|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
2
|
1
|
—
|
—
|
$3,748,500.00
|
$3,748,500.00
|
$3,748,500.00
|
2025-08-07
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$3,748,500.00
|
$3,748,500.00
|
$3,748,500.00
|
2025-08-07
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
2
|
1
|
—
|
—
|
$3,427,200.00
|
$3,427,200.00
|
$3,427,200.00
|
2025-08-07
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
2
|
1
|
—
|
—
|
$3,320,100.00
|
$3,320,100.00
|
$3,320,100.00
|
2025-08-07
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
2
|
1
|
—
|
—
|
$2,998,800.00
|
$2,998,800.00
|
$2,998,800.00
|
2025-08-07
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
2
|
1
|
—
|
—
|
$2,511,290.97
|
$2,511,290.97
|
$2,511,290.97
|
2025-08-07
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
2
|
1
|
—
|
—
|
$2,356,200.00
|
$2,356,200.00
|
$2,356,200.00
|
2025-08-07
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
2
|
1
|
—
|
—
|
$778,617.00
|
$778,617.00
|
$778,617.00
|
2025-08-07
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
1
|
—
|
—
|
$657,540.87
|
$657,540.87
|
$657,540.87
|
2025-08-07
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
2
|
1
|
—
|
—
|
$627,173.88
|
$627,173.88
|
$627,173.88
|
2025-08-07
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
2
|
1
|
—
|
—
|
$613,884.23
|
$613,884.23
|
$613,884.23
|
2025-08-07
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
2
|
1
|
—
|
—
|
$593,905.03
|
$593,905.03
|
$593,905.03
|
2025-08-07
|
|
C9301
|
HCPCS
|
Professional Services
|
2
|
1
|
—
|
—
|
$562,275.00
|
$562,275.00
|
$562,275.00
|
2025-08-07
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
2
|
1
|
—
|
—
|
$513,993.01
|
$513,993.01
|
$513,993.01
|
2025-08-07
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$512,454.09
|
$512,454.09
|
$512,454.09
|
2025-08-07
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
5
|
—
|
—
|
$246,173.44
|
$338,170.68
|
$269,496.36
|
2025-08-07
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
5
|
—
|
—
|
$121,246.45
|
$252,585.15
|
$149,939.12
|
2025-08-07
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
5
|
—
|
—
|
$176,122.48
|
$212,722.35
|
$186,964.90
|
2025-08-07
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
12
|
2
|
—
|
—
|
$11,604.22
|
$205,065.00
|
$76,792.68
|
2025-08-07
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
10
|
5
|
—
|
—
|
$72,137.76
|
$192,177.16
|
$97,588.40
|
2025-08-07
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
10
|
5
|
—
|
—
|
$46,176.70
|
$126,703.71
|
$63,205.64
|
2025-08-07
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
5
|
—
|
—
|
$51,279.16
|
$117,483.84
|
$65,545.68
|
2025-08-07
|
|
7
|
MS_DRG
|
Lung Transplant
|
10
|
5
|
—
|
—
|
$54,883.19
|
$117,187.93
|
$68,441.80
|
2025-08-07
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
5
|
—
|
—
|
$54,783.41
|
$98,813.65
|
$64,685.13
|
2025-08-07
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
10
|
5
|
—
|
—
|
$71,967.29
|
$97,685.60
|
$78,550.30
|
2025-08-07
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
5
|
—
|
—
|
$46,308.69
|
$95,493.17
|
$57,071.76
|
2025-08-07
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
10
|
5
|
—
|
—
|
$49,275.58
|
$95,003.57
|
$59,406.69
|
2025-08-07
|
|
J3350
|
HCPCS
|
Urea Injection
|
4
|
2
|
—
|
—
|
$83.11
|
$94,499.99
|
$47,291.55
|
2025-08-07
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
2
|
1
|
—
|
—
|
$93,932.91
|
$93,932.91
|
$93,932.91
|
2025-08-07
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
5
|
—
|
—
|
$46,481.40
|
$86,541.41
|
$55,423.03
|
2025-08-07
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
2
|
1
|
—
|
—
|
$82,603.11
|
$82,603.11
|
$82,603.11
|
2025-08-07
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
10
|
5
|
—
|
—
|
$53,504.22
|
$75,985.46
|
$59,070.55
|
2025-08-07
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
5
|
—
|
—
|
$29,653.67
|
$75,943.32
|
$39,504.67
|
2025-08-07
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
4
|
2
|
—
|
—
|
$64,395.78
|
$75,241.10
|
$69,818.44
|
2025-08-07
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
4
|
2
|
—
|
—
|
$70,254.76
|
$75,166.85
|
$72,710.80
|
2025-08-07
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
1
|
—
|
—
|
$75,101.44
|
$75,101.44
|
$75,101.44
|
2025-08-07
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
4
|
2
|
—
|
—
|
$71,547.78
|
$74,954.81
|
$73,251.29
|
2025-08-07
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
2
|
1
|
—
|
—
|
$74,790.16
|
$74,790.16
|
$74,790.16
|
2025-08-07
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
4
|
2
|
—
|
—
|
$70,495.36
|
$73,852.28
|
$72,173.82
|
2025-08-07
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
5
|
—
|
—
|
$41,777.15
|
$72,283.88
|
$48,714.04
|
2025-08-07
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
10
|
5
|
—
|
—
|
$21,537.35
|
$71,493.89
|
$31,959.41
|
2025-08-07
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
5
|
—
|
—
|
$35,765.08
|
$71,084.10
|
$43,544.18
|
2025-08-07
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
10
|
5
|
—
|
—
|
$38,932.86
|
$70,089.66
|
$45,942.88
|
2025-08-07
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
5
|
—
|
—
|
$43,316.75
|
$69,382.16
|
$49,396.17
|
2025-08-07
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
4
|
2
|
—
|
—
|
$63,346.00
|
$67,775.05
|
$65,560.52
|
2025-08-07
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
5
|
—
|
—
|
$26,928.84
|
$66,931.48
|
$35,467.94
|
2025-08-07
|
|
90288
|
CPT
|
Botulism Ig IV
|
4
|
2
|
—
|
—
|
$53,575.50
|
$66,181.50
|
$59,878.50
|
2025-08-07
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
2
|
1
|
—
|
—
|
$63,689.91
|
$63,689.91
|
$63,689.91
|
2025-08-07
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
10
|
5
|
—
|
—
|
$47,011.60
|
$63,369.79
|
$51,223.47
|
2025-08-07
|
|
453
|
MS_DRG
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$60,066.18
|
$63,069.49
|
$61,567.83
|
2025-08-07
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
5
|
—
|
—
|
$29,197.30
|
$62,378.94
|
$36,417.58
|
2025-08-07
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$31,685.89
|
$61,229.37
|
$38,228.30
|
2025-08-07
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
2
|
1
|
—
|
—
|
$60,121.04
|
$60,121.04
|
$60,121.04
|
2025-08-07
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
5
|
—
|
—
|
$24,808.48
|
$59,889.70
|
$32,320.89
|
2025-08-07
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
5
|
—
|
—
|
$41,925.70
|
$59,788.37
|
$46,336.75
|
2025-08-07
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
5
|
—
|
—
|
$33,146.29
|
$57,991.38
|
$38,778.23
|
2025-08-07
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
5
|
—
|
—
|
$42,897.96
|
$57,907.99
|
$46,757.93
|
2025-08-07
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$45,920.78
|
$56,710.00
|
$48,997.04
|
2025-08-07
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
10
|
5
|
—
|
—
|
$30,422.35
|
$55,545.18
|
$36,055.36
|
2025-08-07
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
2
|
1
|
—
|
—
|
$55,473.45
|
$55,473.45
|
$55,473.45
|
2025-08-07
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
10
|
5
|
—
|
—
|
$41,548.07
|
$55,220.58
|
$45,113.53
|
2025-08-07
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
10
|
5
|
—
|
—
|
$45,559.25
|
$55,027.79
|
$48,364.14
|
2025-08-07
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
10
|
5
|
—
|
—
|
$42,411.61
|
$54,776.71
|
$45,732.86
|
2025-08-07
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,527.50
|
$54,514.88
|
$26,915.53
|
2025-08-07
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
10
|
5
|
—
|
—
|
$27,637.57
|
$54,123.92
|
$33,487.59
|
2025-08-07
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
10
|
5
|
—
|
—
|
$27,637.57
|
$54,123.92
|
$33,487.59
|
2025-08-07
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
4
|
2
|
—
|
—
|
$50,230.58
|
$53,742.61
|
$51,986.60
|
2025-08-07
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
10
|
5
|
—
|
—
|
$38,897.07
|
$53,719.50
|
$42,639.50
|
2025-08-07
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
5
|
—
|
—
|
$36,785.66
|
$53,347.37
|
$40,833.71
|
2025-08-07
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
5
|
—
|
—
|
$6,276.95
|
$53,307.02
|
$15,808.50
|
2025-08-07
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
10
|
5
|
—
|
—
|
$32,739.13
|
$52,763.62
|
$37,398.81
|
2025-08-07
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$30,448.30
|
$52,208.56
|
$35,409.32
|
2025-08-07
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
5
|
—
|
—
|
$26,614.30
|
$51,465.20
|
$32,116.77
|
2025-08-07
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
5
|
—
|
—
|
$25,093.94
|
$51,157.63
|
$30,808.56
|
2025-08-07
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
10
|
5
|
—
|
—
|
$36,171.79
|
$49,987.44
|
$39,658.36
|
2025-08-07
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
10
|
5
|
—
|
—
|
$32,707.36
|
$49,563.30
|
$36,732.70
|
2025-08-07
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
10
|
5
|
—
|
—
|
$29,671.12
|
$49,563.30
|
$34,242.98
|
2025-08-07
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
2
|
1
|
—
|
—
|
$49,355.26
|
$49,355.26
|
$49,355.26
|
2025-08-07
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
2
|
1
|
—
|
—
|
$49,053.97
|
$49,053.97
|
$49,053.97
|
2025-08-07
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
5
|
—
|
—
|
$23,542.27
|
$48,790.34
|
$29,062.73
|
2025-08-07
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
10
|
5
|
—
|
—
|
$29,832.20
|
$48,679.15
|
$34,198.23
|
2025-08-07
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
5
|
—
|
—
|
$16,915.43
|
$48,430.77
|
$23,556.81
|
2025-08-07
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
10
|
5
|
—
|
—
|
$35,891.70
|
$48,385.04
|
$39,108.20
|
2025-08-07
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
5
|
—
|
—
|
$37,973.13
|
$48,379.66
|
$40,813.90
|
2025-08-07
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
10
|
5
|
—
|
—
|
$36,946.28
|
$47,706.23
|
$39,837.19
|
2025-08-07
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
5
|
—
|
—
|
$32,757.47
|
$47,495.51
|
$36,360.23
|
2025-08-07
|
|
459
|
MS_DRG
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$44,315.41
|
$46,531.18
|
$45,423.29
|
2025-08-07
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
2
|
1
|
—
|
—
|
$46,180.95
|
$46,180.95
|
$46,180.95
|
2025-08-07
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
10
|
5
|
—
|
—
|
$25,241.59
|
$46,027.61
|
$29,903.63
|
2025-08-07
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
5
|
—
|
—
|
$22,001.33
|
$45,683.28
|
$27,177.75
|
2025-08-07
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$20,829.07
|
$45,543.39
|
$26,188.51
|
2025-08-07
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
10
|
5
|
—
|
—
|
$17,113.19
|
$45,165.88
|
$23,065.99
|
2025-08-07
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
10
|
5
|
—
|
—
|
$13,234.44
|
$44,899.56
|
$19,832.15
|
2025-08-07
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
5
|
—
|
—
|
$29,802.67
|
$44,864.59
|
$33,411.11
|
2025-08-07
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$24,474.26
|
$44,846.66
|
$29,038.22
|
2025-08-07
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
10
|
5
|
—
|
—
|
$24,743.16
|
$44,685.25
|
$29,226.44
|
2025-08-07
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
10
|
5
|
—
|
—
|
$30,278.28
|
$43,819.94
|
$33,592.18
|
2025-08-07
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
10
|
5
|
—
|
—
|
$32,580.29
|
$43,555.41
|
$35,426.92
|
2025-08-07
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
10
|
5
|
—
|
—
|
$21,641.60
|
$43,482.78
|
$26,442.67
|
2025-08-07
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
5
|
—
|
—
|
$30,921.23
|
$42,821.91
|
$33,919.79
|
2025-08-07
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,286.34
|
$42,636.29
|
$23,522.06
|
2025-08-07
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
5
|
—
|
—
|
$22,668.44
|
$42,628.22
|
$27,113.76
|
2025-08-07
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$22,568.67
|
$42,187.04
|
$26,943.72
|
2025-08-07
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
5
|
—
|
—
|
$27,693.94
|
$41,961.08
|
$31,101.25
|
2025-08-07
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
10
|
5
|
—
|
—
|
$18,792.38
|
$41,713.59
|
$23,752.47
|
2025-08-07
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
10
|
5
|
—
|
—
|
$17,092.61
|
$41,330.70
|
$22,282.08
|
2025-08-07
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
5
|
—
|
—
|
$20,123.03
|
$41,313.66
|
$24,763.62
|
2025-08-07
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
5
|
—
|
—
|
$23,263.52
|
$41,181.84
|
$27,312.46
|
2025-08-07
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
5
|
—
|
—
|
$21,576.27
|
$41,175.57
|
$25,927.65
|
2025-08-07
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
2
|
1
|
—
|
—
|
$40,577.06
|
$40,577.06
|
$40,577.06
|
2025-08-07
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$21,874.26
|
$40,455.52
|
$26,028.00
|
2025-08-07
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
10
|
5
|
—
|
—
|
$24,629.07
|
$40,214.30
|
$28,238.70
|
2025-08-07
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
5
|
—
|
—
|
$26,780.74
|
$40,103.11
|
$29,980.83
|
2025-08-07
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
10
|
5
|
—
|
—
|
$28,917.65
|
$39,728.29
|
$31,658.13
|
2025-08-07
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
10
|
5
|
—
|
—
|
$29,145.39
|
$39,390.24
|
$31,777.27
|
2025-08-07
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
5
|
—
|
—
|
$23,280.52
|
$38,719.51
|
$26,833.93
|
2025-08-07
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$11,952.12
|
$38,250.53
|
$17,450.85
|
2025-08-07
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
10
|
5
|
—
|
—
|
$26,732.87
|
$38,194.04
|
$29,559.76
|
2025-08-07
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
10
|
5
|
—
|
—
|
$25,243.83
|
$37,923.24
|
$28,284.59
|
2025-08-07
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
10
|
5
|
—
|
—
|
$14,022.81
|
$37,577.11
|
$19,014.13
|
2025-08-07
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
5
|
—
|
—
|
$14,171.36
|
$37,568.14
|
$19,134.14
|
2025-08-07
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
10
|
5
|
—
|
—
|
$17,621.02
|
$37,309.00
|
$21,911.04
|
2025-08-07
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
10
|
5
|
—
|
—
|
$28,948.97
|
$36,873.20
|
$31,112.80
|
2025-08-07
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
5
|
—
|
—
|
$17,807.59
|
$36,852.58
|
$21,972.74
|
2025-08-07
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
10
|
5
|
—
|
—
|
$20,427.73
|
$36,797.88
|
$24,110.32
|
2025-08-07
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
2
|
1
|
—
|
—
|
$36,616.74
|
$36,616.74
|
$36,616.74
|
2025-08-07
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$16,302.00
|
$36,472.38
|
$20,662.12
|
2025-08-07
|
|
454
|
MS_DRG
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$34,436.22
|
$36,158.03
|
$35,297.12
|
2025-08-07
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
5
|
—
|
—
|
$12,745.41
|
$35,721.84
|
$17,595.60
|
2025-08-07
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
10
|
5
|
—
|
—
|
$24,163.30
|
$35,696.73
|
$26,953.25
|
2025-08-07
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,355.25
|
$35,381.09
|
$17,207.52
|
2025-08-07
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
10
|
5
|
—
|
—
|
$25,100.65
|
$35,308.46
|
$27,644.22
|
2025-08-07
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
10
|
5
|
—
|
—
|
$24,932.42
|
$35,236.72
|
$27,491.93
|
2025-08-07
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
2
|
1
|
—
|
—
|
$35,080.70
|
$35,080.70
|
$35,080.70
|
2025-08-07
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
10
|
5
|
—
|
—
|
$32,263.96
|
$35,063.66
|
$33,469.18
|
2025-08-07
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
10
|
5
|
—
|
—
|
$26,068.44
|
$34,869.97
|
$28,350.11
|
2025-08-07
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
5
|
—
|
—
|
$10,634.44
|
$34,657.46
|
$15,651.73
|
2025-08-07
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
10
|
5
|
—
|
—
|
$21,757.03
|
$34,622.48
|
$24,765.26
|
2025-08-07
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$13,858.60
|
$34,525.64
|
$18,269.18
|
2025-08-07
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$20,195.51
|
$34,275.46
|
$23,415.41
|
2025-08-07
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
5
|
—
|
—
|
$21,598.64
|
$34,089.84
|
$24,528.85
|
2025-08-07
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,160.17
|
$33,824.42
|
$22,476.22
|
2025-08-07
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
10
|
5
|
—
|
—
|
$12,951.22
|
$33,554.51
|
$17,330.90
|
2025-08-07
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
4
|
2
|
—
|
—
|
$25,465.34
|
$33,473.40
|
$29,469.37
|
2025-08-07
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
10
|
5
|
—
|
—
|
$18,750.32
|
$32,717.89
|
$21,918.84
|
2025-08-07
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
10
|
5
|
—
|
—
|
$12,547.64
|
$32,491.03
|
$16,787.27
|
2025-08-07
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
4
|
2
|
—
|
—
|
$30,075.36
|
$32,178.18
|
$31,126.77
|
2025-08-07
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
10
|
5
|
—
|
—
|
$15,559.27
|
$32,144.90
|
$19,187.58
|
2025-08-07
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
10
|
5
|
—
|
—
|
$24,300.66
|
$32,143.11
|
$26,355.16
|
2025-08-07
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
10
|
5
|
—
|
—
|
$24,399.98
|
$32,137.73
|
$26,435.53
|
2025-08-07
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$17,401.36
|
$32,003.60
|
$28,473.56
|
2025-08-07
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
10
|
5
|
—
|
—
|
$23,614.30
|
$31,987.08
|
$25,761.14
|
2025-08-07
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
10
|
5
|
—
|
—
|
$18,063.52
|
$31,843.61
|
$21,180.81
|
2025-08-07
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
10
|
5
|
—
|
—
|
$11,350.78
|
$31,657.10
|
$15,639.06
|
2025-08-07
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,711.84
|
$31,649.03
|
$21,673.51
|
2025-08-07
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
10
|
5
|
—
|
—
|
$23,928.84
|
$31,569.22
|
$25,935.49
|
2025-08-07
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
10
|
5
|
—
|
—
|
$23,554.79
|
$31,418.57
|
$25,598.64
|
2025-08-07
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
5
|
—
|
—
|
$14,180.75
|
$31,408.71
|
$17,909.96
|
2025-08-07
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
5
|
—
|
—
|
$24,035.33
|
$31,396.16
|
$25,988.20
|
2025-08-07
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
10
|
5
|
—
|
—
|
$11,926.17
|
$31,340.56
|
$16,047.57
|
2025-08-07
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
10
|
5
|
—
|
—
|
$15,473.82
|
$31,137.91
|
$18,916.11
|
2025-08-07
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
10
|
5
|
—
|
—
|
$23,596.85
|
$31,103.83
|
$25,570.18
|
2025-08-07
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
10
|
5
|
—
|
—
|
$22,756.58
|
$31,069.76
|
$24,874.35
|
2025-08-07
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
10
|
5
|
—
|
—
|
$22,276.05
|
$30,885.93
|
$24,443.55
|
2025-08-07
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
10
|
5
|
—
|
—
|
$15,834.44
|
$30,837.51
|
$19,151.74
|
2025-08-07
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
10
|
5
|
—
|
—
|
$19,947.19
|
$30,789.09
|
$22,514.51
|
2025-08-07
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
10
|
5
|
—
|
—
|
$15,047.86
|
$30,760.40
|
$18,491.32
|
2025-08-07
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
10
|
5
|
—
|
—
|
$19,902.00
|
$30,713.77
|
$22,462.39
|
2025-08-07
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
10
|
5
|
—
|
—
|
$17,308.71
|
$30,543.40
|
$20,301.82
|
2025-08-07
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
10
|
5
|
—
|
—
|
$22,304.24
|
$30,416.06
|
$24,372.69
|
2025-08-07
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
10
|
5
|
—
|
—
|
$15,324.37
|
$30,099.53
|
$18,585.89
|
2025-08-07
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,081.42
|
$29,778.51
|
$15,862.47
|
2025-08-07
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
4
|
2
|
—
|
—
|
$22,604.38
|
$29,712.75
|
$26,158.56
|
2025-08-07
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$11,673.82
|
$29,608.14
|
$15,494.16
|
2025-08-07
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
10
|
5
|
—
|
—
|
$15,191.49
|
$29,310.43
|
$18,319.11
|
2025-08-07
|
|
455
|
MS_DRG
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$27,842.04
|
$29,234.14
|
$28,538.09
|
2025-08-07
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
10
|
5
|
—
|
—
|
$11,746.30
|
$29,227.04
|
$15,477.38
|
2025-08-07
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
10
|
5
|
—
|
—
|
$20,964.64
|
$29,214.49
|
$23,033.90
|
2025-08-07
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
10
|
5
|
—
|
—
|
$22,009.83
|
$28,867.46
|
$23,821.55
|
2025-08-07
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
2
|
1
|
—
|
—
|
$28,766.55
|
$28,766.55
|
$28,766.55
|
2025-08-07
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
5
|
—
|
—
|
$15,537.80
|
$28,733.85
|
$18,487.77
|
2025-08-07
|
|
E0194
|
HCPCS
|
Air Fluidized Bed
|
12
|
2
|
—
|
—
|
$2,795.01
|
$28,675.60
|
$14,431.66
|
2025-08-07
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
10
|
5
|
—
|
—
|
$19,835.33
|
$28,650.46
|
$21,995.06
|
2025-08-07
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
10
|
5
|
—
|
—
|
$18,488.58
|
$28,595.76
|
$20,879.79
|
2025-08-07
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
10
|
5
|
—
|
—
|
$14,813.86
|
$28,518.65
|
$17,851.09
|
2025-08-07
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
10
|
5
|
—
|
—
|
$21,483.21
|
$28,461.26
|
$23,308.48
|
2025-08-07
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,218.34
|
$28,413.73
|
$15,701.79
|
2025-08-07
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$19,040.70
|
$27,986.01
|
$21,210.58
|
2025-08-07
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,350.32
|
$27,973.45
|
$21,461.95
|
2025-08-07
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$22,296.63
|
$27,854.19
|
$23,854.07
|
2025-08-07
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$16,850.55
|
$27,729.55
|
$19,363.36
|
2025-08-07
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
2
|
1
|
—
|
—
|
$27,672.16
|
$27,672.16
|
$27,672.16
|
2025-08-07
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
10
|
5
|
—
|
—
|
$11,018.78
|
$27,652.43
|
$14,565.89
|
2025-08-07
|
|
652
|
MS_DRG
|
Kidney Transplant
|
10
|
5
|
—
|
—
|
$13,442.50
|
$27,541.24
|
$16,531.10
|
2025-08-07
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
10
|
5
|
—
|
—
|
$20,546.30
|
$27,516.14
|
$22,351.20
|
2025-08-07
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
10
|
5
|
—
|
—
|
$17,444.28
|
$27,426.47
|
$19,789.60
|
2025-08-07
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
10
|
5
|
—
|
—
|
$22,658.71
|
$26,988.98
|
$25,608.85
|
2025-08-07
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
10
|
5
|
—
|
—
|
$17,425.94
|
$26,777.26
|
$19,644.72
|
2025-08-07
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
5
|
—
|
—
|
$14,751.67
|
$26,440.10
|
$17,384.39
|
2025-08-07
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
10
|
5
|
—
|
—
|
$11,898.87
|
$26,371.95
|
$15,031.46
|
2025-08-07
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
10
|
5
|
—
|
—
|
$14,951.67
|
$26,300.21
|
$17,520.41
|
2025-08-07
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
4
|
2
|
—
|
—
|
$24,978.93
|
$26,168.41
|
$25,573.67
|
2025-08-07
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,829.07
|
$26,150.46
|
$20,669.93
|
2025-08-07
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
10
|
5
|
—
|
—
|
$20,007.15
|
$26,136.11
|
$21,633.09
|
2025-08-07
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
10
|
5
|
—
|
—
|
$12,087.24
|
$26,128.04
|
$15,137.14
|
2025-08-07
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
10
|
5
|
—
|
—
|
$18,543.16
|
$25,979.19
|
$20,401.23
|
2025-08-07
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,863.07
|
$25,709.29
|
$20,609.57
|
2025-08-07
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
10
|
5
|
—
|
—
|
$18,801.78
|
$25,679.69
|
$20,553.40
|
2025-08-07
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
10
|
5
|
—
|
—
|
$17,075.16
|
$25,664.45
|
$19,134.52
|
2025-08-07
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,178.51
|
$25,628.58
|
$20,032.10
|
2025-08-07
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
10
|
5
|
—
|
—
|
$19,334.66
|
$25,527.26
|
$20,959.87
|
2025-08-07
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
10
|
5
|
—
|
—
|
$21,252.78
|
$25,305.77
|
$22,488.43
|
2025-08-07
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
10
|
5
|
—
|
—
|
$16,979.41
|
$25,182.92
|
$18,959.70
|
2025-08-07
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
10
|
5
|
—
|
—
|
$17,490.37
|
$25,156.92
|
$19,373.49
|
2025-08-07
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
10
|
5
|
—
|
—
|
$20,314.53
|
$24,537.30
|
$21,565.38
|
2025-08-07
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
10
|
5
|
—
|
—
|
$16,904.24
|
$24,493.36
|
$18,760.15
|
2025-08-07
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
10
|
5
|
—
|
—
|
$17,389.25
|
$24,448.53
|
$19,148.89
|
2025-08-07
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
10
|
5
|
—
|
—
|
$18,655.02
|
$24,360.65
|
$20,169.25
|
2025-08-07
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
5
|
—
|
—
|
$15,109.61
|
$24,241.39
|
$17,238.16
|
2025-08-07
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,311.40
|
$24,161.58
|
$19,847.66
|
2025-08-07
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
10
|
5
|
—
|
—
|
$10,914.09
|
$24,065.63
|
$13,762.68
|
2025-08-07
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
10
|
5
|
—
|
—
|
$18,877.39
|
$24,050.39
|
$20,289.54
|
2025-08-07
|
|
849
|
MS_DRG
|
Radiotherapy
|
10
|
5
|
—
|
—
|
$17,378.96
|
$23,951.75
|
$19,041.10
|
2025-08-07
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
10
|
5
|
—
|
—
|
$17,700.21
|
$23,877.33
|
$19,289.64
|
2025-08-07
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$18,572.25
|
$23,792.14
|
$19,987.67
|
2025-08-07
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
10
|
5
|
—
|
—
|
$17,361.06
|
$23,762.55
|
$18,988.58
|
2025-08-07
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
10
|
5
|
—
|
—
|
$17,920.35
|
$23,732.06
|
$19,441.10
|
2025-08-07
|
|
N90
|
OTHER
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$22,579.40
|
$23,708.37
|
$23,143.88
|
2025-08-07
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
10
|
5
|
—
|
—
|
$16,920.79
|
$23,707.85
|
$18,616.62
|
2025-08-07
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
10
|
5
|
—
|
—
|
$14,157.04
|
$23,523.13
|
$16,313.40
|
2025-08-07
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
10
|
5
|
—
|
—
|
$12,348.09
|
$23,173.42
|
$14,760.12
|
2025-08-07
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
10
|
5
|
—
|
—
|
$13,005.81
|
$22,892.75
|
$15,243.31
|
2025-08-07
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
10
|
5
|
—
|
—
|
$12,673.37
|
$22,849.71
|
$14,962.11
|
2025-08-07
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
10
|
5
|
—
|
—
|
$14,451.44
|
$22,569.94
|
$16,364.17
|
2025-08-07
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
10
|
5
|
—
|
—
|
$14,548.98
|
$22,454.26
|
$16,421.02
|
2025-08-07
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
10
|
5
|
—
|
—
|
$16,113.19
|
$22,437.23
|
$17,700.26
|
2025-08-07
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
10
|
5
|
—
|
—
|
$15,413.86
|
$22,218.43
|
$17,083.05
|
2025-08-07
|
|
460
|
MS_DRG
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$21,153.45
|
$22,211.12
|
$21,682.28
|
2025-08-07
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
10
|
5
|
—
|
—
|
$12,408.94
|
$22,128.76
|
$14,601.08
|
2025-08-07
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
10
|
5
|
—
|
—
|
$12,791.94
|
$21,772.77
|
$14,843.95
|
2025-08-07
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
10
|
5
|
—
|
—
|
$15,497.08
|
$21,688.48
|
$17,045.30
|
2025-08-07
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$17,720.79
|
$21,620.33
|
$18,855.11
|
2025-08-07
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
2
|
1
|
—
|
—
|
$21,497.28
|
$21,497.28
|
$21,497.28
|
2025-08-07
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
10
|
5
|
—
|
—
|
$12,097.08
|
$21,495.69
|
$14,218.74
|
2025-08-07
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
10
|
5
|
—
|
—
|
$12,459.50
|
$21,310.08
|
$14,478.81
|
2025-08-07
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
10
|
5
|
—
|
—
|
$16,757.04
|
$21,228.48
|
$17,986.47
|
2025-08-07
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$17,032.65
|
$21,223.10
|
$18,211.39
|
2025-08-07
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
10
|
5
|
—
|
—
|
$14,946.75
|
$21,195.30
|
$16,495.40
|
2025-08-07
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
5
|
—
|
—
|
$16,246.07
|
$21,161.22
|
$17,554.02
|
2025-08-07
|
|
N89
|
OTHER
|
Inpatient Ms-DRG
|
8
|
4
|
—
|
—
|
$20,099.32
|
$21,104.29
|
$20,601.81
|
2025-08-07
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$14,373.59
|
$20,756.81
|
$15,937.71
|
2025-08-07
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
10
|
5
|
—
|
—
|
$15,721.24
|
$20,737.08
|
$17,038.83
|
2025-08-07
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
2
|
1
|
—
|
—
|
$20,624.27
|
$20,624.27
|
$20,624.27
|
2025-08-07
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
10
|
5
|
—
|
—
|
$13,727.06
|
$20,571.19
|
$15,370.43
|
2025-08-07
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
10
|
5
|
—
|
—
|
$14,243.39
|
$20,474.35
|
$15,774.45
|
2025-08-07
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$19,100.66
|
$20,435.79
|
$19,749.70
|
2025-08-07
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
10
|
5
|
—
|
—
|
$12,778.96
|
$20,398.13
|
$14,558.37
|
2025-08-07
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
10
|
5
|
—
|
—
|
$14,254.58
|
$20,250.18
|
$15,738.79
|
2025-08-07
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$16,753.46
|
$20,234.93
|
$17,784.82
|
2025-08-07
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
10
|
5
|
—
|
—
|
$12,664.87
|
$20,200.86
|
$14,425.36
|
2025-08-07
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$14,504.69
|
$20,149.75
|
$15,923.79
|
2025-08-07
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
4
|
2
|
—
|
—
|
$15,256.96
|
$20,054.80
|
$17,655.88
|
2025-08-07
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
10
|
5
|
—
|
—
|
$14,914.08
|
$20,017.93
|
$16,233.13
|
2025-08-07
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
4
|
2
|
—
|
—
|
$15,184.93
|
$19,960.11
|
$17,572.52
|
2025-08-07
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
10
|
5
|
—
|
—
|
$12,889.48
|
$19,310.43
|
$14,431.46
|
2025-08-07
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
10
|
5
|
—
|
—
|
$16,133.77
|
$19,265.60
|
$17,082.81
|
2025-08-07
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
10
|
5
|
—
|
—
|
$13,189.25
|
$19,152.62
|
$14,645.71
|
2025-08-07
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
10
|
5
|
—
|
—
|
$12,078.29
|
$19,151.72
|
$13,734.54
|
2025-08-07
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
10
|
5
|
—
|
—
|
$13,341.38
|
$19,114.06
|
$14,762.74
|
2025-08-07
|
|
708
|
MS_DRG
|
Major Male Pelvic Procedures Without Cc/mcc
|
10
|
5
|
—
|
—
|
$13,293.58
|
$19,110.46
|
$17,583.08
|
2025-08-07
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
10
|
5
|
—
|
—
|
$13,894.40
|
$19,057.57
|
$15,204.92
|
2025-08-07
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
10
|
5
|
—
|
—
|
$14,532.88
|
$18,966.10
|
$15,710.18
|
2025-08-07
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
10
|
5
|
—
|
—
|
$14,523.03
|
$18,855.81
|
$15,680.05
|
2025-08-07
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
5
|
—
|
—
|
$13,077.84
|
$18,799.32
|
$14,483.69
|
2025-08-07
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
2
|
1
|
—
|
—
|
$18,776.62
|
$18,776.62
|
$18,776.62
|
2025-08-07
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
10
|
5
|
—
|
—
|
$14,083.66
|
$18,627.15
|
$15,274.03
|
2025-08-07
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$13,087.24
|
$18,359.04
|
$14,403.34
|
2025-08-07
|
|
A9604
|
HCPCS
|
Sm 153 Lexidronam
|
4
|
2
|
—
|
—
|
$17,438.97
|
$18,269.39
|
$17,854.18
|
2025-08-07
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
10
|
5
|
—
|
—
|
$16,507.37
|
$18,064.92
|
$17,149.03
|
2025-08-07
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
10
|
5
|
—
|
—
|
$12,992.83
|
$18,046.09
|
$14,263.34
|
2025-08-07
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
10
|
5
|
—
|
—
|
$12,626.39
|
$18,038.91
|
$13,961.42
|
2025-08-07
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
10
|
5
|
—
|
—
|
$13,211.62
|
$17,904.41
|
$14,414.41
|
2025-08-07
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
10
|
5
|
—
|
—
|
$14,757.93
|
$17,824.60
|
$15,666.42
|
2025-08-07
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
10
|
5
|
—
|
—
|
$13,104.69
|
$17,682.03
|
$14,282.25
|
2025-08-07
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
10
|
5
|
—
|
—
|
$14,075.61
|
$17,623.74
|
$15,066.75
|
2025-08-07
|
|
C2616
|
HCPCS
|
Brachytx, Non-str,yttrium-90
|
2
|
1
|
—
|
—
|
$17,404.10
|
$17,404.10
|
$17,404.10
|
2025-08-07
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
10
|
5
|
—
|
—
|
$14,243.39
|
$17,379.84
|
$15,155.55
|
2025-08-07
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
10
|
5
|
—
|
—
|
$15,301.29
|
$17,285.29
|
$16,559.25
|
2025-08-07
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
10
|
5
|
—
|
—
|
$12,574.04
|
$17,015.78
|
$13,713.87
|
2025-08-07
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
10
|
5
|
—
|
—
|
$13,238.92
|
$16,907.28
|
$14,237.37
|
2025-08-07
|
|
C1816
|
HCPCS
|
Receiver/transmitter, Neuro
|
2
|
1
|
—
|
—
|
$16,841.22
|
$16,841.22
|
$16,841.22
|
2025-08-07
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
10
|
5
|
—
|
—
|
$14,209.39
|
$16,724.35
|
$14,996.57
|
2025-08-07
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
10
|
5
|
—
|
—
|
$15,101.56
|
$16,645.44
|
$15,712.37
|
2025-08-07
|
|
L8614
|
HCPCS
|
Cochlear Device
|
4
|
2
|
—
|
—
|
$12,624.25
|
$16,594.18
|
$14,609.22
|
2025-08-07
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
10
|
5
|
—
|
—
|
$14,437.13
|
$16,392.57
|
$15,116.96
|
2025-08-07
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
10
|
5
|
—
|
—
|
$14,316.32
|
$16,223.10
|
$14,984.00
|
2025-08-07
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad, Rep
|
4
|
2
|
—
|
—
|
$13,405.81
|
$15,663.56
|
$14,534.68
|
2025-08-07
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
10
|
5
|
—
|
—
|
$13,427.19
|
$15,052.34
|
$14,440.60
|
2025-08-07
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
10
|
5
|
—
|
—
|
$13,819.68
|
$14,510.66
|
$14,196.20
|
2025-08-07
|
|
945
|
MS_DRG
|
Rehabilitation With Cc/mcc
|
2
|
1
|
—
|
—
|
$13,688.13
|
$13,688.13
|
$13,688.13
|
2025-08-07
|