732.34
|
$52,128.68
|
2026-02-19
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$45,025.99
|
$159,886.59
|
$51,217.07
|
2026-02-19
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
18
|
12
|
—
|
—
|
$44,757.54
|
$158,933.28
|
$50,911.71
|
2026-02-19
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
18
|
12
|
—
|
—
|
$44,633.78
|
$158,493.84
|
$50,770.92
|
2026-02-19
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
18
|
12
|
—
|
—
|
$44,216.61
|
$157,012.49
|
$50,296.40
|
2026-02-19
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
18
|
12
|
—
|
—
|
$43,840.37
|
$155,676.44
|
$49,868.42
|
2026-02-19
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
18
|
12
|
—
|
—
|
$43,182.70
|
$153,341.01
|
$49,120.32
|
2026-02-19
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
12
|
—
|
—
|
$43,093.87
|
$153,025.60
|
$49,019.28
|
2026-02-19
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$42,571.89
|
$151,172.14
|
$48,425.53
|
2026-02-19
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
18
|
12
|
—
|
—
|
$42,509.04
|
$150,948.88
|
$48,354.04
|
2026-02-19
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
18
|
12
|
—
|
—
|
$42,207.64
|
$149,878.62
|
$48,011.19
|
2026-02-19
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
18
|
12
|
—
|
—
|
$41,822.41
|
$148,510.67
|
$47,572.99
|
2026-02-19
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
18
|
12
|
—
|
—
|
$41,812.43
|
$148,475.23
|
$47,561.64
|
2026-02-19
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
18
|
12
|
—
|
—
|
$41,524.00
|
$147,451.05
|
$47,233.55
|
2026-02-19
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
18
|
12
|
—
|
—
|
$41,038.97
|
$145,728.71
|
$46,681.82
|
2026-02-19
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
18
|
12
|
—
|
—
|
$41,016.03
|
$145,647.20
|
$46,655.74
|
2026-02-19
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
18
|
12
|
—
|
—
|
$40,955.13
|
$145,431.02
|
$46,586.46
|
2026-02-19
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
18
|
12
|
—
|
—
|
$40,753.55
|
$144,715.16
|
$46,357.17
|
2026-02-19
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$40,592.86
|
$144,144.59
|
$46,174.38
|
2026-02-19
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
18
|
12
|
—
|
—
|
$39,757.53
|
$141,178.34
|
$45,224.19
|
2026-02-19
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
18
|
12
|
—
|
—
|
$39,729.59
|
$141,079.12
|
$45,192.41
|
2026-02-19
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
18
|
12
|
—
|
—
|
$39,378.29
|
$139,831.66
|
$44,792.81
|
2026-02-19
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
18
|
12
|
—
|
—
|
$39,297.46
|
$139,544.61
|
$44,700.86
|
2026-02-19
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
18
|
12
|
—
|
—
|
$39,217.63
|
$139,261.09
|
$44,610.06
|
2026-02-19
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
17
|
11
|
—
|
—
|
$376,375.71
|
$1,336,503.92
|
$385,785.10
|
2026-02-19
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
15
|
10
|
—
|
—
|
$281,121.10
|
$998,256.38
|
$288,149.13
|
2026-02-19
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
15
|
10
|
—
|
—
|
$130,756.66
|
$464,314.69
|
$134,025.58
|
2026-02-19
|
|
7
|
MS_DRG
|
Lung Transplant
|
15
|
10
|
—
|
—
|
$130,427.30
|
$463,145.20
|
$133,687.98
|
2026-02-19
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
15
|
10
|
—
|
—
|
$109,977.18
|
$390,527.15
|
$112,726.61
|
2026-02-19
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
15
|
10
|
—
|
—
|
$106,281.57
|
$377,404.09
|
$108,938.61
|
2026-02-19
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
15
|
10
|
—
|
—
|
$79,570.96
|
$282,555.15
|
$81,560.23
|
2026-02-19
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
15
|
10
|
—
|
—
|
$79,114.86
|
$280,935.58
|
$81,092.73
|
2026-02-19
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
15
|
10
|
—
|
—
|
$60,238.59
|
$213,906.26
|
$61,744.55
|
2026-02-19
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
15
|
10
|
—
|
—
|
$60,238.59
|
$213,906.26
|
$61,744.55
|
2026-02-19
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
15
|
10
|
—
|
—
|
$54,302.47
|
$192,827.14
|
$55,660.03
|
2026-02-19
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
15
|
10
|
—
|
—
|
$48,395.26
|
$171,850.80
|
$49,605.14
|
2026-02-19
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
15
|
10
|
—
|
—
|
$45,981.10
|
$163,278.10
|
$47,130.63
|
2026-02-19
|
|
24
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
3
|
—
|
—
|
$203,433.43
|
$457,725.22
|
$310,235.98
|
2026-02-19
|
|
5834
|
APR_DRG
|
Neonate W Ecmo
|
4
|
3
|
—
|
—
|
$149,914.23
|
$337,307.02
|
$228,619.20
|
2026-02-19
|
|
5884
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
3
|
—
|
—
|
$147,289.91
|
$331,402.30
|
$224,617.11
|
2026-02-19
|
|
5883
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
3
|
—
|
—
|
$147,289.91
|
$331,402.30
|
$224,617.11
|
2026-02-19
|
|
1614
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
3
|
—
|
—
|
$134,773.41
|
$303,240.17
|
$205,529.45
|
2026-02-19
|
|
34
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$130,876.16
|
$294,471.36
|
$199,586.15
|
2026-02-19
|
|
5914
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
3
|
—
|
—
|
$113,230.76
|
$254,769.21
|
$172,676.91
|
2026-02-19
|
|
5882
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
3
|
—
|
—
|
$112,823.89
|
$253,853.75
|
$172,056.43
|
2026-02-19
|
|
5881
|
APR_DRG
|
Neonate Bwt <1500g W Major Procedure
|
4
|
3
|
—
|
—
|
$112,823.89
|
$253,853.75
|
$172,056.43
|
2026-02-19
|
|
8414
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
3
|
—
|
—
|
$109,533.47
|
$246,450.31
|
$167,038.54
|
2026-02-19
|
|
44
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
3
|
—
|
—
|
$105,660.64
|
$237,736.44
|
$161,132.48
|
2026-02-19
|
|
14
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$102,366.73
|
$230,325.14
|
$156,109.26
|
2026-02-19
|
|
5934
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
3
|
—
|
—
|
$101,962.76
|
$229,416.21
|
$155,493.21
|
2026-02-19
|
|
6094
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
4
|
3
|
—
|
—
|
$93,408.59
|
$210,169.33
|
$142,448.10
|
2026-02-19
|
|
6024
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$88,511.03
|
$199,149.82
|
$134,979.32
|
2026-02-19
|
|
23
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
3
|
—
|
—
|
$88,204.14
|
$198,459.32
|
$134,511.32
|
2026-02-19
|
|
8413
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
3
|
—
|
—
|
$85,728.62
|
$192,889.39
|
$130,736.15
|
2026-02-19
|
|
5833
|
APR_DRG
|
Neonate W Ecmo
|
4
|
3
|
—
|
—
|
$85,435.09
|
$192,228.95
|
$130,288.51
|
2026-02-19
|
|
5831
|
APR_DRG
|
Neonate W Ecmo
|
4
|
3
|
—
|
—
|
$83,848.87
|
$188,659.96
|
$127,869.52
|
2026-02-19
|
|
5832
|
APR_DRG
|
Neonate W Ecmo
|
4
|
3
|
—
|
—
|
$83,848.87
|
$188,659.96
|
$127,869.52
|
2026-02-19
|
|
6034
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$81,583.77
|
$183,563.48
|
$124,415.25
|
2026-02-19
|
|
54
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$80,768.28
|
$181,728.63
|
$123,171.62
|
2026-02-19
|
|
5933
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
3
|
—
|
—
|
$79,771.45
|
$179,485.76
|
$121,651.46
|
2026-02-19
|
|
22
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
3
|
—
|
—
|
$75,283.08
|
$169,386.93
|
$114,806.70
|
2026-02-19
|
|
6074
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$72,375.70
|
$162,845.33
|
$110,372.94
|
2026-02-19
|
|
6304
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$71,700.87
|
$161,326.96
|
$109,343.82
|
2026-02-19
|
|
5891
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
4
|
3
|
—
|
—
|
$71,174.27
|
$160,142.11
|
$108,540.76
|
2026-02-19
|
|
5892
|
APR_DRG
|
Neonate Bwt <500g Or Ga <24 Weeks
|
4
|
3
|
—
|
—
|
$71,174.27
|
$160,142.11
|
$108,540.76
|
2026-02-19
|
|
21
|
APR_DRG
|
Heart &/or Lung Transplant
|
4
|
3
|
—
|
—
|
$70,948.75
|
$159,634.69
|
$108,196.85
|
2026-02-19
|
|
33
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$69,338.70
|
$156,012.08
|
$105,741.51
|
2026-02-19
|
|
5913
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
3
|
—
|
—
|
$69,290.46
|
$155,903.54
|
$105,667.95
|
2026-02-19
|
|
904
|
APR_DRG
|
Major Larynx & Trachea Procedures
|
4
|
3
|
—
|
—
|
$65,893.67
|
$148,260.76
|
$100,487.85
|
2026-02-19
|
|
6023
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$65,496.68
|
$147,367.53
|
$99,882.43
|
2026-02-19
|
|
5932
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
3
|
—
|
—
|
$65,380.43
|
$147,105.97
|
$99,705.15
|
2026-02-19
|
|
5912
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
3
|
—
|
—
|
$64,681.77
|
$145,533.98
|
$98,639.70
|
2026-02-19
|
|
3034
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
3
|
—
|
—
|
$63,941.27
|
$143,867.86
|
$97,510.43
|
2026-02-19
|
|
5931
|
APR_DRG
|
Neonate Birthwt 750-999g Without Major Procedure
|
4
|
3
|
—
|
—
|
$63,408.27
|
$142,668.61
|
$96,697.61
|
2026-02-19
|
|
6314
|
APR_DRG
|
Neonate Birthwt >2499g W Other Major Procedure
|
4
|
3
|
—
|
—
|
$61,726.15
|
$138,883.84
|
$94,132.38
|
2026-02-19
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$60,974.60
|
$137,192.85
|
$92,986.26
|
2026-02-19
|
|
43
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
3
|
—
|
—
|
$59,152.40
|
$133,092.90
|
$90,207.41
|
2026-02-19
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
4
|
3
|
—
|
—
|
$58,415.96
|
$131,435.91
|
$89,084.34
|
2026-02-19
|
|
1613
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
3
|
—
|
—
|
$57,809.72
|
$130,071.87
|
$88,159.82
|
2026-02-19
|
|
3614
|
APR_DRG
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
4
|
3
|
—
|
—
|
$56,419.97
|
$126,944.93
|
$86,040.46
|
2026-02-19
|
|
6022
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$55,742.82
|
$125,421.35
|
$85,007.80
|
2026-02-19
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
4
|
3
|
—
|
—
|
$55,165.65
|
$124,122.71
|
$84,127.62
|
2026-02-19
|
|
53
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$54,282.15
|
$122,134.84
|
$82,780.28
|
2026-02-19
|
|
3044
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
4
|
3
|
—
|
—
|
$53,988.63
|
$121,474.42
|
$82,332.66
|
2026-02-19
|
|
6073
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$53,796.23
|
$121,041.52
|
$82,039.25
|
2026-02-19
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
4
|
3
|
—
|
—
|
$52,942.97
|
$119,121.68
|
$80,738.03
|
2026-02-19
|
|
6033
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$52,804.63
|
$118,810.42
|
$80,527.06
|
2026-02-19
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
4
|
3
|
—
|
—
|
$52,762.20
|
$118,714.95
|
$80,462.35
|
2026-02-19
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
4
|
3
|
—
|
—
|
$52,617.47
|
$118,389.31
|
$80,241.64
|
2026-02-19
|
|
5911
|
APR_DRG
|
Neonate Birthwt 500-749g Without Major Procedure
|
4
|
3
|
—
|
—
|
$52,286.74
|
$117,645.16
|
$79,737.28
|
2026-02-19
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$51,494.51
|
$115,862.65
|
$78,529.13
|
2026-02-19
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive 3rd Degree Burns
|
4
|
3
|
—
|
—
|
$50,823.75
|
$114,353.44
|
$77,506.22
|
2026-02-19
|
|
6124
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
3
|
—
|
—
|
$49,869.93
|
$112,207.34
|
$76,051.65
|
2026-02-19
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
4
|
3
|
—
|
—
|
$49,372.97
|
$111,089.18
|
$75,293.78
|
2026-02-19
|
|
13
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$49,247.42
|
$110,806.70
|
$75,102.32
|
2026-02-19
|
|
6114
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
4
|
3
|
—
|
—
|
$48,359.28
|
$108,808.38
|
$73,747.90
|
2026-02-19
|
|
9504
|
APR_DRG
|
Extensive Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$47,781.52
|
$107,508.42
|
$72,866.82
|
2026-02-19
|
|
234
|
APR_DRG
|
Spinal Procedures
|
4
|
3
|
—
|
—
|
$47,594.36
|
$107,087.31
|
$72,581.40
|
2026-02-19
|
|
32
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$45,725.66
|
$102,882.74
|
$69,731.63
|
2026-02-19
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$45,018.29
|
$101,291.15
|
$68,652.89
|
2026-02-19
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract & Related Procedures
|
4
|
3
|
—
|
—
|
$44,970.04
|
$101,182.59
|
$68,579.31
|
2026-02-19
|
|
8504
|
APR_DRG
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
4
|
3
|
—
|
—
|
$44,947.38
|
$101,131.60
|
$68,544.76
|
2026-02-19
|
|
9124
|
APR_DRG
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$44,656.17
|
$100,476.38
|
$68,100.66
|
2026-02-19
|
|
5124
|
APR_DRG
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
4
|
3
|
—
|
—
|
$44,230.70
|
$99,519.07
|
$67,451.82
|
2026-02-19
|
|
6072
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$44,085.39
|
$99,192.13
|
$67,230.22
|
2026-02-19
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver & Shunt Procedures
|
4
|
3
|
—
|
—
|
$43,783.73
|
$98,513.39
|
$66,770.19
|
2026-02-19
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia #
|
4
|
3
|
—
|
—
|
$43,552.97
|
$97,994.18
|
$66,418.28
|
2026-02-19
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial/facial Bone Procedures
|
4
|
3
|
—
|
—
|
$43,358.84
|
$97,557.39
|
$66,122.23
|
2026-02-19
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$43,130.99
|
$97,044.73
|
$65,774.76
|
2026-02-19
|
|
6093
|
APR_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
4
|
3
|
—
|
—
|
$42,950.22
|
$96,637.99
|
$65,499.08
|
2026-02-19
|
|
214
|
APR_DRG
|
Craniotomy Except For Trauma
|
4
|
3
|
—
|
—
|
$42,707.84
|
$96,092.64
|
$65,129.46
|
2026-02-19
|
|
41
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
3
|
—
|
—
|
$42,400.95
|
$95,402.14
|
$64,661.45
|
2026-02-19
|
|
42
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo
|
4
|
3
|
—
|
—
|
$42,400.95
|
$95,402.14
|
$64,661.45
|
2026-02-19
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
4
|
3
|
—
|
—
|
$42,367.82
|
$95,327.60
|
$64,610.93
|
2026-02-19
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
4
|
3
|
—
|
—
|
$42,365.49
|
$95,322.35
|
$64,607.37
|
2026-02-19
|
|
6084
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$42,364.91
|
$95,321.05
|
$64,606.49
|
2026-02-19
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal & Duodenal Procedures
|
4
|
3
|
—
|
—
|
$41,814.47
|
$94,082.56
|
$63,767.07
|
2026-02-19
|
|
8412
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
3
|
—
|
—
|
$41,780.76
|
$94,006.71
|
$63,715.66
|
2026-02-19
|
|
1654
|
APR_DRG
|
Coronary Bypass W Ami Or Complex Pdx
|
4
|
3
|
—
|
—
|
$41,749.95
|
$93,937.39
|
$63,668.67
|
2026-02-19
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
4
|
3
|
—
|
—
|
$41,677.88
|
$93,775.23
|
$63,558.76
|
2026-02-19
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Pdx
|
4
|
3
|
—
|
—
|
$41,577.90
|
$93,550.27
|
$63,406.30
|
2026-02-19
|
|
3033
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
3
|
—
|
—
|
$41,234.97
|
$92,778.68
|
$62,883.33
|
2026-02-19
|
|
4014
|
APR_DRG
|
Pituitary & Adrenal Procedures
|
4
|
3
|
—
|
—
|
$41,233.23
|
$92,774.77
|
$62,880.68
|
2026-02-19
|
|
6032
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$40,714.76
|
$91,608.21
|
$62,090.01
|
2026-02-19
|
|
3104
|
APR_DRG
|
Intervertebral Disc Excision & Decompression
|
4
|
3
|
—
|
—
|
$40,387.52
|
$90,871.92
|
$61,590.97
|
2026-02-19
|
|
6083
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$40,279.41
|
$90,628.67
|
$61,426.10
|
2026-02-19
|
|
894
|
APR_DRG
|
Major Cranial/facial Bone Procedures
|
4
|
3
|
—
|
—
|
$40,250.34
|
$90,563.26
|
$61,381.77
|
2026-02-19
|
|
244
|
APR_DRG
|
Extracranial Vascular Procedures
|
4
|
3
|
—
|
—
|
$40,105.03
|
$90,236.32
|
$61,160.17
|
2026-02-19
|
|
6214
|
APR_DRG
|
Neonate Bwt 2000-2499g W Major Anomaly
|
4
|
3
|
—
|
—
|
$40,096.31
|
$90,216.70
|
$61,146.88
|
2026-02-19
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
4
|
3
|
—
|
—
|
$39,928.92
|
$89,840.07
|
$60,891.60
|
2026-02-19
|
|
204
|
APR_DRG
|
Craniotomy For Trauma
|
4
|
3
|
—
|
—
|
$39,502.86
|
$88,881.43
|
$60,241.86
|
2026-02-19
|
|
1674
|
APR_DRG
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
4
|
3
|
—
|
—
|
$39,161.09
|
$88,112.45
|
$59,720.66
|
2026-02-19
|
|
31
|
APR_DRG
|
Bone Marrow Transplant
|
4
|
3
|
—
|
—
|
$39,128.54
|
$88,039.21
|
$59,671.02
|
2026-02-19
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures #
|
4
|
3
|
—
|
—
|
$39,075.65
|
$87,920.21
|
$59,590.37
|
2026-02-19
|
|
7914
|
APR_DRG
|
O.r. Procedure For Other Complications Of Treatment
|
4
|
3
|
—
|
—
|
$39,041.94
|
$87,844.37
|
$59,538.96
|
2026-02-19
|
|
2214
|
APR_DRG
|
Major Small & Large Bowel Procedures
|
4
|
3
|
—
|
—
|
$39,027.99
|
$87,812.98
|
$59,517.68
|
2026-02-19
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
4
|
3
|
—
|
—
|
$38,844.31
|
$87,399.70
|
$59,237.57
|
2026-02-19
|
|
6021
|
APR_DRG
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$38,356.07
|
$86,301.16
|
$58,493.01
|
2026-02-19
|
|
9114
|
APR_DRG
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
4
|
3
|
—
|
—
|
$38,342.12
|
$86,269.77
|
$58,471.74
|
2026-02-19
|
|
3134
|
APR_DRG
|
Knee & Lower Leg Procedures Except Foot
|
4
|
3
|
—
|
—
|
$38,231.68
|
$86,021.28
|
$58,303.31
|
2026-02-19
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
4
|
3
|
—
|
—
|
$37,871.31
|
$85,210.45
|
$57,753.75
|
2026-02-19
|
|
4424
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Malignancy
|
4
|
3
|
—
|
—
|
$37,677.18
|
$84,773.65
|
$57,457.70
|
2026-02-19
|
|
6123
|
APR_DRG
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
3
|
—
|
—
|
$37,485.95
|
$84,343.39
|
$57,166.07
|
2026-02-19
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
4
|
3
|
—
|
—
|
$37,437.12
|
$84,233.52
|
$57,091.61
|
2026-02-19
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma & Non-acute Leukemia
|
4
|
3
|
—
|
—
|
$37,426.66
|
$84,209.99
|
$57,075.65
|
2026-02-19
|
|
7104
|
APR_DRG
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
4
|
3
|
—
|
—
|
$37,354.59
|
$84,047.83
|
$56,965.75
|
2026-02-19
|
|
3174
|
APR_DRG
|
Tendon, Muscle & Other Soft Tissue Procedures
|
4
|
3
|
—
|
—
|
$37,340.64
|
$84,016.44
|
$56,944.47
|
2026-02-19
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
4
|
3
|
—
|
—
|
$37,246.47
|
$83,804.56
|
$56,800.86
|
2026-02-19
|
|
264
|
APR_DRG
|
Other Nervous System & Related Procedures
|
4
|
3
|
—
|
—
|
$37,095.93
|
$83,465.84
|
$56,571.29
|
2026-02-19
|
|
9514
|
APR_DRG
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$37,091.28
|
$83,455.38
|
$56,564.20
|
2026-02-19
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures #
|
4
|
3
|
—
|
—
|
$37,073.26
|
$83,414.84
|
$56,536.72
|
2026-02-19
|
|
6113
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
4
|
3
|
—
|
—
|
$37,037.23
|
$83,333.77
|
$56,481.78
|
2026-02-19
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Pdx
|
4
|
3
|
—
|
—
|
$36,836.12
|
$82,881.27
|
$56,175.09
|
2026-02-19
|
|
5114
|
APR_DRG
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
4
|
3
|
—
|
—
|
$36,808.22
|
$82,818.49
|
$56,132.54
|
2026-02-19
|
|
4444
|
APR_DRG
|
Renal Dialysis Access Device Procedure Only
|
4
|
3
|
—
|
—
|
$36,572.81
|
$82,288.82
|
$55,773.53
|
2026-02-19
|
|
12
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$36,441.45
|
$81,993.26
|
$55,573.21
|
2026-02-19
|
|
11
|
APR_DRG
|
Liver Transplant &/or Intestinal Transplant
|
4
|
3
|
—
|
—
|
$36,441.45
|
$81,993.26
|
$55,573.21
|
2026-02-19
|
|
2644
|
APR_DRG
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
4
|
3
|
—
|
—
|
$36,390.88
|
$81,879.48
|
$55,496.09
|
2026-02-19
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
4
|
3
|
—
|
—
|
$36,309.51
|
$81,696.40
|
$55,372.01
|
2026-02-19
|
|
1612
|
APR_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
4
|
3
|
—
|
—
|
$36,233.95
|
$81,526.39
|
$55,256.78
|
2026-02-19
|
|
1204
|
APR_DRG
|
Major Respiratory & Chest Procedures
|
4
|
3
|
—
|
—
|
$36,020.05
|
$81,045.11
|
$54,930.58
|
2026-02-19
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
4
|
3
|
—
|
—
|
$35,915.43
|
$80,809.72
|
$54,771.03
|
2026-02-19
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
4
|
3
|
—
|
—
|
$35,857.88
|
$80,680.23
|
$54,683.26
|
2026-02-19
|
|
1214
|
APR_DRG
|
Other Respiratory & Chest Procedures
|
4
|
3
|
—
|
—
|
$35,824.17
|
$80,604.38
|
$54,631.86
|
2026-02-19
|
|
3014
|
APR_DRG
|
Hip Joint Replacement
|
4
|
3
|
—
|
—
|
$35,804.41
|
$80,559.92
|
$54,601.72
|
2026-02-19
|
|
2624
|
APR_DRG
|
Cholecystectomy Except Laparoscopic
|
4
|
3
|
—
|
—
|
$35,803.83
|
$80,558.62
|
$54,600.84
|
2026-02-19
|
|
5194
|
APR_DRG
|
Uterine & Adnexa Procedures For Leiomyoma
|
4
|
3
|
—
|
—
|
$35,775.93
|
$80,495.84
|
$54,558.29
|
2026-02-19
|
|
6071
|
APR_DRG
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
4
|
3
|
—
|
—
|
$35,731.75
|
$80,396.44
|
$54,490.92
|
2026-02-19
|
|
7114
|
APR_DRG
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
4
|
3
|
—
|
—
|
$35,700.95
|
$80,327.14
|
$54,443.95
|
2026-02-19
|
|
5184
|
APR_DRG
|
Other Female Reproductive System & Related Procedures
|
4
|
3
|
—
|
—
|
$35,363.83
|
$79,568.62
|
$53,929.84
|
2026-02-19
|
|
494
|
APR_DRG
|
Bacterial & Tuberculous Infections Of Nervous System
|
4
|
3
|
—
|
—
|
$35,303.38
|
$79,432.60
|
$53,837.65
|
2026-02-19
|
|
1714
|
APR_DRG
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
4
|
3
|
—
|
—
|
$35,281.87
|
$79,384.21
|
$53,804.85
|
2026-02-19
|
|
9524
|
APR_DRG
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
4
|
3
|
—
|
—
|
$35,094.71
|
$78,963.10
|
$53,519.43
|
2026-02-19
|
|
6303
|
APR_DRG
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
4
|
3
|
—
|
—
|
$35,059.25
|
$78,883.31
|
$53,465.36
|
2026-02-19
|
|
434
|
APR_DRG
|
Multiple Sclerosis & Other Demyelinating Diseases
|
4
|
3
|
—
|
—
|
$35,013.92
|
$78,781.32
|
$53,396.23
|
2026-02-19
|
|
3814
|
APR_DRG
|
Major Skin Disorders
|
4
|
3
|
—
|
—
|
$34,927.31
|
$78,586.45
|
$53,264.15
|
2026-02-19
|
|
52
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$34,583.21
|
$77,812.22
|
$52,739.40
|
2026-02-19
|
|
2294
|
APR_DRG
|
Other Digestive System & Abdominal Procedures
|
4
|
3
|
—
|
—
|
$34,253.07
|
$77,069.41
|
$52,235.93
|
2026-02-19
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
4
|
3
|
—
|
—
|
$34,148.44
|
$76,833.99
|
$52,076.37
|
2026-02-19
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
4
|
3
|
—
|
—
|
$34,010.69
|
$76,524.05
|
$51,866.30
|
2026-02-19
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures W Ami Or Complex Pdx
|
4
|
3
|
—
|
—
|
$33,961.86
|
$76,414.18
|
$51,791.83
|
2026-02-19
|
|
6504
|
APR_DRG
|
Splenectomy
|
4
|
3
|
—
|
—
|
$33,765.99
|
$75,973.48
|
$51,493.13
|
2026-02-19
|
|
51
|
APR_DRG
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
4
|
3
|
—
|
—
|
$33,725.88
|
$75,883.23
|
$51,431.96
|
2026-02-19
|
|
6082
|
APR_DRG
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$33,667.17
|
$75,751.13
|
$51,342.43
|
2026-02-19
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
4
|
3
|
—
|
—
|
$33,588.12
|
$75,573.27
|
$51,221.88
|
2026-02-19
|
|
2234
|
APR_DRG
|
Other Small & Large Bowel Procedures
|
4
|
3
|
—
|
—
|
$33,042.34
|
$74,345.26
|
$50,389.57
|
2026-02-19
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
4
|
3
|
—
|
—
|
$32,984.79
|
$74,215.78
|
$50,301.81
|
2026-02-19
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal & Duodenal Procedures
|
4
|
3
|
—
|
—
|
$32,783.68
|
$73,763.28
|
$49,995.11
|
2026-02-19
|
|
3024
|
APR_DRG
|
Knee Joint Replacement
|
4
|
3
|
—
|
—
|
$32,253.59
|
$72,570.58
|
$49,186.73
|
2026-02-19
|
|
4234
|
APR_DRG
|
Inborn Errors Of Metabolism
|
4
|
3
|
—
|
—
|
$32,227.43
|
$72,511.72
|
$49,146.83
|
2026-02-19
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
4
|
3
|
—
|
—
|
$31,932.16
|
$71,847.36
|
$48,696.54
|
2026-02-19
|
|
8411
|
APR_DRG
|
Extensive 3rd Degree Burns W Skin Graft
|
4
|
3
|
—
|
—
|
$31,811.84
|
$71,576.64
|
$48,513.05
|
2026-02-19
|
|
6334
|
APR_DRG
|
Neonate Birthwt >2499g W Major Anomaly
|
4
|
3
|
—
|
—
|
$31,736.86
|
$71,407.93
|
$48,398.71
|
2026-02-19
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
4
|
3
|
—
|
—
|
$31,693.85
|
$71,311.16
|
$48,333.12
|
2026-02-19
|
|
3043
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
4
|
3
|
—
|
—
|
$31,584.00
|
$71,064.00
|
$48,165.60
|
2026-02-19
|
|
3644
|
APR_DRG
|
Other Skin, Subcutaneous Tissue & Related Procedures
|
4
|
3
|
—
|
—
|
$31,477.63
|
$70,824.67
|
$48,003.38
|
2026-02-19
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
4
|
3
|
—
|
—
|
$31,417.76
|
$70,689.96
|
$47,912.09
|
2026-02-19
|
|
3032
|
APR_DRG
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
4
|
3
|
—
|
—
|
$31,356.15
|
$70,551.34
|
$47,818.13
|
2026-02-19
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
4
|
3
|
—
|
—
|
$31,270.70
|
$70,359.07
|
$47,687.82
|
2026-02-19
|
|
6134
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
4
|
3
|
—
|
—
|
$30,715.04
|
$69,108.84
|
$46,840.43
|
2026-02-19
|
|
6031
|
APR_DRG
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$30,692.37
|
$69,057.83
|
$46,805.86
|
2026-02-19
|
|
6224
|
APR_DRG
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
4
|
3
|
—
|
—
|
$30,662.14
|
$68,989.82
|
$46,759.76
|
2026-02-19
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
4
|
3
|
—
|
—
|
$30,455.22
|
$68,524.24
|
$46,444.21
|
2026-02-19
|
|
8444
|
APR_DRG
|
Partial Thickness Burns Without Skin Graft
|
4
|
3
|
—
|
—
|
$30,143.09
|
$67,821.95
|
$45,968.21
|
2026-02-19
|
|
4434
|
APR_DRG
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
4
|
3
|
—
|
—
|
$30,073.92
|
$67,666.32
|
$45,862.73
|
2026-02-19
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$30,001.85
|
$67,504.16
|
$45,752.82
|
2026-02-19
|
|
61
|
APR_DRG
|
Pancreas Transplant
|
4
|
3
|
—
|
—
|
$30,001.85
|
$67,504.16
|
$45,752.82
|
2026-02-19
|
|
6133
|
APR_DRG
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
4
|
3
|
—
|
—
|
$29,957.09
|
$67,403.45
|
$45,684.56
|
2026-02-19
|
|
6144
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$29,889.67
|
$67,251.76
|
$45,581.74
|
2026-02-19
|
|
6143
|
APR_DRG
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
4
|
3
|
—
|
—
|
$29,889.67
|
$67,251.76
|
$45,581.74
|
2026-02-19
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System & Connective Tissue Procedures
|
4
|
3
|
—
|
—
|
$29,700.76
|
$66,826.71
|
$45,293.66
|
2026-02-19
|
|
6604
|
APR_DRG
|
Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul
|
4
|
3
|
—
|
—
|
$29,551.97
|
$66,491.93
|
$45,066.76
|
2026-02-19
|