Hospital

ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS

Quakertown, PA · CCN 390035 · Rates published

20,392 distinct procedures filed

15 distinct payers

523,136 rate rows

2026-02-26 last MRF observed

Data quality

522,101 of 523,136 rate rows are consumer-grade (99.8%)

1,035 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 — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	711
template filing: same amount across many unrelated codes — excluded	101
per-diem day rate — not a per-procedure price	90
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	89
exceeds 10× this hospital's gross charge — excluded from medians	44

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/23-1352203_stlukeshospitalupperbuckscampus_standardcharges.ashx
Found on page	https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	dcc97c8fb345e9b0… · 301,980,962 bytes · first seen 2026-05-09

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	6	$464,148.46	$582,294.98	$478,916.46	nat. median $309,665 1.5× median
18 MS_DRG	Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	10	$14,265.00	$712,767.96	$344,471.69	nat. median $370,174 0.9× median
37660 CDM	Bicol Collagen Sponge	9	$107,740.40	$929,485.38	$315,533.46	nat. median $0
5884 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$284,282.15	$356,644.66	$293,327.27	nat. median $246,434 1.2× median
71459 CDM	Heartmate Iii Kit Implant	11	$98,422.13	$849,095.90	$284,603.98	nat. median $107,957 outlier · 2.6×
114 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$265,756.56	$333,403.48	$274,212.25	nat. median $117,173 outlier · 2.3×
24 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	$265,580.52	$333,182.63	$274,030.61	nat. median $234,738 1.2× median
5833 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	$264,347.49	$331,635.74	$272,758.34	nat. median $244,017 1.1× median
1 MS_DRG	Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc	10	$14,265.00	$462,557.73	$225,892.92	nat. median $265,286 0.9× median
5832 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	$202,970.44	$254,635.49	$209,428.43	nat. median $156,126 1.3× median
1614 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$198,188.77	$248,636.67	$204,494.63	nat. median $207,730 1.0× median
6094 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$198,066.90	$248,483.77	$204,368.88	nat. median $162,982 1.3× median
113 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$197,779.52	$248,123.24	$204,072.35	nat. median $60,845 outlier · 3.4×
94 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	$194,288.81	$243,743.99	$200,470.58	nat. median $164,834 1.2× median
6314 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$190,504.70	$238,996.66	$196,566.07	nat. median $122,924 1.6× median
5883 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$189,331.85	$237,525.27	$195,355.90	nat. median $182,736 1.1× median
5914 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$186,418.16	$233,869.91	$192,349.51	nat. median $164,279 1.2× median
5831 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	$182,190.94	$228,566.68	$187,987.79	nat. median $145,122 1.3× median
8414 APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	$176,293.60	$221,168.20	$181,902.80	nat. median $160,267 1.1× median
6304 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	$172,768.28	$216,745.53	$178,265.33	nat. median $150,721 1.2× median
927 MS_DRG	Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…	10	$14,265.00	$388,011.26	$173,876.15	nat. median $206,368 0.8× median
3 MS_DRG	Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…	10	$14,265.00	$350,339.54	$172,858.31	nat. median $202,986 0.9× median
5934 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$163,897.82	$205,617.14	$169,112.62	nat. median $151,838 1.1× median
5882 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$162,236.72	$203,533.22	$167,398.67	nat. median $145,336 1.2× median
112 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$157,232.37	$197,255.04	$162,235.10	nat. median $58,674 outlier · 2.8×
74 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	$156,363.46	$196,164.94	$161,338.54	nat. median $187,294 0.9× median
1613 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$155,186.09	$194,687.89	$160,123.71	nat. median $119,796 1.3× median
44 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$149,312.83	$187,319.61	$154,063.58	nat. median $105,658 1.5× median
14 APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	$147,827.77	$185,456.54	$152,531.27	nat. median $129,535 1.2× median
23 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	$144,666.57	$181,490.68	$149,269.49	nat. median $93,528 1.6× median
5913 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$140,592.07	$176,379.04	$145,065.35	nat. median $102,636 1.4× median
5881 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$139,060.37	$174,457.45	$143,484.91	nat. median $124,573 1.2× median
J7330 HCPCS	Maci Final Product Assembled 1 Membrane	11	$51,227.95	$441,947.81	$142,184.25	nat. median $76,377 1.9× median
5893 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	$132,514.54	$166,245.41	$136,730.81	nat. median $69,788 2.0× median
5892 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	$132,514.54	$166,245.41	$136,730.81	nat. median $89,790 1.5× median
5891 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	$132,514.54	$166,245.41	$136,730.81	nat. median $93,260 1.5× median
93 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	$130,574.34	$163,811.34	$134,728.88	nat. median $79,160 1.7× median
6024 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	$123,469.54	$154,898.06	$127,398.02	nat. median $118,620 1.1× median
453 MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	2	$14,265.00	$126,423.52	$126,423.52	nat. median $87,411 1.4× median
5912 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$120,587.45	$151,282.34	$124,424.24	nat. median $81,294 1.5× median
5933 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$119,896.08	$150,414.99	$123,710.86	nat. median $108,996 1.1× median
140985 CDM	Dvc Heart Assist Impella 5.5 S2	11	$41,040.00	$354,055.50	$118,674.00	nat. median $116,878 1.0× median
1611 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$114,186.81	$143,252.46	$117,819.95	nat. median $76,806 1.5× median
1612 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$114,186.81	$143,252.46	$117,819.95	nat. median $85,406 1.4× median
1604 APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	$113,770.79	$142,730.54	$117,390.68	nat. median $97,957 1.2× median
4 MS_DRG	Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…	10	$14,265.00	$228,628.85	$113,501.92	nat. median $133,176 0.9× median
156879 CDM	Valve Tricuspid Evoque 56mm Rplcmnt Sys	11	$39,216.00	$338,319.70	$113,399.60	nat. median $111,806 1.0× median
156876 CDM	Valve Tricuspid Evoque 44mm Rplcmnt Sys	11	$39,216.00	$338,319.70	$113,399.60	nat. median $111,806 1.0× median
156877 CDM	Valve Tricuspid Evoque 48mm Rplcmnt Sys	11	$39,216.00	$338,319.70	$113,399.60	nat. median $111,806 1.0× median
156878 CDM	Valve Tricuspid Evoque 52mm Rplcmnt Sys	11	$39,216.00	$338,319.70	$113,399.60	nat. median $111,806 1.0× median

Other procedures at this hospital

Browse this hospital's 20,392 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	6	6	—	—	$464,148.46	$582,294.98	$478,916.46	2026-02-26
18	MS_DRG	Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	10	—	—	$14,265.00	$712,767.96	$344,471.69	2026-02-26
37660	CDM	Bicol Collagen Sponge	16	9	$1,122,295.80	$931,505.51	$107,740.40	$929,485.38	$315,533.46	2026-02-26
5884	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$284,282.15	$356,644.66	$293,327.27	2026-02-26
71459	CDM	Heartmate Iii Kit Implant	18	11	$1,025,230.50	$850,941.32	$98,422.13	$849,095.90	$284,603.98	2026-02-26
114	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$265,756.56	$333,403.48	$274,212.25	2026-02-26
24	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	6	—	—	$265,580.52	$333,182.63	$274,030.61	2026-02-26
5833	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	6	—	—	$264,347.49	$331,635.74	$272,758.34	2026-02-26
1	MS_DRG	Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc	16	10	—	—	$14,265.00	$462,557.73	$225,892.92	2026-02-26
5832	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	6	—	—	$202,970.44	$254,635.49	$209,428.43	2026-02-26
1614	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	6	—	—	$198,188.77	$248,636.67	$204,494.63	2026-02-26
6094	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$198,066.90	$248,483.77	$204,368.88	2026-02-26
113	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$197,779.52	$248,123.24	$204,072.35	2026-02-26
94	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$194,288.81	$243,743.99	$200,470.58	2026-02-26
6314	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$190,504.70	$238,996.66	$196,566.07	2026-02-26
5883	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$189,331.85	$237,525.27	$195,355.90	2026-02-26
5914	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$186,418.16	$233,869.91	$192,349.51	2026-02-26
5831	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	6	—	—	$182,190.94	$228,566.68	$187,987.79	2026-02-26
8414	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	6	—	—	$176,293.60	$221,168.20	$181,902.80	2026-02-26
6304	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	6	—	—	$172,768.28	$216,745.53	$178,265.33	2026-02-26
927	MS_DRG	Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…	17	10	—	—	$14,265.00	$388,011.26	$173,876.15	2026-02-26
3	MS_DRG	Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…	17	10	—	—	$14,265.00	$350,339.54	$172,858.31	2026-02-26
5934	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$163,897.82	$205,617.14	$169,112.62	2026-02-26
5882	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$162,236.72	$203,533.22	$167,398.67	2026-02-26
112	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$157,232.37	$197,255.04	$162,235.10	2026-02-26
74	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	6	—	—	$156,363.46	$196,164.94	$161,338.54	2026-02-26
1613	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	6	—	—	$155,186.09	$194,687.89	$160,123.71	2026-02-26
44	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$149,312.83	$187,319.61	$154,063.58	2026-02-26
14	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	6	—	—	$147,827.77	$185,456.54	$152,531.27	2026-02-26
23	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	6	—	—	$144,666.57	$181,490.68	$149,269.49	2026-02-26
5913	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$140,592.07	$176,379.04	$145,065.35	2026-02-26
5881	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	6	—	—	$139,060.37	$174,457.45	$143,484.91	2026-02-26
J7330	HCPCS	Maci Final Product Assembled 1 Membrane	18	11	$533,624.50	$442,908.34	$51,227.95	$441,947.81	$142,184.25	2026-02-26
5892	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	6	—	—	$132,514.54	$166,245.41	$136,730.81	2026-02-26
5893	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	6	—	—	$132,514.54	$166,245.41	$136,730.81	2026-02-26
5891	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	6	—	—	$132,514.54	$166,245.41	$136,730.81	2026-02-26
93	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$130,574.34	$163,811.34	$134,728.88	2026-02-26
6024	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	6	—	—	$123,469.54	$154,898.06	$127,398.02	2026-02-26
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	3	2	—	—	$14,265.00	$126,423.52	$126,423.52	2026-02-26
5912	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	6	—	—	$120,587.45	$151,282.34	$124,424.24	2026-02-26
5933	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$119,896.08	$150,414.99	$123,710.86	2026-02-26
140985	CDM	Dvc Heart Assist Impella 5.5 S2	18	11	$427,500.00	$354,825.00	$41,040.00	$354,055.50	$118,674.00	2026-02-26
1611	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	6	—	—	$114,186.81	$143,252.46	$117,819.95	2026-02-26
1612	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	6	—	—	$114,186.81	$143,252.46	$117,819.95	2026-02-26
1604	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$113,770.79	$142,730.54	$117,390.68	2026-02-26
4	MS_DRG	Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…	18	10	—	—	$14,265.00	$228,628.85	$113,501.92	2026-02-26
156878	CDM	Valve Tricuspid Evoque 52mm Rplcmnt Sys	18	11	$408,500.00	$339,055.00	$39,216.00	$338,319.70	$113,399.60	2026-02-26
156877	CDM	Valve Tricuspid Evoque 48mm Rplcmnt Sys	18	11	$408,500.00	$339,055.00	$39,216.00	$338,319.70	$113,399.60	2026-02-26
156876	CDM	Valve Tricuspid Evoque 44mm Rplcmnt Sys	18	11	$408,500.00	$339,055.00	$39,216.00	$338,319.70	$113,399.60	2026-02-26
156879	CDM	Valve Tricuspid Evoque 56mm Rplcmnt Sys	18	11	$408,500.00	$339,055.00	$39,216.00	$338,319.70	$113,399.60	2026-02-26
22	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	6	—	—	$109,546.58	$137,431.08	$113,032.07	2026-02-26
222	MS_DRG	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc	3	2	—	—	$14,265.00	$110,215.26	$110,215.26	2026-02-26
54	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$104,017.11	$130,494.12	$107,326.67	2026-02-26
43	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$102,962.38	$129,170.90	$106,238.38	2026-02-26
7	MS_DRG	Ms-DRG 43.00: Lung Transplant	16	10	—	—	$14,265.00	$213,753.80	$104,622.42	2026-02-26
73	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	6	—	—	$99,449.10	$124,763.34	$102,613.31	2026-02-26
8424	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	6	6	—	—	$98,699.05	$123,822.37	$101,839.39	2026-02-26
21	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	6	—	—	$96,822.04	$121,467.57	$99,902.67	2026-02-26
64	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	6	—	—	$96,560.99	$121,140.07	$99,633.31	2026-02-26
5932	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$96,436.11	$120,983.40	$99,504.46	2026-02-26
6074	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	6	6	—	—	$95,442.31	$119,736.64	$98,479.04	2026-02-26
6303	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	6	—	—	$95,233.92	$119,475.20	$98,264.01	2026-02-26
14	MS_DRG	Ms-DRG 43.00: Allogeneic Bone Marrow Transplant	16	10	—	—	$14,265.00	$198,365.41	$97,121.90	2026-02-26
224	MS_DRG	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc	3	2	—	—	$14,265.00	$95,449.86	$95,449.86	2026-02-26
8514	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	6	6	—	—	$91,075.16	$114,257.86	$93,972.93	2026-02-26
8513	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	6	6	—	—	$91,075.16	$114,257.86	$93,972.93	2026-02-26
6034	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	6	6	—	—	$90,307.05	$113,294.23	$93,180.39	2026-02-26
2	MS_DRG	Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc	17	10	—	—	$14,265.00	$197,470.65	$92,491.43	2026-02-26
209	MS_DRG	Ms-DRG 43.00: Complex Aortic Arch Procedures	15	10	—	—	$14,265.00	$186,826.19	$90,609.19	2026-02-26
99053	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm	18	11	$323,000.00	$268,090.00	$31,008.00	$267,508.60	$89,664.80	2026-02-26
99054	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm	18	11	$323,000.00	$268,090.00	$31,008.00	$267,508.60	$89,664.80	2026-02-26
99052	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm	18	11	$323,000.00	$268,090.00	$31,008.00	$267,508.60	$89,664.80	2026-02-26
99051	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm	18	11	$323,000.00	$268,090.00	$31,008.00	$267,508.60	$89,664.80	2026-02-26
426	MS_DRG	Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	16	10	—	—	$14,265.00	$181,914.05	$89,103.27	2026-02-26
6023	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	6	—	—	$85,727.00	$107,548.35	$88,454.61	2026-02-26
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath W Mcc	3	2	—	—	$14,265.00	$88,431.75	$88,431.75	2026-02-26
212	MS_DRG	Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures	16	10	—	—	$14,265.00	$193,182.97	$87,919.82	2026-02-26
97297	CDM	Cath Mitraclip G4 Mcg	18	11	$313,500.00	$260,205.00	$30,096.00	$259,640.70	$87,027.60	2026-02-26
37545	CDM	Valve Transcatheter Sapien Xt W/nova Flex System 26mm	16	9	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$86,805.06	2026-02-26
37546	CDM	Valve Transcatheter Sapien Xt W/nova Flex System 29mm	16	9	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$86,805.06	2026-02-26
37544	CDM	Valve Transcatheter Sapien Xt W/nova Flex System 23mm	16	9	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$86,805.06	2026-02-26
37543	CDM	Tavr Sapien Xt W/ascendra System 29mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
37172	CDM	Tavr Sapien Retroflex 3 Dlv Sys 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
64627	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
87092	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
37297	CDM	Tavr Sapien 3 Transapical Dlv Sys 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
83625	CDM	Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
66190	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 29mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
83623	CDM	Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
37173	CDM	Tavr Sapien Retroflex 3 Dlv Sys 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
83624	CDM	Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
87091	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
37296	CDM	Tavr Sapien 3 Transapical Dlv Sys 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
37541	CDM	Tavr Sapien Xt W/ascendra System 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
61735	CDM	Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
37542	CDM	Tavr Sapien Xt W/ascendra System 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
56919	CDM	Tavr Sapien 3 Cmndr Dlv Sys 29mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
87094	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
56945	CDM	Tavr Sapien 3 Cmndr Dlv Sys 23mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
56918	CDM	Tavr Sapien 3 Cmndr Dlv Sys 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
87093	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
64375	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 26mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
67096	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 20mm	18	11	$308,750.00	$256,262.50	$29,640.00	$255,706.75	$85,709.00	2026-02-26
172644	CDM	Botulism Immune Globulin Human 100 Mg IV Solr	16	9	$303,117.00	$251,587.11	$29,099.23	$251,041.50	$85,221.35	2026-02-26
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	3	2	—	—	$14,265.00	$84,553.58	$84,553.58	2026-02-26
180373	CDM	Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr	18	11	$304,000.00	$252,320.00	$29,184.00	$251,772.80	$84,390.40	2026-02-26
146454	CDM	Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr	18	11	$304,000.00	$252,320.00	$29,184.00	$251,772.80	$84,390.40	2026-02-26
136402	CDM	Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr	18	11	$304,000.00	$252,320.00	$29,184.00	$251,772.80	$84,390.40	2026-02-26
122837	CDM	Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr	18	11	$304,000.00	$252,320.00	$29,184.00	$251,772.80	$84,390.40	2026-02-26
223	MS_DRG	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc	3	2	—	—	$14,265.00	$83,846.35	$83,846.35	2026-02-26
5	MS_DRG	Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant	16	10	—	—	$14,265.00	$170,183.36	$83,385.57	2026-02-26
104115	CDM	Valve Trancath Aortic Evolut Fx 23mm	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
156603	CDM	Valve Trancath Aortic Evfxplus-26	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
156605	CDM	Valve Trancath Aortic Evfxplus-34	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
104116	CDM	Valve Trancath Aortic Evolut Fx 26mm	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
104118	CDM	Valve Trancath Aortic Evolut Fx 34mm	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
104117	CDM	Valve Trancath Aortic Evolut Fx 29mm	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
156602	CDM	Valve Trancath Aortic Evfxplus-23	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
156604	CDM	Valve Trancath Aortic Evfxplus-29	18	11	$299,250.00	$248,377.50	$28,728.00	$247,838.85	$83,071.80	2026-02-26
6114	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	6	—	—	$79,380.53	$99,586.42	$81,906.21	2026-02-26
215	MS_DRG	Ms-DRG 43.00: Other Heart Assist System Implant	18	10	—	—	$14,265.00	$167,011.93	$81,714.54	2026-02-26
6134	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	6	6	—	—	$78,650.79	$98,670.93	$81,153.26	2026-02-26
132810	CDM	Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer	18	11	$290,700.00	$241,281.00	$27,907.20	$240,757.74	$80,698.32	2026-02-26
132811	CDM	Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer	18	11	$290,700.00	$241,281.00	$27,907.20	$240,757.74	$80,698.32	2026-02-26
216	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	18	10	—	—	$14,265.00	$161,473.23	$80,292.65	2026-02-26
8634	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	6	6	—	—	$77,637.43	$97,399.63	$80,107.65	2026-02-26
111	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	6	—	—	$77,437.32	$97,148.58	$79,901.18	2026-02-26
13	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	6	—	—	$76,748.96	$96,285.00	$79,190.91	2026-02-26
77740	CDM	System Mitraclip Xtr/ntr W/two Clips	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
77739	CDM	System Mitraclip Xtr/ntr W/one Clip	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
54438	CDM	System Mitraclip Nt W/one Clip	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
85655	CDM	System Mitraclip Xtr W/two Clips	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
78682	CDM	System Mitraclip Xtr W/one Clip	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
59205	CDM	Tavr 31mm Corevalue Transcatheter	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
87817	CDM	Cath Mitraclip G4 Sgc	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
54440	CDM	System Mitraclip Nt W/three Clips	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
77741	CDM	System Mitraclip Xtr/ntr W/three Clips	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
59204	CDM	Tavr 23mm Corevalve Transcatheter	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
39357	CDM	Tavr 26mm Corevalue Transcatheter	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
54439	CDM	System Mitraclip Nt W/two Clips	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
77579	CDM	System Mitraclip Xtr W/three Clips	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
39358	CDM	Tavr 29mm Corevalue Transcatheter	18	11	$285,000.00	$236,550.00	$27,360.00	$236,037.00	$79,116.00	2026-02-26
1624	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$76,458.57	$95,920.69	$78,891.28	2026-02-26
459	MS_DRG	Spinal Fusion Except Cervical W Mcc	3	2	—	—	$14,265.00	$78,633.74	$78,633.74	2026-02-26
3034	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$76,089.18	$95,457.28	$78,510.14	2026-02-26
53	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$75,488.09	$94,703.18	$77,889.93	2026-02-26
C1827	HCPCS	Ipg Vivistim Paired Vns Model 1001	18	11	$280,250.00	$232,607.50	$26,904.00	$232,103.05	$77,797.40	2026-02-26
4404	APR_DRG	Apr-DRG 42.00: Kidney Transplant	6	6	—	—	$74,867.44	$93,924.54	$77,249.52	2026-02-26
63	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	6	—	—	$74,415.30	$93,357.32	$76,783.00	2026-02-26
179360	CDM	Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr	18	11	$275,500.00	$228,665.00	$26,448.00	$228,169.10	$76,478.80	2026-02-26
179359	CDM	Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr	18	11	$275,500.00	$228,665.00	$26,448.00	$228,169.10	$76,478.80	2026-02-26
5931	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	6	—	—	$73,391.41	$92,072.80	$75,726.53	2026-02-26
225	MS_DRG	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc	3	2	—	—	$14,265.00	$73,769.59	$73,769.59	2026-02-26
429	MS_DRG	Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	16	10	—	—	$14,265.00	$149,152.56	$72,919.60	2026-02-26
72	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	6	—	—	$70,032.35	$87,858.71	$72,260.60	2026-02-26
84	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	6	6	—	—	$69,545.61	$87,248.07	$71,758.37	2026-02-26
6093	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$68,707.54	$86,196.68	$70,893.64	2026-02-26
6022	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	6	—	—	$68,500.65	$85,937.13	$70,680.17	2026-02-26
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc	3	2	—	—	$14,265.00	$70,461.86	$70,461.86	2026-02-26
850	MS_DRG	Ms-DRG 43.00: Acute Leukemia With Other Procedures	16	10	—	—	$14,265.00	$164,729.52	$70,102.99	2026-02-26
189332	CDM	Hfx Iq Ipg Kit	16	9	$247,000.00	$205,010.00	$23,712.00	$204,565.40	$69,444.05	2026-02-26
231	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc	18	10	—	—	$14,265.00	$139,142.50	$69,249.84	2026-02-26
456	MS_DRG	Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	18	10	—	—	$14,265.00	$138,705.09	$69,033.54	2026-02-26
1634	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	6	6	—	—	$66,904.26	$83,934.38	$69,032.98	2026-02-26
42	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$65,796.86	$82,545.10	$67,890.35	2026-02-26
2994	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	6	6	—	—	$65,554.61	$82,241.19	$67,640.40	2026-02-26
92	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$65,535.05	$82,216.65	$67,620.21	2026-02-26
6073	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	6	6	—	—	$65,437.25	$82,093.96	$67,519.30	2026-02-26
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	3	2	—	—	$14,265.00	$66,245.57	$66,245.57	2026-02-26
62	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	6	—	—	$64,154.57	$80,484.77	$66,195.80	2026-02-26
149130	CDM	Pump Set Impella Cp W/companion Sheath Bundle	18	11	$237,500.00	$197,125.00	$22,800.00	$196,697.50	$65,930.00	2026-02-26
185448	CDM	Pump Set Impella Cp	18	11	$237,500.00	$197,125.00	$22,800.00	$196,697.50	$65,930.00	2026-02-26
66257	CDM	Pump Set Impella Cp	18	11	$237,500.00	$197,125.00	$22,800.00	$196,697.50	$65,930.00	2026-02-26
C1604	HCPCS	Capit Stent Graft Detour System	18	11	$237,500.00	$197,125.00	$22,800.00	$196,697.50	$65,930.00	2026-02-26
A9543	CPT	Hb Y90 Ibritumomab, Rx	25	12	$240,839.00	$216,755.10	$40,942.63	$199,462.86	$65,845.38	2026-02-26
1784	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	6	6	—	—	$63,620.43	$79,814.67	$65,644.67	2026-02-26
C1605	HCPCS	Capit Aveir Dual Chamber Pacer System	17	10	$237,595.00	$197,203.85	$22,809.12	$196,776.18	$65,124.79	2026-02-26
C1826	HCPCS	Capit Neuro Inceptive Replacemnt Sys	50	11	$237,500.00	$197,125.00	$20,976.00	$212,433.30	$65,051.25	2026-02-26
20	MS_DRG	Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha…	18	10	—	—	$14,265.00	$137,384.89	$64,669.94	2026-02-26
6124	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	6	6	—	—	$62,531.09	$78,448.04	$64,520.66	2026-02-26
6334	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly	6	6	—	—	$62,367.09	$78,242.30	$64,351.45	2026-02-26
71	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	6	—	—	$61,820.91	$77,557.09	$63,787.89	2026-02-26
C1824	HCPCS	Optimizer Smart Generator	34	11	$218,500.00	$181,355.00	$20,976.00	$204,565.40	$63,621.50	2026-02-26
6214	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	6	—	—	$61,322.88	$76,932.30	$63,274.02	2026-02-26
219	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…	18	10	—	—	$14,265.00	$126,736.71	$63,115.04	2026-02-26
233	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…	18	10	—	—	$14,265.00	$126,190.37	$62,844.86	2026-02-26
957	MS_DRG	Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc	18	10	—	—	$14,265.00	$125,772.77	$62,638.33	2026-02-26
1654	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$60,106.40	$75,406.16	$62,018.83	2026-02-26
12	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	6	—	—	$59,311.96	$74,409.51	$61,199.12	2026-02-26
1674	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	6	6	—	—	$58,892.93	$73,883.81	$60,766.74	2026-02-26
C1822	HCPCS	Stylet Kit (w/0.016) 50cm Length	93	11	$218,500.00	$181,355.00	$68.40	$283,244.40	$59,166.00	2026-02-26
8413	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	6	—	—	$57,332.64	$71,926.36	$59,156.82	2026-02-26
1834	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	6	6	—	—	$57,258.91	$71,833.87	$59,080.74	2026-02-26
9104	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	6	6	—	—	$57,090.40	$71,622.45	$58,906.86	2026-02-26
427	MS_DRG	Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	16	10	—	—	$14,265.00	$119,148.98	$58,510.69	2026-02-26
928	MS_DRG	Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m…	18	10	—	—	$14,265.00	$118,391.37	$58,141.42	2026-02-26
275	MS_DRG	Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	16	10	—	—	$14,265.00	$117,693.17	$57,801.10	2026-02-26
6313	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	6	—	—	$55,992.03	$70,244.50	$57,773.55	2026-02-26
1623	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	6	—	—	$55,929.59	$70,166.16	$57,709.12	2026-02-26
87770	CDM	Protekduo Ls Dl31 Kit	16	9	$204,250.00	$169,527.50	$19,608.00	$169,159.85	$57,424.89	2026-02-26
19	MS_DRG	Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis	14	10	—	—	$14,265.00	$109,387.44	$57,273.41	2026-02-26
6804	APR_DRG	Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…	6	6	—	—	$55,492.50	$69,617.81	$57,258.12	2026-02-26
46610	CDM	Restore Sensor System	16	9	$202,350.00	$167,950.50	$19,425.60	$167,586.27	$56,890.70	2026-02-26
870	MS_DRG	Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours	18	10	—	—	$14,265.00	$114,085.00	$56,858.60	2026-02-26
10	MS_DRG	Ms-DRG 43.00: Pancreas Transplant	16	10	—	—	$14,265.00	$60,989.12	$56,753.76	2026-02-26
268	MS_DRG	Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M…	18	10	—	—	$14,265.00	$113,525.45	$56,581.88	2026-02-26
6084	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	6	6	—	—	$54,437.01	$68,293.66	$56,169.06	2026-02-26
189336	CDM	Senza Omnia Ipg Kit	16	9	$199,500.00	$165,585.00	$19,152.00	$165,225.90	$56,089.43	2026-02-26
6254	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…	6	6	—	—	$54,358.01	$68,194.56	$56,087.54	2026-02-26
9114	APR_DRG	Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…	6	6	—	—	$54,301.59	$68,123.77	$56,029.33	2026-02-26
955	MS_DRG	Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma	18	10	—	—	$14,265.00	$111,102.39	$55,383.65	2026-02-26
3044	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	6	—	—	$53,661.38	$67,320.60	$55,368.74	2026-02-26
C2624	HCPCS	Impl Cardiomems Hf Sys Pa Sensor And Delivery Sys	34	11	$185,250.00	$153,757.50	$17,784.00	$182,409.39	$55,345.81	2026-02-26
1664	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	6	—	—	$53,584.64	$67,224.33	$55,289.57	2026-02-26
1794	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	6	6	—	—	$52,885.75	$66,347.53	$54,568.43	2026-02-26
3033	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	6	—	—	$52,805.25	$66,246.55	$54,485.38	2026-02-26
1603	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$52,733.03	$66,155.94	$54,410.86	2026-02-26
914	APR_DRG	Apr-DRG 42.00: Other Major Head And Neck Procedures	6	6	—	—	$52,577.30	$65,960.57	$54,250.18	2026-02-26
317	MS_DRG	Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation	16	10	—	—	$14,265.00	$110,630.42	$54,229.86	2026-02-26
447	MS_DRG	Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma…	16	10	—	—	$14,265.00	$110,285.35	$54,190.45	2026-02-26
6144	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…	6	6	—	—	$52,478.75	$65,836.94	$54,148.49	2026-02-26
217	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	18	10	—	—	$14,265.00	$108,530.78	$54,111.97	2026-02-26
218	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	18	10	—	—	$14,265.00	$108,530.78	$54,111.97	2026-02-26
11	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	6	—	—	$52,107.11	$65,370.70	$53,765.02	2026-02-26
8504	APR_DRG	Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…	6	6	—	—	$51,769.32	$64,946.93	$53,416.49	2026-02-26
214	APR_DRG	Apr-DRG 42.00: Open Craniotomy Except Trauma	6	6	—	—	$51,696.35	$64,855.38	$53,341.19	2026-02-26
573	MS_DRG	Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc	18	10	—	—	$14,265.00	$108,136.29	$53,150.16	2026-02-26
1783	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	6	6	—	—	$51,334.49	$64,401.41	$52,967.82	2026-02-26
207	MS_DRG	Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours	18	10	—	—	$14,265.00	$106,210.06	$52,964.34	2026-02-26
2993	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	6	6	—	—	$51,260.76	$64,308.92	$52,891.74	2026-02-26
6033	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	6	6	—	—	$51,136.63	$64,153.19	$52,763.67	2026-02-26
43040	CDM	Cath Impella 9fr 2.5 Flow Rate	18	11	$190,000.00	$157,700.00	$18,240.00	$157,358.00	$52,744.00	2026-02-26
144719	CDM	Stent Tag Conformable W/active Cntrl 21 X 21mm X 10cm	18	11	$189,715.00	$157,463.45	$18,212.64	$157,121.96	$52,664.88	2026-02-26
6021	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	6	—	—	$51,028.30	$64,017.28	$52,651.88	2026-02-26
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	3	2	—	—	$14,265.00	$52,522.95	$52,522.95	2026-02-26
4403	APR_DRG	Apr-DRG 42.00: Kidney Transplant	6	6	—	—	$50,901.16	$63,857.78	$52,520.70	2026-02-26
9124	APR_DRG	Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…	6	6	—	—	$50,488.89	$63,340.57	$52,095.32	2026-02-26
52	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	6	—	—	$50,334.67	$63,147.09	$51,936.19	2026-02-26
97220	CDM	Implant Cranial Peek Custom Xlrg	18	11	$186,790.04	$155,035.73	$17,931.84	$154,699.51	$51,852.92	2026-02-26
3004	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	6	6	—	—	$50,010.43	$62,740.31	$51,601.63	2026-02-26
6904	APR_DRG	Apr-DRG 42.00: Acute Leukemia	6	6	—	—	$49,603.43	$62,229.72	$51,181.68	2026-02-26
83	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	6	6	—	—	$48,949.67	$61,409.55	$50,507.12	2026-02-26
266	MS_DRG	Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W…	18	10	—	—	$14,265.00	$101,154.33	$50,464.22	2026-02-26
6072	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	6	6	—	—	$48,874.44	$61,315.17	$50,429.50	2026-02-26
969	MS_DRG	Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc	18	10	—	—	$14,265.00	$118,159.59	$50,406.29	2026-02-26
232	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc	18	10	—	—	$14,265.00	$100,068.24	$49,927.15	2026-02-26
2604	APR_DRG	Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures	6	6	—	—	$48,234.23	$60,511.99	$49,768.92	2026-02-26
1633	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	6	6	—	—	$48,097.31	$60,340.22	$49,627.64	2026-02-26
91	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$47,989.73	$60,205.26	$49,516.64	2026-02-26
28	MS_DRG	Ms-DRG 43.00: Spinal Procedures With Mcc	18	10	—	—	$14,265.00	$99,171.98	$49,483.93	2026-02-26
1694	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	6	6	—	—	$47,774.57	$59,935.33	$49,294.63	2026-02-26
457	MS_DRG	Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	18	10	—	—	$14,265.00	$98,425.91	$49,114.99	2026-02-26
276	MS_DRG	Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu…	16	10	—	—	$14,265.00	$99,143.92	$48,759.96	2026-02-26
234	APR_DRG	Apr-DRG 42.00: Spinal Procedures	6	6	—	—	$47,136.61	$59,134.98	$48,636.38	2026-02-26
7404	APR_DRG	Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure	6	6	—	—	$47,007.97	$58,973.59	$48,503.64	2026-02-26
6083	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	6	6	—	—	$46,990.66	$58,951.89	$48,485.79	2026-02-26
235	MS_DRG	Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc	18	10	—	—	$14,265.00	$96,866.11	$48,343.64	2026-02-26
820	MS_DRG	Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc	18	10	—	—	$14,265.00	$96,803.39	$48,312.61	2026-02-26
132138	CDM	Graft Stent Thoracic Valiant Proximal Freeflo Str 30x30x150mm	18	11	$173,593.50	$144,082.60	$16,664.98	$143,770.14	$48,189.56	2026-02-26
144937	CDM	Graft Stent Thoracic Valiant Proximal Freeflo Str 44x40x150mm	18	11	$173,593.50	$144,082.60	$16,664.98	$143,770.14	$48,189.56	2026-02-26
152433	CDM	Graft Stent Thoracic Valiant Proximal Freeflo Str 30x26x150mm	18	11	$173,593.50	$144,082.60	$16,664.98	$143,770.14	$48,189.56	2026-02-26
132134	CDM	Graft Stent Thoracic Valiant Proximal Freeflo Str 28x28x150mm	18	11	$173,593.50	$144,082.60	$16,664.98	$143,770.14	$48,189.56	2026-02-26
16	MS_DRG	Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc	16	10	—	—	$14,265.00	$97,874.62	$48,141.27	2026-02-26
1204	APR_DRG	Apr-DRG 42.00: Major Respiratory And Chest Procedures	6	6	—	—	$46,501.66	$58,338.41	$47,981.22	2026-02-26
C2616	CPT	Hb Brachytx, Non-str,yttrium-90	27	14	$184,846.00	$166,361.40	$17,900.55	$153,089.46	$47,967.54	2026-02-26
6814	APR_DRG	Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…	6	6	—	—	$46,426.43	$58,244.03	$47,903.60	2026-02-26
3124	APR_DRG	Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	6	6	—	—	$46,339.16	$58,134.55	$47,813.56	2026-02-26
790	MS_DRG	Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	14	9	—	—	$14,265.00	$99,265.67	$47,783.83	2026-02-26
C2616	HCPCS	Microsphere Yttrium-90 Therasphere 3.0 Gbq	27	14	$183,302.50	$152,141.07	$17,900.55	$151,811.13	$47,567.00	2026-02-26
1304	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	6	—	—	$45,954.73	$57,652.27	$47,416.90	2026-02-26
2204	APR_DRG	Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures	6	6	—	—	$45,803.52	$57,462.56	$47,260.87	2026-02-26
23	MS_DRG	Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa…	18	10	—	—	$14,265.00	$94,583.36	$47,214.79	2026-02-26
6954	APR_DRG	Apr-DRG 42.00: Chemotherapy For Acute Leukemia	6	6	—	—	$45,653.81	$57,274.75	$47,106.40	2026-02-26
41	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	6	—	—	$45,522.16	$57,109.58	$46,970.56	2026-02-26
463	MS_DRG	Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A…	18	10	—	—	$14,265.00	$94,074.98	$46,963.38	2026-02-26
430	MS_DRG	Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	16	10	—	—	$14,265.00	$95,190.77	$46,833.12	2026-02-26
204	APR_DRG	Apr-DRG 42.00: Open Craniotomy For Trauma	6	6	—	—	$45,163.31	$56,659.39	$46,600.29	2026-02-26
894	APR_DRG	Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures	6	6	—	—	$45,136.22	$56,625.41	$46,572.34	2026-02-26
3614	APR_DRG	Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	6	—	—	$45,085.82	$56,562.17	$46,520.33	2026-02-26
4284	APR_DRG	Apr-DRG 42.00: Genetic Disorders	6	6	—	—	$45,030.90	$56,493.28	$46,463.67	2026-02-26
2614	APR_DRG	Apr-DRG 42.00: Major Biliary Tract Procedures	6	6	—	—	$44,849.59	$56,265.82	$46,276.59	2026-02-26
9504	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	6	—	—	$44,842.82	$56,257.33	$46,269.60	2026-02-26
6092	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	6	—	—	$44,832.29	$56,244.11	$46,258.74	2026-02-26
175826	CDM	Graft Stent Thoracic Valiant Closed Web Str 34x34x150mm	18	11	$166,554.00	$138,239.82	$15,989.18	$137,940.02	$46,235.39	2026-02-26
1653	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	6	6	—	—	$44,666.03	$56,035.53	$46,087.19	2026-02-26
71611	CDM	Implant Peek Custom Cranial Large	18	11	$165,940.49	$137,730.61	$15,930.29	$137,431.91	$46,065.08	2026-02-26
61	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	6	—	—	$44,560.71	$55,903.40	$45,978.51	2026-02-26
213	MS_DRG	Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures	15	10	—	—	$14,265.00	$94,197.12	$45,898.83	2026-02-26
428	MS_DRG	Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	16	10	—	—	$14,265.00	$92,795.78	$45,665.78	2026-02-26
8	MS_DRG	Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant	16	10	—	—	$14,265.00	$92,508.57	$45,525.79	2026-02-26
461	MS_DRG	Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi…	18	10	—	—	$14,265.00	$114,242.99	$45,522.74	2026-02-26
834	MS_DRG	Ms-DRG 43.00: Acute Leukemia With Mcc	18	10	—	—	$14,265.00	$121,772.16	$45,252.57	2026-02-26
278	MS_DRG	Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul…	16	10	—	—	$14,265.00	$91,874.75	$45,216.85	2026-02-26
6234	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…	6	6	—	—	$43,806.14	$54,956.76	$45,199.94	2026-02-26
405	MS_DRG	Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc	18	10	—	—	$14,265.00	$90,295.14	$45,094.22	2026-02-26
234	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…	18	10	—	—	$14,265.00	$90,166.40	$45,030.54	2026-02-26
11	MS_DRG	Ms-DRG 43.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi…	18	10	—	—	$14,265.00	$90,024.45	$44,960.35	2026-02-26
274	APR_DRG	Apr-DRG 42.00: Other Open Craniotomy	6	6	—	—	$43,508.98	$54,583.96	$44,893.32	2026-02-26
89604	CDM	Capit Watchman Flx Laa Procedure Device	18	11	$161,500.00	$134,045.00	$15,504.00	$133,754.30	$44,832.40	2026-02-26
73592	CDM	Capit Watchman Laa Procedure Device	18	11	$161,500.00	$134,045.00	$15,504.00	$133,754.30	$44,832.40	2026-02-26

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