|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
12
|
7
|
—
|
—
|
$33,151.00
|
$7,976,500.00
|
$1,648,794.42
|
2026-07-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
12
|
7
|
—
|
—
|
$33,151.00
|
$7,086,400.00
|
$1,467,305.00
|
2026-07-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
12
|
7
|
—
|
—
|
$23,061.00
|
$4,950,987.00
|
$1,024,972.67
|
2026-07-15
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$540,445.00
|
$578,276.00
|
$547,876.12
|
2026-07-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$494,953.00
|
$529,599.00
|
$501,758.50
|
2026-07-15
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$477,441.00
|
$510,862.00
|
$484,005.88
|
2026-07-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$474,702.00
|
$507,931.00
|
$481,229.12
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
5
|
—
|
—
|
$296,401.00
|
$548,118.00
|
$425,650.11
|
2026-07-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
8
|
—
|
—
|
$52,975.00
|
$1,232,250.00
|
$391,990.07
|
2026-07-15
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$381,811.00
|
$408,538.00
|
$387,060.88
|
2026-07-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$369,789.00
|
$395,674.00
|
$374,873.50
|
2026-07-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
14
|
8
|
—
|
—
|
$52,975.00
|
$1,136,223.00
|
$366,157.71
|
2026-07-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
14
|
8
|
—
|
—
|
$52,975.00
|
$1,123,600.00
|
$355,217.36
|
2026-07-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
14
|
8
|
—
|
—
|
$52,975.00
|
$1,123,600.00
|
$355,217.36
|
2026-07-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
7
|
—
|
—
|
$334,675.00
|
$358,103.00
|
$339,276.88
|
2026-07-15
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$326,626.00
|
$349,490.00
|
$331,117.12
|
2026-07-15
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$319,483.00
|
$341,847.00
|
$323,876.00
|
2026-07-15
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$313,370.00
|
$335,306.00
|
$317,678.88
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
6
|
—
|
—
|
$221,387.00
|
$409,399.00
|
$316,237.50
|
2026-07-15
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$297,702.00
|
$318,541.00
|
$301,795.38
|
2026-07-15
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
7
|
—
|
—
|
$297,020.00
|
$317,811.00
|
$301,103.88
|
2026-07-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$282,327.00
|
$302,090.00
|
$286,209.00
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
10
|
6
|
—
|
—
|
$168,441.00
|
$534,549.00
|
$272,637.40
|
2026-07-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
7
|
—
|
—
|
$266,947.00
|
$285,634.00
|
$270,617.62
|
2026-07-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
12
|
7
|
—
|
—
|
$52,975.00
|
$1,098,806.00
|
$259,822.33
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
9
|
5
|
—
|
—
|
$158,071.00
|
$372,343.00
|
$255,811.33
|
2026-07-15
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$246,460.00
|
$263,712.00
|
$249,848.75
|
2026-07-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
12
|
7
|
—
|
—
|
$52,975.00
|
$1,042,084.00
|
$248,280.92
|
2026-07-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$223,671.00
|
$239,328.00
|
$226,746.50
|
2026-07-15
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$221,892.00
|
$237,424.00
|
$224,942.88
|
2026-07-15
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$220,481.00
|
$235,915.00
|
$223,512.75
|
2026-07-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$214,653.00
|
$229,679.00
|
$217,604.50
|
2026-07-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
8
|
7
|
—
|
—
|
$204,445.00
|
$218,757.00
|
$207,256.25
|
2026-07-15
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
7
|
—
|
—
|
$183,802.00
|
$196,668.00
|
$186,329.25
|
2026-07-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$179,324.00
|
$191,877.00
|
$181,789.75
|
2026-07-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$175,073.00
|
$187,328.00
|
$177,480.25
|
2026-07-15
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$169,932.00
|
$181,827.00
|
$172,268.50
|
2026-07-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
7
|
—
|
—
|
$169,198.00
|
$181,042.00
|
$171,524.50
|
2026-07-15
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$169,169.00
|
$181,011.00
|
$171,495.12
|
2026-07-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
7
|
—
|
—
|
$167,021.00
|
$178,713.00
|
$169,317.62
|
2026-07-15
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
8
|
7
|
—
|
—
|
$166,280.00
|
$177,920.00
|
$168,566.50
|
2026-07-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$166,276.00
|
$177,915.00
|
$168,562.25
|
2026-07-15
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$165,780.00
|
$177,384.00
|
$168,059.38
|
2026-07-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$156,457.00
|
$167,409.00
|
$158,608.25
|
2026-07-15
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
7
|
—
|
—
|
$154,443.00
|
$165,254.00
|
$156,566.62
|
2026-07-15
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$154,346.00
|
$165,150.00
|
$156,468.12
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
10
|
6
|
—
|
—
|
$78,301.00
|
$207,652.00
|
$154,824.90
|
2026-07-15
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$150,405.00
|
$160,933.00
|
$152,473.00
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
9
|
5
|
—
|
—
|
$102,713.00
|
$189,942.00
|
$145,352.00
|
2026-07-15
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
1
|
1
|
—
|
—
|
$144,921.00
|
$144,921.00
|
$144,921.00
|
2026-07-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$140,781.00
|
$150,635.00
|
$142,716.62
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
5
|
—
|
—
|
$102,973.00
|
$190,422.00
|
$142,127.89
|
2026-07-15
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
7
|
—
|
—
|
$138,051.00
|
$147,714.00
|
$139,949.12
|
2026-07-15
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$136,889.00
|
$146,472.00
|
$138,771.38
|
2026-07-15
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$134,900.00
|
$144,343.00
|
$136,754.88
|
2026-07-15
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$134,900.00
|
$144,343.00
|
$136,754.88
|
2026-07-15
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$130,418.00
|
$139,547.00
|
$132,211.12
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
10
|
6
|
—
|
—
|
$83,270.00
|
$191,833.00
|
$126,281.90
|
2026-07-15
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$123,566.00
|
$132,216.00
|
$125,265.12
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
6
|
—
|
—
|
$73,914.00
|
$177,026.00
|
$125,044.00
|
2026-07-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$121,983.00
|
$130,521.00
|
$123,660.12
|
2026-07-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
9
|
5
|
—
|
—
|
$85,620.00
|
$158,331.00
|
$123,505.11
|
2026-07-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$118,304.00
|
$126,585.00
|
$119,930.62
|
2026-07-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$117,563.00
|
$125,792.00
|
$119,179.38
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$83,698.00
|
$154,777.00
|
$118,388.60
|
2026-07-15
|
|
4403
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$115,572.00
|
$123,662.00
|
$117,161.12
|
2026-07-15
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$115,160.00
|
$123,221.00
|
$116,743.50
|
2026-07-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$114,654.00
|
$122,680.00
|
$116,230.50
|
2026-07-15
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
7
|
—
|
—
|
$114,622.00
|
$122,645.00
|
$116,198.00
|
2026-07-15
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
7
|
—
|
—
|
$114,386.00
|
$122,393.00
|
$115,958.88
|
2026-07-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$113,513.00
|
$121,459.00
|
$115,073.75
|
2026-07-15
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$113,011.00
|
$120,922.00
|
$114,564.88
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
7
|
—
|
—
|
$75,852.00
|
$140,269.00
|
$112,030.27
|
2026-07-15
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$110,118.00
|
$117,826.00
|
$111,632.00
|
2026-07-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$108,316.00
|
$115,898.00
|
$109,805.38
|
2026-07-15
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
8
|
7
|
—
|
—
|
$107,014.00
|
$114,504.00
|
$108,485.25
|
2026-07-15
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$106,880.00
|
$114,361.00
|
$108,349.50
|
2026-07-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
8
|
7
|
—
|
—
|
$105,752.00
|
$113,154.00
|
$107,206.00
|
2026-07-15
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$104,710.00
|
$112,040.00
|
$106,149.75
|
2026-07-15
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$104,685.00
|
$112,013.00
|
$106,124.38
|
2026-07-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$104,342.00
|
$111,646.00
|
$105,776.62
|
2026-07-15
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
7
|
—
|
—
|
$102,969.00
|
$110,177.00
|
$104,384.88
|
2026-07-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
7
|
—
|
—
|
$101,467.00
|
$108,570.00
|
$102,862.25
|
2026-07-15
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
7
|
—
|
—
|
$99,289.00
|
$106,239.00
|
$100,654.12
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
7
|
—
|
—
|
$66,563.00
|
$124,514.00
|
$100,411.36
|
2026-07-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$98,826.00
|
$105,744.00
|
$100,184.88
|
2026-07-15
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
8
|
7
|
—
|
—
|
$98,800.00
|
$105,716.00
|
$100,158.50
|
2026-07-15
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
7
|
—
|
—
|
$98,697.00
|
$105,605.00
|
$100,053.88
|
2026-07-15
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
8
|
7
|
—
|
—
|
$98,525.00
|
$105,422.00
|
$99,879.75
|
2026-07-15
|
|
8904
|
APR_DRG
|
HIV With Multiple Major HIV Related Conditions
|
8
|
7
|
—
|
—
|
$98,430.00
|
$105,320.00
|
$99,783.38
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
6
|
—
|
—
|
$49,706.00
|
$321,220.00
|
$99,046.80
|
2026-07-15
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$97,125.00
|
$103,924.00
|
$98,460.50
|
2026-07-15
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$98,421.00
|
$98,421.00
|
$98,421.00
|
2026-07-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
10
|
5
|
—
|
—
|
$22,186.00
|
$133,886.00
|
$96,612.00
|
2026-07-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$94,922.00
|
$101,566.00
|
$96,227.00
|
2026-07-15
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$94,070.00
|
$100,655.00
|
$95,363.50
|
2026-07-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
9
|
5
|
—
|
—
|
$65,552.00
|
$121,222.00
|
$94,960.78
|
2026-07-15
|
|
4402
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$93,556.00
|
$100,105.00
|
$94,842.50
|
2026-07-15
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$93,484.00
|
$100,028.00
|
$94,769.38
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
9
|
5
|
—
|
—
|
$63,355.00
|
$119,399.00
|
$93,460.78
|
2026-07-15
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
7
|
—
|
—
|
$91,061.00
|
$97,435.00
|
$92,313.00
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
7
|
—
|
—
|
$8,889.00
|
$152,350.00
|
$92,232.08
|
2026-07-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$90,013.00
|
$96,314.00
|
$91,250.62
|
2026-07-15
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
7
|
—
|
—
|
$89,808.00
|
$96,094.00
|
$91,042.75
|
2026-07-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$89,723.00
|
$96,004.00
|
$90,956.75
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
9
|
5
|
—
|
—
|
$62,304.00
|
$115,215.00
|
$90,541.67
|
2026-07-15
|
|
1774
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
8
|
7
|
—
|
—
|
$88,396.00
|
$94,584.00
|
$89,611.50
|
2026-07-15
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
7
|
—
|
—
|
$87,808.00
|
$93,955.00
|
$89,015.38
|
2026-07-15
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
8
|
7
|
—
|
—
|
$86,201.00
|
$92,235.00
|
$87,386.25
|
2026-07-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
7
|
—
|
—
|
$85,101.00
|
$91,058.00
|
$86,271.12
|
2026-07-15
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$84,780.00
|
$90,714.00
|
$85,945.62
|
2026-07-15
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
8
|
7
|
—
|
—
|
$83,692.00
|
$89,551.00
|
$84,842.88
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
15
|
9
|
—
|
—
|
$17,506.00
|
$152,936.00
|
$84,043.60
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
9
|
5
|
—
|
—
|
$58,665.00
|
$108,485.00
|
$83,990.33
|
2026-07-15
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$82,838.00
|
$88,637.00
|
$83,977.12
|
2026-07-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
7
|
—
|
—
|
$82,173.00
|
$87,925.00
|
$83,302.88
|
2026-07-15
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
7
|
—
|
—
|
$81,833.00
|
$87,561.00
|
$82,958.12
|
2026-07-15
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
7
|
—
|
—
|
$81,069.00
|
$86,743.00
|
$82,183.50
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
13
|
8
|
—
|
—
|
$10,002.00
|
$113,603.00
|
$81,767.08
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
10
|
6
|
—
|
—
|
$55,543.00
|
$102,712.00
|
$81,594.50
|
2026-07-15
|
|
234
|
APR_DRG
|
Spinal Procedures
|
8
|
7
|
—
|
—
|
$80,184.00
|
$85,797.00
|
$81,286.50
|
2026-07-15
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$79,840.00
|
$85,429.00
|
$80,937.88
|
2026-07-15
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
8
|
7
|
—
|
—
|
$79,772.00
|
$85,356.00
|
$80,868.88
|
2026-07-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
8
|
7
|
—
|
—
|
$79,498.00
|
$85,063.00
|
$80,591.12
|
2026-07-15
|
|
4014
|
APR_DRG
|
Adrenal Procedures
|
8
|
7
|
—
|
—
|
$79,446.00
|
$85,007.00
|
$80,538.38
|
2026-07-15
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
8
|
7
|
—
|
—
|
$79,293.00
|
$84,844.00
|
$80,383.38
|
2026-07-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
8
|
7
|
—
|
—
|
$79,171.00
|
$84,713.00
|
$80,259.62
|
2026-07-15
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
8
|
7
|
—
|
—
|
$78,467.00
|
$83,959.00
|
$79,545.75
|
2026-07-15
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$78,017.00
|
$83,478.00
|
$79,089.75
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
11
|
7
|
—
|
—
|
$52,404.00
|
$100,185.00
|
$78,779.64
|
2026-07-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
7
|
—
|
—
|
$77,605.00
|
$83,037.00
|
$78,672.00
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
7
|
—
|
—
|
$21,748.00
|
$112,457.00
|
$78,656.27
|
2026-07-15
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
7
|
—
|
—
|
$76,467.00
|
$81,820.00
|
$77,518.50
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
9
|
5
|
—
|
—
|
$55,477.00
|
$115,882.00
|
$77,214.00
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
9
|
5
|
—
|
—
|
$52,493.00
|
$97,748.00
|
$77,078.33
|
2026-07-15
|
|
924
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
7
|
—
|
—
|
$75,806.00
|
$81,113.00
|
$76,848.38
|
2026-07-15
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$75,616.00
|
$80,909.00
|
$76,655.62
|
2026-07-15
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
8
|
7
|
—
|
—
|
$75,409.00
|
$80,688.00
|
$76,445.88
|
2026-07-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
9
|
5
|
—
|
—
|
$52,695.00
|
$97,446.00
|
$76,335.44
|
2026-07-15
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
8
|
7
|
—
|
—
|
$74,080.00
|
$79,266.00
|
$75,098.62
|
2026-07-15
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
7
|
—
|
—
|
$73,919.00
|
$79,093.00
|
$74,935.25
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
9
|
5
|
—
|
—
|
$53,667.00
|
$99,244.00
|
$74,576.44
|
2026-07-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$73,433.00
|
$78,573.00
|
$74,442.62
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
7
|
—
|
—
|
$50,755.00
|
$93,858.00
|
$74,411.27
|
2026-07-15
|
|
1782
|
APR_DRG
|
External Heart Assist Systems
|
8
|
7
|
—
|
—
|
$73,344.00
|
$78,478.00
|
$74,352.50
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
11
|
7
|
—
|
—
|
$14,974.00
|
$119,140.00
|
$73,991.73
|
2026-07-15
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
8
|
7
|
—
|
—
|
$72,832.00
|
$77,930.00
|
$73,833.38
|
2026-07-15
|
|
4044
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
8
|
7
|
—
|
—
|
$72,760.00
|
$77,854.00
|
$73,760.62
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
6
|
—
|
—
|
$9,512.00
|
$103,180.00
|
$73,695.50
|
2026-07-15
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
8
|
7
|
—
|
—
|
$72,574.00
|
$77,654.00
|
$73,571.88
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
11
|
7
|
—
|
—
|
$38,808.00
|
$101,113.00
|
$73,433.55
|
2026-07-15
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
8
|
7
|
—
|
—
|
$71,972.00
|
$77,010.00
|
$72,961.50
|
2026-07-15
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$71,950.00
|
$76,986.00
|
$72,939.25
|
2026-07-15
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$71,426.00
|
$76,426.00
|
$72,408.12
|
2026-07-15
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$71,401.00
|
$76,399.00
|
$72,382.75
|
2026-07-15
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
8
|
7
|
—
|
—
|
$71,187.00
|
$76,170.00
|
$72,165.88
|
2026-07-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
10
|
6
|
—
|
—
|
$48,685.00
|
$90,030.00
|
$71,965.90
|
2026-07-15
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
8
|
7
|
—
|
—
|
$70,420.00
|
$75,350.00
|
$71,388.38
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
11
|
7
|
—
|
—
|
$48,011.00
|
$93,799.00
|
$71,220.18
|
2026-07-15
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
8
|
7
|
—
|
—
|
$70,010.00
|
$74,910.00
|
$70,972.50
|
2026-07-15
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
8
|
7
|
—
|
—
|
$69,467.00
|
$74,330.00
|
$70,422.25
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
9
|
5
|
—
|
—
|
$48,400.00
|
$89,504.00
|
$70,372.67
|
2026-07-15
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
8
|
7
|
—
|
—
|
$69,266.00
|
$74,115.00
|
$70,218.50
|
2026-07-15
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$68,901.00
|
$73,724.00
|
$69,848.38
|
2026-07-15
|
|
2294
|
APR_DRG
|
Other Digestive System And Abdominal Procedures
|
8
|
7
|
—
|
—
|
$68,501.00
|
$73,296.00
|
$69,442.88
|
2026-07-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
9
|
5
|
—
|
—
|
$47,439.00
|
$87,726.00
|
$69,328.67
|
2026-07-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
9
|
5
|
—
|
—
|
$47,439.00
|
$87,726.00
|
$69,328.67
|
2026-07-15
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$68,044.00
|
$72,807.00
|
$68,979.50
|
2026-07-15
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
8
|
7
|
—
|
—
|
$68,044.00
|
$72,807.00
|
$68,979.50
|
2026-07-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
6
|
—
|
—
|
$45,108.00
|
$85,820.00
|
$68,661.30
|
2026-07-15
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$67,115.00
|
$71,813.00
|
$68,037.88
|
2026-07-15
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
7
|
—
|
—
|
$67,115.00
|
$71,813.00
|
$68,037.88
|
2026-07-15
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
8
|
7
|
—
|
—
|
$66,968.00
|
$71,656.00
|
$67,888.88
|
2026-07-15
|
|
111
|
APR_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
8
|
7
|
—
|
—
|
$66,856.00
|
$71,536.00
|
$67,775.25
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
11
|
7
|
—
|
—
|
$17,356.00
|
$103,940.00
|
$67,731.27
|
2026-07-15
|
|
6133
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$66,411.00
|
$71,060.00
|
$67,324.12
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
9
|
5
|
—
|
—
|
$45,760.00
|
$85,416.00
|
$67,254.33
|
2026-07-15
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
7
|
—
|
—
|
$66,129.00
|
$70,758.00
|
$67,038.25
|
2026-07-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
6
|
—
|
—
|
$47,782.00
|
$88,360.00
|
$66,933.10
|
2026-07-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
9
|
5
|
—
|
—
|
$46,760.00
|
$86,470.00
|
$66,653.78
|
2026-07-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
8
|
—
|
—
|
$42,616.00
|
$85,521.00
|
$66,606.67
|
2026-07-15
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
7
|
—
|
—
|
$65,137.00
|
$69,697.00
|
$66,032.75
|
2026-07-15
|
|
7104
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
7
|
—
|
—
|
$65,068.00
|
$69,622.00
|
$65,962.50
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
11
|
6
|
—
|
—
|
$12,727.00
|
$96,318.00
|
$65,474.18
|
2026-07-15
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
8
|
7
|
—
|
—
|
$64,579.00
|
$69,099.00
|
$65,466.88
|
2026-07-15
|
|
2634
|
APR_DRG
|
Cholecystectomy
|
8
|
7
|
—
|
—
|
$64,526.00
|
$69,043.00
|
$65,413.25
|
2026-07-15
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
7
|
—
|
—
|
$64,362.00
|
$68,867.00
|
$65,246.88
|
2026-07-15
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$64,052.00
|
$68,535.00
|
$64,932.62
|
2026-07-15
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
7
|
—
|
—
|
$63,697.00
|
$68,156.00
|
$64,572.88
|
2026-07-15
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$63,605.00
|
$68,057.00
|
$64,479.50
|
2026-07-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
9
|
5
|
—
|
—
|
$41,976.00
|
$86,753.00
|
$64,246.56
|
2026-07-15
|
|
1673
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
7
|
—
|
—
|
$63,215.00
|
$67,640.00
|
$64,084.25
|
2026-07-15
|
|
1773
|
APR_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
8
|
7
|
—
|
—
|
$63,215.00
|
$67,640.00
|
$64,084.25
|
2026-07-15
|
|
5114
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
7
|
—
|
—
|
$63,205.00
|
$67,629.00
|
$64,074.00
|
2026-07-15
|
|
5104
|
APR_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
8
|
7
|
—
|
—
|
$63,190.00
|
$67,614.00
|
$64,059.00
|
2026-07-15
|
|
8633
|
APR_DRG
|
Neonatal Aftercare
|
8
|
7
|
—
|
—
|
$62,509.00
|
$66,885.00
|
$63,368.62
|
2026-07-15
|
|
294
|
APR_DRG
|
Other Percutaneous Intracranial Procedures
|
8
|
7
|
—
|
—
|
$62,503.00
|
$66,879.00
|
$63,362.62
|
2026-07-15
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
15
|
7
|
—
|
—
|
$49,911.00
|
$140,775.00
|
$63,041.13
|
2026-07-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
13
|
9
|
—
|
—
|
$41,814.00
|
$93,359.00
|
$63,015.54
|
2026-07-15
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$61,946.00
|
$66,282.00
|
$62,797.75
|
2026-07-15
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
7
|
—
|
—
|
$61,946.00
|
$66,282.00
|
$62,797.75
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
9
|
5
|
—
|
—
|
$43,271.00
|
$80,018.00
|
$62,683.11
|
2026-07-15
|
|
5894
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
7
|
—
|
—
|
$61,822.00
|
$66,150.00
|
$62,672.12
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
9
|
5
|
—
|
—
|
$42,404.00
|
$80,279.00
|
$62,664.67
|
2026-07-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
9
|
5
|
—
|
—
|
$42,995.00
|
$79,508.00
|
$62,283.67
|
2026-07-15
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
8
|
7
|
—
|
—
|
$61,294.00
|
$65,585.00
|
$62,136.88
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
10
|
6
|
—
|
—
|
$43,441.00
|
$80,333.00
|
$62,105.00
|
2026-07-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$60,403.00
|
$64,632.00
|
$61,233.75
|
2026-07-15
|
|
2314
|
APR_DRG
|
Major Large Bowel Procedures
|
8
|
7
|
—
|
—
|
$60,401.00
|
$64,629.00
|
$61,231.50
|
2026-07-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
9
|
5
|
—
|
—
|
$42,765.00
|
$79,082.00
|
$61,181.00
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
10
|
5
|
—
|
—
|
$42,667.00
|
$78,902.00
|
$60,856.00
|
2026-07-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
11
|
7
|
—
|
—
|
$15,506.00
|
$89,914.00
|
$60,842.18
|
2026-07-15
|
|
494
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System
|
8
|
7
|
—
|
—
|
$59,733.00
|
$63,914.00
|
$60,554.25
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
9
|
5
|
—
|
—
|
$42,409.00
|
$78,425.00
|
$60,407.67
|
2026-07-15
|
|
3254
|
APR_DRG
|
Non-elective Or Complex Knee Joint Replacement
|
8
|
7
|
—
|
—
|
$59,524.00
|
$63,691.00
|
$60,342.50
|
2026-07-15
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
8
|
7
|
—
|
—
|
$59,383.00
|
$63,540.00
|
$60,199.62
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
6
|
—
|
—
|
$16,735.00
|
$82,918.00
|
$59,993.90
|
2026-07-15
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
7
|
—
|
—
|
$58,979.00
|
$63,107.00
|
$59,789.88
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
10
|
6
|
—
|
—
|
$39,165.00
|
$84,027.00
|
$59,680.80
|
2026-07-15
|
|
1781
|
APR_DRG
|
External Heart Assist Systems
|
8
|
7
|
—
|
—
|
$58,864.00
|
$62,984.00
|
$59,673.25
|
2026-07-15
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
8
|
7
|
—
|
—
|
$58,701.00
|
$62,810.00
|
$59,508.12
|
2026-07-15
|
|
5184
|
APR_DRG
|
Other Female Reproductive System And Related Procedures
|
8
|
7
|
—
|
—
|
$58,596.00
|
$62,698.00
|
$59,401.75
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
10
|
6
|
—
|
—
|
$27,329.00
|
$81,021.00
|
$59,234.40
|
2026-07-15
|
|
1704
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
8
|
7
|
—
|
—
|
$58,337.00
|
$62,420.00
|
$59,139.00
|
2026-07-15
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$57,915.00
|
$61,969.00
|
$58,711.25
|
2026-07-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
9
|
5
|
—
|
—
|
$40,477.00
|
$74,851.00
|
$58,635.56
|
2026-07-15
|
|
1804
|
APR_DRG
|
Other Circulatory System Procedures
|
8
|
7
|
—
|
—
|
$57,606.00
|
$61,639.00
|
$58,398.25
|
2026-07-15
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
8
|
7
|
—
|
—
|
$57,539.00
|
$61,567.00
|
$58,330.25
|
2026-07-15
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
8
|
7
|
—
|
—
|
$57,392.00
|
$61,410.00
|
$58,181.25
|
2026-07-15
|
|
6344
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
8
|
7
|
—
|
—
|
$57,381.00
|
$61,397.00
|
$58,169.88
|
2026-07-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
7
|
—
|
—
|
$33,937.00
|
$124,514.00
|
$58,115.00
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
15
|
10
|
—
|
—
|
$12,761.00
|
$106,134.00
|
$58,015.40
|
2026-07-15
|
|
4401
|
APR_DRG
|
Kidney Transplant
|
8
|
7
|
—
|
—
|
$56,675.00
|
$60,642.00
|
$57,454.25
|
2026-07-15
|
|
1303
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
7
|
—
|
—
|
$56,595.00
|
$60,557.00
|
$57,373.25
|
2026-07-15
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
7
|
—
|
—
|
$56,503.00
|
$60,458.00
|
$57,279.88
|
2026-07-15
|
|
734
|
APR_DRG
|
Orbit And Eye Procedures
|
8
|
7
|
—
|
—
|
$56,349.00
|
$60,293.00
|
$57,123.75
|
2026-07-15
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
7
|
—
|
—
|
$56,310.00
|
$60,251.00
|
$57,084.12
|
2026-07-15
|
|
7114
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
8
|
7
|
—
|
—
|
$56,201.00
|
$60,135.00
|
$56,973.75
|
2026-07-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
17
|
8
|
—
|
—
|
$33,151.00
|
$132,656.00
|
$56,909.65
|
2026-07-15
|
|
5144
|
APR_DRG
|
Female Reproductive System Reconstructive Procedures
|
8
|
7
|
—
|
—
|
$56,067.00
|
$59,991.00
|
$56,837.75
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
11
|
7
|
—
|
—
|
$38,176.00
|
$70,596.00
|
$56,489.36
|
2026-07-15
|
|
3134
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot
|
8
|
7
|
—
|
—
|
$55,720.00
|
$59,621.00
|
$56,486.25
|
2026-07-15
|
|
1793
|
APR_DRG
|
Defibrillator Implants
|
8
|
7
|
—
|
—
|
$55,706.00
|
$59,605.00
|
$56,471.88
|
2026-07-15
|
|
6903
|
APR_DRG
|
Acute Leukemia
|
8
|
7
|
—
|
—
|
$55,630.00
|
$59,524.00
|
$56,394.88
|
2026-07-15
|
|
2234
|
APR_DRG
|
Other Small And Large Bowel Procedures
|
8
|
7
|
—
|
—
|
$55,608.00
|
$59,501.00
|
$56,372.75
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
9
|
5
|
—
|
—
|
$39,587.00
|
$73,206.00
|
$56,360.22
|
2026-07-15
|
|
424
|
APR_DRG
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
8
|
7
|
—
|
—
|
$55,567.00
|
$59,457.00
|
$56,331.12
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
9
|
5
|
—
|
—
|
$39,353.00
|
$72,774.00
|
$56,197.22
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
10
|
6
|
—
|
—
|
$39,918.00
|
$73,819.00
|
$56,195.50
|
2026-07-15
|
|
4034
|
APR_DRG
|
Procedures For Obesity
|
8
|
7
|
—
|
—
|
$55,370.00
|
$59,245.00
|
$56,131.12
|
2026-07-15
|
|
3204
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures
|
8
|
7
|
—
|
—
|
$55,218.00
|
$59,083.00
|
$55,977.25
|
2026-07-15
|
|
9103
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
8
|
7
|
—
|
—
|
$55,096.00
|
$58,953.00
|
$55,853.62
|
2026-07-15
|
|
6213
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
7
|
—
|
—
|
$55,073.00
|
$58,928.00
|
$55,830.25
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
6
|
—
|
—
|
$37,369.00
|
$69,104.00
|
$55,566.20
|
2026-07-15
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
8
|
7
|
—
|
—
|
$54,738.00
|
$58,570.00
|
$55,490.62
|
2026-07-15
|
|
1622
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$54,704.00
|
$58,534.00
|
$55,456.38
|
2026-07-15
|
|
3031
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
7
|
—
|
—
|
$54,550.00
|
$58,369.00
|
$55,300.12
|
2026-07-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
9
|
5
|
—
|
—
|
$38,112.00
|
$70,479.00
|
$55,158.89
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
9
|
5
|
—
|
—
|
$37,370.00
|
$69,989.00
|
$54,994.67
|
2026-07-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$54,243.00
|
$58,040.00
|
$54,988.88
|
2026-07-15
|
|
5124
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
7
|
—
|
—
|
$54,057.00
|
$57,841.00
|
$54,800.25
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
14
|
9
|
—
|
—
|
$31,261.00
|
$75,538.00
|
$54,680.07
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
11
|
7
|
—
|
—
|
$21,545.00
|
$181,472.00
|
$54,638.82
|
2026-07-15
|
|
8614
|
APR_DRG
|
Signs, Symptoms And Other Factors Influencing Health Status
|
8
|
7
|
—
|
—
|
$53,814.00
|
$57,581.00
|
$54,553.88
|
2026-07-15
|
|
8503
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
7
|
—
|
—
|
$53,195.00
|
$56,919.00
|
$53,926.50
|
2026-07-15
|
|
244
|
APR_DRG
|
Open Extracranial Vascular Procedures
|
8
|
7
|
—
|
—
|
$53,139.00
|
$56,858.00
|
$53,869.50
|
2026-07-15
|
|
2224
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures
|
8
|
7
|
—
|
—
|
$53,139.00
|
$56,858.00
|
$53,869.50
|
2026-07-15
|
|
213
|
APR_DRG
|
Open Craniotomy Except Trauma
|
8
|
7
|
—
|
—
|
$52,910.00
|
$56,614.00
|
$53,637.62
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
10
|
6
|
—
|
—
|
$35,247.00
|
$83,106.00
|
$53,563.10
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
9
|
5
|
—
|
—
|
$37,533.00
|
$69,408.00
|
$53,432.00
|
2026-07-15
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
7
|
—
|
—
|
$52,682.00
|
$56,369.00
|
$53,406.25
|
2026-07-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
6
|
—
|
—
|
$36,778.00
|
$68,012.00
|
$53,161.80
|
2026-07-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
6
|
—
|
—
|
$39,323.00
|
$72,717.00
|
$53,144.80
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$35,459.00
|
$103,667.00
|
$52,980.50
|
2026-07-15
|
|
3634
|
APR_DRG
|
Breast Procedures Except Mastectomy
|
8
|
7
|
—
|
—
|
$52,242.00
|
$55,899.00
|
$52,960.38
|
2026-07-15
|
|
3054
|
APR_DRG
|
Amputation Of Lower Limb Except Toes
|
8
|
7
|
—
|
—
|
$52,213.00
|
$55,868.00
|
$52,931.00
|
2026-07-15
|
|
3094
|
APR_DRG
|
Other Significant Hip And Femur Surgery
|
8
|
7
|
—
|
—
|
$52,142.00
|
$55,792.00
|
$52,858.88
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
11
|
7
|
—
|
—
|
$11,067.00
|
$79,267.00
|
$52,655.73
|
2026-07-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
9
|
5
|
—
|
—
|
$36,095.00
|
$66,749.00
|
$52,530.33
|
2026-07-15
|
|
1621
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
7
|
—
|
—
|
$51,756.00
|
$55,379.00
|
$52,467.62
|
2026-07-15
|
|
9304
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure
|
8
|
7
|
—
|
—
|
$51,414.00
|
$55,013.00
|
$52,121.00
|
2026-07-15
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
7
|
—
|
—
|
$51,408.00
|
$55,007.00
|
$52,115.00
|
2026-07-15
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
13
|
8
|
—
|
—
|
$35,144.00
|
$67,620.00
|
$52,032.23
|
2026-07-15
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
8
|
7
|
—
|
—
|
$51,282.00
|
$54,871.00
|
$51,987.00
|
2026-07-15
|
|
8423
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
7
|
—
|
—
|
$51,264.00
|
$54,853.00
|
$51,969.00
|
2026-07-15
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
15
|
7
|
—
|
—
|
$33,151.00
|
$132,870.00
|
$51,957.13
|
2026-07-15
|
|
6914
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia
|
8
|
7
|
—
|
—
|
$51,152.00
|
$54,733.00
|
$51,855.38
|
2026-07-15
|
|
3043
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
7
|
—
|
—
|
$51,075.00
|
$54,650.00
|
$51,777.25
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
8
|
—
|
—
|
$20,390.00
|
$76,982.00
|
$51,732.08
|
2026-07-15
|
|
6071
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
7
|
—
|
—
|
$50,622.00
|
$54,166.00
|
$51,318.12
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
6
|
—
|
—
|
$33,526.00
|
$75,349.00
|
$51,296.40
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
12
|
8
|
—
|
—
|
$31,293.00
|
$66,990.00
|
$51,051.92
|
2026-07-15
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
7
|
—
|
—
|
$50,285.00
|
$53,805.00
|
$50,976.38
|
2026-07-15
|
|
3084
|
APR_DRG
|
Hip And Femur Fracture Repair
|
8
|
7
|
—
|
—
|
$50,264.00
|
$53,783.00
|
$50,955.25
|
2026-07-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
6
|
—
|
—
|
$36,211.00
|
$66,963.00
|
$50,904.00
|
2026-07-15
|
|
1792
|
APR_DRG
|
Defibrillator Implants
|
8
|
7
|
—
|
—
|
$50,098.00
|
$53,605.00
|
$50,786.88
|
2026-07-15
|
|
5194
|
APR_DRG
|
Uterine And Adnexa Procedures For Leiomyoma
|
8
|
7
|
—
|
—
|
$50,042.00
|
$53,545.00
|
$50,730.00
|
2026-07-15
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
14
|
10
|
—
|
—
|
$32,319.00
|
$84,779.00
|
$50,533.00
|
2026-07-15
|
|
4844
|
APR_DRG
|
Other Male Reproductive System And Related Procedures
|
8
|
7
|
—
|
—
|
$49,829.00
|
$53,317.00
|
$50,514.12
|
2026-07-15
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular And Related Procedures
|
8
|
7
|
—
|
—
|
$49,400.00
|
$52,858.00
|
$50,079.25
|
2026-07-15
|