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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

LOYOLA GOTTLIEB MEMORIAL HOSPITAL

Melrose Park, IL · CCN 140008 · Rates published

31,231 distinct procedures filed
13 distinct payers
668,724 rate rows
2026-03-31 last MRF observed
Data quality

425,766 of 668,724 rate rows are consumer-grade (63.7%)

242,958 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 211,297
per-diem day rate — not a per-procedure price 27,012
placeholder amount (≤ $0.02) — excluded from medians 2,644
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 771
percent-of-charges filed in the dollar field — excluded from medians 470
template filing: same amount across many unrelated codes — excluded 378
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 270
exceeds 10× this hospital's gross charge — excluded from medians 116
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/gottliebmemorialhospital
Found on page https://www.loyolamedicine.org/for-patients/billing-and-insurance/insurance-information/price-estimates-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 5bac61d65c62ebf6… · 12,584,958 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $4,243,770.00 $4,791,353.23 $4,684,118.18 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 11 $3,596,661.73 $4,834,222.75 $4,060,747.11 nat. median
$3,508,750
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 11 $23,609.42 $4,801,994.60 $3,956,843.55 nat. median
$3,685,267
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 11 $3,161,722.56 $4,249,627.10 $3,569,686.76 nat. median
$3,248,446
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $23,609.42 $4,332,000.30 $3,569,568.25 nat. median
$3,325,455
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 12 $2,860,544.96 $4,864,551.99 $3,229,647.54 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,377,204.94 $3,998,166.53 $2,683,941.06 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 12 $2,260,758.80 $3,847,800.00 $2,552,469.61 nat. median
$2,332,000
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $747,078.02 $1,271,523.00 $843,475.19 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $37,727.52 $954,972.35 $632,999.96 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $37,727.52 $912,729.35 $605,695.82 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $37,727.52 $877,449.76 $592,842.44 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $37,727.52 $876,841.92 $592,431.75 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $37,727.52 $863,583.89 $583,474.06 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $37,727.52 $807,508.61 $536,018.62 nat. median
$513,770
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$377,029
1.2× median
8120006
CDM 		Hc Heart Transplant Acquistion With Preservation Device (Transme 5 $193,152.00 $537,745.44 $333,684.52 —
8120013
CDM 		Hc Lung Transmedics-double 5 $187,333.67 $521,546.90 $323,632.92 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $276,935.82 $528,884.31 $308,340.92 nat. median
$168,055
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $262,115.21 $352,305.38 $295,936.52 nat. median
$286,598
1.0× median
7901004
CDM 		Hc Liver Transmedics 5 $158,915.66 $442,429.64 $274,538.68 —
8120012
CDM 		Hc Lung Transmedics-single 5 $150,301.04 $418,446.08 $259,656.28 —
8120005
CDM 		Hc Heart Transplant Acquistion With Preservation Device (Sherpap 5 $141,264.42 $393,287.65 $244,044.84 —
8120001
CDM 		Heart / Lung Acquisition Cadaver 5 $140,334.03 $390,697.39 $242,437.52 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $206,982.53 $395,032.24 $230,454.77 nat. median
$186,516
1.2× median
8120015
CDM 		Hc Lungguard-double 5 $125,056.47 $348,163.86 $216,044.40 —
8120003
CDM 		Lung Double Acquisition Cadaver 5 $121,318.95 $337,758.41 $209,587.56 —
8140001
CDM 		Heart Acquisition 5 $115,451.26 $321,422.44 $199,450.68 nat. median
$1,035
outlier · 192.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $174,400.68 $332,688.55 $194,178.08 nat. median
$131,925
1.5× median
7901003
CDM 		Hc Liver Transplant Acquistion With Preservation Device (Organox 5 $110,909.77 $308,778.70 $191,604.92 nat. median
$1
5834
APR_DRG 		Neonate With Ecmo 2 $184,106.49 $184,106.49 $184,106.49 nat. median
$390,362
outlier · 0.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $157,608.08 $300,556.76 $175,481.16 nat. median
$145,435
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $151,017.25 $151,017.25 $151,017.25 nat. median
$286,698
0.5× median
7901001
CDM 		Liver Acquisition Cadaveric 5 $86,504.39 $240,832.82 $149,442.80 —
8120014
CDM 		Hc Lungguard-single 5 $86,172.39 $239,908.51 $148,869.24 —
5833
APR_DRG 		Neonate With Ecmo 2 $145,815.85 $145,815.85 $145,815.85 nat. median
$268,208
0.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $144,390.42 $144,390.42 $144,390.42 nat. median
$202,242
0.7× median
8120002
CDM 		Lung Acquisition Cadaver 5 $80,879.30 $225,172.28 $139,725.04 —
24
APR_DRG 		Heart And/or Lung Transplant 2 $139,341.07 $139,341.07 $139,341.07 nat. median
$225,531
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $135,153.61 $138,442.89 $136,798.25 nat. median
$2,736
outlier · 50.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $130,327.56 $130,327.56 $130,327.56 nat. median
$92,809
1.4× median
0494T
OTHER 		Single Lung Evlp 7 $3,232.00 $355,578.48 $130,307.44 nat. median
$8,299
outlier · 15.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $118,851.93 $121,744.47 $120,298.20 nat. median
$2,633
outlier · 45.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $104,093.39 $198,159.12 $115,897.79 nat. median
$97,418
1.2× median
8110001
CDM 		Kidney Acquisition Cadaver 5 $65,016.00 $181,008.00 $112,320.00 nat. median
$1,035
outlier · 108.5×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $110,617.91 $110,617.91 $110,617.91 nat. median
$155,539
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $109,613.92 $109,613.92 $109,613.92 nat. median
$187,567
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $107,610.42 $110,229.37 $108,919.89 nat. median
$2,596
outlier · 42.0×
5832
APR_DRG 		Neonate With Ecmo 2 $107,525.21 $107,525.21 $107,525.21 nat. median
$201,678
0.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $96,557.52 $183,739.64 $107,507.35 nat. median
$72,715
1.5× median

Other procedures at this hospital

Browse this hospital's 31,231 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 8 — — $4,243,770.00 $4,791,353.23 $4,684,118.18 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 11 11 — — $3,596,661.73 $4,834,222.75 $4,060,747.11 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 13 11 — — $23,609.42 $4,801,994.60 $3,956,843.55 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 11 — — $3,161,722.56 $4,249,627.10 $3,569,686.76 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 11 — — $23,609.42 $4,332,000.30 $3,569,568.25 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 13 12 — — $2,860,544.96 $4,864,551.99 $3,229,647.54 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 12 — — $2,377,204.94 $3,998,166.53 $2,683,941.06 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 13 12 — — $2,260,758.80 $3,847,800.00 $2,552,469.61 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 14 12 — — $747,078.02 $1,271,523.00 $843,475.19 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 12 — — $37,727.52 $954,972.35 $632,999.96 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 16 12 — — $37,727.52 $912,729.35 $605,695.82 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 16 12 — — $37,727.52 $877,449.76 $592,842.44 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 16 12 — — $37,727.52 $876,841.92 $592,431.75 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 16 12 — — $37,727.52 $863,583.89 $583,474.06 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 16 12 — — $37,727.52 $807,508.61 $536,018.62 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-31
8120006 CDM Hc Heart Transplant Acquistion With Preservation Device (Transme 11 5 $641,701.00 $121,923.19 81% off $193,152.00 $537,745.44 $333,684.52 2026-03-31
8120013 CDM Hc Lung Transmedics-double 11 5 $622,371.00 $118,250.49 81% off $187,333.67 $521,546.90 $323,632.92 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 12 — — $276,935.82 $528,884.31 $308,340.92 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 11 — — $262,115.21 $352,305.38 $295,936.52 2026-03-31
7901004 CDM Hc Liver Transmedics 11 5 $527,959.00 $100,312.21 81% off $158,915.66 $442,429.64 $274,538.68 2026-03-31
8120012 CDM Hc Lung Transmedics-single 11 5 $499,339.00 $94,874.41 81% off $150,301.04 $418,446.08 $259,656.28 2026-03-31
8120005 CDM Hc Heart Transplant Acquistion With Preservation Device (Sherpap 11 5 $469,317.00 $89,170.23 81% off $141,264.42 $393,287.65 $244,044.84 2026-03-31
8120001 CDM Heart / Lung Acquisition Cadaver 11 5 $466,226.00 $88,582.94 81% off $140,334.03 $390,697.39 $242,437.52 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $206,982.53 $395,032.24 $230,454.77 2026-03-31
8120015 CDM Hc Lungguard-double 11 5 $415,470.00 $78,939.30 81% off $125,056.47 $348,163.86 $216,044.40 2026-03-31
8120003 CDM Lung Double Acquisition Cadaver 11 5 $403,053.00 $76,580.07 81% off $121,318.95 $337,758.41 $209,587.56 2026-03-31
8140001 CDM Heart Acquisition 11 5 $383,559.00 $72,876.21 81% off $115,451.26 $321,422.44 $199,450.68 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 12 — — $174,400.68 $332,688.55 $194,178.08 2026-03-31
7901003 CDM Hc Liver Transplant Acquistion With Preservation Device (Organox 11 5 $368,471.00 $70,009.49 81% off $110,909.77 $308,778.70 $191,604.92 2026-03-31
5834 APR_DRG Neonate With Ecmo 2 2 — — $184,106.49 $184,106.49 $184,106.49 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $157,608.08 $300,556.76 $175,481.16 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $151,017.25 $151,017.25 $151,017.25 2026-03-31
7901001 CDM Liver Acquisition Cadaveric 11 5 $287,390.00 $54,604.10 81% off $86,504.39 $240,832.82 $149,442.80 2026-03-31
8120014 CDM Hc Lungguard-single 11 5 $286,287.00 $54,394.53 81% off $86,172.39 $239,908.51 $148,869.24 2026-03-31
5833 APR_DRG Neonate With Ecmo 2 2 — — $145,815.85 $145,815.85 $145,815.85 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $144,390.42 $144,390.42 $144,390.42 2026-03-31
8120002 CDM Lung Acquisition Cadaver 11 5 $268,702.00 $51,053.38 81% off $80,879.30 $225,172.28 $139,725.04 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $139,341.07 $139,341.07 $139,341.07 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $135,153.61 $138,442.89 $136,798.25 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $130,327.56 $130,327.56 $130,327.56 2026-03-31
0494T OTHER Single Lung Evlp 19 7 $305,886.00 $58,118.34 81% off $3,232.00 $355,578.48 $130,307.44 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $118,851.93 $121,744.47 $120,298.20 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 12 — — $104,093.39 $198,159.12 $115,897.79 2026-03-31
8110001 CDM Kidney Acquisition Cadaver 11 5 $216,000.00 $41,040.00 81% off $65,016.00 $181,008.00 $112,320.00 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $110,617.91 $110,617.91 $110,617.91 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $109,613.92 $109,613.92 $109,613.92 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $107,610.42 $110,229.37 $108,919.89 2026-03-31
5832 APR_DRG Neonate With Ecmo 2 2 — — $107,525.21 $107,525.21 $107,525.21 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $96,557.52 $183,739.64 $107,507.35 2026-03-31
7 MS_DRG Lung Transplant 21 12 — — $96,315.67 $183,276.85 $107,238.06 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $101,824.64 $101,824.64 $101,824.64 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $98,491.99 $98,491.99 $98,491.99 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $97,291.06 $97,291.06 $97,291.06 2026-03-31
3621387 CDM Heartmate Ii Lvad Sys 11 5 $175,000.00 $33,250.00 81% off $10,000.00 $146,650.00 $96,250.00 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $95,266.86 $95,266.86 $95,266.86 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $95,110.28 $95,110.28 $95,110.28 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $94,988.04 $94,988.04 $94,988.04 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $94,503.59 $94,503.59 $94,503.59 2026-03-31
5831 APR_DRG Neonate With Ecmo 2 2 — — $92,921.21 $92,921.21 $92,921.21 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $91,639.04 $93,869.28 $92,754.16 2026-03-31
3621431 CDM Hw Hvad - Sterile Implant Kit #5400 11 5 $168,400.00 $31,996.00 81% off $10,000.00 $141,119.20 $92,620.00 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $91,349.78 $91,349.78 $91,349.78 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $90,727.61 $90,727.61 $90,727.61 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $81,297.46 $154,540.27 $90,516.75 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $90,482.37 $90,482.37 $90,482.37 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $80,375.44 $152,776.05 $89,490.18 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $89,075.44 $89,075.44 $89,075.44 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $88,816.61 $88,816.61 $88,816.61 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $88,584.57 $88,584.57 $88,584.57 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $86,504.04 $88,609.32 $87,556.68 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $78,583.46 $149,347.19 $87,494.99 2026-03-31
215 MS_DRG Other Heart Assist System Implant 21 12 — — $78,183.29 $148,581.48 $87,049.44 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $86,166.48 $86,166.48 $86,166.48 2026-03-31
8110002 CDM Kidney Acquisition Donor 11 5 $165,027.00 $31,355.13 81% off $49,673.13 $138,292.63 $85,814.04 2026-03-31
7901002 CDM Liver Acquisition Living Donor 11 5 $163,264.00 $31,020.16 81% off $49,142.46 $136,815.23 $84,897.28 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $84,375.46 $84,375.46 $84,375.46 2026-03-31
3621004 CDM Hvad Heartware Pump 11 5 $149,300.00 $28,367.00 81% off $10,000.00 $125,113.40 $82,115.00 2026-03-31
8110003 CDM Pancreas Acquisition Cadaver 11 5 $155,994.00 $29,638.86 81% off $46,954.19 $130,722.97 $81,116.88 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $79,816.93 $81,759.46 $80,788.20 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $71,266.74 $135,347.03 $79,348.54 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $79,171.04 $79,171.04 $79,171.04 2026-03-31
64 APR_DRG Pancreas Transplant 2 2 — — $78,663.95 $78,663.95 $78,663.95 2026-03-31
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $71,013.90 $72,742.19 $71,878.04 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $70,580.39 $72,298.13 $71,439.26 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $70,599.25 $70,599.25 $70,599.25 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $62,638.85 $118,837.97 $69,742.22 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $62,604.40 $118,772.06 $69,703.87 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 12 — — $23,609.42 $104,338.76 $69,427.88 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $66,446.59 $68,063.72 $67,255.15 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $59,613.36 $113,048.87 $66,373.64 2026-03-31
10 MS_DRG Pancreas Transplant 21 12 — — $58,967.66 $111,813.35 $65,654.71 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $58,632.72 $111,172.46 $65,281.79 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $57,819.92 $109,617.19 $64,376.81 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $63,944.88 $63,944.88 $63,944.88 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $57,241.64 $108,510.70 $63,732.96 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $63,336.68 $63,336.68 $63,336.68 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $62,708.10 $62,708.10 $62,708.10 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $61,919.56 $61,919.56 $61,919.56 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $55,238.58 $104,677.94 $61,502.75 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 12 — — $23,609.42 $94,078.22 $61,235.16 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $61,097.81 $61,097.81 $61,097.81 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $59,629.75 $59,629.75 $59,629.75 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $52,327.43 $99,107.61 $58,261.46 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $57,583.67 $57,583.67 $57,583.67 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 12 — — $51,517.55 $97,557.96 $57,359.75 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 12 — — $50,577.95 $95,760.08 $56,313.60 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $55,720.21 $55,720.21 $55,720.21 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $55,669.27 $55,669.27 $55,669.27 2026-03-31
63 APR_DRG Pancreas Transplant 2 2 — — $55,312.35 $55,312.35 $55,312.35 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 12 — — $49,482.98 $93,664.89 $55,094.45 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $55,051.64 $55,051.64 $55,051.64 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $49,400.16 $93,506.42 $55,002.24 2026-03-31
38240 HCPCS Trnsplj Allogeneic Hematopoietic Cells Per Donor 24 12 $91,360.00 $17,358.40 81% off $902.83 $77,063.93 $54,933.79 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $54,817.71 $54,817.71 $54,817.71 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $54,226.49 $54,226.49 $54,226.49 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $53,834.86 $53,834.86 $53,834.86 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 12 — — $47,931.39 $90,696.01 $53,366.90 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $52,685.32 $53,967.54 $53,326.43 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $47,863.23 $90,565.59 $53,291.02 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $52,962.93 $52,962.93 $52,962.93 2026-03-31
4404 APR_DRG Kidney Transplant 2 2 — — $52,336.24 $52,336.24 $52,336.24 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $46,884.05 $88,691.98 $52,200.80 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $51,497.13 $51,497.13 $51,497.13 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $51,459.40 $51,459.40 $51,459.40 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc 21 12 — — $45,931.99 $86,870.27 $51,140.78 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $50,475.20 $51,703.64 $51,089.42 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $45,666.68 $86,362.60 $50,845.37 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $45,509.10 $86,061.08 $50,669.93 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $45,303.88 $85,668.41 $50,441.43 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $45,089.87 $85,258.91 $50,203.15 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $50,200.36 $50,200.36 $50,200.36 2026-03-31
J9226 HCPCS Supprelin La Implant 16 12 — — $23,609.42 $74,599.87 $49,867.71 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 12 — — $44,770.32 $84,647.46 $49,847.37 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 12 — — $44,770.32 $84,647.46 $49,847.37 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $44,439.77 $84,014.98 $49,479.34 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $44,135.61 $83,432.98 $49,140.68 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $49,000.19 $49,000.19 $49,000.19 2026-03-31
1784 APR_DRG External Heart Assist Systems 2 2 — — $48,673.07 $48,673.07 $48,673.07 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $43,658.48 $82,520.02 $48,609.44 2026-03-31
A9543 HCPCS Ibritumomab Tiuxetan Y-90 3.2 Mg/2ml Kit 1 Each Box 24 12 $61,770.36 $11,736.37 81% off $18,592.88 $74,043.81 $48,427.96 2026-03-31
0266T OTHER Implt/rpl Crtd Sns Dev Total 13 11 — — $19,064.62 $58,636.78 $48,316.70 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 11 — — $19,064.62 $58,636.78 $48,316.70 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $43,204.81 $81,651.94 $48,104.32 2026-03-31
62 APR_DRG Pancreas Transplant 2 2 — — $48,016.58 $48,016.58 $48,016.58 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 11 — — $44,102.63 $79,529.53 $47,739.96 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $42,597.22 $80,489.35 $47,427.83 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $42,345.83 $80,008.32 $47,147.93 2026-03-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $47,082.01 $47,082.01 $47,082.01 2026-03-31
3657004 CDM Ab Pump Set Abiomed 11 5 $90,000.00 $17,100.00 81% off $27,090.00 $75,420.00 $46,800.00 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $46,755.65 $46,755.65 $46,755.65 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $46,210.08 $46,210.08 $46,210.08 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $41,389.37 $78,178.19 $46,083.01 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $41,042.70 $77,514.86 $45,697.02 2026-03-31
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 21 12 — — $41,042.70 $77,514.86 $45,697.02 2026-03-31
5801059 CDM Periph Bld Stm Cell Procur Primary Internatl 11 5 $86,528.00 $16,440.32 81% off $26,044.93 $72,510.46 $44,994.56 2026-03-31
5801060 CDM Periph Bld Stm Cell Procur Secondary Internatl 11 5 $86,528.00 $16,440.32 81% off $26,044.93 $72,510.46 $44,994.56 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 12 — — $40,410.93 $76,305.99 $44,993.61 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $40,320.04 $76,132.09 $44,892.41 2026-03-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $44,809.56 $44,809.56 $44,809.56 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $40,117.03 $75,743.62 $44,666.38 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $40,079.64 $75,672.10 $44,624.76 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $40,075.25 $75,663.69 $44,619.87 2026-03-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $44,076.10 $44,076.10 $44,076.10 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $39,524.83 $74,610.48 $44,007.03 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $43,910.46 $43,910.46 $43,910.46 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $39,352.59 $74,280.92 $43,815.25 2026-03-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $43,160.78 $43,160.78 $43,160.78 2026-03-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $42,569.93 $42,569.93 $42,569.93 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $38,152.81 $71,985.19 $42,479.41 2026-03-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $42,477.49 $42,477.49 $42,477.49 2026-03-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $42,254.89 $42,254.89 $42,254.89 2026-03-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $42,185.09 $42,185.09 $42,185.09 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $37,871.37 $71,446.67 $42,166.06 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $42,110.01 $42,110.01 $42,110.01 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $37,757.03 $71,227.90 $42,038.75 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $37,448.47 $70,637.49 $41,695.20 2026-03-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $41,683.28 $41,683.28 $41,683.28 2026-03-31
5801046 CDM Bone Marr Product Allogen Internatl 11 5 $80,039.00 $15,207.41 81% off $24,091.74 $67,072.68 $41,620.28 2026-03-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $41,535.01 $41,535.01 $41,535.01 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $37,230.79 $70,220.97 $41,452.84 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $37,202.22 $70,166.28 $41,421.02 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $37,187.55 $70,138.23 $41,404.69 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $37,055.63 $69,885.80 $41,257.81 2026-03-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $41,207.89 $41,207.89 $41,207.89 2026-03-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $40,827.95 $40,827.95 $40,827.95 2026-03-31
245 MS_DRG Aicd Generator Procedures 21 12 — — $36,348.36 $68,532.48 $40,470.34 2026-03-31
8634 APR_DRG Neonatal Aftercare 2 2 — — $40,398.59 $40,398.59 $40,398.59 2026-03-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $40,391.80 $40,391.80 $40,391.80 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $39,815.57 $40,784.58 $40,300.07 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $36,132.15 $68,118.78 $40,229.61 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $36,072.79 $68,005.18 $40,163.52 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $39,902.82 $39,902.82 $39,902.82 2026-03-31
1794 APR_DRG Defibrillator Implants 2 2 — — $39,655.32 $39,655.32 $39,655.32 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $35,532.62 $66,971.61 $39,562.10 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $39,490.82 $39,490.82 $39,490.82 2026-03-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $39,439.88 $39,439.88 $39,439.88 2026-03-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $39,405.17 $39,405.17 $39,405.17 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $35,380.91 $66,681.32 $39,393.18 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $35,374.32 $66,668.69 $39,385.84 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $35,013.72 $65,978.71 $38,984.35 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $34,829.02 $65,625.31 $38,778.71 2026-03-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $38,661.14 $38,661.14 $38,661.14 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $34,626.74 $65,238.25 $38,553.48 2026-03-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $38,527.20 $38,527.20 $38,527.20 2026-03-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $38,321.20 $38,321.20 $38,321.20 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $34,313.79 $64,639.42 $38,205.04 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 12 — — $34,299.86 $64,612.78 $38,189.53 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $34,192.12 $64,406.62 $38,069.58 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $34,186.99 $64,396.81 $38,063.87 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $37,805.44 $37,805.44 $37,805.44 2026-03-31
61 APR_DRG Pancreas Transplant 2 2 — — $37,743.18 $37,743.18 $37,743.18 2026-03-31
C9076 HCPCS Lisocabtagene Car Pos T 2 2 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
Q2040 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9081 HCPCS Idecabtagene Car Pos T 2 2 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 2 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
C9098 HCPCS Ciltacabtagene Car Pos T 2 2 — — $37,727.52 $37,727.52 $37,727.52 2026-03-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $37,697.91 $37,697.91 $37,697.91 2026-03-31
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 13 11 — — $10,803.57 $45,606.53 $37,579.78 2026-03-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $37,533.41 $37,533.41 $37,533.41 2026-03-31
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $37,495.68 $37,495.68 $37,495.68 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 12 — — $33,598.46 $63,270.68 $37,408.60 2026-03-31
4807254 CDM Sapien 3 Ultra Resilia Transcath Heart Valve Sys 29mm #9755rsl 11 5 $68,000.00 $12,920.00 81% off $10,000.00 $56,984.00 $37,400.00 2026-03-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $37,368.53 $37,368.53 $37,368.53 2026-03-31
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $37,336.83 $37,336.83 $37,336.83 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $33,401.30 $62,893.43 $37,189.08 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 12 — — $33,310.42 $62,719.54 $37,087.89 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $33,004.07 $62,133.33 $36,746.79 2026-03-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $36,626.76 $36,626.76 $36,626.76 2026-03-31
5801012 CDM Cord Blood Procurement 11 5 $70,304.00 $13,357.76 81% off $21,161.50 $58,914.75 $36,558.08 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $32,727.75 $61,604.63 $36,439.15 2026-03-31
1783 APR_DRG External Heart Assist Systems 2 2 — — $36,008.38 $36,008.38 $36,008.38 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 12 — — $32,244.76 $60,680.45 $35,901.38 2026-03-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $35,861.98 $35,861.98 $35,861.98 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $32,179.53 $60,555.63 $35,828.75 2026-03-31
234 APR_DRG Spinal Procedures 2 2 — — $35,769.92 $35,769.92 $35,769.92 2026-03-31
3604710 CDM Edwards Sapien 3 Transcath System 9600tfx26 11 5 $65,000.00 $12,350.00 81% off $10,000.00 $54,470.00 $35,750.00 2026-03-31
A9513 HCPCS Lutetium Lu-177 Dotatate 370 Mbq/ml Soln 1 Each Vial 24 12 $122,132.76 $23,205.22 81% off $303.14 $102,347.25 $35,545.22 2026-03-31
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 2 2 — — $35,545.22 $35,545.22 $35,545.22 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $31,796.21 $59,822.18 $35,401.97 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $31,750.04 $59,733.83 $35,350.56 2026-03-31
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $35,279.82 $35,279.82 $35,279.82 2026-03-31
4414 APR_DRG Major Bladder Procedures 2 2 — — $35,273.40 $35,273.40 $35,273.40 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $31,528.70 $59,310.30 $35,104.11 2026-03-31
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 11 — — $31,082.12 $41,777.04 $35,092.71 2026-03-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $34,841.78 $34,841.78 $34,841.78 2026-03-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $34,831.21 $34,831.21 $34,831.21 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 12 — — $31,245.80 $58,768.97 $34,789.13 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $31,238.46 $58,754.95 $34,780.97 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $31,026.65 $58,349.66 $34,545.14 2026-03-31
4403 APR_DRG Kidney Transplant 2 2 — — $34,497.68 $34,497.68 $34,497.68 2026-03-31
0408T OTHER Insj/rplc Cardiac Modulj Sys 13 11 — — $7,786.38 $41,777.04 $34,424.28 2026-03-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $34,384.87 $34,384.87 $34,384.87 2026-03-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $34,333.94 $34,333.94 $34,333.94 2026-03-31
33264 HCPCS Remov Icd Pg With Replc Pg Mult Sys 24 12 $84,941.00 $16,138.79 81% off $1,436.60 $62,006.93 $34,307.31 2026-03-31
69930 HCPCS Implant Cochlear Device 13 11 — — $23,948.78 $41,446.38 $34,151.82 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $30,670.45 $57,668.09 $34,148.54 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 12 — — $30,653.60 $57,635.84 $34,129.78 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $30,608.88 $57,550.29 $34,079.99 2026-03-31
33270 HCPCS Ins Or Repl Subq Defib Sys W Eltrd 24 12 $67,121.00 $12,752.99 81% off $2,002.48 $48,998.33 $33,805.98 2026-03-31
33249 HCPCS Insrt Or Replc Icd With Trnsven Lead Sing Or Dual Chamb 28 12 $91,718.00 $17,426.42 81% off $1,291.00 $66,954.14 $33,805.98 2026-03-31
33231 HCPCS Insrt Icd Pg Only With Exist Mult Lead 24 12 $72,688.00 $13,810.72 81% off $1,429.25 $53,062.24 $33,805.98 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $30,342.84 $57,041.22 $33,783.78 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $33,674.42 $33,674.42 $33,674.42 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 19 11 — — $31,098.48 $55,792.95 $33,663.30 2026-03-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $33,603.11 $33,603.11 $33,603.11 2026-03-31
1782 APR_DRG External Heart Assist Systems 2 2 — — $33,548.41 $33,548.41 $33,548.41 2026-03-31
0571T OTHER Hc Insj/Rplcmt Icds W/Substernal Electrode 24 12 $63,946.00 $12,149.74 81% off $1,291.00 $53,586.75 $33,421.63 2026-03-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $33,416.73 $33,416.73 $33,416.73 2026-03-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $33,191.11 $33,191.11 $33,191.11 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $29,729.38 $55,867.41 $33,100.76 2026-03-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $33,094.90 $33,094.90 $33,094.90 2026-03-31
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 21 12 — — $29,708.87 $55,828.14 $33,077.92 2026-03-31
3604735 CDM Valve Aort 34mm Evolutr Evolutr-34-c 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3652048 CDM Corevalve Transcath Aortic 31mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3620590 CDM Corevalve Evolut Pro Valve Aortic 29mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4802284 CDM Mitraclip Nt With Guide Cath Ntmsk0100 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809008 CDM Kit Mitraclip 1 Mbr0303 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4802909 CDM Corevalve Transcath Aortic 26mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4806984 CDM Corevalve Transcath Aortic 29mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4802286 CDM Mitraclip Nt 2 With Guid Cath & Del Sys Ntmsk0102 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4802287 CDM Mitraclip Nt 3 With Guid Cath & Del Sys Ntmsk0103 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809006 CDM Kit Mitraclip 1 Mbr0301 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809007 CDM Kit Mitraclip 2 Mbr0302 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3621504 CDM Corevalve Evolut-r Valve Aortic 26mm #evolutr-26-US 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4806992 CDM Corevalve Transcath Aortic 31mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809005 CDM Kit Mitraclip 3 Mbr0203 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3621801 CDM Corevalve Evolut-r Valve Aortic 34mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809965 CDM Mitraclip G4 System #Mcg40100 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3652045 CDM Corevalve Transcath Aortic 23mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3652046 CDM Corevalve Transcath Aortic 26mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3652052 CDM Corevalve Evolut-r Valve Aortic 29mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809000 CDM Kit Mitraclip 1 Mbr0101 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3620627 CDM Corevalve Evolut Pro Valve Aortic 26mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4802285 CDM Mitraclip Nt 1 With Guid Cath & Del Sys Ntmsk0101 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809002 CDM Kit Mitraclip 3 Mbr0103 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
4809003 CDM Kit Mitraclip 1 Mbr0201 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
3652047 CDM Corevalve Transcath Aortic 29mm 11 5 $60,000.00 $11,400.00 81% off $10,000.00 $50,280.00 $33,000.00 2026-03-31
8140048 CDM Hm Ii Lvad - Support Kit With Pm/Ubc #106101 11 5 $59,970.00 $11,394.30 81% off $10,000.00 $50,254.86 $32,983.50 2026-03-31
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