Hospital

ST LUKE'S HOSPITAL - EASTON CAMPUS

Easton, PA · CCN 390162 · Rates published

Your selected procedure

You selected 93350 (CPT)

HB STRESS TTE ONLY

This hospital’s price: $573 across 15 payers · range $76-$2,832

Source: https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/84-4475996_stlukeshospitaleastoncampus_standardcharges.ashx · observed 2026-02-27

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

20,593 distinct procedures filed

15 distinct payers

833,743 rate rows

2026-02-27 last MRF observed

Data quality

830,345 of 833,743 rate rows are consumer-grade (99.6%)

3,398 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,518
placeholder amount (≤ $0.02) — excluded from medians	1,073
per-diem day rate — not a per-procedure price	266
template filing: same amount across many unrelated codes — excluded	202
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	137
exceeds 10× this hospital's gross charge — excluded from medians	134
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	68

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

Source MRF file	https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/84-4475996_stlukeshospitaleastoncampus_standardcharges.ashx
Found on page	https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-16
Content fingerprint	286da94b49646f1f… · 242,593,926 bytes · first seen 2026-05-08

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	$442,589.20	$669,946.72	$543,724.73	nat. median $307,206 1.8× median
18 MS_DRG	Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$329,042.59	$712,767.96	$378,370.47	nat. median $359,454 1.1× median
5884 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$271,077.51	$410,329.69	$333,021.11	nat. median $247,214 1.3× median
37660 CDM	Bicol Collagen Sponge	9	$181,811.92	$832,070.11	$315,477.35	nat. median $0
114 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$253,412.42	$383,590.07	$311,319.39	nat. median $123,836 outlier · 2.5×
24 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	$253,244.56	$383,335.97	$311,113.17	nat. median $241,437 1.3× median
5833 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	$252,068.80	$381,556.23	$309,668.74	nat. median $244,017 1.3× median
71459 CDM	Heartmate Iii Kit Implant	11	$4,765.01	$760,105.89	$280,605.59	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	$213,826.65	$462,557.73	$246,952.90	nat. median $249,036 1.0× median
5832 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	$193,542.66	$292,965.28	$237,768.86	nat. median $159,249 1.5× median
1614 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$188,983.09	$286,063.47	$232,167.39	nat. median $202,993 1.1× median
6094 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	$188,866.88	$285,887.56	$232,024.62	nat. median $165,000 1.4× median
113 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$188,592.84	$285,472.75	$231,687.97	nat. median $67,735 outlier · 3.4×
94 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	$185,264.27	$280,434.30	$227,598.80	nat. median $163,587 1.4× median
6314 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	$181,655.93	$274,972.36	$223,165.92	nat. median $133,164 1.7× median
5883 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$180,537.56	$273,279.49	$221,791.99	nat. median $175,204 1.3× median
5914 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$177,759.21	$269,073.90	$218,378.76	nat. median $162,342 1.3× median
5831 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	$173,728.34	$262,972.38	$213,426.80	nat. median $146,500 1.5× median
8414 APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	$168,104.93	$254,460.22	$206,518.39	nat. median $155,939 1.3× median
6304 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	$164,743.36	$249,371.82	$202,388.67	nat. median $154,011 1.3× median
5934 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$156,284.92	$236,568.29	$191,997.40	nat. median $151,838 1.3× median
927 MS_DRG	Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…	10	$163,105.15	$473,549.26	$190,995.33	nat. median $198,418 1.0× median
5882 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$154,700.98	$234,170.68	$190,051.52	nat. median $145,061 1.3× median
3 MS_DRG	Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…	10	$130,752.96	$396,693.90	$189,011.80	nat. median $190,559 1.0× median
112 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$149,929.08	$226,947.46	$184,189.19	nat. median $67,994 outlier · 2.7×
74 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	$149,100.52	$225,693.27	$183,171.30	nat. median $170,082 1.1× median
1613 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$147,977.85	$223,993.88	$181,792.09	nat. median $120,517 1.5× median
44 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$142,377.39	$215,516.47	$174,911.87	nat. median $122,016 1.4× median
14 APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	$140,961.31	$213,372.96	$173,172.21	nat. median $136,566 1.3× median
23 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	$137,946.95	$208,810.12	$169,469.04	nat. median $110,944 1.5× median
5913 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$134,061.70	$202,929.03	$164,695.98	nat. median $101,406 1.6× median
5881 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	$132,601.15	$200,718.19	$162,901.68	nat. median $120,208 1.4× median
5893 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	$126,359.36	$191,270.01	$155,233.59	nat. median $71,350 outlier · 2.2×
5892 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	$126,359.36	$191,270.01	$155,233.59	nat. median $89,188 1.7× median
5891 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	$126,359.36	$191,270.01	$155,233.59	nat. median $93,998 1.7× median
93 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	$124,509.28	$188,469.55	$152,960.75	nat. median $78,893 1.9× median
6024 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	$117,734.50	$178,214.56	$144,637.87	nat. median $118,620 1.2× median
5912 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	$114,986.28	$174,054.58	$141,261.65	nat. median $82,129 1.7× median
5933 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	$114,327.02	$173,056.67	$140,451.75	nat. median $108,695 1.3× median
1612 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$108,882.94	$164,815.98	$133,763.66	nat. median $84,880 1.6× median
1611 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	$108,882.94	$164,815.98	$133,763.66	nat. median $76,852 1.7× median
1604 APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	$108,486.24	$164,215.49	$133,276.30	nat. median $98,624 1.4× median
22 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	$104,458.24	$158,118.31	$128,327.87	nat. median $92,229 1.4× median
453 MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	1	$126,423.52	$126,423.52	$126,423.52	nat. median $70,732 1.8× median
4 MS_DRG	Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…	10	$86,987.63	$240,498.90	$123,543.58	nat. median $126,695 1.0× median
54 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	$99,185.62	$150,137.14	$121,850.40	nat. median $81,521 1.5× median
43 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	$98,179.87	$148,614.75	$120,614.84	nat. median $74,757 1.6× median
140985 CDM	Dvc Heart Assist Impella 5.5 S2	11	$4,765.01	$316,948.50	$117,006.75	nat. median $116,878 1.0× median
73 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	$94,829.78	$143,543.72	$116,499.22	nat. median $89,273 1.3× median
8424 APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	6	$94,114.57	$142,461.11	$115,620.58	nat. median $82,180 1.4× median

Other procedures at this hospital

Browse this hospital's 20,593 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	11	6	—	—	$442,589.20	$669,946.72	$543,724.73	2026-02-27
18	MS_DRG	Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	22	9	—	—	$329,042.59	$712,767.96	$378,370.47	2026-02-27
5884	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	11	6	—	—	$271,077.51	$410,329.69	$333,021.11	2026-02-27
37660	CDM	Bicol Collagen Sponge	25	9	$1,122,295.80	$931,505.51	$181,811.92	$832,070.11	$315,477.35	2026-02-27
114	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	6	—	—	$253,412.42	$383,590.07	$311,319.39	2026-02-27
24	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	11	6	—	—	$253,244.56	$383,335.97	$311,113.17	2026-02-27
5833	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	11	6	—	—	$252,068.80	$381,556.23	$309,668.74	2026-02-27
71459	CDM	Heartmate Iii Kit Implant	29	11	$1,025,230.50	$850,941.32	$4,765.01	$760,105.89	$280,605.59	2026-02-27
1	MS_DRG	Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc	23	10	—	—	$213,826.65	$462,557.73	$246,952.90	2026-02-27
5832	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	11	6	—	—	$193,542.66	$292,965.28	$237,768.86	2026-02-27
1614	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	11	6	—	—	$188,983.09	$286,063.47	$232,167.39	2026-02-27
6094	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	6	—	—	$188,866.88	$285,887.56	$232,024.62	2026-02-27
113	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	6	—	—	$188,592.84	$285,472.75	$231,687.97	2026-02-27
94	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	11	6	—	—	$185,264.27	$280,434.30	$227,598.80	2026-02-27
6314	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	6	—	—	$181,655.93	$274,972.36	$223,165.92	2026-02-27
5883	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	11	6	—	—	$180,537.56	$273,279.49	$221,791.99	2026-02-27
5914	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	11	6	—	—	$177,759.21	$269,073.90	$218,378.76	2026-02-27
5831	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	11	6	—	—	$173,728.34	$262,972.38	$213,426.80	2026-02-27
8414	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	11	6	—	—	$168,104.93	$254,460.22	$206,518.39	2026-02-27
6304	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	11	6	—	—	$164,743.36	$249,371.82	$202,388.67	2026-02-27
5934	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	11	6	—	—	$156,284.92	$236,568.29	$191,997.40	2026-02-27
927	MS_DRG	Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski…	28	10	—	—	$163,105.15	$473,549.26	$190,995.33	2026-02-27
5882	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	11	6	—	—	$154,700.98	$234,170.68	$190,051.52	2026-02-27
3	MS_DRG	Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce…	28	10	—	—	$130,752.96	$396,693.90	$189,011.80	2026-02-27
112	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	6	—	—	$149,929.08	$226,947.46	$184,189.19	2026-02-27
74	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	11	6	—	—	$149,100.52	$225,693.27	$183,171.30	2026-02-27
1613	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	11	6	—	—	$147,977.85	$223,993.88	$181,792.09	2026-02-27
44	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	11	6	—	—	$142,377.39	$215,516.47	$174,911.87	2026-02-27
14	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	11	6	—	—	$140,961.31	$213,372.96	$173,172.21	2026-02-27
23	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	11	6	—	—	$137,946.95	$208,810.12	$169,469.04	2026-02-27
5913	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	11	6	—	—	$134,061.70	$202,929.03	$164,695.98	2026-02-27
5881	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	11	6	—	—	$132,601.15	$200,718.19	$162,901.68	2026-02-27
5893	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	11	6	—	—	$126,359.36	$191,270.01	$155,233.59	2026-02-27
5892	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	11	6	—	—	$126,359.36	$191,270.01	$155,233.59	2026-02-27
5891	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	11	6	—	—	$126,359.36	$191,270.01	$155,233.59	2026-02-27
93	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	11	6	—	—	$124,509.28	$188,469.55	$152,960.75	2026-02-27
6024	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	11	6	—	—	$117,734.50	$178,214.56	$144,637.87	2026-02-27
5912	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	11	6	—	—	$114,986.28	$174,054.58	$141,261.65	2026-02-27
5933	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	11	6	—	—	$114,327.02	$173,056.67	$140,451.75	2026-02-27
1612	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	11	6	—	—	$108,882.94	$164,815.98	$133,763.66	2026-02-27
1611	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	11	6	—	—	$108,882.94	$164,815.98	$133,763.66	2026-02-27
1604	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	11	6	—	—	$108,486.24	$164,215.49	$133,276.30	2026-02-27
22	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	11	6	—	—	$104,458.24	$158,118.31	$128,327.87	2026-02-27
453	MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	1	1	—	—	$126,423.52	$126,423.52	$126,423.52	2026-02-27
4	MS_DRG	Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,…	28	10	—	—	$86,987.63	$240,498.90	$123,543.58	2026-02-27
54	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	6	—	—	$99,185.62	$150,137.14	$121,850.40	2026-02-27
43	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	11	6	—	—	$98,179.87	$148,614.75	$120,614.84	2026-02-27
140985	CDM	Dvc Heart Assist Impella 5.5 S2	29	11	$427,500.00	$354,825.00	$4,765.01	$316,948.50	$117,006.75	2026-02-27
73	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	11	6	—	—	$94,829.78	$143,543.72	$116,499.22	2026-02-27
8424	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	11	6	—	—	$94,114.57	$142,461.11	$115,620.58	2026-02-27
7	MS_DRG	Ms-DRG 43.00: Lung Transplant	23	10	—	—	$99,258.28	$213,753.80	$114,420.53	2026-02-27
21	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	11	6	—	—	$92,324.75	$139,751.86	$113,421.77	2026-02-27
64	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	11	6	—	—	$92,075.82	$139,375.06	$113,115.96	2026-02-27
5932	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	11	6	—	—	$91,956.74	$139,194.80	$112,969.66	2026-02-27
156877	CDM	Valve Tricuspid Evoque 48mm Rplcmnt Sys	29	11	$408,500.00	$339,055.00	$4,765.01	$302,861.90	$111,806.45	2026-02-27
156879	CDM	Valve Tricuspid Evoque 56mm Rplcmnt Sys	29	11	$408,500.00	$339,055.00	$4,765.01	$302,861.90	$111,806.45	2026-02-27
156878	CDM	Valve Tricuspid Evoque 52mm Rplcmnt Sys	29	11	$408,500.00	$339,055.00	$4,765.01	$302,861.90	$111,806.45	2026-02-27
156876	CDM	Valve Tricuspid Evoque 44mm Rplcmnt Sys	29	11	$408,500.00	$339,055.00	$4,765.01	$302,861.90	$111,806.45	2026-02-27
6074	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	11	6	—	—	$91,009.10	$137,760.36	$111,805.48	2026-02-27
6303	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	11	6	—	—	$90,810.39	$137,459.58	$111,561.37	2026-02-27
222	MS_DRG	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc	1	1	—	—	$110,215.26	$110,215.26	$110,215.26	2026-02-27
8513	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	11	6	—	—	$86,844.80	$131,456.87	$106,689.61	2026-02-27
8514	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	11	6	—	—	$86,844.80	$131,456.87	$106,689.61	2026-02-27
14	MS_DRG	Ms-DRG 43.00: Allogeneic Bone Marrow Transplant	23	10	—	—	$92,172.28	$198,365.41	$106,223.47	2026-02-27
6034	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	11	6	—	—	$86,112.37	$130,348.19	$105,789.81	2026-02-27
J7330	HCPCS	Maci Final Product Assembled 1 Membrane	29	11	$533,624.50	$442,908.34	$56,190.66	$154,217.48	$105,204.07	2026-02-27
6023	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	11	6	—	—	$81,745.06	$123,737.40	$100,424.53	2026-02-27
2	MS_DRG	Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc	23	10	—	—	$86,957.55	$197,470.65	$100,191.08	2026-02-27
209	MS_DRG	Ms-DRG 43.00: Complex Aortic Arch Procedures	24	9	—	—	$86,858.74	$245,661.64	$100,076.78	2026-02-27
426	MS_DRG	Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	27	9	—	—	$45,166.66	$254,235.83	$97,460.18	2026-02-27
212	MS_DRG	Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures	27	9	—	—	$83,478.78	$235,770.61	$96,166.84	2026-02-27
224	MS_DRG	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc	1	1	—	—	$95,449.86	$95,449.86	$95,449.86	2026-02-27
6114	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	6	—	—	$75,693.38	$114,576.98	$92,989.98	2026-02-27
6134	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	11	6	—	—	$74,997.54	$113,523.68	$92,135.14	2026-02-27
5	MS_DRG	Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant	23	10	—	—	$79,195.12	$170,183.36	$91,211.50	2026-02-27
8634	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	11	6	—	—	$74,031.25	$112,061.01	$90,948.04	2026-02-27
111	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	6	—	—	$73,840.43	$111,772.17	$90,713.62	2026-02-27
13	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	11	6	—	—	$73,184.04	$110,778.59	$89,907.24	2026-02-27
1624	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	6	—	—	$72,907.14	$110,359.44	$89,567.06	2026-02-27
3034	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	6	—	—	$72,554.91	$109,826.28	$89,134.35	2026-02-27
215	MS_DRG	Ms-DRG 43.00: Other Heart Assist System Implant	28	10	—	—	$46,857.01	$264,577.72	$88,967.19	2026-02-27
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath W Mcc	1	1	—	—	$88,431.75	$88,431.75	$88,431.75	2026-02-27
53	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	6	—	—	$71,981.74	$108,958.67	$88,430.20	2026-02-27
99054	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm	29	11	$323,000.00	$268,090.00	$4,765.01	$239,472.20	$88,405.10	2026-02-27
99053	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm	29	11	$323,000.00	$268,090.00	$4,765.01	$239,472.20	$88,405.10	2026-02-27
99052	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm	29	11	$323,000.00	$268,090.00	$4,765.01	$239,472.20	$88,405.10	2026-02-27
99051	CDM	Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm	29	11	$323,000.00	$268,090.00	$4,765.01	$239,472.20	$88,405.10	2026-02-27
4404	APR_DRG	Apr-DRG 42.00: Kidney Transplant	11	6	—	—	$71,389.91	$108,062.82	$87,703.14	2026-02-27
216	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	28	10	—	—	$60,064.56	$217,990.08	$87,420.55	2026-02-27
63	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	11	6	—	—	$70,958.78	$107,410.21	$87,173.48	2026-02-27
37546	CDM	Valve Transcatheter Sapien Xt W/nova Flex System 29mm	25	9	$308,750.00	$256,262.50	$50,017.50	$228,907.25	$86,789.62	2026-02-27
37545	CDM	Valve Transcatheter Sapien Xt W/nova Flex System 26mm	25	9	$308,750.00	$256,262.50	$50,017.50	$228,907.25	$86,789.62	2026-02-27
37544	CDM	Valve Transcatheter Sapien Xt W/nova Flex System 23mm	25	9	$308,750.00	$256,262.50	$50,017.50	$228,907.25	$86,789.62	2026-02-27
5931	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	11	6	—	—	$69,982.45	$105,932.34	$85,974.05	2026-02-27
97297	CDM	Cath Mitraclip G4 Mcg	29	11	$313,500.00	$260,205.00	$4,765.01	$232,428.90	$85,804.95	2026-02-27
172644	CDM	Botulism Immune Globulin Human 100 Mg IV Solr	25	9	$303,117.00	$251,587.11	$49,104.95	$224,730.94	$85,206.19	2026-02-27
454	MS_DRG	Combined Anterior/posterior Spinal Fusion W Cc	1	1	—	—	$84,553.58	$84,553.58	$84,553.58	2026-02-27
56919	CDM	Tavr Sapien 3 Cmndr Dlv Sys 29mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
87092	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
64375	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
56945	CDM	Tavr Sapien 3 Cmndr Dlv Sys 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37297	CDM	Tavr Sapien 3 Transapical Dlv Sys 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37296	CDM	Tavr Sapien 3 Transapical Dlv Sys 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
66190	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 29mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
87093	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
83625	CDM	Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
56918	CDM	Tavr Sapien 3 Cmndr Dlv Sys 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
64627	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
87094	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
87091	CDM	Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
61735	CDM	Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37541	CDM	Tavr Sapien Xt W/ascendra System 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37543	CDM	Tavr Sapien Xt W/ascendra System 29mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37542	CDM	Tavr Sapien Xt W/ascendra System 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37172	CDM	Tavr Sapien Retroflex 3 Dlv Sys 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
37173	CDM	Tavr Sapien Retroflex 3 Dlv Sys 26mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
67096	CDM	Valve Tavr Sapien 3 Certitude Dlv Sys 20mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
83623	CDM	Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
83624	CDM	Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm	29	11	$308,750.00	$256,262.50	$4,765.01	$228,907.25	$84,504.88	2026-02-27
223	MS_DRG	Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc	1	1	—	—	$83,846.35	$83,846.35	$83,846.35	2026-02-27
136402	CDM	Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr	29	11	$304,000.00	$252,320.00	$4,765.01	$225,385.60	$83,204.80	2026-02-27
122837	CDM	Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr	29	11	$304,000.00	$252,320.00	$4,765.01	$225,385.60	$83,204.80	2026-02-27
146454	CDM	Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr	29	11	$304,000.00	$252,320.00	$4,765.01	$225,385.60	$83,204.80	2026-02-27
180373	CDM	Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr	29	11	$304,000.00	$252,320.00	$4,765.01	$225,385.60	$83,204.80	2026-02-27
72	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	11	6	—	—	$66,779.41	$101,083.92	$82,039.10	2026-02-27
156605	CDM	Valve Trancath Aortic Evfxplus-34	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
104116	CDM	Valve Trancath Aortic Evolut Fx 26mm	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
156604	CDM	Valve Trancath Aortic Evfxplus-29	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
104118	CDM	Valve Trancath Aortic Evolut Fx 34mm	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
104117	CDM	Valve Trancath Aortic Evolut Fx 29mm	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
156602	CDM	Valve Trancath Aortic Evfxplus-23	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
104115	CDM	Valve Trancath Aortic Evolut Fx 23mm	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
156603	CDM	Valve Trancath Aortic Evfxplus-26	29	11	$299,250.00	$248,377.50	$4,765.01	$221,863.95	$81,904.73	2026-02-27
84	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	11	6	—	—	$66,315.28	$100,381.36	$81,468.91	2026-02-27
6093	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	6	—	—	$65,516.14	$99,171.70	$80,487.15	2026-02-27
6022	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	11	6	—	—	$65,318.86	$98,873.08	$80,244.80	2026-02-27
429	MS_DRG	Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	27	9	—	—	$69,307.57	$202,290.38	$79,773.62	2026-02-27
132810	CDM	Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer	29	11	$290,700.00	$241,281.00	$4,765.01	$215,524.98	$79,564.59	2026-02-27
132811	CDM	Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer	29	11	$290,700.00	$241,281.00	$4,765.01	$215,524.98	$79,564.59	2026-02-27
459	MS_DRG	Spinal Fusion Except Cervical W Mcc	1	1	—	—	$78,633.74	$78,633.74	$78,633.74	2026-02-27
1634	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	11	6	—	—	$63,796.62	$96,568.86	$78,374.70	2026-02-27
850	MS_DRG	Ms-DRG 43.00: Acute Leukemia With Other Procedures	27	9	—	—	$66,646.61	$201,044.54	$78,199.26	2026-02-27
54439	CDM	System Mitraclip Nt W/two Clips	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
39357	CDM	Tavr 26mm Corevalue Transcatheter	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
85655	CDM	System Mitraclip Xtr W/two Clips	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
77739	CDM	System Mitraclip Xtr/ntr W/one Clip	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
87817	CDM	Cath Mitraclip G4 Sgc	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
54440	CDM	System Mitraclip Nt W/three Clips	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
77741	CDM	System Mitraclip Xtr/ntr W/three Clips	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
59204	CDM	Tavr 23mm Corevalve Transcatheter	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
77579	CDM	System Mitraclip Xtr W/three Clips	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
59205	CDM	Tavr 31mm Corevalue Transcatheter	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
39358	CDM	Tavr 29mm Corevalue Transcatheter	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
54438	CDM	System Mitraclip Nt W/one Clip	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
77740	CDM	System Mitraclip Xtr/ntr W/two Clips	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
78682	CDM	System Mitraclip Xtr W/one Clip	29	11	$285,000.00	$236,550.00	$4,765.01	$211,299.00	$78,004.50	2026-02-27
42	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	11	6	—	—	$62,740.66	$94,970.45	$77,077.45	2026-02-27
2994	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	11	6	—	—	$62,509.66	$94,620.80	$76,793.67	2026-02-27
92	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	11	6	—	—	$62,491.01	$94,592.57	$76,770.76	2026-02-27
C1827	HCPCS	Ipg Vivistim Paired Vns Model 1001	29	11	$280,250.00	$232,607.50	$29,510.33	$207,777.35	$76,704.43	2026-02-27
6073	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	11	6	—	—	$62,397.76	$94,451.41	$76,656.19	2026-02-27
231	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc	28	10	—	—	$62,026.42	$165,070.62	$75,408.85	2026-02-27
179359	CDM	Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr	29	11	$275,500.00	$228,665.00	$4,765.01	$204,255.70	$75,404.35	2026-02-27
179360	CDM	Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr	29	11	$275,500.00	$228,665.00	$4,765.01	$204,255.70	$75,404.35	2026-02-27
456	MS_DRG	Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	28	10	—	—	$59,696.71	$183,366.22	$75,173.57	2026-02-27
62	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	11	6	—	—	$61,174.65	$92,599.99	$75,153.60	2026-02-27
1784	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	11	6	—	—	$60,665.32	$91,829.02	$74,527.88	2026-02-27
225	MS_DRG	Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc	1	1	—	—	$73,769.59	$73,769.59	$73,769.59	2026-02-27
6124	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	11	6	—	—	$59,626.58	$90,256.68	$73,251.78	2026-02-27
6334	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly	11	6	—	—	$59,470.19	$90,019.96	$73,059.66	2026-02-27
71	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	11	6	—	—	$58,949.39	$89,231.61	$72,419.84	2026-02-27
6214	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly	11	6	—	—	$58,474.49	$88,512.77	$71,836.43	2026-02-27
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc	1	1	—	—	$70,461.86	$70,461.86	$70,461.86	2026-02-27
20	MS_DRG	Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha…	28	10	—	—	$60,636.86	$179,068.75	$70,427.12	2026-02-27
1654	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	11	6	—	—	$57,314.51	$86,756.91	$70,411.39	2026-02-27
12	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	11	6	—	—	$56,556.98	$85,610.23	$69,480.75	2026-02-27
189332	CDM	Hfx Iq Ipg Kit	25	9	$247,000.00	$205,010.00	$40,014.00	$183,125.80	$69,431.70	2026-02-27
1674	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	11	6	—	—	$56,157.41	$85,005.40	$68,989.87	2026-02-27
219	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca…	28	10	—	—	$41,505.68	$173,473.36	$68,735.79	2026-02-27
233	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…	28	10	—	—	$42,828.18	$151,478.53	$68,441.90	2026-02-27
957	MS_DRG	Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc	28	10	—	—	$50,246.48	$129,365.00	$68,217.27	2026-02-27
8413	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	11	6	—	—	$54,669.59	$82,753.30	$67,162.08	2026-02-27
1834	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	11	6	—	—	$54,599.29	$82,646.88	$67,075.71	2026-02-27
9104	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	11	6	—	—	$54,438.60	$82,403.64	$66,878.30	2026-02-27
455	MS_DRG	Combined Anterior/posterior Spinal Fusion Without Cc/mcc	1	1	—	—	$66,245.57	$66,245.57	$66,245.57	2026-02-27
A9543	HCPCS	Hb Y90 Ibritumomab, Rx	42	12	$240,839.00	$199,896.37	$40,942.63	$258,489.20	$65,845.38	2026-02-27
6313	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	6	—	—	$53,391.25	$80,818.27	$65,591.62	2026-02-27
1623	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	6	—	—	$53,331.71	$80,728.14	$65,518.48	2026-02-27
C1605	HCPCS	Capit Aveir Dual Chamber Pacer System	28	11	$237,595.00	$197,203.85	$25,018.75	$176,152.93	$65,029.75	2026-02-27
6804	APR_DRG	Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…	11	6	—	—	$52,914.92	$80,097.25	$65,006.45	2026-02-27
C1604	HCPCS	Capit Stent Graft Detour System	29	11	$237,500.00	$197,125.00	$25,008.75	$176,082.50	$65,003.75	2026-02-27
149130	CDM	Pump Set Impella Cp W/companion Sheath Bundle	29	11	$237,500.00	$197,125.00	$4,765.01	$176,082.50	$65,003.75	2026-02-27
66257	CDM	Pump Set Impella Cp	29	11	$237,500.00	$197,125.00	$4,765.01	$176,082.50	$65,003.75	2026-02-27
185448	CDM	Pump Set Impella Cp	29	11	$237,500.00	$197,125.00	$4,765.01	$176,082.50	$65,003.75	2026-02-27
427	MS_DRG	Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	27	9	—	—	$35,261.00	$172,182.11	$64,026.61	2026-02-27
6084	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	11	6	—	—	$51,908.46	$78,573.77	$63,770.00	2026-02-27
6254	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…	11	6	—	—	$51,833.14	$78,459.75	$63,677.46	2026-02-27
9114	APR_DRG	Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…	11	6	—	—	$51,779.33	$78,378.31	$63,611.37	2026-02-27
928	MS_DRG	Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m…	28	10	—	—	$20,625.84	$118,391.37	$63,311.18	2026-02-27
275	MS_DRG	Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	27	9	—	—	$54,231.52	$175,578.35	$63,251.14	2026-02-27
19	MS_DRG	Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis	22	9	—	—	$55,056.53	$109,387.44	$62,977.83	2026-02-27
3044	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	11	6	—	—	$51,168.86	$77,454.24	$62,861.39	2026-02-27
1664	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	11	6	—	—	$51,095.69	$77,343.48	$62,771.50	2026-02-27
1794	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	11	6	—	—	$50,429.25	$76,334.70	$61,952.78	2026-02-27
870	MS_DRG	Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours	28	10	—	—	$45,543.26	$123,650.71	$61,930.42	2026-02-27
3033	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	11	6	—	—	$50,352.50	$76,218.51	$61,858.49	2026-02-27
1603	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	11	6	—	—	$50,283.63	$76,114.27	$61,773.88	2026-02-27
C1826	HCPCS	Capit Neuro Inceptive Replacemnt Sys	79	11	$237,500.00	$197,125.00	$23,008.05	$190,169.10	$61,631.25	2026-02-27
268	MS_DRG	Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M…	28	10	—	—	$48,232.07	$124,868.20	$61,629.43	2026-02-27
914	APR_DRG	Apr-DRG 42.00: Other Major Head And Neck Procedures	11	6	—	—	$50,135.14	$75,889.49	$61,591.46	2026-02-27
6144	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…	11	6	—	—	$50,041.16	$75,747.24	$61,476.01	2026-02-27
C1824	HCPCS	Optimizer Smart Generator	54	11	$218,500.00	$181,355.00	$23,008.05	$183,125.80	$61,420.35	2026-02-27
11	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	11	6	—	—	$49,686.78	$75,210.82	$61,040.65	2026-02-27
8504	APR_DRG	Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…	11	6	—	—	$49,364.69	$74,723.26	$60,644.95	2026-02-27
214	APR_DRG	Apr-DRG 42.00: Open Craniotomy Except Trauma	11	6	—	—	$49,295.10	$74,617.93	$60,559.47	2026-02-27
955	MS_DRG	Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma	28	10	—	—	$51,989.70	$130,566.54	$60,326.06	2026-02-27
1783	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	11	6	—	—	$48,950.05	$74,095.63	$60,135.57	2026-02-27
2993	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	11	6	—	—	$48,879.75	$73,989.21	$60,049.20	2026-02-27
6033	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	11	6	—	—	$48,761.38	$73,810.05	$59,903.79	2026-02-27
6021	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	11	6	—	—	$48,658.08	$73,653.68	$59,776.88	2026-02-27
4403	APR_DRG	Apr-DRG 42.00: Kidney Transplant	11	6	—	—	$48,536.85	$73,470.17	$59,627.95	2026-02-27
317	MS_DRG	Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation	27	9	—	—	$51,650.72	$154,933.73	$59,348.24	2026-02-27
447	MS_DRG	Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma…	27	9	—	—	$36,960.11	$162,613.34	$59,305.17	2026-02-27
9124	APR_DRG	Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…	11	6	—	—	$48,143.73	$72,875.11	$59,145.00	2026-02-27
52	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	11	6	—	—	$47,996.67	$72,652.50	$58,964.34	2026-02-27
217	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	28	10	—	—	$39,403.68	$150,951.61	$58,942.80	2026-02-27
218	MS_DRG	Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi…	28	10	—	—	$35,786.50	$117,070.61	$58,942.80	2026-02-27
3004	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	11	6	—	—	$47,687.49	$72,184.49	$58,584.50	2026-02-27
573	MS_DRG	Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc	28	10	—	—	$50,623.89	$127,816.39	$58,160.40	2026-02-27
6904	APR_DRG	Apr-DRG 42.00: Acute Leukemia	11	6	—	—	$47,299.40	$71,597.04	$58,107.72	2026-02-27
207	MS_DRG	Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours	28	10	—	—	$49,537.06	$123,451.08	$57,694.48	2026-02-27
87770	CDM	Protekduo Ls Dl31 Kit	25	9	$204,250.00	$169,527.50	$33,088.50	$151,430.95	$57,414.68	2026-02-27
83	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	11	6	—	—	$46,676.01	$70,653.41	$57,341.89	2026-02-27
6072	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	11	6	—	—	$46,604.27	$70,544.83	$57,253.76	2026-02-27
46610	CDM	Restore Sensor System	25	9	$202,350.00	$167,950.50	$32,780.70	$150,022.29	$56,880.58	2026-02-27
2604	APR_DRG	Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures	11	6	—	—	$45,993.79	$69,620.75	$56,503.78	2026-02-27
10	MS_DRG	Ms-DRG 43.00: Pancreas Transplant	23	10	—	—	$46,475.22	$67,393.51	$56,476.29	2026-02-27
1633	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	11	6	—	—	$45,863.23	$69,423.12	$56,343.39	2026-02-27
91	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	11	6	—	—	$45,760.65	$69,267.84	$56,217.36	2026-02-27
189336	CDM	Senza Omnia Ipg Kit	25	9	$199,500.00	$165,585.00	$32,319.00	$147,909.30	$56,079.45	2026-02-27
1694	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	11	6	—	—	$45,555.48	$68,957.28	$55,965.31	2026-02-27
969	MS_DRG	Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc	28	10	—	—	$47,354.90	$144,208.15	$55,711.65	2026-02-27
234	APR_DRG	Apr-DRG 42.00: Spinal Procedures	11	6	—	—	$44,947.16	$68,036.46	$55,217.98	2026-02-27
7404	APR_DRG	Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure	11	6	—	—	$44,824.49	$67,850.77	$55,067.28	2026-02-27
6083	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	11	6	—	—	$44,807.99	$67,825.80	$55,047.01	2026-02-27
266	MS_DRG	Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W…	28	10	—	—	$38,965.77	$198,502.54	$54,975.00	2026-02-27
1204	APR_DRG	Apr-DRG 42.00: Major Respiratory And Chest Procedures	11	6	—	—	$44,341.70	$67,119.98	$54,474.17	2026-02-27
232	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc	28	10	—	—	$41,777.19	$119,402.96	$54,390.79	2026-02-27
6814	APR_DRG	Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…	11	6	—	—	$44,269.97	$67,011.39	$54,386.05	2026-02-27
3124	APR_DRG	Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	11	6	—	—	$44,186.75	$66,885.43	$54,283.82	2026-02-27
28	MS_DRG	Ms-DRG 43.00: Spinal Procedures With Mcc	28	10	—	—	$35,777.74	$112,120.95	$53,908.69	2026-02-27
1304	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	11	6	—	—	$43,820.18	$66,330.55	$53,833.48	2026-02-27
2204	APR_DRG	Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures	11	6	—	—	$43,675.99	$66,112.29	$53,656.34	2026-02-27
457	MS_DRG	Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I…	28	10	—	—	$43,414.99	$121,925.22	$53,507.39	2026-02-27
6954	APR_DRG	Apr-DRG 42.00: Chemotherapy For Acute Leukemia	11	6	—	—	$43,533.23	$65,896.20	$53,480.96	2026-02-27
276	MS_DRG	Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu…	27	9	—	—	$46,483.11	$140,623.42	$53,370.36	2026-02-27
41	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	11	6	—	—	$43,407.70	$65,706.18	$53,326.74	2026-02-27
204	APR_DRG	Apr-DRG 42.00: Open Craniotomy For Trauma	11	6	—	—	$43,065.51	$65,188.21	$52,906.36	2026-02-27
894	APR_DRG	Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures	11	6	—	—	$43,039.69	$65,149.12	$52,874.64	2026-02-27
3614	APR_DRG	Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses	11	6	—	—	$42,991.62	$65,076.37	$52,815.59	2026-02-27
4284	APR_DRG	Apr-DRG 42.00: Genetic Disorders	11	6	—	—	$42,939.26	$64,997.10	$52,751.26	2026-02-27
16	MS_DRG	Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc	23	10	—	—	$45,898.64	$97,874.62	$52,694.24	2026-02-27
235	MS_DRG	Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc	28	10	—	—	$32,729.84	$122,471.63	$52,668.37	2026-02-27
820	MS_DRG	Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc	28	10	—	—	$41,689.60	$121,609.97	$52,634.61	2026-02-27
2614	APR_DRG	Apr-DRG 42.00: Major Biliary Tract Procedures	11	6	—	—	$42,766.37	$64,735.40	$52,538.87	2026-02-27
9504	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis	11	6	—	—	$42,759.92	$64,725.63	$52,530.93	2026-02-27
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	1	1	—	—	$52,522.95	$52,522.95	$52,522.95	2026-02-27
6092	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	6	—	—	$42,749.87	$64,710.43	$52,518.60	2026-02-27
1653	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	11	6	—	—	$42,591.34	$64,470.45	$52,323.83	2026-02-27
61	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	11	6	—	—	$42,490.90	$64,318.43	$52,200.45	2026-02-27
C1822	HCPCS	Stylet Kit (w/0.016) 50cm Length	144	11	$218,500.00	$181,355.00	$74.81	$253,558.80	$52,164.50	2026-02-27
C2624	HCPCS	Impl Cardiomems Hf Sys Pa Sensor And Delivery Sys	54	11	$185,250.00	$153,757.50	$19,506.83	$163,291.87	$52,073.78	2026-02-27
43040	CDM	Cath Impella 9fr 2.5 Flow Rate	29	11	$190,000.00	$157,700.00	$4,765.01	$140,866.00	$52,003.00	2026-02-27
144719	CDM	Stent Tag Conformable W/active Cntrl 21 X 21mm X 10cm	29	11	$189,715.00	$157,463.45	$4,765.01	$140,654.70	$51,925.00	2026-02-27
790	MS_DRG	Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	25	8	—	—	$43,607.95	$98,102.40	$51,779.97	2026-02-27
23	MS_DRG	Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa…	28	10	—	—	$37,485.61	$109,238.00	$51,440.48	2026-02-27
6234	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…	11	6	—	—	$41,771.39	$63,229.30	$51,316.52	2026-02-27
430	MS_DRG	Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	27	9	—	—	$32,905.01	$132,679.69	$51,264.61	2026-02-27
463	MS_DRG	Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A…	28	10	—	—	$31,959.11	$101,383.72	$51,167.02	2026-02-27
97220	CDM	Implant Cranial Peek Custom Xlrg	29	11	$186,790.04	$155,035.73	$4,765.01	$138,486.14	$51,124.43	2026-02-27
0915T	CPT	Hb Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds	42	12	$201,311.00	$167,088.13	$13,448.00	$149,251.98	$50,972.71	2026-02-27
274	APR_DRG	Apr-DRG 42.00: Other Open Craniotomy	11	6	—	—	$41,488.03	$62,800.38	$50,968.41	2026-02-27
6302	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	11	6	—	—	$41,386.16	$62,646.19	$50,843.27	2026-02-27
4402	APR_DRG	Apr-DRG 42.00: Kidney Transplant	11	6	—	—	$41,363.21	$62,611.44	$50,815.07	2026-02-27
213	MS_DRG	Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures	24	9	—	—	$44,205.24	$104,721.27	$50,735.31	2026-02-27
6123	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	11	6	—	—	$41,290.75	$62,501.76	$50,726.06	2026-02-27
924	APR_DRG	Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…	11	6	—	—	$41,027.48	$62,103.25	$50,402.62	2026-02-27
461	MS_DRG	Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi…	28	10	—	—	$42,807.49	$139,428.13	$50,322.30	2026-02-27
834	MS_DRG	Ms-DRG 43.00: Acute Leukemia With Mcc	28	10	—	—	$42,555.91	$148,617.12	$50,024.13	2026-02-27
4014	APR_DRG	Apr-DRG 42.00: Adrenal Procedures	11	6	—	—	$40,692.47	$61,596.15	$49,991.06	2026-02-27
428	MS_DRG	Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep…	27	9	—	—	$31,013.21	$133,531.06	$49,988.84	2026-02-27
8	MS_DRG	Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant	23	10	—	—	$43,427.69	$92,508.57	$49,835.85	2026-02-27
5204	APR_DRG	Apr-DRG 42.00: Other GYN Procedures For Malignancy	11	6	—	—	$40,542.54	$61,369.20	$49,806.87	2026-02-27
6133	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	11	6	—	—	$40,526.76	$61,345.31	$49,787.48	2026-02-27
6113	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	6	—	—	$40,367.51	$61,104.25	$49,591.84	2026-02-27
1622	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	11	6	—	—	$40,318.73	$61,030.41	$49,531.91	2026-02-27
278	MS_DRG	Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul…	27	9	—	—	$40,253.24	$100,314.92	$49,498.24	2026-02-27
4414	APR_DRG	Apr-DRG 42.00: Major Bladder Procedures	11	6	—	—	$40,132.93	$60,749.16	$49,303.66	2026-02-27
405	MS_DRG	Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc	28	10	—	—	$37,949.80	$121,808.63	$49,133.85	2026-02-27
234	MS_DRG	Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With…	28	10	—	—	$33,412.99	$99,500.62	$49,064.60	2026-02-27

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