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

ST LUKE'S WARREN HOSPITAL

Phillipsburg, NJ · CCN 310060 · Rates published

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You selected 93306 (CPT)

HB TTE W/DOPPLER COMPLETE

This hospital’s price: $1,201 across 11 payers · range $166-$2,832

Source: https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/22-1494454_stlukeswarrenhospital_standardcharges.ashx · observed 2026-02-27

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.

20,052 distinct procedures filed
11 distinct payers
584,356 rate rows
2026-02-27 last MRF observed
Data quality

583,326 of 584,356 rate rows are consumer-grade (99.8%)

1,030 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 722
per-diem day rate — not a per-procedure price 125
template filing: same amount across many unrelated codes — excluded 99
exceeds 10× this hospital's gross charge — excluded from medians 53
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/22-1494454_stlukeswarrenhospital_standardcharges.ashx
Found on page https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint 094fb4733bd0fa2b… · 319,062,694 bytes · first seen 2026-05-06

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
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $442,404.11 $508,764.97 $442,404.11 nat. median
$307,273
1.4× median
18
MS_DRG 		Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $386,813.34 $712,767.96 $402,285.87 nat. median
$359,358
1.1× median
37660
CDM 		Bicol Collagen Sponge 9 $107,740.40 $831,060.04 $315,589.58 nat. median
$0
1
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $251,197.37 $462,557.73 $308,262.90 nat. median
$249,124
1.2× median
71459
CDM 		Heartmate Iii Kit Implant 10 $98,422.13 $759,183.19 $280,656.85 nat. median
$107,957
outlier · 2.6×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $270,964.14 $311,608.92 $270,964.14 nat. median
$247,214
1.1× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $253,306.44 $291,302.55 $253,306.44 nat. median
$124,042
outlier · 2.0×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $253,138.65 $291,109.59 $253,138.65 nat. median
$241,915
1.0× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $251,963.38 $289,758.03 $251,963.38 nat. median
$244,017
1.0× median
3
MS_DRG 		Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 9 $190,374.19 $396,693.90 $238,315.67 nat. median
$190,557
1.3× median
927
MS_DRG 		Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 9 $191,495.15 $304,205.75 $225,614.58 nat. median
$198,433
1.1× median
172644
CDM 		Botulism Immune Globulin Human 100 Mg IV Solr 9 $57,266.19 $589,786.04 $223,967.36 nat. median
$12,200
outlier · 18.4×
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $193,461.72 $222,481.08 $193,461.72 nat. median
$159,249
1.2× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $188,904.06 $217,239.77 $188,904.06 nat. median
$202,993
0.9× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $188,787.89 $217,106.18 $188,787.89 nat. median
$165,000
1.1× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $188,513.97 $216,791.18 $188,513.97 nat. median
$67,766
outlier · 2.8×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $185,186.80 $212,964.92 $185,186.80 nat. median
$163,587
1.1× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $181,579.97 $208,817.06 $181,579.97 nat. median
$133,164
1.4× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $180,462.06 $207,531.47 $180,462.06 nat. median
$175,429
1.0× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $177,684.87 $204,337.70 $177,684.87 nat. median
$162,514
1.1× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $173,655.69 $199,704.14 $173,655.69 nat. median
$146,591
1.2× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 $168,034.63 $193,239.91 $168,034.63 nat. median
$156,153
1.1× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $164,674.46 $189,375.73 $164,674.46 nat. median
$154,011
1.1× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $156,219.56 $179,652.58 $156,219.56 nat. median
$151,838
1.0× median
215
MS_DRG 		Ms-DRG 43.00: Other Heart Assist System Implant 9 $89,565.55 $264,577.72 $154,690.80 nat. median
$93,917
1.6× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $154,636.29 $177,831.81 $154,636.29 nat. median
$145,061
1.1× median
4
MS_DRG 		Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 9 $124,406.00 $240,498.90 $151,749.75 nat. median
$126,722
1.2× median
2
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $101,864.92 $222,158.90 $151,072.49 nat. median
$103,967
1.5× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $149,866.38 $172,346.42 $149,866.38 nat. median
$68,020
outlier · 2.2×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 $149,038.17 $171,393.98 $149,038.17 nat. median
$170,172
0.9× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $147,915.96 $170,103.44 $147,915.96 nat. median
$120,517
1.2× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $142,317.84 $163,665.60 $142,317.84 nat. median
$122,016
1.2× median
7
MS_DRG 		Ms-DRG 43.00: Lung Transplant 8 $116,343.62 $213,753.80 $141,541.14 nat. median
$117,894
1.2× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 $140,902.36 $162,037.79 $140,902.36 nat. median
$136,728
1.0× median
J7330
HCPCS 		Maci Final Product Assembled 1 Membrane 10 $51,227.95 $191,144.30 $140,876.87 nat. median
$75,037
1.9× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $137,889.26 $158,572.72 $137,889.26 nat. median
$111,046
1.2× median
14
MS_DRG 		Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 8 $108,002.99 $198,365.41 $134,500.63 nat. median
$110,192
1.2× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $134,005.64 $154,106.56 $134,005.64 nat. median
$101,541
1.3× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $132,545.70 $152,427.62 $132,545.70 nat. median
$120,505
1.1× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $126,306.52 $145,252.57 $126,306.52 nat. median
$89,188
1.4× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $126,306.52 $145,252.57 $126,306.52 nat. median
$71,350
1.8× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $126,306.52 $145,252.57 $126,306.52 nat. median
$93,998
1.3× median
453
MS_DRG 		Ms-DRG V36: 453 - Combined Anterior/posterior Spinal Fusion W Mcc 2 $106,887.61 $142,229.30 $126,204.30 nat. median
$71,201
1.8× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $124,457.21 $143,125.86 $124,457.21 nat. median
$78,898
1.6× median
20
MS_DRG 		Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 9 $70,883.90 $179,068.75 $123,608.92 nat. median
$74,460
1.7× median
216
MS_DRG 		Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 9 $88,007.11 $217,990.08 $120,522.08 nat. median
$90,581
1.3× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $117,685.26 $135,338.12 $117,685.26 nat. median
$118,589
1.0× median
140985
CDM 		Dvc Heart Assist Impella 5.5 S2 10 $41,040.00 $316,563.75 $117,028.12 nat. median
$116,878
1.0× median
5
MS_DRG 		Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 8 $92,728.06 $170,183.36 $115,414.40 nat. median
$94,964
1.2× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $114,938.19 $132,178.98 $114,938.19 nat. median
$82,224
1.4× median

Other procedures at this hospital

Browse this hospital's 20,052 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $442,404.11 $508,764.97 $442,404.11 2026-02-27
18 MS_DRG Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 7 — — $386,813.34 $712,767.96 $402,285.87 2026-02-27
37660 CDM Bicol Collagen Sponge 19 9 $1,122,295.80 $1,010,066.22 $107,740.40 $831,060.04 $315,589.58 2026-02-27
1 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 15 8 — — $251,197.37 $462,557.73 $308,262.90 2026-02-27
71459 CDM Heartmate Iii Kit Implant 20 10 $1,025,230.50 $922,707.45 $98,422.13 $759,183.19 $280,656.85 2026-02-27
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $270,964.14 $311,608.92 $270,964.14 2026-02-27
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $253,306.44 $291,302.55 $253,306.44 2026-02-27
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $253,138.65 $291,109.59 $253,138.65 2026-02-27
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $251,963.38 $289,758.03 $251,963.38 2026-02-27
3 MS_DRG Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 16 9 — — $190,374.19 $396,693.90 $238,315.67 2026-02-27
927 MS_DRG Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 16 9 — — $191,495.15 $304,205.75 $225,614.58 2026-02-27
172644 CDM Botulism Immune Globulin Human 100 Mg IV Solr 19 9 $796,470.00 $716,823.00 $57,266.19 $589,786.04 $223,967.36 2026-02-27
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $193,461.72 $222,481.08 $193,461.72 2026-02-27
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $188,904.06 $217,239.77 $188,904.06 2026-02-27
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $188,787.89 $217,106.18 $188,787.89 2026-02-27
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $188,513.97 $216,791.18 $188,513.97 2026-02-27
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $185,186.80 $212,964.92 $185,186.80 2026-02-27
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $181,579.97 $208,817.06 $181,579.97 2026-02-27
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $180,462.06 $207,531.47 $180,462.06 2026-02-27
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $177,684.87 $204,337.70 $177,684.87 2026-02-27
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $173,655.69 $199,704.14 $173,655.69 2026-02-27
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $168,034.63 $193,239.91 $168,034.63 2026-02-27
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $164,674.46 $189,375.73 $164,674.46 2026-02-27
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $156,219.56 $179,652.58 $156,219.56 2026-02-27
215 MS_DRG Ms-DRG 43.00: Other Heart Assist System Implant 16 9 — — $89,565.55 $264,577.72 $154,690.80 2026-02-27
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $154,636.29 $177,831.81 $154,636.29 2026-02-27
4 MS_DRG Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 16 9 — — $124,406.00 $240,498.90 $151,749.75 2026-02-27
2 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 8 — — $101,864.92 $222,158.90 $151,072.49 2026-02-27
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $149,866.38 $172,346.42 $149,866.38 2026-02-27
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $149,038.17 $171,393.98 $149,038.17 2026-02-27
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $147,915.96 $170,103.44 $147,915.96 2026-02-27
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $142,317.84 $163,665.60 $142,317.84 2026-02-27
7 MS_DRG Ms-DRG 43.00: Lung Transplant 15 8 — — $116,343.62 $213,753.80 $141,541.14 2026-02-27
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $140,902.36 $162,037.79 $140,902.36 2026-02-27
J7330 HCPCS Maci Final Product Assembled 1 Membrane 20 10 $533,624.50 $480,262.05 $51,227.95 $191,144.30 $140,876.87 2026-02-27
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $137,889.26 $158,572.72 $137,889.26 2026-02-27
14 MS_DRG Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 15 8 — — $108,002.99 $198,365.41 $134,500.63 2026-02-27
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $134,005.64 $154,106.56 $134,005.64 2026-02-27
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $132,545.70 $152,427.62 $132,545.70 2026-02-27
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $126,306.52 $145,252.57 $126,306.52 2026-02-27
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $126,306.52 $145,252.57 $126,306.52 2026-02-27
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $126,306.52 $145,252.57 $126,306.52 2026-02-27
453 MS_DRG Ms-DRG V36: 453 - Combined Anterior/posterior Spinal Fusion W Mcc 6 2 — — $106,887.61 $142,229.30 $126,204.30 2026-02-27
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $124,457.21 $143,125.86 $124,457.21 2026-02-27
20 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 9 — — $70,883.90 $179,068.75 $123,608.92 2026-02-27
216 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 16 9 — — $88,007.11 $217,990.08 $120,522.08 2026-02-27
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $117,685.26 $135,338.12 $117,685.26 2026-02-27
140985 CDM Dvc Heart Assist Impella 5.5 S2 20 10 $427,500.00 $384,750.00 $41,040.00 $316,563.75 $117,028.12 2026-02-27
5 MS_DRG Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 15 8 — — $92,728.06 $170,183.36 $115,414.40 2026-02-27
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $114,938.19 $132,178.98 $114,938.19 2026-02-27
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $114,279.21 $131,421.15 $114,279.21 2026-02-27
456 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 16 9 — — $75,666.60 $183,366.22 $111,984.46 2026-02-27
156879 CDM Valve Tricuspid Evoque 56mm Rplcmnt Sys 20 10 $408,500.00 $367,650.00 $39,216.00 $302,494.25 $111,826.88 2026-02-27
156876 CDM Valve Tricuspid Evoque 44mm Rplcmnt Sys 20 10 $408,500.00 $367,650.00 $39,216.00 $302,494.25 $111,826.88 2026-02-27
156877 CDM Valve Tricuspid Evoque 48mm Rplcmnt Sys 20 10 $408,500.00 $367,650.00 $39,216.00 $302,494.25 $111,826.88 2026-02-27
156878 CDM Valve Tricuspid Evoque 52mm Rplcmnt Sys 20 10 $408,500.00 $367,650.00 $39,216.00 $302,494.25 $111,826.88 2026-02-27
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $108,837.41 $125,163.08 $108,837.41 2026-02-27
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $108,837.41 $125,163.08 $108,837.41 2026-02-27
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $108,440.87 $124,707.06 $108,440.87 2026-02-27
222 MS_DRG Ms-DRG V36: 222 - Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 6 2 — — $91,584.19 $123,994.70 $108,135.25 2026-02-27
209 MS_DRG Ms-DRG 43.00: Complex Aortic Arch Procedures 10 8 — — $101,748.63 $245,661.64 $106,327.32 2026-02-27
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $104,414.56 $120,076.80 $104,414.56 2026-02-27
426 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 10 8 — — $99,086.21 $254,235.83 $103,545.09 2026-02-27
231 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc 16 9 — — $75,903.67 $165,070.62 $103,071.30 2026-02-27
212 MS_DRG Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 10 8 — — $97,770.20 $230,149.83 $102,169.86 2026-02-27
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $99,144.14 $114,015.81 $99,144.14 2026-02-27
224 MS_DRG Ms-DRG V36: 224 - Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 6 2 — — $83,565.00 $107,383.20 $98,666.84 2026-02-27
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $98,138.81 $112,859.69 $98,138.81 2026-02-27
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $94,790.12 $109,008.70 $94,790.12 2026-02-27
219 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 16 9 — — $69,179.63 $173,473.36 $94,391.32 2026-02-27
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $94,075.21 $108,186.55 $94,075.21 2026-02-27
233 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 16 9 — — $68,883.52 $151,478.53 $93,729.85 2026-02-27
957 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 9 — — $68,657.17 $129,365.00 $93,248.79 2026-02-27
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $92,286.14 $106,129.11 $92,286.14 2026-02-27
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $92,037.32 $105,842.96 $92,037.32 2026-02-27
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $91,918.28 $105,706.08 $91,918.28 2026-02-27
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $90,971.04 $104,616.75 $90,971.04 2026-02-27
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $90,772.41 $104,388.33 $90,772.41 2026-02-27
226 MS_DRG Ms-DRG V36: 226 - Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 6 2 — — $76,738.84 $99,487.72 $90,607.06 2026-02-27
99052 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm 20 10 $323,000.00 $290,700.00 $31,008.00 $239,181.50 $88,421.25 2026-02-27
99051 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm 20 10 $323,000.00 $290,700.00 $31,008.00 $239,181.50 $88,421.25 2026-02-27
99053 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm 20 10 $323,000.00 $290,700.00 $31,008.00 $239,181.50 $88,421.25 2026-02-27
99054 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm 20 10 $323,000.00 $290,700.00 $31,008.00 $239,181.50 $88,421.25 2026-02-27
266 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 16 9 — — $55,313.78 $198,502.54 $88,254.08 2026-02-27
21 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 9 — — $47,847.20 $137,337.88 $87,378.56 2026-02-27
37544 CDM Valve Transcatheter Sapien Xt W/nova Flex System 23mm 19 9 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $86,820.50 2026-02-27
37545 CDM Valve Transcatheter Sapien Xt W/nova Flex System 26mm 19 9 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $86,820.50 2026-02-27
37546 CDM Valve Transcatheter Sapien Xt W/nova Flex System 29mm 19 9 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $86,820.50 2026-02-27
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 3 3 — — $86,808.48 $99,829.81 $86,808.48 2026-02-27
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 3 3 — — $86,808.48 $99,829.81 $86,808.48 2026-02-27
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $86,076.36 $98,987.86 $86,076.36 2026-02-27
97297 CDM Cath Mitraclip G4 Mcg 20 10 $313,500.00 $282,150.00 $30,096.00 $232,146.75 $85,820.62 2026-02-27
459 MS_DRG Ms-DRG V36: 459 - Spinal Fusion Except Cervical W Mcc 6 2 — — $71,860.92 $88,464.73 $84,847.61 2026-02-27
429 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 8 — — $81,089.83 $202,290.38 $84,738.87 2026-02-27
37543 CDM Tavr Sapien Xt W/ascendra System 29mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
87093 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
83624 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
37173 CDM Tavr Sapien Retroflex 3 Dlv Sys 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
56918 CDM Tavr Sapien 3 Cmndr Dlv Sys 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
56919 CDM Tavr Sapien 3 Cmndr Dlv Sys 29mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
66190 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 29mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
61735 CDM Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
67096 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 20mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
64375 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
56945 CDM Tavr Sapien 3 Cmndr Dlv Sys 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
87091 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
37541 CDM Tavr Sapien Xt W/ascendra System 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
83625 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
87092 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
64627 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
87094 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
37296 CDM Tavr Sapien 3 Transapical Dlv Sys 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
37542 CDM Tavr Sapien Xt W/ascendra System 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
83623 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
37297 CDM Tavr Sapien 3 Transapical Dlv Sys 26mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
37172 CDM Tavr Sapien Retroflex 3 Dlv Sys 23mm 20 10 $308,750.00 $277,875.00 $29,640.00 $228,629.38 $84,520.32 2026-02-27
223 MS_DRG Ms-DRG V36: 223 - Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 6 2 — — $71,539.03 $94,329.04 $84,467.54 2026-02-27
454 MS_DRG Ms-DRG V36: 454 - Combined Anterior/posterior Spinal Fusion W Cc 6 2 — — $71,320.68 $95,124.69 $84,209.74 2026-02-27
180373 CDM Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr 20 10 $304,000.00 $273,600.00 $29,184.00 $225,112.00 $83,220.00 2026-02-27
122837 CDM Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr 20 10 $304,000.00 $273,600.00 $29,184.00 $225,112.00 $83,220.00 2026-02-27
146454 CDM Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr 20 10 $304,000.00 $273,600.00 $29,184.00 $225,112.00 $83,220.00 2026-02-27
136402 CDM Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr 20 10 $304,000.00 $273,600.00 $29,184.00 $225,112.00 $83,220.00 2026-02-27
268 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 16 9 — — $62,019.03 $124,868.20 $82,371.18 2026-02-27
104116 CDM Valve Trancath Aortic Evolut Fx 26mm 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
156604 CDM Valve Trancath Aortic Evfxplus-29 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
156605 CDM Valve Trancath Aortic Evfxplus-34 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
104115 CDM Valve Trancath Aortic Evolut Fx 23mm 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
104117 CDM Valve Trancath Aortic Evolut Fx 29mm 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
156603 CDM Valve Trancath Aortic Evfxplus-26 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
156602 CDM Valve Trancath Aortic Evfxplus-23 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
104118 CDM Valve Trancath Aortic Evolut Fx 34mm 20 10 $299,250.00 $269,325.00 $28,728.00 $221,594.62 $81,919.69 2026-02-27
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $81,710.88 $93,967.55 $81,710.88 2026-02-27
850 MS_DRG Ms-DRG 43.00: Acute Leukemia With Other Procedures 10 8 — — $77,957.74 $192,508.50 $81,465.84 2026-02-27
457 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 16 9 — — $53,834.96 $121,925.22 $80,315.33 2026-02-27
870 MS_DRG Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours 16 9 — — $62,322.31 $123,650.71 $79,844.02 2026-02-27
132810 CDM Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer 20 10 $290,700.00 $261,630.00 $27,907.20 $215,263.35 $79,579.12 2026-02-27
132811 CDM Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer 20 10 $290,700.00 $261,630.00 $27,907.20 $215,263.35 $79,579.12 2026-02-27
217 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 16 9 — — $59,311.89 $150,951.61 $78,441.77 2026-02-27
928 MS_DRG Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 16 9 — — $64,656.39 $118,391.37 $78,080.85 2026-02-27
59204 CDM Tavr 23mm Corevalve Transcatheter 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
39358 CDM Tavr 29mm Corevalue Transcatheter 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
54438 CDM System Mitraclip Nt W/one Clip 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
59205 CDM Tavr 31mm Corevalue Transcatheter 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
85655 CDM System Mitraclip Xtr W/two Clips 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
77741 CDM System Mitraclip Xtr/ntr W/three Clips 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
77739 CDM System Mitraclip Xtr/ntr W/one Clip 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
77579 CDM System Mitraclip Xtr W/three Clips 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
54439 CDM System Mitraclip Nt W/two Clips 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
77740 CDM System Mitraclip Xtr/ntr W/two Clips 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
54440 CDM System Mitraclip Nt W/three Clips 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
39357 CDM Tavr 26mm Corevalue Transcatheter 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
78682 CDM System Mitraclip Xtr W/one Clip 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
87817 CDM Cath Mitraclip G4 Sgc 20 10 $285,000.00 $256,500.00 $27,360.00 $211,042.50 $78,018.75 2026-02-27
228 MS_DRG Ms-DRG 43.00: Other Cardiothoracic Procedures With Mcc 16 9 — — $44,748.21 $168,147.97 $77,838.04 2026-02-27
955 MS_DRG Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma 16 9 — — $60,705.70 $111,102.39 $77,531.90 2026-02-27
C1827 HCPCS Ipg Vivistim Paired Vns Model 1001 20 10 $280,250.00 $252,225.00 $26,904.00 $207,525.12 $76,718.43 2026-02-27
225 MS_DRG Ms-DRG V36: 225 - Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 6 2 — — $64,371.85 $82,992.45 $76,005.11 2026-02-27
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $75,661.73 $87,011.03 $75,661.73 2026-02-27
232 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc 16 9 — — $54,725.12 $119,402.96 $75,600.43 2026-02-27
179359 CDM Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr 20 10 $275,500.00 $247,950.00 $26,448.00 $204,007.75 $75,418.12 2026-02-27
179360 CDM Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr 20 10 $275,500.00 $247,950.00 $26,448.00 $204,007.75 $75,418.12 2026-02-27
218 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 16 9 — — $59,311.89 $117,070.61 $75,401.92 2026-02-27
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $74,966.17 $86,211.14 $74,966.17 2026-02-27
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 3 3 — — $74,000.29 $85,100.37 $74,000.29 2026-02-27
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $73,809.55 $84,881.02 $73,809.55 2026-02-27
16 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc 15 8 — — $53,536.15 $97,874.62 $73,600.95 2026-02-27
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $73,153.44 $84,126.49 $73,153.44 2026-02-27
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $72,876.65 $83,808.19 $72,876.65 2026-02-27
207 MS_DRG Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 16 9 — — $58,054.03 $110,255.15 $72,576.79 2026-02-27
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $72,524.57 $83,403.30 $72,524.57 2026-02-27
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $71,951.64 $82,744.42 $71,951.64 2026-02-27
267 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 16 9 — — $43,078.83 $149,046.88 $71,767.88 2026-02-27
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $71,360.06 $82,064.11 $71,360.06 2026-02-27
235 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc 16 9 — — $52,989.54 $122,471.63 $71,299.09 2026-02-27
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $70,929.10 $81,568.51 $70,929.10 2026-02-27
969 MS_DRG Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc 16 9 — — $55,250.25 $116,239.00 $70,867.71 2026-02-27
227 MS_DRG Ms-DRG V36: 227 - Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 6 2 — — $59,839.46 $79,271.18 $70,653.63 2026-02-27
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $69,953.18 $80,446.19 $69,953.18 2026-02-27
189332 CDM Hfx Iq Ipg Kit 19 9 $247,000.00 $222,300.00 $23,712.00 $182,903.50 $69,456.40 2026-02-27
28 MS_DRG Ms-DRG 43.00: Spinal Procedures With Mcc 16 9 — — $54,239.32 $112,120.95 $68,758.51 2026-02-27
820 MS_DRG Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 9 — — $52,955.53 $121,609.97 $68,427.07 2026-02-27
427 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 10 8 — — $65,067.04 $172,182.11 $67,995.05 2026-02-27
23 MS_DRG Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 16 9 — — $51,752.25 $109,238.00 $67,796.29 2026-02-27
834 MS_DRG Ms-DRG 43.00: Acute Leukemia With Mcc 16 9 — — $49,601.58 $99,055.78 $67,591.72 2026-02-27
653 MS_DRG Ms-DRG 43.00: Major Bladder Procedures With Mcc 16 9 — — $46,975.84 $125,581.37 $67,361.01 2026-02-27
275 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 8 — — $64,277.96 $175,578.35 $67,170.47 2026-02-27
19 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 7 — — $64,315.53 $109,387.44 $66,888.15 2026-02-27
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $66,751.49 $76,764.25 $66,751.49 2026-02-27
455 MS_DRG Ms-DRG V36: 455 - Combined Anterior/posterior Spinal Fusion Without Cc/mcc 6 2 — — $56,275.00 $74,527.76 $66,445.00 2026-02-27
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 3 3 — — $66,287.55 $76,230.72 $66,287.55 2026-02-27
405 MS_DRG Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc 16 9 — — $49,428.01 $121,808.63 $66,012.32 2026-02-27
837 MS_DRG Ms-DRG 43.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 16 9 — — $43,467.99 $137,722.25 $65,950.96 2026-02-27
C1826 HCPCS Capit Neuro Inceptive Replacemnt Sys 60 10 $237,500.00 $213,750.00 $20,976.00 $189,938.25 $65,894.38 2026-02-27
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $65,488.74 $75,312.09 $65,488.74 2026-02-27
463 MS_DRG Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 16 9 — — $51,476.71 $101,383.72 $65,446.16 2026-02-27
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $65,291.55 $75,085.31 $65,291.55 2026-02-27
C1824 HCPCS Ipg Optimizer Smart Mini 40 10 $232,750.00 $209,475.00 $20,976.00 $182,903.50 $65,208.00 2026-02-27
C1605 HCPCS Capit Aveir Dual Chamber Pacer System 20 10 $237,595.00 $213,835.50 $22,809.12 $175,939.10 $65,041.63 2026-02-27
C1604 HCPCS Capit Stent Graft Detour System 20 10 $237,500.00 $213,750.00 $22,800.00 $175,868.75 $65,015.62 2026-02-27
66257 CDM Pump Set Impella Cp 20 10 $237,500.00 $213,750.00 $22,800.00 $175,868.75 $65,015.62 2026-02-27
185448 CDM Pump Set Impella Cp 20 10 $237,500.00 $213,750.00 $22,800.00 $175,868.75 $65,015.62 2026-02-27
149130 CDM Pump Set Impella Cp W/companion Sheath Bundle 20 10 $237,500.00 $213,750.00 $22,800.00 $175,868.75 $65,015.62 2026-02-27
10 MS_DRG Ms-DRG 43.00: Pancreas Transplant 15 8 — — $33,768.90 $67,917.39 $64,277.21 2026-02-27
234 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 16 9 — — $49,358.24 $99,500.62 $64,245.42 2026-02-27
220 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 16 9 — — $48,196.11 $114,021.33 $63,917.01 2026-02-27
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $63,769.94 $73,335.46 $63,769.94 2026-02-27
317 MS_DRG Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 8 — — $60,306.71 $154,933.73 $63,020.51 2026-02-27
326 MS_DRG Ms-DRG 43.00: Stomach, Esophageal And Duodenal Procedures With Mcc 16 9 — — $45,106.04 $125,028.56 $62,990.96 2026-02-27
447 MS_DRG Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 10 8 — — $60,262.86 $162,613.34 $62,974.68 2026-02-27
458 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 16 9 — — $37,816.61 $100,984.26 $62,847.37 2026-02-27
466 MS_DRG Ms-DRG 43.00: Revision Of Hip Or Knee Replacement With Mcc 16 9 — — $47,056.34 $98,109.90 $62,749.19 2026-02-27
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $62,714.42 $72,121.62 $62,714.42 2026-02-27
270 MS_DRG Ms-DRG 43.00: Other Major Cardiovascular Procedures With Mcc 16 9 — — $47,690.65 $94,135.77 $62,652.11 2026-02-27
11 MS_DRG Ms-DRG 43.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 16 9 — — $49,281.29 $105,458.80 $62,637.99 2026-02-27
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $62,483.52 $71,856.09 $62,483.52 2026-02-27
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $62,464.88 $71,834.65 $62,464.88 2026-02-27
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $62,371.66 $71,727.44 $62,371.66 2026-02-27
853 MS_DRG Ms-DRG 43.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 9 — — $44,669.48 $117,323.27 $62,060.73 2026-02-27
573 MS_DRG Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 9 — — $59,098.06 $108,136.29 $61,757.47 2026-02-27
8 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant 15 8 — — $50,627.71 $92,508.57 $61,650.60 2026-02-27
245 MS_DRG Ms-DRG 43.00: Aicd Generator Procedures 16 9 — — $41,303.87 $86,040.26 $61,508.50 2026-02-27
471 MS_DRG Ms-DRG 43.00: Cervical Spinal Fusion With Mcc 16 9 — — $43,686.28 $95,283.06 $61,491.31 2026-02-27
329 MS_DRG Ms-DRG 43.00: Major Small And Large Bowel Procedures With Mcc 16 9 — — $41,608.94 $111,574.62 $61,270.42 2026-02-27
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $61,149.07 $70,321.46 $61,149.07 2026-02-27
826 MS_DRG Ms-DRG 43.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 16 9 — — $42,336.29 $99,384.01 $60,720.62 2026-02-27
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $60,639.95 $69,735.98 $60,639.95 2026-02-27
163 MS_DRG Ms-DRG 43.00: Major Chest Procedures With Mcc 16 9 — — $40,582.82 $107,929.31 $60,369.65 2026-02-27
576 MS_DRG Ms-DRG 43.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 9 — — $44,334.90 $80,898.37 $59,895.95 2026-02-27
C1822 HCPCS Stylet Kit (w/0.016) 50cm Length 115 10 $218,500.00 $196,650.00 $68.40 $253,251.00 $59,890.85 2026-02-27
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $59,601.64 $68,541.92 $59,601.64 2026-02-27
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $59,445.32 $68,362.15 $59,445.32 2026-02-27
461 MS_DRG Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 16 9 — — $49,897.69 $98,084.01 $59,267.27 2026-02-27
790 MS_DRG Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 9 — — $47,201.29 $98,102.40 $59,045.45 2026-02-27
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $58,924.73 $67,763.48 $58,924.73 2026-02-27
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $58,450.04 $67,217.58 $58,450.04 2026-02-27
239 MS_DRG Ms-DRG 43.00: Amputation For Circulatory System Disorders Except Upper Limb And … 16 9 — — $44,518.27 $97,274.15 $58,360.29 2026-02-27
221 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 16 9 — — $45,578.42 $94,736.69 $58,334.97 2026-02-27
C2624 HCPCS Cardiomems Hf System 40 10 $202,749.00 $182,474.10 $17,784.00 $163,093.64 $58,145.47 2026-02-27
799 MS_DRG Ms-DRG 43.00: Splenic Procedures With Mcc 16 9 — — $41,004.19 $102,824.19 $57,698.04 2026-02-27
87770 CDM Protekduo Ls Dl31 Kit 19 9 $204,250.00 $183,825.00 $19,608.00 $151,247.12 $57,435.10 2026-02-27
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $57,290.55 $65,884.16 $57,290.55 2026-02-27
46610 CDM Restore Sensor System 19 9 $202,350.00 $182,115.00 $19,425.60 $149,840.17 $56,900.82 2026-02-27
276 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 10 8 — — $54,224.11 $140,623.42 $56,664.19 2026-02-27
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $56,533.33 $65,013.36 $56,533.33 2026-02-27
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $56,133.92 $64,554.04 $56,133.92 2026-02-27
189336 CDM Senza Omnia Ipg Kit 19 9 $199,500.00 $179,550.00 $19,152.00 $147,729.75 $56,099.40 2026-02-27
823 MS_DRG Ms-DRG 43.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 9 — — $41,504.28 $88,424.35 $55,525.89 2026-02-27
856 MS_DRG Ms-DRG 43.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 16 9 — — $41,181.32 $102,625.46 $55,080.42 2026-02-27
981 MS_DRG Ms-DRG 43.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 16 9 — — $42,461.53 $108,491.00 $54,844.68 2026-02-27
901 MS_DRG Ms-DRG 43.00: Wound Debridements For Injuries With Mcc 16 9 — — $38,031.33 $86,140.00 $54,793.25 2026-02-27
6 MS_DRG Ms-DRG 43.00: Liver Transplant Without Mcc 15 8 — — $41,971.27 $76,537.53 $54,761.20 2026-02-27
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $54,646.73 $62,843.77 $54,646.73 2026-02-27
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $54,576.46 $62,762.96 $54,576.46 2026-02-27
430 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 8 — — $52,081.49 $132,679.69 $54,425.15 2026-02-27
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 3 3 — — $54,415.84 $62,578.24 $54,415.84 2026-02-27
213 MS_DRG Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $51,542.92 $104,721.27 $53,862.35 2026-02-27
460 MS_DRG Ms-DRG V36: 460 - Spinal Fusion Except Cervical Without Mcc 6 2 — — $45,442.06 $59,089.50 $53,654.34 2026-02-27
25 MS_DRG Ms-DRG 43.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 16 9 — — $41,163.43 $108,212.18 $53,428.70 2026-02-27
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $53,368.92 $61,374.29 $53,368.92 2026-02-27
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $53,309.41 $61,305.85 $53,309.41 2026-02-27
17 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant Without Cc/mcc 15 8 — — $49,086.27 $79,860.16 $53,221.30 2026-02-27
428 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 10 8 — — $50,783.37 $133,531.06 $53,068.62 2026-02-27
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 3 3 — — $52,892.79 $60,826.74 $52,892.79 2026-02-27
278 MS_DRG Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 10 8 — — $50,284.18 $91,874.75 $52,546.97 2026-02-27
31 MS_DRG Ms-DRG 43.00: Ventricular Shunt Procedures With Mcc 16 9 — — $40,571.19 $94,719.42 $52,436.03 2026-02-27
43040 CDM Cath Impella 9fr 2.5 Flow Rate 20 10 $190,000.00 $171,000.00 $18,240.00 $140,695.00 $52,012.50 2026-02-27
229 MS_DRG Ms-DRG 43.00: Other Cardiothoracic Procedures Without Mcc 16 9 — — $28,663.66 $108,436.80 $51,985.11 2026-02-27
144719 CDM Stent Tag Conformable W/active Cntrl 21 X 21mm X 10cm 20 10 $189,715.00 $170,743.50 $18,212.64 $140,483.96 $51,934.48 2026-02-27
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $51,886.75 $59,669.79 $51,886.75 2026-02-27
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 3 3 — — $51,811.46 $59,583.21 $51,811.46 2026-02-27
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 3 3 — — $51,757.68 $59,521.36 $51,757.68 2026-02-27
907 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Injuries With Mcc 16 9 — — $34,834.83 $79,480.00 $51,739.98 2026-02-27
958 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 16 9 — — $38,186.10 $77,318.00 $51,294.51 2026-02-27
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $51,147.46 $58,819.61 $51,147.46 2026-02-27
97220 CDM Implant Cranial Peek Custom Xlrg 20 10 $186,790.04 $168,111.04 $17,931.84 $138,318.02 $51,133.78 2026-02-27
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $51,074.32 $58,735.49 $51,074.32 2026-02-27
269 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 16 9 — — $38,269.29 $77,618.44 $50,939.85 2026-02-27
22 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 9 — — $28,913.26 $89,696.35 $50,757.08 2026-02-27
616 MS_DRG Ms-DRG 43.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 16 9 — — $31,686.62 $101,645.08 $50,747.18 2026-02-27
356 MS_DRG Ms-DRG 43.00: Other Digestive System O.r. Procedures With Mcc 16 9 — — $39,786.59 $83,291.14 $50,576.94 2026-02-27
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 3 3 — — $50,408.17 $57,969.42 $50,408.17 2026-02-27
450 MS_DRG Ms-DRG 43.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 10 8 — — $48,167.47 $99,914.80 $50,335.00 2026-02-27
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $50,331.44 $57,881.18 $50,331.44 2026-02-27
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $50,262.60 $57,802.02 $50,262.60 2026-02-27
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 3 3 — — $50,114.17 $57,631.32 $50,114.17 2026-02-27
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 3 3 — — $50,020.23 $57,523.30 $50,020.23 2026-02-27
335 MS_DRG Ms-DRG 43.00: Peritoneal Adhesiolysis With Mcc 16 9 — — $32,433.62 $88,255.94 $49,848.86 2026-02-27
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $49,666.00 $57,115.93 $49,666.00 2026-02-27
408 MS_DRG Ms-DRG 43.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 16 9 — — $32,386.22 $91,963.90 $49,658.65 2026-02-27
736 MS_DRG Ms-DRG 43.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 16 9 — — $32,465.85 $90,231.86 $49,463.52 2026-02-27
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 3 3 — — $49,344.04 $56,745.68 $49,344.04 2026-02-27
C2616 HCPCS Microsphere Yttrium-90 Therasphere 3.0 Gbq 24 11 $183,302.50 $164,972.25 $19,254.94 $135,735.50 $49,308.38 2026-02-27
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 3 3 — — $49,274.49 $56,665.69 $49,274.49 2026-02-27
236 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 16 9 — — $37,961.55 $77,624.56 $49,126.70 2026-02-27
423 MS_DRG Ms-DRG 43.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 9 — — $37,641.26 $98,932.70 $49,060.69 2026-02-27
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $48,929.58 $56,269.04 $48,929.58 2026-02-27
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $48,859.31 $56,188.23 $48,859.31 2026-02-27
474 MS_DRG Ms-DRG 43.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 16 9 — — $38,892.87 $74,484.57 $48,827.49 2026-02-27
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $48,740.99 $56,052.17 $48,740.99 2026-02-27
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $48,637.73 $55,933.42 $48,637.73 2026-02-27
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