|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
20
|
15
|
—
|
—
|
$20,117.66
|
$4,563,284.35
|
$4,391,084.94
|
2026-05-04
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
20
|
15
|
—
|
—
|
$20,117.66
|
$4,106,612.41
|
$3,951,645.90
|
2026-05-04
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
20
|
15
|
—
|
—
|
$31,861.98
|
$4,022,390.47
|
$3,870,602.15
|
2026-05-04
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
20
|
15
|
—
|
—
|
$31,861.98
|
$3,647,564.88
|
$3,509,920.92
|
2026-05-04
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
23
|
16
|
—
|
—
|
$13,030.50
|
$4,588,743.62
|
$2,925,324.06
|
2026-05-04
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
24
|
16
|
—
|
—
|
$31,861.98
|
$4,903,473.11
|
$2,819,497.04
|
2026-05-04
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,620,374.98
|
$918,212.49
|
2026-05-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,244,216.77
|
$705,056.17
|
2026-05-04
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,189,847.00
|
$674,246.63
|
2026-05-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,182,843.43
|
$670,277.94
|
2026-05-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,171,866.85
|
$664,057.88
|
2026-05-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,121,217.75
|
$635,356.73
|
2026-05-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
26
|
16
|
—
|
—
|
$31,861.98
|
$1,028,855.92
|
$583,018.35
|
2026-05-04
|
|
5834
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$372,297.15
|
$428,141.91
|
$402,080.90
|
2026-05-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
32
|
17
|
—
|
—
|
$185,357.20
|
$591,672.92
|
$345,142.54
|
2026-05-04
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …
|
37
|
21
|
—
|
—
|
$31,861.98
|
$585,073.49
|
$325,040.83
|
2026-05-04
|
|
5833
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$299,084.21
|
$343,947.00
|
$323,010.93
|
2026-05-04
|
|
5884
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$294,904.13
|
$339,139.90
|
$318,496.44
|
2026-05-04
|
|
1614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$228,326.49
|
$262,575.58
|
$246,592.59
|
2026-05-04
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
30
|
17
|
—
|
—
|
$162,931.95
|
$383,971.93
|
$226,116.80
|
2026-05-04
|
|
8414
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$205,545.82
|
$236,377.80
|
$221,989.48
|
2026-05-04
|
|
5832
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$202,933.02
|
$233,373.08
|
$219,167.65
|
2026-05-04
|
|
5914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$201,344.84
|
$231,546.66
|
$217,452.41
|
2026-05-04
|
|
6094
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$197,237.54
|
$226,823.27
|
$213,016.53
|
2026-05-04
|
|
5883
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$179,762.27
|
$206,726.70
|
$194,143.24
|
2026-05-04
|
|
94
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$177,532.56
|
$204,162.53
|
$191,735.15
|
2026-05-04
|
|
6314
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$175,848.66
|
$202,226.05
|
$189,916.54
|
2026-05-04
|
|
6304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$169,362.25
|
$194,766.67
|
$182,911.21
|
2026-05-04
|
|
5934
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$167,158.60
|
$192,232.48
|
$180,531.28
|
2026-05-04
|
|
5831
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$160,341.80
|
$184,393.15
|
$173,169.13
|
2026-05-04
|
|
1613
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$159,184.48
|
$183,062.23
|
$171,919.23
|
2026-05-04
|
|
44
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$155,873.08
|
$179,254.12
|
$171,460.44
|
2026-05-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
32
|
17
|
—
|
—
|
$115,096.58
|
$292,535.75
|
$170,645.85
|
2026-05-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
32
|
17
|
—
|
—
|
$114,837.72
|
$290,818.94
|
$170,452.21
|
2026-05-04
|
|
6034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$156,593.64
|
$180,082.76
|
$169,121.11
|
2026-05-04
|
|
6024
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$129,355.40
|
$148,758.77
|
$139,703.82
|
2026-05-04
|
|
5891
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$124,355.43
|
$143,008.81
|
$134,303.86
|
2026-05-04
|
|
5892
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$119,956.04
|
$137,949.51
|
$129,552.51
|
2026-05-04
|
|
5913
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$119,660.82
|
$137,610.01
|
$129,233.68
|
2026-05-04
|
|
5933
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$115,761.03
|
$133,125.25
|
$125,021.90
|
2026-05-04
|
|
1611
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$111,492.65
|
$128,216.60
|
$120,412.05
|
2026-05-04
|
|
1612
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$111,492.65
|
$128,216.60
|
$120,412.05
|
2026-05-04
|
|
5893
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$109,051.16
|
$125,408.89
|
$117,775.24
|
2026-05-04
|
|
43
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$106,584.28
|
$122,571.98
|
$117,242.75
|
2026-05-04
|
|
5912
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$108,251.14
|
$124,488.87
|
$116,911.23
|
2026-05-04
|
|
1604
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$107,909.86
|
$124,096.40
|
$116,542.64
|
2026-05-04
|
|
6074
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$107,839.32
|
$124,015.28
|
$116,466.46
|
2026-05-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
32
|
17
|
—
|
—
|
$89,679.18
|
$189,786.17
|
$111,235.79
|
2026-05-04
|
|
8634
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$102,805.27
|
$118,226.12
|
$111,029.69
|
2026-05-04
|
|
54
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$102,301.79
|
$117,647.11
|
$110,485.93
|
2026-05-04
|
|
8424
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$102,216.60
|
$117,549.14
|
$110,393.92
|
2026-05-04
|
|
5932
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$100,278.30
|
$115,320.10
|
$108,300.56
|
2026-05-04
|
|
7
|
MS_DRG
|
Lung Transplant
|
30
|
17
|
—
|
—
|
$68,924.58
|
$177,438.31
|
$104,491.45
|
2026-05-04
|
|
6084
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$95,527.52
|
$109,856.69
|
$103,169.71
|
2026-05-04
|
|
3034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$94,739.53
|
$108,950.51
|
$102,318.69
|
2026-05-04
|
|
1624
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$94,150.44
|
$108,273.05
|
$101,682.46
|
2026-05-04
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
30
|
17
|
—
|
—
|
$58,833.58
|
$164,664.31
|
$96,968.98
|
2026-05-04
|
|
6023
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$88,191.08
|
$101,419.79
|
$95,246.36
|
2026-05-04
|
|
6114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$86,915.11
|
$99,952.42
|
$93,868.32
|
2026-05-04
|
|
5882
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$86,783.39
|
$99,800.95
|
$93,726.06
|
2026-05-04
|
|
5881
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$86,783.39
|
$99,800.95
|
$93,726.06
|
2026-05-04
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
30
|
17
|
—
|
—
|
$61,087.52
|
$155,263.66
|
$91,433.05
|
2026-05-04
|
|
6303
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,560.62
|
$97,244.76
|
$91,325.46
|
2026-05-04
|
|
8413
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$81,651.30
|
$93,899.04
|
$88,183.40
|
2026-05-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
12
|
—
|
—
|
$3,641.46
|
$148,992.44
|
$86,912.26
|
2026-05-04
|
|
1784
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$79,106.61
|
$90,972.65
|
$85,435.14
|
2026-05-04
|
|
6022
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$79,041.12
|
$90,897.32
|
$85,364.39
|
2026-05-04
|
|
6093
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,876.91
|
$90,708.48
|
$85,187.05
|
2026-05-04
|
|
93
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,574.49
|
$90,360.70
|
$84,860.44
|
2026-05-04
|
|
1634
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,319.83
|
$90,067.85
|
$84,585.42
|
2026-05-04
|
|
5911
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,049.07
|
$89,756.47
|
$84,292.99
|
2026-05-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
31
|
17
|
—
|
—
|
$9,109.00
|
$151,007.94
|
$83,893.30
|
2026-05-04
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
30
|
17
|
—
|
—
|
$58,213.88
|
$141,270.23
|
$83,192.47
|
2026-05-04
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$82,164.33
|
$82,164.33
|
$82,164.33
|
2026-05-04
|
|
42
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$74,657.36
|
$85,856.00
|
$82,123.12
|
2026-05-04
|
|
1674
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$75,797.97
|
$87,167.70
|
$81,861.80
|
2026-05-04
|
|
6033
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$75,494.13
|
$86,818.28
|
$81,533.65
|
2026-05-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
32
|
17
|
—
|
—
|
$32,939.75
|
$136,426.72
|
$79,961.21
|
2026-05-04
|
|
6254
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$73,617.52
|
$84,660.19
|
$79,506.92
|
2026-05-04
|
|
6804
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$73,013.23
|
$83,965.25
|
$78,854.29
|
2026-05-04
|
|
9104
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$71,446.06
|
$82,163.00
|
$78,590.69
|
2026-05-04
|
|
3033
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,753.39
|
$83,666.43
|
$78,573.65
|
2026-05-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
17
|
—
|
—
|
$50,631.79
|
$134,039.90
|
$78,562.27
|
2026-05-04
|
|
1654
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,281.75
|
$83,124.05
|
$78,064.29
|
2026-05-04
|
|
53
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,909.23
|
$82,695.66
|
$77,661.96
|
2026-05-04
|
|
6134
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,699.54
|
$82,454.50
|
$77,435.49
|
2026-05-04
|
|
6124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,343.98
|
$82,045.61
|
$77,051.49
|
2026-05-04
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
37
|
21
|
—
|
—
|
$20,117.66
|
$133,189.18
|
$76,653.42
|
2026-05-04
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
27
|
16
|
—
|
—
|
$2,949.05
|
$135,126.27
|
$76,571.55
|
2026-05-04
|
|
9114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,135.43
|
$80,655.78
|
$75,746.26
|
2026-05-04
|
|
1834
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,724.08
|
$80,182.72
|
$75,302.00
|
2026-05-04
|
|
6073
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,178.16
|
$79,554.92
|
$74,712.41
|
2026-05-04
|
|
6904
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,155.01
|
$79,528.29
|
$74,687.40
|
2026-05-04
|
|
3044
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$67,848.46
|
$78,025.76
|
$74,633.33
|
2026-05-04
|
|
3124
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$67,172.59
|
$77,248.51
|
$73,889.87
|
2026-05-04
|
|
6214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$67,420.20
|
$77,533.26
|
$72,813.81
|
2026-05-04
|
|
6514
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$66,136.48
|
$76,056.98
|
$72,750.15
|
2026-05-04
|
|
2604
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$67,170.74
|
$77,246.39
|
$72,544.40
|
2026-05-04
|
|
9124
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$65,780.16
|
$75,647.21
|
$72,358.19
|
2026-05-04
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
31
|
17
|
—
|
—
|
$48,569.20
|
$123,445.82
|
$72,010.06
|
2026-05-04
|
|
6334
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,330.17
|
$76,279.73
|
$71,636.58
|
2026-05-04
|
|
2324
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,016.64
|
$75,919.18
|
$71,297.97
|
2026-05-04
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
37
|
21
|
—
|
—
|
$28,070.10
|
$119,484.41
|
$70,363.04
|
2026-05-04
|
|
214
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$63,948.30
|
$73,540.58
|
$70,343.15
|
2026-05-04
|
|
6814
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,549.01
|
$74,231.39
|
$69,712.92
|
2026-05-04
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
31
|
17
|
—
|
—
|
$42,575.69
|
$118,648.91
|
$69,211.86
|
2026-05-04
|
|
41
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$62,888.63
|
$72,321.96
|
$69,177.52
|
2026-05-04
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$68,717.99
|
$68,717.99
|
$68,717.99
|
2026-05-04
|
|
6954
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,108.18
|
$72,574.43
|
$68,156.83
|
2026-05-04
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
37
|
21
|
—
|
—
|
$20,117.66
|
$116,220.56
|
$67,795.33
|
2026-05-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
32
|
17
|
—
|
—
|
$45,443.99
|
$115,503.01
|
$67,697.60
|
2026-05-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
17
|
—
|
—
|
$32,732.86
|
$115,139.92
|
$67,484.79
|
2026-05-04
|
|
1664
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$62,290.23
|
$71,633.80
|
$67,273.45
|
2026-05-04
|
|
1794
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$61,976.34
|
$71,272.83
|
$66,934.45
|
2026-05-04
|
|
1623
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$61,063.84
|
$70,223.44
|
$65,948.94
|
2026-05-04
|
|
914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,980.86
|
$70,128.02
|
$65,859.32
|
2026-05-04
|
|
1694
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,945.34
|
$70,087.17
|
$65,820.96
|
2026-05-04
|
|
6234
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,661.24
|
$69,760.46
|
$65,514.14
|
2026-05-04
|
|
894
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,655.21
|
$69,753.53
|
$65,507.63
|
2026-05-04
|
|
274
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$58,462.93
|
$67,232.40
|
$64,309.25
|
2026-05-04
|
|
234
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$57,881.75
|
$66,564.04
|
$63,669.94
|
2026-05-04
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$63,625.57
|
$63,625.57
|
$63,625.57
|
2026-05-04
|
|
6083
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$58,830.74
|
$67,655.38
|
$63,537.19
|
2026-05-04
|
|
6313
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$58,603.36
|
$67,393.90
|
$63,291.63
|
2026-05-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
32
|
17
|
—
|
—
|
$48,009.72
|
$107,815.05
|
$63,191.60
|
2026-05-04
|
|
204
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$57,198.12
|
$65,777.87
|
$62,917.96
|
2026-05-04
|
|
2204
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$57,035.63
|
$65,591.00
|
$62,739.21
|
2026-05-04
|
|
3614
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$56,691.68
|
$65,195.46
|
$62,360.87
|
2026-05-04
|
|
9504
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$56,570.18
|
$65,055.73
|
$62,227.22
|
2026-05-04
|
|
224
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$57,142.80
|
$65,714.25
|
$61,714.22
|
2026-05-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
17
|
—
|
—
|
$33,282.14
|
$105,204.91
|
$61,661.76
|
2026-05-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
32
|
17
|
—
|
—
|
$40,623.83
|
$104,751.38
|
$61,395.94
|
2026-05-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
32
|
17
|
—
|
—
|
$41,163.40
|
$104,404.73
|
$61,192.78
|
2026-05-04
|
|
52
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,560.99
|
$65,045.17
|
$61,085.87
|
2026-05-04
|
|
4414
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,059.73
|
$64,468.72
|
$60,544.51
|
2026-05-04
|
|
6144
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,906.88
|
$64,292.94
|
$60,379.43
|
2026-05-04
|
|
6072
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,511.78
|
$63,838.58
|
$59,952.73
|
2026-05-04
|
|
1783
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,481.69
|
$63,803.97
|
$59,920.22
|
2026-05-04
|
|
1204
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$54,165.02
|
$62,289.80
|
$59,581.54
|
2026-05-04
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
1
|
1
|
—
|
—
|
$59,531.18
|
$59,531.18
|
$59,531.18
|
2026-05-04
|
|
6092
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,471.12
|
$61,491.82
|
$57,748.81
|
2026-05-04
|
|
6091
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,471.12
|
$61,491.82
|
$57,748.81
|
2026-05-04
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
30
|
17
|
—
|
—
|
$37,217.53
|
$98,318.48
|
$57,625.56
|
2026-05-04
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$57,448.08
|
$57,448.08
|
$57,448.08
|
2026-05-04
|
|
1814
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,093.50
|
$61,057.55
|
$57,340.98
|
2026-05-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
17
|
—
|
—
|
$19,650.21
|
$98,277.37
|
$57,328.47
|
2026-05-04
|
|
8411
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,060.27
|
$61,019.34
|
$57,305.09
|
2026-05-04
|
|
8412
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,060.27
|
$61,019.34
|
$57,305.09
|
2026-05-04
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
32
|
17
|
—
|
—
|
$38,461.20
|
$97,755.35
|
$57,295.50
|
2026-05-04
|
|
2614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,787.07
|
$60,705.16
|
$57,010.03
|
2026-05-04
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
31
|
17
|
—
|
—
|
$45,297.32
|
$97,697.81
|
$56,990.39
|
2026-05-04
|
|
304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,614.96
|
$60,507.23
|
$56,824.16
|
2026-05-04
|
|
1764
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,258.00
|
$60,096.73
|
$56,438.63
|
2026-05-04
|
|
6224
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,058.23
|
$59,867.00
|
$56,222.89
|
2026-05-04
|
|
3214
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$51,066.27
|
$58,726.24
|
$56,172.92
|
2026-05-04
|
|
1304
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$50,984.22
|
$58,631.88
|
$56,082.66
|
2026-05-04
|
|
8434
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$50,874.31
|
$58,505.48
|
$55,961.75
|
2026-05-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
32
|
17
|
—
|
—
|
$38,401.46
|
$94,702.64
|
$55,506.27
|
2026-05-04
|
|
1603
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$51,189.26
|
$58,867.67
|
$55,284.39
|
2026-05-04
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
37
|
21
|
—
|
—
|
$20,117.66
|
$94,664.47
|
$55,220.94
|
2026-05-04
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
31
|
17
|
—
|
—
|
$7,483.99
|
$98,906.27
|
$54,947.93
|
2026-05-04
|
|
3032
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$50,875.10
|
$58,506.39
|
$54,945.10
|
2026-05-04
|
|
7924
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$50,857.38
|
$58,486.01
|
$54,925.97
|
2026-05-04
|
|
4054
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$50,778.00
|
$58,394.73
|
$54,840.24
|
2026-05-04
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
1
|
1
|
—
|
—
|
$54,665.83
|
$54,665.83
|
$54,665.83
|
2026-05-04
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
37
|
21
|
—
|
—
|
$14,560.63
|
$94,622.09
|
$54,591.36
|
2026-05-04
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
37
|
21
|
—
|
—
|
$14,560.63
|
$94,622.09
|
$54,591.36
|
2026-05-04
|
|
6113
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$50,110.79
|
$57,627.43
|
$54,119.65
|
2026-05-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
32
|
17
|
—
|
—
|
$32,733.83
|
$92,226.76
|
$54,055.13
|
2026-05-04
|
|
1633
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$49,880.78
|
$57,362.92
|
$53,871.24
|
2026-05-04
|
|
264
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$48,852.35
|
$56,180.22
|
$53,737.60
|
2026-05-04
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
31
|
17
|
—
|
—
|
$28,739.30
|
$91,615.66
|
$53,442.47
|
2026-05-04
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
31
|
17
|
—
|
—
|
$39,504.39
|
$91,548.52
|
$53,403.30
|
2026-05-04
|
|
1653
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$49,338.77
|
$56,739.61
|
$53,285.87
|
2026-05-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
32
|
17
|
—
|
—
|
$8,686.48
|
$94,238.15
|
$53,180.73
|
2026-05-04
|
|
6032
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$49,235.55
|
$56,620.90
|
$53,174.39
|
2026-05-04
|
|
2304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$49,219.45
|
$56,602.40
|
$53,157.01
|
2026-05-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
17
|
—
|
—
|
$35,446.23
|
$90,092.05
|
$52,803.96
|
2026-05-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
17
|
—
|
—
|
$38,428.17
|
$90,092.05
|
$52,803.96
|
2026-05-04
|
|
620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
37
|
21
|
—
|
—
|
$6,318.00
|
$94,622.09
|
$52,567.83
|
2026-05-04
|
|
5104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$48,666.10
|
$55,966.04
|
$52,559.39
|
2026-05-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
32
|
17
|
—
|
—
|
$35,317.54
|
$89,764.58
|
$52,525.21
|
2026-05-04
|
|
7104
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$47,710.83
|
$54,867.48
|
$52,481.93
|
2026-05-04
|
|
7114
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$47,221.90
|
$54,305.20
|
$51,944.10
|
2026-05-04
|
|
1833
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$47,950.52
|
$55,143.12
|
$51,786.56
|
2026-05-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
32
|
17
|
—
|
—
|
$31,845.57
|
$88,165.60
|
$51,674.83
|
2026-05-04
|
|
3043
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$46,946.24
|
$53,988.20
|
$51,640.88
|
2026-05-04
|
|
1782
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$47,264.70
|
$54,354.43
|
$51,045.87
|
2026-05-04
|
|
6123
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$47,158.44
|
$54,232.23
|
$50,931.12
|
2026-05-04
|
|
6302
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$47,067.02
|
$54,127.10
|
$50,832.38
|
2026-05-04
|
|
91
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$47,039.72
|
$54,095.71
|
$50,802.90
|
2026-05-04
|
|
92
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$47,039.72
|
$54,095.71
|
$50,802.90
|
2026-05-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
32
|
17
|
—
|
—
|
$22,078.50
|
$156,438.11
|
$50,614.90
|
2026-05-04
|
|
294
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$45,921.03
|
$52,809.21
|
$50,513.15
|
2026-05-04
|
|
4474
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$46,505.96
|
$53,481.88
|
$50,226.44
|
2026-05-04
|
|
5484
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$46,229.06
|
$53,163.44
|
$49,927.38
|
2026-05-04
|
|
924
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$46,005.16
|
$52,905.96
|
$49,685.57
|
2026-05-04
|
|
1793
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$45,781.50
|
$52,648.74
|
$49,444.01
|
2026-05-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
32
|
17
|
—
|
—
|
$19,792.99
|
$83,968.81
|
$49,215.06
|
2026-05-04
|
|
4804
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$45,540.33
|
$52,371.41
|
$49,183.56
|
2026-05-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
32
|
17
|
—
|
—
|
$32,998.52
|
$83,871.52
|
$49,158.03
|
2026-05-04
|
|
1622
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$45,507.25
|
$52,333.37
|
$49,147.83
|
2026-05-04
|
|
4044
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$45,357.29
|
$52,160.91
|
$48,985.88
|
2026-05-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
32
|
17
|
—
|
—
|
$32,682.36
|
$83,067.25
|
$48,686.63
|
2026-05-04
|
|
1824
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$44,814.28
|
$51,536.45
|
$48,399.43
|
2026-05-04
|
|
6133
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$44,812.83
|
$51,534.78
|
$48,397.85
|
2026-05-04
|
|
6344
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$44,681.30
|
$51,383.52
|
$48,255.81
|
2026-05-04
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
31
|
17
|
—
|
—
|
$17,937.29
|
$82,299.96
|
$48,008.31
|
2026-05-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
17
|
—
|
—
|
$26,311.01
|
$81,703.94
|
$47,887.58
|
2026-05-04
|
|
1214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$44,325.74
|
$50,974.63
|
$47,871.79
|
2026-05-04
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
30
|
17
|
—
|
—
|
$29,610.57
|
$81,246.31
|
$47,845.05
|
2026-05-04
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
23
|
12
|
—
|
—
|
$3,639.04
|
$81,435.38
|
$47,503.97
|
2026-05-04
|
|
5114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$43,903.45
|
$50,488.99
|
$47,415.72
|
2026-05-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
32
|
17
|
—
|
—
|
$30,550.80
|
$80,409.13
|
$47,128.68
|
2026-05-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
32
|
17
|
—
|
—
|
$18,875.58
|
$80,357.08
|
$47,098.18
|
2026-05-04
|
|
1673
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$43,485.07
|
$50,007.86
|
$46,963.88
|
2026-05-04
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$46,837.83
|
$46,837.83
|
$46,837.83
|
2026-05-04
|
|
3054
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$42,492.56
|
$48,866.46
|
$46,741.83
|
2026-05-04
|
|
9514
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$42,439.13
|
$48,805.02
|
$46,683.05
|
2026-05-04
|
|
2314
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$43,214.62
|
$49,696.83
|
$46,671.79
|
2026-05-04
|
|
6903
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$43,134.57
|
$49,604.77
|
$46,585.33
|
2026-05-04
|
|
1704
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$43,092.57
|
$49,556.48
|
$46,539.97
|
2026-05-04
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
31
|
17
|
—
|
—
|
$30,041.83
|
$79,018.43
|
$46,094.09
|
2026-05-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
32
|
17
|
—
|
—
|
$33,212.69
|
$78,514.22
|
$46,018.06
|
2026-05-04
|
|
4444
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$42,523.26
|
$48,901.77
|
$45,925.11
|
2026-05-04
|
|
3094
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$41,678.02
|
$47,929.75
|
$45,845.84
|
2026-05-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
32
|
17
|
—
|
—
|
$23,971.59
|
$78,092.21
|
$45,770.71
|
2026-05-04
|
|
3154
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$41,548.66
|
$47,780.98
|
$45,703.54
|
2026-05-04
|
|
4034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$42,253.61
|
$48,591.67
|
$45,633.90
|
2026-05-04
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$45,392.86
|
$45,392.86
|
$45,392.86
|
2026-05-04
|
|
1781
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$42,018.62
|
$48,321.44
|
$45,380.11
|
2026-05-04
|
|
9103
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$41,139.71
|
$47,310.69
|
$45,253.70
|
2026-05-04
|
|
3254
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$41,138.19
|
$47,308.94
|
$45,252.03
|
2026-05-04
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
30
|
17
|
—
|
—
|
$30,213.27
|
$76,791.92
|
$45,221.91
|
2026-05-04
|
|
6364
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$41,842.95
|
$48,119.42
|
$45,190.39
|
2026-05-04
|
|
734
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$40,997.96
|
$47,147.68
|
$45,097.77
|
2026-05-04
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$45,060.78
|
$45,060.78
|
$45,060.78
|
2026-05-04
|
|
8423
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$41,618.41
|
$47,861.19
|
$44,947.88
|
2026-05-04
|
|
51
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$41,552.86
|
$47,785.82
|
$44,877.10
|
2026-05-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
32
|
17
|
—
|
—
|
$23,166.86
|
$88,491.80
|
$44,537.82
|
2026-05-04
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
31
|
17
|
—
|
—
|
$17,884.36
|
$76,265.78
|
$44,488.37
|
2026-05-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
32
|
17
|
—
|
—
|
$29,773.26
|
$75,673.87
|
$44,353.29
|
2026-05-04
|
|
6504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,952.10
|
$47,094.93
|
$44,228.26
|
2026-05-04
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
32
|
17
|
—
|
—
|
$33,606.56
|
$75,220.34
|
$44,087.47
|
2026-05-04
|
|
3134
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$40,047.32
|
$46,054.44
|
$44,052.06
|
2026-05-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
32
|
17
|
—
|
—
|
$25,729.19
|
$74,954.54
|
$43,931.68
|
2026-05-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
32
|
17
|
—
|
—
|
$30,895.62
|
$74,847.67
|
$43,869.05
|
2026-05-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
32
|
17
|
—
|
—
|
$36,937.20
|
$74,729.83
|
$43,799.98
|
2026-05-04
|
|
504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,533.74
|
$46,613.82
|
$43,776.44
|
2026-05-04
|
|
1663
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,484.14
|
$46,556.78
|
$43,722.87
|
2026-05-04
|
|
3174
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$39,723.49
|
$45,682.04
|
$43,695.86
|
2026-05-04
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
30
|
17
|
—
|
—
|
$29,284.69
|
$74,431.13
|
$43,624.92
|
2026-05-04
|
|
7934
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,375.56
|
$46,431.91
|
$43,605.60
|
2026-05-04
|
|
6143
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,329.24
|
$46,378.65
|
$43,555.58
|
2026-05-04
|
|
1832
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,324.51
|
$46,373.21
|
$43,550.46
|
2026-05-04
|
|
984
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$39,524.48
|
$45,453.17
|
$43,476.94
|
2026-05-04
|
|
6082
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,198.04
|
$46,227.77
|
$43,413.89
|
2026-05-04
|
|
244
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,180.28
|
$46,207.35
|
$43,394.70
|
2026-05-04
|
|
1754
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,104.83
|
$46,120.58
|
$43,313.21
|
2026-05-04
|
|
6914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$40,103.28
|
$46,118.79
|
$43,311.54
|
2026-05-04
|
|
9524
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$39,223.27
|
$45,106.78
|
$43,145.61
|
2026-05-04
|
|
213
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$39,079.19
|
$44,941.09
|
$42,987.12
|
2026-05-04
|
|
1804
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,800.69
|
$45,770.82
|
$42,984.74
|
2026-05-04
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
1
|
1
|
—
|
—
|
$42,972.30
|
$42,972.30
|
$42,972.30
|
2026-05-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
17
|
—
|
—
|
$25,019.16
|
$73,067.83
|
$42,825.87
|
2026-05-04
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
31
|
17
|
—
|
—
|
$5,736.11
|
$77,030.33
|
$42,794.63
|
2026-05-04
|
|
8633
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,477.36
|
$45,398.98
|
$42,635.54
|
2026-05-04
|
|
2294
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$38,754.54
|
$44,567.74
|
$42,630.01
|
2026-05-04
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
31
|
17
|
—
|
—
|
$23,107.61
|
$73,023.98
|
$42,597.32
|
2026-05-04
|
|
3031
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,398.20
|
$45,307.95
|
$42,550.06
|
2026-05-04
|
|
4424
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,382.05
|
$45,289.38
|
$42,532.61
|
2026-05-04
|
|
1621
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,379.41
|
$45,286.34
|
$42,529.76
|
2026-05-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
32
|
17
|
—
|
—
|
$28,905.88
|
$72,533.47
|
$42,512.67
|
2026-05-04
|
|
4014
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,258.17
|
$45,146.91
|
$42,398.82
|
2026-05-04
|
|
2224
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$39,173.55
|
$45,049.61
|
$42,307.43
|
2026-05-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
23
|
12
|
—
|
—
|
$2,178.18
|
$72,293.69
|
$42,171.32
|
2026-05-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
32
|
17
|
—
|
—
|
$17,398.21
|
$125,724.86
|
$42,084.24
|
2026-05-04
|
|
2234
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,952.46
|
$44,795.35
|
$42,068.65
|
2026-05-04
|
|
1652
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,881.54
|
$44,713.79
|
$41,992.06
|
2026-05-04
|
|
6213
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,805.70
|
$44,626.57
|
$41,910.15
|
2026-05-04
|
|
5124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,771.62
|
$44,587.38
|
$41,873.35
|
2026-05-04
|
|
1303
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$37,981.26
|
$43,678.47
|
$41,779.40
|
2026-05-04
|
|
494
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,677.18
|
$44,478.77
|
$41,771.35
|
2026-05-04
|
|
2644
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,670.77
|
$44,471.41
|
$41,764.43
|
2026-05-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
32
|
17
|
—
|
—
|
$19,762.88
|
$71,198.93
|
$41,730.49
|
2026-05-04
|
|
4844
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,551.04
|
$44,333.71
|
$41,635.12
|
2026-05-04
|
|
3224
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$37,829.12
|
$43,503.51
|
$41,612.05
|
2026-05-04
|
|
4434
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,415.20
|
$44,177.50
|
$41,488.41
|
2026-05-04
|
|
1831
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,337.02
|
$44,087.60
|
$41,403.99
|
2026-05-04
|
|
69930
|
CPT
|
Implant Cochlear Device
|
37
|
21
|
—
|
—
|
$19,772.48
|
$70,831.80
|
$41,318.55
|
2026-05-04
|
|
3104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,251.26
|
$43,988.97
|
$41,311.36
|
2026-05-04
|
|
2264
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$38,090.16
|
$43,803.71
|
$41,137.37
|
2026-05-04
|
|
2244
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$37,979.16
|
$43,676.06
|
$41,017.49
|
2026-05-04
|
|
2274
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$37,277.39
|
$42,869.02
|
$41,005.14
|
2026-05-04
|
|
1602
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$37,740.69
|
$43,401.81
|
$40,759.94
|
2026-05-04
|
|
1792
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$37,641.41
|
$43,287.64
|
$40,652.72
|
2026-05-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
17
|
—
|
—
|
$24,594.21
|
$69,058.75
|
$40,476.10
|
2026-05-04
|
|
233
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$36,750.41
|
$42,262.99
|
$40,425.47
|
2026-05-04
|
|
1632
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$37,413.40
|
$43,025.43
|
$40,406.46
|
2026-05-04
|
|
303
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$37,318.97
|
$42,916.84
|
$40,304.49
|
2026-05-04
|