|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
10
|
4
|
$744,578.00
|
$226,462.41
70% off
|
$372,289.00
|
$558,433.50
|
$528,650.38
|
2026-02-28
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 10 Mg/ml Intravenous Solution
|
148
|
18
|
$399,514.00
|
$121,511.66
70% off
|
$220.59
|
$359,566.39
|
$234,911.88
|
2026-02-28
|
|
C1877
|
HCPCS
|
Thraflx Hbrd Antflo 30x40x150a Tha3040x150a
|
8
|
3
|
$248,447.50
|
$75,564.98
70% off
|
$124,223.75
|
$186,335.63
|
$157,764.17
|
2026-02-28
|
|
J1747
|
HCPCS
|
Spesolimab-sbzo 60 Mg/ml Intravenous Solution
|
20
|
4
|
$244,035.00
|
$74,222.92
70% off
|
$81,345.00
|
$244,035.00
|
$142,353.75
|
2026-02-28
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
20
|
4
|
$177,979.70
|
$54,132.29
70% off
|
$73,303.00
|
$157,015.05
|
$107,755.41
|
2026-02-28
|
|
C1605
|
HCPCS
|
Pacer Sys Aveir Dual Chamber Dr-system-aveir
|
8
|
4
|
$170,364.00
|
$51,815.99
70% off
|
$85,182.00
|
$127,773.00
|
$120,958.44
|
2026-02-28
|
|
C1824
|
HCPCS
|
Optimizer Smart Ipg 10-b411-3-xx
|
8
|
3
|
$163,265.50
|
$49,656.99
70% off
|
$81,632.75
|
$122,449.13
|
$103,673.60
|
2026-02-28
|
|
C1826
|
HCPCS
|
Neurostimulator Rechrg 977119
|
8
|
3
|
$156,167.00
|
$47,497.99
70% off
|
$78,083.50
|
$117,125.25
|
$99,166.05
|
2026-02-28
|
|
C2624
|
HCPCS
|
Sys Del Pa Sens Cardiomems Cm2000
|
8
|
3
|
$149,068.50
|
$45,338.99
70% off
|
$74,534.25
|
$111,801.38
|
$94,658.50
|
2026-02-28
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
20
|
4
|
$131,768.00
|
$40,077.07
70% off
|
$10,136.00
|
$182,448.00
|
$68,418.00
|
2026-02-28
|
|
J2329
|
HCPCS
|
Ublituximab-xiiy 25 Mg/ml Intravenous Solution
|
20
|
4
|
$130,690.00
|
$39,749.19
70% off
|
$32,672.50
|
$147,026.25
|
$73,513.12
|
2026-02-28
|
|
J9063
|
HCPCS
|
Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution
|
20
|
4
|
$130,226.23
|
$39,608.14
70% off
|
$19,402.00
|
$166,236.34
|
$69,963.61
|
2026-02-28
|
|
C1822
|
HCPCS
|
Ipg W/kit Nipg1500
|
32
|
3
|
$129,547.62
|
$39,401.74
70% off
|
$56,788.00
|
$138,420.75
|
$86,033.82
|
2026-02-28
|
|
J9298
|
HCPCS
|
Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution
|
20
|
4
|
$128,148.00
|
$38,976.04
70% off
|
$42,716.00
|
$128,148.00
|
$74,753.00
|
2026-02-28
|
|
C2616
|
HCPCS
|
Therasphere Y-90 1-20gbq Y90thera
|
86
|
18
|
$125,998.38
|
$38,322.24
70% off
|
$19,818.31
|
$102,724.17
|
$60,328.50
|
2026-02-28
|
|
C1767
|
HCPCS
|
DRG Ipg Proclaim W/controller 3664ctrlsysxx
|
112
|
3
|
$122,371.04
|
$37,218.99
70% off
|
$32,049.73
|
$185,233.59
|
$67,446.04
|
2026-02-28
|
|
C1820
|
HCPCS
|
Kt Imp Vercise Gevia Genrtr M365db1200s0
|
72
|
3
|
$115,875.91
|
$35,243.51
70% off
|
$3,385.99
|
$117,125.25
|
$70,452.61
|
2026-02-28
|
|
C1787
|
HCPCS
|
Kt Pulse Gen 16 Wavewriter Alp M365sc12160
|
46
|
3
|
$106,477.50
|
$32,385.00
70% off
|
$3,531.51
|
$90,505.88
|
$60,337.25
|
2026-02-28
|
|
J9273
|
HCPCS
|
Tisotumab Vedotin-tftv 40 Mg Intravenous Solution
|
20
|
4
|
$105,733.45
|
$32,158.69
70% off
|
$18,356.50
|
$131,065.43
|
$57,455.85
|
2026-02-28
|
|
C1882
|
HCPCS
|
Acticor 7 Hf-t 429523
|
136
|
4
|
$103,680.69
|
$31,534.35
70% off
|
$29,636.24
|
$150,559.19
|
$65,586.60
|
2026-02-28
|
|
J9019
|
HCPCS
|
Asparaginase (erwinia Chrysanthemi) 10000 Unit Solution For Injection
|
22
|
8
|
$102,476.00
|
$31,167.94
70% off
|
$1,281.55
|
$76,857.00
|
$61,485.60
|
2026-02-28
|
|
J9249
|
HCPCS
|
Melphalan Hcl 50 Mg Intravenous Powder For Solution
|
20
|
4
|
$101,032.38
|
$30,728.86
70% off
|
$41,601.58
|
$89,146.20
|
$61,154.32
|
2026-02-28
|
|
J9332
|
HCPCS
|
Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution
|
10
|
4
|
$91,868.00
|
$27,941.54
70% off
|
$45,934.00
|
$68,901.00
|
$65,226.28
|
2026-02-28
|
|
J0896
|
HCPCS
|
Luspatercept-aamt 25 Mg Subcutaneous Solution
|
132
|
18
|
$81,752.05
|
$24,864.78
70% off
|
$39.97
|
$107,299.58
|
$54,365.10
|
2026-02-28
|
|
33264
|
CPT
|
Hc Icd Gen Remove Insert Multi
|
58
|
17
|
$32,288.91
|
$9,820.63
70% off
|
$23,248.02
|
$159,895.47
|
$69,045.77
|
2026-02-28
|
|
33231
|
CPT
|
Hc Ins Icd Gen Only Exs Mlt Ld
|
58
|
17
|
$19,401.69
|
$5,901.00
70% off
|
$13,969.22
|
$159,895.47
|
$69,045.77
|
2026-02-28
|
|
0408T
|
CPT
|
Hc Insj/replc Cardiac Modulj Sys
|
56
|
16
|
$19,401.69
|
$5,901.00
70% off
|
$13,969.22
|
$159,895.47
|
$55,418.32
|
2026-02-28
|
|
33270
|
CPT
|
Hc Ins/rep Subq Defib
|
56
|
16
|
$17,644.11
|
$5,366.44
70% off
|
$12,703.76
|
$159,895.47
|
$55,418.32
|
2026-02-28
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
56
|
16
|
—
|
—
|
$305,628.14
|
$1,011,811.00
|
$582,985.68
|
2026-02-28
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
58
|
17
|
—
|
—
|
$228,339.72
|
$744,209.00
|
$437,270.57
|
2026-02-28
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$382,067.00
|
$408,811.69
|
$406,901.35
|
2026-02-28
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
58
|
17
|
—
|
—
|
$173,788.00
|
$585,519.00
|
$332,804.02
|
2026-02-28
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
54
|
16
|
—
|
—
|
$192,341.44
|
$620,233.00
|
$332,319.00
|
2026-02-28
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$306,933.00
|
$328,418.31
|
$326,883.64
|
2026-02-28
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$302,643.00
|
$323,828.01
|
$322,314.79
|
2026-02-28
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$234,318.00
|
$250,720.26
|
$249,548.67
|
2026-02-28
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$210,940.00
|
$225,705.80
|
$224,651.10
|
2026-02-28
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$208,258.00
|
$222,836.06
|
$221,794.77
|
2026-02-28
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$206,628.00
|
$221,091.96
|
$220,058.82
|
2026-02-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
58
|
17
|
—
|
—
|
$114,661.90
|
$403,706.00
|
$217,857.61
|
2026-02-28
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$202,413.00
|
$216,581.91
|
$215,569.85
|
2026-02-28
|
|
453
|
MS_DRG
|
No Active Code Description
|
8
|
4
|
—
|
—
|
$173,026.00
|
$243,361.00
|
$213,671.00
|
2026-02-28
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
58
|
17
|
—
|
—
|
$106,335.85
|
$342,547.00
|
$203,633.16
|
2026-02-28
|
|
7
|
MS_DRG
|
Lung Transplant
|
58
|
17
|
—
|
—
|
$106,068.63
|
$341,684.00
|
$200,067.00
|
2026-02-28
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$184,479.00
|
$197,392.53
|
$196,470.13
|
2026-02-28
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
5
|
—
|
—
|
$182,191.00
|
$194,944.37
|
$194,033.41
|
2026-02-28
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
5
|
—
|
—
|
$180,463.00
|
$193,095.41
|
$192,193.10
|
2026-02-28
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$173,806.00
|
$185,972.42
|
$185,103.39
|
2026-02-28
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$171,545.00
|
$183,553.15
|
$182,695.42
|
2026-02-28
|
|
222
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$175,692.00
|
$175,692.00
|
$175,692.00
|
2026-02-28
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
10
|
5
|
—
|
—
|
$164,549.00
|
$176,067.43
|
$175,244.68
|
2026-02-28
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$163,362.00
|
$174,797.34
|
$173,980.53
|
2026-02-28
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
58
|
17
|
—
|
—
|
$89,475.65
|
$342,985.00
|
$171,345.87
|
2026-02-28
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$160,703.00
|
$171,952.21
|
$171,148.69
|
2026-02-28
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$159,963.00
|
$171,160.41
|
$170,360.60
|
2026-02-28
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
56
|
16
|
—
|
—
|
$88,456.96
|
$295,796.00
|
$168,731.65
|
2026-02-28
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
58
|
17
|
—
|
—
|
$86,477.07
|
$284,242.00
|
$165,603.59
|
2026-02-28
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
58
|
17
|
—
|
—
|
$86,034.94
|
$341,980.00
|
$164,756.92
|
2026-02-28
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
15
|
—
|
—
|
$85,068.08
|
$273,879.00
|
$159,195.00
|
2026-02-28
|
|
224
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$157,031.00
|
$157,031.00
|
$157,031.00
|
2026-02-28
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
17
|
—
|
—
|
$78,393.15
|
$266,537.00
|
$150,122.89
|
2026-02-28
|
|
454
|
MS_DRG
|
No Active Code Description
|
8
|
4
|
—
|
—
|
$115,118.00
|
$167,972.00
|
$149,339.50
|
2026-02-28
|
|
226
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$143,826.00
|
$143,826.00
|
$143,826.00
|
2026-02-28
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$132,750.00
|
$142,042.50
|
$141,378.75
|
2026-02-28
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
50
|
15
|
—
|
—
|
$74,836.64
|
$240,845.00
|
$139,993.00
|
2026-02-28
|
|
459
|
MS_DRG
|
No Active Code Description
|
8
|
4
|
—
|
—
|
$125,364.00
|
$182,143.00
|
$139,199.00
|
2026-02-28
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
10
|
5
|
—
|
—
|
$127,619.00
|
$136,552.33
|
$135,914.23
|
2026-02-28
|
|
223
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$132,047.00
|
$132,047.00
|
$132,047.00
|
2026-02-28
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
58
|
17
|
—
|
—
|
$68,860.55
|
$222,868.00
|
$131,867.96
|
2026-02-28
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
58
|
17
|
—
|
—
|
$68,822.49
|
$231,497.00
|
$131,795.07
|
2026-02-28
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
10
|
5
|
—
|
—
|
$123,104.00
|
$131,721.28
|
$131,105.76
|
2026-02-28
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$122,801.00
|
$131,397.07
|
$130,783.06
|
2026-02-28
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
50
|
15
|
—
|
—
|
$67,781.12
|
$218,065.00
|
$126,752.00
|
2026-02-28
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$118,799.00
|
$127,114.93
|
$126,520.93
|
2026-02-28
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
58
|
17
|
—
|
—
|
$65,517.82
|
$232,128.00
|
$125,466.63
|
2026-02-28
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
56
|
16
|
—
|
—
|
$64,434.35
|
$219,525.00
|
$122,908.53
|
2026-02-28
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$114,418.00
|
$122,427.26
|
$121,855.17
|
2026-02-28
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
5
|
—
|
—
|
$114,418.00
|
$122,427.26
|
$121,855.17
|
2026-02-28
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
58
|
17
|
—
|
—
|
$63,536.31
|
$214,200.00
|
$121,672.04
|
2026-02-28
|
|
225
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$120,776.00
|
$120,776.00
|
$120,776.00
|
2026-02-28
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
58
|
17
|
—
|
—
|
$62,897.41
|
$211,773.00
|
$120,448.55
|
2026-02-28
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…
|
10
|
5
|
—
|
—
|
$111,913.00
|
$119,746.91
|
$119,187.35
|
2026-02-28
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$111,092.00
|
$118,868.44
|
$118,312.98
|
2026-02-28
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
5
|
—
|
—
|
$110,742.00
|
$118,493.94
|
$117,940.23
|
2026-02-28
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$110,669.00
|
$118,415.83
|
$117,862.49
|
2026-02-28
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$109,381.00
|
$117,037.67
|
$116,490.76
|
2026-02-28
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
54
|
16
|
—
|
—
|
$11,819.00
|
$294,950.83
|
$114,912.86
|
2026-02-28
|
|
227
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$113,053.00
|
$113,053.00
|
$113,053.00
|
2026-02-28
|
|
455
|
MS_DRG
|
No Active Code Description
|
8
|
4
|
—
|
—
|
$90,493.00
|
$127,733.00
|
$113,033.00
|
2026-02-28
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
10
|
5
|
—
|
—
|
$105,503.00
|
$112,888.21
|
$112,360.69
|
2026-02-28
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
5
|
—
|
—
|
$104,986.00
|
$112,335.02
|
$111,810.09
|
2026-02-28
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
5
|
—
|
—
|
$104,899.00
|
$112,241.93
|
$111,717.43
|
2026-02-28
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
56
|
16
|
—
|
—
|
$57,467.90
|
$193,224.00
|
$109,620.02
|
2026-02-28
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$102,910.00
|
$110,113.70
|
$109,599.15
|
2026-02-28
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
58
|
17
|
—
|
—
|
$56,573.11
|
$191,277.00
|
$108,337.51
|
2026-02-28
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
15
|
—
|
—
|
$57,756.99
|
$185,700.00
|
$107,940.00
|
2026-02-28
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$98,034.00
|
$104,896.38
|
$104,406.21
|
2026-02-28
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
58
|
17
|
—
|
—
|
$54,233.68
|
$188,251.00
|
$103,857.50
|
2026-02-28
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$97,226.00
|
$104,031.82
|
$103,545.69
|
2026-02-28
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
54
|
16
|
—
|
—
|
$54,325.19
|
$174,620.00
|
$103,217.87
|
2026-02-28
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$96,621.00
|
$103,384.47
|
$102,901.36
|
2026-02-28
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
50
|
15
|
—
|
—
|
$54,534.11
|
$175,294.00
|
$101,891.00
|
2026-02-28
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
58
|
17
|
—
|
—
|
$52,610.91
|
$189,714.00
|
$100,749.90
|
2026-02-28
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
17
|
—
|
—
|
$52,535.60
|
$174,810.00
|
$100,605.68
|
2026-02-28
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$51,453.75
|
$188,742.00
|
$98,533.94
|
2026-02-28
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$90,505.00
|
$96,840.35
|
$96,387.82
|
2026-02-28
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
56
|
16
|
—
|
—
|
$50,401.86
|
$170,551.00
|
$96,141.55
|
2026-02-28
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
58
|
17
|
—
|
—
|
$49,934.62
|
$187,256.00
|
$95,624.80
|
2026-02-28
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
58
|
17
|
—
|
—
|
$49,707.89
|
$163,366.00
|
$95,190.61
|
2026-02-28
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$89,196.00
|
$95,439.72
|
$94,993.74
|
2026-02-28
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$89,061.00
|
$95,295.27
|
$94,849.96
|
2026-02-28
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$89,061.00
|
$95,295.27
|
$94,849.96
|
2026-02-28
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
58
|
17
|
—
|
—
|
$49,471.43
|
$165,495.00
|
$94,737.79
|
2026-02-28
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
58
|
17
|
—
|
—
|
$49,118.37
|
$169,639.00
|
$94,061.68
|
2026-02-28
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
50
|
15
|
—
|
—
|
$50,337.08
|
$161,743.00
|
$94,015.00
|
2026-02-28
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
58
|
17
|
—
|
—
|
$48,753.17
|
$178,198.00
|
$93,362.33
|
2026-02-28
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
17
|
—
|
—
|
$48,417.11
|
$156,448.00
|
$92,718.77
|
2026-02-28
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
5
|
—
|
—
|
$86,780.00
|
$92,854.60
|
$92,420.70
|
2026-02-28
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome Neonate
|
54
|
15
|
—
|
—
|
$48,380.67
|
$164,781.00
|
$91,923.28
|
2026-02-28
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
58
|
17
|
—
|
—
|
$47,889.95
|
$161,499.00
|
$91,709.26
|
2026-02-28
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
48
|
16
|
—
|
—
|
$60,684.31
|
$176,857.00
|
$91,609.98
|
2026-02-28
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$47,388.71
|
$166,061.00
|
$90,749.38
|
2026-02-28
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
58
|
17
|
—
|
—
|
$46,717.41
|
$166,846.00
|
$89,463.85
|
2026-02-28
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$83,794.00
|
$89,659.58
|
$89,240.61
|
2026-02-28
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
58
|
17
|
—
|
—
|
$46,439.66
|
$155,682.00
|
$88,931.95
|
2026-02-28
|
|
230
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$88,720.00
|
$88,720.00
|
$88,720.00
|
2026-02-28
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
58
|
17
|
—
|
—
|
$45,382.91
|
$148,674.00
|
$86,908.28
|
2026-02-28
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$81,182.00
|
$86,864.74
|
$86,458.83
|
2026-02-28
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
58
|
17
|
—
|
—
|
$49,118.37
|
$169,639.00
|
$86,412.00
|
2026-02-28
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$81,115.00
|
$86,793.05
|
$86,387.47
|
2026-02-28
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$80,947.00
|
$86,613.29
|
$86,208.55
|
2026-02-28
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
58
|
17
|
—
|
—
|
$44,999.89
|
$153,765.00
|
$86,174.79
|
2026-02-28
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
58
|
17
|
—
|
—
|
$44,999.89
|
$168,661.00
|
$86,174.79
|
2026-02-28
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
5
|
—
|
—
|
$80,636.00
|
$86,280.52
|
$85,877.34
|
2026-02-28
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$80,375.00
|
$86,001.25
|
$85,599.38
|
2026-02-28
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
5
|
—
|
—
|
$80,097.00
|
$85,703.79
|
$85,303.30
|
2026-02-28
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
58
|
17
|
—
|
—
|
$44,301.87
|
$144,502.00
|
$84,838.09
|
2026-02-28
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
58
|
17
|
—
|
—
|
$44,201.45
|
$151,189.00
|
$84,645.78
|
2026-02-28
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
58
|
17
|
—
|
—
|
$43,977.15
|
$155,542.00
|
$84,216.25
|
2026-02-28
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
58
|
17
|
—
|
—
|
$43,935.85
|
$141,607.00
|
$84,137.16
|
2026-02-28
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
48
|
16
|
—
|
—
|
$55,534.98
|
$161,790.00
|
$83,817.62
|
2026-02-28
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
15
|
—
|
—
|
$44,812.02
|
$143,905.00
|
$83,646.00
|
2026-02-28
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
58
|
17
|
—
|
—
|
$43,930.99
|
$156,075.00
|
$83,468.89
|
2026-02-28
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
50
|
15
|
—
|
—
|
$44,539.94
|
$143,026.00
|
$83,135.00
|
2026-02-28
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
58
|
17
|
—
|
—
|
$43,322.86
|
$142,750.00
|
$82,963.28
|
2026-02-28
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
5
|
—
|
—
|
$77,787.00
|
$83,232.09
|
$82,843.15
|
2026-02-28
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
58
|
17
|
—
|
—
|
$43,132.56
|
$144,032.00
|
$82,598.86
|
2026-02-28
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$77,475.00
|
$82,898.25
|
$82,510.88
|
2026-02-28
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$76,616.00
|
$81,979.12
|
$81,596.04
|
2026-02-28
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
58
|
17
|
—
|
—
|
$64,804.41
|
$208,454.00
|
$81,533.00
|
2026-02-28
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
58
|
17
|
—
|
—
|
$50,108.72
|
$170,768.00
|
$80,702.00
|
2026-02-28
|
|
460
|
MS_DRG
|
No Active Code Description
|
8
|
4
|
—
|
—
|
$71,177.00
|
$100,457.00
|
$80,501.50
|
2026-02-28
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
5
|
—
|
—
|
$75,549.00
|
$80,837.43
|
$80,459.68
|
2026-02-28
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
58
|
17
|
—
|
—
|
$41,806.97
|
$138,878.00
|
$80,060.35
|
2026-02-28
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$74,929.00
|
$80,174.03
|
$79,799.38
|
2026-02-28
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$74,663.00
|
$79,889.41
|
$79,516.10
|
2026-02-28
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
58
|
17
|
—
|
—
|
$41,496.02
|
$142,440.00
|
$79,464.88
|
2026-02-28
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
58
|
17
|
—
|
—
|
$41,369.69
|
$139,485.00
|
$79,222.96
|
2026-02-28
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$74,178.00
|
$79,370.46
|
$78,999.57
|
2026-02-28
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
5
|
—
|
—
|
$73,796.00
|
$78,961.72
|
$78,592.74
|
2026-02-28
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
58
|
17
|
—
|
—
|
$41,028.78
|
$132,009.00
|
$78,570.12
|
2026-02-28
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
5
|
—
|
—
|
$73,581.00
|
$78,731.67
|
$78,363.76
|
2026-02-28
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
50
|
15
|
—
|
—
|
$41,945.44
|
$134,649.00
|
$78,266.00
|
2026-02-28
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
58
|
17
|
—
|
—
|
$40,788.28
|
$133,031.00
|
$78,109.56
|
2026-02-28
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$73,321.00
|
$78,453.47
|
$78,086.86
|
2026-02-28
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$40,740.50
|
$137,296.00
|
$78,018.06
|
2026-02-28
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$73,216.00
|
$78,341.12
|
$77,975.04
|
2026-02-28
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
56
|
16
|
—
|
—
|
$40,756.70
|
$130,811.00
|
$77,743.41
|
2026-02-28
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
58
|
17
|
—
|
—
|
$40,594.74
|
$150,462.00
|
$77,738.93
|
2026-02-28
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$71,976.00
|
$77,014.32
|
$76,654.44
|
2026-02-28
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
58
|
17
|
—
|
—
|
$39,813.32
|
$127,765.00
|
$76,242.51
|
2026-02-28
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
10
|
5
|
—
|
—
|
$71,554.00
|
$76,562.78
|
$76,205.01
|
2026-02-28
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
58
|
17
|
—
|
—
|
$39,574.43
|
$135,090.00
|
$75,785.04
|
2026-02-28
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
58
|
17
|
—
|
—
|
$39,508.84
|
$132,836.00
|
$75,659.43
|
2026-02-28
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$70,993.00
|
$75,962.51
|
$75,607.54
|
2026-02-28
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
10
|
5
|
—
|
—
|
$70,970.00
|
$75,937.90
|
$75,583.05
|
2026-02-28
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
58
|
17
|
—
|
—
|
$38,912.04
|
$127,091.00
|
$74,516.56
|
2026-02-28
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
58
|
17
|
—
|
—
|
$38,744.42
|
$136,068.00
|
$74,195.57
|
2026-02-28
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
58
|
17
|
—
|
—
|
$38,737.13
|
$130,186.00
|
$74,181.61
|
2026-02-28
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
5
|
—
|
—
|
$69,629.00
|
$74,503.03
|
$74,154.88
|
2026-02-28
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$69,189.00
|
$74,032.23
|
$73,686.29
|
2026-02-28
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
58
|
17
|
—
|
—
|
$38,338.73
|
$137,407.00
|
$73,418.67
|
2026-02-28
|
|
3124
|
APR_DRG
|
Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
5
|
—
|
—
|
$68,935.00
|
$73,760.45
|
$73,415.77
|
2026-02-28
|
|
2604
|
APR_DRG
|
Major Pancreas Liver And Shunt Procedures
|
10
|
5
|
—
|
—
|
$68,933.00
|
$73,758.31
|
$73,413.64
|
2026-02-28
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
58
|
17
|
—
|
—
|
$38,134.66
|
$123,636.00
|
$73,027.88
|
2026-02-28
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$68,071.00
|
$72,835.97
|
$72,495.61
|
2026-02-28
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
56
|
16
|
—
|
—
|
$37,911.17
|
$131,339.00
|
$72,315.57
|
2026-02-28
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
10
|
5
|
—
|
—
|
$67,872.00
|
$72,623.04
|
$72,283.68
|
2026-02-28
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
10
|
5
|
—
|
—
|
$67,749.00
|
$72,491.43
|
$72,152.68
|
2026-02-28
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
58
|
17
|
—
|
—
|
$37,565.40
|
$129,450.00
|
$71,937.75
|
2026-02-28
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$67,506.00
|
$72,231.42
|
$71,893.89
|
2026-02-28
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
58
|
17
|
—
|
—
|
$37,430.97
|
$127,665.00
|
$71,680.31
|
2026-02-28
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
58
|
17
|
—
|
—
|
$37,425.31
|
$124,045.00
|
$71,669.47
|
2026-02-28
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
56
|
16
|
—
|
—
|
$37,550.01
|
$123,515.00
|
$71,626.65
|
2026-02-28
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
10
|
5
|
—
|
—
|
$66,243.00
|
$70,880.01
|
$70,548.79
|
2026-02-28
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$36,775.06
|
$121,617.00
|
$70,424.24
|
2026-02-28
|
|
69930
|
CPT
|
Implant Cochlear Device
|
60
|
18
|
—
|
—
|
$12,267.00
|
$158,629.94
|
$70,301.90
|
2026-02-28
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
58
|
17
|
—
|
—
|
$36,557.23
|
$118,168.00
|
$70,007.10
|
2026-02-28
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
10
|
5
|
—
|
—
|
$65,626.00
|
$70,219.82
|
$69,891.69
|
2026-02-28
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
58
|
17
|
—
|
—
|
$36,456.82
|
$121,277.00
|
$69,814.82
|
2026-02-28
|
|
984
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$69,800.00
|
$69,800.00
|
$69,800.00
|
2026-02-28
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
58
|
17
|
—
|
—
|
$36,118.34
|
$118,854.00
|
$69,166.63
|
2026-02-28
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
10
|
5
|
—
|
—
|
$64,764.00
|
$69,297.48
|
$68,973.66
|
2026-02-28
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
5
|
—
|
—
|
$64,539.00
|
$69,056.73
|
$68,734.04
|
2026-02-28
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
56
|
16
|
—
|
—
|
$35,813.06
|
$119,791.00
|
$68,313.42
|
2026-02-28
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$63,925.00
|
$68,399.75
|
$68,080.13
|
2026-02-28
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
10
|
5
|
—
|
—
|
$63,603.00
|
$68,055.21
|
$67,737.19
|
2026-02-28
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
58
|
17
|
—
|
—
|
$35,207.35
|
$124,435.00
|
$67,422.08
|
2026-02-28
|
|
246
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$67,016.00
|
$67,016.00
|
$67,016.00
|
2026-02-28
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$62,666.00
|
$67,052.62
|
$66,739.29
|
2026-02-28
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
10
|
5
|
—
|
—
|
$62,581.00
|
$66,961.67
|
$66,648.76
|
2026-02-28
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$34,783.84
|
$117,506.00
|
$66,611.06
|
2026-02-28
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
10
|
5
|
—
|
—
|
$62,545.00
|
$66,923.15
|
$66,610.43
|
2026-02-28
|
|
64568
|
CPT
|
Inc For Vagus N Elect Impl
|
54
|
16
|
—
|
—
|
$34,539.99
|
$151,975.96
|
$66,316.78
|
2026-02-28
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
5
|
—
|
—
|
$62,253.00
|
$66,610.71
|
$66,299.44
|
2026-02-28
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
10
|
5
|
—
|
—
|
$62,247.00
|
$66,604.29
|
$66,293.05
|
2026-02-28
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
56
|
16
|
—
|
—
|
$34,732.82
|
$113,697.00
|
$66,252.86
|
2026-02-28
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
56
|
17
|
—
|
—
|
$6,630.00
|
$151,975.96
|
$65,971.38
|
2026-02-28
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
56
|
16
|
—
|
—
|
$34,488.27
|
$110,572.00
|
$65,786.38
|
2026-02-28
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
58
|
17
|
—
|
—
|
$34,175.70
|
$113,054.00
|
$65,446.47
|
2026-02-28
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
58
|
17
|
—
|
—
|
$33,933.58
|
$114,208.00
|
$64,982.81
|
2026-02-28
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
58
|
17
|
—
|
—
|
$34,167.61
|
$109,537.00
|
$64,918.46
|
2026-02-28
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$60,375.00
|
$64,601.25
|
$64,299.38
|
2026-02-28
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
58
|
17
|
—
|
—
|
$33,540.03
|
$110,983.00
|
$64,229.16
|
2026-02-28
|
|
12
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
58
|
17
|
—
|
—
|
$33,472.01
|
$109,987.00
|
$64,098.90
|
2026-02-28
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
5
|
—
|
—
|
$60,141.00
|
$64,350.87
|
$64,050.16
|
2026-02-28
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
10
|
5
|
—
|
—
|
$59,997.00
|
$64,196.79
|
$63,896.81
|
2026-02-28
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$33,178.07
|
$107,405.00
|
$63,536.01
|
2026-02-28
|
|
248
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$63,307.00
|
$63,307.00
|
$63,307.00
|
2026-02-28
|
|
234
|
APR_DRG
|
Spinal Procedures
|
10
|
5
|
—
|
—
|
$59,401.00
|
$63,559.07
|
$63,262.06
|
2026-02-28
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
54
|
15
|
—
|
—
|
$33,117.33
|
$112,535.00
|
$62,922.93
|
2026-02-28
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
10
|
5
|
—
|
—
|
$58,699.00
|
$62,807.93
|
$62,514.43
|
2026-02-28
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
10
|
5
|
—
|
—
|
$58,642.00
|
$62,746.94
|
$62,453.73
|
2026-02-28
|
|
2204
|
APR_DRG
|
Major Stomach Esophageal And Duodenal Procedures
|
10
|
5
|
—
|
—
|
$58,532.00
|
$62,629.24
|
$62,336.58
|
2026-02-28
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
58
|
17
|
—
|
—
|
$32,500.29
|
$104,154.00
|
$62,238.06
|
2026-02-28
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
58
|
17
|
—
|
—
|
$32,477.62
|
$104,081.00
|
$62,194.65
|
2026-02-28
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
50
|
15
|
—
|
—
|
$33,308.44
|
$106,763.00
|
$62,057.00
|
2026-02-28
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
5
|
—
|
—
|
$58,179.00
|
$62,251.53
|
$61,960.63
|
2026-02-28
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
5
|
—
|
—
|
$58,055.00
|
$62,118.85
|
$61,828.57
|
2026-02-28
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
5
|
—
|
—
|
$58,045.00
|
$62,108.15
|
$61,817.92
|
2026-02-28
|
|
628
|
MS_DRG
|
Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$32,192.58
|
$110,250.00
|
$61,648.80
|
2026-02-28
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
58
|
17
|
—
|
—
|
$32,126.99
|
$106,754.00
|
$61,523.19
|
2026-02-28
|
|
338
|
MS_DRG
|
No Active Code Description
|
2
|
1
|
—
|
—
|
$61,292.00
|
$61,292.00
|
$61,292.00
|
2026-02-28
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
10
|
5
|
—
|
—
|
$57,531.00
|
$61,558.17
|
$61,270.51
|
2026-02-28
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
10
|
5
|
—
|
—
|
$57,374.00
|
$61,390.18
|
$61,103.31
|
2026-02-28
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
58
|
17
|
—
|
—
|
$31,905.92
|
$107,023.00
|
$61,099.84
|
2026-02-28
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
58
|
17
|
—
|
—
|
$31,731.01
|
$107,144.00
|
$60,764.89
|
2026-02-28
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$56,968.00
|
$60,955.76
|
$60,670.92
|
2026-02-28
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
10
|
5
|
—
|
—
|
$56,938.00
|
$60,923.66
|
$60,638.97
|
2026-02-28
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
54
|
16
|
—
|
—
|
$32,062.21
|
$102,739.00
|
$60,410.00
|
2026-02-28
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
58
|
17
|
—
|
—
|
$31,539.09
|
$108,690.00
|
$60,397.36
|
2026-02-28
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
58
|
17
|
—
|
—
|
$31,507.51
|
$100,948.00
|
$60,336.89
|
2026-02-28
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
58
|
17
|
—
|
—
|
$31,420.06
|
$111,439.00
|
$60,169.42
|
2026-02-28
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
50
|
15
|
—
|
—
|
$31,921.31
|
$102,284.00
|
$59,454.00
|
2026-02-28
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
58
|
17
|
—
|
—
|
$31,026.51
|
$104,052.00
|
$59,415.77
|
2026-02-28
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
10
|
5
|
—
|
—
|
$55,586.00
|
$59,477.02
|
$59,199.09
|
2026-02-28
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
54
|
16
|
—
|
—
|
$35,279.42
|
$113,127.00
|
$59,160.00
|
2026-02-28
|
|
40
|
MS_DRG
|
Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc
|
58
|
17
|
—
|
—
|
$30,786.82
|
$105,746.00
|
$58,956.77
|
2026-02-28
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord…
|
58
|
17
|
—
|
—
|
$30,543.08
|
$105,062.00
|
$58,490.00
|
2026-02-28
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$54,874.00
|
$58,715.18
|
$58,440.81
|
2026-02-28
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
5
|
—
|
—
|
$54,874.00
|
$58,715.18
|
$58,440.81
|
2026-02-28
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
10
|
5
|
—
|
—
|
$54,487.00
|
$58,301.09
|
$58,028.65
|
2026-02-28
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$54,453.00
|
$58,264.71
|
$57,992.44
|
2026-02-28
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
5
|
—
|
—
|
$54,453.00
|
$58,264.71
|
$57,992.44
|
2026-02-28
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
10
|
5
|
—
|
—
|
$54,172.00
|
$57,964.04
|
$57,693.18
|
2026-02-28
|
|
39503
|
CPT
|
Repair Of Diaphragm Hernia
|
2
|
1
|
—
|
—
|
$57,625.53
|
$57,625.53
|
$57,625.53
|
2026-02-28
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
10
|
5
|
—
|
—
|
$53,996.00
|
$57,775.72
|
$57,505.74
|
2026-02-28
|
|
1764
|
APR_DRG
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
10
|
5
|
—
|
—
|
$53,629.00
|
$57,383.03
|
$57,114.88
|
2026-02-28
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
58
|
17
|
—
|
—
|
$29,787.56
|
$99,490.00
|
$57,043.18
|
2026-02-28
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
5
|
—
|
—
|
$53,424.00
|
$57,163.68
|
$56,896.56
|
2026-02-28
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
58
|
17
|
—
|
—
|
$29,582.69
|
$98,180.00
|
$56,650.86
|
2026-02-28
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
58
|
17
|
—
|
—
|
$29,270.12
|
$94,220.00
|
$56,052.28
|
2026-02-28
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
58
|
17
|
—
|
—
|
$29,268.50
|
$99,880.00
|
$56,049.18
|
2026-02-28
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
5
|
—
|
—
|
$52,532.00
|
$56,209.24
|
$55,946.58
|
2026-02-28
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
58
|
17
|
—
|
—
|
$29,263.64
|
$100,289.00
|
$55,842.00
|
2026-02-28
|
|
3214
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
10
|
5
|
—
|
—
|
$52,406.00
|
$56,074.42
|
$55,812.39
|
2026-02-28
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
58
|
17
|
—
|
—
|
$29,127.60
|
$97,057.00
|
$55,779.36
|
2026-02-28
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
5
|
—
|
—
|
$52,322.00
|
$55,984.54
|
$55,722.93
|
2026-02-28
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
5
|
—
|
—
|
$52,210.00
|
$55,864.70
|
$55,603.65
|
2026-02-28
|
|
8434
|
APR_DRG
|
Extensive Third Degree Burns Without Skin Graft
|
10
|
5
|
—
|
—
|
$52,209.00
|
$55,863.63
|
$55,602.58
|
2026-02-28
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
5
|
—
|
—
|
$52,192.00
|
$55,845.44
|
$55,584.48
|
2026-02-28
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc
|
58
|
17
|
—
|
—
|
$28,998.04
|
$95,080.00
|
$55,531.25
|
2026-02-28
|
|
4054
|
APR_DRG
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
10
|
5
|
—
|
—
|
$52,110.00
|
$55,757.70
|
$55,497.15
|
2026-02-28
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
58
|
17
|
—
|
—
|
$28,829.61
|
$107,729.00
|
$55,208.71
|
2026-02-28
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
58
|
17
|
—
|
—
|
$28,822.32
|
$92,279.00
|
$55,194.75
|
2026-02-28
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
58
|
17
|
—
|
—
|
$28,750.25
|
$98,350.00
|
$55,056.73
|
2026-02-28
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
58
|
17
|
—
|
—
|
$28,614.21
|
$96,813.00
|
$54,796.22
|
2026-02-28
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
58
|
17
|
—
|
—
|
$28,605.30
|
$92,734.00
|
$54,779.15
|
2026-02-28
|
|
6113
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
5
|
—
|
—
|
$51,426.00
|
$55,025.82
|
$54,768.69
|
2026-02-28
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
58
|
17
|
—
|
—
|
$28,593.96
|
$102,223.00
|
$54,757.44
|
2026-02-28
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
58
|
17
|
—
|
—
|
$28,543.76
|
$91,379.00
|
$54,661.31
|
2026-02-28
|
|
1633
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$51,190.00
|
$54,773.30
|
$54,517.35
|
2026-02-28
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
58
|
17
|
—
|
—
|
$28,329.98
|
$101,414.00
|
$54,251.92
|
2026-02-28
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
58
|
17
|
—
|
—
|
$28,299.21
|
$93,533.00
|
$54,192.99
|
2026-02-28
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
56
|
16
|
—
|
—
|
$28,360.75
|
$94,978.00
|
$54,098.13
|
2026-02-28
|
|
1653
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
5
|
—
|
—
|
$50,634.00
|
$54,178.38
|
$53,925.21
|
2026-02-28
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
58
|
17
|
—
|
—
|
$28,133.21
|
$94,918.00
|
$53,875.10
|
2026-02-28
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
5
|
—
|
—
|
$50,528.00
|
$54,064.96
|
$53,812.32
|
2026-02-28
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
10
|
5
|
—
|
—
|
$50,511.00
|
$54,046.77
|
$53,794.21
|
2026-02-28
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
58
|
17
|
—
|
—
|
$28,089.48
|
$92,523.00
|
$53,791.36
|
2026-02-28
|