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 Sacred Heart Hospital

Allentown, PA · CCN 390197 · Rates published

20,554 distinct procedures filed
15 distinct payers
503,268 rate rows
2026-02-26 last MRF observed
Data quality

502,116 of 503,268 rate rows are consumer-grade (99.8%)

1,152 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 695
per-diem day rate — not a per-procedure price 183
template filing: same amount across many unrelated codes — excluded 101
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 94
exceeds 10× this hospital's gross charge — excluded from medians 79
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.slhn.org/-/media/sluhn/billing/pdf/standard-charges/23-1352213_stlukeshospitalsacredheartcampus_standardcharges.ashx
Found on page https://www.slhn.org/billpay/patient-billing/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 8c1b2a38a2411055… · 301,153,970 bytes · first seen 2026-05-17

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 $534,014.92 $669,946.72 $551,006.78 nat. median
$309,665
1.8× median
18
MS_DRG 		Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $395,101.44 $712,767.96 $410,905.50 nat. median
$370,174
1.1× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $327,074.03 $410,329.69 $337,481.22 nat. median
$246,434
1.4× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $305,759.87 $383,590.07 $315,488.86 nat. median
$117,173
outlier · 2.7×
37660
CDM 		Bicol Collagen Sponge 9 $107,740.40 $832,070.11 $315,477.35 nat. median
$0
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $305,557.33 $383,335.97 $315,279.88 nat. median
$234,729
1.3× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $304,138.69 $381,556.23 $313,816.10 nat. median
$244,017
1.3× median
71459
CDM 		Heartmate Iii Kit Implant 11 $98,422.13 $760,105.89 $281,015.68 nat. median
$107,957
outlier · 2.6×
1
MS_DRG 		Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $256,684.71 $462,557.73 $269,518.95 nat. median
$265,286
1.0× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $233,522.79 $292,965.28 $240,953.27 nat. median
$156,126
1.5× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $228,021.36 $286,063.47 $235,276.79 nat. median
$207,730
1.1× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $227,881.14 $285,887.56 $235,132.10 nat. median
$162,982
1.4× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $227,550.50 $285,472.75 $234,790.95 nat. median
$60,831
outlier · 3.9×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $223,534.35 $280,434.30 $230,647.01 nat. median
$164,834
1.4× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $219,180.63 $274,972.36 $226,154.76 nat. median
$122,924
1.8× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $217,831.24 $273,279.49 $224,762.42 nat. median
$182,665
1.2× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $214,478.96 $269,073.90 $221,303.48 nat. median
$164,289
1.3× median
927
MS_DRG 		Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 10 $195,749.52 $478,476.64 $219,301.92 nat. median
$206,474
1.1× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $209,615.44 $262,972.38 $216,285.20 nat. median
$144,745
1.5× median
3
MS_DRG 		Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 10 $158,034.96 $396,693.90 $210,173.84 nat. median
$202,976
1.0× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $202,830.39 $254,460.22 $209,284.27 nat. median
$160,267
1.3× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $198,774.42 $249,371.82 $205,099.24 nat. median
$150,721
1.4× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $188,568.72 $236,568.29 $194,568.80 nat. median
$151,838
1.3× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $186,657.59 $234,170.68 $192,596.86 nat. median
$145,336
1.3× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $180,899.95 $226,947.46 $186,656.02 nat. median
$58,674
outlier · 3.2×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $179,900.24 $225,693.27 $185,624.49 nat. median
$187,061
1.0× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $178,545.65 $223,993.88 $184,226.81 nat. median
$119,796
1.5× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $171,788.31 $215,516.47 $177,254.45 nat. median
$105,658
1.7× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $170,079.71 $213,372.96 $175,491.49 nat. median
$129,535
1.4× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $166,442.67 $208,810.12 $171,738.72 nat. median
$93,528
1.8× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $161,754.85 $202,929.03 $166,901.74 nat. median
$102,919
1.6× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $159,992.59 $200,718.19 $165,083.40 nat. median
$124,573
1.3× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $152,461.44 $191,270.01 $157,312.62 nat. median
$89,796
1.8× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $152,461.44 $191,270.01 $157,312.62 nat. median
$93,370
1.7× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $152,461.44 $191,270.01 $157,312.62 nat. median
$69,788
outlier · 2.3×
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $150,229.19 $188,469.55 $155,009.34 nat. median
$78,990
2.0× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 $142,054.93 $178,214.56 $146,574.99 nat. median
$118,620
1.2× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $138,739.01 $174,054.58 $143,153.55 nat. median
$81,294
1.8× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $137,943.57 $173,056.67 $142,332.80 nat. median
$108,996
1.3× median
4
MS_DRG 		Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 10 $105,137.87 $240,498.90 $137,456.83 nat. median
$133,161
1.0× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $131,374.91 $164,815.98 $135,555.14 nat. median
$76,806
1.8× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $131,374.91 $164,815.98 $135,555.14 nat. median
$85,444
1.6× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 $130,896.26 $164,215.49 $135,061.26 nat. median
$97,957
1.4× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $126,036.20 $158,118.31 $130,046.55 nat. median
$77,804
1.7× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 1 $126,423.52 $126,423.52 $126,423.52 nat. median
$87,428
1.4× median
7
MS_DRG 		Ms-DRG 43.00: Lung Transplant 9 $119,045.92 $213,753.80 $124,402.99 nat. median
$122,708
1.0× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $119,674.41 $150,137.14 $123,482.33 nat. median
$68,217
1.8× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $118,460.90 $148,614.75 $122,230.22 nat. median
$69,926
1.7× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $114,418.79 $143,543.72 $118,059.49 nat. median
$89,273
1.3× median
140985
CDM 		Dvc Heart Assist Impella 5.5 S2 11 $41,040.00 $316,948.50 $117,177.75 nat. median
$116,878
1.0× median

Other procedures at this hospital

Browse this hospital's 20,554 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
             
0915T CPT Hb Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 25 12 $201,311.00 $167,088.13 $13,448.00 $149,251.98 $52,240.20 2026-02-26
1 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 15 9 — — $256,684.71 $462,557.73 $269,518.95 2026-02-26
10 MS_DRG Ms-DRG 43.00: Pancreas Transplant 14 9 — — $46,475.22 $71,624.13 $66,318.64 2026-02-26
104115 CDM Valve Trancath Aortic Evolut Fx 23mm 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
104116 CDM Valve Trancath Aortic Evolut Fx 26mm 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
104117 CDM Valve Trancath Aortic Evolut Fx 29mm 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
104118 CDM Valve Trancath Aortic Evolut Fx 34mm 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $59,950.59 $75,210.82 $61,858.16 2026-02-26
11 MS_DRG Ms-DRG 43.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 10 — — $44,227.35 $105,458.80 $54,646.51 2026-02-26
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $89,093.66 $111,772.17 $91,928.54 2026-02-26
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $180,899.95 $226,947.46 $186,656.02 2026-02-26
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $227,550.50 $285,472.75 $234,790.95 2026-02-26
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $305,759.87 $383,590.07 $315,488.86 2026-02-26
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $68,239.96 $85,610.23 $70,411.29 2026-02-26
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 6 6 — — $53,501.38 $67,119.98 $55,203.74 2026-02-26
122837 CDM Stent Tag Thoracic Endoproth 45 X 8mm X 15cm 26fr 17 11 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $83,326.40 2026-02-26
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $88,301.68 $110,778.59 $91,111.36 2026-02-26
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $52,872.12 $66,330.55 $54,554.46 2026-02-26
132810 CDM Pascal Precision Sys W/pascal Imlant-guide Sheath-stabilizer 17 11 $290,700.00 $241,281.00 $27,907.20 $215,524.98 $79,680.87 2026-02-26
132811 CDM Pascal Precision Sys W/pascal Ace Imlant-guide Sheath-stabilizer 17 11 $290,700.00 $241,281.00 $27,907.20 $215,524.98 $79,680.87 2026-02-26
136402 CDM Stent Tag Thoracic Endoproth 26 X 8mm X 10cm 20fr 17 11 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $83,326.40 2026-02-26
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $170,079.71 $213,372.96 $175,491.49 2026-02-26
14 MS_DRG Ms-DRG 43.00: Allogeneic Bone Marrow Transplant 14 9 — — $110,533.05 $198,365.41 $115,507.04 2026-02-26
140985 CDM Dvc Heart Assist Impella 5.5 S2 17 11 $427,500.00 $354,825.00 $41,040.00 $316,948.50 $117,177.75 2026-02-26
144719 CDM Stent Tag Conformable W/active Cntrl 21 X 21mm X 10cm 17 11 $189,715.00 $157,463.45 $18,212.64 $140,654.70 $52,000.88 2026-02-26
146454 CDM Stent Tag Thoracic Endoproth 37 X 8mm X 15cm 24fr 17 11 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $83,326.40 2026-02-26
149130 CDM Pump Set Impella Cp W/companion Sheath Bundle 17 11 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $65,098.75 2026-02-26
156602 CDM Valve Trancath Aortic Evfxplus-23 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
156603 CDM Valve Trancath Aortic Evfxplus-26 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
156604 CDM Valve Trancath Aortic Evfxplus-29 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
156605 CDM Valve Trancath Aortic Evfxplus-34 17 11 $299,250.00 $248,377.50 $28,728.00 $221,863.95 $82,024.43 2026-02-26
156876 CDM Valve Tricuspid Evoque 44mm Rplcmnt Sys 17 11 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $111,969.85 2026-02-26
156877 CDM Valve Tricuspid Evoque 48mm Rplcmnt Sys 17 11 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $111,969.85 2026-02-26
156878 CDM Valve Tricuspid Evoque 52mm Rplcmnt Sys 17 11 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $111,969.85 2026-02-26
156879 CDM Valve Tricuspid Evoque 56mm Rplcmnt Sys 17 11 $408,500.00 $339,055.00 $39,216.00 $302,861.90 $111,969.85 2026-02-26
16 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant With Cc/mcc 14 9 — — $54,941.35 $97,874.62 $57,413.71 2026-02-26
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $60,670.73 $76,114.27 $62,601.21 2026-02-26
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $130,896.26 $164,215.49 $135,061.26 2026-02-26
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $131,374.91 $164,815.98 $135,555.14 2026-02-26
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $131,374.91 $164,815.98 $135,555.14 2026-02-26
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $178,545.65 $223,993.88 $184,226.81 2026-02-26
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $228,021.36 $286,063.47 $235,276.79 2026-02-26
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $64,348.45 $80,728.14 $66,395.96 2026-02-26
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $87,967.58 $110,359.44 $90,766.62 2026-02-26
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $55,337.21 $69,423.12 $57,097.99 2026-02-26
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $76,975.09 $96,568.86 $79,424.36 2026-02-26
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $51,389.43 $64,470.45 $53,024.60 2026-02-26
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $69,153.98 $86,756.91 $71,354.40 2026-02-26
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $61,650.53 $77,343.48 $63,612.19 2026-02-26
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $67,757.85 $85,005.40 $69,913.85 2026-02-26
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 6 6 — — $54,965.89 $68,957.28 $56,714.85 2026-02-26
17 MS_DRG Ms-DRG 43.00: Autologous Bone Marrow Transplant Without Cc/mcc 14 9 — — $50,399.56 $79,860.16 $52,667.54 2026-02-26
172644 CDM Botulism Immune Globulin Human 100 Mg IV Solr 15 9 $303,117.00 $251,587.11 $29,099.23 $224,730.94 $85,206.19 2026-02-26
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $59,061.67 $74,095.63 $60,940.96 2026-02-26
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $73,196.97 $91,829.02 $75,526.02 2026-02-26
179359 CDM Graft Endovascular Excluder Tambe 31 X 20 X 160mm 22fr 17 11 $275,500.00 $228,665.00 $26,448.00 $204,255.70 $75,514.55 2026-02-26
179360 CDM Graft Endovascular Excluder Tambe 37 X 20 X160mm 22fr 17 11 $275,500.00 $228,665.00 $26,448.00 $204,255.70 $75,514.55 2026-02-26
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 6 — — $60,846.43 $76,334.70 $62,782.51 2026-02-26
18 MS_DRG Ms-DRG 43.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 9 — — $395,101.44 $712,767.96 $410,905.50 2026-02-26
180373 CDM Stent Tag Thoracic Endoproth 40 X 8mm X 15cm 26fr 17 11 $304,000.00 $252,320.00 $29,184.00 $225,385.60 $83,326.40 2026-02-26
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 6 — — $65,877.88 $82,646.88 $67,974.05 2026-02-26
185448 CDM Pump Set Impella Cp 17 11 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $65,098.75 2026-02-26
189332 CDM Hfx Iq Ipg Kit 15 9 $247,000.00 $205,010.00 $23,712.00 $183,125.80 $69,431.70 2026-02-26
189336 CDM Senza Omnia Ipg Kit 15 9 $199,500.00 $165,585.00 $19,152.00 $147,909.30 $56,079.45 2026-02-26
19 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $65,943.36 $109,387.44 $67,921.66 2026-02-26
2 MS_DRG Ms-DRG 43.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 9 — — $104,268.23 $197,470.65 $109,481.64 2026-02-26
20 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 10 — — $72,647.38 $179,068.75 $81,319.89 2026-02-26
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 6 6 — — $51,961.56 $65,188.21 $53,614.93 2026-02-26
207 MS_DRG Ms-DRG 43.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 19 10 — — $59,552.54 $124,735.61 $64,316.74 2026-02-26
209 MS_DRG Ms-DRG 43.00: Complex Aortic Arch Procedures 14 10 — — $104,149.52 $245,661.64 $108,836.25 2026-02-26
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $111,396.29 $139,751.86 $114,940.82 2026-02-26
21 MS_DRG Ms-DRG 43.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 10 — — $49,134.91 $137,337.88 $61,492.74 2026-02-26
212 MS_DRG Ms-DRG 43.00: Concomitant Aortic And Mitral Valve Procedures 17 10 — — $100,088.94 $238,223.85 $108,096.06 2026-02-26
213 MS_DRG Ms-DRG 43.00: Endovascular Abdominal Aorta With Iliac Branch Procedures 14 10 — — $52,906.95 $104,721.27 $55,287.76 2026-02-26
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 6 6 — — $59,478.00 $74,617.93 $61,370.54 2026-02-26
215 MS_DRG Ms-DRG 43.00: Other Heart Assist System Implant 19 10 — — $56,633.87 $264,577.72 $99,052.05 2026-02-26
216 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 10 — — $72,597.21 $217,990.08 $97,334.14 2026-02-26
217 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 10 — — $47,625.38 $150,951.61 $65,703.27 2026-02-26
218 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 10 — — $43,253.46 $117,070.61 $65,703.27 2026-02-26
219 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 10 — — $50,165.96 $173,473.36 $76,580.56 2026-02-26
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $126,036.20 $158,118.31 $130,046.55 2026-02-26
220 MS_DRG Ms-DRG 43.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 10 — — $39,410.82 $114,021.33 $53,450.31 2026-02-26
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $52,698.15 $66,112.29 $54,374.96 2026-02-26
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 2 1 — — $110,215.26 $110,215.26 $110,215.26 2026-02-26
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 2 1 — — $83,846.35 $83,846.35 $83,846.35 2026-02-26
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 2 1 — — $95,449.86 $95,449.86 $95,449.86 2026-02-26
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 2 1 — — $73,769.59 $73,769.59 $73,769.59 2026-02-26
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 2 1 — — $88,431.75 $88,431.75 $88,431.75 2026-02-26
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 2 1 — — $70,461.86 $70,461.86 $70,461.86 2026-02-26
228 MS_DRG Ms-DRG 43.00: Other Cardiothoracic Procedures With Mcc 19 10 — — $45,971.92 $168,147.97 $54,230.90 2026-02-26
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $166,442.67 $208,810.12 $171,738.72 2026-02-26
23 MS_DRG Ms-DRG 43.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 10 — — $45,307.10 $109,238.00 $57,370.27 2026-02-26
231 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca With Mcc 19 10 — — $74,968.42 $165,070.62 $83,992.49 2026-02-26
232 MS_DRG Ms-DRG 43.00: Coronary Bypass With Ptca Without Mcc 19 10 — — $50,494.12 $119,402.96 $60,647.27 2026-02-26
233 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 10 — — $51,764.42 $151,478.53 $76,254.15 2026-02-26
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 6 6 — — $54,231.90 $68,036.46 $55,957.51 2026-02-26
234 MS_DRG Ms-DRG 43.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 10 — — $40,384.71 $99,500.62 $54,731.31 2026-02-26
235 MS_DRG Ms-DRG 43.00: Coronary Bypass Without Cardiac Catheterization With Mcc 19 10 — — $39,559.02 $122,471.63 $58,734.10 2026-02-26
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $305,557.33 $383,335.97 $315,279.88 2026-02-26
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 6 6 — — $55,494.74 $69,620.75 $57,260.53 2026-02-26
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 6 6 — — $51,600.63 $64,735.40 $53,242.51 2026-02-26
266 MS_DRG Ms-DRG 43.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 10 — — $47,096.09 $198,502.54 $61,296.15 2026-02-26
268 MS_DRG Ms-DRG 43.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 19 10 — — $58,295.84 $124,868.20 $68,687.36 2026-02-26
270 MS_DRG Ms-DRG 43.00: Other Major Cardiovascular Procedures With Mcc 19 10 — — $37,674.76 $94,135.77 $52,893.14 2026-02-26
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 6 6 — — $50,058.22 $62,800.38 $51,651.03 2026-02-26
275 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 10 — — $65,547.09 $175,578.35 $69,200.26 2026-02-26
276 MS_DRG Ms-DRG 43.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 17 10 — — $55,643.53 $140,623.42 $58,425.71 2026-02-26
278 MS_DRG Ms-DRG 43.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 17 10 — — $48,652.20 $101,358.71 $54,203.33 2026-02-26
28 MS_DRG Ms-DRG 43.00: Spinal Procedures With Mcc 19 10 — — $43,242.87 $112,120.95 $60,111.78 2026-02-26
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $58,976.85 $73,989.21 $60,853.43 2026-02-26
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $75,422.30 $94,620.80 $77,822.16 2026-02-26
3 MS_DRG Ms-DRG 43.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 19 10 — — $158,034.96 $396,693.90 $210,173.84 2026-02-26
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 6 6 — — $57,538.30 $72,184.49 $59,369.12 2026-02-26
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $60,753.82 $76,218.51 $62,686.95 2026-02-26
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $87,542.59 $109,826.28 $90,328.12 2026-02-26
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $61,738.82 $77,454.24 $63,703.29 2026-02-26
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $53,314.42 $66,885.43 $55,010.83 2026-02-26
317 MS_DRG Ms-DRG 43.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 10 — — $61,851.74 $154,933.73 $65,483.57 2026-02-26
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $51,872.41 $65,076.37 $53,522.94 2026-02-26
37172 CDM Tavr Sapien Retroflex 3 Dlv Sys 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37173 CDM Tavr Sapien Retroflex 3 Dlv Sys 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37296 CDM Tavr Sapien 3 Transapical Dlv Sys 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37297 CDM Tavr Sapien 3 Transapical Dlv Sys 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37541 CDM Tavr Sapien Xt W/ascendra System 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37542 CDM Tavr Sapien Xt W/ascendra System 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37543 CDM Tavr Sapien Xt W/ascendra System 29mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
37544 CDM Valve Transcatheter Sapien Xt W/nova Flex System 23mm 15 9 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,789.62 2026-02-26
37545 CDM Valve Transcatheter Sapien Xt W/nova Flex System 26mm 15 9 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,789.62 2026-02-26
37546 CDM Valve Transcatheter Sapien Xt W/nova Flex System 29mm 15 9 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $86,789.62 2026-02-26
37660 CDM Bicol Collagen Sponge 15 9 $1,122,295.80 $931,505.51 $107,740.40 $832,070.11 $315,477.35 2026-02-26
39357 CDM Tavr 26mm Corevalue Transcatheter 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
39358 CDM Tavr 29mm Corevalue Transcatheter 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
4 MS_DRG Ms-DRG 43.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 19 10 — — $105,137.87 $240,498.90 $137,456.83 2026-02-26
405 MS_DRG Ms-DRG 43.00: Pancreas, Liver And Shunt Procedures With Mcc 19 10 — — $45,868.14 $121,808.63 $54,808.25 2026-02-26
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $52,374.43 $65,706.18 $54,040.94 2026-02-26
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $75,701.00 $94,970.45 $78,109.74 2026-02-26
426 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 10 — — $54,590.82 $254,235.83 $106,503.71 2026-02-26
427 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 10 — — $42,618.31 $172,182.11 $70,045.88 2026-02-26
428 MS_DRG Ms-DRG 43.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 10 — — $37,484.21 $133,531.06 $54,738.31 2026-02-26
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 6 6 — — $51,809.23 $64,997.10 $53,457.75 2026-02-26
429 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 10 — — $83,064.09 $202,290.38 $88,285.32 2026-02-26
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $118,460.90 $148,614.75 $122,230.22 2026-02-26
430 MS_DRG Ms-DRG 43.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 10 — — $39,770.74 $132,679.69 $56,129.47 2026-02-26
43040 CDM Cath Impella 9fr 2.5 Flow Rate 17 11 $190,000.00 $157,700.00 $18,240.00 $140,866.00 $52,079.00 2026-02-26
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $171,788.31 $215,516.47 $177,254.45 2026-02-26
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $58,563.11 $73,470.17 $60,426.54 2026-02-26
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $86,136.94 $108,062.82 $88,877.74 2026-02-26
447 MS_DRG Ms-DRG 43.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 17 10 — — $44,671.95 $162,613.34 $64,897.36 2026-02-26
450 MS_DRG Ms-DRG 43.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 17 10 — — $37,579.48 $99,914.80 $51,934.89 2026-02-26
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 2 1 — — $126,423.52 $126,423.52 $126,423.52 2026-02-26
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 2 1 — — $84,553.58 $84,553.58 $84,553.58 2026-02-26
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 2 1 — — $66,245.57 $66,245.57 $66,245.57 2026-02-26
456 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 10 — — $72,152.61 $183,366.22 $83,731.16 2026-02-26
457 MS_DRG Ms-DRG 43.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 10 — — $52,473.66 $121,925.22 $59,666.04 2026-02-26
459 MS_DRG Spinal Fusion Except Cervical W Mcc 2 1 — — $78,633.74 $78,633.74 $78,633.74 2026-02-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $52,522.95 $52,522.95 $52,522.95 2026-02-26
461 MS_DRG Ms-DRG 43.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 10 — — $51,227.76 $140,878.91 $63,848.98 2026-02-26
463 MS_DRG Ms-DRG 43.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 10 — — $38,627.47 $101,383.72 $57,066.53 2026-02-26
466 MS_DRG Ms-DRG 43.00: Revision Of Hip Or Knee Replacement With Mcc 19 10 — — $34,117.94 $98,109.90 $52,193.95 2026-02-26
46610 CDM Restore Sensor System 15 9 $202,350.00 $167,950.50 $19,425.60 $150,022.29 $56,880.58 2026-02-26
5 MS_DRG Ms-DRG 43.00: Liver Transplant With Mcc Or Intestinal Transplant 14 9 — — $94,942.66 $170,183.36 $99,215.08 2026-02-26
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $57,911.35 $72,652.50 $59,754.04 2026-02-26
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $86,851.02 $108,958.67 $89,614.54 2026-02-26
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $119,674.41 $150,137.14 $123,482.33 2026-02-26
54438 CDM System Mitraclip Nt W/one Clip 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
54439 CDM System Mitraclip Nt W/two Clips 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
54440 CDM System Mitraclip Nt W/three Clips 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
56918 CDM Tavr Sapien 3 Cmndr Dlv Sys 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
56919 CDM Tavr Sapien 3 Cmndr Dlv Sys 29mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
56945 CDM Tavr Sapien 3 Cmndr Dlv Sys 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
573 MS_DRG Ms-DRG 43.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 10 — — $53,150.16 $129,146.35 $63,042.86 2026-02-26
576 MS_DRG Ms-DRG 43.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 10 — — $45,550.06 $120,699.79 $57,935.92 2026-02-26
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $209,615.44 $262,972.38 $216,285.20 2026-02-26
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $233,522.79 $292,965.28 $240,953.27 2026-02-26
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $304,138.69 $381,556.23 $313,816.10 2026-02-26
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $534,014.92 $669,946.72 $551,006.78 2026-02-26
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $159,992.59 $200,718.19 $165,083.40 2026-02-26
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $186,657.59 $234,170.68 $192,596.86 2026-02-26
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $217,831.24 $273,279.49 $224,762.42 2026-02-26
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $327,074.03 $410,329.69 $337,481.22 2026-02-26
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $152,461.44 $191,270.01 $157,312.62 2026-02-26
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $152,461.44 $191,270.01 $157,312.62 2026-02-26
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $152,461.44 $191,270.01 $157,312.62 2026-02-26
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $138,739.01 $174,054.58 $143,153.55 2026-02-26
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $161,754.85 $202,929.03 $166,901.74 2026-02-26
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $214,478.96 $269,073.90 $221,303.48 2026-02-26
59204 CDM Tavr 23mm Corevalve Transcatheter 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
59205 CDM Tavr 31mm Corevalue Transcatheter 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $84,438.73 $105,932.34 $87,125.49 2026-02-26
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $110,952.26 $139,194.80 $114,482.65 2026-02-26
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $137,943.57 $173,056.67 $142,332.80 2026-02-26
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $188,568.72 $236,568.29 $194,568.80 2026-02-26
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $58,709.39 $73,653.68 $60,577.47 2026-02-26
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $78,811.79 $98,873.08 $81,319.51 2026-02-26
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $98,631.15 $123,737.40 $101,769.51 2026-02-26
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $142,054.93 $178,214.56 $146,574.99 2026-02-26
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $58,834.03 $73,810.05 $60,706.07 2026-02-26
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $103,900.62 $130,348.19 $107,206.64 2026-02-26
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $56,231.32 $70,544.83 $58,020.55 2026-02-26
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $75,287.27 $94,451.41 $77,682.84 2026-02-26
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $109,808.87 $137,760.36 $113,302.88 2026-02-26
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $54,063.98 $67,825.80 $55,784.25 2026-02-26
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $62,631.20 $78,573.77 $64,624.07 2026-02-26
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $51,580.72 $64,710.43 $53,221.97 2026-02-26
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $79,049.82 $99,171.70 $81,565.10 2026-02-26
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $227,881.14 $285,887.56 $235,132.10 2026-02-26
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $51,268.26 $64,318.43 $52,899.57 2026-02-26
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $91,329.37 $114,576.98 $94,235.39 2026-02-26
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $71,943.65 $90,256.68 $74,232.83 2026-02-26
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 6 — — $90,489.79 $113,523.68 $93,369.10 2026-02-26
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 6 — — $60,378.17 $75,747.24 $62,299.35 2026-02-26
61735 CDM Valve Tavr Sapien 3 Cmndr Dlv Sys 20mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $73,811.51 $92,599.99 $76,160.12 2026-02-26
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $70,553.58 $88,512.77 $72,798.52 2026-02-26
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 6 6 — — $50,400.11 $63,229.30 $52,003.79 2026-02-26
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 6 — — $62,540.32 $78,459.75 $64,530.29 2026-02-26
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $85,616.74 $107,410.21 $88,340.99 2026-02-26
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $49,935.31 $62,646.19 $51,524.21 2026-02-26
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $109,569.11 $137,459.58 $113,055.50 2026-02-26
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $198,774.42 $249,371.82 $205,099.24 2026-02-26
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $64,420.29 $80,818.27 $66,470.08 2026-02-26
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $219,180.63 $274,972.36 $226,154.76 2026-02-26
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $71,754.96 $90,019.96 $74,038.14 2026-02-26
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $111,095.94 $139,375.06 $114,630.91 2026-02-26
64375 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
64627 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
653 MS_DRG Ms-DRG 43.00: Major Bladder Procedures With Mcc 19 10 — — $48,245.56 $125,581.37 $57,988.85 2026-02-26
66190 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 29mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
66257 CDM Pump Set Impella Cp 17 11 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $65,098.75 2026-02-26
67096 CDM Valve Tavr Sapien 3 Certitude Dlv Sys 20mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 6 — — $63,845.56 $80,097.25 $65,877.07 2026-02-26
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 6 6 — — $53,414.82 $67,011.39 $55,114.43 2026-02-26
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 6 6 — — $57,070.04 $71,597.04 $58,885.96 2026-02-26
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 6 6 — — $52,525.90 $65,896.20 $54,197.22 2026-02-26
7 MS_DRG Ms-DRG 43.00: Lung Transplant 14 9 — — $119,045.92 $213,753.80 $124,402.99 2026-02-26
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $71,126.57 $89,231.61 $73,389.75 2026-02-26
71459 CDM Heartmate Iii Kit Implant 17 11 $1,025,230.50 $850,941.32 $98,422.13 $760,105.89 $281,015.68 2026-02-26
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $80,574.05 $101,083.92 $83,137.84 2026-02-26
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $114,418.79 $143,543.72 $118,059.49 2026-02-26
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $179,900.24 $225,693.27 $185,624.49 2026-02-26
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 6 6 — — $54,083.89 $67,850.77 $55,804.79 2026-02-26
77579 CDM System Mitraclip Xtr W/three Clips 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
77739 CDM System Mitraclip Xtr/ntr W/one Clip 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
77740 CDM System Mitraclip Xtr/ntr W/two Clips 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
77741 CDM System Mitraclip Xtr/ntr W/three Clips 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
78682 CDM System Mitraclip Xtr W/one Clip 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
790 MS_DRG Ms-DRG 43.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 9 — — $12,221.78 $98,102.40 $55,618.03 2026-02-26
8 MS_DRG Ms-DRG 43.00: Simultaneous Pancreas And Kidney Transplant 14 9 — — $51,972.84 $92,508.57 $54,311.62 2026-02-26
820 MS_DRG Ms-DRG 43.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 10 — — $50,388.27 $121,609.97 $58,696.63 2026-02-26
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $56,317.88 $70,653.41 $58,109.86 2026-02-26
834 MS_DRG Ms-DRG 43.00: Acute Leukemia With Mcc 19 10 — — $50,925.50 $150,163.51 $71,610.47 2026-02-26
83623 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 20mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
83624 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
83625 CDM Valve Tavr Sapien 3 Ultra With Cmndr Dlv Sys 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $80,014.04 $100,381.36 $82,560.01 2026-02-26
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $65,962.70 $82,753.30 $68,061.58 2026-02-26
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $202,830.39 $254,460.22 $209,284.27 2026-02-26
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $113,555.83 $142,461.11 $117,169.08 2026-02-26
850 MS_DRG Ms-DRG 43.00: Acute Leukemia With Other Procedures 17 10 — — $79,867.30 $203,136.45 $86,256.68 2026-02-26
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 6 — — $59,561.96 $74,723.26 $61,457.16 2026-02-26
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $104,784.35 $131,456.87 $108,118.49 2026-02-26
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $104,784.35 $131,456.87 $108,118.49 2026-02-26
85655 CDM System Mitraclip Xtr W/two Clips 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 6 — — $89,323.89 $112,061.01 $92,166.10 2026-02-26
870 MS_DRG Ms-DRG 43.00: Septicemia Or Severe Sepsis With Mv >96 Hours 19 10 — — $55,046.00 $123,650.71 $69,021.69 2026-02-26
87091 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 20mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
87092 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 23mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
87093 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 26mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
87094 CDM Valve Tavr Sapien 3 Ultra With Certitude Dlv Sys 29mm 17 11 $308,750.00 $256,262.50 $29,640.00 $228,907.25 $84,628.38 2026-02-26
87770 CDM Protekduo Ls Dl31 Kit 15 9 $204,250.00 $169,527.50 $19,608.00 $151,430.95 $57,414.68 2026-02-26
87817 CDM Cath Mitraclip G4 Sgc 17 11 $285,000.00 $236,550.00 $27,360.00 $211,299.00 $78,118.50 2026-02-26
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 6 6 — — $51,930.40 $65,149.12 $53,582.79 2026-02-26
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $55,213.43 $69,267.84 $56,970.28 2026-02-26
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 6 — — $65,683.99 $82,403.64 $67,773.99 2026-02-26
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 6 — — $62,475.40 $78,378.31 $64,463.31 2026-02-26
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 6 — — $58,088.79 $72,875.11 $59,937.12 2026-02-26
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 6 6 — — $60,491.56 $75,889.49 $62,416.35 2026-02-26
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $75,399.79 $94,592.57 $77,798.95 2026-02-26
927 MS_DRG Ms-DRG 43.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 19 10 — — $195,749.52 $478,476.64 $219,301.92 2026-02-26
928 MS_DRG Ms-DRG 43.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 19 10 — — $24,929.49 $118,391.37 $68,942.90 2026-02-26
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $150,229.19 $188,469.55 $155,009.34 2026-02-26
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $223,534.35 $280,434.30 $230,647.01 2026-02-26
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $51,592.84 $64,725.63 $53,234.47 2026-02-26
955 MS_DRG Ms-DRG 43.00: Craniotomy For Multiple Significant Trauma 19 10 — — $62,258.98 $131,925.11 $67,239.70 2026-02-26
957 MS_DRG Ms-DRG 43.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 10 — — $60,730.56 $129,365.00 $76,004.63 2026-02-26
969 MS_DRG Ms-DRG 43.00: HIV With Extensive O.r. Procedures With Mcc 19 10 — — $56,690.88 $145,708.66 $69,940.18 2026-02-26
97297 CDM Cath Mitraclip G4 Mcg 17 11 $313,500.00 $260,205.00 $30,096.00 $232,428.90 $85,930.35 2026-02-26
99051 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 20mm 17 11 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $88,534.30 2026-02-26
99052 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 23mm 17 11 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $88,534.30 2026-02-26
99053 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 26mm 17 11 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $88,534.30 2026-02-26
99054 CDM Valve Tavr Sapien 3 Ultra Resilia With Cmndr Dlv Sys 29mm 17 11 $323,000.00 $268,090.00 $31,008.00 $239,472.20 $88,534.30 2026-02-26
A9543 CPT Hb Y90 Ibritumomab, Rx 25 12 $240,839.00 $199,896.37 $40,942.63 $177,213.04 $65,917.63 2026-02-26
C1604 HCPCS Capit Stent Graft Detour System 17 11 $237,500.00 $197,125.00 $22,800.00 $176,082.50 $65,098.75 2026-02-26
C1605 HCPCS Capit Aveir Dual Chamber Pacer System 17 11 $237,595.00 $197,203.85 $22,809.12 $176,152.93 $65,124.79 2026-02-26
C1822 HCPCS Stylet Kit (w/0.016) 50cm Length 87 11 $218,500.00 $181,355.00 $68.40 $253,558.80 $52,164.50 2026-02-26
C1824 HCPCS Optimizer Smart Generator 32 11 $218,500.00 $181,355.00 $20,976.00 $183,125.80 $62,294.35 2026-02-26
C1826 HCPCS Capit Neuro Inceptive Replacemnt Sys 47 11 $237,500.00 $197,125.00 $20,976.00 $190,169.10 $64,932.50 2026-02-26
C1827 HCPCS Ipg Vivistim Paired Vns Model 1001 17 11 $280,250.00 $232,607.50 $26,904.00 $207,777.35 $76,816.52 2026-02-26
C2624 HCPCS Impl Cardiomems Hf Sys Pa Sensor And Delivery Sys 32 11 $185,250.00 $153,757.50 $17,784.00 $163,291.87 $52,814.78 2026-02-26
J7330 HCPCS Maci Final Product Assembled 1 Membrane 17 11 $533,624.50 $442,908.34 $51,227.95 $154,217.48 $102,722.71 2026-02-26
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