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 HOSPITAL - UPPER BUCKS CAMPUS

Quakertown, PA · CCN 390035 · Rates published

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You selected 93306 (CPT)

HB TTE W/DOPPLER COMPLETE

This hospital’s price: $589 across 15 payers · range $141-$3,243

Source: https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/23-1352203_stlukeshospitalupperbuckscampus_standardcharges.ashx · observed 2026-02-26

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.

21,614 distinct procedures filed
15 distinct payers
926,024 rate rows
2026-02-26 last MRF observed
Data quality

923,093 of 926,024 rate rows are consumer-grade (99.7%)

2,931 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 1,330
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 759
per-diem day rate — not a per-procedure price 285
template filing: same amount across many unrelated codes — excluded 202
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 154
exceeds 10× this hospital's gross charge — excluded from medians 122
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 77
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/23-1352213_stlukesorthopedichospitalwestendcampus_standardcharges.ashx
Found on page https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-16
Content fingerprint 75291db636ad76b1… · 244,767,005 bytes · first seen 2026-08-24

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 $669,946.72 $534,015.54 nat. median
$307,273
1.7× median
18
MS_DRG 		Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $14,265.00 $712,767.96 $395,101.44 nat. median
$359,358
1.1× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $284,282.15 $410,329.69 $327,074.41 nat. median
$247,214
1.3× median
37660
CDM 		Bicol Collagen Sponge 9 $107,740.40 $929,485.38 $315,589.58 nat. median
$0
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $265,756.56 $383,590.07 $305,760.22 nat. median
$124,042
outlier · 2.5×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $265,580.52 $383,335.97 $305,557.68 nat. median
$241,915
1.3× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $264,347.49 $381,556.23 $304,139.04 nat. median
$244,017
1.2× median
71459
CDM 		Heartmate Iii Kit Implant 11 $8,839.38 $849,095.90 $281,015.68 nat. median
$107,957
outlier · 2.6×
1
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $14,265.00 $462,557.73 $257,968.14 nat. median
$249,124
1.0× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $202,970.44 $292,965.28 $233,523.06 nat. median
$159,249
1.5× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $198,188.77 $286,063.47 $228,021.62 nat. median
$202,993
1.1× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $198,066.90 $285,887.56 $227,881.40 nat. median
$165,000
1.4× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $197,779.52 $285,472.75 $227,550.76 nat. median
$67,766
outlier · 3.4×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $194,288.81 $280,434.30 $223,534.60 nat. median
$163,587
1.4× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $190,504.70 $274,972.36 $219,180.88 nat. median
$133,164
1.6× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $189,331.85 $273,279.49 $217,831.49 nat. median
$175,429
1.2× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $186,418.16 $269,073.90 $214,479.21 nat. median
$162,514
1.3× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $182,190.94 $262,972.38 $209,615.68 nat. median
$146,591
1.4× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $176,293.60 $254,460.22 $202,830.62 nat. median
$156,153
1.3× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $172,768.28 $249,371.82 $198,774.65 nat. median
$154,011
1.3× median
927
MS_DRG 		Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 10 $14,265.00 $395,875.85 $198,685.77 nat. median
$198,433
1.0× median
3
MS_DRG 		Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 10 $14,265.00 $396,693.90 $197,524.49 nat. median
$190,557
1.0× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $163,897.82 $236,568.29 $188,568.94 nat. median
$151,838
1.2× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $162,236.72 $234,170.68 $186,657.80 nat. median
$145,061
1.3× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $157,232.37 $226,947.46 $180,900.16 nat. median
$68,020
outlier · 2.7×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $156,363.46 $225,693.27 $179,900.45 nat. median
$170,172
1.1× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $155,186.09 $223,993.88 $178,545.86 nat. median
$120,517
1.5× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $149,312.83 $215,516.47 $171,788.50 nat. median
$122,016
1.4× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $147,827.77 $213,372.96 $170,079.91 nat. median
$136,728
1.2× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $144,666.57 $208,810.12 $166,442.86 nat. median
$111,046
1.5× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $140,592.07 $202,929.03 $161,755.04 nat. median
$101,541
1.6× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $139,060.37 $200,718.19 $159,992.77 nat. median
$120,505
1.3× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $132,514.54 $191,270.01 $152,461.62 nat. median
$93,998
1.6× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $132,514.54 $191,270.01 $152,461.62 nat. median
$89,188
1.7× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $132,514.54 $191,270.01 $152,461.62 nat. median
$71,350
outlier · 2.1×
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $130,574.34 $188,469.55 $150,229.36 nat. median
$78,898
1.9× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 $123,469.54 $178,214.56 $142,055.10 nat. median
$118,589
1.2× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $120,587.45 $174,054.58 $138,739.17 nat. median
$82,224
1.7× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $119,896.08 $173,056.67 $137,943.73 nat. median
$108,798
1.3× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $114,186.81 $164,815.98 $131,375.06 nat. median
$84,808
1.5× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $114,186.81 $164,815.98 $131,375.06 nat. median
$76,852
1.7× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 $113,770.79 $164,215.49 $130,896.41 nat. median
$98,624
1.3× median
4
MS_DRG 		Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 10 $14,265.00 $240,498.90 $129,183.96 nat. median
$126,722
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 2 $14,265.00 $126,423.52 $126,423.52 nat. median
$71,201
1.8× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $109,546.58 $158,118.31 $126,036.34 nat. median
$92,229
1.4× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $104,017.11 $150,137.14 $119,674.54 nat. median
$81,668
1.5× median
7
MS_DRG 		Ms-DRG 43.00: Lung Transplant 10 $14,265.00 $213,753.80 $119,641.15 nat. median
$117,894
1.0× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $102,962.38 $148,614.75 $118,461.04 nat. median
$74,757
1.6× median
140985
CDM 		Dvc Heart Assist Impella 5.5 S2 11 $8,839.38 $354,055.50 $117,177.75 nat. median
$116,878
1.0× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $99,449.10 $143,543.72 $114,418.92 nat. median
$89,273
1.3× median

Other procedures at this hospital

Browse this hospital's 21,614 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 11 6 — — $464,148.46 $669,946.72 $534,015.54 2026-02-26
18 MS_DRG Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 10 — — $14,265.00 $712,767.96 $395,101.44 2026-02-26
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $284,282.15 $410,329.69 $327,074.41 2026-02-26
37660 CDM Bicol Collagen Sponge 27 9 $1,122,295.80 $931,505.51 $107,740.40 $929,485.38 $315,589.58 2026-02-26
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 6 — — $265,756.56 $383,590.07 $305,760.22 2026-02-26
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 11 6 — — $265,580.52 $383,335.97 $305,557.68 2026-02-26
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 11 6 — — $264,347.49 $381,556.23 $304,139.04 2026-02-26
71459 CDM Heartmate Iii Kit Implant 31 11 $1,025,230.50 $850,941.32 $8,839.38 $849,095.90 $281,015.68 2026-02-26
1 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 28 10 — — $14,265.00 $462,557.73 $257,968.14 2026-02-26
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 11 6 — — $202,970.44 $292,965.28 $233,523.06 2026-02-26
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 11 6 — — $198,188.77 $286,063.47 $228,021.62 2026-02-26
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 6 — — $198,066.90 $285,887.56 $227,881.40 2026-02-26
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 6 — — $197,779.52 $285,472.75 $227,550.76 2026-02-26
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $194,288.81 $280,434.30 $223,534.60 2026-02-26
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 6 — — $190,504.70 $274,972.36 $219,180.88 2026-02-26
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $189,331.85 $273,279.49 $217,831.49 2026-02-26
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 11 6 — — $186,418.16 $269,073.90 $214,479.21 2026-02-26
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 11 6 — — $182,190.94 $262,972.38 $209,615.68 2026-02-26
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 11 6 — — $176,293.60 $254,460.22 $202,830.62 2026-02-26
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 11 6 — — $172,768.28 $249,371.82 $198,774.65 2026-02-26
927 MS_DRG Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 32 10 — — $14,265.00 $395,875.85 $198,685.77 2026-02-26
3 MS_DRG Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 32 10 — — $14,265.00 $396,693.90 $197,524.49 2026-02-26
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $163,897.82 $236,568.29 $188,568.94 2026-02-26
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $162,236.72 $234,170.68 $186,657.80 2026-02-26
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 6 — — $157,232.37 $226,947.46 $180,900.16 2026-02-26
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 11 6 — — $156,363.46 $225,693.27 $179,900.45 2026-02-26
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 11 6 — — $155,186.09 $223,993.88 $178,545.86 2026-02-26
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $149,312.83 $215,516.47 $171,788.50 2026-02-26
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 11 6 — — $147,827.77 $213,372.96 $170,079.91 2026-02-26
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 11 6 — — $144,666.57 $208,810.12 $166,442.86 2026-02-26
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 11 6 — — $140,592.07 $202,929.03 $161,755.04 2026-02-26
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 11 6 — — $139,060.37 $200,718.19 $159,992.77 2026-02-26
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 11 6 — — $132,514.54 $191,270.01 $152,461.62 2026-02-26
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 11 6 — — $132,514.54 $191,270.01 $152,461.62 2026-02-26
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 11 6 — — $132,514.54 $191,270.01 $152,461.62 2026-02-26
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $130,574.34 $188,469.55 $150,229.36 2026-02-26
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 11 6 — — $123,469.54 $178,214.56 $142,055.10 2026-02-26
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 11 6 — — $120,587.45 $174,054.58 $138,739.17 2026-02-26
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $119,896.08 $173,056.67 $137,943.73 2026-02-26
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 11 6 — — $114,186.81 $164,815.98 $131,375.06 2026-02-26
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 11 6 — — $114,186.81 $164,815.98 $131,375.06 2026-02-26
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 11 6 — — $113,770.79 $164,215.49 $130,896.41 2026-02-26
4 MS_DRG Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 32 10 — — $14,265.00 $240,498.90 $129,183.96 2026-02-26
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 5 2 — — $14,265.00 $126,423.52 $126,423.52 2026-02-26
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 11 6 — — $109,546.58 $158,118.31 $126,036.34 2026-02-26
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $104,017.11 $150,137.14 $119,674.54 2026-02-26
7 MS_DRG Ms-DRG 43.00: Lung Transplant 28 10 — — $14,265.00 $213,753.80 $119,641.15 2026-02-26
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $102,962.38 $148,614.75 $118,461.04 2026-02-26
140985 CDM Dvc Heart Assist Impella 5.5 S2 31 11 $427,500.00 $354,825.00 $8,839.38 $354,055.50 $117,177.75 2026-02-26
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 11 6 — — $99,449.10 $143,543.72 $114,418.92 2026-02-26
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 11 6 — — $98,699.05 $142,461.11 $113,555.96 2026-02-26
156878 CDM Valve Tricuspid Evoque 52mm Rplcmnt Sys 31 11 $408,500.00 $339,055.00 $8,839.38 $338,319.70 $111,969.85 2026-02-26
156876 CDM Valve Tricuspid Evoque 44mm Rplcmnt Sys 31 11 $408,500.00 $339,055.00 $8,839.38 $338,319.70 $111,969.85 2026-02-26
156879 CDM Valve Tricuspid Evoque 56mm Rplcmnt Sys 31 11 $408,500.00 $339,055.00 $8,839.38 $338,319.70 $111,969.85 2026-02-26
156877 CDM Valve Tricuspid Evoque 48mm Rplcmnt Sys 31 11 $408,500.00 $339,055.00 $8,839.38 $338,319.70 $111,969.85 2026-02-26
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 11 6 — — $96,822.04 $139,751.86 $111,396.41 2026-02-26
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 11 6 — — $96,560.99 $139,375.06 $111,096.07 2026-02-26
14 MS_DRG Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 28 10 — — $14,265.00 $198,365.41 $111,085.71 2026-02-26
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $96,436.11 $139,194.80 $110,952.39 2026-02-26
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 5 2 — — $14,265.00 $110,215.26 $110,215.26 2026-02-26
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 11 6 — — $95,442.31 $137,760.36 $109,808.99 2026-02-26
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 11 6 — — $95,233.92 $137,459.58 $109,569.24 2026-02-26
2 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 10 — — $14,265.00 $197,470.65 $104,789.57 2026-02-26
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 11 6 — — $91,075.16 $131,456.87 $104,784.47 2026-02-26
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 11 6 — — $91,075.16 $131,456.87 $104,784.47 2026-02-26
209 MS_DRG Ms-DRG 43.00: Complex Aortic Arch Procedures 25 10 — — $14,265.00 $245,661.64 $104,149.52 2026-02-26
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 11 6 — — $90,307.05 $130,348.19 $103,900.74 2026-02-26
212 MS_DRG Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 28 10 — — $14,265.00 $230,149.83 $100,088.94 2026-02-26
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 11 6 — — $85,727.00 $123,737.40 $98,631.27 2026-02-26
426 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 28 10 — — $14,265.00 $254,235.83 $97,764.62 2026-02-26
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 5 2 — — $14,265.00 $95,449.86 $95,449.86 2026-02-26
5 MS_DRG Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 28 10 — — $14,265.00 $170,183.36 $95,417.38 2026-02-26
215 MS_DRG Ms-DRG 43.00: Other Heart Assist System Implant 32 10 — — $14,265.00 $264,577.72 $93,090.58 2026-02-26
216 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 31 10 — — $60,064.56 $217,990.08 $91,926.68 2026-02-26
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 6 — — $79,380.53 $114,576.98 $91,329.48 2026-02-26
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 11 6 — — $78,650.79 $113,523.68 $90,489.89 2026-02-26
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 11 6 — — $77,637.43 $112,061.01 $89,324.00 2026-02-26
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 6 — — $77,437.32 $111,772.17 $89,093.76 2026-02-26
99051 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm 31 11 $323,000.00 $268,090.00 $8,839.38 $267,508.60 $88,534.30 2026-02-26
99054 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm 31 11 $323,000.00 $268,090.00 $8,839.38 $267,508.60 $88,534.30 2026-02-26
99052 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm 31 11 $323,000.00 $268,090.00 $8,839.38 $267,508.60 $88,534.30 2026-02-26
99053 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm 31 11 $323,000.00 $268,090.00 $8,839.38 $267,508.60 $88,534.30 2026-02-26
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 5 2 — — $14,265.00 $88,431.75 $88,431.75 2026-02-26
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 11 6 — — $76,748.96 $110,778.59 $88,301.78 2026-02-26
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 6 — — $76,458.57 $110,359.44 $87,967.68 2026-02-26
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 6 — — $76,089.18 $109,826.28 $87,542.69 2026-02-26
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $75,488.09 $108,958.67 $86,851.12 2026-02-26
37546 CDM Valve Transcatheter Sapien Xt W/nova Flex System 29mm 27 9 $308,750.00 $256,262.50 $29,640.00 $255,706.75 $86,820.50 2026-02-26
37544 CDM Valve Transcatheter Sapien Xt W/nova Flex System 23mm 27 9 $308,750.00 $256,262.50 $29,640.00 $255,706.75 $86,820.50 2026-02-26
37545 CDM Valve Transcatheter Sapien Xt W/nova Flex System 26mm 27 9 $308,750.00 $256,262.50 $29,640.00 $255,706.75 $86,820.50 2026-02-26
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 11 6 — — $74,867.44 $108,062.82 $86,137.04 2026-02-26
97297 CDM Cath Mitraclip G4 Mcg 31 11 $313,500.00 $260,205.00 $8,839.38 $259,640.70 $85,930.35 2026-02-26
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 11 6 — — $74,415.30 $107,410.21 $85,616.84 2026-02-26
J7330 HCPCS Maci Final Product Assembled 1 Membrane 32 11 $533,624.50 $442,908.34 $51,227.95 $441,947.81 $85,601.96 2026-02-26
172644 CDM Botulism Immune Globulin Human 100 Mg IV Solr 27 9 $303,117.00 $251,587.11 $29,099.23 $251,041.50 $85,236.50 2026-02-26
87091 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
83623 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
56945 CDM Tavr Sapien 3 Cmndr Dlv Sys 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37542 CDM Tavr Sapien Xt W/ascendra System 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
83625 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37541 CDM Tavr Sapien Xt W/ascendra System 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
64375 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
87094 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
83624 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
67096 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 20mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
56919 CDM Tavr Sapien 3 Cmndr Dlv Sys 29mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
56918 CDM Tavr Sapien 3 Cmndr Dlv Sys 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37543 CDM Tavr Sapien Xt W/ascendra System 29mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37173 CDM Tavr Sapien Retroflex 3 Dlv Sys 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
61735 CDM Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
87092 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37172 CDM Tavr Sapien Retroflex 3 Dlv Sys 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37296 CDM Tavr Sapien 3 Transapical Dlv Sys 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
64627 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 23mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
37297 CDM Tavr Sapien 3 Transapical Dlv Sys 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
66190 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 29mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
87093 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm 31 11 $308,750.00 $256,262.50 $8,839.38 $255,706.75 $84,628.38 2026-02-26
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 5 2 — — $14,265.00 $84,553.58 $84,553.58 2026-02-26
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 11 6 — — $73,391.41 $105,932.34 $84,438.83 2026-02-26
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 5 2 — — $14,265.00 $83,846.35 $83,846.35 2026-02-26
146454 CDM Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr 31 11 $304,000.00 $252,320.00 $8,839.38 $251,772.80 $83,326.40 2026-02-26
122837 CDM Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr 31 11 $304,000.00 $252,320.00 $8,839.38 $251,772.80 $83,326.40 2026-02-26
136402 CDM Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr 31 11 $304,000.00 $252,320.00 $8,839.38 $251,772.80 $83,326.40 2026-02-26
180373 CDM Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr 31 11 $304,000.00 $252,320.00 $8,839.38 $251,772.80 $83,326.40 2026-02-26
429 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 10 — — $14,265.00 $202,290.38 $83,064.09 2026-02-26
156602 CDM Valve Trancath Aortic Evfxplus-23 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
156603 CDM Valve Trancath Aortic Evfxplus-26 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
156604 CDM Valve Trancath Aortic Evfxplus-29 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
104118 CDM Valve Trancath Aortic Evolut Fx 34mm 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
104115 CDM Valve Trancath Aortic Evolut Fx 23mm 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
156605 CDM Valve Trancath Aortic Evfxplus-34 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
104116 CDM Valve Trancath Aortic Evolut Fx 26mm 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
104117 CDM Valve Trancath Aortic Evolut Fx 29mm 31 11 $299,250.00 $248,377.50 $8,839.38 $247,838.85 $82,024.43 2026-02-26
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 11 6 — — $70,032.35 $101,083.92 $80,574.14 2026-02-26
850 MS_DRG Ms-DRG 43.00: Acute Leukemia With Other Procedures 28 10 — — $14,265.00 $192,508.50 $80,266.64 2026-02-26
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 11 6 — — $69,545.61 $100,381.36 $80,014.13 2026-02-26
132811 CDM Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer 31 11 $290,700.00 $241,281.00 $8,839.38 $240,757.74 $79,680.87 2026-02-26
132810 CDM Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer 31 11 $290,700.00 $241,281.00 $8,839.38 $240,757.74 $79,680.87 2026-02-26
231 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc 31 10 — — $62,026.42 $165,070.62 $79,326.24 2026-02-26
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 6 — — $68,707.54 $99,171.70 $79,049.91 2026-02-26
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 11 6 — — $68,500.65 $98,873.08 $78,811.88 2026-02-26
456 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 32 10 — — $14,265.00 $183,366.22 $78,691.79 2026-02-26
459 MS_DRG Spinal Fusion Except Cervical W Mcc 5 2 — — $14,265.00 $78,633.74 $78,633.74 2026-02-26
54440 CDM System Mitraclip Nt W/three Clips 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
54438 CDM System Mitraclip Nt W/one Clip 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
59204 CDM Tavr 23mm Corevalve Transcatheter 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
77739 CDM System Mitraclip Xtr/ntr W/one Clip 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
85655 CDM System Mitraclip Xtr W/two Clips 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
77579 CDM System Mitraclip Xtr W/three Clips 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
39357 CDM Tavr 26mm Corevalue Transcatheter 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
59205 CDM Tavr 31mm Corevalue Transcatheter 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
77740 CDM System Mitraclip Xtr/ntr W/two Clips 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
78682 CDM System Mitraclip Xtr W/one Clip 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
54439 CDM System Mitraclip Nt W/two Clips 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
77741 CDM System Mitraclip Xtr/ntr W/three Clips 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
87817 CDM Cath Mitraclip G4 Sgc 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
39358 CDM Tavr 29mm Corevalue Transcatheter 31 11 $285,000.00 $236,550.00 $8,839.38 $236,037.00 $78,118.50 2026-02-26
C1827 HCPCS Ipg Vivistim Paired Vns Model 1001 32 11 $280,250.00 $232,607.50 $26,904.00 $232,103.05 $77,797.40 2026-02-26
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 11 6 — — $66,904.26 $96,568.86 $76,975.18 2026-02-26
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $65,796.86 $94,970.45 $75,701.09 2026-02-26
179359 CDM Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr 31 11 $275,500.00 $228,665.00 $8,839.38 $228,169.10 $75,514.55 2026-02-26
179360 CDM Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr 31 11 $275,500.00 $228,665.00 $8,839.38 $228,169.10 $75,514.55 2026-02-26
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 11 6 — — $65,554.61 $94,620.80 $75,422.38 2026-02-26
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $65,535.05 $94,592.57 $75,399.88 2026-02-26
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 11 6 — — $65,437.25 $94,451.41 $75,287.36 2026-02-26
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 11 6 — — $64,154.57 $92,599.99 $73,811.59 2026-02-26
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 5 2 — — $14,265.00 $73,769.59 $73,769.59 2026-02-26
20 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 32 10 — — $14,265.00 $179,068.75 $73,737.09 2026-02-26
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 11 6 — — $63,620.43 $91,829.02 $73,197.05 2026-02-26
219 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 32 10 — — $14,265.00 $173,473.36 $71,971.55 2026-02-26
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 11 6 — — $62,531.09 $90,256.68 $71,943.73 2026-02-26
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 11 6 — — $62,367.09 $90,019.96 $71,755.04 2026-02-26
233 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 32 10 — — $14,265.00 $151,478.53 $71,664.77 2026-02-26
957 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 10 — — $14,265.00 $129,365.00 $71,430.28 2026-02-26
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 11 6 — — $61,820.91 $89,231.61 $71,126.65 2026-02-26
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 6 — — $61,322.88 $88,512.77 $70,553.66 2026-02-26
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 5 2 — — $14,265.00 $70,461.86 $70,461.86 2026-02-26
189332 CDM Hfx Iq Ipg Kit 27 9 $247,000.00 $205,010.00 $23,712.00 $204,565.40 $69,456.40 2026-02-26
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 11 6 — — $60,106.40 $86,756.91 $69,154.06 2026-02-26
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 11 6 — — $59,311.96 $85,610.23 $68,240.04 2026-02-26
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 11 6 — — $58,892.93 $85,005.40 $67,757.93 2026-02-26
427 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 28 10 — — $14,265.00 $172,182.11 $66,710.36 2026-02-26
928 MS_DRG Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 32 10 — — $14,265.00 $118,391.37 $66,291.25 2026-02-26
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 5 2 — — $14,265.00 $66,245.57 $66,245.57 2026-02-26
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 11 6 — — $57,332.64 $82,753.30 $65,962.78 2026-02-26
19 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 10 — — $14,265.00 $109,387.44 $65,943.36 2026-02-26
C1604 HCPCS Capit Stent Graft Detour System 32 11 $237,500.00 $197,125.00 $22,800.00 $196,697.50 $65,930.00 2026-02-26
275 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 10 — — $14,265.00 $175,578.35 $65,905.01 2026-02-26
A9543 HCPCS Hb Y90 Ibritumomab, Rx 44 12 $240,839.00 $216,755.10 $40,942.63 $199,462.86 $65,881.51 2026-02-26
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 11 6 — — $57,258.91 $82,646.88 $65,877.95 2026-02-26
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 11 6 — — $57,090.40 $82,403.64 $65,684.07 2026-02-26
C1605 HCPCS Capit Aveir Dual Chamber Pacer System 31 11 $237,595.00 $197,203.85 $22,809.12 $196,776.18 $65,124.79 2026-02-26
66257 CDM Pump Set Impella Cp 31 11 $237,500.00 $197,125.00 $8,839.38 $196,697.50 $65,098.75 2026-02-26
149130 CDM Pump Set Impella Cp W/companion Sheath Bundle 31 11 $237,500.00 $197,125.00 $8,839.38 $196,697.50 $65,098.75 2026-02-26
185448 CDM Pump Set Impella Cp 31 11 $237,500.00 $197,125.00 $8,839.38 $196,697.50 $65,098.75 2026-02-26
C1826 HCPCS Capit Neuro Inceptive Replacemnt Sys 88 11 $237,500.00 $197,125.00 $20,976.00 $212,433.30 $64,968.12 2026-02-26
870 MS_DRG Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours 32 10 — — $14,265.00 $123,650.71 $64,867.60 2026-02-26
268 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 32 10 — — $14,265.00 $124,868.20 $64,553.40 2026-02-26
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 6 — — $55,992.03 $80,818.27 $64,420.36 2026-02-26
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 6 — — $55,929.59 $80,728.14 $64,348.52 2026-02-26
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 11 6 — — $55,492.50 $80,097.25 $63,845.64 2026-02-26
955 MS_DRG Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma 32 10 — — $14,265.00 $111,102.39 $63,192.87 2026-02-26
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 11 6 — — $54,437.01 $78,573.77 $62,631.27 2026-02-26
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 11 6 — — $54,358.01 $78,459.75 $62,540.39 2026-02-26
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 11 6 — — $54,301.59 $78,378.31 $62,475.47 2026-02-26
C1824 HCPCS Optimizer Smart Generator 60 11 $218,500.00 $181,355.00 $20,976.00 $204,565.40 $62,294.35 2026-02-26
317 MS_DRG Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 10 — — $14,265.00 $154,933.73 $61,851.74 2026-02-26
447 MS_DRG Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 28 10 — — $14,265.00 $162,613.34 $61,807.01 2026-02-26
218 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 32 10 — — $14,265.00 $117,070.61 $61,748.90 2026-02-26
217 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 32 10 — — $14,265.00 $150,951.61 $61,748.90 2026-02-26
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 11 6 — — $53,661.38 $77,454.24 $61,738.89 2026-02-26
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 11 6 — — $53,584.64 $77,343.48 $61,650.60 2026-02-26
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 11 6 — — $52,885.75 $76,334.70 $60,846.50 2026-02-26
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 6 — — $52,805.25 $76,218.51 $60,753.89 2026-02-26
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 11 6 — — $52,733.03 $76,114.27 $60,670.80 2026-02-26
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 11 6 — — $52,577.30 $75,889.49 $60,491.63 2026-02-26
207 MS_DRG Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 32 10 — — $14,265.00 $110,255.15 $60,445.83 2026-02-26
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 11 6 — — $52,478.75 $75,747.24 $60,378.24 2026-02-26
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 11 6 — — $52,107.11 $75,210.82 $59,950.66 2026-02-26
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 11 6 — — $51,769.32 $74,723.26 $59,562.03 2026-02-26
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 11 6 — — $51,696.35 $74,617.93 $59,478.07 2026-02-26
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 11 6 — — $51,334.49 $74,095.63 $59,061.74 2026-02-26
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 11 6 — — $51,260.76 $73,989.21 $58,976.91 2026-02-26
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 11 6 — — $51,136.63 $73,810.05 $58,834.10 2026-02-26
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 11 6 — — $51,028.30 $73,653.68 $58,709.46 2026-02-26
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 11 6 — — $50,901.16 $73,470.17 $58,563.18 2026-02-26
573 MS_DRG Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 10 — — $14,265.00 $108,136.29 $58,170.43 2026-02-26
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 11 6 — — $50,488.89 $72,875.11 $58,088.86 2026-02-26
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 6 — — $50,334.67 $72,652.50 $57,911.42 2026-02-26
969 MS_DRG Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc 32 10 — — $14,265.00 $120,554.56 $57,824.70 2026-02-26
266 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 32 10 — — $14,265.00 $198,502.54 $57,607.03 2026-02-26
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 11 6 — — $50,010.43 $72,184.49 $57,538.37 2026-02-26
87770 CDM Protekduo Ls Dl31 Kit 27 9 $204,250.00 $169,527.50 $19,608.00 $169,159.85 $57,435.10 2026-02-26
10 MS_DRG Ms-DRG 43.00: Pancreas Transplant 28 10 — — $14,265.00 $68,971.39 $57,134.15 2026-02-26
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 11 6 — — $49,603.43 $71,597.04 $57,070.11 2026-02-26
232 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc 32 10 — — $14,265.00 $119,402.96 $56,997.21 2026-02-26
46610 CDM Restore Sensor System 27 9 $202,350.00 $167,950.50 $19,425.60 $167,586.27 $56,900.82 2026-02-26
28 MS_DRG Ms-DRG 43.00: Spinal Procedures With Mcc 32 10 — — $14,265.00 $112,120.95 $56,493.94 2026-02-26
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 11 6 — — $48,949.67 $70,653.41 $56,317.94 2026-02-26
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 11 6 — — $48,874.44 $70,544.83 $56,231.39 2026-02-26
189336 CDM Senza Omnia Ipg Kit 27 9 $199,500.00 $165,585.00 $19,152.00 $165,225.90 $56,099.40 2026-02-26
457 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 32 10 — — $14,265.00 $121,925.22 $56,075.03 2026-02-26
276 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 28 10 — — $14,265.00 $140,623.42 $55,643.53 2026-02-26
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 11 6 — — $48,234.23 $69,620.75 $55,494.80 2026-02-26
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 11 6 — — $48,097.31 $69,423.12 $55,337.27 2026-02-26
16 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc 28 10 — — $14,265.00 $97,874.62 $55,216.06 2026-02-26
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 11 6 — — $47,989.73 $69,267.84 $55,213.50 2026-02-26
235 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc 32 10 — — $14,265.00 $122,471.63 $55,199.18 2026-02-26
820 MS_DRG Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 10 — — $14,265.00 $121,609.97 $55,163.96 2026-02-26
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 11 6 — — $47,774.57 $68,957.28 $54,965.95 2026-02-26
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 11 6 — — $47,136.61 $68,036.46 $54,231.96 2026-02-26
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 11 6 — — $47,007.97 $67,850.77 $54,083.95 2026-02-26
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 11 6 — — $46,990.66 $67,825.80 $54,064.05 2026-02-26
23 MS_DRG Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 32 10 — — $14,265.00 $109,238.00 $53,917.43 2026-02-26
463 MS_DRG Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 32 10 — — $14,265.00 $101,383.72 $53,631.97 2026-02-26
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 11 6 — — $46,501.66 $67,119.98 $53,501.44 2026-02-26
430 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 10 — — $14,265.00 $132,679.69 $53,456.64 2026-02-26
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 11 6 — — $46,426.43 $67,011.39 $53,414.88 2026-02-26
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 11 6 — — $46,339.16 $66,885.43 $53,314.48 2026-02-26
213 MS_DRG Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures 25 10 — — $14,265.00 $104,721.27 $52,906.95 2026-02-26
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 11 6 — — $45,954.73 $66,330.55 $52,872.18 2026-02-26
790 MS_DRG Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 9 — — $14,265.00 $99,265.67 $52,831.00 2026-02-26
C2624 HCPCS Impl Cardiomems Hf Sys Pa Sensor And Delivery Sys 60 11 $185,250.00 $153,757.50 $17,784.00 $182,409.39 $52,814.78 2026-02-26
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 11 6 — — $45,803.52 $66,112.29 $52,698.21 2026-02-26
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 11 6 — — $45,653.81 $65,896.20 $52,525.96 2026-02-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 2 — — $14,265.00 $52,522.95 $52,522.95 2026-02-26
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 11 6 — — $45,522.16 $65,706.18 $52,374.49 2026-02-26
461 MS_DRG Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 32 10 — — $14,265.00 $116,558.58 $52,252.32 2026-02-26
8 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant 28 10 — — $14,265.00 $92,508.57 $52,232.71 2026-02-26
428 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 28 10 — — $14,265.00 $133,531.06 $52,131.72 2026-02-26
43040 CDM Cath Impella 9fr 2.5 Flow Rate 31 11 $190,000.00 $157,700.00 $8,839.38 $157,358.00 $52,079.00 2026-02-26
144719 CDM Stent Tag Conformable W/active Cntrl 21 X 21mm X 10cm 31 11 $189,715.00 $157,463.45 $8,839.38 $157,121.96 $52,000.88 2026-02-26
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 11 6 — — $45,163.31 $65,188.21 $51,961.62 2026-02-26
834 MS_DRG Ms-DRG 43.00: Acute Leukemia With Mcc 32 10 — — $14,265.00 $124,240.35 $51,944.01 2026-02-26
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 11 6 — — $45,136.22 $65,149.12 $51,930.46 2026-02-26
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 11 6 — — $45,085.82 $65,076.37 $51,872.47 2026-02-26
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 11 6 — — $45,030.90 $64,997.10 $51,809.29 2026-02-26
278 MS_DRG Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 28 10 — — $14,265.00 $91,874.75 $51,622.22 2026-02-26
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 11 6 — — $44,849.59 $64,735.40 $51,600.69 2026-02-26
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 6 — — $44,842.82 $64,725.63 $51,592.90 2026-02-26
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 6 — — $44,832.29 $64,710.43 $51,580.78 2026-02-26
405 MS_DRG Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc 32 10 — — $14,265.00 $121,808.63 $51,509.60 2026-02-26
234 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 32 10 — — $14,265.00 $99,500.62 $51,437.29 2026-02-26
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 11 6 — — $44,666.03 $64,470.45 $51,389.49 2026-02-26
11 MS_DRG Ms-DRG 43.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 32 10 — — $14,265.00 $105,458.80 $51,357.60 2026-02-26
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 11 6 — — $44,560.71 $64,318.43 $51,268.32 2026-02-26
97220 CDM Implant Cranial Peek Custom Xlrg 31 11 $186,790.04 $155,035.73 $8,839.38 $154,699.51 $51,199.15 2026-02-26
0915T CPT Hb Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 19 10 $201,311.00 $167,088.13 $13,448.00 $149,251.98 $51,122.38 2026-02-26
C1822 HCPCS Stylet Kit (w/0.016) 50cm Length 162 11 $218,500.00 $181,355.00 $68.40 $283,244.40 $50,756.60 2026-02-26
17 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant Without Cc/mcc 28 10 — — $14,265.00 $79,860.16 $50,651.56 2026-02-26
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 11 6 — — $43,806.14 $63,229.30 $50,400.17 2026-02-26
220 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 32 10 — — $14,265.00 $114,021.33 $50,233.40 2026-02-26
21 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 32 10 — — $14,265.00 $137,337.88 $50,117.61 2026-02-26
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 11 6 — — $43,508.98 $62,800.38 $50,058.28 2026-02-26
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 11 6 — — $43,402.15 $62,646.19 $49,935.37 2026-02-26
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 11 6 — — $43,378.08 $62,611.44 $49,907.67 2026-02-26
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 11 6 — — $43,302.10 $62,501.76 $49,820.25 2026-02-26
270 MS_DRG Ms-DRG 43.00: Other Major Cardiovascular Procedures With Mcc 32 10 — — $14,265.00 $94,135.77 $49,709.75 2026-02-26
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 11 6 — — $43,026.00 $62,103.25 $49,502.59 2026-02-26
450 MS_DRG Ms-DRG 43.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 28 10 — — $14,265.00 $99,914.80 $49,461.80 2026-02-26
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