|
Q2058
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$278,250.00
|
$278,250.00
|
$278,250.00
|
2026-11-04
|
|
Q2057
|
HCPCS
|
Pharmacy
|
12
|
7
|
—
|
—
|
$770,620.00
|
$1,770,037.08
|
$1,004,888.48
|
2026-11-04
|
|
Q2056
|
HCPCS
|
Pharmacy
|
15
|
10
|
—
|
—
|
$565,868.95
|
$1,349,772.30
|
$793,326.92
|
2026-11-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
15
|
10
|
—
|
—
|
$557,317.93
|
$1,289,082.32
|
$753,410.33
|
2026-11-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
15
|
10
|
—
|
—
|
$557,485.91
|
$1,291,320.03
|
$758,971.68
|
2026-11-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
15
|
10
|
—
|
—
|
$489,304.61
|
$1,190,845.68
|
$667,120.63
|
2026-11-04
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
19
|
13
|
—
|
—
|
$54,404.11
|
$135,509.06
|
$73,445.55
|
2026-11-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
10
|
—
|
—
|
$566,531.30
|
$1,380,122.16
|
$772,182.17
|
2026-11-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
15
|
10
|
—
|
—
|
$528,376.24
|
$1,222,392.36
|
$718,459.53
|
2026-11-04
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
2
|
1
|
—
|
—
|
$132,128.29
|
$132,128.29
|
$132,128.29
|
2026-11-04
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
2
|
1
|
—
|
—
|
$82,562.05
|
$82,562.05
|
$82,562.05
|
2026-11-04
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
2
|
1
|
—
|
—
|
$41,964.16
|
$41,964.16
|
$41,964.16
|
2026-11-04
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
2
|
1
|
—
|
—
|
$58,766.81
|
$58,766.81
|
$58,766.81
|
2026-11-04
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
2
|
1
|
—
|
—
|
$53,323.46
|
$53,323.46
|
$53,323.46
|
2026-11-04
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
1
|
—
|
—
|
$114,097.24
|
$114,097.24
|
$114,097.24
|
2026-11-04
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
19
|
13
|
—
|
—
|
$41,173.43
|
$110,438.78
|
$58,300.21
|
2026-11-04
|
|
J9183
|
HCPCS
|
Pharmacy
|
3
|
2
|
—
|
—
|
$73,088.26
|
$113,469.52
|
$87,705.91
|
2026-11-04
|
|
J9029
|
HCPCS
|
Pharmacy
|
18
|
12
|
—
|
—
|
$63,342.28
|
$154,700.98
|
$87,188.76
|
2026-11-04
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
7
|
4
|
—
|
—
|
$69,772.00
|
$149,367.18
|
$83,726.25
|
2026-11-04
|
|
J3405
|
HCPCS
|
Dme
|
2
|
1
|
—
|
—
|
$2,664,228.59
|
$2,664,228.59
|
$2,664,228.59
|
2026-11-04
|
|
J3404
|
HCPCS
|
Pharmacy
|
2
|
1
|
—
|
—
|
$115,000.00
|
$138,000.00
|
$126,500.00
|
2026-11-04
|
|
J3403
|
HCPCS
|
Pharmacy
|
8
|
6
|
—
|
—
|
$250,000.00
|
$608,678.50
|
$345,560.00
|
2026-11-04
|
|
J3402
|
HCPCS
|
Pharmacy
|
12
|
7
|
—
|
—
|
$201,669.02
|
$463,213.57
|
$262,976.41
|
2026-11-04
|
|
J3394
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$3,252,508.08
|
$3,252,508.08
|
$3,252,508.08
|
2026-11-04
|
|
J3393
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$2,939,968.89
|
$2,939,968.89
|
$2,939,968.89
|
2026-11-04
|
|
J3392
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$2,332,000.00
|
$2,332,000.00
|
$2,332,000.00
|
2026-11-04
|
|
J3391
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$4,505,000.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-11-04
|
|
J3389
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$3,335,820.00
|
$3,335,820.00
|
$3,335,820.00
|
2026-11-04
|
|
J3387
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$3,180,000.00
|
$3,180,000.00
|
$3,180,000.00
|
2026-11-04
|
|
J2789
|
HCPCS
|
Dme
|
2
|
1
|
—
|
—
|
$40,427.50
|
$40,427.50
|
$40,427.50
|
2026-11-04
|
|
J1413
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$3,327,859.73
|
$3,327,859.73
|
$3,327,859.73
|
2026-11-04
|
|
J1411
|
HCPCS
|
Pharmacy
|
3
|
1
|
—
|
—
|
$3,685,266.67
|
$3,685,266.67
|
$3,685,266.67
|
2026-11-04
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
4
|
2
|
—
|
—
|
$46,695.13
|
$61,932.02
|
$46,695.13
|
2026-11-04
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
6
|
3
|
—
|
—
|
$56,824.55
|
$107,375.31
|
$62,315.63
|
2026-11-04
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
25
|
16
|
—
|
—
|
$51,556.28
|
$78,064.67
|
$65,372.73
|
2026-11-04
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
25
|
16
|
—
|
—
|
$36,970.92
|
$55,980.05
|
$46,878.68
|
2026-11-04
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
25
|
16
|
—
|
—
|
$70,555.29
|
$106,832.29
|
$89,463.24
|
2026-11-04
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
25
|
16
|
—
|
—
|
$34,510.71
|
$52,254.87
|
$43,759.15
|
2026-11-04
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
25
|
16
|
—
|
—
|
$43,399.67
|
$65,714.22
|
$55,030.25
|
2026-11-04
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
25
|
16
|
—
|
—
|
$39,661.22
|
$60,053.60
|
$50,289.94
|
2026-11-04
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
25
|
16
|
—
|
—
|
$54,314.25
|
$82,240.69
|
$68,869.80
|
2026-11-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$92,052.11
|
$139,382.00
|
$116,720.95
|
2026-11-04
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
25
|
16
|
—
|
—
|
$41,110.88
|
$62,248.63
|
$52,128.10
|
2026-11-04
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
25
|
16
|
—
|
—
|
$38,786.01
|
$58,728.38
|
$49,180.19
|
2026-11-04
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
25
|
16
|
—
|
—
|
$44,273.38
|
$67,037.16
|
$56,138.10
|
2026-11-04
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
25
|
16
|
—
|
—
|
$63,368.63
|
$95,950.50
|
$80,350.65
|
2026-11-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
25
|
16
|
—
|
—
|
$114,588.06
|
$173,505.12
|
$145,296.25
|
2026-11-04
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
25
|
16
|
—
|
—
|
$56,587.99
|
$85,683.51
|
$71,752.88
|
2026-11-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
25
|
16
|
—
|
—
|
$101,222.28
|
$153,267.15
|
$128,348.61
|
2026-11-04
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
25
|
16
|
—
|
—
|
$38,786.01
|
$58,728.38
|
$49,180.19
|
2026-11-04
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
25
|
16
|
—
|
—
|
$35,142.30
|
$53,211.21
|
$44,560.01
|
2026-11-04
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
25
|
16
|
—
|
—
|
$52,924.74
|
$80,136.74
|
$67,107.92
|
2026-11-04
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
25
|
16
|
—
|
—
|
$54,565.38
|
$82,620.95
|
$69,188.24
|
2026-11-04
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
25
|
16
|
—
|
—
|
$33,243.00
|
$50,335.36
|
$42,151.72
|
2026-11-04
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
25
|
16
|
—
|
—
|
$58,560.98
|
$88,670.93
|
$74,254.61
|
2026-11-04
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
25
|
16
|
—
|
—
|
$48,434.39
|
$73,337.62
|
$61,414.21
|
2026-11-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
25
|
16
|
—
|
—
|
$107,863.06
|
$163,322.38
|
$136,769.04
|
2026-11-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
25
|
16
|
—
|
—
|
$321,068.82
|
$486,150.89
|
$407,111.33
|
2026-11-04
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
25
|
16
|
—
|
—
|
$57,735.39
|
$87,420.86
|
$73,207.77
|
2026-11-04
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
25
|
16
|
—
|
—
|
$55,236.08
|
$83,636.49
|
$70,038.67
|
2026-11-04
|
|
90288
|
CPT
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$91,450.01
|
$91,450.01
|
$91,450.01
|
2026-11-04
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
27
|
16
|
—
|
—
|
$709.00
|
$95,556.58
|
$80,020.77
|
2026-11-04
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
25
|
16
|
—
|
—
|
$58,120.37
|
$88,003.77
|
$73,695.91
|
2026-11-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
25
|
16
|
—
|
—
|
$103,939.65
|
$157,381.69
|
$131,794.20
|
2026-11-04
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
25
|
16
|
—
|
—
|
$32,203.88
|
$48,761.96
|
$40,834.12
|
2026-11-04
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$68,403.35
|
$103,573.90
|
$86,734.61
|
2026-11-04
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$74,266.67
|
$112,451.92
|
$94,169.22
|
2026-11-04
|
|
850
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$130,221.56
|
$197,176.82
|
$165,119.35
|
2026-11-04
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
25
|
16
|
—
|
—
|
$34,164.83
|
$51,731.16
|
$43,320.59
|
2026-11-04
|
|
849
|
MS_DRG
|
Radiotherapy
|
25
|
16
|
—
|
—
|
$40,745.46
|
$61,695.32
|
$51,664.75
|
2026-11-04
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
25
|
16
|
—
|
—
|
$38,986.02
|
$59,031.23
|
$49,433.79
|
2026-11-04
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
25
|
16
|
—
|
—
|
$48,646.43
|
$73,658.67
|
$61,683.07
|
2026-11-04
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
25
|
16
|
—
|
—
|
$72,247.06
|
$109,393.91
|
$91,608.39
|
2026-11-04
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$82,557.12
|
$125,005.02
|
$104,681.41
|
2026-11-04
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
25
|
16
|
—
|
—
|
$47,520.08
|
$71,953.20
|
$60,254.88
|
2026-11-04
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
25
|
16
|
—
|
—
|
$34,755.83
|
$52,626.02
|
$44,069.96
|
2026-11-04
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
25
|
16
|
—
|
—
|
$70,344.76
|
$106,513.51
|
$89,196.29
|
2026-11-04
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
25
|
16
|
—
|
—
|
$34,070.09
|
$51,587.71
|
$43,200.46
|
2026-11-04
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
25
|
16
|
—
|
—
|
$68,946.22
|
$104,395.90
|
$87,422.97
|
2026-11-04
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
25
|
16
|
—
|
—
|
$33,664.07
|
$50,972.92
|
$42,685.62
|
2026-11-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$88,194.86
|
$133,541.50
|
$111,830.01
|
2026-11-04
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
25
|
16
|
—
|
—
|
$34,370.85
|
$52,043.11
|
$43,581.82
|
2026-11-04
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$34,310.70
|
$51,952.03
|
$43,505.55
|
2026-11-04
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
25
|
16
|
—
|
—
|
$31,981.31
|
$48,424.96
|
$40,551.92
|
2026-11-04
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
25
|
16
|
—
|
—
|
$33,202.40
|
$50,273.88
|
$42,100.24
|
2026-11-04
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
25
|
16
|
—
|
—
|
$59,912.90
|
$90,717.96
|
$75,968.82
|
2026-11-04
|
|
800
|
MS_DRG
|
Splenectomy With Cc
|
25
|
16
|
—
|
—
|
$42,247.76
|
$63,970.04
|
$53,569.64
|
2026-11-04
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
25
|
16
|
—
|
—
|
$84,281.97
|
$127,616.74
|
$106,868.51
|
2026-11-04
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
25
|
16
|
—
|
—
|
$68,105.60
|
$103,123.05
|
$86,357.07
|
2026-11-04
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
25
|
16
|
—
|
—
|
$38,611.57
|
$58,464.25
|
$48,959.00
|
2026-11-04
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
25
|
16
|
—
|
—
|
$53,878.15
|
$81,580.36
|
$68,316.83
|
2026-11-04
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
25
|
16
|
—
|
—
|
$53,753.33
|
$81,391.37
|
$68,158.57
|
2026-11-04
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
25
|
16
|
—
|
—
|
$32,030.94
|
$48,500.10
|
$40,614.84
|
2026-11-04
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
25
|
16
|
—
|
—
|
$33,644.52
|
$50,943.32
|
$42,660.84
|
2026-11-04
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
25
|
16
|
—
|
—
|
$34,994.93
|
$52,988.07
|
$44,373.14
|
2026-11-04
|
|
7
|
MS_DRG
|
Lung Transplant
|
25
|
16
|
—
|
—
|
$194,745.11
|
$294,876.05
|
$246,934.41
|
2026-11-04
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
25
|
16
|
—
|
—
|
$35,167.87
|
$53,249.92
|
$44,592.42
|
2026-11-04
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
25
|
16
|
—
|
—
|
$63,183.66
|
$95,670.43
|
$80,116.11
|
2026-11-04
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
25
|
16
|
—
|
—
|
$43,910.96
|
$66,488.40
|
$55,678.56
|
2026-11-04
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
25
|
16
|
—
|
—
|
$46,936.61
|
$71,069.72
|
$59,515.04
|
2026-11-04
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
25
|
16
|
—
|
—
|
$46,038.84
|
$69,710.36
|
$58,376.68
|
2026-11-04
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
25
|
16
|
—
|
—
|
$38,210.05
|
$57,856.29
|
$48,449.88
|
2026-11-04
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
25
|
16
|
—
|
—
|
$47,877.98
|
$72,495.13
|
$60,708.70
|
2026-11-04
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
25
|
16
|
—
|
—
|
$31,829.43
|
$48,194.98
|
$40,359.33
|
2026-11-04
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
25
|
16
|
—
|
—
|
$42,095.87
|
$63,740.06
|
$53,377.05
|
2026-11-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
25
|
16
|
—
|
—
|
$78,143.46
|
$118,322.03
|
$99,084.96
|
2026-11-04
|
|
652
|
MS_DRG
|
Kidney Transplant
|
25
|
16
|
—
|
—
|
$48,565.22
|
$73,535.72
|
$61,580.11
|
2026-11-04
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
25
|
16
|
—
|
—
|
$55,727.82
|
$84,381.07
|
$70,662.19
|
2026-11-04
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
25
|
16
|
—
|
—
|
$70,699.65
|
$107,050.88
|
$89,646.30
|
2026-11-04
|
|
64654
|
CPT
|
Dme
|
3
|
2
|
—
|
—
|
$22,044.00
|
$44,573.90
|
$44,573.90
|
2026-11-04
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
25
|
16
|
—
|
—
|
$32,764.79
|
$49,611.28
|
$41,545.36
|
2026-11-04
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$56,043.62
|
$84,859.24
|
$71,062.62
|
2026-11-04
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
25
|
16
|
—
|
—
|
$45,416.26
|
$68,767.68
|
$57,587.27
|
2026-11-04
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
25
|
16
|
—
|
—
|
$53,523.25
|
$81,042.98
|
$67,866.83
|
2026-11-04
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
25
|
16
|
—
|
—
|
$43,420.72
|
$65,746.10
|
$54,736.44
|
2026-11-04
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
25
|
16
|
—
|
—
|
$52,443.52
|
$79,408.10
|
$66,497.74
|
2026-11-04
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
25
|
16
|
—
|
—
|
$32,960.29
|
$49,907.29
|
$41,793.24
|
2026-11-04
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
25
|
16
|
—
|
—
|
$41,461.27
|
$62,779.17
|
$52,572.38
|
2026-11-04
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
25
|
16
|
—
|
—
|
$69,731.21
|
$105,584.49
|
$88,418.32
|
2026-11-04
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
25
|
16
|
—
|
—
|
$31,891.09
|
$48,288.34
|
$40,437.51
|
2026-11-04
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
25
|
16
|
—
|
—
|
$32,191.85
|
$48,743.74
|
$40,818.87
|
2026-11-04
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
25
|
16
|
—
|
—
|
$48,700.56
|
$73,740.65
|
$61,751.72
|
2026-11-04
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
25
|
16
|
—
|
—
|
$39,861.23
|
$60,356.44
|
$50,543.55
|
2026-11-04
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
25
|
16
|
—
|
—
|
$73,704.25
|
$111,600.32
|
$93,456.08
|
2026-11-04
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
25
|
16
|
—
|
—
|
$52,202.91
|
$79,043.78
|
$66,192.66
|
2026-11-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
25
|
16
|
—
|
—
|
$98,519.95
|
$149,175.38
|
$124,922.10
|
2026-11-04
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
25
|
16
|
—
|
—
|
$44,228.26
|
$66,968.85
|
$56,080.89
|
2026-11-04
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
25
|
16
|
—
|
—
|
$34,934.78
|
$52,896.99
|
$44,296.87
|
2026-11-04
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
25
|
16
|
—
|
—
|
$37,319.80
|
$56,508.31
|
$47,321.06
|
2026-11-04
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
25
|
16
|
—
|
—
|
$40,673.60
|
$65,354.45
|
$49,370.31
|
2026-11-04
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
25
|
16
|
—
|
—
|
$56,201.52
|
$85,098.32
|
$71,262.84
|
2026-11-04
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$47,924.60
|
$72,565.71
|
$60,767.81
|
2026-11-04
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
25
|
16
|
—
|
—
|
$45,422.28
|
$68,776.79
|
$57,594.89
|
2026-11-04
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
25
|
16
|
—
|
—
|
$41,972.56
|
$63,553.35
|
$53,220.69
|
2026-11-04
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
25
|
16
|
—
|
—
|
$47,592.26
|
$72,062.50
|
$60,346.41
|
2026-11-04
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
25
|
16
|
—
|
—
|
$155,049.30
|
$234,770.09
|
$196,600.61
|
2026-11-04
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
25
|
16
|
—
|
—
|
$45,366.64
|
$68,692.54
|
$57,524.34
|
2026-11-04
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
25
|
16
|
—
|
—
|
$54,523.28
|
$82,557.19
|
$69,134.85
|
2026-11-04
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
25
|
16
|
—
|
—
|
$38,137.87
|
$57,747.00
|
$48,358.35
|
2026-11-04
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
25
|
16
|
—
|
—
|
$55,213.52
|
$83,602.33
|
$70,010.07
|
2026-11-04
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
25
|
16
|
—
|
—
|
$48,529.13
|
$73,481.07
|
$61,534.34
|
2026-11-04
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
25
|
16
|
—
|
—
|
$39,280.59
|
$63,116.16
|
$51,756.92
|
2026-11-04
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
25
|
16
|
—
|
—
|
$43,795.17
|
$66,313.07
|
$55,531.74
|
2026-11-04
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
25
|
16
|
—
|
—
|
$36,981.45
|
$55,995.98
|
$46,892.03
|
2026-11-04
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
25
|
16
|
—
|
—
|
$51,950.27
|
$78,661.24
|
$65,872.31
|
2026-11-04
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
25
|
16
|
—
|
—
|
$34,221.98
|
$51,817.69
|
$43,393.05
|
2026-11-04
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
25
|
16
|
—
|
—
|
$64,556.63
|
$97,749.33
|
$81,857.02
|
2026-11-04
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
25
|
16
|
—
|
—
|
$36,712.27
|
$55,588.40
|
$46,550.71
|
2026-11-04
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
25
|
16
|
—
|
—
|
$44,303.45
|
$67,082.70
|
$56,176.23
|
2026-11-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
25
|
16
|
—
|
—
|
$72,613.99
|
$109,949.50
|
$92,073.65
|
2026-11-04
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
25
|
16
|
—
|
—
|
$42,983.48
|
$69,065.96
|
$52,174.07
|
2026-11-04
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
25
|
16
|
—
|
—
|
$38,941.91
|
$62,571.96
|
$47,268.35
|
2026-11-04
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
25
|
16
|
—
|
—
|
$49,975.45
|
$80,300.68
|
$60,661.05
|
2026-11-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
25
|
16
|
—
|
—
|
$73,765.72
|
$118,526.96
|
$89,538.09
|
2026-11-04
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
16
|
—
|
—
|
$46,838.86
|
$70,921.72
|
$59,391.10
|
2026-11-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
16
|
—
|
—
|
$85,709.08
|
$129,777.62
|
$108,678.07
|
2026-11-04
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
25
|
16
|
—
|
—
|
$37,694.86
|
$60,568.20
|
$45,754.66
|
2026-11-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
25
|
16
|
—
|
—
|
$78,266.43
|
$125,758.71
|
$95,001.12
|
2026-11-04
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
16
|
—
|
—
|
$62,747.56
|
$95,010.10
|
$79,563.14
|
2026-11-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
16
|
—
|
—
|
$89,673.10
|
$135,779.79
|
$113,704.39
|
2026-11-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
16
|
—
|
—
|
$126,370.33
|
$191,345.42
|
$160,236.03
|
2026-11-04
|
|
451
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$48,578.76
|
$73,556.21
|
$61,597.27
|
2026-11-04
|
|
450
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$80,146.52
|
$121,354.99
|
$101,624.81
|
2026-11-04
|
|
448
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$63,773.15
|
$96,563.02
|
$80,863.57
|
2026-11-04
|
|
447
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$100,477.90
|
$152,140.03
|
$127,404.75
|
2026-11-04
|
|
430
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$86,725.65
|
$131,316.87
|
$109,967.06
|
2026-11-04
|
|
429
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$135,486.36
|
$205,148.59
|
$171,795.05
|
2026-11-04
|
|
428
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$84,543.64
|
$128,012.94
|
$107,200.30
|
2026-11-04
|
|
427
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$108,553.31
|
$164,367.52
|
$137,644.26
|
2026-11-04
|
|
426
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$165,736.81
|
$250,952.72
|
$210,152.24
|
2026-11-04
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
25
|
16
|
—
|
—
|
$32,901.64
|
$49,818.48
|
$41,718.88
|
2026-11-04
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$62,452.81
|
$94,563.81
|
$79,189.40
|
2026-11-04
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
25
|
16
|
—
|
—
|
$51,235.97
|
$77,579.67
|
$64,966.58
|
2026-11-04
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
25
|
16
|
—
|
—
|
$35,886.68
|
$54,338.33
|
$45,503.88
|
2026-11-04
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
25
|
16
|
—
|
—
|
$53,574.38
|
$81,120.40
|
$67,931.66
|
2026-11-04
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
25
|
16
|
—
|
—
|
$49,675.03
|
$75,216.14
|
$62,987.32
|
2026-11-04
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
25
|
16
|
—
|
—
|
$33,064.05
|
$50,064.40
|
$41,924.81
|
2026-11-04
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
25
|
16
|
—
|
—
|
$32,742.24
|
$49,577.12
|
$41,516.76
|
2026-11-04
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
25
|
16
|
—
|
—
|
$53,619.49
|
$81,188.71
|
$67,988.86
|
2026-11-04
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
25
|
16
|
—
|
—
|
$33,378.34
|
$50,540.29
|
$42,323.33
|
2026-11-04
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
25
|
16
|
—
|
—
|
$43,613.21
|
$66,037.55
|
$55,301.01
|
2026-11-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
25
|
16
|
—
|
—
|
$82,265.38
|
$124,563.29
|
$104,311.49
|
2026-11-04
|
|
402
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$60,460.28
|
$91,546.79
|
$76,662.89
|
2026-11-04
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
25
|
16
|
—
|
—
|
$58,064.73
|
$87,919.52
|
$73,625.36
|
2026-11-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
25
|
16
|
—
|
—
|
$208,297.35
|
$315,396.38
|
$264,118.50
|
2026-11-04
|
|
397
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$36,014.51
|
$54,531.87
|
$45,665.95
|
2026-11-04
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
25
|
16
|
—
|
—
|
$32,161.77
|
$48,698.20
|
$40,780.73
|
2026-11-04
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
25
|
16
|
—
|
—
|
$49,506.60
|
$74,961.12
|
$62,773.76
|
2026-11-04
|
|
360
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$36,306.24
|
$54,973.61
|
$46,035.87
|
2026-11-04
|
|
359
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$51,709.67
|
$78,296.92
|
$65,567.22
|
2026-11-04
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
25
|
16
|
—
|
—
|
$34,970.87
|
$52,951.64
|
$44,342.63
|
2026-11-04
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$66,058.93
|
$100,024.06
|
$83,761.91
|
2026-11-04
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
25
|
16
|
—
|
—
|
$43,640.28
|
$66,078.54
|
$55,335.34
|
2026-11-04
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
25
|
16
|
—
|
—
|
$37,473.19
|
$56,740.56
|
$47,515.55
|
2026-11-04
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
25
|
16
|
—
|
—
|
$35,948.34
|
$54,431.69
|
$45,582.05
|
2026-11-04
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
25
|
16
|
—
|
—
|
$34,521.23
|
$52,270.81
|
$43,772.50
|
2026-11-04
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
25
|
16
|
—
|
—
|
$38,840.15
|
$58,810.36
|
$49,248.83
|
2026-11-04
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
25
|
16
|
—
|
—
|
$58,207.59
|
$88,135.84
|
$73,806.51
|
2026-11-04
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
25
|
16
|
—
|
—
|
$53,699.19
|
$81,309.39
|
$68,089.92
|
2026-11-04
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
25
|
16
|
—
|
—
|
$35,222.00
|
$53,331.89
|
$44,661.07
|
2026-11-04
|
|
33276
|
CPT
|
Dme
|
3
|
2
|
—
|
—
|
$22,044.00
|
$44,573.90
|
$44,573.90
|
2026-11-04
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
25
|
16
|
—
|
—
|
$54,448.09
|
$82,443.34
|
$69,039.51
|
2026-11-04
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
25
|
16
|
—
|
—
|
$36,049.09
|
$54,584.24
|
$45,709.81
|
2026-11-04
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
25
|
16
|
—
|
—
|
$69,122.17
|
$104,662.31
|
$87,646.06
|
2026-11-04
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
25
|
16
|
—
|
—
|
$36,755.88
|
$55,654.43
|
$46,606.01
|
2026-11-04
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
25
|
16
|
—
|
—
|
$75,000.52
|
$113,563.10
|
$95,099.74
|
2026-11-04
|
|
325
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$48,278.00
|
$73,100.81
|
$61,215.91
|
2026-11-04
|
|
324
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$47,384.74
|
$71,748.27
|
$60,083.27
|
2026-11-04
|
|
323
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$65,075.44
|
$98,534.90
|
$82,514.86
|
2026-11-04
|
|
321
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$40,915.39
|
$61,952.62
|
$51,880.21
|
2026-11-04
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
25
|
16
|
—
|
—
|
$36,170.90
|
$54,768.68
|
$45,864.26
|
2026-11-04
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
25
|
16
|
—
|
—
|
$32,045.98
|
$48,522.87
|
$40,633.91
|
2026-11-04
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
25
|
16
|
—
|
—
|
$67,113.09
|
$101,620.23
|
$85,098.58
|
2026-11-04
|
|
318
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$36,425.04
|
$55,153.49
|
$46,186.51
|
2026-11-04
|
|
317
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$100,551.59
|
$152,251.61
|
$127,498.18
|
2026-11-04
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
25
|
16
|
—
|
—
|
$67,377.76
|
$102,020.99
|
$85,434.17
|
2026-11-04
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
25
|
16
|
—
|
—
|
$33,011.42
|
$49,984.70
|
$41,858.07
|
2026-11-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
25
|
16
|
—
|
—
|
$319,184.56
|
$483,297.80
|
$404,722.11
|
2026-11-04
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
25
|
16
|
—
|
—
|
$51,303.64
|
$77,682.13
|
$65,052.39
|
2026-11-04
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
25
|
16
|
—
|
—
|
$40,695.84
|
$61,620.17
|
$51,601.82
|
2026-11-04
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
25
|
16
|
—
|
—
|
$33,276.09
|
$50,385.46
|
$42,193.67
|
2026-11-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
25
|
16
|
—
|
—
|
$90,352.82
|
$136,808.99
|
$114,566.26
|
2026-11-04
|
|
279
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$54,233.04
|
$82,117.73
|
$68,766.84
|
2026-11-04
|
|
278
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$83,704.52
|
$126,742.37
|
$106,136.30
|
2026-11-04
|
|
277
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$69,453.00
|
$105,163.25
|
$88,065.56
|
2026-11-04
|
|
276
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$90,327.25
|
$136,770.28
|
$114,533.85
|
2026-11-04
|
|
275
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$107,226.96
|
$162,359.21
|
$135,962.47
|
2026-11-04
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
25
|
16
|
—
|
—
|
$49,500.58
|
$74,952.01
|
$62,766.14
|
2026-11-04
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
25
|
16
|
—
|
—
|
$62,039.27
|
$93,937.64
|
$78,665.03
|
2026-11-04
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
25
|
16
|
—
|
—
|
$38,392.01
|
$58,131.81
|
$48,680.60
|
2026-11-04
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
25
|
16
|
—
|
—
|
$53,479.64
|
$80,976.95
|
$67,811.53
|
2026-11-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
25
|
16
|
—
|
—
|
$79,345.00
|
$120,141.35
|
$100,608.49
|
2026-11-04
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
25
|
16
|
—
|
—
|
$37,939.37
|
$57,446.43
|
$48,106.66
|
2026-11-04
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
25
|
16
|
—
|
—
|
$63,508.48
|
$96,162.26
|
$80,527.98
|
2026-11-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
25
|
16
|
—
|
—
|
$103,429.86
|
$156,609.78
|
$131,147.80
|
2026-11-04
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
25
|
16
|
—
|
—
|
$71,592.91
|
$108,403.42
|
$90,778.93
|
2026-11-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
25
|
16
|
—
|
—
|
$92,158.88
|
$139,543.67
|
$116,856.33
|
2026-11-04
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
25
|
16
|
—
|
—
|
$54,410.49
|
$82,386.41
|
$68,991.84
|
2026-11-04
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
25
|
16
|
—
|
—
|
$50,235.94
|
$76,065.46
|
$63,698.56
|
2026-11-04
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
25
|
16
|
—
|
—
|
$45,977.18
|
$69,617.00
|
$58,298.50
|
2026-11-04
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
25
|
16
|
—
|
—
|
$48,915.61
|
$74,066.26
|
$62,024.39
|
2026-11-04
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
25
|
16
|
—
|
—
|
$46,756.15
|
$70,796.48
|
$59,286.23
|
2026-11-04
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
25
|
16
|
—
|
—
|
$47,250.90
|
$71,545.62
|
$59,913.56
|
2026-11-04
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
25
|
16
|
—
|
—
|
$40,563.50
|
$61,419.80
|
$51,434.02
|
2026-11-04
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
25
|
16
|
—
|
—
|
$39,032.63
|
$59,101.81
|
$49,492.90
|
2026-11-04
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
25
|
16
|
—
|
—
|
$52,457.06
|
$79,428.59
|
$66,514.90
|
2026-11-04
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc
|
25
|
16
|
—
|
—
|
$32,820.44
|
$49,695.53
|
$41,615.91
|
2026-11-04
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
25
|
16
|
—
|
—
|
$68,373.27
|
$103,528.36
|
$86,696.48
|
2026-11-04
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
25
|
16
|
—
|
—
|
$68,609.37
|
$103,885.85
|
$86,995.84
|
2026-11-04
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
25
|
16
|
—
|
—
|
$32,044.47
|
$48,520.59
|
$40,632.00
|
2026-11-04
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
25
|
16
|
—
|
—
|
$48,013.33
|
$72,700.06
|
$60,880.31
|
2026-11-04
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
25
|
16
|
—
|
—
|
$42,865.82
|
$64,905.89
|
$54,353.33
|
2026-11-04
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
16
|
—
|
—
|
$58,827.15
|
$89,073.96
|
$74,592.11
|
2026-11-04
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
25
|
16
|
—
|
—
|
$74,012.52
|
$112,067.11
|
$93,846.98
|
2026-11-04
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
25
|
16
|
—
|
—
|
$62,991.17
|
$95,378.98
|
$79,872.04
|
2026-11-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
25
|
16
|
—
|
—
|
$88,252.01
|
$133,628.02
|
$111,902.46
|
2026-11-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
25
|
16
|
—
|
—
|
$82,148.08
|
$124,385.68
|
$104,162.76
|
2026-11-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
25
|
16
|
—
|
—
|
$114,968.52
|
$174,081.20
|
$145,778.67
|
2026-11-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
25
|
16
|
—
|
—
|
$91,169.38
|
$138,045.40
|
$115,601.66
|
2026-11-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
25
|
16
|
—
|
—
|
$126,768.84
|
$191,948.82
|
$160,741.33
|
2026-11-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
16
|
—
|
—
|
$86,172.25
|
$130,478.93
|
$109,265.36
|
2026-11-04
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
25
|
16
|
—
|
—
|
$47,362.18
|
$71,714.12
|
$60,054.67
|
2026-11-04
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
25
|
16
|
—
|
—
|
$74,399.00
|
$112,652.30
|
$94,337.02
|
2026-11-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
16
|
—
|
—
|
$75,794.53
|
$114,765.35
|
$96,106.53
|
2026-11-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
16
|
—
|
—
|
$80,194.65
|
$121,427.86
|
$101,685.83
|
2026-11-04
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
25
|
16
|
—
|
—
|
$47,781.74
|
$72,349.40
|
$60,586.66
|
2026-11-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
16
|
—
|
—
|
$115,466.28
|
$174,834.89
|
$146,409.82
|
2026-11-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
16
|
—
|
—
|
$98,879.36
|
$149,719.58
|
$125,377.82
|
2026-11-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
16
|
—
|
—
|
$98,879.36
|
$149,719.58
|
$125,377.82
|
2026-11-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
16
|
—
|
—
|
$147,113.75
|
$222,754.36
|
$186,538.43
|
2026-11-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
25
|
16
|
—
|
—
|
$149,733.37
|
$226,720.89
|
$189,860.08
|
2026-11-04
|
|
213
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$85,820.36
|
$129,946.11
|
$108,819.17
|
2026-11-04
|
|
212
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$163,524.72
|
$247,603.26
|
$207,347.34
|
2026-11-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
25
|
16
|
—
|
—
|
$79,608.16
|
$120,539.83
|
$100,942.18
|
2026-11-04
|
|
209
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$170,212.11
|
$257,729.08
|
$215,826.88
|
2026-11-04
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
25
|
16
|
—
|
—
|
$41,334.95
|
$62,587.90
|
$52,412.21
|
2026-11-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
25
|
16
|
—
|
—
|
$96,765.02
|
$146,518.12
|
$122,696.86
|
2026-11-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
25
|
16
|
—
|
—
|
$118,331.01
|
$179,172.58
|
$150,042.28
|
2026-11-04
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
25
|
16
|
—
|
—
|
$170,407.61
|
$258,025.09
|
$216,074.76
|
2026-11-04
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
25
|
16
|
—
|
—
|
$107,290.11
|
$162,454.84
|
$136,042.55
|
2026-11-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
25
|
16
|
—
|
—
|
$649,382.95
|
$983,272.36
|
$823,409.63
|
2026-11-04
|
|
173
|
MS_DRG
|
Other Inpatient Ms-DRG
|
25
|
16
|
—
|
—
|
$44,759.10
|
$67,772.63
|
$56,754.00
|
2026-11-04
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
25
|
16
|
—
|
—
|
$81,690.93
|
$123,693.47
|
$103,583.10
|
2026-11-04
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$56,207.53
|
$85,107.43
|
$71,270.46
|
2026-11-04
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
25
|
16
|
—
|
—
|
$37,955.91
|
$57,471.48
|
$48,127.63
|
2026-11-04
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
25
|
16
|
—
|
—
|
$67,397.31
|
$102,050.59
|
$85,458.96
|
2026-11-04
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
25
|
16
|
—
|
—
|
$89,170.83
|
$135,019.27
|
$113,067.52
|
2026-11-04
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
25
|
16
|
—
|
—
|
$31,841.46
|
$48,213.20
|
$40,374.58
|
2026-11-04
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
25
|
16
|
—
|
—
|
$56,341.37
|
$85,310.08
|
$71,440.17
|
2026-11-04
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
25
|
16
|
—
|
—
|
$32,799.38
|
$49,663.65
|
$41,589.21
|
2026-11-04
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
25
|
16
|
—
|
—
|
$64,141.58
|
$97,120.88
|
$81,330.74
|
2026-11-04
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
25
|
16
|
—
|
—
|
$180,725.18
|
$273,647.58
|
$229,157.32
|
2026-11-04
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
25
|
16
|
—
|
—
|
$32,632.46
|
$49,410.90
|
$41,377.56
|
2026-11-04
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
25
|
16
|
—
|
—
|
$43,336.51
|
$65,618.59
|
$54,950.16
|
2026-11-04
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
25
|
16
|
—
|
—
|
$63,400.21
|
$95,998.32
|
$80,390.69
|
2026-11-04
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
25
|
16
|
—
|
—
|
$35,355.84
|
$53,534.55
|
$44,830.77
|
2026-11-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
25
|
16
|
—
|
—
|
$82,018.76
|
$124,189.86
|
$103,998.78
|
2026-11-04
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
25
|
16
|
—
|
—
|
$107,908.18
|
$163,390.69
|
$136,826.25
|
2026-11-04
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
25
|
16
|
—
|
—
|
$421,423.41
|
$638,104.20
|
$534,359.73
|
2026-11-04
|
|
0870T
|
CPT
|
Dme
|
3
|
2
|
—
|
—
|
$17,845.00
|
$44,573.90
|
$44,573.90
|
2026-11-04
|