|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
54
|
9
|
—
|
—
|
$287,571.59
|
$1,007,423.91
|
$711,263.41
|
2026-08-01
|
|
583 SOI-4
|
OTHER
|
Neonate With Ecmo
|
13
|
7
|
—
|
—
|
$559,218.72
|
$623,747.04
|
$584,054.04
|
2026-08-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel 200000000 Cells Susp 1 Each Package
|
20
|
8
|
$1,762,530.00
|
$881,265.00
50% off
|
$55,195.16
|
$1,374,773.40
|
$549,227.07
|
2026-07-15
|
|
589 SOI-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
13
|
7
|
—
|
—
|
$512,145.96
|
$571,242.54
|
$534,890.74
|
2026-08-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
9
|
—
|
—
|
$221,744.64
|
$752,461.21
|
$519,685.31
|
2026-07-15
|
|
589 SOI-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
13
|
7
|
—
|
—
|
$494,026.11
|
$551,031.83
|
$515,966.17
|
2026-08-01
|
|
583 SOI-3
|
OTHER
|
Neonate With Ecmo
|
13
|
7
|
—
|
—
|
$491,192.10
|
$547,870.82
|
$513,006.31
|
2026-08-01
|
|
588 SOI-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$395,073.92
|
$440,661.54
|
$412,619.44
|
2026-08-01
|
|
161 SOI-4
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
7
|
—
|
—
|
$382,634.12
|
$426,786.31
|
$399,627.18
|
2026-08-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
54
|
9
|
—
|
—
|
$153,934.61
|
$537,260.88
|
$369,462.22
|
2026-08-01
|
|
630 SOI-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
13
|
7
|
—
|
—
|
$346,301.05
|
$386,260.77
|
$361,680.54
|
2026-08-01
|
|
583 SOI-2
|
OTHER
|
Neonate With Ecmo
|
13
|
7
|
—
|
—
|
$337,972.21
|
$376,970.86
|
$352,981.81
|
2026-08-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
33
|
8
|
—
|
—
|
$163,951.78
|
$572,503.40
|
$350,449.52
|
2026-08-01
|
|
609 SOI-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$330,581.52
|
$368,727.35
|
$345,262.89
|
2026-08-01
|
|
841 SOI-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
13
|
7
|
—
|
—
|
$324,255.46
|
$361,671.33
|
$338,655.88
|
2026-08-01
|
|
160 SOI-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
13
|
7
|
—
|
—
|
$307,337.27
|
$342,800.95
|
$320,986.34
|
2026-08-01
|
|
591 SOI-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$292,134.24
|
$325,843.64
|
$305,108.14
|
2026-08-01
|
|
631 SOI-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
13
|
7
|
—
|
—
|
$276,220.45
|
$308,093.56
|
$288,487.61
|
2026-08-01
|
|
593 SOI-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$255,021.15
|
$284,448.06
|
$266,346.82
|
2026-08-01
|
|
009 SOI-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
7
|
—
|
—
|
$231,441.09
|
$258,147.11
|
$241,719.56
|
2026-08-01
|
|
589 SOI-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
13
|
7
|
—
|
—
|
$229,599.44
|
$256,092.95
|
$239,796.12
|
2026-08-01
|
|
603 SOI-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
13
|
7
|
—
|
—
|
$228,140.28
|
$254,465.41
|
$238,272.16
|
2026-08-01
|
|
004 SOI-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
7
|
—
|
—
|
$222,109.36
|
$247,738.59
|
$231,973.40
|
2026-08-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
34
|
8
|
—
|
—
|
$108,512.24
|
$424,888.36
|
$231,237.45
|
2026-08-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
24
|
9
|
—
|
—
|
$103,802.89
|
$349,107.51
|
$222,762.99
|
2026-07-15
|
|
583 SOI-1
|
OTHER
|
Neonate With Ecmo
|
13
|
7
|
—
|
—
|
$211,547.35
|
$235,957.83
|
$220,942.33
|
2026-08-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
23
|
9
|
—
|
—
|
$104,060.65
|
$349,989.04
|
$219,623.96
|
2026-07-15
|
|
792 SOI-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
13
|
7
|
—
|
—
|
$190,186.92
|
$212,132.61
|
$198,633.26
|
2026-08-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve�procedures
|
26
|
9
|
—
|
—
|
$86,814.81
|
$291,009.30
|
$198,369.14
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
9
|
—
|
—
|
$83,545.92
|
$279,829.88
|
$195,505.38
|
2026-07-15
|
|
161 SOI-3
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
7
|
—
|
—
|
$185,553.43
|
$206,964.46
|
$193,794.00
|
2026-08-01
|
|
161 SOI-2
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
7
|
—
|
—
|
$181,154.85
|
$202,058.33
|
$189,200.07
|
2026-08-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
54
|
9
|
—
|
—
|
$81,670.19
|
$283,019.42
|
$188,708.67
|
2026-08-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
23
|
9
|
—
|
—
|
$75,181.15
|
$643,159.00
|
$184,384.63
|
2026-07-15
|
|
593 SOI-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$175,834.70
|
$196,124.28
|
$183,643.65
|
2026-08-01
|
|
680 SOI-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
13
|
7
|
—
|
—
|
$175,075.75
|
$195,277.76
|
$182,850.99
|
2026-08-01
|
|
681 SOI-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
13
|
7
|
—
|
—
|
$172,823.00
|
$192,765.07
|
$180,498.20
|
2026-08-01
|
|
161 SOI-1
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
7
|
—
|
—
|
$172,056.53
|
$191,910.15
|
$179,697.69
|
2026-08-01
|
|
602 SOI-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$172,052.01
|
$191,905.11
|
$179,692.97
|
2026-08-01
|
|
591 SOI-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$171,538.52
|
$191,332.36
|
$179,156.67
|
2026-08-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
23
|
9
|
—
|
—
|
$84,905.03
|
$284,477.95
|
$178,514.66
|
2026-07-15
|
|
005 SOI-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
7
|
—
|
—
|
$161,892.06
|
$180,572.81
|
$169,081.81
|
2026-08-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
55
|
9
|
—
|
—
|
$74,504.87
|
$257,810.32
|
$167,458.83
|
2026-08-01
|
|
842 SOI-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
13
|
7
|
—
|
—
|
$159,807.97
|
$178,248.23
|
$166,905.16
|
2026-08-01
|
|
609 SOI-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$159,707.08
|
$178,135.70
|
$166,799.79
|
2026-08-01
|
|
602 SOI-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$155,629.25
|
$173,587.32
|
$162,540.86
|
2026-08-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
27
|
9
|
—
|
—
|
$73,676.76
|
$246,077.95
|
$159,877.36
|
2026-07-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
26
|
9
|
—
|
—
|
$66,871.06
|
$222,802.86
|
$157,637.24
|
2026-07-15
|
|
588 SOI-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$145,671.08
|
$162,480.09
|
$152,140.44
|
2026-08-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
54
|
9
|
—
|
—
|
$65,566.63
|
$226,363.71
|
$150,932.38
|
2026-08-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
54
|
9
|
—
|
—
|
$65,530.94
|
$226,238.16
|
$150,848.66
|
2026-08-01
|
|
630 SOI-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
13
|
7
|
—
|
—
|
$142,846.11
|
$159,329.14
|
$149,190.02
|
2026-08-01
|
|
591 SOI-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$141,644.45
|
$157,988.82
|
$147,934.98
|
2026-08-01
|
|
588 SOI-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$139,585.96
|
$155,692.80
|
$145,785.07
|
2026-08-01
|
|
588 SOI-1
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$139,585.96
|
$155,692.80
|
$145,785.07
|
2026-08-01
|
|
607 SOI-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$134,947.95
|
$150,519.61
|
$140,941.09
|
2026-08-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
55
|
9
|
—
|
—
|
$62,432.33
|
$215,336.57
|
$140,012.23
|
2026-08-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
54
|
9
|
—
|
—
|
$60,574.37
|
$208,799.88
|
$139,221.35
|
2026-08-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
55
|
9
|
—
|
—
|
$59,975.30
|
$206,692.22
|
$134,426.24
|
2026-08-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
23
|
9
|
—
|
—
|
$63,999.75
|
$212,983.15
|
$133,650.48
|
2026-07-15
|
|
613 SOI-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
13
|
7
|
—
|
—
|
$127,858.42
|
$142,612.02
|
$133,536.71
|
2026-08-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
23
|
9
|
—
|
—
|
$63,642.79
|
$211,762.36
|
$132,884.42
|
2026-07-15
|
|
612 SOI-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$126,220.06
|
$140,784.61
|
$131,825.59
|
2026-08-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
9
|
—
|
—
|
$57,201.86
|
$189,734.78
|
$130,419.21
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
55
|
9
|
—
|
—
|
$57,900.19
|
$199,391.55
|
$129,708.54
|
2026-08-01
|
|
440 SOI-4
|
OTHER
|
Kidney Transplant
|
13
|
7
|
—
|
—
|
$122,413.28
|
$136,538.56
|
$127,849.75
|
2026-08-01
|
|
440 SOI-3
|
OTHER
|
Kidney Transplant
|
13
|
7
|
—
|
—
|
$119,586.81
|
$133,385.94
|
$124,897.75
|
2026-08-01
|
|
593 SOI-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$119,160.65
|
$132,910.61
|
$124,452.67
|
2026-08-01
|
|
004 SOI-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
7
|
—
|
—
|
$118,636.62
|
$132,326.11
|
$123,905.36
|
2026-08-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
54
|
9
|
—
|
—
|
$54,045.32
|
$185,829.33
|
$123,905.30
|
2026-08-01
|
|
850 SOI-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
13
|
7
|
—
|
—
|
$118,603.49
|
$132,289.16
|
$123,870.76
|
2026-08-01
|
|
631 SOI-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
13
|
7
|
—
|
—
|
$118,359.54
|
$132,017.06
|
$123,615.98
|
2026-08-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
54
|
9
|
—
|
—
|
$51,937.56
|
$178,413.79
|
$123,386.92
|
2026-08-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
27
|
9
|
—
|
—
|
$56,923.01
|
$188,781.12
|
$122,852.07
|
2026-07-15
|
|
602 SOI-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$117,456.04
|
$131,009.30
|
$122,672.34
|
2026-08-01
|
|
303 SOI-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
13
|
7
|
—
|
—
|
$116,936.52
|
$130,429.84
|
$122,129.76
|
2026-08-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
26
|
9
|
—
|
—
|
$54,093.09
|
$179,102.99
|
$121,995.27
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
54
|
9
|
—
|
—
|
$53,071.93
|
$182,404.72
|
$121,621.88
|
2026-08-01
|
|
603 SOI-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
13
|
7
|
—
|
—
|
$113,942.90
|
$127,090.78
|
$119,003.18
|
2026-08-01
|
|
009 SOI-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
7
|
—
|
—
|
$112,078.66
|
$125,011.43
|
$117,056.15
|
2026-08-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
26
|
9
|
—
|
—
|
$50,044.67
|
$165,257.61
|
$116,955.64
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
54
|
9
|
—
|
—
|
$50,259.56
|
$172,510.21
|
$116,271.89
|
2026-08-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
55
|
9
|
—
|
—
|
$51,851.77
|
$178,111.93
|
$115,957.62
|
2026-08-01
|
|
690 SOI-4
|
OTHER
|
Acute Leukemia
|
13
|
7
|
—
|
—
|
$110,730.92
|
$123,508.18
|
$115,648.57
|
2026-08-01
|
|
162 SOI-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
13
|
7
|
—
|
—
|
$110,592.39
|
$123,353.65
|
$115,503.88
|
2026-08-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
54
|
9
|
—
|
—
|
$50,330.17
|
$172,758.64
|
$115,190.16
|
2026-08-01
|
|
863 SOI-4
|
OTHER
|
Neonatal Aftercare
|
13
|
7
|
—
|
—
|
$109,425.36
|
$122,051.96
|
$114,285.02
|
2026-08-01
|
|
0812
|
RC
|
—
|
65
|
4
|
$168,442.00
|
$84,221.00
50% off
|
$45,661.01
|
$328,071.12
|
$113,392.00
|
2026-08-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
54
|
9
|
—
|
—
|
$47,984.00
|
$164,504.30
|
$113,244.44
|
2026-08-01
|
|
841 SOI-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
13
|
7
|
—
|
—
|
$108,347.17
|
$120,849.36
|
$113,158.95
|
2026-08-01
|
|
611 SOI-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
13
|
7
|
—
|
—
|
$108,321.57
|
$120,820.81
|
$113,132.21
|
2026-08-01
|
|
910 SOI-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
13
|
7
|
—
|
—
|
$107,966.19
|
$120,424.42
|
$112,761.05
|
2026-08-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$49,245.16
|
$168,941.34
|
$112,644.90
|
2026-08-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
54
|
9
|
—
|
—
|
$46,397.86
|
$158,923.95
|
$111,475.79
|
2026-08-01
|
|
630 SOI-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
13
|
7
|
—
|
—
|
$106,546.18
|
$118,840.55
|
$111,277.97
|
2026-08-01
|
|
312 SOI-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
13
|
7
|
—
|
—
|
$104,992.14
|
$117,107.20
|
$109,654.92
|
2026-08-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
54
|
9
|
—
|
—
|
$47,608.15
|
$163,182.01
|
$108,804.76
|
2026-08-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
54
|
9
|
—
|
—
|
$47,386.44
|
$162,401.99
|
$108,284.67
|
2026-08-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
54
|
9
|
—
|
—
|
$46,712.96
|
$160,032.54
|
$108,103.57
|
2026-08-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
27
|
9
|
—
|
—
|
$50,107.16
|
$165,471.32
|
$107,789.24
|
2026-07-15
|
|
304 SOI-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
13
|
7
|
—
|
—
|
$102,737.89
|
$114,592.83
|
$107,300.56
|
2026-08-01
|
|
004 SOI-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
7
|
—
|
—
|
$102,259.03
|
$114,058.71
|
$106,800.43
|
2026-08-01
|
|
625 SOI-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
13
|
7
|
—
|
—
|
$102,231.93
|
$114,028.48
|
$106,772.12
|
2026-08-01
|
|
591 SOI-1
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
13
|
7
|
—
|
—
|
$102,125.01
|
$113,909.23
|
$106,660.46
|
2026-08-01
|
|
020 SOI-4
|
OTHER
|
Open Craniotomy For Trauma
|
13
|
7
|
—
|
—
|
$101,947.32
|
$113,711.03
|
$106,474.88
|
2026-08-01
|
|
890 SOI-4
|
OTHER
|
HIV With Multiple Major HIV Related Conditions
|
13
|
7
|
—
|
—
|
$101,849.44
|
$113,601.86
|
$106,372.65
|
2026-08-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
54
|
9
|
—
|
—
|
$46,712.96
|
$160,032.54
|
$106,068.40
|
2026-08-01
|
|
607 SOI-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$100,498.70
|
$112,095.25
|
$104,961.92
|
2026-08-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
54
|
9
|
—
|
—
|
$45,903.57
|
$157,184.93
|
$104,910.42
|
2026-08-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
54
|
9
|
—
|
—
|
$44,804.13
|
$153,316.88
|
$104,340.79
|
2026-08-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$45,433.58
|
$155,531.39
|
$104,294.71
|
2026-08-01
|
|
633 SOI-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
13
|
7
|
—
|
—
|
$98,218.84
|
$109,552.33
|
$102,580.82
|
2026-08-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
56
|
9
|
—
|
—
|
$42,445.05
|
$145,017.13
|
$102,385.28
|
2026-08-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
26
|
9
|
—
|
—
|
$44,452.79
|
$146,133.74
|
$102,194.95
|
2026-07-15
|
|
163 SOI-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
13
|
7
|
—
|
—
|
$97,337.92
|
$108,569.76
|
$101,660.77
|
2026-08-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
9
|
—
|
—
|
$44,715.24
|
$147,031.30
|
$101,302.37
|
2026-07-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
23
|
9
|
—
|
—
|
$48,869.12
|
$161,237.30
|
$101,179.10
|
2026-07-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
23
|
9
|
—
|
—
|
$48,869.12
|
$161,237.30
|
$101,179.10
|
2026-07-15
|
|
440 SOI-2
|
OTHER
|
Kidney Transplant
|
13
|
7
|
—
|
—
|
$96,806.36
|
$107,976.86
|
$101,105.60
|
2026-08-01
|
|
608 SOI-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
13
|
7
|
—
|
—
|
$96,731.07
|
$107,892.88
|
$101,026.97
|
2026-08-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
55
|
9
|
—
|
—
|
$44,543.70
|
$152,400.62
|
$99,342.93
|
2026-08-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
54
|
9
|
—
|
—
|
$43,552.84
|
$148,914.57
|
$99,276.98
|
2026-08-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
54
|
9
|
—
|
—
|
$42,234.73
|
$144,277.18
|
$98,929.77
|
2026-08-01
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$43,193.70
|
$147,651.04
|
$98,449.18
|
2026-08-01
|
|
361 SOI-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
13
|
7
|
—
|
—
|
$94,223.83
|
$105,096.33
|
$98,408.38
|
2026-08-01
|
|
621 SOI-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
13
|
7
|
—
|
—
|
$93,139.62
|
$103,887.02
|
$97,276.02
|
2026-08-01
|
|
950 SOI-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
13
|
7
|
—
|
—
|
$92,927.30
|
$103,650.19
|
$97,054.27
|
2026-08-01
|
|
005 SOI-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
7
|
—
|
—
|
$92,839.96
|
$103,552.77
|
$96,963.05
|
2026-08-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
54
|
9
|
—
|
—
|
$42,196.01
|
$144,140.95
|
$96,815.04
|
2026-08-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
54
|
9
|
—
|
—
|
$41,621.24
|
$142,118.77
|
$96,173.61
|
2026-08-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
26
|
9
|
—
|
—
|
$40,803.51
|
$133,653.40
|
$95,923.10
|
2026-07-15
|
|
177 SOI-4
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
13
|
7
|
—
|
—
|
$91,466.63
|
$102,020.97
|
$95,528.73
|
2026-08-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
26
|
9
|
—
|
—
|
$41,950.16
|
$137,574.88
|
$95,369.65
|
2026-07-15
|
|
651 SOI-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
13
|
7
|
—
|
—
|
$90,858.27
|
$101,342.41
|
$94,893.35
|
2026-08-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
54
|
9
|
—
|
—
|
$42,191.45
|
$144,124.92
|
$94,788.68
|
2026-08-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
23
|
9
|
—
|
—
|
$44,223.15
|
$145,348.38
|
$94,398.28
|
2026-07-15
|
|
441 SOI-4
|
OTHER
|
Major Bladder Procedures
|
13
|
7
|
—
|
—
|
$89,195.81
|
$99,488.13
|
$93,157.06
|
2026-08-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
55
|
9
|
—
|
—
|
$41,778.41
|
$142,671.73
|
$93,056.11
|
2026-08-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
55
|
9
|
—
|
—
|
$41,442.80
|
$141,491.01
|
$92,293.13
|
2026-08-01
|
|
183 SOI-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
13
|
7
|
—
|
—
|
$88,057.39
|
$98,218.34
|
$91,968.09
|
2026-08-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
54
|
9
|
—
|
—
|
$39,908.30
|
$136,092.30
|
$91,879.36
|
2026-08-01
|
|
162 SOI-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
13
|
7
|
—
|
—
|
$87,724.60
|
$97,847.15
|
$91,620.51
|
2026-08-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
54
|
9
|
—
|
—
|
$39,789.85
|
$135,675.58
|
$90,464.32
|
2026-08-01
|
|
169 SOI-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
13
|
7
|
—
|
—
|
$86,599.73
|
$96,592.49
|
$90,445.69
|
2026-08-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
54
|
9
|
—
|
—
|
$39,470.20
|
$134,550.96
|
$89,714.45
|
2026-08-01
|
|
911 SOI-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
13
|
7
|
—
|
—
|
$85,715.80
|
$95,606.56
|
$89,522.50
|
2026-08-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
55
|
9
|
—
|
—
|
$40,199.86
|
$137,118.09
|
$89,467.34
|
2026-08-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
54
|
9
|
—
|
—
|
$39,244.69
|
$133,757.58
|
$89,185.45
|
2026-08-01
|
|
167 SOI-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
13
|
7
|
—
|
—
|
$85,027.63
|
$94,838.98
|
$88,803.77
|
2026-08-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
54
|
9
|
—
|
—
|
$39,063.22
|
$133,119.14
|
$88,759.76
|
2026-08-01
|
|
614 SOI-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
13
|
7
|
—
|
—
|
$84,675.26
|
$94,445.95
|
$88,435.75
|
2026-08-01
|
|
130 SOI-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
13
|
7
|
—
|
—
|
$83,884.69
|
$93,564.15
|
$87,610.07
|
2026-08-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
54
|
9
|
—
|
—
|
$38,330.52
|
$130,541.33
|
$87,040.96
|
2026-08-01
|
|
023 SOI-4
|
OTHER
|
Spinal Procedures
|
13
|
7
|
—
|
—
|
$82,969.14
|
$92,542.95
|
$86,653.86
|
2026-08-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
54
|
9
|
—
|
—
|
$38,106.53
|
$129,753.30
|
$86,515.52
|
2026-08-01
|
|
612 SOI-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$82,613.76
|
$92,146.57
|
$86,282.69
|
2026-08-01
|
|
120 SOI-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
13
|
7
|
—
|
—
|
$82,542.98
|
$92,067.63
|
$86,208.78
|
2026-08-01
|
|
178 SOI-4
|
OTHER
|
External Heart Assist Systems
|
13
|
7
|
—
|
—
|
$82,259.88
|
$91,751.86
|
$85,913.10
|
2026-08-01
|
|
401 SOI-4
|
OTHER
|
Adrenal Procedures
|
13
|
7
|
—
|
—
|
$82,205.67
|
$91,691.39
|
$85,856.49
|
2026-08-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
54
|
9
|
—
|
—
|
$36,096.72
|
$122,682.35
|
$85,754.26
|
2026-08-01
|
|
230 SOI-4
|
OTHER
|
Major Small Bowel Procedures
|
13
|
7
|
—
|
—
|
$82,047.56
|
$91,515.03
|
$85,691.35
|
2026-08-01
|
|
091 SOI-4
|
OTHER
|
Other Major Head And Neck Procedures
|
13
|
7
|
—
|
—
|
$81,921.07
|
$91,373.95
|
$85,559.24
|
2026-08-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
54
|
9
|
—
|
—
|
$37,485.44
|
$127,568.17
|
$85,058.54
|
2026-08-01
|
|
027 SOI-4
|
OTHER
|
Other Open Craniotomy
|
13
|
7
|
—
|
—
|
$81,192.24
|
$90,561.02
|
$84,798.04
|
2026-08-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
54
|
9
|
—
|
—
|
$37,328.27
|
$127,015.21
|
$84,689.85
|
2026-08-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
54
|
9
|
—
|
—
|
$37,321.44
|
$126,991.17
|
$84,673.82
|
2026-08-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
26
|
9
|
—
|
—
|
$38,058.73
|
$124,266.44
|
$84,592.20
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
54
|
9
|
—
|
—
|
$36,947.87
|
$125,676.89
|
$84,458.39
|
2026-08-01
|
|
912 SOI-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
13
|
7
|
—
|
—
|
$80,726.93
|
$90,042.02
|
$84,312.07
|
2026-08-01
|
|
021 SOI-4
|
OTHER
|
Open Craniotomy Except Trauma
|
13
|
7
|
—
|
—
|
$80,300.78
|
$89,566.69
|
$83,866.99
|
2026-08-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
54
|
9
|
—
|
—
|
$36,756.53
|
$125,003.72
|
$83,348.64
|
2026-08-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
57
|
9
|
—
|
—
|
$39,199.89
|
$133,599.98
|
$83,180.84
|
2026-08-01
|
|
004 SOI-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
7
|
—
|
—
|
$79,123.20
|
$88,253.24
|
$82,637.12
|
2026-08-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
54
|
9
|
—
|
—
|
$36,091.40
|
$122,663.65
|
$82,011.04
|
2026-08-01
|
|
092 SOI-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
13
|
7
|
—
|
—
|
$78,439.55
|
$87,490.70
|
$81,923.11
|
2026-08-01
|
|
005 SOI-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
7
|
—
|
—
|
$78,242.28
|
$87,270.67
|
$81,717.08
|
2026-08-01
|
|
178 SOI-3
|
OTHER
|
External Heart Assist Systems
|
13
|
7
|
—
|
—
|
$78,028.45
|
$87,032.17
|
$81,493.75
|
2026-08-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
23
|
9
|
—
|
—
|
$39,599.84
|
$129,536.92
|
$81,286.58
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$35,481.70
|
$120,518.60
|
$80,851.26
|
2026-08-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
55
|
9
|
—
|
—
|
$36,222.76
|
$123,125.79
|
$80,425.50
|
2026-08-01
|
|
089 SOI-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
13
|
7
|
—
|
—
|
$76,653.62
|
$85,498.68
|
$80,057.86
|
2026-08-01
|
|
160 SOI-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
13
|
7
|
—
|
—
|
$76,486.47
|
$85,312.25
|
$79,883.29
|
2026-08-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
54
|
9
|
—
|
—
|
$35,277.46
|
$119,800.02
|
$79,878.98
|
2026-08-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
24
|
9
|
—
|
—
|
$37,710.36
|
$123,075.04
|
$79,789.19
|
2026-07-15
|
|
165 SOI-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
13
|
7
|
—
|
—
|
$75,983.51
|
$84,751.26
|
$79,358.00
|
2026-08-01
|
|
178 SOI-2
|
OTHER
|
External Heart Assist Systems
|
13
|
7
|
—
|
—
|
$75,891.66
|
$84,648.80
|
$79,262.06
|
2026-08-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
54
|
9
|
—
|
—
|
$34,579.68
|
$117,345.09
|
$79,008.42
|
2026-08-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
54
|
9
|
—
|
—
|
$34,865.93
|
$118,352.17
|
$78,913.60
|
2026-08-01
|
|
022 SOI-4
|
OTHER
|
Ventricular Shunt Procedures
|
13
|
7
|
—
|
—
|
$75,361.60
|
$84,057.58
|
$78,708.46
|
2026-08-01
|
|
404 SOI-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
13
|
7
|
—
|
—
|
$75,287.81
|
$83,975.28
|
$78,631.40
|
2026-08-01
|
|
405 SOI-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
13
|
7
|
—
|
—
|
$75,095.06
|
$83,760.29
|
$78,430.09
|
2026-08-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
26
|
9
|
—
|
—
|
$34,992.93
|
$113,781.57
|
$78,198.10
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
55
|
9
|
—
|
—
|
$35,183.30
|
$119,468.77
|
$78,062.32
|
2026-08-01
|
|
121 SOI-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
13
|
7
|
—
|
—
|
$74,471.64
|
$83,064.94
|
$77,778.98
|
2026-08-01
|
|
611 SOI-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
13
|
7
|
—
|
—
|
$74,449.06
|
$83,039.74
|
$77,755.39
|
2026-08-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
54
|
9
|
—
|
—
|
$33,044.41
|
$111,943.71
|
$77,249.89
|
2026-08-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$33,614.63
|
$113,949.86
|
$77,219.51
|
2026-08-01
|
|
607 SOI-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
13
|
7
|
—
|
—
|
$73,906.95
|
$82,435.08
|
$77,189.21
|
2026-08-01
|
|
608 SOI-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
13
|
7
|
—
|
—
|
$73,881.35
|
$82,406.53
|
$77,162.48
|
2026-08-01
|
|
179 SOI-4
|
OTHER
|
Defibrillator Implants
|
13
|
7
|
—
|
—
|
$73,659.99
|
$82,159.63
|
$76,931.29
|
2026-08-01
|
|
026 SOI-4
|
OTHER
|
Other Nervous System And Related Procedures
|
13
|
7
|
—
|
—
|
$72,866.41
|
$81,274.47
|
$76,102.46
|
2026-08-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
54
|
9
|
—
|
—
|
$33,337.50
|
$112,974.83
|
$75,801.58
|
2026-08-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
26
|
9
|
—
|
—
|
$33,618.98
|
$109,082.74
|
$75,744.45
|
2026-07-15
|
|
261 SOI-4
|
OTHER
|
Major Biliary Tract Procedures
|
13
|
7
|
—
|
—
|
$72,441.76
|
$80,800.83
|
$75,658.95
|
2026-08-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
54
|
9
|
—
|
—
|
$34,079.31
|
$115,584.70
|
$75,649.65
|
2026-08-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
55
|
9
|
—
|
—
|
$34,011.74
|
$115,346.95
|
$75,398.80
|
2026-08-01
|
|
232 SOI-4
|
OTHER
|
Gastric Fundoplication
|
13
|
7
|
—
|
—
|
$71,880.08
|
$80,174.33
|
$75,072.33
|
2026-08-01
|
|
447 SOI-4
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
13
|
7
|
—
|
—
|
$71,672.27
|
$79,942.55
|
$74,855.29
|
2026-08-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
54
|
9
|
—
|
—
|
$32,817.39
|
$111,144.99
|
$74,801.08
|
2026-08-01
|
|
623 SOI-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
13
|
7
|
—
|
—
|
$71,294.31
|
$79,520.97
|
$74,460.54
|
2026-08-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
54
|
9
|
—
|
—
|
$32,430.92
|
$109,785.29
|
$74,242.77
|
2026-08-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
54
|
9
|
—
|
—
|
$32,384.60
|
$109,622.34
|
$74,202.93
|
2026-08-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
54
|
9
|
—
|
—
|
$32,448.38
|
$109,846.73
|
$74,053.09
|
2026-08-01
|
|
229 SOI-4
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
13
|
7
|
—
|
—
|
$70,880.20
|
$79,059.07
|
$74,028.04
|
2026-08-01
|
|
841 SOI-2
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
13
|
7
|
—
|
—
|
$70,407.36
|
$78,531.68
|
$73,534.21
|
2026-08-01
|
|
841 SOI-1
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
13
|
7
|
—
|
—
|
$70,407.36
|
$78,531.68
|
$73,534.21
|
2026-08-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$32,108.98
|
$108,652.66
|
$73,330.07
|
2026-08-01
|
|
009 SOI-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
7
|
—
|
—
|
$69,446.63
|
$77,460.09
|
$72,530.81
|
2026-08-01
|
|
009 SOI-1
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
7
|
—
|
—
|
$69,446.63
|
$77,460.09
|
$72,530.81
|
2026-08-01
|
|
181 SOI-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
13
|
7
|
—
|
—
|
$69,294.54
|
$77,290.45
|
$72,371.97
|
2026-08-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
26
|
9
|
—
|
—
|
$32,280.96
|
$104,506.79
|
$72,209.93
|
2026-07-15
|
|
613 SOI-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
13
|
7
|
—
|
—
|
$68,717.80
|
$76,647.16
|
$71,769.61
|
2026-08-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
54
|
9
|
—
|
—
|
$30,916.15
|
$104,456.04
|
$71,617.03
|
2026-08-01
|
|
951 SOI-4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
13
|
7
|
—
|
—
|
$68,425.67
|
$76,321.32
|
$71,464.50
|
2026-08-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
54
|
9
|
—
|
—
|
$31,473.47
|
$106,416.78
|
$70,955.44
|
2026-08-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
56
|
9
|
—
|
—
|
$33,036.82
|
$111,916.99
|
$70,498.67
|
2026-08-01
|
|
176 SOI-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
13
|
7
|
—
|
—
|
$67,400.19
|
$75,177.50
|
$70,393.48
|
2026-08-01
|
|
710 SOI-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
13
|
7
|
—
|
—
|
$67,327.91
|
$75,096.88
|
$70,317.99
|
2026-08-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$31,184.94
|
$105,401.68
|
$70,278.60
|
2026-08-01
|
|
695 SOI-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
13
|
7
|
—
|
—
|
$66,821.94
|
$74,532.53
|
$69,789.56
|
2026-08-01
|
|
263 SOI-4
|
OTHER
|
Cholecystectomy
|
13
|
7
|
—
|
—
|
$66,767.73
|
$74,472.07
|
$69,732.94
|
2026-08-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
54
|
9
|
—
|
—
|
$31,452.21
|
$106,341.98
|
$69,600.33
|
2026-08-01
|
|
260 SOI-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
13
|
7
|
—
|
—
|
$66,597.57
|
$74,282.27
|
$69,555.22
|
2026-08-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
54
|
9
|
—
|
—
|
$30,752.15
|
$103,879.04
|
$69,267.54
|
2026-08-01
|
|
603 SOI-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
13
|
7
|
—
|
—
|
$66,276.83
|
$73,924.52
|
$69,220.23
|
2026-08-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
54
|
9
|
—
|
—
|
$31,123.44
|
$105,185.31
|
$69,153.47
|
2026-08-01
|
|
220 SOI-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
13
|
7
|
—
|
—
|
$65,909.40
|
$73,514.69
|
$68,836.49
|
2026-08-01
|
|
163 SOI-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
13
|
7
|
—
|
—
|
$65,814.53
|
$73,408.88
|
$68,737.40
|
2026-08-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
54
|
9
|
—
|
—
|
$31,062.70
|
$104,971.60
|
$68,421.97
|
2026-08-01
|
|
167 SOI-3
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
13
|
7
|
—
|
—
|
$65,410.96
|
$72,958.74
|
$68,315.91
|
2026-08-01
|
|
177 SOI-3
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
13
|
7
|
—
|
—
|
$65,410.96
|
$72,958.74
|
$68,315.91
|
2026-08-01
|
|
511 SOI-4
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
13
|
7
|
—
|
—
|
$65,400.42
|
$72,946.99
|
$68,304.91
|
2026-08-01
|
|
510 SOI-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
13
|
7
|
—
|
—
|
$65,385.37
|
$72,930.19
|
$68,289.18
|
2026-08-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
54
|
9
|
—
|
—
|
$29,866.83
|
$100,764.30
|
$68,088.00
|
2026-08-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
54
|
9
|
—
|
—
|
$30,572.20
|
$103,245.94
|
$67,664.10
|
2026-08-01
|
|
863 SOI-3
|
OTHER
|
Neonatal Aftercare
|
13
|
7
|
—
|
—
|
$64,680.63
|
$72,144.13
|
$67,553.14
|
2026-08-01
|
|
029 SOI-4
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
13
|
7
|
—
|
—
|
$64,674.61
|
$72,137.42
|
$67,546.85
|
2026-08-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
55
|
9
|
—
|
—
|
$30,542.59
|
$103,141.76
|
$67,511.79
|
2026-08-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
54
|
9
|
—
|
—
|
$28,444.70
|
$95,760.94
|
$67,356.76
|
2026-08-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
55
|
9
|
—
|
—
|
$30,460.59
|
$102,853.26
|
$67,325.36
|
2026-08-01
|
|
609 SOI-1
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$64,097.87
|
$71,494.13
|
$66,944.50
|
2026-08-01
|
|
609 SOI-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
13
|
7
|
—
|
—
|
$64,097.87
|
$71,494.13
|
$66,944.50
|
2026-08-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
55
|
9
|
—
|
—
|
$30,248.75
|
$102,107.96
|
$66,843.74
|
2026-08-01
|
|
589 SOI-4
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
13
|
7
|
—
|
—
|
$63,969.87
|
$71,351.36
|
$66,810.82
|
2026-08-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
54
|
9
|
—
|
—
|
$29,638.29
|
$99,960.23
|
$66,650.41
|
2026-08-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
55
|
9
|
—
|
—
|
$30,091.58
|
$101,555.00
|
$66,486.43
|
2026-08-01
|
|
442 SOI-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
13
|
7
|
—
|
—
|
$63,423.25
|
$70,741.66
|
$66,239.92
|
2026-08-01
|
|
303 SOI-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
13
|
7
|
—
|
—
|
$62,501.67
|
$69,713.74
|
$65,277.41
|
2026-08-01
|
|
231 SOI-4
|
OTHER
|
Major Large Bowel Procedures
|
13
|
7
|
—
|
—
|
$62,498.66
|
$69,710.38
|
$65,274.27
|
2026-08-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
54
|
9
|
—
|
—
|
$28,438.63
|
$95,739.57
|
$65,270.79
|
2026-08-01
|
|
049 SOI-4
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System
|
13
|
7
|
—
|
—
|
$61,807.47
|
$68,939.45
|
$64,552.39
|
2026-08-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
54
|
9
|
—
|
—
|
$28,737.78
|
$96,792.07
|
$64,537.98
|
2026-08-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
54
|
9
|
—
|
—
|
$28,189.58
|
$94,863.38
|
$64,408.20
|
2026-08-01
|
|
325 SOI-4
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
13
|
7
|
—
|
—
|
$61,592.14
|
$68,699.26
|
$64,327.49
|
2026-08-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
54
|
9
|
—
|
—
|
$28,443.18
|
$95,755.60
|
$64,219.56
|
2026-08-01
|
|
224 SOI-4
|
OTHER
|
Peritoneal Adhesiolysis
|
13
|
7
|
—
|
—
|
$61,446.07
|
$68,536.34
|
$64,174.94
|
2026-08-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
54
|
9
|
—
|
—
|
$28,311.07
|
$95,290.79
|
$64,109.36
|
2026-08-01
|
|
64656
|
HCPCS
|
Hc Revj/rplcmt Bat Mod Sys Pg
|
48
|
9
|
$150,541.50
|
$75,270.75
50% off
|
$27,891.44
|
$117,422.37
|
$63,975.12
|
2026-07-15
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
55
|
9
|
—
|
—
|
$28,929.88
|
$97,467.91
|
$63,845.34
|
2026-08-01
|
|
952 SOI-4
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
13
|
7
|
—
|
—
|
$61,027.45
|
$68,069.41
|
$63,737.72
|
2026-08-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
54
|
9
|
—
|
—
|
$27,957.24
|
$94,045.96
|
$63,733.10
|
2026-08-01
|
|
178 SOI-1
|
OTHER
|
External Heart Assist Systems
|
13
|
7
|
—
|
—
|
$60,908.48
|
$67,936.72
|
$63,613.47
|
2026-08-01
|
|
660 SOI-4
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
13
|
7
|
—
|
—
|
$60,739.83
|
$67,748.60
|
$63,437.33
|
2026-08-01
|
|
518 SOI-4
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
13
|
7
|
—
|
—
|
$60,631.41
|
$67,627.67
|
$63,324.09
|
2026-08-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
54
|
9
|
—
|
—
|
$27,563.18
|
$92,659.56
|
$63,201.57
|
2026-08-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
54
|
9
|
—
|
—
|
$27,810.70
|
$93,530.40
|
$63,044.96
|
2026-08-01
|
|
170 SOI-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
13
|
7
|
—
|
—
|
$60,363.37
|
$67,328.70
|
$63,044.15
|
2026-08-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
54
|
9
|
—
|
—
|
$27,829.68
|
$93,597.18
|
$63,043.27
|
2026-08-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
54
|
9
|
—
|
—
|
$28,024.82
|
$94,283.71
|
$62,865.49
|
2026-08-01
|
|
303 SOI-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
13
|
7
|
—
|
—
|
$59,926.67
|
$66,841.62
|
$62,588.06
|
2026-08-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
54
|
9
|
—
|
—
|
$27,378.67
|
$92,010.43
|
$62,430.07
|
2026-08-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
23
|
9
|
—
|
—
|
$28,846.48
|
$92,761.07
|
$62,416.79
|
2026-07-15
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
54
|
9
|
—
|
—
|
$26,296.70
|
$88,203.82
|
$62,273.83
|
2026-08-01
|
|
180 SOI-4
|
OTHER
|
Other Circulatory System Procedures
|
13
|
7
|
—
|
—
|
$59,607.43
|
$66,485.54
|
$62,254.64
|
2026-08-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
54
|
9
|
—
|
—
|
$27,763.63
|
$93,364.78
|
$62,252.77
|
2026-08-01
|
|
030 SOI-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
13
|
7
|
—
|
—
|
$59,538.16
|
$66,408.28
|
$62,182.30
|
2026-08-01
|
|
200 SOI-4
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
13
|
7
|
—
|
—
|
$59,386.07
|
$66,238.64
|
$62,023.45
|
2026-08-01
|
|
634 SOI-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
13
|
7
|
—
|
—
|
$59,374.03
|
$66,225.20
|
$62,010.87
|
2026-08-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
54
|
9
|
—
|
—
|
$27,232.89
|
$91,497.54
|
$61,998.89
|
2026-08-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
54
|
9
|
—
|
—
|
$27,534.32
|
$92,558.05
|
$61,908.40
|
2026-08-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
26
|
9
|
—
|
—
|
$26,752.35
|
$85,599.30
|
$61,784.04
|
2026-07-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
54
|
9
|
—
|
—
|
$27,272.37
|
$91,636.45
|
$61,725.39
|
2026-08-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
54
|
9
|
—
|
—
|
$27,337.67
|
$91,866.18
|
$61,522.68
|
2026-08-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
55
|
9
|
—
|
—
|
$27,821.33
|
$93,567.80
|
$61,325.08
|
2026-08-01
|
|
440 SOI-1
|
OTHER
|
Kidney Transplant
|
13
|
7
|
—
|
—
|
$58,643.69
|
$65,410.59
|
$61,248.10
|
2026-08-01
|
|
130 SOI-3
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
13
|
7
|
—
|
—
|
$58,560.87
|
$65,318.21
|
$61,161.60
|
2026-08-01
|
|
623 SOI-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
13
|
7
|
—
|
—
|
$58,466.00
|
$65,212.40
|
$61,062.52
|
2026-08-01
|
|
073 SOI-4
|
OTHER
|
Orbit And Eye Procedures
|
13
|
7
|
—
|
—
|
$58,306.38
|
$65,034.36
|
$60,895.81
|
2026-08-01
|
|
631 SOI-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
13
|
7
|
—
|
—
|
$58,265.72
|
$64,989.01
|
$60,853.35
|
2026-08-01
|
|
711 SOI-4
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
13
|
7
|
—
|
—
|
$58,152.78
|
$64,863.04
|
$60,735.39
|
2026-08-01
|