|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
8
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2025-11-21
|
|
J1414
|
HCPCS
|
Inj, Beqvez, 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
|
—
|
—
|
$567,125.09
|
$829,681.60
|
$710,207.45
|
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
|
—
|
—
|
$423,594.90
|
$619,702.60
|
$530,465.43
|
2025-11-21
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
50
|
16
|
—
|
—
|
$356,743.47
|
$521,901.60
|
$446,747.77
|
2025-11-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
50
|
16
|
—
|
—
|
$322,288.40
|
$471,495.20
|
$403,599.89
|
2025-11-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
50
|
16
|
—
|
—
|
$212,486.94
|
$310,860.00
|
$266,096.16
|
2025-11-21
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
50
|
16
|
—
|
—
|
$197,024.87
|
$288,239.60
|
$246,733.10
|
2025-11-21
|
|
7
|
MS_DRG
|
Lung Transplant
|
50
|
16
|
—
|
—
|
$196,528.61
|
$287,513.60
|
$246,111.64
|
2025-11-21
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
50
|
16
|
—
|
—
|
$165,714.25
|
$242,433.40
|
$207,522.99
|
2025-11-21
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
50
|
16
|
—
|
—
|
$163,822.47
|
$239,665.80
|
$205,153.92
|
2025-11-21
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
50
|
16
|
—
|
—
|
$160,145.68
|
$234,286.80
|
$200,549.50
|
2025-11-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
50
|
16
|
—
|
—
|
$159,324.60
|
$233,085.60
|
$199,521.27
|
2025-11-21
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
16
|
—
|
—
|
$157,529.07
|
$230,458.80
|
$197,272.73
|
2025-11-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
50
|
16
|
—
|
—
|
$145,133.24
|
$212,324.20
|
$181,749.52
|
2025-11-21
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
50
|
16
|
—
|
—
|
$138,528.55
|
$202,661.80
|
$173,478.50
|
2025-11-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
50
|
16
|
—
|
—
|
$127,430.51
|
$186,425.80
|
$159,580.48
|
2025-11-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
50
|
16
|
—
|
—
|
$127,359.83
|
$186,322.40
|
$159,491.97
|
2025-11-21
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
50
|
16
|
—
|
—
|
$125,425.94
|
$183,493.20
|
$157,070.18
|
2025-11-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
50
|
16
|
—
|
—
|
$121,222.82
|
$177,344.20
|
$151,806.64
|
2025-11-21
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
50
|
16
|
—
|
—
|
$119,897.97
|
$175,406.00
|
$150,147.54
|
2025-11-21
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
50
|
16
|
—
|
—
|
$119,210.74
|
$174,400.60
|
$149,286.91
|
2025-11-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
50
|
16
|
—
|
—
|
$117,543.02
|
$171,960.80
|
$147,198.44
|
2025-11-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$116,356.53
|
$170,225.00
|
$145,712.60
|
2025-11-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
50
|
16
|
—
|
—
|
$112,246.64
|
$164,212.40
|
$140,565.81
|
2025-11-21
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
16
|
—
|
—
|
$106,810.40
|
$156,259.40
|
$133,758.05
|
2025-11-21
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
50
|
16
|
—
|
—
|
$106,273.55
|
$155,474.00
|
$133,085.74
|
2025-11-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
50
|
16
|
—
|
—
|
$104,611.85
|
$153,043.00
|
$131,004.81
|
2025-11-21
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
50
|
16
|
—
|
—
|
$102,683.98
|
$150,222.60
|
$128,590.55
|
2025-11-21
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
50
|
16
|
—
|
—
|
$100,825.28
|
$147,503.40
|
$126,262.91
|
2025-11-21
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
50
|
16
|
—
|
—
|
$100,437.30
|
$146,935.80
|
$125,777.04
|
2025-11-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
50
|
16
|
—
|
—
|
$100,267.37
|
$146,687.20
|
$125,564.24
|
2025-11-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
50
|
16
|
—
|
—
|
$97,253.75
|
$142,278.40
|
$121,790.31
|
2025-11-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
50
|
16
|
—
|
—
|
$97,113.90
|
$142,073.80
|
$121,615.17
|
2025-11-21
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$95,104.82
|
$139,134.60
|
$119,099.22
|
2025-11-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
50
|
16
|
—
|
—
|
$93,151.39
|
$136,276.80
|
$116,652.94
|
2025-11-21
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
50
|
16
|
—
|
—
|
$93,031.08
|
$136,100.80
|
$116,502.28
|
2025-11-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
50
|
16
|
—
|
—
|
$92,607.01
|
$135,480.40
|
$115,971.22
|
2025-11-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
50
|
16
|
—
|
—
|
$91,862.63
|
$134,391.40
|
$115,039.04
|
2025-11-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$91,423.52
|
$133,749.00
|
$114,489.14
|
2025-11-21
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
50
|
16
|
—
|
—
|
$90,767.86
|
$132,789.80
|
$113,668.07
|
2025-11-21
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
50
|
16
|
—
|
—
|
$90,767.86
|
$132,789.80
|
$113,668.07
|
2025-11-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
50
|
16
|
—
|
—
|
$90,089.65
|
$131,797.60
|
$112,818.75
|
2025-11-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
50
|
16
|
—
|
—
|
$89,465.57
|
$130,884.60
|
$112,037.22
|
2025-11-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
50
|
16
|
—
|
—
|
$88,486.60
|
$129,452.40
|
$110,811.25
|
2025-11-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$87,555.75
|
$128,090.60
|
$109,645.55
|
2025-11-21
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
50
|
16
|
—
|
—
|
$86,309.10
|
$126,266.80
|
$108,084.38
|
2025-11-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
50
|
16
|
—
|
—
|
$85,793.29
|
$125,512.20
|
$107,438.44
|
2025-11-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
50
|
16
|
—
|
—
|
$83,830.83
|
$122,641.20
|
$104,980.87
|
2025-11-21
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
50
|
16
|
—
|
—
|
$83,119.54
|
$121,600.60
|
$104,090.11
|
2025-11-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
50
|
16
|
—
|
—
|
$83,119.54
|
$121,600.60
|
$104,090.11
|
2025-11-21
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
16
|
—
|
—
|
$82,770.66
|
$121,090.20
|
$103,653.21
|
2025-11-21
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
50
|
16
|
—
|
—
|
$82,265.38
|
$120,351.00
|
$103,020.46
|
2025-11-21
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
50
|
16
|
—
|
—
|
$84,391.90
|
$135,007.40
|
$102,482.89
|
2025-11-21
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
50
|
16
|
—
|
—
|
$81,823.26
|
$119,704.20
|
$102,466.80
|
2025-11-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
50
|
16
|
—
|
—
|
$81,636.79
|
$119,431.40
|
$102,233.28
|
2025-11-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
50
|
16
|
—
|
—
|
$81,220.24
|
$118,822.00
|
$101,711.63
|
2025-11-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
50
|
16
|
—
|
—
|
$81,143.54
|
$118,709.80
|
$101,615.59
|
2025-11-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
50
|
16
|
—
|
—
|
$81,134.52
|
$118,696.60
|
$101,604.29
|
2025-11-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
50
|
16
|
—
|
—
|
$80,005.17
|
$117,044.40
|
$100,190.01
|
2025-11-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$79,651.77
|
$116,527.40
|
$99,747.45
|
2025-11-21
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
50
|
16
|
—
|
—
|
$77,447.20
|
$113,302.20
|
$96,986.68
|
2025-11-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
50
|
16
|
—
|
—
|
$77,190.05
|
$112,926.00
|
$96,664.66
|
2025-11-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$76,378.00
|
$111,738.00
|
$95,647.73
|
2025-11-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
50
|
16
|
—
|
—
|
$75,744.90
|
$110,811.80
|
$94,854.90
|
2025-11-21
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
50
|
16
|
—
|
—
|
$75,298.27
|
$110,158.40
|
$94,295.59
|
2025-11-21
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
50
|
16
|
—
|
—
|
$75,239.63
|
$110,072.60
|
$94,222.15
|
2025-11-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$75,209.55
|
$110,028.60
|
$94,184.48
|
2025-11-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$74,938.87
|
$109,632.60
|
$93,845.51
|
2025-11-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
50
|
16
|
—
|
—
|
$73,487.70
|
$107,509.60
|
$92,028.22
|
2025-11-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
50
|
16
|
—
|
—
|
$73,044.08
|
$106,860.60
|
$91,472.67
|
2025-11-21
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
50
|
16
|
—
|
—
|
$72,922.27
|
$106,682.40
|
$91,320.13
|
2025-11-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
50
|
16
|
—
|
—
|
$71,813.97
|
$105,061.00
|
$89,932.22
|
2025-11-21
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$71,502.68
|
$104,605.60
|
$89,542.39
|
2025-11-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
50
|
16
|
—
|
—
|
$71,489.15
|
$104,585.80
|
$89,525.44
|
2025-11-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$70,749.28
|
$103,503.40
|
$88,598.91
|
2025-11-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
50
|
16
|
—
|
—
|
$70,370.32
|
$102,949.00
|
$88,124.34
|
2025-11-21
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
50
|
16
|
—
|
—
|
$69,955.27
|
$102,341.80
|
$87,604.58
|
2025-11-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
50
|
16
|
—
|
—
|
$69,313.15
|
$101,402.40
|
$86,800.45
|
2025-11-21
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
50
|
16
|
—
|
—
|
$69,284.58
|
$101,360.60
|
$86,764.67
|
2025-11-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
50
|
16
|
—
|
—
|
$69,063.52
|
$101,037.20
|
$86,487.84
|
2025-11-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
50
|
16
|
—
|
—
|
$69,052.99
|
$101,021.80
|
$86,474.66
|
2025-11-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
50
|
16
|
—
|
—
|
$70,060.94
|
$112,081.20
|
$85,079.82
|
2025-11-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$67,845.44
|
$99,255.20
|
$84,962.45
|
2025-11-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
50
|
16
|
—
|
—
|
$67,440.92
|
$98,663.40
|
$84,455.87
|
2025-11-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
50
|
16
|
—
|
—
|
$67,254.45
|
$98,390.60
|
$84,222.35
|
2025-11-21
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
50
|
16
|
—
|
—
|
$66,625.86
|
$97,471.00
|
$83,435.18
|
2025-11-21
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
50
|
16
|
—
|
—
|
$66,058.93
|
$96,641.60
|
$82,725.21
|
2025-11-21
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
50
|
16
|
—
|
—
|
$65,067.92
|
$95,191.80
|
$81,484.18
|
2025-11-21
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
50
|
16
|
—
|
—
|
$64,934.08
|
$94,996.00
|
$81,316.58
|
2025-11-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$64,147.60
|
$93,845.40
|
$80,331.66
|
2025-11-21
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
50
|
16
|
—
|
—
|
$64,052.86
|
$93,706.80
|
$80,213.02
|
2025-11-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
50
|
16
|
—
|
—
|
$63,598.71
|
$93,042.40
|
$79,644.29
|
2025-11-21
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
50
|
16
|
—
|
—
|
$63,018.24
|
$92,193.20
|
$78,917.38
|
2025-11-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
50
|
16
|
—
|
—
|
$63,003.20
|
$92,171.20
|
$78,898.55
|
2025-11-21
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
50
|
16
|
—
|
—
|
$62,568.61
|
$91,535.40
|
$78,354.30
|
2025-11-21
|
|
C1822
|
HCPCS
|
3028383 - Kit Nrstm Ipg Senza Disp Strl Lf Ipg3000
|
114
|
18
|
$107,217.00
|
$53,608.50
50% off
|
$52,107.46
|
$91,134.45
|
$77,732.32
|
2025-11-21
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
50
|
16
|
—
|
—
|
$61,837.76
|
$90,466.20
|
$77,439.07
|
2025-11-21
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
50
|
16
|
—
|
—
|
$61,803.17
|
$90,415.60
|
$77,395.75
|
2025-11-21
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
38
|
12
|
—
|
—
|
$63,235.61
|
$154,700.98
|
$77,382.19
|
2025-11-21
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
50
|
16
|
—
|
—
|
$61,711.44
|
$90,281.40
|
$77,280.88
|
2025-11-21
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
50
|
16
|
—
|
—
|
$61,407.67
|
$89,837.00
|
$76,900.47
|
2025-11-21
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$61,165.56
|
$89,482.80
|
$76,597.28
|
2025-11-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
50
|
16
|
—
|
—
|
$59,906.88
|
$87,641.40
|
$75,021.04
|
2025-11-21
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
50
|
16
|
—
|
—
|
$59,864.77
|
$87,579.80
|
$74,968.31
|
2025-11-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$59,335.44
|
$86,805.40
|
$74,305.42
|
2025-11-21
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
50
|
16
|
—
|
—
|
$59,213.63
|
$86,627.20
|
$74,152.88
|
2025-11-21
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
50
|
16
|
—
|
—
|
$59,093.32
|
$86,451.20
|
$74,002.23
|
2025-11-21
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
50
|
16
|
—
|
—
|
$58,831.66
|
$86,068.40
|
$73,674.55
|
2025-11-21
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
50
|
16
|
—
|
—
|
$58,803.09
|
$86,026.60
|
$73,638.77
|
2025-11-21
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
50
|
16
|
—
|
—
|
$58,478.27
|
$85,551.40
|
$73,232.00
|
2025-11-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
50
|
16
|
—
|
—
|
$58,121.87
|
$85,030.00
|
$72,785.68
|
2025-11-21
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
50
|
16
|
—
|
—
|
$58,063.22
|
$84,944.20
|
$72,712.24
|
2025-11-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$57,900.81
|
$84,706.60
|
$72,508.85
|
2025-11-21
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
8
|
3
|
—
|
—
|
$58,238.40
|
$92,817.45
|
$72,404.20
|
2025-11-21
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
50
|
16
|
—
|
—
|
$57,481.25
|
$84,092.80
|
$71,983.44
|
2025-11-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
50
|
16
|
—
|
—
|
$57,169.96
|
$83,637.40
|
$71,593.61
|
2025-11-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
50
|
16
|
—
|
—
|
$56,724.84
|
$82,986.20
|
$71,036.19
|
2025-11-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
50
|
16
|
—
|
—
|
$56,272.20
|
$82,324.00
|
$70,469.34
|
2025-11-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
50
|
16
|
—
|
—
|
$54,869.15
|
$80,271.40
|
$68,712.32
|
2025-11-21
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
40
|
13
|
—
|
—
|
$55,015.23
|
$135,509.06
|
$68,258.98
|
2025-11-21
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
50
|
16
|
—
|
—
|
$54,488.69
|
$79,714.80
|
$68,235.87
|
2025-11-21
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
50
|
16
|
—
|
—
|
$53,908.22
|
$78,865.60
|
$67,508.95
|
2025-11-21
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
50
|
16
|
—
|
—
|
$53,905.21
|
$78,861.20
|
$67,505.19
|
2025-11-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
50
|
16
|
—
|
—
|
$53,896.19
|
$78,848.00
|
$67,493.89
|
2025-11-21
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
50
|
16
|
—
|
—
|
$53,643.55
|
$78,478.40
|
$67,177.51
|
2025-11-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
50
|
16
|
—
|
—
|
$53,402.95
|
$78,126.40
|
$66,876.20
|
2025-11-21
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
50
|
16
|
—
|
—
|
$53,090.16
|
$77,668.80
|
$66,484.49
|
2025-11-21
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
50
|
16
|
—
|
—
|
$53,076.62
|
$77,649.00
|
$66,467.54
|
2025-11-21
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
50
|
16
|
—
|
—
|
$52,942.78
|
$77,453.20
|
$66,299.94
|
2025-11-21
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
50
|
16
|
—
|
—
|
$52,690.14
|
$77,083.60
|
$65,983.56
|
2025-11-21
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
50
|
16
|
—
|
—
|
$52,673.60
|
$77,059.40
|
$65,962.85
|
2025-11-21
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
50
|
16
|
—
|
—
|
$52,652.55
|
$77,028.60
|
$65,936.48
|
2025-11-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
50
|
16
|
—
|
—
|
$52,559.31
|
$76,892.20
|
$65,819.72
|
2025-11-21
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
50
|
16
|
—
|
—
|
$52,219.46
|
$76,395.00
|
$65,394.12
|
2025-11-21
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
50
|
16
|
—
|
—
|
$52,162.31
|
$76,311.40
|
$65,322.56
|
2025-11-21
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
50
|
16
|
—
|
—
|
$52,105.17
|
$76,227.80
|
$65,251.00
|
2025-11-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
50
|
16
|
—
|
—
|
$51,796.89
|
$75,776.80
|
$64,864.94
|
2025-11-21
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
50
|
16
|
—
|
—
|
$51,715.68
|
$75,658.00
|
$64,763.25
|
2025-11-21
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
50
|
16
|
—
|
—
|
$51,634.48
|
$75,539.20
|
$64,661.56
|
2025-11-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
50
|
16
|
—
|
—
|
$51,586.36
|
$75,468.80
|
$64,601.29
|
2025-11-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
50
|
16
|
—
|
—
|
$51,222.44
|
$74,936.40
|
$64,145.56
|
2025-11-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
50
|
16
|
—
|
—
|
$51,008.90
|
$74,624.00
|
$63,878.14
|
2025-11-21
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
50
|
16
|
—
|
—
|
$50,478.05
|
$73,847.40
|
$63,213.37
|
2025-11-21
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
50
|
16
|
—
|
—
|
$49,939.69
|
$73,059.80
|
$62,539.19
|
2025-11-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$49,653.97
|
$72,641.80
|
$62,181.38
|
2025-11-21
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
50
|
16
|
—
|
—
|
$49,014.86
|
$71,706.80
|
$61,381.02
|
2025-11-21
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
50
|
16
|
—
|
—
|
$48,993.80
|
$71,676.00
|
$61,354.66
|
2025-11-21
|
|
90288
|
CPT
|
Botulism Ig IV
|
4
|
2
|
—
|
—
|
$48,705.00
|
$73,057.50
|
$60,881.25
|
2025-11-21
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
50
|
16
|
—
|
—
|
$48,411.83
|
$70,824.60
|
$60,625.86
|
2025-11-21
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
50
|
16
|
—
|
—
|
$48,187.77
|
$70,496.80
|
$60,345.26
|
2025-11-21
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
50
|
16
|
—
|
—
|
$48,047.91
|
$70,292.20
|
$60,170.12
|
2025-11-21
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
50
|
16
|
—
|
—
|
$47,956.18
|
$70,158.00
|
$60,055.25
|
2025-11-21
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
50
|
16
|
—
|
—
|
$47,826.86
|
$69,968.80
|
$59,893.29
|
2025-11-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
50
|
16
|
—
|
—
|
$47,730.61
|
$69,828.00
|
$59,772.77
|
2025-11-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
50
|
16
|
—
|
—
|
$47,650.91
|
$69,711.40
|
$59,672.96
|
2025-11-21
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
16
|
4
|
—
|
—
|
$56,824.55
|
$99,234.09
|
$59,544.54
|
2025-11-21
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$46,933.60
|
$68,662.00
|
$58,774.67
|
2025-11-21
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
50
|
16
|
—
|
—
|
$46,912.54
|
$68,631.20
|
$58,748.31
|
2025-11-21
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$46,712.54
|
$68,338.60
|
$58,497.84
|
2025-11-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$46,503.51
|
$68,032.80
|
$58,236.08
|
2025-11-21
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
50
|
16
|
—
|
—
|
$46,407.27
|
$67,892.00
|
$58,115.55
|
2025-11-21
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
50
|
16
|
—
|
—
|
$46,374.18
|
$67,843.60
|
$58,074.12
|
2025-11-21
|
|
652
|
MS_DRG
|
Kidney Transplant
|
50
|
16
|
—
|
—
|
$46,187.71
|
$67,570.80
|
$57,840.60
|
2025-11-21
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
50
|
16
|
—
|
—
|
$46,145.61
|
$67,509.20
|
$57,787.88
|
2025-11-21
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
50
|
16
|
—
|
—
|
$45,995.23
|
$67,289.20
|
$57,599.56
|
2025-11-21
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
50
|
16
|
—
|
—
|
$47,103.35
|
$75,354.40
|
$57,200.84
|
2025-11-21
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
50
|
16
|
—
|
—
|
$45,267.39
|
$66,224.40
|
$56,688.09
|
2025-11-21
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
50
|
16
|
—
|
—
|
$44,906.48
|
$65,696.40
|
$56,236.12
|
2025-11-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
50
|
16
|
—
|
—
|
$44,341.05
|
$64,869.20
|
$55,528.04
|
2025-11-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
50
|
16
|
—
|
—
|
$44,226.76
|
$64,702.00
|
$55,384.91
|
2025-11-21
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
50
|
16
|
—
|
—
|
$44,106.45
|
$64,526.00
|
$55,234.26
|
2025-11-21
|
|
C2624
|
HCPCS
|
1168039 - System Pulm Prss Dlv Sys Pa
|
114
|
18
|
$75,834.00
|
$37,917.00
50% off
|
$36,855.32
|
$64,458.90
|
$54,979.65
|
2025-11-21
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
50
|
16
|
—
|
—
|
$43,855.32
|
$64,158.60
|
$54,919.76
|
2025-11-21
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
50
|
16
|
—
|
—
|
$43,817.72
|
$64,103.60
|
$54,872.68
|
2025-11-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
50
|
16
|
—
|
—
|
$43,793.66
|
$64,068.40
|
$54,842.55
|
2025-11-21
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
40
|
13
|
—
|
—
|
$45,212.04
|
$110,438.78
|
$54,748.24
|
2025-11-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
50
|
16
|
—
|
—
|
$44,951.16
|
$71,911.40
|
$54,587.29
|
2025-11-21
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
50
|
16
|
—
|
—
|
$43,568.09
|
$63,738.40
|
$54,560.07
|
2025-11-21
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$43,115.45
|
$63,076.20
|
$53,993.23
|
2025-11-21
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
50
|
16
|
—
|
—
|
$43,040.26
|
$62,966.20
|
$53,899.07
|
2025-11-21
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
50
|
16
|
—
|
—
|
$42,980.11
|
$62,878.20
|
$53,823.74
|
2025-11-21
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
50
|
16
|
—
|
—
|
$42,810.18
|
$62,629.60
|
$53,610.94
|
2025-11-21
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
50
|
16
|
—
|
—
|
$42,438.74
|
$62,086.20
|
$53,145.79
|
2025-11-21
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
50
|
16
|
—
|
—
|
$42,232.72
|
$61,784.80
|
$52,887.79
|
2025-11-21
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
50
|
16
|
—
|
—
|
$42,189.11
|
$61,721.00
|
$52,833.18
|
2025-11-21
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
50
|
16
|
—
|
—
|
$41,149.98
|
$60,200.80
|
$51,531.88
|
2025-11-21
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
50
|
16
|
—
|
—
|
$41,076.30
|
$60,093.00
|
$51,439.61
|
2025-11-21
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
50
|
16
|
—
|
—
|
$40,853.73
|
$59,767.40
|
$51,160.89
|
2025-11-21
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
50
|
16
|
—
|
—
|
$40,653.73
|
$59,474.80
|
$50,910.43
|
2025-11-21
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
50
|
16
|
—
|
—
|
$40,519.89
|
$59,279.00
|
$50,742.82
|
2025-11-21
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
50
|
16
|
—
|
—
|
$40,358.98
|
$59,043.60
|
$50,541.32
|
2025-11-21
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
50
|
16
|
—
|
—
|
$40,333.42
|
$59,006.20
|
$50,509.31
|
2025-11-21
|
|
849
|
MS_DRG
|
Radiotherapy
|
50
|
16
|
—
|
—
|
$40,168.00
|
$58,764.20
|
$50,302.16
|
2025-11-21
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
50
|
16
|
—
|
—
|
$41,001.11
|
$59,983.00
|
$50,156.69
|
2025-11-21
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
50
|
16
|
—
|
—
|
$40,043.19
|
$58,581.60
|
$50,145.85
|
2025-11-21
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$39,900.33
|
$58,372.60
|
$49,966.95
|
2025-11-21
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
50
|
16
|
—
|
—
|
$39,850.70
|
$58,300.00
|
$49,904.80
|
2025-11-21
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
50
|
16
|
—
|
—
|
$39,799.57
|
$58,225.20
|
$49,840.77
|
2025-11-21
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
50
|
16
|
—
|
—
|
$39,758.97
|
$58,165.80
|
$49,789.92
|
2025-11-21
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
50
|
16
|
—
|
—
|
$39,346.93
|
$57,563.00
|
$49,273.93
|
2025-11-21
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$38,927.37
|
$56,949.20
|
$48,748.52
|
2025-11-21
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
50
|
16
|
—
|
—
|
$40,082.95
|
$64,123.40
|
$48,675.49
|
2025-11-21
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
50
|
16
|
—
|
—
|
$38,862.70
|
$56,854.60
|
$48,667.54
|
2025-11-21
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
50
|
16
|
—
|
—
|
$38,404.04
|
$56,183.60
|
$48,093.16
|
2025-11-21
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
50
|
16
|
—
|
—
|
$38,392.01
|
$56,166.00
|
$48,078.10
|
2025-11-21
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
50
|
16
|
—
|
—
|
$39,382.98
|
$63,003.60
|
$47,825.46
|
2025-11-21
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$38,122.83
|
$55,772.20
|
$47,741.00
|
2025-11-21
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
50
|
16
|
—
|
—
|
$37,999.52
|
$55,591.80
|
$47,586.58
|
2025-11-21
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
50
|
16
|
—
|
—
|
$37,969.45
|
$55,547.80
|
$47,548.92
|
2025-11-21
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
50
|
16
|
—
|
—
|
$37,850.65
|
$55,374.00
|
$47,400.14
|
2025-11-21
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
50
|
16
|
—
|
—
|
$37,656.66
|
$55,090.20
|
$47,157.21
|
2025-11-21
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$37,628.08
|
$55,048.40
|
$47,121.43
|
2025-11-21
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
50
|
16
|
—
|
—
|
$35,042.85
|
$56,060.40
|
$46,876.69
|
2025-11-21
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
50
|
16
|
—
|
—
|
$37,261.16
|
$54,511.60
|
$46,661.93
|
2025-11-21
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$37,110.78
|
$54,291.60
|
$46,473.61
|
2025-11-21
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
50
|
16
|
—
|
—
|
$36,817.54
|
$53,862.60
|
$46,106.39
|
2025-11-21
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
50
|
16
|
—
|
—
|
$36,513.77
|
$53,418.20
|
$45,725.98
|
2025-11-21
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
50
|
16
|
—
|
—
|
$36,372.41
|
$53,211.40
|
$45,548.96
|
2025-11-21
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$36,258.12
|
$53,044.20
|
$45,405.84
|
2025-11-21
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
50
|
16
|
—
|
—
|
$36,106.24
|
$52,822.00
|
$45,215.63
|
2025-11-21
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
50
|
16
|
—
|
—
|
$36,049.09
|
$52,738.40
|
$45,144.07
|
2025-11-21
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
50
|
16
|
—
|
—
|
$36,049.09
|
$52,738.40
|
$45,144.07
|
2025-11-21
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
50
|
16
|
—
|
—
|
$35,737.81
|
$52,283.00
|
$44,754.25
|
2025-11-21
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
50
|
16
|
—
|
—
|
$35,600.96
|
$52,082.80
|
$44,582.88
|
2025-11-21
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
50
|
16
|
—
|
—
|
$35,591.94
|
$52,069.60
|
$44,571.58
|
2025-11-21
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
50
|
16
|
—
|
—
|
$35,545.32
|
$52,001.40
|
$44,513.20
|
2025-11-21
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
50
|
16
|
—
|
—
|
$35,488.18
|
$51,917.80
|
$44,441.64
|
2025-11-21
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
50
|
16
|
—
|
—
|
$35,167.87
|
$51,449.20
|
$44,040.52
|
2025-11-21
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
50
|
16
|
—
|
—
|
$36,075.62
|
$57,712.60
|
$43,809.11
|
2025-11-21
|
|
C2616
|
HCPCS
|
Yttrium 90 Sir Spheres Per Source
|
114
|
18
|
$60,390.00
|
$30,195.00
50% off
|
$29,349.54
|
$51,331.50
|
$43,782.75
|
2025-11-21
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
50
|
16
|
—
|
—
|
$34,891.17
|
$51,044.40
|
$43,694.01
|
2025-11-21
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
50
|
16
|
—
|
—
|
$34,809.96
|
$50,925.60
|
$43,592.31
|
2025-11-21
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
50
|
16
|
—
|
—
|
$34,776.88
|
$50,877.20
|
$43,550.88
|
2025-11-21
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
50
|
16
|
—
|
—
|
$34,713.72
|
$50,784.80
|
$43,471.79
|
2025-11-21
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
50
|
16
|
—
|
—
|
$34,498.68
|
$50,470.20
|
$43,202.49
|
2025-11-21
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
50
|
16
|
—
|
—
|
$34,441.53
|
$50,386.60
|
$43,130.93
|
2025-11-21
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$34,336.27
|
$50,232.60
|
$42,999.11
|
2025-11-21
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$34,271.60
|
$50,138.00
|
$42,918.13
|
2025-11-21
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
50
|
16
|
—
|
—
|
$34,208.44
|
$50,045.60
|
$42,839.03
|
2025-11-21
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
50
|
16
|
—
|
—
|
$34,076.11
|
$49,852.00
|
$42,673.31
|
2025-11-21
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
50
|
16
|
—
|
—
|
$33,960.32
|
$49,682.60
|
$42,528.31
|
2025-11-21
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
50
|
16
|
—
|
—
|
$33,958.81
|
$49,680.40
|
$42,526.42
|
2025-11-21
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$33,934.75
|
$49,645.20
|
$42,496.29
|
2025-11-21
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
50
|
16
|
—
|
—
|
$33,877.61
|
$49,561.60
|
$42,424.73
|
2025-11-21
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$33,865.58
|
$49,544.00
|
$42,409.66
|
2025-11-21
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$33,821.97
|
$49,480.20
|
$42,355.05
|
2025-11-21
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$33,791.89
|
$49,436.20
|
$42,317.39
|
2025-11-21
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$33,570.83
|
$49,112.80
|
$42,040.56
|
2025-11-21
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$33,465.57
|
$48,958.80
|
$41,908.73
|
2025-11-21
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
50
|
16
|
—
|
—
|
$33,283.61
|
$48,692.60
|
$41,680.87
|
2025-11-21
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
50
|
16
|
—
|
—
|
$33,074.58
|
$48,386.80
|
$41,419.10
|
2025-11-21
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
50
|
16
|
—
|
—
|
$33,029.46
|
$48,320.80
|
$41,362.60
|
2025-11-21
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
50
|
16
|
—
|
—
|
$32,820.44
|
$48,015.00
|
$41,100.84
|
2025-11-21
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$32,766.30
|
$47,935.80
|
$41,033.04
|
2025-11-21
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
50
|
16
|
—
|
—
|
$32,621.93
|
$47,724.60
|
$40,852.26
|
2025-11-21
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
50
|
16
|
—
|
—
|
$32,441.48
|
$47,460.60
|
$40,626.27
|
2025-11-21
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
50
|
16
|
—
|
—
|
$32,384.33
|
$47,377.00
|
$40,554.71
|
2025-11-21
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
50
|
16
|
—
|
—
|
$32,309.14
|
$47,267.00
|
$40,460.55
|
2025-11-21
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
50
|
16
|
—
|
—
|
$32,268.54
|
$47,207.60
|
$40,409.71
|
2025-11-21
|
|
C1767
|
HCPCS
|
3002667 - Pulse Generator Implantable Reactiv8
|
178
|
18
|
$67,320.00
|
$33,660.00
50% off
|
$21,170.16
|
$57,222.00
|
$40,392.00
|
2025-11-21
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
50
|
16
|
—
|
—
|
$32,245.98
|
$47,174.60
|
$40,381.46
|
2025-11-21
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
50
|
16
|
—
|
—
|
$32,119.66
|
$46,989.80
|
$40,223.27
|
2025-11-21
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$32,118.16
|
$46,987.60
|
$40,221.39
|
2025-11-21
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
50
|
16
|
—
|
—
|
$32,115.15
|
$46,983.20
|
$40,217.62
|
2025-11-21
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
50
|
16
|
—
|
—
|
$32,055.00
|
$46,895.20
|
$40,142.29
|
2025-11-21
|
|
C1882
|
HCPCS
|
1173230 - Dfbr Cblt Surescan 2 Chmbr Is1 Df4 Btry 13mm 57sq Cm 51x71mm
|
114
|
18
|
$55,242.00
|
$27,621.00
50% off
|
$26,847.61
|
$46,955.70
|
$40,050.45
|
2025-11-21
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
50
|
16
|
—
|
—
|
$31,960.26
|
$46,756.60
|
$40,023.65
|
2025-11-21
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
50
|
16
|
—
|
—
|
$31,894.09
|
$46,659.80
|
$39,940.79
|
2025-11-21
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
50
|
16
|
—
|
—
|
$31,806.87
|
$46,532.20
|
$39,831.56
|
2025-11-21
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
50
|
16
|
—
|
—
|
$31,764.77
|
$46,470.60
|
$39,778.83
|
2025-11-21
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
50
|
16
|
—
|
—
|
$31,751.23
|
$46,450.80
|
$39,761.88
|
2025-11-21
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
50
|
16
|
—
|
—
|
$31,751.23
|
$46,450.80
|
$39,761.88
|
2025-11-21
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
50
|
16
|
—
|
—
|
$31,621.91
|
$46,261.60
|
$39,599.93
|
2025-11-21
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
50
|
16
|
—
|
—
|
$31,527.17
|
$46,123.00
|
$39,481.29
|
2025-11-21
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
50
|
16
|
—
|
—
|
$31,436.94
|
$45,991.00
|
$39,368.30
|
2025-11-21
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
50
|
16
|
—
|
—
|
$31,238.44
|
$45,700.60
|
$39,119.71
|
2025-11-21
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
50
|
16
|
—
|
—
|
$31,202.35
|
$45,647.80
|
$39,074.52
|
2025-11-21
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
50
|
16
|
—
|
—
|
$30,922.64
|
$45,238.60
|
$38,724.24
|
2025-11-21
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
50
|
16
|
—
|
—
|
$30,788.80
|
$45,042.80
|
$38,556.64
|
2025-11-21
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
50
|
16
|
—
|
—
|
$30,500.07
|
$44,620.40
|
$38,195.06
|
2025-11-21
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
50
|
16
|
—
|
—
|
$30,412.85
|
$44,492.80
|
$38,085.84
|
2025-11-21
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
50
|
16
|
—
|
—
|
$30,333.15
|
$44,376.20
|
$37,986.03
|
2025-11-21
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
50
|
16
|
—
|
—
|
$30,295.55
|
$44,321.20
|
$37,938.95
|
2025-11-21
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
50
|
16
|
—
|
—
|
$30,263.98
|
$44,275.00
|
$37,899.40
|
2025-11-21
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$30,251.94
|
$44,257.40
|
$37,884.33
|
2025-11-21
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
50
|
16
|
—
|
—
|
$30,051.94
|
$43,964.80
|
$37,633.87
|
2025-11-21
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
50
|
16
|
—
|
—
|
$30,047.43
|
$43,958.20
|
$37,628.22
|
2025-11-21
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
50
|
16
|
—
|
—
|
$30,026.37
|
$43,927.40
|
$37,601.85
|
2025-11-21
|