Price Transparency 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 MINERS MEMORIAL HOSPITAL

Coaldale, PA · CCN 390183 · Rates published

19,862 distinct procedures filed
14 distinct payers
421,458 rate rows
2026-02-27 last MRF observed
Data quality

420,644 of 421,458 rate rows are consumer-grade (99.8%)

814 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 538
template filing: same amount across many unrelated codes — excluded 101
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 96
per-diem day rate — not a per-procedure price 44
exceeds 10× this hospital's gross charge — excluded from medians 35
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/25-1550350_stlukeshospitalminerscampus_standardcharges.ashx
Found on page https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8ac923114617f038… · 267,727,587 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 $545,104.89 $456,671.45 nat. median
$309,665
1.5× median
18
MS_DRG 		Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $8,534.00 $712,767.96 $354,753.97 nat. median
$370,174
1.0× median
37660
CDM 		Bicol Collagen Sponge 9 $181,811.92 $929,485.38 $315,477.35 nat. median
$0
71459
CDM 		Heartmate Iii Kit Implant 11 $107,956.77 $849,095.90 $281,015.68 nat. median
$107,957
outlier · 2.6×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $271,077.51 $333,866.43 $279,702.62 nat. median
$246,434
1.1× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $253,412.42 $312,109.62 $261,475.47 nat. median
$117,173
outlier · 2.2×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $253,244.56 $311,902.88 $261,302.26 nat. median
$234,738
1.1× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $252,068.80 $310,454.78 $260,089.09 nat. median
$244,017
1.1× median
1
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $8,534.00 $462,557.73 $232,668.42 nat. median
$265,286
0.9× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $193,542.66 $238,372.39 $199,700.77 nat. median
$156,126
1.3× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $188,983.09 $232,756.71 $194,996.13 nat. median
$207,730
0.9× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $188,866.88 $232,613.58 $194,876.21 nat. median
$162,982
1.2× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $188,592.84 $232,276.07 $194,593.47 nat. median
$60,845
outlier · 3.2×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $185,264.27 $228,176.52 $191,158.99 nat. median
$164,834
1.2× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $181,655.93 $223,732.39 $187,435.84 nat. median
$122,924
1.5× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $180,537.56 $222,354.97 $186,281.89 nat. median
$182,736
1.0× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $177,759.21 $218,933.08 $183,415.13 nat. median
$164,279
1.1× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $173,728.34 $213,968.55 $179,256.02 nat. median
$145,122
1.2× median
927
MS_DRG 		Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 9 $8,534.00 $421,346.52 $178,259.40 nat. median
$206,368
0.9× median
3
MS_DRG 		Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 9 $8,534.00 $350,339.54 $177,216.78 nat. median
$202,986
0.9× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $168,104.93 $207,042.60 $173,453.67 nat. median
$160,267
1.1× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $164,743.36 $202,902.40 $169,985.15 nat. median
$150,721
1.1× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $156,284.92 $192,484.76 $161,257.58 nat. median
$151,838
1.1× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $154,700.98 $190,533.93 $159,623.24 nat. median
$145,336
1.1× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $149,929.08 $184,656.73 $154,699.50 nat. median
$58,674
outlier · 2.6×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $149,100.52 $183,636.25 $153,844.58 nat. median
$187,294
0.8× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $147,977.85 $182,253.54 $152,686.19 nat. median
$119,796
1.3× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $142,377.39 $175,355.86 $146,907.53 nat. median
$105,658
1.4× median
J7330
HCPCS 		Maci Final Product Assembled 1 Membrane 11 $56,190.66 $441,947.81 $146,053.03 nat. median
$76,377
1.9× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $140,961.31 $173,611.78 $145,446.40 nat. median
$129,535
1.1× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $137,946.95 $169,899.21 $142,336.12 nat. median
$93,528
1.5× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $134,061.70 $165,114.04 $138,327.26 nat. median
$102,636
1.3× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $132,601.15 $163,315.18 $136,820.23 nat. median
$124,573
1.1× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $126,359.36 $155,627.63 $130,379.85 nat. median
$89,790
1.5× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $126,359.36 $155,627.63 $130,379.85 nat. median
$69,788
1.9× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $126,359.36 $155,627.63 $130,379.85 nat. median
$93,260
1.4× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $124,509.28 $153,349.02 $128,470.90 nat. median
$79,160
1.6× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $126,423.52 $126,423.52 $126,423.52 nat. median
$87,411
1.4× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 $117,734.50 $145,005.01 $121,480.56 nat. median
$118,620
1.0× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $114,986.28 $141,620.22 $118,644.90 nat. median
$81,294
1.5× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $114,327.02 $140,808.26 $117,964.66 nat. median
$108,996
1.1× median
140985
CDM 		Dvc Heart Assist Impella 5.5 S2 11 $45,015.75 $354,055.50 $117,177.75 nat. median
$116,878
1.0× median
4
MS_DRG 		Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 9 $8,534.00 $228,628.85 $115,861.32 nat. median
$133,176
0.9× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $108,882.94 $134,103.19 $112,347.37 nat. median
$76,806
1.5× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $108,882.94 $134,103.19 $112,347.37 nat. median
$85,406
1.3× median
156877
CDM 		Valve Tricuspid Evoque 48mm Rplcmnt Sys 11 $43,015.05 $338,319.70 $111,969.85 nat. median
$111,806
1.0× median
156878
CDM 		Valve Tricuspid Evoque 52mm Rplcmnt Sys 11 $43,015.05 $338,319.70 $111,969.85 nat. median
$111,806
1.0× median
156876
CDM 		Valve Tricuspid Evoque 44mm Rplcmnt Sys 11 $43,015.05 $338,319.70 $111,969.85 nat. median
$111,806
1.0× median
156879
CDM 		Valve Tricuspid Evoque 56mm Rplcmnt Sys 11 $43,015.05 $338,319.70 $111,969.85 nat. median
$111,806
1.0× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 $108,486.24 $133,614.60 $111,938.04 nat. median
$97,957
1.1× median

Other procedures at this hospital

Browse this hospital's 19,862 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 6 6 — — $442,589.20 $545,104.89 $456,671.45 2026-02-27
18 MS_DRG Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 8 — — $8,534.00 $712,767.96 $354,753.97 2026-02-27
37660 CDM Bicol Collagen Sponge 13 9 $1,122,295.80 $931,505.51 $181,811.92 $929,485.38 $315,477.35 2026-02-27
71459 CDM Heartmate Iii Kit Implant 15 11 $1,025,230.50 $850,941.32 $107,956.77 $849,095.90 $281,015.68 2026-02-27
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $271,077.51 $333,866.43 $279,702.62 2026-02-27
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $253,412.42 $312,109.62 $261,475.47 2026-02-27
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $253,244.56 $311,902.88 $261,302.26 2026-02-27
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $252,068.80 $310,454.78 $260,089.09 2026-02-27
1 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $8,534.00 $462,557.73 $232,668.42 2026-02-27
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $193,542.66 $238,372.39 $199,700.77 2026-02-27
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $188,983.09 $232,756.71 $194,996.13 2026-02-27
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $188,866.88 $232,613.58 $194,876.21 2026-02-27
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $188,592.84 $232,276.07 $194,593.47 2026-02-27
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $185,264.27 $228,176.52 $191,158.99 2026-02-27
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $181,655.93 $223,732.39 $187,435.84 2026-02-27
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $180,537.56 $222,354.97 $186,281.89 2026-02-27
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $177,759.21 $218,933.08 $183,415.13 2026-02-27
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $173,728.34 $213,968.55 $179,256.02 2026-02-27
927 MS_DRG Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 14 9 — — $8,534.00 $421,346.52 $178,259.40 2026-02-27
3 MS_DRG Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 14 9 — — $8,534.00 $350,339.54 $177,216.78 2026-02-27
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $168,104.93 $207,042.60 $173,453.67 2026-02-27
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $164,743.36 $202,902.40 $169,985.15 2026-02-27
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $156,284.92 $192,484.76 $161,257.58 2026-02-27
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $154,700.98 $190,533.93 $159,623.24 2026-02-27
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $149,929.08 $184,656.73 $154,699.50 2026-02-27
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $149,100.52 $183,636.25 $153,844.58 2026-02-27
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $147,977.85 $182,253.54 $152,686.19 2026-02-27
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $142,377.39 $175,355.86 $146,907.53 2026-02-27
J7330 HCPCS Maci Final Product Assembled 1 Membrane 15 11 $533,624.50 $442,908.34 $56,190.66 $441,947.81 $146,053.03 2026-02-27
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $140,961.31 $173,611.78 $145,446.40 2026-02-27
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $137,946.95 $169,899.21 $142,336.12 2026-02-27
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $134,061.70 $165,114.04 $138,327.26 2026-02-27
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $132,601.15 $163,315.18 $136,820.23 2026-02-27
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $126,359.36 $155,627.63 $130,379.85 2026-02-27
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $126,359.36 $155,627.63 $130,379.85 2026-02-27
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $126,359.36 $155,627.63 $130,379.85 2026-02-27
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $124,509.28 $153,349.02 $128,470.90 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
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $117,734.50 $145,005.01 $121,480.56 2026-02-27
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $114,986.28 $141,620.22 $118,644.90 2026-02-27
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $114,327.02 $140,808.26 $117,964.66 2026-02-27
140985 CDM Dvc Heart Assist Impella 5.5 S2 15 11 $427,500.00 $354,825.00 $45,015.75 $354,055.50 $117,177.75 2026-02-27
4 MS_DRG Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 14 9 — — $8,534.00 $228,628.85 $115,861.32 2026-02-27
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $108,882.94 $134,103.19 $112,347.37 2026-02-27
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $108,882.94 $134,103.19 $112,347.37 2026-02-27
156877 CDM Valve Tricuspid Evoque 48mm Rplcmnt Sys 15 11 $408,500.00 $339,055.00 $43,015.05 $338,319.70 $111,969.85 2026-02-27
156876 CDM Valve Tricuspid Evoque 44mm Rplcmnt Sys 15 11 $408,500.00 $339,055.00 $43,015.05 $338,319.70 $111,969.85 2026-02-27
156878 CDM Valve Tricuspid Evoque 52mm Rplcmnt Sys 15 11 $408,500.00 $339,055.00 $43,015.05 $338,319.70 $111,969.85 2026-02-27
156879 CDM Valve Tricuspid Evoque 56mm Rplcmnt Sys 15 11 $408,500.00 $339,055.00 $43,015.05 $338,319.70 $111,969.85 2026-02-27
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $108,486.24 $133,614.60 $111,938.04 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
7 MS_DRG Ms-DRG 43.00: Lung Transplant 13 9 — — $8,534.00 $213,753.80 $107,844.17 2026-02-27
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $104,458.24 $128,653.61 $107,781.88 2026-02-27
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $99,185.62 $122,159.70 $102,341.49 2026-02-27
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $98,179.87 $120,921.00 $101,303.74 2026-02-27
14 MS_DRG Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 13 9 — — $8,534.00 $198,365.41 $100,123.89 2026-02-27
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $94,829.78 $116,794.94 $97,847.07 2026-02-27
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $94,114.57 $115,914.06 $97,109.10 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
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $92,324.75 $113,709.67 $95,262.33 2026-02-27
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $92,075.82 $113,403.08 $95,005.48 2026-02-27
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $91,956.74 $113,256.42 $94,882.60 2026-02-27
2 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $8,534.00 $197,470.65 $94,442.35 2026-02-27
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $91,009.10 $112,089.28 $93,904.82 2026-02-27
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $90,810.39 $111,844.55 $93,699.79 2026-02-27
209 MS_DRG Ms-DRG 43.00: Complex Aortic Arch Procedures 12 8 — — $8,534.00 $186,826.19 $93,427.61 2026-02-27
426 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 13 8 — — $8,534.00 $181,914.05 $91,870.28 2026-02-27
212 MS_DRG Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 13 8 — — $8,534.00 $209,779.92 $90,652.16 2026-02-27
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $86,844.80 $106,960.42 $89,608.02 2026-02-27
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $86,844.80 $106,960.42 $89,608.02 2026-02-27
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $86,112.37 $106,058.34 $88,852.29 2026-02-27
99054 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm 15 11 $323,000.00 $268,090.00 $34,011.90 $267,508.60 $88,534.30 2026-02-27
99053 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm 15 11 $323,000.00 $268,090.00 $34,011.90 $267,508.60 $88,534.30 2026-02-27
99051 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm 15 11 $323,000.00 $268,090.00 $34,011.90 $267,508.60 $88,534.30 2026-02-27
99052 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm 15 11 $323,000.00 $268,090.00 $34,011.90 $267,508.60 $88,534.30 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
37546 CDM Valve Transcatheter Sapien Xt W/nova Flex System 29mm 13 9 $308,750.00 $256,262.50 $50,017.50 $255,706.75 $86,789.62 2026-02-27
37544 CDM Valve Transcatheter Sapien Xt W/nova Flex System 23mm 13 9 $308,750.00 $256,262.50 $50,017.50 $255,706.75 $86,789.62 2026-02-27
37545 CDM Valve Transcatheter Sapien Xt W/nova Flex System 26mm 13 9 $308,750.00 $256,262.50 $50,017.50 $255,706.75 $86,789.62 2026-02-27
5 MS_DRG Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $8,534.00 $170,183.36 $85,985.03 2026-02-27
97297 CDM Cath Mitraclip G4 Mcg 15 11 $313,500.00 $260,205.00 $33,011.55 $259,640.70 $85,930.35 2026-02-27
172644 CDM Botulism Immune Globulin Human 100 Mg IV Solr 13 9 $303,117.00 $251,587.11 $49,104.95 $251,041.50 $85,206.19 2026-02-27
87093 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
83623 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
56918 CDM Tavr Sapien 3 Cmndr Dlv Sys 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
56919 CDM Tavr Sapien 3 Cmndr Dlv Sys 29mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37296 CDM Tavr Sapien 3 Transapical Dlv Sys 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37542 CDM Tavr Sapien Xt W/ascendra System 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
87091 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37543 CDM Tavr Sapien Xt W/ascendra System 29mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
66190 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 29mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
61735 CDM Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
87094 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37541 CDM Tavr Sapien Xt W/ascendra System 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37172 CDM Tavr Sapien Retroflex 3 Dlv Sys 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
67096 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 20mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37297 CDM Tavr Sapien 3 Transapical Dlv Sys 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
64627 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
87092 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
83624 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
64375 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
83625 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
37173 CDM Tavr Sapien Retroflex 3 Dlv Sys 26mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 2026-02-27
56945 CDM Tavr Sapien 3 Cmndr Dlv Sys 23mm 15 11 $308,750.00 $256,262.50 $32,511.38 $255,706.75 $84,628.38 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
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $81,745.06 $100,679.44 $84,346.02 2026-02-27
215 MS_DRG Ms-DRG 43.00: Other Heart Assist System Implant 15 9 — — $8,534.00 $167,011.93 $83,856.35 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
122837 CDM Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr 15 11 $304,000.00 $252,320.00 $32,011.20 $251,772.80 $83,326.40 2026-02-27
146454 CDM Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr 15 11 $304,000.00 $252,320.00 $32,011.20 $251,772.80 $83,326.40 2026-02-27
136402 CDM Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr 15 11 $304,000.00 $252,320.00 $32,011.20 $251,772.80 $83,326.40 2026-02-27
180373 CDM Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr 15 11 $304,000.00 $252,320.00 $32,011.20 $251,772.80 $83,326.40 2026-02-27
216 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 15 9 — — $8,534.00 $161,473.23 $82,399.94 2026-02-27
156603 CDM Valve Trancath Aortic Evfxplus-26 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
104116 CDM Valve Trancath Aortic Evolut Fx 26mm 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
156604 CDM Valve Trancath Aortic Evfxplus-29 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
104118 CDM Valve Trancath Aortic Evolut Fx 34mm 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
156605 CDM Valve Trancath Aortic Evfxplus-34 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
104115 CDM Valve Trancath Aortic Evolut Fx 23mm 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
156602 CDM Valve Trancath Aortic Evfxplus-23 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
104117 CDM Valve Trancath Aortic Evolut Fx 29mm 15 11 $299,250.00 $248,377.50 $31,511.03 $247,838.85 $82,024.43 2026-02-27
132811 CDM Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer 15 11 $290,700.00 $241,281.00 $30,610.71 $240,757.74 $79,680.87 2026-02-27
132810 CDM Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer 15 11 $290,700.00 $241,281.00 $30,610.71 $240,757.74 $79,680.87 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
77739 CDM System Mitraclip Xtr/ntr W/one Clip 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
39357 CDM Tavr 26mm Corevalue Transcatheter 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
54439 CDM System Mitraclip Nt W/two Clips 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
78682 CDM System Mitraclip Xtr W/one Clip 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
54440 CDM System Mitraclip Nt W/three Clips 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
39358 CDM Tavr 29mm Corevalue Transcatheter 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
59205 CDM Tavr 31mm Corevalue Transcatheter 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
87817 CDM Cath Mitraclip G4 Sgc 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
85655 CDM System Mitraclip Xtr W/two Clips 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
77741 CDM System Mitraclip Xtr/ntr W/three Clips 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
77740 CDM System Mitraclip Xtr/ntr W/two Clips 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
77579 CDM System Mitraclip Xtr W/three Clips 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
59204 CDM Tavr 23mm Corevalve Transcatheter 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
54438 CDM System Mitraclip Nt W/one Clip 15 11 $285,000.00 $236,550.00 $30,010.50 $236,037.00 $78,118.50 2026-02-27
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $75,693.38 $93,226.02 $78,101.79 2026-02-27
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 6 — — $74,997.54 $92,369.00 $77,383.80 2026-02-27
C1827 HCPCS Ipg Vivistim Paired Vns Model 1001 15 11 $280,250.00 $232,607.50 $29,510.33 $232,103.05 $76,816.52 2026-02-27
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 6 — — $74,031.25 $91,178.90 $76,386.76 2026-02-27
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $73,840.43 $90,943.88 $76,189.87 2026-02-27
429 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 8 — — $8,534.00 $161,966.72 $75,573.96 2026-02-27
179359 CDM Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr 15 11 $275,500.00 $228,665.00 $29,010.15 $228,169.10 $75,514.55 2026-02-27
179360 CDM Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr 15 11 $275,500.00 $228,665.00 $29,010.15 $228,169.10 $75,514.55 2026-02-27
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $73,184.04 $90,135.45 $75,512.60 2026-02-27
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $72,907.14 $89,794.41 $75,226.89 2026-02-27
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $72,554.91 $89,360.60 $74,863.46 2026-02-27
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $71,981.74 $88,654.67 $74,272.04 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
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $71,389.91 $87,925.76 $73,661.39 2026-02-27
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $70,958.78 $87,394.76 $73,216.54 2026-02-27
850 MS_DRG Ms-DRG 43.00: Acute Leukemia With Other Procedures 13 8 — — $8,534.00 $178,881.95 $72,313.22 2026-02-27
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $69,982.45 $86,192.28 $72,209.14 2026-02-27
231 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc 15 9 — — $8,534.00 $139,142.50 $71,088.95 2026-02-27
456 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 15 9 — — $8,534.00 $138,705.09 $70,867.39 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
189332 CDM Hfx Iq Ipg Kit 13 9 $247,000.00 $205,010.00 $40,014.00 $204,565.40 $69,431.70 2026-02-27
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $66,779.41 $82,247.34 $68,904.20 2026-02-27
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $66,315.28 $81,675.70 $68,425.29 2026-02-27
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $65,516.14 $80,691.45 $67,600.72 2026-02-27
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $65,318.86 $80,448.49 $67,397.17 2026-02-27
20 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 15 9 — — $8,534.00 $149,188.05 $66,397.83 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
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $63,796.62 $78,573.65 $65,826.49 2026-02-27
C1605 HCPCS Capit Aveir Dual Chamber Pacer System 15 11 $237,595.00 $197,203.85 $25,018.75 $196,776.18 $65,124.79 2026-02-27
149130 CDM Pump Set Impella Cp W/companion Sheath Bundle 15 11 $237,500.00 $197,125.00 $25,008.75 $196,697.50 $65,098.75 2026-02-27
66257 CDM Pump Set Impella Cp 15 11 $237,500.00 $197,125.00 $25,008.75 $196,697.50 $65,098.75 2026-02-27
185448 CDM Pump Set Impella Cp 15 11 $237,500.00 $197,125.00 $25,008.75 $196,697.50 $65,098.75 2026-02-27
C1604 HCPCS Capit Stent Graft Detour System 15 11 $237,500.00 $197,125.00 $25,008.75 $196,697.50 $65,098.75 2026-02-27
C1826 HCPCS Capit Neuro Inceptive Replacemnt Sys 41 11 $237,500.00 $197,125.00 $23,008.05 $212,433.30 $64,932.50 2026-02-27
219 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 15 9 — — $8,534.00 $126,736.71 $64,805.16 2026-02-27
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $62,740.66 $77,273.10 $64,736.93 2026-02-27
233 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 15 9 — — $8,534.00 $126,190.37 $64,528.41 2026-02-27
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $62,509.66 $76,988.60 $64,498.59 2026-02-27
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $62,491.01 $76,965.63 $64,479.34 2026-02-27
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $62,397.76 $76,850.77 $64,383.12 2026-02-27
957 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 9 — — $8,534.00 $125,772.77 $64,316.90 2026-02-27
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $61,174.65 $75,344.36 $63,121.10 2026-02-27
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $60,665.32 $74,717.06 $62,595.57 2026-02-27
C1824 HCPCS Optimizer Smart Generator 28 11 $218,500.00 $181,355.00 $23,008.05 $204,565.40 $62,294.35 2026-02-27
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $59,626.58 $73,437.71 $61,523.77 2026-02-27
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $59,470.19 $73,245.11 $61,362.41 2026-02-27
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $58,949.39 $72,603.67 $60,825.04 2026-02-27
427 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 14 8 — — $8,534.00 $119,148.98 $60,671.51 2026-02-27
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $58,474.49 $72,018.77 $60,335.03 2026-02-27
928 MS_DRG Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 15 9 — — $8,534.00 $118,391.37 $60,001.14 2026-02-27
275 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $8,534.00 $120,251.55 $59,937.62 2026-02-27
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $57,314.51 $70,590.11 $59,138.14 2026-02-27
19 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 8 — — $8,534.00 $109,387.44 $59,111.72 2026-02-27
870 MS_DRG Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours 15 9 — — $8,534.00 $114,085.00 $58,396.79 2026-02-27
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $56,556.98 $69,657.11 $58,356.50 2026-02-27
268 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 15 9 — — $8,534.00 $113,525.45 $58,113.36 2026-02-27
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $56,157.41 $69,164.99 $57,944.21 2026-02-27
10 MS_DRG Ms-DRG 43.00: Pancreas Transplant 13 9 — — $8,534.00 $62,334.65 $57,717.27 2026-02-27
87770 CDM Protekduo Ls Dl31 Kit 13 9 $204,250.00 $169,527.50 $33,088.50 $169,159.85 $57,414.68 2026-02-27
955 MS_DRG Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma 15 9 — — $8,534.00 $116,173.25 $56,886.03 2026-02-27
46610 CDM Restore Sensor System 13 9 $202,350.00 $167,950.50 $32,780.70 $167,586.27 $56,880.58 2026-02-27
C1822 HCPCS Stylet Kit (w/0.016) 50cm Length 75 11 $218,500.00 $181,355.00 $74.81 $283,244.40 $56,700.75 2026-02-27
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $54,669.59 $67,332.56 $56,409.07 2026-02-27
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 6 — — $54,599.29 $67,245.97 $56,336.53 2026-02-27
317 MS_DRG Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 8 — — $8,534.00 $120,135.03 $56,244.05 2026-02-27
447 MS_DRG Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 14 8 — — $8,534.00 $110,285.35 $56,203.28 2026-02-27
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 6 — — $54,438.60 $67,048.06 $56,170.73 2026-02-27
189336 CDM Senza Omnia Ipg Kit 13 9 $199,500.00 $165,585.00 $32,319.00 $165,225.90 $56,079.45 2026-02-27
217 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 15 9 — — $8,534.00 $108,530.78 $55,583.46 2026-02-27
218 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 15 9 — — $8,534.00 $108,530.78 $55,583.46 2026-02-27
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $53,391.25 $65,758.12 $55,090.04 2026-02-27
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $53,331.71 $65,684.78 $55,028.61 2026-02-27
573 MS_DRG Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $8,534.00 $113,726.27 $54,856.17 2026-02-27
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 6 — — $52,914.92 $65,171.45 $54,598.56 2026-02-27
207 MS_DRG Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 15 9 — — $8,534.00 $109,842.18 $54,407.97 2026-02-27
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $51,908.46 $63,931.87 $53,560.07 2026-02-27
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 6 — — $51,833.14 $63,839.10 $53,482.35 2026-02-27
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 6 — — $51,779.33 $63,772.83 $53,426.85 2026-02-27
C2624 HCPCS Impl Cardiomems Hf Sys Pa Sensor And Delivery Sys 28 11 $185,250.00 $153,757.50 $19,506.83 $182,409.39 $52,814.78 2026-02-27
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $51,168.86 $63,020.95 $52,796.94 2026-02-27
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $51,095.69 $62,930.84 $52,721.44 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
43040 CDM Cath Impella 9fr 2.5 Flow Rate 15 11 $190,000.00 $157,700.00 $20,007.00 $157,358.00 $52,079.00 2026-02-27
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 6 — — $50,429.25 $62,110.04 $52,033.81 2026-02-27
144719 CDM Stent Tag Conformable W/active Cntrl 21 X 21mm X 10cm 15 11 $189,715.00 $157,463.45 $19,976.99 $157,121.96 $52,000.88 2026-02-27
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $50,352.50 $62,015.50 $51,954.60 2026-02-27
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $50,283.63 $61,930.68 $51,883.55 2026-02-27
266 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 15 9 — — $8,534.00 $101,154.33 $51,847.12 2026-02-27
969 MS_DRG Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc 15 9 — — $8,534.00 $128,311.05 $51,787.77 2026-02-27
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 6 6 — — $50,135.14 $61,747.80 $51,730.32 2026-02-27
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 6 — — $50,041.16 $61,632.05 $51,633.37 2026-02-27
232 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc 15 9 — — $8,534.00 $100,068.24 $51,296.99 2026-02-27
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $49,686.78 $61,195.59 $51,267.71 2026-02-27
97220 CDM Implant Cranial Peek Custom Xlrg 15 11 $186,790.04 $155,035.73 $19,668.99 $154,699.51 $51,199.15 2026-02-27
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 6 — — $49,364.69 $60,798.89 $50,935.37 2026-02-27
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 6 6 — — $49,295.10 $60,713.19 $50,863.57 2026-02-27
28 MS_DRG Ms-DRG 43.00: Spinal Procedures With Mcc 15 9 — — $8,534.00 $99,171.98 $50,843.04 2026-02-27
276 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 14 8 — — $8,534.00 $103,627.63 $50,586.77 2026-02-27
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $48,950.05 $60,288.21 $50,507.54 2026-02-27
457 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 15 9 — — $8,534.00 $98,425.91 $50,465.13 2026-02-27
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $48,879.75 $60,201.63 $50,434.99 2026-02-27
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $48,761.38 $60,055.84 $50,312.87 2026-02-27
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $48,658.08 $59,928.62 $50,206.28 2026-02-27
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $48,536.85 $59,779.30 $50,081.19 2026-02-27
16 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc 13 9 — — $8,534.00 $97,874.62 $49,707.94 2026-02-27
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 6 — — $48,143.73 $59,295.13 $49,675.56 2026-02-27
235 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc 15 9 — — $8,534.00 $96,866.11 $49,675.06 2026-02-27
820 MS_DRG Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 9 — — $8,534.00 $96,803.39 $49,643.31 2026-02-27
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $47,996.67 $59,114.01 $49,523.82 2026-02-27
790 MS_DRG Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 7 — — $8,534.00 $104,058.87 $49,343.15 2026-02-27
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 6 6 — — $47,687.49 $58,733.21 $49,204.81 2026-02-27
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 6 6 — — $47,299.40 $58,255.22 $48,804.36 2026-02-27
430 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 8 — — $8,534.00 $95,190.77 $48,593.96 2026-02-27
23 MS_DRG Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 15 9 — — $8,534.00 $94,583.36 $48,518.80 2026-02-27
463 MS_DRG Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 15 9 — — $8,534.00 $94,074.98 $48,261.29 2026-02-27
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $46,676.01 $57,487.44 $48,161.14 2026-02-27
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $46,604.27 $57,399.09 $48,087.12 2026-02-27
213 MS_DRG Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures 13 8 — — $8,534.00 $94,197.12 $47,862.94 2026-02-27
144937 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 44x40x150mm 15 11 $173,593.50 $144,082.60 $18,279.40 $143,770.14 $47,581.98 2026-02-27
152433 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 30x26x150mm 15 11 $173,593.50 $144,082.60 $18,279.40 $143,770.14 $47,581.98 2026-02-27
132134 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 28x28x150mm 15 11 $173,593.50 $144,082.60 $18,279.40 $143,770.14 $47,581.98 2026-02-27
132138 CDM Graft Stent Thoracic Valiant Proximal Freeflo Str 30x30x150mm 15 11 $173,593.50 $144,082.60 $18,279.40 $143,770.14 $47,581.98 2026-02-27
C2616 HCPCS Microsphere Yttrium-90 Therasphere 3.0 Gbq 23 13 $183,302.50 $152,141.07 $17,507.13 $151,811.13 $47,567.00 2026-02-27
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 6 6 — — $45,993.79 $56,647.21 $47,457.21 2026-02-27
428 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 14 8 — — $8,534.00 $92,795.78 $47,386.62 2026-02-27
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $45,863.23 $56,486.40 $47,322.51 2026-02-27
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $45,760.65 $56,360.06 $47,216.65 2026-02-27
8 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant 13 9 — — $8,534.00 $92,508.57 $47,015.79 2026-02-27
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 6 6 — — $45,555.48 $56,107.37 $47,004.96 2026-02-27
278 MS_DRG Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 14 8 — — $8,534.00 $91,874.75 $46,922.32 2026-02-27
461 MS_DRG Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 15 9 — — $8,534.00 $124,057.96 $46,785.66 2026-02-27
834 MS_DRG Ms-DRG 43.00: Acute Leukemia With Mcc 15 9 — — $8,534.00 $132,233.98 $46,508.91 2026-02-27
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 6 6 — — $44,947.16 $55,358.14 $46,377.28 2026-02-27
405 MS_DRG Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc 15 9 — — $8,534.00 $90,295.14 $46,346.74 2026-02-27
234 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 15 9 — — $8,534.00 $90,166.40 $46,281.51 2026-02-27
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 6 6 — — $44,824.49 $55,207.06 $46,250.71 2026-02-27
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $44,807.99 $55,186.74 $46,233.68 2026-02-27
11 MS_DRG Ms-DRG 43.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 15 9 — — $8,534.00 $90,024.45 $46,209.62 2026-02-27
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 6 6 — — $44,341.70 $54,612.45 $45,752.57 2026-02-27
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 6 6 — — $44,269.97 $54,524.09 $45,678.54 2026-02-27
175826 CDM Graft Stent Thoracic Valiant Closed Web Str 34x34x150mm 15 11 $166,554.00 $138,239.82 $17,538.14 $137,940.02 $45,652.45 2026-02-27
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $44,186.75 $54,421.61 $45,592.68 2026-02-27
17 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant Without Cc/mcc 13 9 — — $8,534.00 $79,860.16 $45,588.99 2026-02-27
71611 CDM Implant Peek Custom Cranial Large 15 11 $165,940.49 $137,730.61 $17,473.53 $137,431.91 $45,484.29 2026-02-27
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $43,820.18 $53,970.12 $45,214.45 2026-02-27
220 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 15 9 — — $8,534.00 $88,022.29 $45,195.48 2026-02-27
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $43,675.99 $53,792.54 $45,065.67 2026-02-27
450 MS_DRG Ms-DRG 43.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 14 8 — — $8,534.00 $87,969.47 $44,953.63 2026-02-27
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 6 6 — — $43,533.23 $53,616.71 $44,918.37 2026-02-27
21 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 15 9 — — $8,534.00 $112,813.51 $44,869.41 2026-02-27
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $43,407.70 $53,462.10 $44,788.84 2026-02-27
270 MS_DRG Ms-DRG 43.00: Other Major Cardiovascular Procedures With Mcc 15 9 — — $8,534.00 $87,089.71 $44,723.10 2026-02-27
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 6 6 — — $43,065.51 $53,040.66 $44,435.76 2026-02-27
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 6 6 — — $43,039.69 $53,008.85 $44,409.12 2026-02-27
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $42,991.62 $52,949.65 $44,359.53 2026-02-27
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 6 6 — — $42,939.26 $52,885.16 $44,305.49 2026-02-27
73592 CDM Capit Watchman Laa Procedure Device 15 11 $161,500.00 $134,045.00 $17,005.95 $133,754.30 $44,267.15 2026-02-27
89604 CDM Capit Watchman Flx Laa Procedure Device 15 11 $161,500.00 $134,045.00 $17,005.95 $133,754.30 $44,267.15 2026-02-27
466 MS_DRG Ms-DRG 43.00: Revision Of Hip Or Knee Replacement With Mcc 15 9 — — $8,534.00 $85,919.45 $44,130.33 2026-02-27
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 6 6 — — $42,766.37 $52,672.23 $44,127.10 2026-02-27
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $42,759.92 $52,664.27 $44,120.44 2026-02-27
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $42,749.87 $52,651.91 $44,110.08 2026-02-27
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