|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
8
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2025-11-21
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
8
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2025-11-21
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
1
|
—
|
—
|
$3,321,781.51
|
$3,321,781.51
|
$3,321,781.51
|
2025-11-21
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
8
|
1
|
—
|
—
|
$3,193,000.00
|
$3,193,000.00
|
$3,193,000.00
|
2025-11-21
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
8
|
1
|
—
|
—
|
$2,968,000.00
|
$2,968,000.00
|
$2,968,000.00
|
2025-11-21
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
8
|
1
|
—
|
—
|
$2,403,458.75
|
$2,403,458.75
|
$2,403,458.75
|
2025-11-21
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
8
|
1
|
—
|
—
|
$2,332,000.00
|
$2,332,000.00
|
$2,332,000.00
|
2025-11-21
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
30
|
9
|
—
|
—
|
$529,192.86
|
$1,380,122.16
|
$724,994.21
|
2025-11-21
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
30
|
9
|
—
|
—
|
$527,123.43
|
$1,345,216.74
|
$722,159.10
|
2025-11-21
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
50
|
16
|
—
|
—
|
$446,217.85
|
$829,681.60
|
$696,479.99
|
2025-11-21
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
30
|
9
|
—
|
—
|
$526,587.59
|
$1,289,082.32
|
$692,617.59
|
2025-11-21
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
30
|
9
|
—
|
—
|
$516,485.97
|
$1,260,225.76
|
$677,113.10
|
2025-11-21
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
30
|
9
|
—
|
—
|
$489,455.96
|
$1,194,421.85
|
$641,756.98
|
2025-11-21
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
30
|
9
|
—
|
—
|
$460,530.40
|
$1,190,845.68
|
$630,926.65
|
2025-11-21
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
50
|
16
|
—
|
—
|
$333,287.33
|
$619,702.60
|
$520,212.16
|
2025-11-21
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
50
|
16
|
—
|
—
|
$280,688.17
|
$521,901.60
|
$438,112.67
|
2025-11-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
50
|
16
|
—
|
—
|
$253,578.69
|
$471,495.20
|
$395,798.79
|
2025-11-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
50
|
16
|
—
|
—
|
$167,186.16
|
$310,860.00
|
$260,952.84
|
2025-11-21
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
50
|
16
|
—
|
—
|
$155,020.50
|
$288,239.60
|
$241,964.04
|
2025-11-21
|
|
7
|
MS_DRG
|
Lung Transplant
|
50
|
16
|
—
|
—
|
$154,630.04
|
$287,513.60
|
$241,354.60
|
2025-11-21
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
50
|
16
|
—
|
—
|
$130,385.09
|
$242,433.40
|
$203,511.82
|
2025-11-21
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
50
|
16
|
—
|
—
|
$128,896.62
|
$239,665.80
|
$201,188.55
|
2025-11-21
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
50
|
16
|
—
|
—
|
$126,003.70
|
$234,286.80
|
$196,673.12
|
2025-11-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
50
|
16
|
—
|
—
|
$125,357.67
|
$233,085.60
|
$195,664.77
|
2025-11-21
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
16
|
—
|
—
|
$123,944.93
|
$230,458.80
|
$193,459.69
|
2025-11-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
50
|
16
|
—
|
—
|
$114,191.82
|
$212,324.20
|
$178,236.51
|
2025-11-21
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
50
|
16
|
—
|
—
|
$108,995.20
|
$202,661.80
|
$170,125.37
|
2025-11-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
50
|
16
|
—
|
—
|
$100,263.18
|
$186,425.80
|
$156,495.99
|
2025-11-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
50
|
16
|
—
|
—
|
$100,207.57
|
$186,322.40
|
$156,409.19
|
2025-11-21
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
50
|
16
|
—
|
—
|
$98,685.98
|
$183,493.20
|
$154,034.20
|
2025-11-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
50
|
16
|
—
|
—
|
$95,378.94
|
$177,344.20
|
$148,872.39
|
2025-11-21
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
50
|
16
|
—
|
—
|
$94,336.54
|
$175,406.00
|
$147,245.36
|
2025-11-21
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
50
|
16
|
—
|
—
|
$93,795.81
|
$174,400.60
|
$146,401.38
|
2025-11-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
50
|
16
|
—
|
—
|
$92,483.64
|
$171,960.80
|
$144,353.28
|
2025-11-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$91,550.10
|
$170,225.00
|
$142,896.15
|
2025-11-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
50
|
16
|
—
|
—
|
$88,316.41
|
$164,212.40
|
$137,848.85
|
2025-11-21
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
16
|
—
|
—
|
$84,039.15
|
$156,259.40
|
$131,172.66
|
2025-11-21
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
50
|
16
|
—
|
—
|
$83,616.74
|
$155,474.00
|
$130,513.36
|
2025-11-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
50
|
16
|
—
|
—
|
$82,309.31
|
$153,043.00
|
$128,472.64
|
2025-11-21
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
50
|
16
|
—
|
—
|
$80,792.45
|
$150,222.60
|
$126,105.04
|
2025-11-21
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
50
|
16
|
—
|
—
|
$79,330.01
|
$147,503.40
|
$123,822.40
|
2025-11-21
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
50
|
16
|
—
|
—
|
$79,024.74
|
$146,935.80
|
$123,345.93
|
2025-11-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
50
|
16
|
—
|
—
|
$78,891.04
|
$146,687.20
|
$123,137.24
|
2025-11-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
50
|
16
|
—
|
—
|
$76,519.91
|
$142,278.40
|
$119,436.25
|
2025-11-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
50
|
16
|
—
|
—
|
$76,409.87
|
$142,073.80
|
$119,264.50
|
2025-11-21
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$74,829.12
|
$139,134.60
|
$116,797.17
|
2025-11-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
50
|
16
|
—
|
—
|
$73,292.14
|
$136,276.80
|
$114,398.18
|
2025-11-21
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
50
|
16
|
—
|
—
|
$73,197.48
|
$136,100.80
|
$114,250.44
|
2025-11-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
50
|
16
|
—
|
—
|
$72,863.82
|
$135,480.40
|
$113,729.64
|
2025-11-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
50
|
16
|
—
|
—
|
$72,278.14
|
$134,391.40
|
$112,815.47
|
2025-11-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$71,932.64
|
$133,749.00
|
$112,276.21
|
2025-11-21
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
50
|
16
|
—
|
—
|
$71,416.77
|
$132,789.80
|
$111,471.00
|
2025-11-21
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
50
|
16
|
—
|
—
|
$71,416.77
|
$132,789.80
|
$111,471.00
|
2025-11-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
50
|
16
|
—
|
—
|
$70,883.15
|
$131,797.60
|
$110,638.09
|
2025-11-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
50
|
16
|
—
|
—
|
$70,392.12
|
$130,884.60
|
$109,871.67
|
2025-11-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
50
|
16
|
—
|
—
|
$69,621.85
|
$129,452.40
|
$108,669.41
|
2025-11-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$68,889.45
|
$128,090.60
|
$107,526.24
|
2025-11-21
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
50
|
16
|
—
|
—
|
$67,908.58
|
$126,266.80
|
$105,995.24
|
2025-11-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
50
|
16
|
—
|
—
|
$67,502.74
|
$125,512.20
|
$105,361.79
|
2025-11-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
50
|
16
|
—
|
—
|
$65,958.67
|
$122,641.20
|
$102,951.71
|
2025-11-21
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
50
|
16
|
—
|
—
|
$65,399.01
|
$121,600.60
|
$102,078.18
|
2025-11-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
50
|
16
|
—
|
—
|
$65,399.01
|
$121,600.60
|
$102,078.18
|
2025-11-21
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
16
|
—
|
—
|
$65,124.51
|
$121,090.20
|
$101,649.72
|
2025-11-21
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
50
|
16
|
—
|
—
|
$64,726.96
|
$120,351.00
|
$101,029.19
|
2025-11-21
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
50
|
16
|
—
|
—
|
$72,609.43
|
$135,007.40
|
$100,911.89
|
2025-11-21
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
50
|
16
|
—
|
—
|
$64,379.10
|
$119,704.20
|
$100,486.23
|
2025-11-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
50
|
16
|
—
|
—
|
$64,232.38
|
$119,431.40
|
$100,257.23
|
2025-11-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
50
|
16
|
—
|
—
|
$63,904.63
|
$118,822.00
|
$99,745.67
|
2025-11-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
50
|
16
|
—
|
—
|
$63,844.29
|
$118,709.80
|
$99,651.48
|
2025-11-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
50
|
16
|
—
|
—
|
$63,837.19
|
$118,696.60
|
$99,640.40
|
2025-11-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
50
|
16
|
—
|
—
|
$62,948.61
|
$117,044.40
|
$98,253.45
|
2025-11-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$62,670.55
|
$116,527.40
|
$97,819.46
|
2025-11-21
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
50
|
16
|
—
|
—
|
$60,935.98
|
$113,302.20
|
$95,112.05
|
2025-11-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
50
|
16
|
—
|
—
|
$60,733.66
|
$112,926.00
|
$94,796.24
|
2025-11-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$60,094.73
|
$111,738.00
|
$93,798.97
|
2025-11-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
50
|
16
|
—
|
—
|
$59,596.60
|
$110,811.80
|
$93,021.47
|
2025-11-21
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
50
|
16
|
—
|
—
|
$59,245.19
|
$110,158.40
|
$92,472.97
|
2025-11-21
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
50
|
16
|
—
|
—
|
$59,199.05
|
$110,072.60
|
$92,400.94
|
2025-11-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$59,175.38
|
$110,028.60
|
$92,364.01
|
2025-11-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$58,962.41
|
$109,632.60
|
$92,031.58
|
2025-11-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
50
|
16
|
—
|
—
|
$57,820.62
|
$107,509.60
|
$90,249.42
|
2025-11-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
50
|
16
|
—
|
—
|
$57,471.57
|
$106,860.60
|
$89,704.62
|
2025-11-21
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
50
|
16
|
—
|
—
|
$57,375.73
|
$106,682.40
|
$89,555.03
|
2025-11-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
50
|
16
|
—
|
—
|
$56,503.72
|
$105,061.00
|
$88,193.93
|
2025-11-21
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$56,258.79
|
$104,605.60
|
$87,811.65
|
2025-11-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
50
|
16
|
—
|
—
|
$56,248.14
|
$104,585.80
|
$87,795.03
|
2025-11-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$55,666.01
|
$103,503.40
|
$86,886.40
|
2025-11-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
50
|
16
|
—
|
—
|
$55,367.84
|
$102,949.00
|
$86,421.01
|
2025-11-21
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
50
|
16
|
—
|
—
|
$55,041.28
|
$102,341.80
|
$85,911.29
|
2025-11-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
50
|
16
|
—
|
—
|
$54,536.05
|
$101,402.40
|
$85,122.71
|
2025-11-21
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
50
|
16
|
—
|
—
|
$54,513.57
|
$101,360.60
|
$85,087.62
|
2025-11-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$54,339.64
|
$101,037.20
|
$84,816.14
|
2025-11-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
50
|
16
|
—
|
—
|
$54,331.36
|
$101,021.80
|
$84,803.21
|
2025-11-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
50
|
16
|
—
|
—
|
$60,279.31
|
$112,081.20
|
$83,775.60
|
2025-11-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$53,381.25
|
$99,255.20
|
$83,320.23
|
2025-11-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
50
|
16
|
—
|
—
|
$53,062.97
|
$98,663.40
|
$82,823.44
|
2025-11-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
50
|
16
|
—
|
—
|
$52,916.25
|
$98,390.60
|
$82,594.44
|
2025-11-21
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
50
|
16
|
—
|
—
|
$52,421.68
|
$97,471.00
|
$81,822.47
|
2025-11-21
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
50
|
16
|
—
|
—
|
$51,975.61
|
$96,641.60
|
$81,126.23
|
2025-11-21
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
50
|
16
|
—
|
—
|
$51,195.88
|
$95,191.80
|
$79,909.19
|
2025-11-21
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
50
|
16
|
—
|
—
|
$51,090.58
|
$94,996.00
|
$79,744.82
|
2025-11-21
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
10
|
3
|
—
|
—
|
$58,238.40
|
$92,817.45
|
$78,986.40
|
2025-11-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$50,471.76
|
$93,845.40
|
$78,778.95
|
2025-11-21
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
50
|
16
|
—
|
—
|
$50,397.22
|
$93,706.80
|
$78,662.60
|
2025-11-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
50
|
16
|
—
|
—
|
$50,039.89
|
$93,042.40
|
$78,104.87
|
2025-11-21
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
50
|
16
|
—
|
—
|
$49,583.18
|
$92,193.20
|
$77,392.00
|
2025-11-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
50
|
16
|
—
|
—
|
$49,571.35
|
$92,171.20
|
$77,373.53
|
2025-11-21
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
50
|
16
|
—
|
—
|
$49,229.40
|
$91,535.40
|
$76,839.81
|
2025-11-21
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
40
|
12
|
—
|
—
|
$63,235.61
|
$154,700.98
|
$76,632.46
|
2025-11-21
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
50
|
16
|
—
|
—
|
$48,654.37
|
$90,466.20
|
$75,942.26
|
2025-11-21
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
50
|
16
|
—
|
—
|
$48,627.15
|
$90,415.60
|
$75,899.79
|
2025-11-21
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
50
|
16
|
—
|
—
|
$48,554.98
|
$90,281.40
|
$75,787.13
|
2025-11-21
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
50
|
16
|
—
|
—
|
$48,315.97
|
$89,837.00
|
$75,414.08
|
2025-11-21
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$48,125.48
|
$89,482.80
|
$75,116.74
|
2025-11-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
50
|
16
|
—
|
—
|
$47,135.14
|
$87,641.40
|
$73,570.97
|
2025-11-21
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
50
|
16
|
—
|
—
|
$47,102.01
|
$87,579.80
|
$73,519.26
|
2025-11-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$46,685.52
|
$86,805.40
|
$72,869.19
|
2025-11-21
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
50
|
16
|
—
|
—
|
$46,589.68
|
$86,627.20
|
$72,719.60
|
2025-11-21
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
50
|
16
|
—
|
—
|
$46,495.03
|
$86,451.20
|
$72,571.85
|
2025-11-21
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
50
|
16
|
—
|
—
|
$46,289.15
|
$86,068.40
|
$72,250.51
|
2025-11-21
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
50
|
16
|
—
|
—
|
$46,266.67
|
$86,026.60
|
$72,215.42
|
2025-11-21
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
50
|
16
|
—
|
—
|
$46,011.10
|
$85,551.40
|
$71,816.51
|
2025-11-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
50
|
16
|
—
|
—
|
$45,730.68
|
$85,030.00
|
$71,378.82
|
2025-11-21
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
50
|
16
|
—
|
—
|
$45,684.54
|
$84,944.20
|
$71,306.79
|
2025-11-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$45,556.75
|
$84,706.60
|
$71,107.34
|
2025-11-21
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
50
|
16
|
—
|
—
|
$45,226.64
|
$84,092.80
|
$70,592.08
|
2025-11-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
50
|
16
|
—
|
—
|
$44,981.71
|
$83,637.40
|
$70,209.80
|
2025-11-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
50
|
16
|
—
|
—
|
$44,631.49
|
$82,986.20
|
$69,663.14
|
2025-11-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
50
|
16
|
—
|
—
|
$44,275.34
|
$82,324.00
|
$69,107.26
|
2025-11-21
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
42
|
13
|
—
|
—
|
$55,015.23
|
$135,509.06
|
$68,420.52
|
2025-11-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
50
|
16
|
—
|
—
|
$43,171.42
|
$80,271.40
|
$67,384.19
|
2025-11-21
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
50
|
16
|
—
|
—
|
$42,872.07
|
$79,714.80
|
$66,916.95
|
2025-11-21
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
50
|
16
|
—
|
—
|
$42,415.35
|
$78,865.60
|
$66,204.09
|
2025-11-21
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
50
|
16
|
—
|
—
|
$42,412.99
|
$78,861.20
|
$66,200.39
|
2025-11-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
50
|
16
|
—
|
—
|
$42,405.89
|
$78,848.00
|
$66,189.31
|
2025-11-21
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
50
|
16
|
—
|
—
|
$42,207.11
|
$78,478.40
|
$65,879.05
|
2025-11-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
50
|
16
|
—
|
—
|
$42,017.80
|
$78,126.40
|
$65,583.56
|
2025-11-21
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
50
|
16
|
—
|
—
|
$41,771.69
|
$77,668.80
|
$65,199.43
|
2025-11-21
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$41,761.04
|
$77,649.00
|
$65,182.81
|
2025-11-21
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
50
|
16
|
—
|
—
|
$41,655.74
|
$77,453.20
|
$65,018.44
|
2025-11-21
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
50
|
16
|
—
|
—
|
$41,456.96
|
$77,083.60
|
$64,708.18
|
2025-11-21
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
50
|
16
|
—
|
—
|
$41,443.95
|
$77,059.40
|
$64,687.86
|
2025-11-21
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
50
|
16
|
—
|
—
|
$41,427.38
|
$77,028.60
|
$64,662.01
|
2025-11-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
50
|
16
|
—
|
—
|
$41,354.02
|
$76,892.20
|
$64,547.51
|
2025-11-21
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
50
|
16
|
—
|
—
|
$41,086.62
|
$76,395.00
|
$64,130.13
|
2025-11-21
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
50
|
16
|
—
|
—
|
$41,041.66
|
$76,311.40
|
$64,059.95
|
2025-11-21
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
50
|
16
|
—
|
—
|
$40,996.70
|
$76,227.80
|
$63,989.77
|
2025-11-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
50
|
16
|
—
|
—
|
$40,754.14
|
$75,776.80
|
$63,611.18
|
2025-11-21
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
50
|
16
|
—
|
—
|
$40,690.25
|
$75,658.00
|
$63,511.45
|
2025-11-21
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
50
|
16
|
—
|
—
|
$40,626.36
|
$75,539.20
|
$63,411.72
|
2025-11-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
50
|
16
|
—
|
—
|
$40,588.49
|
$75,468.80
|
$63,352.63
|
2025-11-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
50
|
16
|
—
|
—
|
$40,302.16
|
$74,936.40
|
$62,905.70
|
2025-11-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
50
|
16
|
—
|
—
|
$40,134.14
|
$74,624.00
|
$62,643.46
|
2025-11-21
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
18
|
4
|
—
|
—
|
$56,824.55
|
$99,234.09
|
$62,264.53
|
2025-11-21
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
50
|
16
|
—
|
—
|
$39,716.47
|
$73,847.40
|
$61,991.54
|
2025-11-21
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
50
|
16
|
—
|
—
|
$39,292.89
|
$73,059.80
|
$61,330.38
|
2025-11-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$39,068.08
|
$72,641.80
|
$60,979.49
|
2025-11-21
|
|
90288
|
CPT
|
Botulism Ig IV
|
4
|
2
|
—
|
—
|
$48,705.00
|
$73,057.50
|
$60,881.25
|
2025-11-21
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
50
|
16
|
—
|
—
|
$38,565.22
|
$71,706.80
|
$60,194.60
|
2025-11-21
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
50
|
16
|
—
|
—
|
$38,548.66
|
$71,676.00
|
$60,168.74
|
2025-11-21
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
50
|
16
|
—
|
—
|
$38,090.76
|
$70,824.60
|
$59,454.03
|
2025-11-21
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
50
|
16
|
—
|
—
|
$37,914.46
|
$70,496.80
|
$59,178.86
|
2025-11-21
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
50
|
16
|
—
|
—
|
$37,804.42
|
$70,292.20
|
$59,007.11
|
2025-11-21
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
50
|
16
|
—
|
—
|
$37,732.25
|
$70,158.00
|
$58,894.45
|
2025-11-21
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
50
|
16
|
—
|
—
|
$37,630.49
|
$69,968.80
|
$58,735.63
|
2025-11-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
50
|
16
|
—
|
—
|
$37,554.77
|
$69,828.00
|
$58,617.43
|
2025-11-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
50
|
16
|
—
|
—
|
$37,492.06
|
$69,711.40
|
$58,519.55
|
2025-11-21
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$36,927.67
|
$68,662.00
|
$57,638.63
|
2025-11-21
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
50
|
16
|
—
|
—
|
$36,911.11
|
$68,631.20
|
$57,612.77
|
2025-11-21
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$36,753.74
|
$68,338.60
|
$57,367.15
|
2025-11-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$36,589.28
|
$68,032.80
|
$57,110.44
|
2025-11-21
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
50
|
16
|
—
|
—
|
$36,513.55
|
$67,892.00
|
$56,992.25
|
2025-11-21
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
50
|
16
|
—
|
—
|
$36,487.52
|
$67,843.60
|
$56,951.62
|
2025-11-21
|
|
652
|
MS_DRG
|
Kidney Transplant
|
50
|
16
|
—
|
—
|
$36,340.80
|
$67,570.80
|
$56,722.62
|
2025-11-21
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
50
|
16
|
—
|
—
|
$36,307.68
|
$67,509.20
|
$56,670.90
|
2025-11-21
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
50
|
16
|
—
|
—
|
$36,189.36
|
$67,289.20
|
$56,486.22
|
2025-11-21
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
50
|
16
|
—
|
—
|
$40,526.97
|
$75,354.40
|
$56,323.99
|
2025-11-21
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
50
|
16
|
—
|
—
|
$35,616.69
|
$66,224.40
|
$55,592.37
|
2025-11-21
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
50
|
16
|
—
|
—
|
$35,332.72
|
$65,696.40
|
$55,149.14
|
2025-11-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
50
|
16
|
—
|
—
|
$34,887.84
|
$64,869.20
|
$54,454.74
|
2025-11-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
50
|
16
|
—
|
—
|
$34,797.91
|
$64,702.00
|
$54,314.39
|
2025-11-21
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
42
|
13
|
—
|
—
|
$45,212.04
|
$110,438.78
|
$54,254.45
|
2025-11-21
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
50
|
16
|
—
|
—
|
$34,703.26
|
$64,526.00
|
$54,166.64
|
2025-11-21
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
50
|
16
|
—
|
—
|
$34,505.66
|
$64,158.60
|
$53,858.23
|
2025-11-21
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
50
|
16
|
—
|
—
|
$34,476.08
|
$64,103.60
|
$53,812.06
|
2025-11-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
50
|
16
|
—
|
—
|
$34,457.15
|
$64,068.40
|
$53,782.51
|
2025-11-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
50
|
16
|
—
|
—
|
$38,675.26
|
$71,911.40
|
$53,750.50
|
2025-11-21
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
50
|
16
|
—
|
—
|
$34,279.67
|
$63,738.40
|
$53,505.49
|
2025-11-21
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$33,923.53
|
$63,076.20
|
$52,949.60
|
2025-11-21
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
50
|
16
|
—
|
—
|
$33,864.37
|
$62,966.20
|
$52,857.26
|
2025-11-21
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
50
|
16
|
—
|
—
|
$33,817.04
|
$62,878.20
|
$52,783.39
|
2025-11-21
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
50
|
16
|
—
|
—
|
$33,683.34
|
$62,629.60
|
$52,574.70
|
2025-11-21
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
50
|
16
|
—
|
—
|
$33,391.09
|
$62,086.20
|
$52,118.54
|
2025-11-21
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
50
|
16
|
—
|
—
|
$33,228.99
|
$61,784.80
|
$51,865.53
|
2025-11-21
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
50
|
16
|
—
|
—
|
$33,194.68
|
$61,721.00
|
$51,811.97
|
2025-11-21
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
50
|
16
|
—
|
—
|
$32,377.08
|
$60,200.80
|
$50,535.84
|
2025-11-21
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
50
|
16
|
—
|
—
|
$32,319.11
|
$60,093.00
|
$50,445.34
|
2025-11-21
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
50
|
16
|
—
|
—
|
$32,143.99
|
$59,767.40
|
$50,172.02
|
2025-11-21
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
50
|
16
|
—
|
—
|
$32,259.95
|
$59,983.00
|
$50,156.69
|
2025-11-21
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
50
|
16
|
—
|
—
|
$31,986.63
|
$59,474.80
|
$49,926.39
|
2025-11-21
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
50
|
16
|
—
|
—
|
$31,881.32
|
$59,279.00
|
$49,762.03
|
2025-11-21
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
50
|
16
|
—
|
—
|
$31,754.72
|
$59,043.60
|
$49,564.42
|
2025-11-21
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
50
|
16
|
—
|
—
|
$31,734.61
|
$59,006.20
|
$49,533.02
|
2025-11-21
|
|
849
|
MS_DRG
|
Radiotherapy
|
50
|
16
|
—
|
—
|
$31,604.46
|
$58,764.20
|
$49,329.87
|
2025-11-21
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
50
|
16
|
—
|
—
|
$31,506.25
|
$58,581.60
|
$49,176.59
|
2025-11-21
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$31,393.85
|
$58,372.60
|
$49,001.14
|
2025-11-21
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
50
|
16
|
—
|
—
|
$31,354.80
|
$58,300.00
|
$48,940.20
|
2025-11-21
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
50
|
16
|
—
|
—
|
$31,314.57
|
$58,225.20
|
$48,877.41
|
2025-11-21
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
50
|
16
|
—
|
—
|
$31,282.62
|
$58,165.80
|
$48,827.55
|
2025-11-21
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
50
|
16
|
—
|
—
|
$30,958.43
|
$57,563.00
|
$48,321.52
|
2025-11-21
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
50
|
16
|
—
|
—
|
$34,486.73
|
$64,123.40
|
$47,929.33
|
2025-11-21
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$30,628.32
|
$56,949.20
|
$47,806.26
|
2025-11-21
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
50
|
16
|
—
|
—
|
$30,577.44
|
$56,854.60
|
$47,726.85
|
2025-11-21
|
|
C1826
|
HCPCS
|
3044508 - Neurostimulator Implantable Inceptiv
|
116
|
18
|
$65,400.00
|
$32,700.00
50% off
|
$31,784.40
|
$55,328.40
|
$47,284.20
|
2025-11-21
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
50
|
16
|
—
|
—
|
$30,216.56
|
$56,183.60
|
$47,163.58
|
2025-11-21
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
50
|
16
|
—
|
—
|
$30,207.10
|
$56,166.00
|
$47,148.80
|
2025-11-21
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
50
|
16
|
—
|
—
|
$33,884.48
|
$63,003.60
|
$47,092.33
|
2025-11-21
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
50
|
16
|
—
|
—
|
$30,150.30
|
$56,060.40
|
$46,876.69
|
2025-11-21
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$29,995.30
|
$55,772.20
|
$46,818.23
|
2025-11-21
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
50
|
16
|
—
|
—
|
$29,898.28
|
$55,591.80
|
$46,666.79
|
2025-11-21
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
50
|
16
|
—
|
—
|
$29,874.62
|
$55,547.80
|
$46,629.85
|
2025-11-21
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
50
|
16
|
—
|
—
|
$29,781.14
|
$55,374.00
|
$46,483.96
|
2025-11-21
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
50
|
16
|
—
|
—
|
$29,628.51
|
$55,090.20
|
$46,245.72
|
2025-11-21
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$29,606.03
|
$55,048.40
|
$46,210.63
|
2025-11-21
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
50
|
16
|
—
|
—
|
$29,317.33
|
$54,511.60
|
$45,760.01
|
2025-11-21
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$29,199.01
|
$54,291.60
|
$45,575.33
|
2025-11-21
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
50
|
16
|
—
|
—
|
$28,968.29
|
$53,862.60
|
$45,215.20
|
2025-11-21
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
50
|
16
|
—
|
—
|
$28,729.28
|
$53,418.20
|
$44,842.15
|
2025-11-21
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
50
|
16
|
—
|
—
|
$28,618.06
|
$53,211.40
|
$44,668.55
|
2025-11-21
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$28,528.14
|
$53,044.20
|
$44,528.19
|
2025-11-21
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
50
|
16
|
—
|
—
|
$28,408.63
|
$52,822.00
|
$44,341.67
|
2025-11-21
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
50
|
16
|
—
|
—
|
$28,363.67
|
$52,738.40
|
$44,271.49
|
2025-11-21
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
50
|
16
|
—
|
—
|
$28,363.67
|
$52,738.40
|
$44,271.49
|
2025-11-21
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
50
|
16
|
—
|
—
|
$28,118.75
|
$52,283.00
|
$43,889.20
|
2025-11-21
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
50
|
16
|
—
|
—
|
$28,011.08
|
$52,082.80
|
$43,721.14
|
2025-11-21
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$28,003.98
|
$52,069.60
|
$43,710.06
|
2025-11-21
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
50
|
16
|
—
|
—
|
$27,967.30
|
$52,001.40
|
$43,652.81
|
2025-11-21
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
50
|
16
|
—
|
—
|
$27,922.34
|
$51,917.80
|
$43,582.63
|
2025-11-21
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
50
|
16
|
—
|
—
|
$27,670.32
|
$51,449.20
|
$43,189.26
|
2025-11-21
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
50
|
16
|
—
|
—
|
$31,038.89
|
$57,712.60
|
$43,137.55
|
2025-11-21
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
50
|
16
|
—
|
—
|
$27,452.61
|
$51,044.40
|
$42,849.45
|
2025-11-21
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$27,388.71
|
$50,925.60
|
$42,749.73
|
2025-11-21
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
50
|
16
|
—
|
—
|
$27,362.68
|
$50,877.20
|
$42,709.10
|
2025-11-21
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
50
|
16
|
—
|
—
|
$27,312.99
|
$50,784.80
|
$42,631.53
|
2025-11-21
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
50
|
16
|
—
|
—
|
$27,143.79
|
$50,470.20
|
$42,367.44
|
2025-11-21
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
50
|
16
|
—
|
—
|
$27,098.83
|
$50,386.60
|
$42,297.26
|
2025-11-21
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$27,016.01
|
$50,232.60
|
$42,167.98
|
2025-11-21
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$26,965.13
|
$50,138.00
|
$42,088.57
|
2025-11-21
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
50
|
16
|
—
|
—
|
$26,915.43
|
$50,045.60
|
$42,011.01
|
2025-11-21
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
50
|
16
|
—
|
—
|
$26,811.31
|
$49,852.00
|
$41,848.49
|
2025-11-21
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
50
|
16
|
—
|
—
|
$26,720.21
|
$49,682.60
|
$41,706.28
|
2025-11-21
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
50
|
16
|
—
|
—
|
$26,719.02
|
$49,680.40
|
$41,704.44
|
2025-11-21
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$26,700.09
|
$49,645.20
|
$41,674.89
|
2025-11-21
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
50
|
16
|
—
|
—
|
$26,655.13
|
$49,561.60
|
$41,604.71
|
2025-11-21
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$26,645.66
|
$49,544.00
|
$41,589.94
|
2025-11-21
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$26,611.35
|
$49,480.20
|
$41,536.38
|
2025-11-21
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$26,587.69
|
$49,436.20
|
$41,499.44
|
2025-11-21
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$26,413.76
|
$49,112.80
|
$41,227.96
|
2025-11-21
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$26,330.93
|
$48,958.80
|
$41,098.69
|
2025-11-21
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
50
|
16
|
—
|
—
|
$26,187.77
|
$48,692.60
|
$40,875.22
|
2025-11-21
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
50
|
16
|
—
|
—
|
$26,023.30
|
$48,386.80
|
$40,618.52
|
2025-11-21
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
50
|
16
|
—
|
—
|
$25,987.80
|
$48,320.80
|
$40,563.12
|
2025-11-21
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
50
|
16
|
—
|
—
|
$25,823.34
|
$48,015.00
|
$40,306.41
|
2025-11-21
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$25,780.74
|
$47,935.80
|
$40,239.93
|
2025-11-21
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
50
|
16
|
—
|
—
|
$25,667.16
|
$47,724.60
|
$40,062.63
|
2025-11-21
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
50
|
16
|
—
|
—
|
$25,525.17
|
$47,460.60
|
$39,841.02
|
2025-11-21
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
50
|
16
|
—
|
—
|
$25,480.21
|
$47,377.00
|
$39,770.84
|
2025-11-21
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
50
|
16
|
—
|
—
|
$25,421.05
|
$47,267.00
|
$39,678.50
|
2025-11-21
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
50
|
16
|
—
|
—
|
$25,389.11
|
$47,207.60
|
$39,628.63
|
2025-11-21
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
50
|
16
|
—
|
—
|
$25,371.36
|
$47,174.60
|
$39,600.93
|
2025-11-21
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
50
|
16
|
—
|
—
|
$25,271.97
|
$46,989.80
|
$39,445.80
|
2025-11-21
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$25,270.79
|
$46,987.60
|
$39,443.95
|
2025-11-21
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
50
|
16
|
—
|
—
|
$25,268.42
|
$46,983.20
|
$39,440.26
|
2025-11-21
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
50
|
16
|
—
|
—
|
$25,221.09
|
$46,895.20
|
$39,366.39
|
2025-11-21
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
50
|
16
|
—
|
—
|
$25,146.55
|
$46,756.60
|
$39,250.04
|
2025-11-21
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
50
|
16
|
—
|
—
|
$25,094.49
|
$46,659.80
|
$39,168.78
|
2025-11-21
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
50
|
16
|
—
|
—
|
$25,025.86
|
$46,532.20
|
$39,061.67
|
2025-11-21
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
50
|
16
|
—
|
—
|
$24,992.73
|
$46,470.60
|
$39,009.96
|
2025-11-21
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
50
|
16
|
—
|
—
|
$24,982.08
|
$46,450.80
|
$38,993.34
|
2025-11-21
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
50
|
16
|
—
|
—
|
$24,982.08
|
$46,450.80
|
$38,993.34
|
2025-11-21
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
50
|
16
|
—
|
—
|
$24,880.33
|
$46,261.60
|
$38,834.51
|
2025-11-21
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
50
|
16
|
—
|
—
|
$24,805.79
|
$46,123.00
|
$38,718.16
|
2025-11-21
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
50
|
16
|
—
|
—
|
$24,734.80
|
$45,991.00
|
$38,607.35
|
2025-11-21
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$24,578.61
|
$45,700.60
|
$38,363.58
|
2025-11-21
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
50
|
16
|
—
|
—
|
$24,550.22
|
$45,647.80
|
$38,319.25
|
2025-11-21
|
|
37231
|
CPT
|
Angio T/p + Stent/atherectomy
|
110
|
18
|
$52,720.00
|
$26,360.00
50% off
|
$8,243.00
|
$44,601.12
|
$38,116.56
|
2025-11-21
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
50
|
16
|
—
|
—
|
$24,330.14
|
$45,238.60
|
$37,975.75
|
2025-11-21
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$24,224.84
|
$45,042.80
|
$37,811.38
|
2025-11-21
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
50
|
16
|
—
|
—
|
$23,997.66
|
$44,620.40
|
$37,456.80
|
2025-11-21
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
50
|
16
|
—
|
—
|
$23,929.04
|
$44,492.80
|
$37,349.68
|
2025-11-21
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
50
|
16
|
—
|
—
|
$23,866.33
|
$44,376.20
|
$37,251.80
|
2025-11-21
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
50
|
16
|
—
|
—
|
$23,836.75
|
$44,321.20
|
$37,205.63
|
2025-11-21
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
50
|
16
|
—
|
—
|
$23,811.90
|
$44,275.00
|
$37,166.85
|
2025-11-21
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$23,802.43
|
$44,257.40
|
$37,152.08
|
2025-11-21
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
50
|
16
|
—
|
—
|
$23,645.07
|
$43,964.80
|
$36,906.45
|
2025-11-21
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$23,641.52
|
$43,958.20
|
$36,900.91
|
2025-11-21
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
50
|
16
|
—
|
—
|
$23,624.95
|
$43,927.40
|
$36,875.06
|
2025-11-21
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
50
|
16
|
—
|
—
|
$23,536.21
|
$43,762.40
|
$36,736.55
|
2025-11-21
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
50
|
16
|
—
|
—
|
$23,519.65
|
$43,731.60
|
$36,710.69
|
2025-11-21
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
50
|
16
|
—
|
—
|
$23,490.07
|
$43,676.60
|
$36,664.52
|
2025-11-21
|