Price Transparencybeta Hospital negotiated rates

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

UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital

Louisville, KY · CCN 180040 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,163 across 17 payers · range $3,288-$7,682

Source: https://uoflhealth.org/wp-content/uploads/2026/04/843178470_UofL-Health-Mary-and-Elizabeth-Hospital_standardcharges.zip · observed 2026-08-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

68,368 distinct procedures filed
25 distinct payers
5,039,782 rate rows
2026-08-01 last MRF observed
Data quality

5,030,881 of 5,039,782 rate rows are consumer-grade (99.8%)

8,901 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
placeholder amount (≤ $0.02) — excluded from medians 6,025
percent-of-charges filed in the dollar field — excluded from medians 1,011
per-diem day rate — not a per-procedure price 668
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 598
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 454
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 125
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uoflhealth.org/wp-content/uploads/2026/04/843178470_UofL-Health-Mary-and-Elizabeth-Hospital_standardcharges.zip
Found on page https://uoflhealth.org/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 6fc9f2a0f1c5e019… · 10,996,601 bytes · first seen 2026-05-18

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 9 $4,377,500.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,675,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 17 $3,489,255.00 $4,969,916.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 16 $3,424,750.00 $4,686,500.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $3,159,182.02 $4,675,409.45 $3,327,159.88 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 17 $3,121,700.00 $4,271,800.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 17 $2,819,600.00 $3,858,400.00 $2,968,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 17 $2,231,250.00 $4,299,505.61 $2,455,110.61 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 10 $2,332,000.00 $3,031,600.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $770,620.00 $1,001,806.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 17 $471,442.34 $952,547.15 $578,324.58 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 17 $500,767.26 $948,822.17 $553,479.60 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 17 $471,350.20 $947,857.66 $552,916.97 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 17 $461,013.08 $930,106.94 $542,562.38 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 17 $448,137.18 $881,020.73 $513,928.76 nat. median
$588,565
0.9× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $507,687.00 $507,687.00 $507,687.00 nat. median
$30,221
outlier · 16.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $437,503.88 $828,954.72 $488,051.51 nat. median
$577,541
0.8× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 1 $141,703.04 $382,914.09 $382,914.09 nat. median
$254,667
1.5× median
24
APR_DRG 		Heart andOR Lung Transplant 1 $147,504.23 $345,547.17 $345,547.17 nat. median
$243,231
1.4× median
1614
APR_DRG 		Cardiac Defibrillator And Heart Assist Implant 1 $129,112.29 $334,078.59 $334,078.59 nat. median
$209,486
1.6× median
0624
RC 		9 $117,315.00 $330,000.00 $297,000.00 nat. median
$5,188
outlier · 57.2×
490360176
OTHER 		Hmiii Imp Kt W/hm3 Cont 106524 16 $108,782.35 $647,514.00 $293,744.72 nat. median
$293,745
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $270,375.00 $361,725.00 $278,250.00 nat. median
$302,242
0.9× median
440044774
OTHER 		Hm3 Lvad Implant 106524us 16 $100,724.40 $599,550.00 $271,985.86 nat. median
$271,986
1.0× median
490344774
OTHER 		Hm3 Lvad Implant 106524us 16 $100,724.40 $599,550.00 $271,985.86 nat. median
$271,986
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 17 $221,371.72 $424,344.43 $266,639.12 nat. median
$370,165
0.7× median
J3403
HCPCS 		Revakinagene Per Implant 10 $257,500.00 $334,750.00 $257,500.00 nat. median
$265,000
1.0× median
14
APR_DRG 		Liver Transplant andOR Intestinal Transplant 1 $90,110.39 $251,928.85 $251,928.85 nat. median
$137,901
1.8× median
440065493
OTHER 		Briovad Imp Kit 490022 16 $92,599.92 $551,190.00 $250,047.35 nat. median
$250,047
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $92,412.49 $233,255.25 $233,255.25 nat. median
$175,480
1.3× median
44
APR_DRG 		Tracheostomy W Mv 96 Hours W Extensive Procedure 1 $109,115.53 $228,791.89 $228,791.89 nat. median
$127,600
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $62,431.22 $227,527.75 $227,527.75 nat. median
$165,599
1.4× median
490363341
OTHER 		Hw Hvad Imp Kit 5400 16 $84,259.73 $501,546.00 $227,526.34 nat. median
$227,526
1.0× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 1 $93,807.13 $222,706.73 $222,706.73 nat. median
$168,361
1.3× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $217,286.57 $217,286.57 $217,286.57 nat. median
$53,038
outlier · 4.1×
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 1 $70,877.49 $211,045.75 $211,045.75 nat. median
$168,174
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $205,640.00 $267,332.00 $205,640.00 nat. median
$209,736
1.0× median
440017964
OTHER 		Blood Pump Bp310 16 $75,600.00 $450,000.00 $204,142.50 nat. median
$204,142
1.0× median
490317964
OTHER 		Blood Pump Bp310 16 $75,600.00 $450,000.00 $204,142.50 nat. median
$204,142
1.0× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $199,388.70 $199,388.70 $199,388.70 nat. median
$8,001
outlier · 24.9×
22
APR_DRG 		Heart andOR Lung Transplant 1 $66,841.49 $199,358.88 $199,358.88 nat. median
$94,014
outlier · 2.1×
23
APR_DRG 		Heart andOR Lung Transplant 1 $81,282.42 $199,358.88 $199,358.88 nat. median
$116,111
1.7× median
21
APR_DRG 		Heart andOR Lung Transplant 1 $59,406.60 $199,358.88 $199,358.88 nat. median
$74,854
outlier · 2.7×
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 1 $90,542.33 $199,067.82 $199,067.82 nat. median
$156,285
1.3× median
443720263
OTHER 		Vutrisiran 25 Mg/0.5 Ml Syringe 16 $71,257.79 $424,153.51 $192,417.24 nat. median
$192,417
1.0× median
510020263
OTHER 		Vutrisiran 25 Mg/0.5 Ml Syringe 16 $71,257.79 $424,153.51 $192,417.24 nat. median
$207,199
0.9× median
5832
APR_DRG 		Neonate W Ecmo 1 $152,626.88 $188,848.59 $188,848.59 nat. median
$169,230
1.1× median
5833
APR_DRG 		Neonate W Ecmo 1 $162,247.62 $188,848.59 $188,848.59 nat. median
$250,089
0.8× median
5831
APR_DRG 		Neonate W Ecmo 1 $152,626.88 $188,848.59 $188,848.59 nat. median
$154,685
1.2× median
5834
APR_DRG 		Neonate W Ecmo 1 $162,247.62 $188,848.59 $188,848.59 nat. median
$311,018
0.6× median

Other procedures at this hospital

Browse this hospital's 68,368 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 39 9 — — $4,377,500.00 $4,730,250.00 $4,505,000.00 2026-08-01
J1414 HCPCS Inj Beqvez Per Tx Dose 12 1 — — $3,675,000.00 $3,710,000.00 $3,710,000.00 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 110 17 — — $3,489,255.00 $4,969,916.00 $3,685,266.67 2026-08-01
C9172 HCPCS Inj- Beqvez- Per Tx Dose 49 16 — — $3,424,750.00 $4,686,500.00 $3,605,000.00 2026-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 115 17 — — $3,159,182.02 $4,675,409.45 $3,327,159.88 2026-08-01
J3394 HCPCS Inj Lovotibeglogene Autotem 95 17 — — $3,121,700.00 $4,271,800.00 $3,286,000.00 2026-08-01
J3393 HCPCS Inj Betibeglogene Autotemce 95 17 — — $2,819,600.00 $3,858,400.00 $2,968,000.00 2026-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 117 17 — — $2,231,250.00 $4,299,505.61 $2,455,110.61 2026-08-01
J3392 HCPCS Inj Exagamglogene Autotem 42 10 — — $2,332,000.00 $3,031,600.00 $2,332,000.00 2026-08-01
Q2057 HCPCS Afamitresgene Autoleucel 42 10 — — $770,620.00 $1,001,806.00 $770,620.00 2026-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 122 17 — — $471,442.34 $952,547.15 $578,324.58 2026-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 120 17 — — $500,767.26 $948,822.17 $553,479.60 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel Car 122 17 — — $471,350.20 $947,857.66 $552,916.97 2026-08-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 122 17 — — $461,013.08 $930,106.94 $542,562.38 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 122 17 — — $448,137.18 $881,020.73 $513,928.76 2026-08-01
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $507,687.00 $507,687.00 $507,687.00 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 122 17 — — $437,503.88 $828,954.72 $488,051.51 2026-08-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 3 1 — — $141,703.04 $382,914.09 $382,914.09 2026-08-01
24 APR_DRG Heart andOR Lung Transplant 3 1 — — $147,504.23 $345,547.17 $345,547.17 2026-08-01
1614 APR_DRG Cardiac Defibrillator And Heart Assist Implant 3 1 — — $129,112.29 $334,078.59 $334,078.59 2026-08-01
0624 RC — 13 9 $330,000.00 $148,500.00 55% off $117,315.00 $330,000.00 $297,000.00 2026-07-17
490360176 OTHER Hmiii Imp Kt W/hm3 Cont 106524 56 16 $647,514.00 $291,381.30 55% off $108,782.35 $647,514.00 $293,744.72 2026-05-22
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 42 10 — — $270,375.00 $361,725.00 $278,250.00 2026-08-01
490344774 OTHER Hm3 Lvad Implant 106524us 56 16 $599,550.00 $269,797.50 55% off $100,724.40 $599,550.00 $271,985.86 2026-05-22
440044774 OTHER Hm3 Lvad Implant 106524us 56 16 $599,550.00 $269,797.50 55% off $100,724.40 $599,550.00 $271,985.86 2026-05-22
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 141 17 — — $221,371.72 $424,344.43 $266,639.12 2026-08-01
J3403 HCPCS Revakinagene Per Implant 33 10 — — $257,500.00 $334,750.00 $257,500.00 2026-08-01
14 APR_DRG Liver Transplant andOR Intestinal Transplant 3 1 — — $90,110.39 $251,928.85 $251,928.85 2026-08-01
440065493 OTHER Briovad Imp Kit 490022 56 16 $551,190.00 $248,035.50 55% off $92,599.92 $551,190.00 $250,047.35 2026-05-22
74 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $92,412.49 $233,255.25 $233,255.25 2026-08-01
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure 3 1 — — $109,115.53 $228,791.89 $228,791.89 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 1 — — $62,431.22 $227,527.75 $227,527.75 2026-08-01
490363341 OTHER Hw Hvad Imp Kit 5400 56 16 $501,546.00 $225,695.70 55% off $84,259.73 $501,546.00 $227,526.34 2026-05-22
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 3 1 — — $93,807.13 $222,706.73 $222,706.73 2026-08-01
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 5 1 — — $217,286.57 $217,286.57 $217,286.57 2026-08-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 3 1 — — $70,877.49 $211,045.75 $211,045.75 2026-08-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 33 10 — — $205,640.00 $267,332.00 $205,640.00 2026-08-01
490317964 OTHER Blood Pump Bp310 56 16 $450,000.00 $202,500.00 55% off $75,600.00 $450,000.00 $204,142.50 2026-05-22
440017964 OTHER Blood Pump Bp310 56 16 $450,000.00 $202,500.00 55% off $75,600.00 $450,000.00 $204,142.50 2026-05-22
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 5 1 — — $199,388.70 $199,388.70 $199,388.70 2026-08-01
22 APR_DRG Heart andOR Lung Transplant 3 1 — — $66,841.49 $199,358.88 $199,358.88 2026-08-01
23 APR_DRG Heart andOR Lung Transplant 3 1 — — $81,282.42 $199,358.88 $199,358.88 2026-08-01
21 APR_DRG Heart andOR Lung Transplant 3 1 — — $59,406.60 $199,358.88 $199,358.88 2026-08-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 3 1 — — $90,542.33 $199,067.82 $199,067.82 2026-08-01
443720263 OTHER Vutrisiran 25 Mg/0.5 Ml Syringe 56 16 $424,153.51 $190,869.08 55% off $71,257.79 $424,153.51 $192,417.24 2026-05-22
510020263 OTHER Vutrisiran 25 Mg/0.5 Ml Syringe 56 16 $424,153.51 $190,869.08 55% off $71,257.79 $424,153.51 $192,417.24 2026-05-22
5834 APR_DRG Neonate W Ecmo 3 1 — — $162,247.62 $188,848.59 $188,848.59 2026-08-01
5833 APR_DRG Neonate W Ecmo 3 1 — — $162,247.62 $188,848.59 $188,848.59 2026-08-01
5831 APR_DRG Neonate W Ecmo 3 1 — — $152,626.88 $188,848.59 $188,848.59 2026-08-01
5832 APR_DRG Neonate W Ecmo 3 1 — — $152,626.88 $188,848.59 $188,848.59 2026-08-01
510020266 OTHER Lumasiran 94.5 Mg/0.5 Ml Inj 56 16 $407,533.02 $183,389.86 55% off $68,465.55 $407,533.02 $184,877.35 2026-05-22
443720266 OTHER Lumasiran 94.5 Mg/0.5 Ml Inj 56 16 $407,533.02 $183,389.86 55% off $68,465.55 $407,533.02 $184,877.35 2026-05-22
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 3 1 — — $131,839.30 $180,897.42 $180,897.42 2026-08-01
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 5 1 — — $179,138.52 $179,138.52 $179,138.52 2026-08-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 3 1 — — $64,803.32 $178,935.22 $178,935.22 2026-08-01
440027615 OTHER Kit 200 Patient Kit200 56 16 $391,314.00 $176,091.30 55% off $65,740.75 $391,314.00 $177,519.60 2026-05-22
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $176,428.56 $176,428.56 $176,428.56 2026-08-01
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 5 1 — — $174,511.45 $174,511.45 $174,511.45 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 146 18 — — $20,000.00 $415,432.83 $173,929.69 2026-08-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 3 1 — — $82,259.54 $167,639.30 $167,639.30 2026-08-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 3 1 — — $82,259.54 $167,639.30 $167,639.30 2026-08-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 3 1 — — $111,984.02 $167,639.30 $167,639.30 2026-08-01
0812 RC N/a 83 10 $191,779.50 $86,300.77 55% off $47.70 $222,740.00 $162,723.00 2026-08-01
5834 OTHER Neonate With Ecmo 2 1 — — $162,247.62 $162,247.62 $162,247.62 2026-05-22
5833 OTHER Neonate With Ecmo 2 1 — — $162,247.62 $162,247.62 $162,247.62 2026-05-22
64 APR_DRG Pancreas Transplant 3 1 — — $46,800.53 $161,856.30 $161,856.30 2026-08-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 3 1 — — $43,232.92 $160,959.68 $160,959.68 2026-08-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 3 1 — — $54,565.07 $157,910.93 $157,910.93 2026-08-01
5831 OTHER Neonate With Ecmo 2 1 — — $152,626.88 $152,626.88 $152,626.88 2026-05-22
5832 OTHER Neonate With Ecmo 2 1 — — $152,626.88 $152,626.88 $152,626.88 2026-05-22
440041571 OTHER Hvad Pump Imp Mcs1705pu 56 16 $330,064.00 $148,528.80 55% off $55,450.75 $330,064.00 $149,733.54 2026-05-22
440011615 OTHER Imp System Carmat Sys1000 56 16 $330,000.00 $148,500.00 55% off $55,440.00 $330,000.00 $149,704.50 2026-05-22
54 APR_DRG Tracheostomy W Mv 96 Hours Wo Extensive Procedure 3 1 — — $63,880.82 $148,627.78 $148,627.78 2026-08-01
440087079 OTHER Hmii Implt Kit W/pkcont 106015 56 16 $325,360.00 $146,412.00 55% off $54,660.48 $325,360.00 $147,599.57 2026-05-22
0024 RC Heart andOR Lung Transplant 2 1 — — $147,504.23 $147,504.23 $147,504.23 2026-05-22
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 146 17 — — $125,326.07 $1,105,675.44 $146,480.23 2026-08-01
490327615 OTHER Kit200 Hospital Kit Evaheart 56 16 $314,345.00 $141,455.25 55% off $52,809.96 $314,345.00 $142,602.60 2026-05-22
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $69,929.73 $142,325.55 $142,325.55 2026-08-01
5884 OTHER Neonate Bwt 1500g W Major Procedure 2 1 — — $141,703.04 $141,703.04 $141,703.04 2026-05-22
L8688 HCPCS Generator Sentiva Implt 1000 42 17 $216,664.00 $77,999.04 64% off $36,399.55 $216,664.00 $141,255.51 2026-08-01
0811 RC N/a 18 10 $182,226.00 $82,001.70 55% off $47.70 $182,226.00 $141,225.15 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $61,489.01 $140,783.91 $140,783.91 2026-08-01
71 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $34,320.66 $140,783.91 $140,783.91 2026-08-01
72 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $54,798.99 $140,783.91 $140,783.91 2026-08-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $62,566.87 $138,533.12 $138,533.12 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 146 17 — — $124,590.57 $274,117.55 $136,302.84 2026-08-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 3 1 — — $41,988.10 $132,042.19 $132,042.19 2026-08-01
6314 OTHER Neonate Birthwt 2499g W Other Major Procedure 2 1 — — $131,839.30 $131,839.30 $131,839.30 2026-05-22
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $49,747.80 $131,516.80 $131,516.80 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 1 — — $32,822.81 $131,304.67 $131,304.67 2026-08-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 1 — — $23,963.59 $131,304.67 $131,304.67 2026-08-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 1 — — $24,092.59 $131,304.67 $131,304.67 2026-08-01
1614 OTHER Implantable Heart Assist Systems 2 1 — — $129,112.29 $129,112.29 $129,112.29 2026-05-22
4404 APR_DRG Kidney Transplant 3 1 — — $38,936.02 $127,826.73 $127,826.73 2026-08-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $125,257.00 $125,257.00 $125,257.00 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 1 — — $66,951.91 $121,967.26 $121,967.26 2026-08-01
3034 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 3 1 — — $49,570.91 $121,471.46 $121,471.46 2026-08-01
8634 APR_DRG Neonatal Aftercare 3 1 — — $41,993.68 $118,654.58 $118,654.58 2026-08-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 3 1 — — $50,327.10 $112,862.94 $112,862.94 2026-08-01
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure 3 1 — — $55,840.60 $112,340.01 $112,340.01 2026-08-01
41 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure 3 1 — — $21,520.40 $112,340.01 $112,340.01 2026-08-01
42 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure 3 1 — — $31,859.36 $112,340.01 $112,340.01 2026-08-01
5883 OTHER Neonate Bwt 1500g W Major Procedure 2 1 — — $111,984.02 $111,984.02 $111,984.02 2026-05-22
440041394 OTHER Cath Kt Impella 5.5 1000100 56 16 $246,000.00 $110,700.00 55% off $41,328.00 $246,000.00 $111,597.90 2026-05-22
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 3 1 — — $45,106.97 $111,027.77 $111,027.77 2026-08-01
6092 APR_DRG Neonate Bwt 15002499g W Major Procedure 3 1 — — $42,551.98 $111,027.77 $111,027.77 2026-08-01
6091 APR_DRG Neonate Bwt 15002499g W Major Procedure 3 1 — — $41,410.33 $111,027.77 $111,027.77 2026-08-01
63 APR_DRG Pancreas Transplant 3 1 — — $46,800.53 $110,987.07 $110,987.07 2026-08-01
62 APR_DRG Pancreas Transplant 3 1 — — $46,800.53 $110,987.07 $110,987.07 2026-08-01
61 APR_DRG Pancreas Transplant 3 1 — — $14,500.62 $110,987.07 $110,987.07 2026-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 117 17 — — $72,648.53 $195,676.14 $109,316.28 2026-08-01
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $109,115.53 $109,115.53 $109,115.53 2026-05-22
492084085 OTHER Triclip Str Cath Tsgc0201 56 16 $240,000.00 $108,000.00 55% off $40,320.00 $240,000.00 $108,876.00 2026-05-22
111184085 OTHER Triclip Str Cath Tsgc0201 56 16 $240,000.00 $108,000.00 55% off $40,320.00 $240,000.00 $108,876.00 2026-05-22
111184086 OTHER Triclip G4 Sys Tcg40100 56 16 $234,000.00 $105,300.00 55% off $39,312.00 $234,000.00 $106,154.10 2026-05-22
492084086 OTHER Triclip G4 Sys Tcg40100 56 16 $234,000.00 $105,300.00 55% off $39,312.00 $234,000.00 $106,154.10 2026-05-22
84 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $46,186.44 $102,981.64 $102,981.64 2026-08-01
440065410 OTHER Xps Lung Kit 19092 56 16 $226,800.00 $102,060.00 55% off $38,102.40 $226,800.00 $102,887.82 2026-05-22
442965410 OTHER Xps Lung Kit 19092 56 16 $226,800.00 $102,060.00 55% off $38,102.40 $226,800.00 $102,887.82 2026-05-22
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 5 1 — — $102,819.68 $102,819.68 $102,819.68 2026-08-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $102,798.61 $102,798.61 $102,798.61 2026-08-01
104 APR_DRG Head Trauma With Deep Coma 2 1 — — $102,780.61 $102,780.61 $102,780.61 2026-07-17
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 3 1 — — $32,506.92 $101,865.49 $101,865.49 2026-08-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 3 1 — — $42,365.74 $101,865.49 $101,865.49 2026-08-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 3 1 — — $29,939.82 $101,865.49 $101,865.49 2026-08-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 3 1 — — $34,824.67 $101,057.67 $101,057.67 2026-08-01
442810100 OTHER Liver Transplant 56 16 $222,740.00 $100,233.00 55% off $37,420.32 $222,740.00 $101,046.00 2026-05-22
J7330 HCPCS Cultured Chondrocytes Implnt 7 2 — — $409.50 $100,838.18 $100,838.18 2026-08-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $38,589.90 $100,390.44 $100,390.44 2026-08-01
5931 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 3 1 — — $31,468.80 $99,497.53 $99,497.53 2026-08-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 3 1 — — $47,389.23 $99,497.53 $99,497.53 2026-08-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 3 1 — — $36,692.40 $98,790.84 $98,790.84 2026-08-01
3031 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 3 1 — — $24,567.88 $98,520.74 $98,520.74 2026-08-01
3032 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 3 1 — — $27,467.85 $98,520.74 $98,520.74 2026-08-01
3033 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 3 1 — — $38,890.26 $98,520.74 $98,520.74 2026-08-01
440059301 OTHER Generator Sentiva Implt 1000 56 16 $216,664.00 $97,498.80 55% off $36,399.55 $216,664.00 $98,289.62 2026-05-22
440077712 OTHER Islets Auto Medicaid Kyslecel 56 16 $215,600.00 $97,020.00 55% off $36,220.80 $215,600.00 $97,806.94 2026-05-22
440017030 OTHER U Of L Islet Processing 56 16 $211,575.00 $95,208.75 55% off $35,544.60 $211,575.00 $95,981.00 2026-05-22
440084255 OTHER Generator Neuro Duo 1000-d 56 16 $211,383.00 $95,122.35 55% off $35,512.34 $211,383.00 $95,893.90 2026-05-22
103 APR_DRG Head Trauma With Deep Coma 2 1 — — $95,397.99 $95,397.99 $95,397.99 2026-07-17
102 APR_DRG Head Trauma With Deep Coma 2 1 — — $95,397.99 $95,397.99 $95,397.99 2026-07-17
101 APR_DRG Head Trauma With Deep Coma 2 1 — — $95,397.99 $95,397.99 $95,397.99 2026-07-17
440082489 OTHER Thoraflex Tha3032x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065339 OTHER Thoraflex Tha2628x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065338 OTHER Thoraflex Tha2426x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065337 OTHER Thoraflex Thp2628x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065329 OTHER Thoraflex Tha3036x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065332 OTHER Thoraflex Tha3038x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065328 OTHER Thoraflex Tha3034x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
440065334 OTHER Thoraflex Thp2426x100a 56 16 $210,000.00 $94,500.00 55% off $35,280.00 $210,000.00 $95,266.50 2026-05-22
442910865 OTHER Lung Transplant Double 56 16 $209,780.00 $94,401.00 55% off $35,243.04 $209,780.00 $95,166.70 2026-05-22
440084365 OTHER Valve Fx+ 29 Evfxplus-29 56 16 $207,000.00 $93,150.00 55% off $34,776.00 $207,000.00 $93,905.55 2026-05-22
440084364 OTHER Valve Fx+ 26 Evfxplus-26 56 16 $207,000.00 $93,150.00 55% off $34,776.00 $207,000.00 $93,905.55 2026-05-22
440084366 OTHER Valve Fx+ 34 Evfxplus-34 56 16 $207,000.00 $93,150.00 55% off $34,776.00 $207,000.00 $93,905.55 2026-05-22
440084363 OTHER Valve Fx+ 23 Evfxplus-23 56 16 $207,000.00 $93,150.00 55% off $34,776.00 $207,000.00 $93,905.55 2026-05-22
5914 OTHER Neonate Birthwt 500749g Wo Major Procedure 2 1 — — $93,807.13 $93,807.13 $93,807.13 2026-05-22
440088137 OTHER Generator Duo Pin M1000-d 56 16 $206,226.00 $92,801.70 55% off $34,645.97 $206,226.00 $93,554.43 2026-05-22
441188137 OTHER Generator Duo Pin M1000-d 56 16 $206,226.00 $92,801.70 55% off $34,645.97 $206,226.00 $93,554.43 2026-05-22
441159301 OTHER Generator Sentiva Implt 1000 56 16 $206,226.00 $92,801.70 55% off $34,645.97 $206,226.00 $93,554.43 2026-05-22
442510110 OTHER Heart Transplant Acquisit 56 16 $206,172.00 $92,777.40 55% off $34,636.90 $206,172.00 $93,529.92 2026-05-22
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $39,097.10 $93,303.83 $93,303.83 2026-08-01
6021 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $26,751.69 $93,303.83 $93,303.83 2026-08-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 3 1 — — $30,102.51 $92,588.51 $92,588.51 2026-08-01
440087824 OTHER Vlve Hrt Sapien 26mm S3urcm26a 56 16 $204,000.00 $91,800.00 55% off $34,272.00 $204,000.00 $92,544.60 2026-05-22
440087826 OTHER Vlve Hrt Sapien 29mm S3urcm29a 56 16 $204,000.00 $91,800.00 55% off $34,272.00 $204,000.00 $92,544.60 2026-05-22
440087821 OTHER Vlve Hrt Sapien 20mm S3urcm20a 56 16 $204,000.00 $91,800.00 55% off $34,272.00 $204,000.00 $92,544.60 2026-05-22
440087823 OTHER Vlve Hrt Sapien 23mm S3urcm23a 56 16 $204,000.00 $91,800.00 55% off $34,272.00 $204,000.00 $92,544.60 2026-05-22
0074 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $92,412.49 $92,412.49 $92,412.49 2026-05-22
53 APR_DRG Tracheostomy W Mv 96 Hours Wo Extensive Procedure 3 1 — — $46,512.41 $92,372.68 $92,372.68 2026-08-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 3 1 — — $47,510.45 $90,997.53 $90,997.53 2026-08-01
5934 OTHER Neonate Birthwt 750999g Wo Major Procedure 2 1 — — $90,542.33 $90,542.33 $90,542.33 2026-05-22
0014 OTHER Liver Transplant andOR Intestinal Transplant 2 1 — — $90,110.39 $90,110.39 $90,110.39 2026-05-22
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 146 17 — — $62,558.44 $158,990.76 $89,804.08 2026-08-01
8633 APR_DRG Neonatal Aftercare 3 1 — — $32,119.16 $89,404.09 $89,404.09 2026-08-01
440018822 OTHER Trns Hrt Vlv 29cm 9600ct29a 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
440041520 OTHER Valve Thv 23mm Com Sys S3ucm223a 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
492026342 OTHER Sys Mitraclip 2cds Xtr Mbr0202 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
111126342 OTHER Sys Mitraclip 2cds Xtr Mbr0202 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
440083447 OTHER Valve Thv 23mm Crt Sys S3usta123a 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
111141520 OTHER Valve Thv 23mm Com Sys S3ucm223a 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
440019766 OTHER Valve Aor Sz29 9600cm29a 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
440028652 OTHER Valve Thv 26mm Sys 9750tfx26a 56 16 $195,000.00 $87,750.00 55% off $32,760.00 $195,000.00 $88,461.75 2026-05-22
510020195 OTHER Tebentafusp-tebn 100 Mcg/0.5 Ml Inj 56 16 $193,897.27 $87,253.77 55% off $32,574.74 $193,897.27 $87,961.50 2026-05-22
443720195 OTHER Tebentafusp-tebn 100 Mcg/0.5 Ml Inj 56 16 $193,897.27 $87,253.77 55% off $32,574.74 $193,897.27 $87,961.50 2026-05-22
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 3 1 — — $44,351.21 $87,808.19 $87,808.19 2026-08-01
440088880 OTHER Generator Aspire Sr Vagus 106 56 16 $192,580.00 $86,661.00 55% off $32,353.44 $192,580.00 $87,363.92 2026-05-22
440018754 OTHER Grft Brnch 26x8x15 Tac082615a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
492015636 OTHER Grft Brnch 34x8x15 Tac083415a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
492022483 OTHER Grft Brnch 21x8x10 Tac082110a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
440084483 OTHER Vlve Hrt 29mm 9755rsl29a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
492015634 OTHER Grft Brnch 37x8x15 Tac083715a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
440015636 OTHER Grft Brnch 34x8x15 Tac083415a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
440084801 OTHER Grft Brnch 31x8x15 Tac083115a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
492018754 OTHER Grft Brnch 26x8x15 Tac082615a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
440015634 OTHER Grft Brnch 37x8x15 Tac083715a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
440083224 OTHER Stnt Endothr 28x15 Tac082815a 56 16 $192,000.00 $86,400.00 55% off $32,256.00 $192,000.00 $87,100.80 2026-05-22
440060102 OTHER Kt Neurostimulator Rns-320-k 56 16 $191,700.00 $86,265.00 55% off $32,205.60 $191,700.00 $86,964.70 2026-05-22
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 3 1 — — $21,391.22 $86,462.64 $86,462.64 2026-08-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 3 1 — — $28,094.36 $85,250.29 $85,250.29 2026-08-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 3 1 — — $28,520.06 $85,250.29 $85,250.29 2026-08-01
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 5 1 — — $84,974.31 $84,974.31 $84,974.31 2026-08-01
440064612 OTHER Dbs Rc V1 Percept B35300 56 16 $186,420.00 $83,889.00 55% off $31,318.56 $186,420.00 $84,569.43 2026-05-22
C1822 HCPCS Kt Senza Gen Ipg Nipg2500 88 17 $128,250.00 $47,907.00 63% off $41.40 $137,900.00 $83,692.50 2026-08-01
1613 OTHER Implantable Heart Assist Systems 2 1 — — $83,350.94 $83,350.94 $83,350.94 2026-05-22
1612 OTHER Implantable Heart Assist Systems 2 1 — — $83,331.59 $83,331.59 $83,331.59 2026-05-22
1204 APR_DRG Major Respiratory And Chest Procedures 3 1 — — $25,638.37 $83,294.26 $83,294.26 2026-08-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 3 1 — — $33,339.20 $83,071.03 $83,071.03 2026-08-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 3 1 — — $34,132.55 $83,071.03 $83,071.03 2026-08-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 1 — — $36,472.19 $83,006.90 $83,006.90 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $82,976.94 $82,976.94 $82,976.94 2026-08-01
7 MS_DRG Lung Transplant 146 18 — — $20,000.00 $185,000.00 $82,695.20 2026-08-01
443310110 OTHER Kidney Live 56 16 $182,226.00 $82,001.70 55% off $30,613.97 $182,226.00 $82,666.83 2026-05-22
1611 OTHER Implantable Heart Assist Systems 2 1 — — $82,318.94 $82,318.94 $82,318.94 2026-05-22
5882 OTHER Neonate Bwt 1500g W Major Procedure 2 1 — — $82,259.54 $82,259.54 $82,259.54 2026-05-22
5881 OTHER Neonate Bwt 1500g W Major Procedure 2 1 — — $82,259.54 $82,259.54 $82,259.54 2026-05-22
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 3 1 — — $27,375.68 $82,173.18 $82,173.18 2026-08-01
6032 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 3 1 — — $20,295.91 $81,894.45 $81,894.45 2026-08-01
440016072 OTHER Valve 23mm Evolutfx-23 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
440078839 OTHER Bndl Triclip 5g Sys Tcg50100 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
492078839 OTHER Bndl Triclip 5g Sys Tcg50100 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
440015866 OTHER Valve 34mm Evolutfx-34 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
440016065 OTHER Valve Aortic 29 Evolutr-29-US 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
440016073 OTHER Valve 26mm Evolutfx-26 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
440016074 OTHER Valve 29mm Evolutfx-29 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
440021622 OTHER Sys Mitraclip Del Mcg40100 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
492021622 OTHER Sys Mitraclip Del Mcg40100 56 16 $180,000.00 $81,000.00 55% off $30,240.00 $180,000.00 $81,657.00 2026-05-22
3044 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 3 1 — — $30,649.98 $81,557.76 $81,557.76 2026-08-01
0023 RC Heart andOR Lung Transplant 2 1 — — $81,282.42 $81,282.42 $81,282.42 2026-05-22
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 3 1 — — $24,657.19 $81,106.36 $81,106.36 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 146 18 — — $20,000.00 $147,421.45 $80,899.17 2026-08-01
13 APR_DRG Liver Transplant andOR Intestinal Transplant 3 1 — — $49,313.89 $80,860.93 $80,860.93 2026-08-01
12 APR_DRG Liver Transplant andOR Intestinal Transplant 3 1 — — $32,829.81 $80,860.93 $80,860.93 2026-08-01
11 APR_DRG Liver Transplant andOR Intestinal Transplant 3 1 — — $14,516.72 $80,860.93 $80,860.93 2026-08-01
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 5 1 — — $80,655.19 $80,655.19 $80,655.19 2026-08-01
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 3 1 — — $30,605.37 $80,593.30 $80,593.30 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 1 — — $35,220.33 $80,534.11 $80,534.11 2026-08-01
442610100 OTHER Pancreas Acquisit 56 16 $177,387.00 $79,824.15 55% off $29,801.02 $177,387.00 $80,471.62 2026-05-22
440065290 OTHER Vns Ipg Vivistim Viv-ipg 56 16 $177,000.00 $79,650.00 55% off $29,736.00 $177,000.00 $80,296.05 2026-05-22
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 3 1 — — $26,943.67 $80,082.71 $80,082.71 2026-08-01
440062130 OTHER Islets Auto Kyslecel 56 16 $176,400.00 $79,380.00 55% off $29,635.20 $176,400.00 $80,023.86 2026-05-22
1613 APR_DRG Cardiac Defibrillator And Heart Assist Implant 3 1 — — $79,064.00 $83,350.94 $79,064.00 2026-08-01
1694 APR_DRG Major Abdominal Vascular Procedures 3 1 — — $28,773.77 $78,956.70 $78,956.70 2026-08-01
492078833 OTHER Syst Bndl Mitraclip G5 Mcg50100 56 16 $174,000.00 $78,300.00 55% off $29,232.00 $174,000.00 $78,935.10 2026-05-22
440078833 OTHER Syst Bndl Mitraclip G5 Mcg50100 56 16 $174,000.00 $78,300.00 55% off $29,232.00 $174,000.00 $78,935.10 2026-05-22
481164592 OTHER Kt Senza Gen Ipg Nipg2500 56 16 $174,000.00 $78,300.00 55% off $29,232.00 $174,000.00 $78,935.10 2026-05-22
894 APR_DRG Major Cranialfacial Bone Procedures 3 1 — — $23,893.93 $78,290.71 $78,290.71 2026-08-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 3 1 — — $31,717.13 $78,229.04 $78,229.04 2026-08-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 1 — — $31,058.52 $77,931.82 $77,931.82 2026-08-01
4414 APR_DRG Major Bladder Procedures 3 1 — — $22,102.01 $77,734.49 $77,734.49 2026-08-01
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 5 1 — — $77,067.16 $77,067.16 $77,067.16 2026-08-01
442910929 OTHER Lung Transplant Single 56 16 $169,705.00 $76,367.25 55% off $28,510.44 $169,705.00 $76,986.67 2026-05-22
6904 APR_DRG Acute Leukemia 3 1 — — $26,716.26 $75,731.58 $75,731.58 2026-08-01
4403 APR_DRG Kidney Transplant 3 1 — — $37,845.97 $75,265.39 $75,265.39 2026-08-01
1814 APR_DRG Lower Extremity Arterial Procedures 3 1 — — $28,777.64 $74,867.03 $74,867.03 2026-08-01
2304 APR_DRG Major Small Bowel Procedures 3 1 — — $28,048.99 $74,314.51 $74,314.51 2026-08-01
214 APR_DRG Craniotomy Except For Trauma 3 1 — — $38,382.34 $74,122.11 $74,122.11 2026-08-01
C2624 HCPCS Pres Sensor Del Cath Cm2000-gsm 13 9 $82,320.00 $37,044.00 55% off $29,264.76 $82,320.00 $74,088.00 2026-07-17
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 15 3 — — $71,748.67 $87,340.74 $73,858.93 2026-08-01
443310100 OTHER Kidney Cadaver 56 16 $162,723.00 $73,225.35 55% off $27,337.46 $162,723.00 $73,819.29 2026-05-22
1324 APR_DRG Bpd And Oth Chronic Respiratory Diseases Arising In Perinatal Period 3 1 — — $5,848.78 $73,412.96 $73,412.96 2026-08-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 1 — — $36,326.66 $73,269.89 $73,269.89 2026-08-01
6903 APR_DRG Acute Leukemia 3 1 — — $26,716.26 $73,161.36 $73,161.36 2026-08-01
510018653 OTHER Tagraxofusp-erzs (Elzonris) 1000 Mcg Inj 56 16 $160,681.65 $72,306.74 55% off $26,994.52 $160,681.65 $72,893.23 2026-05-22
443718653 OTHER Tagraxofusp-erzs (Elzonris) 1000 Mcg Inj 56 16 $160,681.65 $72,306.74 55% off $26,994.52 $160,681.65 $72,893.23 2026-05-22
6031 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 3 1 — — $14,694.92 $72,539.77 $72,539.77 2026-08-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 3 1 — — $36,203.72 $72,184.58 $72,184.58 2026-08-01
3043 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 3 1 — — $25,955.70 $71,609.85 $71,609.85 2026-08-01
440084435 OTHER Liberta Ipg 62400abt 56 16 $157,560.00 $70,902.00 55% off $26,470.08 $157,560.00 $71,477.10 2026-05-22
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 3 1 — — $28,165.54 $71,049.93 $71,049.93 2026-08-01
6094 OTHER Neonate Bwt 15002499g W Major Procedure 2 1 — — $70,877.49 $70,877.49 $70,877.49 2026-05-22
6112 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 3 1 — — $18,496.60 $70,258.14 $70,258.14 2026-08-01
1214 APR_DRG Other Respiratory And Chest Procedures 3 1 — — $21,856.44 $70,144.68 $70,144.68 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 146 18 — — $20,000.00 $123,993.66 $70,084.19 2026-08-01
6024 OTHER Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 2 1 — — $69,929.73 $69,929.73 $69,929.73 2026-05-22
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 56 13 — — $3,693.82 $128,966.41 $69,889.75 2026-08-01
440018981 OTHER Ipg Kit Vercise R32 Db-1232 56 16 $153,000.00 $68,850.00 55% off $25,704.00 $153,000.00 $69,408.45 2026-05-22
441118981 OTHER Ipg Kit Vercise R32 Db-1232 56 16 $153,000.00 $68,850.00 55% off $25,704.00 $153,000.00 $69,408.45 2026-05-22
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 3 1 — — $26,992.76 $69,292.46 $69,292.46 2026-08-01
212 MS_DRG Testes Procedures Age 0-17 146 17 — — $7,190.96 $123,899.50 $69,284.12 2026-08-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 3 1 — — $32,328.70 $68,717.73 $68,717.73 2026-08-01
82 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $22,528.32 $68,706.63 $68,706.63 2026-08-01
83 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $46,025.19 $68,706.63 $68,706.63 2026-08-01
81 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $22,476.72 $68,706.63 $68,706.63 2026-08-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV W Or Procedure 3 1 — — $28,163.09 $68,180.01 $68,180.01 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 136 17 — — $11,906.58 $125,575.55 $68,052.17 2026-08-01
491789214 OTHER Pump Set Cp Impella 0048-0003 56 16 $150,000.00 $67,500.00 55% off $25,200.00 $150,000.00 $68,047.50 2026-05-22
440089214 OTHER Pump Set Cp Impella 0048-0003 56 16 $150,000.00 $67,500.00 55% off $25,200.00 $150,000.00 $68,047.50 2026-05-22
440061595 OTHER Endocross Device Cap Endocross 56 16 $150,000.00 $67,500.00 55% off $25,200.00 $150,000.00 $68,047.50 2026-05-22
492061387 OTHER Impella Rp Fx Smrtassist 1000323 56 16 $150,000.00 $67,500.00 55% off $25,200.00 $150,000.00 $68,047.50 2026-05-22
492089214 OTHER Pump Set Cp Impella 0048-0003 56 16 $150,000.00 $67,500.00 55% off $25,200.00 $150,000.00 $68,047.50 2026-05-22
481182715 OTHER Kt Surg Hfx Ipg 10090-surg 56 16 $149,970.00 $67,486.50 55% off $25,194.96 $149,970.00 $68,033.89 2026-05-22
481182694 OTHER Kt Perc Hfx Ipg 1090-perc 56 16 $149,970.00 $67,486.50 55% off $25,194.96 $149,970.00 $68,033.89 2026-05-22
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 115 17 — — $62,578.15 $120,740.26 $67,847.89 2026-08-01
440083698 OTHER Fortiva 35x35cm Pd3535 56 16 $148,639.00 $66,887.55 55% off $24,971.35 $148,639.00 $67,430.08 2026-05-22
1612 APR_DRG Cardiac Defibrillator And Heart Assist Implant 3 1 — — $67,327.79 $83,331.59 $67,327.79 2026-08-01
440082281 OTHER Custm Kit Acet Pv-acrkt-04k 56 16 $147,840.00 $66,528.00 55% off $24,837.12 $147,840.00 $67,067.61 2026-05-22
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $66,951.91 $66,951.91 $66,951.91 2026-05-22
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 146 18 — — $20,000.00 $164,320.00 $66,847.03 2026-08-01
0022 RC Health Insurance - Prospective Payment System (hipps) - Skilled Nursing Facility… 2 1 — — $66,841.49 $66,841.49 $66,841.49 2026-05-22
6344 APR_DRG Neonate Birthwt 2499g W Resp Dist Syndoth Maj Resp Cond 3 1 — — $31,437.15 $66,538.47 $66,538.47 2026-08-01
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